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CITY GI' ��Uri�TT
<br />City Hall
<br />iverett� l•lasliington
<br />II�Sl'ECTIO[? D�FItRTi �b'T
<br />S S /C� �C: iz` (L�.
<br />FHCa�E: ALpine 9-7]Ol
<br />/ LCT APPROVkL SH�T
<br />I'A[��� 6 (� N ] fi �l Lc'Y�, �' �*�_ ADDRLSS ,�/ . � �J J� `.Z / O �� � ,, k,p o �
<br />dDDI:�SS Or PROPOS�D 9UILDIPiG , 5�� %(�J n� � n y, ���f o
<br />�
<br />I�GAL D�SCRII'PI01�: LL�T .3 DLOCK �/ unnTmmr� � i i�/ . `i�., u
<br />i
<br />TYPE OF US�-�„'� FG, CP L�L7POOiiS �'3 SIZL, GI' LOT iC���S'
<br />SOURC� OF DRIAKIi"G ll�iT�R: YIIBLIC SUYPLY G— PRIV.4TE 'ICLL
<br />A. SURPHCE D}iAIt'kGli
<br />1, Is di�po�al field site iaell drained? �
<br />2, An,y water ecurse (streaza, draina�e dii:ch, tc. } throt;gh site?. �7 d
<br />ll. i'OPOGIi1�:I iiY
<br />1. Any heavy slopes in iiel.d areai �'' O
<br />2, 1�1i11 present topsoi.l in field aree be renoved or praded l�efore field tiles are
<br />installed? �c
<br />3. blill en,y fill material be iised ii. t:ie disposal fzeld site7%Ja If ye,� how muah
<br />C. SGIL CCI?PTTIOi;S
<br />1, Has a hole at least Q feet deep benn dug in tl:e dis,os:.l "ield area to determine
<br />the C,ype o£ soil �,resent"_ �q n./ L a�-,.,
<br />2. After hole is dug record t1:e soil conditions at the follo+ring dertns.
<br />(Record as sa_,d� gravel� cla,y� pacl:ed sand, loam, etc.)
<br />12 inche:� 3� iuches
<br />18 inches 3u incl�es 6�
<br />2Q inche� 4d incl�es
<br />3. At�y �round 1�at�r er�countered l,ci�i•e i•e�icliii.F a der•tli o� Q fec�t?
<br />If so� at iahat depth;_�� a '
<br />D. i1dT�R T�ST
<br />r. s:mp' e;�ai;er test wi].l shott l�ow t!cll this soil �ai �7 drain or percolato +aater.
<br />'io �.eriorm ti�i� test:
<br />;. Dig n]iole at least 36 inches deep, Use a si�ovel or pcst hole dip,�er;
<br />size o£ hole �:;alces no difference - onl;� depth�
<br />2. �ll hole iri.tl� water. I'oir let all i�ater r�n ou* oP hol.e. T!.is soaks the
<br />�rctnd a.nd rrill _p,ive a nore accuratc read'.ng,
<br />,. Lga;. puar �:�ater in };ole to a heighi. oi 12 i��cher. iro:a tiie cottom, Let
<br />taater run out un'il there is just h incY,es frc:7 iottora left in hole.
<br />4. 14ote hor; �nnny minutes it takes for t}:is �a�t 6 ir.chea to ^eep atray._�
<br />5, Divide tLi� time Uy 6 to oLtain t)ie t ii e er inch. / �
<br />6. Date taater teat was rerforr.sd. � ..,. _ ia ,.l —
<br />I i;�.rehy certif;� the atove ii:fo.:•ation�� ';e r,-:�rrct ,yc} le i�' vc a,6^i^ cre j,er-
<br />forr�ed tn� r.�e a; �,rescriUed, ' � �
<br />Si,�ne�� � J�e-�I??o2CL�
<br />itddrers ' �
<br />I(i'TL�: A �e,tic tar.k �c.mit is ia;:_��fl on t� ^ ti;r_ above infornation.
<br />� , 1 �c o;:sir, o�
<br />t�here are anv cl;nii�*e;, er altcrat�i�ns `_:� iLe ��Lr.ve ctr�t�u scil ec;.c'�.i;�n;�� it r.,a��
<br />re.,ult. i�. t;�r ir.st.all.,=t..in�; 'ei;-� rel"c7.��. •�t +i�c �.,:t� .� _�..���.r+._o;.,
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