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5 — l ?tY E . a:3a <br /> DEPARTMEIJT OF INDUSTRY, - INSPECTION REPORT FOR SAP ETY&BUILDINGS <br /> LABOR Is HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION <br /> P.O.&OX 7969 - BUREAU OF PLUMBING <br /> MADISON,W 153707 <br /> CONVENTIONAL ❑ALTERNATIVE <br /> ❑Holding Tank yy❑ IrvGround Pressure El Mound <br /> r M'e n aCt /IA �' N ea <br /> IT R.iP..m IOEeceier it w rrencrvT.nuM PLAN, _ r.or ELEV.. mr.rr.III.. <br /> II <br /> A�r � Lro ve4//zaa�r, <br /> !/ vNALLI <br /> 703 1/5 OS ..,,GlNxz�� 1/570he <br /> . <br /> SEPTIC TANK/HOEDING-TANK: <br /> rvarALTDVL24, v � ,a T5_0 TA LD.` [�OUTLET LLL v®YEsDO IRILAa0N0 IFETAITIN ❑No <br /> NUMBER OF v�I X or urvl 4� .ire. HE <br /> FEET FROM 1 N LF <br /> pont uN�j <br /> I n M q�f <br /> ❑YES QNO /y A�VFS DNO NEAREST /'9D J �am��Na 'ry LEr. <br /> DOSING CHAMBER: J <br /> rvurACTonER JBIL.TUI. ILIGIII 111AID1 rFEEL. roairvoNI rvarAC41111 DANN or LABEL LoexiMapoveR <br /> IRCLIKETED <br /> —]YES ❑NO ❑VES ❑NO PROVIDED <br /> YES ❑NO <br /> GALLONS PER CYCLE r"I CON IROLI1V 1710I.L NUMBER OF Tv lAELL. JIDULDIT11 'I"TO IriESH <br /> (D I FFERENCE BETWEEN FEET FgOM OF In INLET <br /> PUMP ON AND OFF) ❑YES NO NEAREST <br /> SOIL ABSORPTION SYSTEM.Check tM1eeoilmolltureatthedepthofplowing FORCE I'lln. Muw reniAL IND b.ARelNI, <br /> or excavation, (if sail can be rallied 'mm a ov ,construction shall cease until MAIN11 <br /> Me salt I5 or,a.... <br /> ...h m tlnue.l <br /> Eon <br /> CONVENTIONAL SYSTEM: <br /> BED/TAE{KM r s Ciuu AL I PIT mE Din rs DEPTH <br /> DIMENSIONS wiD�. / ,�.H EmwL . R.p rET rA MA ?".Lb� <br /> t✓ �W/L6 NUMBER OF +vf lL.)� [' IN <br /> AT o vir[Ps�+ eoEl i ii + oif�tDisrn.ri�E mA rEmAL �is NEAfl ESTO ��irv��T� P�IQ� .Z..l ' rvi J3 'Es <br /> MOUND SYSTEM: -� G -( <br /> Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM <br /> and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- <br /> ❑VES ONO meets the criteria for medium sand TIONS MEASURED. <br /> SOIL COVER T +LVL .MANE.Nr MARKENS EnvAnOry WLLLa <br /> ❑VES ❑NO AYES I- <br /> -]NO - <br /> rtv Ls iV ar mrsmL ouuLLu VES ❑NO uEDYES ONO <br /> 11H . -;YES ❑NO <br /> PRESSURIZED DISTRIBUTION SYSTEM: <br /> BED/TflENCH v cn TrIrvor <br /> evas. EunuPAwN vEL OEr+V auouarwe. LDEPTH nRovr eovrR. <br /> DIMENSIONS <br /> D F - LD E v. PE miauTiDNwruAuvwLn ewvaxa <br /> I <br /> s <br /> v' v <br /> ELEVATION AN . <br /> DISTRIBUTION <br /> INFORMATION Esau LLrAun LL"eaRRdTIY. conva+AIIIIAI. IFitvN wAL FILL coRREsrorvus rn APrvoveo <br /> ❑VES ❑NO E IVES ❑NO <br /> COMMENTS: MAxexT mAReeRs. ExvnnIN FLLLs_ NNiry u. iLoiNL.. <br /> ❑VES ❑NO ❑YES ❑NO EARESOM <br /> / <br /> Sketch System on Retain in county file for audit. <br /> Reverse Side. ITTLI <br /> DILHRSBD6710(R.01/82) s /!ti CJ -L( 1y�1 ,.Elly` <br />