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This is a Sanitation Facilities Design & Location form prepared by the Indian Health Service (IHS) Office of Environmental Health & Engineering (OEH&E) for Project #OK25-G08 in Okfuskee County, Oklahoma.

The project involves designing on-site water and sewer infrastructure for a 4-bedroom residential property located at 500 S Shawnee Ave, Weleetka, OK 74880, owned by Tristen Farrow. The proposed design includes: a 1,000-gallon rectangular concrete septic tank; a 415-foot chamber drainfield with 2-foot trench width; installation of 550 feet of 2-inch DR11 HDPE water supply line connecting to an existing water line at a nearby roping arena; and a proposed cleanout system. The property encompasses 15 acres in the SE/4 NE/4 of Section 16, T10N, R11E, and is located on an Existing Survey of Records (ESOR) parcel with a roping arena. The profile was completed by Scott Fine on 3/12/26, drawn by AFB on 3/16/26, and approved by AFB on 3/17/26. Site access is from Weleetka Main Street and Shawnee Avenue, approximately 0.5 mile north. The IHS OEH&E Field Office in Okmulgee, Oklahoma (918-586-8420) is the responsible federal agency for this community water and sanitation infrastructure project.

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Sanitation Facilities Design & Location

Community On-Site Sewer

Project # OK25-G08 County:

Name:

Cistern Pump Well Depth On -Site Water Community Water Name: Weleetka Septic Tank Lagoon Drain field

Directions To Site:

Project Description:

Property Description:

Address:

Capacity: 1,000 Gal Shape: Rectangular Material: Concrete

Make Model Motor Size Casing Depth Diameter Material

Yield S.W.L. Drawdown Drilled By: Date Drilled:

Capacity Shape Material

Total Depth: Length: Width:

Trench Length: 415' Trench Width: 2' Material: Chambers

# Of Bedrooms

Name:

Profile By: Scott Fine Profile Date: 3/12/26

As-Built Proposed

Drawn By:

Reviewed By:

Approved By:

Name Date

OEH & E Field Office Indian Health Service P.O. Box 67 Okmulgee, Ok 74447 Work#: (918)-586-8420

SR # Latitude: Longitude:

AFB 3/16/26

From Weleetka Main Street and Shawnee Ave (3855 Rd) turn north and go approx. 0.5 mile

Tristen Farrow 918-209-8263 Okfuskee Tract in SE/4 NE/4 Sec 16 T10N R11E

6945 35.3421790(N) -96.1435281(W)

500 S Shawnee Ave, Weleetka, OK 74880

OEH-8 (8/93)

CW & IS

Tract in SE/4 NE/4 Sec 16 T10N R11E, Okfuskee Co.

Aerobic Spray Aerobic Drip

Pump Tank:

Pump Tank

Required Spray Area (ft2):

Drip Line

Designed (ft2):

1"=150'

Property Line

Property on ESOR with roping arena.

Note:

Property is 15 Ac Arrows Indicate Grade Slope

Profile Area

Proposed O/H/E

Existing Gas Main

Proposed 550' of 2" DR11

HDPE WSL

Proposed Connection to Existing Water Line at Roping Arena

Cross Fence (Electric) Not Property Line

125'

105' 100'

Proposed Cleanout

Proposed 415' of Chamber Drainfield

AFB 3/17/26

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