Accessible text version of STS Layout/As Built Form (PDF). Hocking County Health Department, 350 St Rt 664N, Logan, OH 43138, 740-385-3030.

STS Layout/As Built Form

SE WAGE T REA T ME N T S Y STE M AS- B UIL T IN FO RM A T ION

P r on e rty In f o rm ati o n Pe rmi t s :

Prope rty A ddre ss : O wn e r:

Be n ch mark Location : Ele v ati o n :

Bu ild i n g Se w er o 4" P VC (D WV) ASTM D 26 6 5 e q ui v . o r o 4" ABS ASTM D 2 6 6 1 e q u i v. Tota l Lengt h : # o f c le a n o u ts :

Ele v atio n at bui ld in g: Ele v atio n at tan k:

P ri ma� Treatm e n t Tank Type : Prec as t / Plas tic S i ze : gallo ns Ta nk Ma nufac ture r: (B o th siz e & n am e mu s t b e stam p ed on to p ) Pretreatm ent D evi c e: S erial e D i s tribu tor:

Bedding M a te rial: D ep th : Ba c kfill M a terial:

Ris e rs : Y / N Ba ffle s : YI N I n & O utlets S eale d: Y / N N SF Efflue n t Fil ter: Y / N D o s in g T ank LLift Stati on Type: Pre cas t / Plas ti c S i ze: g allo ns Ris e rs : Y / N I n & O utle ts S e al ed: Y / N Bedd in g Mate rial: D epth : Ba c kfil l M a terial:

P u m n s Ma nufacturer: S i ze:

U Lor o Q u i c k o A ud ib le & o W e e ph o l e / o W iring M ee ts

CSA Lis ted D i s c on ne ct V i s u al Al arms Chec kv al v e N tl. Ele c. Co d e D i stri b u ti on D ep th of Tr enc h Bottom : Tren c h W id t h :

Pi pe Ma te rial : Type & S i ze o f Ag gre g ate :

D ep th of Ag gre gate : Total Line al o r S quare Fo otage :

O th er Disc lai mer I c er ti fy t hat t h i s s ewage tr e at ment s y st e m h as been i n st a lled per t he s pecifi c ati on o f t he a ppr ov ed de si gn a nd in c om plia nce w i t h O AC 3 7 0 1-2 9. (Co m pan y N a m e) . S i gn atu re D a te

S e w a g e T r e at m e n t S y s t e m L a y o u t / As- B u il t D i a gr a m O n l y a c o p y o f t h e ST S L a y o u t m u s t b e p r o v i d e d p ri o r t o p e rm i t i s s ua n ce .

Pl e a s e p r o vi d e t h e f o l l o wi n g f o r t h e s ewa g e t r e a t m e n t s y s t e m l a y o u t d r a wi n g :

S h o w r o a d s , b u il d i n g s , d r i v e w a y s , w a t e r s u pp l y , w a t e r l i n e s , s u rf ac e w a t e r , l o t li n es , a nd t h e d i s t a n ces o f e a c h t o t h e

S T S , i f a p p l i ca b l e

S h o w a l l

S T S c o m p o n e n t s i n c l u d i n g l e n gt h , wi d t h , a nd d i s t a n ce be tw e e n e a c h t r e n c h

S h o w t h a t t h e r e i s a d e q u a t e r o o m f o r t h e r e p l a c e m e n t a r e a f o r n e w c o n s t r u c t i o n .

P l ea s e p r o vi d e t h e f o l l o wi n g f o r t h e As - B u i l t D i a g r a m d u r i n g i n spe c t i o n :

B e n c h m a r k a n d e l ev a t i o n o f t h e b o tt o m o f e ac h t r e n c h f r o m t h e b e g i n n i n g t o t h e e n d

I f a n d wh e n t h e l a s e r i s r e p o s i t i o n e d N R em i t cop y to Heal th D epartm en t an d to p r op erty o wn er s al o ng wi th manu f actur er O & M i n str ucti on s and co m p l i ance wi th any start -u p pr ocedur es.