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<br /> CITY UF E�EnEII � '7 • �y_
<br /> Ci{ Hall 6
<br /> y ��NE/HLpin� 'i-il.il �
<br /> Evereit. '�7c,shin�ton
<br /> IP!SprCT!OPJ L'EP„°;fa1CNT LOT APFr'7JVAL SHEET
<br /> ��A�v;E�yf,f57`aU ,� �o2 £IV�_ ADDRESS �d�cZ� -dYo � pC 5• �J FD�YoNps
<br /> tillDRESS UF FFlJf-CStU BUI LU I NG R��oZ �v �✓�S ! (� �£
<br /> LEGAL DESCRIPTION: LOT� E3LOCK ADDITIUN �U�.� 62�t N G L•�'nl
<br /> �YPE UF USE Rf-5tn�. �W. GF BEDF1:OIu1S �_ SIZE OF �UT /o$ � / YS
<br /> �UHCE OF URI NK I iVG dATER: FUBL I C SUFFLY t�£S 'rRl VATE .�ELL
<br /> A. 5URFACE DRAINAGE
<br /> 1, I � disposal fieid si.e well drained? _ �r7
<br /> 2. A�,y wa}er r.ourse �stream� draina�e ditch� etc.) {hrough eite"_/Vo
<br /> B. TOFOGRAPHY
<br /> l. Any heavy ;>lupes in field ar'ea? /�/O
<br /> 2. :+ill present topsoil in field area be remov�.d or graded before field tiles arP
<br /> inst.alled?,_ /1/!s
<br /> 3. ,�ill any fill material be used in the disposal Pield site?�[,(Z If yes� how
<br /> much
<br /> C. SOIL OONDITIONS
<br /> 1. Has a hole at least 4 feet de�p been duq in the disposal field area to determi�ie
<br /> the type of soil present? �����/ � �
<br /> %. After hol� �s dup record the s— n�diti�ns at the followin� depths:
<br /> �Record as sand, prave4 � clay; packed sanJ� loam� etc. )
<br /> 12 i nches �n •, So , / �� i ,
<br /> i � inches '�n.�u r ,,_.�r,_./!;,,,,;,,��
<br /> lE inches 5nni�i 35 inches �;:.,,, r k��. ....' ,.„,'.��7
<br /> 24 inches S4,ti/� do inches =•; :;�„.
<br /> . Hny �round waier encovntered �efore reaching a dept;. of � feet? A�C'.
<br /> If so� at what �ep{h?
<br /> A. IIATER TEST
<br /> A simple water test will show hcw well this soil will drain or percolate wa+er,
<br /> To ,erform this test:
<br /> :. Dig a hole at least 36 inches deep. Use a sho���l or post hole di��er� size
<br /> of hole makes no difference - only depth.
<br /> 2. Fi11 hole �vith ;vater, 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. Le{
<br /> water run out until there is jusi 6 inches from bottom left in hole.
<br /> 4, Note ho�.v many minutes it takes for this last 6 inches to seep away, i ..�,ti �
<br /> 5. Divide this tirra by 6 to obtain the rate per inch. 2 . �� ,,
<br /> 6. Date water test was performed. 1 / - ,yC ,
<br /> I hereby certify {he above information to�be correct gd the above Ests were per-
<br /> formed by me as prescribed. ,c.,.,�«-.-cl' , �
<br /> 5 i gned � -..s.���'
<br /> Addre,s isv� c �w �, �PC • Sc,� FQiKu�UOS
<br /> ti�TE: A septic tank permit is issued on the basis of the�above inPormation. If
<br /> there �re any chan�es or alterations in the above stated soil condit�ons� it may
<br /> r��sult ir, the insiallation being rej:cted at the tim, of inspection,
<br /> —c -.
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