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COUNTY PERMIT <br /> SANITARY INSPECTION REP0f? T <br /> Owner Is Name Location <br /> Address <br /> State Permit # Installers <br /> SEPTIC TANK <br /> Septic Tank Total Gallons, Number of Tanks <br /> Holding Tank Total Gallons Number of Tanks <br /> Material. Concrete Steel_ Fiberglass <br /> Cast Piping to & from lank <br /> Inlet Leaded: Yes <br /> Outlet Leaded: Yes No <br /> Tank Sealed Properly: Yes // No <br /> Tank Appears Level., YesNa <br /> HOLDING TANK ONLY: <br /> Warning Device Located: Yes . No <br /> Vent. Yes No <br /> Looking Device; Yes No <br /> DRAINFIELD <br /> Absorption Bed: Length 2 `/ Width / Z' Depth <br /> Absorption Trench: Linear Ft. Width Depth <br /> Absorption Pit: Depth _Mside Diadre� <br /> Soil Appears as in EB-115: Yes No Explain: <br /> Distance to Bldg.: Well '��/ <br /> Aggrvgate 3/4 - 2-112 Inch: Yes No <br /> 3.2 Inches Below Tile: Tsi 1f-- No <br /> 2 Inches Above Tile: Yee C= No <br /> Covering: Building Paper Mtarsh fay i~_... <br /> Vent Pipe Minim un 4" C.I. : Yes < - tb <br /> AS-BUILT SME AS APPLICATION: Yes i No e <br /> x If As-Built differs from system shown on PLB-67, draw a diagram of the system as <br /> guilt on the reverse side of this report. <br /> v <br /> INSPECTOR <br /> DATE d� "Af r, --72Y <br />