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Name Date Sanitation Facilities □ As-Built Drawn By: AFB 11/3/22 Design & Location ■ Proposed Reviewed By:

Approved By:

□Community Name ■On-Site Sewer . Profile By: Scott Fine

# Of Bedrooms 3 D Aerobic Drip Pump Tank Drip Line

KJA II

Profile Date: 10/27/22

D Aerobic Spray Pump Tank: Required Spray Area (ft'): Designed (ft'):

■ Drain field Trench Length: 380' Trench Width: 2' Material: Pipe & Rock D Lagoon Total Depth: Length: Width:

■ Septic Tank Capacity: 1,000 gal Shape: Rectangular Material: Concrete

■ Community Water Name Okmulgee County RWD #7

D On -Site Water Drilled B Date Drilled Depth Yield S.W.L. Drawdown

□ Well Casing Depth Diameter Material

□ Pump Make Model Motor Size D Cistern Capacity Shape Material Directions To Site: From HWY 56 and Rock Hill Rd, go south on Rock Hill Rd until it turns west and turns into Ash Rd. Go� mile to drivewa on NSOR. An led steel ate ent across from stand i e.

Address: 4875 Ash Rd, Okmulgee, OK 74447

Property Description: W/2 NW/4 Sec 13 T13N R11 E Name:

County: Okmulgee Project# OK22-F66 Project Description: CW & IS SR# 6482 Latitude: 35.6039790 (N) Longitude: -96.1024367 (W)

OEH-8 (8/93)

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