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12 12 09:28p <br />Brad <br />7636820977 <br />CITY OF Div 0 <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />lnspKtor i Z ti Building Permit No. <br />Owner Yy► i C'.1.� iw <br />Property Address <br />Kind of Building <br />L�y7. <br />88TS Installer <br />S ti Tan ks <br />M <br />epc ':3. <br />Material CLwkkv_e�- D4ww � Number of Tanks <br />Size1 ©o? 1 000f I 00o L ,P-1_ <br />Drain Field: r <br />Total length of lines 340 Number of lines <br />Type of soil 5 f c•41'e— Percolation Test (( ,i.5±2:1 0 15 0 -;,- <br />Width of trench Type of filter material t, �-r.& <br />Size of Rock Bed 1 0 Size of Absorption Area <br />Draw detailed diagram with m"sur ments indicating distances to septic tank risers from a <br />permanent WMcture. <br />C�� <br />.^ — ,l0 <br />f 1,wv_ <br />-I-ie 1" f5ww* <br />+U Pw U.) <br />C <br />p.4 <br />1' <br />1 W, 1-+4►,. k— <br />.S <br />