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PRIVATE ONSITE ASTE T REATMENT SYSTEMS Bumett County <br /> ( POVt/TS) PrR17na. <br /> Ada : <br /> beaertmen�ntofCCoorINSPECTIONREPORTC®P <br /> Cl oC? <br /> so*"euleaeeoM,mn (ATTACH TO PERMIT) <br /> GENERAL INFORMATION Sanaery Po��/�� <br /> P iermmanon mvWcm hu,M fw Priv law ,. ISOI1 m IP%]��(JI/�I�do, <br /> Perch Ibldefe Ja l�(°si�`CV'la: <br /> Town m: <br /> CST BN EI . I Hhfilb , BM Desc iption: Parcel Tax No: <br /> s4a 01A-µa: 5-Oa <br /> TANK INFORMATION ELEVATION DATA <br /> TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV <br /> Septic Bentlimerk (� <br /> Dosing <br /> Aar3don Bldg.Sewn <br /> Hadkhg St/Ht Inlet <br /> TANK SETBACK INFORMATION _ st/Hloudet <br /> TANK TO PA. WELL BLDG RII, ROAD Dt Inlet <br /> Septic NA DI Bottom <br /> Dosing NA Installation <br /> Contour <br /> Aeration NA Header/Man. <br /> Holding 51 v gr Dist Pipe <br /> PUMP I SIPHON INFORMATION system <br /> Elevation <br /> Manufactures Darrow Final Grade <br /> Model Number GPM <br /> Lift Fr.Lona Hand MH <br /> Forcemein Length Dia Cis~ <br /> DISPERSAL CELL INFORMATION <br /> DIMENSIONS Width Length WdtNa Type of System' Manufacturer: <br /> ld"5T�1� <br /> LEACHING <br /> INFORMATION ON P/L Bldg wee w mNev CHAMBER Modal Number: <br /> CELL TO <br /> DISTRIBUTION SYSTEM __ X Pressure System Only <br /> Heade/M_n o Distribution Pipes) X Heb S¢e %Hole Ob--bon Pipes <br /> Length__ Dw= , LergtA_ @s= - _. Spsc t SDadnS' ❑Ym- ONo <br /> SOIL COVER <br /> Depth Over Depth Over Depth of Seeded/Sodded Mulched <br /> Ceti Center CRJI EOges Topsoil ❑Yes ❑No O Yes O No <br /> COMMENTS: (Include code discrepancies,persona present,etc.) <br /> MoLer_Tn s�I faVL- Components Not Inspected <br /> rmcuent <br /> soaWt I iY12 ;L; � h�i Posted Cover Material <br /> g labels on manhole covers w/lodcs <br /> ule 40 Vent Material <br /> o Filter invstalled—(M�o�d�el MFR. <br /> Poen reWbn requced70 Yes CTN0II�L'Shl— <br /> Use other sift for additional in/famebon 1=DDate POWfS Inspector's Signature Cad No <br /> Bureau U Fed Operati=,POBox 7302,Madism,WI 537017302 3968710 R 13/0'1) <br />