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<br /> !:-.::. !•',1 ii '.'.. oii The septic timkmaterialis:
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<br /> • -. . •g., Is the'septic tank accessible?'1.0 Yes ONo ii .: : I :: :.• .•.:•
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<br /> '.. .* i. ...::.• • Septic tank volume in kalicallelvOii
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<br /> ii:. Tank Voluthe determined by:Check all that apply,add comments below as needed i . . .. .
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<br /> .• .!: Ei :!: i:-: El PermifItec*OrdS:DUeastired 0 Stamped on Tank!:Other - .
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<br /> .., Septic tank risers are at ground level KJ Yes ONo
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<br /> *.• :* - :.,: 4 : Tank appears to befreefromdefeets,leaking and signs of deteriorationaYes 1-3N.o * •
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<br /> :.: :i i;:. :„..• If you answered"No,"please describethe:condition of the septic tank below.For example,
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<br /> -.: ••• :: •:. i•l: evidence of gas cortosiOn,cracks;:leaks,etc. i; :i. ::. .:.:'.i. • - . '
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<br /> • Septic tank lid(s)ii:intact ElYes; ONo
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<br /> • Septic tank baffles are intact Inlet [ Yes Olio Outlet Yes ;0/4o . .
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<br /> 0.. Baffle material-Inlet ElPlastic CConcrete Metal Outlet MPlastic 00,Oncrete NMetal ! .
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<br /> Effluent filter is present DYes -NNo •
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<br /> • i.13. i'i: :•i • • affluent filter is free of debria DYes ONo El/sTotAPplieable . •••.. :..:
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<br /> :: Liquid level in tank relative to invert of outlet :I..J.At DAtiiive 0Below
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<br /> .- :: ••: • :: ;•• If above or below invert outlet,please explain::' ;. .: I i::: ••
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<br /> '• :'::. .-.': ;;. 4: Scum layer /.7i.._(inches); :! Sludge layer ::47 (inches)
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<br /> • :. :. ••:. .- Senn'and Sludge layer more than 35%of the total tank DYes No
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<br /> Indicate where i sludge measured frotnii0Inleti 0Middle f2 Outlet
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<br /> ; #, Additional Comments - i ;! :
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<br /> ... i-i-. ::: -.,;•.: 4. Dosing titlak t.Puinp Aasin :i ii .:.: • i :, i !I ii : . i: .•• .•• :
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<br /> bosing t$nlcs use Apunv to send effluent to a treatment•link or a soil absorption field. ••. . :
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<br /> • the.septic system has a dosing tank gYes ONo • .1:;: : • --
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<br /> !.• iii ;1 ;::. ,': (If"No,",skipthe rest of section 4) ', -. 1 ;: ::i i • , .:: :
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<br /> '. ..: ;':., :-...:.• • At the time of this the power was on to test the pi.niip(s):EgYes:0No f; .
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