Laserfiche WebLink
gala 10-30-69 IiVIKIIJII I.L/UIIi I ~Llfl_ U~F. I. -~UIIIIUIIUII <br /> <br />permil Issued To:___ .C- ~--~ ...... Property <br /> <br />Record Of Individual Sewage Disposal System <br /> <br />To Be Completed by I~al~er ~.,,~ <br /> <br />Tala; number: llving-u~ni~s ....(,/ / /~' .._ Bedrooms '~*~-' Baths ~ ,,.Bc..omenh., Y~a4F::d~ No ~-J <br />Wa er ~;unnl'- Public sy~,lelr~ /~ledivldLml well ..... ~a,.Communlt¥ ~ystem ..... --~ <br /> <br />r ~1r~ . .... L." feet Malerigil /~*":'-~"~ No ~ compar me,ts ~ , <br /> <br />~otot hqu*d ropariiy. , ~ ~gaLIns~de length ........ ff ms,de ~;d~h_ , ,[~ <br /> <br /> Diameter , ~. L~u~ depth .... <br /> <br />Length o~ each ~ln~. ~ ~ ~. <br />To~l length o; all Ii.es. .. ~;~ ft. Dt;lanc- from: <br />Width nf t~unch ~ _.fl Well , <br />Tel01 ~uare footage~, ~ <br /> <br />Typ. ot filter materloh Gravel: <br />De,/JIh of fi~lur mater,al ov~r fr~e <br /> <br /> ,ketch 0t instaUcltlon <br /> <br />~ ft. Lei line_ Front [] SldeE~ I~ear [] fi ........... <br /> Pounde~tion ~_ ~ft <br />..~ -~, Other .... De~th beneath tile ~/' _ <br /> <br />Svstom apparently will ~ ,~,111 hal L,~ <br /> <br />I~dlc. ate Northerly dlr.C, ttom <br />I~spectlon will not be made unlll compleled form ,t returned to the Health. OepL <br /> <br /> Signature of In,loller <br /> <br /> <~ H~LTH DE~. U~E~ <br /> <br />Orig. HD <br /> <br /> <br />