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COUNTY PERMIT 0 <br /> SANITARY " I NSPEC TI ON RE- PORT ? <br /> Qmer's..Name. <br /> :Address <br /> State Permit # _fes Installer <br /> SEPTIC TANK .y <br /> Septic .Tank Total Gallons (✓� kaober of Tanks <br /> Holding Tank Total Gallons Number of Tanks <br /> Material: Concrete_iX Steel_ Fiberglasa_ <br /> Cast Piping to A from lank <br /> Inlet Leaded: Yrs G%—ffu <br /> Outlet Leaded: Yes =U. . No <br /> Tank Sealed Properly: Yes 7- 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 Red: Length - -3 Wih adth Dept <br /> Absorption Trench: Linear. Ft. Width . . Dept_. . <br /> Absorsid <br /> ption Pit: Depth ae Diameer <br /> Soil Appears as in EH-115: Yes J� No _ Explain: <br /> Distance to Bldg. : h Well <br /> Aggregate 3/4 - 2-1/2 Inch: Yes .v No _ <br /> 12 Inches Below Tiler Yes/; No <br /> 2 Inches Above Tile: Yes v No <br /> Covering: Building Paper Marsh Hay V . <br /> Vent Pipe Minimun 4" C.I. : Yes I/ No <br /> AS-BUILT.SAME AS APPLICATION: Yes No - e <br /> • If As-Built differs from system shown on PLB-67, drew a dingrem of the system as <br /> built on the reverse side of this report. 99 <br /> .. iNsPscmR/L/7-//l,--rG��CCovL�c.. <br /> DATE �� _ <br />