|
MARION COUNTY HEALTH DEPT.-Sanitation Specifications
<br />Date ]-,~,~-~ ~- ~, Number
<br />
<br />Permit Issued ¥o;. William W. Sullivan 364-0087 _Property AddressJ'~;-- ~t Dc:;, ~2~ Aumsville
<br />Septic tank~ Minh~um liquid capacity wi,h distribution box ..... ~ Gal,, ~
<br />Subsurface Disposal Field requ red ~O Lin. ft. ~ '1 ~ ~ ~~/~ ............ Width of trench sq.
<br />Lot survey ~
<br />Other requirements: ~ ~~ A~ ~~ ~ ~~,
<br />
<br /> eco d I di id l Sewage Disposal System
<br />To Be Completed by Installer
<br /> ~-~ ~/J~'t~ ~/ ~Phone No, ~l-~ i~ Addres~,,~/~ ,.,~g..~oe~
<br />INSTALLERS
<br />Total number: Living units _, [ -- Bedroom~ ~ Baths.__~ Basem~nh Yes
<br />
<br />Water supply: Public system
<br />Septic tank: Distance from well_,.,L.5"~
<br />Total liquld capacity ~' 6*0
<br /> Diameter
<br />Tile disposal field; Distribution box?
<br />Length of each line t~,.~ .........
<br />Total length of all lines ............
<br />
<br /> Jndlvidual well ~ Community system _
<br /> feet, Material C'~:~c. IF, e:-7~T No, of compartments t~
<br />gal. Inside length ft, inside width __ __.ft.
<br />ft, Liquid depth. .It,
<br />Yes ~_~. Nol~ Other
<br /> .ft.
<br /> ft, Distance tram:
<br />
<br />Width of trench ,~ <J ~ '
<br />TotoJ square footage '~'~.,,~ .....
<br />Distance between bnes /~
<br />
<br />ft, Well J ~'~ ft.
<br />ft. Nearest
<br />ft, Lot line: Front ~$~ Side [] Rear L-] fl,
<br />
<br />Type of filter moterioh Grovel:
<br />Depth at filter material over tile
<br />
<br />/~,~,~--.-"~t~,:,c. ~' Other
<br />
<br />Foundation, ,,
<br />
<br /> Depth beneath tile I~ inches,
<br />"~ inches, Depth of tile below original ground surface,,,,,,,,,''~:~ inche~
<br />
<br />,kelch of inslallatlon.
<br />
<br />Note: Indicate Northerly direction.
<br /> inspection will not be made until completed form is returned to the HerJlth. Dept,
<br />
<br /> {FOR HEALTH DEPt. USE)
<br />System apparently will ~ witl no[ E~ tun~tio, satisfactorily, and is therefore approved ~ Disapproved []
<br />
<br />
<br />
|