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c l/ %�— 5�7 ��.� <br /> CITY CF EVEREI�i <br /> City fiall PI-(1�E: A�ptn� )-�1!1 <br /> �verett� '��ashin�ton <br /> - � INSPECTION GEPARTI�IENT LOT APFi�V;�L SHEET � <br /> ' ��2�I%� z-.f� � f <br /> NAm� �" . .C'; V"o-zClri ADDFESS .� ,r .,i !��!- Cl>�z�'LG <br /> AilDR�SS OF FFIJFG�ED BUILUING <br /> LEGAL DESCRIPT�N: LOT BLOCK ADDITIUN _ <br /> TYFE �F USEL� ' � •.� r�RO. GF BEbF�01�iS �Z. SI ZE OF �UT _7.5 X/�U � _ <br /> �URCE UF llRINKIiVG �JATERa FUBLIC SUPFLY � FRIVATE dELL _ <br /> A. �URr P.C� �riA I NP.Gt <br /> ' Is disposal field sEte v+ell draineds" ''/,e•a/ <br /> 2. Any water course (stream� drainage ditch� etc.) through site� -7��.+ <br /> 8. TOFOGRAPHY <br /> I. An� heavy slopes in field area?_ _ � jd <br /> 2. Jill present to soil in £ield area be removed or �raded before field tiles are I <br /> installed? <br /> 3. Jill any £ill ma erial be used in the disposal field site?�1 If yes� how <br /> much -^ <br /> C. �IL CUNDITIONS <br /> 1. Has a hole at least 4 feet deep been dug in the disposal field area to determine <br /> the type of soil present? <br /> 2. after hole is du� record the soil a�nditions at ihe Pollowin� deptf�s: <br /> (Record as sand� �ravel � clay� pacNad sand� 1oam� e:tc.) <br /> 12 inches .q.�...,�: �� ,' l:- .{ 30 inches c� <br /> 18 inches (%1 i,, �_`�� 36 inch�s _L,�, <br /> 24 inches � 48 inches r � ,/ <br /> s. Any �round wat r encountered before reaching a dept of 4 feet'? • � J..,�.L__ <br /> I f so� at v+hat depth? _ _ � <br /> D_ 41ATFR TEST <br /> A simple water test will 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 di�gar� size <br /> of hole makes no difference - only depth. <br /> 2. Fill hole with water. Now let all water run out of hole. This snaks the <br /> �round and will give a more accurate readinp. <br /> 3. A�ain pour water in hole to a height of 12 inches from the bottom. �et <br /> water run out until there is just 6 inches from boitom left in hole. ., � <br /> 4. Note how many min�tes it takes for this las: 6 inches to seep away. ✓ f— ��-,,�> , <br /> 5, D��ide ihis time by 6 to obtain the rate per inch.'f� � � � �n � <br /> 6, Date water test was performed.."i,�� L�_,.� <br /> I he�eby certify tha above information to be orrect and the ahove tests eier_� per- <br /> formed by me as prescribed. � , <br /> Signed /]/.-, � . / , � �''-.0 ,/ <br /> Address_ � _ <br /> f�OTE: A septic tank permii is issued on the basis of the above information. If <br /> there are any chanpes or a1t>rations in the above stated soil ccnditions� it may <br /> result in {he installation b�ing rejected at {h� time of inspection. <br />