OK23-F79 OEH-8.pdf

NAME ADDRESS

COUNTY PROPERTY DESCRIPTION

PROJECT DESCRIPTION

AS-BUILT

PROPOSED

NAME DATE

DRAWN BY:

REVIEWED BY:

APPROVED BY:

COMMUNITY SEWER NAME:

ON-SITE SEWER Soil Profile BY: DATE PROFILED:

SOIL CLASSIFICATION: # OF BEDROOMS

DRAINFIELD TOTAL LENGTH TRENCH WIDTH MATERIAL

LAGOON TOTAL DEPTH LENGTH WIDTH

SEPTIC TANK CAPACITY SHAPE MATERIAL

COMMUNITY WATER NAME

ON-SITE WATER DRILLED BY DATE DRILLED

DEPTH YIELD S.W.L. DRAWDOWN

WELL

PUMP

CASING DEPTH DIAMETER MATERIAL

MAKE MODEL MOTOR SIZE

CAPACITY SHAPE MATERIALCISTERN

PROJECT #

N

AEROBIC SYSTEM: Sprinkler Area (ft )______ Pump Tank Size (gal.)__________Sprinkler Heads

OEH-8 (04/06)

Clinton OEHE Field Office Indian Health Service 10321 N. 2274 Clinton, OK 73601 Work#: (580) 331-3492 Fax#: (580) 331-3557

CONTACT OKIE @

1-405/840-5032 or 1-800/522-6543

X

LAT:

LONG:

X

SR #

Proposed Facilities

Shane Smith

Shane Smith

S.

D ill e

Av e.

Al ly 80' = SSL

Sewer Main 12-15ft. deep

Trees

G. Lime

Canadian 1318 S. Dille Ave El Reno,OK. 73036

S/2 of Lot 7, 8, 9 of Block 4

Sewer Service Line/City of El Reno

DIRECTIONS TO SITE: Follow I-40 to Exit S Country Club Rd/N2820 in El Reno, go North to intersection W Elm St., go right to SDille Ave. turn right 1/2 block. Home onWSOR.

35.521620 -97.958260

Sewer Service Line/City of El Reno

Home

City of El Reno

Renovate 80 ft. of SSL from home to ewer ain.

Shoring required.

10'

1/19/2024 Y:

G. Lime

2/13/2024

2207I