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CIlY CF �A'tREI i <br /> City I�all Pf�1RL: A��.irn ��-rl �1 <br /> �vereti. '��ashin�ton <br /> I P SPr CT I0N DEF��RT�,iEf�i LOT APFF1Jb�AL SFIEET <br /> �. � a��F�ss� ��(''f.�,,.,o�> f� . ;«,... <br /> �an�,E <br /> � �s`nt - i� a-„�— <br /> AJDR�SS OF Ffi�iOSED B I�UIPIG S W y u - <br /> LEGAL DESCRIPTION: LOT,�,_ BLOCK r' ADDITIUN ��1 <br /> TYPE �F USE �'0. Gf 4EDFCUf�15 _y-i_ SI ZE OF LUT �'�— <br /> 9.1L'Ni:E OF llRINKIiVG �IATER: PUDLIC SUPFLY �l <br /> rRIVATE ,:E�L <br /> q. SURFACc DRAINA.GE <br /> 1. Is disposal field site c+eii drained': _.------ <br /> 2, ;\ny water course �sirc�m� drains�e ditch� etc.) through site� 7'� <br /> B. TOFOGRAFH't <br /> 1, ;1ny he,zvy slopes in Pield ar=a� <br /> 7lz <br /> �. ':Jill presant tepsoil in field area be removed or graded before field :iles are <br /> installed? �� <br /> 3. Jil] any fill material be used in the disposal Pield site� 'i � If yes� I1GN' <br /> much — �, �IL �NDITIOP!S <br /> 1, Has a hnle al least 4 Peet deep bcen dug in 'the disposal fi�.ld aren l� d t�rmine <br /> the type of soil present� <br /> , i�fter hole is dug record the soil conditions at .I�e follov+inq deptl�s: <br /> ���ecord as sand� gravel� clay� packed sand� loam� etc•) . ' <br /> 12 inches - n '' �> � — 30 inches �'r ' '� ' — <br /> 1P inches " '� ���--- 36 inches __.—�- <br /> ?4 inches � " -�. -�� — 48 inches �— __ <br /> >, Any 5round �vater encouniered be`ore reachin� a depth of 4 feei'� —_- <br /> I f so� at v�hat depth? � ' D y�pTFR TEST <br /> A simple water test vrill show how well this soil will drain or percolate �vater. <br /> Te p�rPorm this tesi: ��, � <br /> L Di�; a hole ai le^si 3G inches deep. Use a shovel or post hol� di �r' ��z� <br /> oP hole makes no difference - only depth. <br /> 2 Fill hole �viih e:ater. Now let ail �vzter run out of hole. This soaks tha <br /> Pround and will pive a more accurate readinv. � <br /> 3, ,1�ain pour wat ;r in hole to a hei�hi of 12 inches from the botlom. Let <br /> �,vater run oui until there is just 6 inches from botioin left in hole. <br /> .), Note how many minutes it takes Por ihis las: 6 inches to seep away• <br /> ��, � . <br /> 5, llivide ihis time by 6 to obtain the rate p� inch. �� <br /> G, Datc water test was performed.� ` ` �'•, <br /> I f��erebY certify tha abo�ie information to be correct and the above tests �vere per- <br /> formed by me as prescribed. 5igned `� �� I� �/� <br /> Address ��__�---- <br /> I:OTE: A septic tank permii is issued en ihe ba�is of ihe aLove information. � ` <br /> • there are any changes or alterations in the aFovc stited soil ccndiiions� it m�y <br /> r,�.��lt in ihe i���'.ailation being rej��ct�,�1 �1 tne ;�me o{' [cspection. <br />