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PRIVATE ONSITE WASTE TREATMENT County <br /> • 01111 , _ SYSTEMS Burnett <br /> P� ( POWTS) Z6 57 7 1-hl 4,, m <br /> INSPECTION REPORT Sanitary Permit No: <br /> Safety ane Buildings Division (ATTACH TO PERMIT) <br /> S1a683/ <br /> GENERAL INFORMATION <br /> Paaoatl iafh co)TM dcm.y hood fm Qml y PriveryraU5.0< IXm <br /> Perms HoWeta Name: City Village Tavm al: State Plan Transaction loo: <br /> S E lZu5u <br /> Irhsp BM Elev: BM Desuiplion: Parcel Ta>t No: <br /> /U0.00 Nor/ W/,Ain a/� � o�-oza.eel), /v-rs-S <br /> TANK INFORMATION ELEVATION DATA <br /> TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV <br /> Septic lve;se,- Bandmlark S.zS <br /> Dosing <br /> Aeration Bldg.Sewer 2,00 97.4- <br /> Holding <br /> 7.zfHolding Su Ht Irdet .3 3 YG. S2 <br /> TANK SETBACK INFORMATION StlHtOAst .(.9 T6.S6 <br /> TANK TO RL WELL BLDG �M'Ou,.E ROAD DI INM <br /> Septic :S / Z 4r NA Dl Bottom <br /> Dosing NA Installation <br /> Contour <br /> Aeration NA Header/Man <br /> Holding Dist Pipe <br /> PUMP I SIPHON INFORMATION InfitraM 966 9S.s9 <br /> Surface <br /> Final Grade 7 ,75 <br /> Model NunterGPM % Q.$7i Y6 bf <br /> TDH Lift Fd Sys Head DH Ft <br /> F L Dia Dist To Well <br /> DISPERSAL CELL INFORMATION <br /> DIMENSIONS W ; L N/yo #of Calls / Typ..rayd. Ditlnbub.Mcrae Manufacbaan <br /> SETBACKy, Conv o Aggregate f f <br /> INFORMATION P/L Bldg Wen Wa °INav o IGP ) Chamber <br /> o AG ❑ EZFIovv Madel Number. <br /> CELL TO r 15i 3 30, / ? /L S- C Mound C Other Q H,z(e <br /> DISTRIBUTION SYSTEM X Pressure Systems Only <br /> Header/Manifold Distribution Pipes) X Hole Size X Hole Observation Pipes <br /> LergN= Dia LengN= Dia= Spac Sprang 12 Yes 0N <br /> SOIL COVER <br /> Deprh Ova Depth Over Depth of Seeded/Sodded Mulched <br /> Cell Center "' y Cell E <br /> Topsoil ❑Yes W No ❑Yes 19 No <br /> COMMENTS: (Irdude coda discraperctes,Persons present.eta) 945 1r;�—A fig, cQ le/a6• . <br /> PDlylok 5-L57-,4)te✓ Gl <br /> pilo A-/-j id-4<4P/4 Jf3'/U6 In/E"1 L(9 NS�EG. <br /> 3N Q"'df- y5 /r5kl(uP ra ea /ars row a/sr.� dn�K. <br /> Plan waion req.dredtjk(Yes 17 No /l y /3 z� F/ /%SU <br /> Use otiher side for editorial infortration Data POWTS Inspectoes Signatun Certification Nu low <br />