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;:p <br /> q a�—��•,y� � <br /> l °° ' n�'" , �(1'\'f'+ y <br /> � IiI1�I� CITY UF tVERETI <br /> � y'��1 " � �, � Citv Hall P!-,O�E: A�pin� �-i1J1 <br /> �,�.�.7 � . Everell��'3ashington <br /> INSPECTION PARTi�1ENT LOT APFrf1VAL SHEET <br /> i�Aro;E��u�� �-u�-ce-�zi ADDFiESS 2 '� 2 �-�-'��'�- <br /> AilDficSS UF FfiUFOS[D BUILUING O _ D �� ,v „c.��,.,L <br /> LEUAL DESCRIP N: LOT15 BLOCK ADDITIUN � i�Z/�e�J <br /> iYFE �F USc�/�"'a �0. OF �EDF�`OMS �/- _ SI ZE OF �OT S�v X /'7A <br /> SUURCF OF llRINKIiVG ��ATER: FUBLIC SUPFLY L' 'rRIVATE c1ELL <br /> A, SURFACE DRAINAGE <br /> 1. Is disposal field site �vell drained'? �2� <br /> 2. Any water coursa �stream� drainage ditch� etc.) tF ou�h site? �-- <br /> B. TOfOGRAPHY <br /> 1. Any heavy s:opes in field area? � <br /> 2. `:�ill present tppspil in field area be removed or �raded before field tile��. <br /> installed? //Lr- �_ , <br /> 3, �Jill an ' 1'ill materi � b used in �t�e dis �o al fi< s�te? '��-a- If/ es how� <br /> much �.a.v..e�-.,.=a-�.-<i.P L�c--..c�`^K�`�-�-..-�G,��o�.r'-�-�.-�d� <br /> C. SOIL CUNDITIONS <br /> 1, Has a hole at least 4 feet d�g been dug in the disposal field area to determine <br /> the type of soil present? /�-�'�� <br /> 1. nfter liole is dug record the soil conditions at the fol owing depths: <br /> (Record as sand gravel� clay� packed sand� loam� etc. <br /> 12 inches ,� 30 inches � , � � <br /> 18 inches _ �ti � 3 inches . <br /> 24 inches �� inches J /ti��� <br /> �, Any �round water encountered before reaching a depth of feet? ��/�-� <br /> If so� at what depth? <br /> D. !JATER TEST <br /> A simple water tes{ v+ill show how well this ,oil will drain or percolate �vater. <br /> To perform this test: <br /> 1. DiP a hole ai least 36 inches deep. Use a shovel or post hole dingerq size <br /> of hole makes no difference - onl�� depth. <br /> 2. Fill hole with water, Now let all water run out of hole. This soaks �he <br /> �round and will �ive a more accurate readinv. <br /> 3. A�ain p�ur water in hole to a hei�ht of 12 inches from the bottom. �et � <br /> water run out until {here is just 6 inches from bottom left in hole. / <br /> 4, Note how many minutes it takes for this last 6 inches to seep away. "- <br /> 5. Divide this time by 6 to obtain the ate er inch, t- <br /> 6. Date water test was performed.-���L�— <br /> � hereby certify {ha above information to be correct and the above te,s� �vere per- <br /> formed by rae as prescribed. � <br /> Signed ,_..{ J -�� <br /> Address 2/� Z � `� -+- t��.-e <br /> 10�E: A septic tank permii is issued on the basis of the above information. If <br /> there are any clian�es or alterations in the above stated soil conditions� it may <br /> resuli in the installation beinp rejected at the iime af insp�ction. <br /> -_�e: _. <br />