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7IiZ 0: :.Vis:i�TT
<br />City Hall
<br />�verett� l•lashington PHOnE: kLpine 9-7101
<br />II�:SIECTI01? DEF/iRTI�nT
<br />LCT I1F'PROVAL SHT'�T
<br />L'�I�fE���Q ��...�t,,,-A� ADDR13S5_( �, I`I � ��-tQc-
<br />i+DDtt�SS OF YROPOS�D 9UI
<br />T2, 1 d" �
<br />I�GAL D�SCRIPTION: LOT /�BLOCK ADDITI�I; �,,, . �-_,,...d.:c� �u .�G; R , ,,iy,i{, �>
<br />TYYE OP USE�_ N0. QF L�LDc�00iiS ,� SIZ� Oi LOT l5 I70
<br />S�IIRCC OF DRIi KIFG !:�f�T�R; YUBLIC SUYPLY �� YRIV.ITE '!�LL
<br />A. SURPHCL DRAII:kGIs
<br />1, Is dispo�ul field site rrel� drained?_ ����
<br />2, Any iaat�;r course (stream, draina�e ditch� etc, through site?, n�,
<br />H. TUi'CGRP.I�iIY
<br />1. Any ;ieavy ^,lopas in field lreai �o
<br />2, YJill present topsoil in field area be removed or praded before field tiles are
<br />instal.led? 1�-0
<br />3. Wi]1 an,y fill naterial be used in the disposa]. field site? ti>oIf ye;, how much
<br />C. SOIL CCI?DITIOI;S -
<br />1, Has a hole �t least 4 feet deep oeen dug in t}:e dis;os:1 field area to deCermine
<br />th� typo oi soil ��re�ent? �_��o
<br />?. �+�:er hole is dug record the �oil condition; at the £ollowing depti�s.
<br />(itecord as sund� gravel� clay� pecked sand� loam, etc,)
<br />12 inches ,��.�_-,., 30 inches (�_,,,,,,.e
<br />18 inches ' � 9u inches � -
<br />24 inches � • 4� inches '�
<br />3. �i:;� �,rour.d vuter er.countered beior� renching a depth o; Q feet:
<br />Ii so� at tahttt dePth: I.,�
<br />J. '.IdT�?i T55T
<br />.. �im��' e vater test irill show iiow vel] this soil wil] drain or percolato �aater,
<br />io �.criorm tiiis test:
<br />1. Dig n hole at laast 36 inches deep, U�c � si�ovel or post hole dig{;er;
<br />size of hole •::a]ces no difference — or.l;� deptho
<br />2. �11 hole vitli water. 2'oti let all ��ater run ou+. of hole, Ti.Ss ,oalra the
<br />�ro•,uid un3 irill p_,ive a rore accuratc read:ng,
<br />3. :�gain pour i:�ater in hole to a height o;: 12 ii:chcs �'ro:� t:�r bottei:�. Let
<br />water run out until there is ,just b inches £ro�n bottom left Sn hole,
<br />_ 1'ete hov �aany miimtes it tal:es �m� this lact 6 ir.ches to :eep auav, ,3C1
<br />5. Divicie tLis timc b,y 6 to ohtair. tti� raie er inch. ,�j
<br />. Date imter teot �_ia� rerforr..ed. ��. .� �„ �
<br />: i;oreLy certifj� t}�e 1bo+.�r. ir.fors atiur +o '�e co:�reot end ti�e �_' ovc �cst; �:cre r.� :•—
<br />f-�r* ed in� r.�o as prescril:ed, n �
<br />SiFrned � �L u,.-J.!
<br />i.ciclrecs-- �� i�/ �,�.�-..c,. �. '.,
<br />�:;':I:: � se;tic tank permit ia isG��ea or. +.iu ix;si� oC ti:e aUove inCormati�n, If
<br />i�:ure are am� chon�*ea or alterations ii: i.he sbove etuted �cil coi.c'�.i.9rni:, it r�a,-,�
<br />rn:;ult i�. t:ir ir.st.all.nt:irn: ' eir� rc j�ctrci •:t f l:c t:ne o: �� :-er' _cn,
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