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� " ' ti <br /> ' �� � . � �L•.�ICi _ I • <br /> �l �.1�� • � , � • <br /> �'• s �� � ❑ �`` �^' � ^' i:ITYU� �VEiilll <br /> �'� PI/��'E: A� in �-iI '1 <br /> � � � , , , � .� �.r•;�•- City Hall � <br /> � . ' cvereit. ;lashin�ion <br /> INSPECTION DEP,�NT����Ff.T �OT APFFl1��AL SHEE1 <br /> r!An.E_ �' __. � - ------ ADllf;�S:, . � '� � <br /> � AilUfie.55 (1f i-F,Ji-09CG BUILLIIJG__ � - <br /> ' L[GAL 7E 'CRIPTIUN: LUT_ BLUCK ADUITIUiJ <br /> �YFE �F USE f � - (�. GF E3EUfT'UL15 SI ZE OF �UT — <br /> ;i,1l,4iCC UF URIiJF;IidG �1ATER: i=UBLIC SUPrLY i'r�IVATE �IELL_ _ ' <br /> 1 ��iRFAC� U�iAIN�.GC <br /> 1. Is Jisposal Field siie wel . drainedY ' �� — <br /> 2. Any water coursz �slream� drainaue ditch� etc.) throu�;h siie? i <br /> d. TOii�GFA"rFiY <br /> 1. My heavy slopes in fi�ld area� "—"— <br /> 2. .lill presani topsoil in f�eld area be rr.moved or grade:d before field tile, are <br /> insialled`I i <br /> 3. Jill any fill m�terial be used in the disposal Pield site'� � ' If yes� how <br /> much <br /> C ::OIL CUNUITIOP!S <br /> 1. Nas a h�le at least 4 feet deep been duQ in 1he dispos�l field are� to determine <br /> the type of soil pr�sent'? <br /> J, ��fier hote �s dvg record the Soil cond�tions at the PollowinG deptLs: <br /> (kecord as sand�. gravel, clay� packed sand� loam� etc. ) . <br /> 12 inches 30 inches <br /> lE inches 36 inches <br /> 24 inches �B inches <br /> �, Nny ground waier encuuniered hefore reachinp a depth of 4 f�it�'_�—_._ . <br /> If so� at w�h�t depilil_ <br /> D. �lATFR TE5T <br /> A simple water iesi vrill show how well this ,oil will dr.�in or p:-rcolate �vatar, <br /> To p�rfnrm this test: <br /> 1. Ui�; a hole at least 36 inches deep. Use a shovel or po;i hole �ii��gar� � Ize <br /> of hole makes no diifr.rence - only depth. This soaks ihe <br /> 2, Fill hole with water. Now iet all waier run out of hole. <br /> �round and will give a more accur�te readinc;. <br /> 3. A�,�in pour w��ter in hole to a heia,hi of 12 inches from the botiom. Let <br /> water run oui until ihere is just 6 inches from boiiom lePt in hole. <br /> 1, fVoie how many minutes it takes for this last 6 inches to sceP �wa�• <br /> �. I)ivide ihis time by 6 io obtain the. rate p�r inch. <br /> ;� � � , �.- <br /> ��, llt�ic waier t�st wa, performed. <br /> I hereby ccrtiPy tha ahnve inform.�tion to be correci and ihe �bove tests were per- <br /> furm��1 by m�, as pre;�.r �hod. <br /> �i�med <br /> Addresa <br /> f�.OIE: �1 se�,lic tank p�,rmit i�, is�,ucd on the hasis of ihe above inforrtk,tiun. If <br /> ih��re are .+ny chnnges or ;�llernlicns in th� ahuve staied soil :ondltlons� ii mny <br /> n„uli in thr, inst�ll,�lirn bcinti rr.lect�>d at ih� fimc� of in,prction. <br />