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..d . , <br /> CITY UF tVEREII <br /> City Hall Pt�NL: N��F;in� ��-il.!1 <br /> tverett� '+tiashington <br /> INSPECTION DEPAR"iIdENT LOi APF�V.�� SHEFT <br /> �JA�vIE�/� , aD RESS O�U 3 ���'�-�+�� <br /> i�UDRtSS Uf Ffi()�SED BUI�LiNG <br /> � �iA- 3� w.-z.��,.Q I S�i 9 c 7� <br /> LEGAL DESCRIPTION: LUT`� BLOCK ADDITIUN ����s-w.. -�6C�-� <br /> �YPE Uf USE.S,�I fW, GF f3EDF�`OMS �_ SI ZE OF �OT ,�.�il���� <br /> �IUHCE UF llRl NK I NG ��ATER: FUBU C SUPFLY `�{R-�.. rRl VATE �JELI }�) O <br /> -Z-- <br /> A. SURFACE DRAINAGE <br /> 1. Is disposal field site well drainedY �'� <br /> �. Any water coursz �stream� draina�e ditcfi� ete.) through site? �10 <br /> B. TOFOGRAFHY <br /> 1. Any heavy slopes in field area? �)� <br /> ?_, ilill present topsoil in field area be removed or graded before field tiles are <br /> installed? <br /> 3. .lill any fill material be used in t e disposal field site'? � If ye<, iow <br /> muci� �...Q.,.<o O�.u�Q,,.y 1.'`""'� <br /> �.. 901L OUNDITIONS <br /> I . Has a hole at least 4 feet deep been du� in the disposal Pield arca to determine <br /> the type of soil present? -eA_ <br /> _. After hole is dug record the�oil conditions at the followin� depths: <br /> (Record as sand� gravel� clay� packed sand� loam� etc. <br /> 12 i nches �� aw t.� �..:L 30 inches � <br /> 18 i��ches ��+-..�~ 36 inches .-(' <br /> 24 inches �.-,_.� 48 inches 1; y�a- Q� <br /> ,. Nny ground water encountered before reaching a depth of feet? _ <br /> If so� at what depth? <br /> D. GVATER TEST <br /> h simple water test will show how well this soil will drain or percolate ciater. <br /> To perform this test: <br /> 1. Di� a hole a: least ?o inches deep. Use a shovel or post hole dip�er� size <br /> of hole rrakes no difference - only depth. <br /> 2, Fill hole with water. Now 'et all water run out of hole. This soaks the <br /> ground and will give a rtare accurate readin�, <br /> 3. Again pour water in holc to a hei�ht of 12 inches from the bottom. �et <br /> w,.ter run out until there is just 6 inches Prom bottom lePt in hole. <br /> 4, Note how many minutes it takes for this last 6 inches to seep away. •3 � M-:. - <br /> 5. Divide this time by 6 to obtain the rate per i ch._ �_,..�3 <br /> 6. Date water test was performed. <br /> I hereby certify the above information to be correct a�d the above tests were per- <br /> formed by me as prescribed. /' <br /> S i�ned.J�'/ �ti^,�<^^� <br /> Address 8/a � w•-�.1-t�., <br /> XUTt: A septic tank permit is issued on the basis of the above information. If <br /> there are any chanpes or alterations in the above stated soil conditions� it may <br /> n�suli ir the installation bein� rejected at the time of inspection, <br /> -- �,• <br />