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. S 3� �-� ��i <br /> � CITY OF �VEF,tTi <br /> City Hall PNJ�E: A�pine i-�111 <br /> � �ve;ett. :lashingi�n �1 ����' <br /> IDISFFCTIOtd "JEF„RT,aiENT LOT APFrC)VAL SHEET <br /> i � �� ��, <br /> iVAiulE : ' ,: , ADDfiESS ,��r�,..f' _�-�-(.'-�'-- <br /> AJDR��S Uf FfiUFOS[D BUILUIIVU � � J, ` G <br /> � �,� <br /> LEGAL DESCRIPTIUid: LUT BLOCK ADDITIOiV <br /> J ,. <br /> 7YFE UF USE,r " �0. GF BEDFCOf��S SIZE OF '_UT <br /> VUURCE OF llRIidKIidG JATER: FUBLIC SUPr=LY _ Pr�IVATE rtLL __ <br /> � ��,�tr••� � A. SURFP.C� Dr�AINAGE <br />,,,t_;��;` 1. Is disposal field site vrell drained� <br /> "' ""�"' 2, An water coursa �stream drain � e ditch etc.) throu h site'�.._ <br /> 5'T" Y � � � � <br />�'e ' <br />;'�:r t�; B. TOFOGRArHY <br />���` A . <br /> ¢�'�;���' '' 1. Any heavy slope� in field area? <br /> i�,i:,r,�+' 2, C!i L' ��esent topsoil in field area be removed or �raded before field tiles are <br /> ,.,� � � <br />������,ti���' :nstal l ed• <br /> J�� �,� }• 3. �Jill any fill rrk.terial 6e us�ad in the disposal fiaid site? � if yes� how <br /> much _. <br /> �, C. ;OIL WNDITIOtdS_ <br />��:''•��' , ' 1. Has a hole at least 4 feet deep been dug in the disposal field area tc determine <br /> the type of soil present? <br /> �� l. Nfter hole is du� record the soil conditions at {he followin� deptl�s: <br /> r�. ��ecord as sand� �ravel� .la��, packed sand� loa,n� etc. ) <br /> 12 inches 30 inches <br /> 1� inches 36 inches <br /> 24 inches 48 inches <br /> 7. /'�ny ground water encountered be`ore reachir.� a depth of d feot'•' _ <br /> I f so� at v+hat dcpth? `- <br /> D. �:;ATfR TEST <br /> A simple water test �vill show ho�r� well this soil will drain or percolate ti:ater. <br /> Te perform this te.s{: <br /> '".'y 1. Di�, a hole at least :ib inches deep. Use a sh�vel or post hole dipgar§ size <br />''�d���?;;;. i of hole mzkes no differerce - only depth. <br /> '�.. 2. Fill hole with water, Now let all wster run out of hole. This soaks th� <br /> ��f�;;.� � � <br /> ,�.�. , .! �round and will �ive a more accurate readinP. <br />}�,;_.:' : 3. A�,ain pour wai�r in hole to a hei�ht of 12 inches from the bottom. Let <br /> water run out until there is just 6 inches from bottom left in hole. <br /> 4. Note how many minutes it takes for this last 6 inches to seep away. <br /> 5. Divide this time by 6 to obtain the rate per, inch. <br /> 6. Date water test vras performed. <br /> I hereby certify tha above information to be correct and the above tests were per- <br /> formed by me as prescribed. <br /> Sisned _ <br /> Address <br /> 10TE: A septic tank permii is issued on the basis of the above informettion. If <br /> there are any chan�es or alterations in {he above stated soil ccnditi�ns, ii iri�y <br /> r,sult in the in�tallaticn beino rejectcd a{ the time of insprciion. <br /> i l <br /> �. <br /> � <br />� � � � "3�� l . - •�:-: : = ;�f,. <br /> r ! <br />