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L- <br />M <br />U) <br />CU <br />O <br />0 <br />C <br />0 <br />O <br />LO <br />M <br />M <br />12 12 09:29p Brad <br />?636820977 <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />Date 10-1q r%b <br />Building Permit No. <br />Owner i t4-<'y� �'r�.•e.t2-- <br />Property Address 1 Oi O �Dv10 ©c•.. <br />Kind of Building <br />SSTS Installer 14 ,Q 4-- License 4 Y; <br />Septic Tanks <br />p.5 <br />Drain Field: <br />Total length of lines Number of lines <br />Type of soil Percolation Test :5 ► 9 T'"G� <br />Width of trench Type of filter material <br />Size of Rock Bed _ 10 Y 3 5- Size of Absorption Area <br />Draw detailed diagram with measurements indicating djeianees to septic tank dsers from a <br />permanent structure. <br />Z— <br />I k's-k1l /-(0,00 P&*Ivf <br />fAnI-e— <br />