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CITYOFORONO <br />ADDRESS <br />CODE ___ <br />Date <br />Connected to <br />SEPTIC SYSTEM INVENTORY CARD Municipal Sev««r <br />Address <br />)iC Standard trench <br />□ Mound <br />System type O Other <br />_ Property I.D. /0-7/7-23» gOoV <br />TK. 0,0 <br />Legal Description __________ <br />^Installer /^/c. (A^U-L/Aty/\*£Permit No. R/> Date of permit <br />No. Bedrooms Garbage <br />Building type or GPD Uundry ^ Dishwasher ^___ Disposaij^ <br />SEPTIC TANKS: Material <br />Proper outlet and inlet Baffles Oc>AJ C <br />Height of tank bottom above water table . ------ <br />.Capacity 11 VS’Ct 21 -7SO <br />. Liquid depth to RO level <br />, Distance to nearest building <br />DBAINFIELD: Totallength ol lines /£>0* Number ol lines --------------------Trenehwidlh <br />Total treatment area (sq. It.) Height ol drainlield above water table ^__ <br />Type ol litter material soil type CK^reV ------------- <br />Distance Irom nearest bldg. __^Tlle site , , ------------Perc rate <br />Depth of fill over drainfield ___Depth of rock over tile --------!k--------------under tile <br />«min/in <br />WELL DATA <br />2£c1 <br />E <br />S <br />C I <br />|s <br />■g <br />str <br />I <br />V <br />Hw <br />c <br />5 <br />a <br />K <br />Ee <br />E <br />«D <br />o <br />* s <br />o <br />> <br />a <br />E <br />t <br />&.£ <br />•D <br />15 <br />I <br />INSPECTION RECORD <br />DATE <br />^wrge <br />COMPLIANCE <br />PUMPOUT RECORD <br />PATE GALLONS <br />LOCATION <br />SKETCH <br />/o~/t>~ya A^oo <br />C-CONFORMING S - SUBSTANDARD N - NONCONFORMING <br />21 Distance Irom house to <br />septic tanks, dist. box, <br />and drainlield <br />3) North arrow and road <br />Bay leiPfi^ ieo/vc>