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- ;;� . , <br /> i;I1Y UF tVEnET� <br /> r;{y uall PI-.OR�E: A��:in,_ i_�1.!1 <br /> �verett. '�lashin�ton <br /> INSPECTICN DEF,aRT,aiENT LOT APFi�VAL SHEET <br /> idAiv,E �- � �r�l �y/-r ADDRESS C-S"'� tlfETi� �, 1 <br /> �--�=-- �- l� `�34�r� <br /> /-7 � <br /> �JDRtSS UF PF�r05[D BUILLING / j��� - ( :•,';e',,,� � -� ;�� , ____, <br /> LEGAL DESCRI ?TIOPI: LUT� BLOCK ADDITION �'"'``�`'"�! �UEliG1?c%N GL�/� <br /> TYFE UF USE f G5 j C/t"�y�p, OF DEDFCOMS �_ 512: OF LUT �O X �_�_ <br /> :UL'RCE OF DRI NK I�G dATER: FUBU C SUPFLY E_ v� FRI VATE aJELL <br /> A. SURFA.Ct Lr�AINAGE <br /> I. Is disposal field site well drained� �C� SL.• (��S �4G�/1 '� p(�� �,L�in� <br /> 2. ��y water course �stream� drainlge di{cW etc.) throu�h site?_ <br /> B. fOFOGr�APHY <br /> 1. Any heavy slopes in field area?_�'��_ SI,� G�T �(,.Uj� +'- <br /> 2. :Jill present topsoil ir. field area be removed or r� aded before ield ti � �s are <br /> installed? " <br /> :,. �1i11 any fill aterial be u;ec in the uisNosal fi�ld site?_yG. s If yes� how <br /> much f 2 �' � <br /> C. ;OIL OUNDITIONS <br /> 1. Has a hole at least 4 Peet deep been du� in ihe disposal field area to detrrrr,ine <br /> the type of soil present? VES 3 ,.,� TE57 ��eL�S <br /> i. �lfter hole is dug record the�conditions at '.he followin� depths: <br /> (Record as sand� �ravel � clay� packed sand� loam� ete. ) <br /> 12 inchr, Tnr .�pl / 30 inches SANh� <br /> lE inches '�'To�n cn _, L 36 inches _�E� <br /> 24 inches 48 inches / <br /> �. Any �round water encount red before reaching a depth of 4 feet?_�� <br /> I f so� at wh�t dept'i? <br /> D. !7ATFR TEST <br /> A simple water test will show how well this soil will drain or percolate weter. <br /> To perform this test: - " <br /> 1. Di�, a hole at leesi 36 inches deep. Use a shovel or post hole di��er� size <br /> of hole makes no difference - only depth. <br /> 2. Fill hole with w:,ter, Now let all water run out of hole. This soaks the <br /> �round and will �ive a more accurate readinP, <br /> 3. F�ain pour water in hole to a hei�ht of 12 inches from the bottom. Le{ <br /> water run out until there is just 6 inches from bottom left in hole� <br /> 4. Note how many minutes it takes for thiis las: 6 inches to see away. N111�, <br /> 5. Divide this time by 6 io obtain the rate er inch.�j(, <br /> 6. Date water test was performed.!/ /L ( <br /> � hereby cert�r"y the above information to � e cdrreci and k�e above te ts were per- <br /> f'ormed by me as prescribed. <br /> Si�ned '�_- . r <br /> Address '_i"z � � G�. � <br /> 10TE: A septic tank permit is issued on the basis of the above infor ion. I �' � <br /> there are any chan�es or alterations in the above stated soil conditions� it may <br /> resuli in tne installation bein� rejected a.t the time of inspection. <br /> —.e: -. <br />