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COUNTY PEfMT 4 <br /> SANITARY INSP' EC' TION REPORT <br /> Owner's Tae G Location <br /> Address <br /> State Permit !�_��`��.� Installer <br /> SEPTIC TANK 7 <br /> Septic Tank Z17btal Gallons Number of Tanks,, . , <br /> Holding Uwe Tbtal Mzber of Tanks <br /> Material: Concrete steel.____ F'i <br /> Cast Piping to & from Tank : � <br /> Inlet Leaded: Yes ' ✓- ' <br /> Outlet Leaded: Yeo No <br /> Tank Sealed Properly: Yes No <br /> Tank Appears Level: Yes NO <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 :H Width /f�� Depth Z <br /> Absorption Trench: Linear. Width Dep <br /> Absorption Pit: Depth aside Diamb_MW7. <br /> Soil Appears as in ER-115: Yes 4— NO Explain: <br /> Distance t0 Bld&: �"�'-'7`-- Well <br /> Aggregate 3/4 - 2-1/2 Inch: Yes X- NO <br /> 32 Inches Below Tile: <br /> 2 Inches Above Tile: Yes NO <br /> Covering: Building Paper Marsh Hay <br /> Vent Pipe Minimum 4" C.I.: Yes t-- No <br /> AS-BUILT SAME AS APPLICATION: Yes /-- No # <br /> a If As-Built differs from system shown on PLS-67, draw a diagram of the system as <br /> built on the reverse side of this report. <br /> INSPB=OR <br /> DATE <L" <br />