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DI-FI'.' -SanHafion 5peciticafi0ns <br />Dote 1~1-3-72 . _ - Number <br /> <br />Permit IG~ued ¥0~ William W. Sullivan 364-0087 Property Address~ Auto.villa <br />s p, look: inlmum I qv eopo it, wlthdlstribu,onb <br /> <br /> Record Of Indiv~-~! ~wage Dis~ System <br />re 8. Compl*l*d by laslall,r <br /> <br />Water supply: Public system IndNidual well ~ Community system <br />Septic lonk: Distance from well_~/$: fee~, Material ~o)~c~ ....... NO, of com~rtmenlS ....... <br /> <br />Tolol liquid ~opocity e:/6' O ~gol. Inelde length ....... <br /> Diameter fl, Liquid depth <br />Tile disposal field: Distribution b~? Y.e_s ~ No [] Other <br />Length of each Itne ..... ~.,~'~ ...... ~ ~ -- <br />Total length of oil Nnes ...... ~ ~ ft, Distance from: <br /> <br />Type of filter materi~h Gtavel: <br />Depth ut filter moterlol over tile <br /> <br /> ketch oJ installer]or,. <br /> <br />Width ottreneh '~ ~~ ~-" fl. <br />Distance between linas /0 fL. <br /> <br /> R~o~ ~ Other <br /> <br />Inside width ...... <br /> <br />.ft. <br /> <br /> well hS"O ft. <br /> <br /> Lot line: Front ~. Side[] Rear [] <br /> Foundation ;~/~ fh <br /> ......... Depth beneath tile ~ inches. <br />inches. Depth of tile bel~ oHglnol ground surface ~ ~nches <br /> <br /> Indicate Northerly direction. <br /> Inspecllon will not be mode until completed form iS returned Io the Heollh. Dept. <br /> <br />System opporendy w~g ~ wTII 'nol ~ funttion satisfactorily, and is therefore approved ~ DNapproved ~ <br /> <br />Copies: {l} Orlg. HO Files %~NITA"~N) ~ <br /> <br /> <br />