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COUNTY PERMIT # <br /> SANITARY INSP 'E' CTION REPORT <br /> ( mia. �,Y — <br /> rrr's Niam�e Locationd445 , d' �=G d� �' �'r�''`/S <br /> Address <br /> State Permit _ % Installer •S /1 ' <br /> SEPTIC TANK <br /> Septic Tank .. ,; Total Gallons 5C) Number of Tanks/ <br /> Holding Tank_ Total Gallons Nor of 'ranks <br /> Material: Concrete__,_ Steel Fiberglass <br /> Cast Piping to & from Tank ›' <br /> Inlet Leaded: Yes .. <br /> Cutlet Leaded: Yes X . No <br /> Tank Sealed Properly: Yes ' No <br /> Tank Appears Level: Yes Na <br /> HOLDING TANK ONLY: <br /> Warning Device Located: Yes No <br /> Vent: Yes No <br /> Locking Device: Yes No <br /> DRAINFIELD <br /> Absorption Bed: Length - ' Y Widthlei Depth <br /> Absorption Trench: Linear Ft. Width Depth <br /> Absorption Pit: Depth Inside Diaffid'rer <br /> Soil Appears as in EH-115: Yes ; No _ Explain: <br /> Distance to Bldg.: jka Well 'cr t N W <br /> Aggregate 3/4 - 2-1/2 Inch: Yes No <br /> 32 Inches Below Tile: Ws 1- No <br /> 2 Inches Above Tile: Yes J No <br /> Covering: Building Paper Marsh Pay <br /> Vent Pipe Minimum 4" C.I. : Yes . No <br /> AS-BUILT SAME AS APPLICATION: Yes A Nb as <br /> * If As-Built differs from system shown on PLBr67, draw a diagram of the system as <br /> built on the reverse side of this report. <br /> INSPECTOR <br /> `�' DATE 1'7- 2/ <br />