Sample As-Built: The As Built Must Include The Following and Be Provided at The Final Inspection

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SAMPLE AS-BUILT

The As Built must include the following and be provided at


the final inspection:
□ 81/2” X 11”
□ Site address and Owner’s Information
□ Description of dwelling served by STS with daily design flow
□ Absorption area dimensions
□ North arrow
□ Location of any proposed or existing structures and applicable items in 3701-29-06(G)
□ Plan view drawing with elevations for installed STS components per the layout plan
□ Material specs for components
□ Profile drawing showing measurements relative to surface grade
□ Vertical and horizontal reference point or benchmark
□ Any changes to the approved design or layout plan
□ Signed statement from registered installer and system designer saying the STS was
installed with all applicable rules and plan specifications
Property line

driveway
well

65’ 3 bedroom house

Property line
15’

15’
4” Sch 40 pipe
1500 gal

N Hupp tank
20’

Drop Box 3@
120
Gra ’Lx24”
vel
Lea Wx8”D
Benchmark: Inlet riser 6’ chin
of septic tank. Ele. g
5’0”
30’
Leach line elevations:
Line1—6’4”/6’4”
Line 2—7’/7’
Line 3—7’9”/7’9”
Seco
ndar
y tre
atme
nt

STS was installed with all applica-


ble rules and plan specifications:
Bill Shovel

Daily design flow:


360gal/day
720 ft2 gravel leaching

1/4”= 10’

Owner: Joe Septic AS-BUILT:


Site Location: Installer: Bill Shovel
1234 Sunbeam Rd. Phone: 555-1111
Zanesville, OH 43701 Date: 1/1/15 page 1 of 2
Cross-section view of
system details
24” trench

Original grade
6” topsoil

8” washed gravel
(57’s) w/ 4” pipe

Gravel will be obtained


from Shelly and Sands

12” seasonal perched groundwater

AS-BUILT: 1/4”= 2’
5678 Sunbeam Road

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