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Wisconsin Department Of Industry, ON SITE SEWAGE SYSTEM <br /> Labor and Human Relations INSPECT( REPORT Safety&Buildings Division <br /> P.O.Box 7969 <br /> Mallison,WI 53707 County: L <br /> ❑CONVENTIONAL ❑AT-GRADE ❑IN-GROUND PRESSURE <br /> ❑ EXPERIMENTAL ❑NEW �'.REPLACEMENT �7140UN0 ❑HOLDING TANK <br /> art ER s Name: ❑RECONNECTION 0 OTHER(SPECIFY) <br /> emit • rTs •!fess: <br /> � r s9 Arai. �(//�/, � Inspection Date: <br /> rr.: ..=•......,_ w,.,...w,.w a...r. �� �L.+r ! �•IIb• f�/.c... 6— 1� S-3— <br /> .. • <br /> , Parc 111.0.No.(•pions .Elev.: ST -e .Pt.E ev.: <br /> s me: . /e d. O O ADZ) , p p <br /> T <br /> SanKary ermK Num r: <br /> SEP ■ANK/HOLDING T : - 6,65 aS 0 c /-.ZS o <br /> . r• <br /> Tank Inlet Elev.. Tank Outlet Elev.: I P arning Lam Locki Cover <br /> Vent Dia.: Vent Matt: Nigh Water Alarm: UMBER 0 OF . I a�, e'O 7 17 No I ro Yes a No 1 <br /> OW/es 0 No I ( A/C"." I Yes FEET FR -♦I,�'��'T• i >� Line: Weq:r Building: Au Vent: <br /> OSING CHAMBER: t''" I a5 l ? /t�/¢• <br /> fawer Bedding: Liquid Cape : Pump Model:"Pump/Siphon <br /> Wo, iaaurer: High Water Alarm Warn�ta�l LockmgCover <br /> Per Cycle: I r ided: <br /> (difference between /�7• 4e... <br /> Pump and Controls Operational: NUMBER Yes Q No es ❑No , Yes Q No <br /> pump on and off) FEET FROM �erty Line:I We :r Building: Air Vent: <br /> Vent installed; Vent Diameter: Vt"les nNo NEAREST-► ?Z� >e Tyr y�o VENT Yes a � FORCE Length: / Diameter: Material a_/Marking: <br /> � <br /> SOIL ABS RPPTTION SYSTEM. CheckYthe sod moisture at the depth of plow, Aor excavation. �L -�"� 4� �f�� <br /> the soil is dry enough to continue.) ^g tar+• pf soil can be rolled into a Mere,construction shall cease until <br /> DISTRIBUTION STSTEM: <br /> BED/TRENCH <br /> Width: Length: No.Trenches: Lateral S tin <br /> DIMENSIONS I 'r J Btp' �•S /g: C? ial PIT l^side Ora: No.Pits: L,quid Depth GravN Below Pipes Fill Above Pi ( I Inlet Elev.: End Elev:te' Materia .Distr.P' I+pes: NUMBER Of Property 'ne: WlU: Build�-. a ^g Air Vent: <br /> IFEETFROM <br /> NEAREST— . S >$b I>a. '1>2.st/ <br /> ELEVATION ANO Manifold Elev.: Manrf Dia» Manifold Material: 1 <br /> 'DISTRMUfON S$. 4.0 Z • No. Pipes: Olsu.Pipe O- <br /> INFORMATION Rote Site: Hole S ��� ��� I � �`ZN -� <br /> 1 • <br /> pacing: Drill rectty: Permanent Maike Observation Wells: Pump Elev.: Vertical Lift Corresponds To <br /> 4 440 L is 0 No es ❑No es • No 8 8.30 APPr wens: <br /> MOUND_SYSTEM: <br /> O Yes O No• <br /> Mound site plowed perpendicular to Check the texture of the till material for <br /> and furrows thrown unslope mound systems to make certain that it ON A DIAGRAM OF WYSTEM <br /> es ❑No ON REVERSE SIDE. SHOW <br /> Texture meets the criteria for medium sand. <br /> $OIL COVER I ELEVATIONSMEASUWell <br /> Permanent Markers: <br /> Observation Wells: <br /> iepth Over Trench B entt jDepthOveqTrencJiBed-Ejges. De the Of sal• O No Il � es ul No <br /> • P op sod: Seeded: <br /> -/g i 6„��Z Mulched: <br /> :OMMENTS:(Sketch System On Reverie Side) 1Sodded: <br /> 0 Yes ❑ No I� Yes No I Yes ❑ No <br /> 4744-1 .. --/4-- J ,, f- <br /> ---04-(-4--",-;,-- ) 4.- ....i4..."11.6. (:::: .'V'''''''' '....7. /11;?4t...."*124P.1 <br /> 4+ <br /> /42.0e.garpu., * ''./•47 <br /> .55'." /3 "' /� r,,_i <br /> Ad_. A). --i-v-i1/4-1 <br /> ._.4_,_,_,...r.7,, ,...,e-c__ ,,._,...,.......„ <br /> .. _ <br />