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i:l iY CF �Vti(�11 <br /> City riell Pf-uf�E: A��:tn� !-il �1 <br /> �vereti. '��ashin�ton <br /> IPJSF�CTI N DER1 Tr!�NT LOT APF�)V,�L SHFET <br /> , ,{ � <br /> idAiv.E�,;�i � JC� �CZ-C _ J�DDRESS �. �y � .("t-�� 7. i� i <br /> ., � .� � S/_.L_�' - �/3� - S/ �� 3.J,:f<<S <br /> AJDI}c5S OF PFurOS[D BUIL"uIPdG_=�`-' � �_ <br /> LEGAL DESCRIPTION: LUT 3LOCK ADDITIOiJ _ <br /> > <br /> 1 YFE �F USE h0. GF BEDPCOfu15 -�� SI ZE OF �UT = � "� � /-����_� — <br /> ta1URCE OF URIIJKIiVG �IATER: FUBLIC SUPt=LY �%� �� f' _ '•�IVA.iE �iELL ___ <br /> A. oURrPC�. D�AINAG"t <br /> 1. Is disposal field site �:ell drained= � ,�� _ — <br /> 2, ��ny v:atcr course �stre-+m� drainsge diich��etc.) through site'?_�.,' � <br /> 8. TOFOG�iArF;'r <br /> 1. Any hc�ivy slone� in field area� ����� <br /> 2. ;lill preseni 24�`�oil in f�eld area be removed or �raded before field tiles are <br /> inslalled7 `�/fi' <br /> i <br /> �. �1i11 any fill material be used in the disposal Piald site� �/i I { yes� how <br /> much <br /> C. �IL CUPiDITIOP!S <br /> 1, Nas a hole at least 4 feet deep been dug in ihe disposal £i�ld area to Jetcrmine <br /> the type of soil present? ✓ZJ '� ��' <br /> ?. �lfter hole is dug record thej�oil conditions at the Pollowing dept��s: <br /> (l;ecord as sand� �ravel� clay� packed sand� loam� eic ) <br /> 12 inches 30 inches �-r =%nr -' <br /> 1P, inches 36 inches _ Y <br /> 74 inches 48 inches -- ��=i= <br /> ,. i�ny �round water encountered before reachin� a depth of 4 feei'� J� ___-- <br /> If so� at what dcpth? <br /> D. l!ATFR TCST <br /> A simple water test uril ! s;�ow ho��� woll this soil will drain or perwlate water. <br /> To perform this test: <br /> 1. Dip a hole ai leasi 3G inches deep. Use a shovel or post hole digger} size <br /> of hole makes no difference - only depth. <br /> Z, Fill hole with v+at�r. IJow let all water run out of hole. This soaks the <br /> pround and will Qive a more accurate readinv. <br /> 3, �gain pour water in hole to a height of 12 inches from the bottom. Let <br /> water run out uniil there is just 6 inches from bottom left in hole. <br /> q, Note how many minutes it takes ��r ihis las: 6 inche j o e�ep away. _ , <br /> 5. Uivid� ihis time by 6 to obtain the ra e �er inch. ��f� "� �-'-�� �"� ''`/ <br /> 6. Date aater test was performr_d. � - ` _ <br /> I hereby certify the above informaticn to be correct and, ihe above test�were per-. <br /> formed by me as prescribed. � ,� ���� �- / <br /> SiP�ned_ �" y'i"ra« ` <br /> Ad�lres�� s �- ! �e?�-��/' <br /> {:Olt: A septic tank permii is issued on ihc basis of ihe above inPormatiqr(. If <br /> there are any che.�i[�es or alterations in the ,�k?ove stated scil condiiions� �t may <br /> result in the installation baing rejectcd �i ih-� iiroe oP inspection. <br />