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v <br />cz� oF -:vraeTT <br />c�t� t�aii <br />Everatt� 41a�hi�;gton <br />II�SI'ECTIOI�' D�PI�RTIIENT <br />', <br />...:,: : <br />� f� � �� � t � <br />Pi�aA'E: ALpine 9-7101 <br />LOT AUPROVkL SHT'.s�T �,/ / <br />P:Ah1E�G'Oi?ri✓Cl" /J.�uGCa_ ADDRCSS ��J/!�/nc/isvyJ <br />(� p - �� � �� <br />ADDRCSS OF YROP�yS�D BU Ij.DII�rG ��/1� �i v.�iy�•' <br />��!/.C' U J�� � � 1 <br />�_..,��- Z- . �a ur c�/�l�/CGu' %ra C/ <br />ITGI�L D�SCRIFTION: IAT' BLOCK ADDIiIOI. <br />TYPE OF USE r�"1`�� I�G. OF DT.'DRCOiiS �- SIZE OF LOT 90 ��s�a <br />SOURC� OF DRII�.KII'G 41ATER: YUBLIC SUYPLY �""" PRIVATE �fCLL <br />A. SURrkC� DRAII•:/iG� <br />1. Is disposal field site orell drained? y�s <br />2, Any �aater course (stream� draina�e ditch� ete, through site?. N� <br />B. TOYOGit�I�i3Y <br />1. Any heavy slopes in field areaY Ne _. <br />2, Llill presant to,psoil in field area be removed or graded before field tiles ar:: <br />installed4 /Jo <br />3. Will any £ill raaterial be used in the disposal :ield site? Nn If yes� how much <br />1, <br />2. <br />3. <br />:: <br />io <br />I <br />C. SOIL COI�DITIOP;S <br />Has a hole at least 4 feet de�ep been dug in the dis;�osr1 field area to determine <br />the type o£ soi�. px�senti yc� <br />After hole is dug re���:3 the soil conditions at the following depths. <br />(Record as sand� gra�a_� clay� packed ssnd� lozm, etc,) <br />12 inches_/aar„ 30 inches.r`^�✓��,n�>/ <br />18 inches Lou�„ 3o inches ,Sn��/rG..��..f <br />24 inchos Sn,� •.• •�,•�,.� 48 inches J'n.:./vC....,.V <br />An3� ground iaater encountered be£ore re cchii;g a depth of 4 feEt? N.^ <br />I£ so� at ianat depth? —• <br />D, rlATER TsST <br />simo'e uater test tirill show how i!ell this soil iril]. druin or perc�late �.aater. <br />�.erform ti;is test: <br />1. Dig a hole at least 36 inches deep. Use a sl�ovel or post hole digger; <br />size of hole raalces no difference - onl,* depth. <br />2. F911 hole iritli �aater, t'oir let a11 i�ater run ou+, of hole. TY:is soaks the <br />�ro•snd and irill give a nore accurate reading, <br />3, :+gain pour tiater in hole to a height of 12 111CI105 fro�a tne bottom, Let <br />water run out until there is just 6 inches fra.n bottora left in hole, / <br />4, Plote ho�t many minutes it t�l:es for this last 6 ir.ches t�9 seep atray. 5�9/�--�^�+.� <br />5. Divide tL•is time by 6 to ohtain the ra{;e �ei .inch, p%f.-�w. o,�w�.�,l✓ <br />6. Date u�ater test. tiras perforr�ed, �•: ti� ���_? <br />f�i�nr�K <br />f <br />iiere ��Ccrt 'f`,�,�he aLove• ii.for:aatioi. t.o '�e correct ond t>>e a•ove cests �iere per- <br />rr,��� �E�a��{-zre��ribed. ,� ; c�rr�: .. <br />r ; \�<w Signed�'�.z., �� •.�. /. %%%:G . <br />� • , Gddre^s !/5 _;'•_ii< ...d.lJr��i� drr�t/ <br />Y i.. <br />T4 �� 9 �r �`tar. xpermit is 15SL124 on tnc basis o: the uaove > nfoi•mation, If <br />e���e a�hang ',.or alt.erations in i.he above staten soil condition�, =t may <br />sv�£�`r„ the ir,0 2atir„ '�e�nr� rc.jr.ct�d at +he ti*.?e o: ii :,?ection, <br />��1� a;'N� _ <br />J�.�tti*.; �_`r^'YS: � <br />