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_ . �:p . . <br /> � / � <br /> ������,�I , Y � //� � �V,cl'�'�/ . .S�.1/. ,�_ �'�.� <br /> S r /I✓�' CITY UF EVEFETI <br /> . j ` C I� Ciiy `iall Fi7:�ivt: i+�p�rn �-il.11 <br /> [verett. Y�ashin�ton _���l p � _r� <br /> INSPECTION DEP,iRTI�iENT LOT APFrUVdL SHEET " <br /> ��n��t ���qN �.��e ADDRESS �I Z'! SZI �' 5:�, <br /> a���fz�ss oF r-r,c�ros�D sui�t�t%,_����vZ �i�'��z��T' _ <br /> �EGAL DESCRIPTIUN: LU?�L BLOCK ADDITIUN ��f2� F=� ����N <br /> �YFE UF USE��F.. �W. OF B[DF�'OfJ�S �_ SIZE OF LUT �Q X �ZO <br /> x1URCE OF llRI�KI�G JATER: FUBLIC SUPFLY f/ PRIVATE rlELL _ <br /> A. SURFAC� DRAINAGE <br /> 1, Is disposal field site well drainedY ��� <br /> 2. Any �vater coursz �stream� draina�e ditch� etc.) th:ou�h site? T!� <br /> 8. TOFOGRAPH'� <br /> l. Any h� ivy sloprs in field area?�_ _ <br /> 2. :lill present toFs`il in Pield area be removed or �raded 'oefore field tiles are <br /> installed? 7�1 <br /> 3. .Jill any fill material he used in the disposal field site? ��� If yes� how <br /> much tih <br /> C. �IL (�NDITIONS <br /> l, Has a hole at least 4 Peet deeR�been dug in +�� �iisposal field area to determine <br /> the type of soil present? . �� <br /> i. After hole is du� record �he soil conditions at tf,a followin� depths: <br /> (Record as sand� gravel� c:ay� packed sand� loam� etc. ) <br /> 12 i nches ���1u.� 30 i nches _C oAu� <br /> 18 inches " 36 inches _ ✓ <br /> 7_4 inches ✓ 48 inches ✓ <br /> >. Any ground water encountered before reaching a depth of 4 fee.? • <br /> If so� at what depth?_n,9C� <br /> D. 4'JATER TEST <br /> � simple c+ater test will show how well this soil will drain or percolate water. <br /> �o perform this test: <br /> 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger� size <br /> of hole makes no difference - only depth. <br /> 2. Fill hole with water. Now let all water run out of hole. This soaks the <br /> �round and will �ive a more accurate reading. <br /> 3. A�ain pour water in hole to a hei�ht of 12 inches from the bottom. Let <br /> water run out until there is just 6 inches from bottom left in hole. <br /> 4, Note how many minuies it take:s for this last 6 inches to seep away. 3 ���, <br /> 5. Divide this time by 6 to obtain th ra e per inch. �J �����_ r�Ge 1kPN <br /> 6. Date water test wa� performed,�� <br /> I hereby certify the above information to be correct and the above tests were per- <br /> formed by me as prescribed. a � , <br /> Si�ned <br /> Address <br /> �'OTE: A septic tank permit is issued on the basis of the^above informa �on. If <br /> there are any changes or alterations in the above stated soil conditions� it may <br /> resuli in the installation being rejected at the time of inspection. <br /> -'Ci <br />