HomeMy WebLinkAboutSWG94-01136 - SWG Letters / Memos - 6/27/1997 ON-SITE SEWAGE INSTALLATION
FINAL INSPECTION
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DATE CALLED IN: R
TIME: CJ •• / OO
INSTALLER: C..�
APPLICANT/OWNER: l�
CALLER:
PHONE # OF CALLER:
v}/
SWG #: 9
PARCEL NUMBER:
SUBDIVISION: 1n J
DIVISION: W LOT: 1
SYSTEM TYPE (CHECK ONE) ; F-1 P S GRAVITY
INSPECTION SCHEDULE (CHECK ONE) : r1
u
APP\O / PLUG IN
AS-BUILT ON-SITE? (CHECK ONE) :
,`L,JIp]r�J u
NO
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STAFF INITIALS:
fte sM 0�/Ot/9S
ON-SITE SEWAGE INSTALLATION
STAFF INSPECTION REPORT
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1 cmrxv.:� eY rkseec:ox?
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I I. etPixC iA!¢ � Y�� wa ,'io•enfi 1
m >5 ft frm fovdstian7 _
a) Bldg st ben to septic teak: clsansu[ if rot 1-2%?
C) "fit" intact and clean? _
a) 0ividim well intact?
n. a-sax Leveled with water or speed leveler (circle ace)?
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xxx. aaszeams - I
s) >10 it frm foundation and >5 it from property lines? _
a) Laterals level to s1 inch Sand caps-presort if not loape0 i/ _
C) Systm diseruians the same as shown m the design? _ Spy_ I�
a) Gravel clean, properly sized, and proper depth _ I
I s) eesaema Syexmr I
1) Send gmtity ASTN C-33? _ I
z) Mad "*t rnif" and k24 inches? _
1) Cleanauts and observation ports present? iR�
4) and: Side slope 3:1? Gaul'—
s) Omer informed electrical camectims suet be axk I
by auur or licensed electrician and inspected by 0L17
n Nii11t0ft frm si alnfield transport t_ 1_m and septic tank? 1 _ p!!��1°411A, "41114
-A!Af, ,t
I a) wel to , :t frm nfield? _ I
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V. em vta � I
a) Screen basket or effluent filter (circle one) instslled? _
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s) Riser imtalled for access? _ I
I e) Alarm installed?
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I The underalgned has reviewed this installation aed verifies these fiMinge on behalf of Mason Canty of Xealth Services.
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Revised 02/01/95