Laserfiche WebLink
CITY UF EVEREII <br />Ci{y Hall PI,(if�[: A��,in.. �-il )1 <br />�vereit� '3ashinsion <br />INSPECTICN DEF�,�RTIaiENT �OT APFrtJVAL SHFET <br />:dA�v.E P.,6�;�/, ers i=,t,.� j o_ ./ T ADllfiESS .�-.^ --4•�.T,.,•i <br />AJDRtSS UF FF�JFOSED BUILUIIdG_ �nn �tl,,,-T ,v <br />LEGAL DESCRIPTIUN: LOT BLOCK ADDITION <br />TYFE �F USE �0. GF BEDF�fJ�S <br />SuURCE OF llRINKI�G �JATER: FUBLIC SUPFLY <br />A. SURFACc DRAIN� <br />SIZE Of LUT <br />FRIVATE dELL <br />1, Is disposal f�eld site well drainedY n��� <br />2, Any water course �strcany draina�e di{ch� etc.) throu�h site? <br />B. TOr"nGRAFHY <br />1. Any heavy slopes in field area? „_�� <br />2. '3i11 preseni topsoil in field area be removeu .,r �raded before field tiles are <br />installed? <br />3, �lill any fill material be used in the disposal field site? If yes� how <br />much <br />C. �IL C(1NDITIONS <br />1, lias a hole at least 4 Peet deep been dug in the disposal field area to determine <br />the type of soil present? <br />2, rlfter hole is du� record the soil conditions at the following depths: <br />��ecord as sand� �ravel� clay� packed sand� loam� etc.) <br />12 inchec cF,,,/„•a ,.,, /C 30 inches <br />18 incnes 36 �nches �isso�% i�[L <br />24 inches _of�� 48 inches �«,•�i�A .�i� � �-..iP� <br />�. Any �round waier encountered before reachin� a depth of 4 fect�_ �,.•r <br />I f so� at what dcp{h? .17�� , zi " - <br />D. IJATER TEST <br />A simple water test will show ho�ti� well this soil will drain or percolate water, <br />To perform ihis test: <br />1. Dig a hole at leasi 36 inches deep, Use a shovel or posi hole di��er� size <br />of hole makes no difference - only depth. <br />2. Fill hole with water. IVow let all water run out of hole. This soaks the <br />�round and will �ive a more accurate readinP, <br />3. Apain pour water in hole to a hei�hi of 12 inches from the bottom. Let <br />water run out uniil there is just 6 inches from bottom lefi in hole. <br />4. Note how many minutes it takes for this last 6 inches to seep away. <br />5, llivide ihis time by 6 to obtain the rate per inch. �/n �vt h' <br />(i. Date water test was perTormed. l'- /-7J <br />I hereby certify {he above information to be correct and ihe above tests were per- <br />formed by me as prescribed. �� /� <br />Si�ned _ `Y//��_, � /� _C�.; i1�a�,,<� �� <br />Address 43r.t r�•�,�t� r/_' ;,,,.,4 �v <br />�OTE: A septic tank permii is issued on the basis uf the abo�e infurmation. If <br />ihere are any chan�es or alterations in the above stated soil conditions� it may <br />result in the insiallation beinE rejected a_ the iime of inspection. <br />