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:`.P ' , <br /> ' � �I � / <br /> y��,t/�d/ C17Y UF EVERETI <br /> 7 7 City Nall PMO�E: A�pine '1-71J1 <br /> �vereit� l'Jashin�ton <br /> INSPEGr�nni �ro;��;T.�EP:T LOT APFi-OVAL SHEET <br /> f�A�v:E_ ra. �u r_�?U�NqIDSG.t� ADDRESS Q'vaQ r.c�. �•.C�.� _ , r��-�i�,�t�— <br /> AJDR�SS Uf FfiOrOS[D BUILLING <br /> LEGAL DESCRIPTION: LOT_[� BLOCK ADDITIUN EvE�.'r�TFr".v 6XF.v <br /> TYFE �f USt 5'-Nr.�� 1�'0. GF �EDf'COf�7S � SIZE OF �U7 S�f P.CoT J����/ <br /> SOURCE UF llRINKING �JATER: FUdLIC SUPFLY '�— FRIVATE dELL <br /> A. SURFA.Ct Dr�AINP.GE <br /> 1, Is disposal field site wcll drair.ed° �'�,�� <br /> 2. Any water coursa �stream� drainage ditch��ete.) threugh site? 7�� <br /> B. TOFOGRAPHY <br /> 1. Any heavy slopes in field area? �l� � <br /> 2, ilill present topsoil in field area be removed or �raded before field tiles are <br /> installed? �/FS <br /> 3. �dill any fi�material be used in the disposal field site? � [s If yes� how <br /> much /K.r/.iTG-v_F�2 �/r�Css.�.Ry <br /> C. �IL OUNDITIO�!S <br /> i. Has a hole at least 4 feet deep been dug in the disposal field area to determirns <br /> the type of soil present? 'Z ��-• <br /> '. ��fter hole is duP record the il conditians at the follov+ing deptlis: <br /> ,_ (Record as sand� gravel � clay� packed sand� loam� etc. ) <br /> 12 inches �t'�-J� S_.-._a 30 inches C_.._l v -S i-..•- ( <br /> lE inches �� ..1' y .S i.. -. � 36 inches ' " <br /> 24 inches „ •� 48 inche� ,• . <br /> �. �ny ground water encountered before reaching a depch of 4 feet? �) i z, _ <br /> � f so� at what depth? <br /> D. FIATFR TEST <br /> A simple water test v+ill show how well this soil will drain or percolate water, <br /> To perform this test: <br /> 1, Di� a hole at least 36 inches deep. Use a shovel or post hole dig�er� size <br /> of hole makes no difference - only depth. <br /> 2. Fill hole with �vater, Now let all water run out of hole. This soaks the <br /> �round and will �ive a mere accurate readinp. <br /> 3. A�ain pour water in hole to a hei�hi of 12 inches from the bottom. Let <br /> water run oui until there is just 6 inches from bottom left in hole. <br /> 4. Note how many minutes it takes for this las: 6 inches to seep away. " � ic-. .� <br /> 5, Divide this time by 6 {o obtain the rate per i ch". "„'� �-'s <br /> 6, Date water test was performed. '�/ � �', <br /> �) <br /> I hereby certify the above information to be cd'rrec{ and the above tests were per- <br /> formed by me as prescribed. -- / / <br /> Signed ���� �/>� �f - '�r S�2'-f� l <br /> Address .('�'%Z 5;1.� !�._. �.�_ �_ -- <br /> �O1E: A septic tank permii is issued on the basis of the above information. If <br /> there are any chan�es or alterations in the above stated soil conditions� it may <br /> result in the installation being rejected at the tinie of inspection. <br /> --�� <br />