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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, <br />