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�' 7_ z 3 — w <br /> !/DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS <br /> LABOR& HUMAN FI MINI PRIVATE SEWAGE SYSTEMS DIVISION <br /> P.O.BOX 7969 BUREAU OF PLUMBING <br /> MADISON,WI 53)0) <br /> CONVENTIONAL ❑ALTERNATIVE <br /> ' ❑Holding Tank ❑In-Ground Pressure ❑Mountl <br /> NAIVE or Pena,IT HOLDEN ADDRLss of PE a".I Lcliam INSPECT ION DATE: <br /> ' 7395 w i3oust C' 11 J —i4 <br /> Mna 1..,,11,F-111.1­111srn n°pFERFNTFROM PLnx HEF,IFLe. <br /> EV: TRE1.1TILIP <br /> 7y +� oa L <br /> 11I , n IN o/m072 L�7cuv ,Yc111.76 ma 11346 <br /> SEPTIC TAN/K/_HOLDING TANK: <br /> � �� G LL J T TAa.170LEy, Tia LEN: .nN1xpL.eFL p�noEp°xF <br /> / �] >11%pw�1DEp.. <br /> xrp A. 73 E ;{yYES ONO ❑YES ❑NO <br /> CT ''/I ' e NUMBER OF LFFINAL OIFan <br /> aOVES ZNO 4A Lam/ .IAlO YES ON0 NEARES TM a�� J :1 ` w L-1 uxo�rvc Tv ErvT To�FxLs++ <br /> DOSING CHAMBER: <br /> xmACtUaLa. p1N4 V1OCnenuTr m"0°LL ruelealionen xur ACTW+E a PARTaNGLAILIOL Leri COVER <br /> mED <br /> OYES ONO <br /> ¢OYES ❑NO Rup <br /> ONO <br /> GALLONS PER CYCLE 11111P ANO ODVTRme DERAT'DEAL NUMBER OF ry xtu lwl TTn Fxem <br /> DIFFERENCE BETWEEN FEET FROM F m T. <br /> PUMP ON AND OFF) DYES ONO NEggEST <br /> SOIL ABSORPTION SYSTEM.Check the soil moistureat thedepm Df excavation. plowing FORCE +1. mnTa uumL Axn MAvuxn <br /> or IIf soil can be reflect into a wire,construction shall cease until MAIN <br /> the soul is dry enough me.) <br /> CONVENTIONAL SYSTEMtInu <br /> BED/TRQ19Dtl jwp°/�/ ueut.rts Tv c1r a.uo glEwwu PIT mL mn Ts ofri. <br /> DIMENSIONS <br /> LEFT E NUMBER OF eu+ p To v <br /> ow Nv LD Y n v /JDAm Nv r a+ATLnIAL. rrs's FEET FROM ' <br /> Ls� ne cp E LeTS`�IL�c �� sols NEAREST L �_E/t yplx� vio FNr'" <br /> MOUND SYSTEM: sfJ 7 <br /> Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSVSTEM <br /> and furrows thrown upslopes mound systems to make Certain that it ON REVERSE SIDE.SHOW ELEVA- <br /> ❑VES <br /> meets the criteria for medium sand. TIONS MEASURED. <br /> ❑NO <br /> SOIL COVER T Tw+Ey[A LrvnuA"1r1 Ea VA DON wuu <br /> ❑VES ❑NO OYES ONO <br /> IIICTPI'IV .111 rvneatD 1111.1NFL ILL D <br /> 11111+11151.1. VI 11w Ltam <br /> I <br /> 1s OVES ONO OYES 1:1 NO a Z. ONO <br /> PR ESSUR IZ EO DISTRIBUTION SYSTEM: <br /> BED/TRENCH <br /> 11THII cm Np TRILATERAERAL SPAC1xG: cnnvLLuelTReupw nlF LOEvrl AnovE wvEv <br /> DIMENSIONS <br /> ELEVATION AND etnN's OLD II v. l u v o. F 1wmMAmn1 S lE vlaunpx PlRE aurtvua aaln.nwe <br /> DISTRIBUI ION <br /> INFORMATION No IFS¢ETCLESPATINIT FLILLI01vFEu .1v MATERIALx Ln Tc°RRLsloaos mAPICONTO <br /> s <br /> VES ONO <br /> VERTICAL <br /> ONO <br /> COMMENTS: MANENi MAnaws eavnnaN wens. NUMBER OF ivovmry u. Lmxp. <br /> OYES ONO DYES ONO NEARES OM <br /> Sketch System OR Retain in county file for audit. <br /> Reverse Side. <br /> smN t E. 1 Le. <br /> DILHR SBD 6710R.01I821 OZLA- G fGFE-� ��LP�'-LiFY <br />