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HomeMy WebLinkAbout024-541-30-5505-SAN-2021-379 /�'=``� PRIVATE ONSITE WASTE TREATMENT County �'�� ��'=r (�(� o$ \`�;�'� SYSTEMS Sawyer �L���Ps ��% ( POWTS) �:��—=y<�=/ �'ss'"��' INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �� _ 3?� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(l)(m)] Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#: �/�11/Il� �av� �IMaC��D�,�2 ���k.dfN^iLI/ �c"��.� �R� _- Insp BM Elev: M Description: Q�ryi , ,�,, Gov�c, n`�/' Parcel Tax No: �ao.�� � a�r�� ��.�. P�� �I �Q;� � ��b� 6� _5�-��-30 -��� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic ��p�1 � ona Benchmark �, "��a ` � �7,a' (ou,�' Dosing �'M a l� a�B� I o `(��� Aeration Bldg. Sewer �;p,s"� ���,R�� Holding St I Ht Inlet .l,� � �o I,�7� TANK SETBACK INFORMATION St I Ht Outlet `5'�3,3� L o .6 � TANK TO P/L WELL BLDG vENr ro ROAD Dt Inlet AIR INTAKE Septic �� �{--�' (q .�-�c1` NA Dt Bottom Dosing NA Installation Contour Aeration NA Header I Man. Holding Dist. Pipe PUMP I SIPHON INFORMATION Infiltrative Surface Manufacturer Demand Final Grade Motlel Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W L #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav Conv ❑ Aggregate INFORMATION P I L Bldg Well Waters °� GP ❑ Chamber Model Number: ❑ EZFIow CELL TO ❑ Mound o Other - --— -- --- -_ __ DISTRIBUTION SYSTEM X Pressure Systems only --- - ---- Heatler I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia � Length Dia Spac Spacing ❑Yes ❑ No ----- --- ----— --- SOIL COVER � Depth Over Depth Over Depth of Seeded/Sodded Mulched Cell Center � Cell Edges � Topsoit__ —� ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Inclutle code discrepancies, persons present,etc.) ��►(� � I����.� � 5,�. ��Iq���f'��(Y Plan revision required?❑Yes❑ No o a �� a3 ' � �// ) �`�� �(o � __ -2��-'� Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3I01) A��ITI�NAL COMMENTS ANO SKETCH SANITAAY PEAMIT NIJMBEA: p�I— 37� J�, �(oose.l,�l� � � s�5 . �_ � � � � ��, � . . , � � � " , _ . . _ . _ , , : : , , . .__ , � . , ; ; . _ _ _ _ _ . _._ _ _ ; _ , . . . � � ___;___ , _�__�_ ____ _ ___ , , ; , . ; _ � a�q z � _. . __ ; .___ ;._.. . :. ;._-- ___ ;._ _ ; _.. -- .. � �,,J ;_ � � : , : _ , � _ _ . _ _. . . . -- , _ �� ��.`� � : , . , ,•' � ���, , , . . . _ . :_ . . ._ . � 3 � _ . — - , _ _ `�o ` � , �� , _ . : � ,, . � Y � � �� , _ �o`�`�n(� $� � � �� � ��V`Q, `b��l� 1�� � � 5 =