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CITY OF tVtRETI <br />�.j{Y Nall PIAi�E: Fl��,in� �-i1 1 <br />�vr.reit. Ylashin�ton <br />INSPFCTIC:iJ �;6P,aNT.�Ei;i LOT APFI�U�L SHCEI_ <br />t <br />IdAw,E ( A�i.� �. �� lUi V� ADDFESS -- <br />AJDR�SS OF Ff�Ji=OS[D BUILUI!dG �l�% �f � 17��--<-�. <br />�LGAL DESCRIPTION: LUT�I BLUCK ADDITIUIV��kAG� I�"Ij��,� �II��� �I��� �' <br />1YFE l�F USE �� A0. GF 6EDFCUi;�S � SIZE OF �UT <br />D�� X � �-� <br />�i.IURCE OF llRl iJl' I i�1Q �JATER: PUBL I C SUPrLY X __ Flil VATE .:ELL <br />A. �URFP.Cc DiiAIfJ�1G� <br />1. Is disposal Field site v:ell drained: Y�-`� — <br />2. ��ny water cours�� �strcim� drain't�e di{ch� etc.) lhrouph site� ����� <br />5, iOrOGRA=ii'( <br />l. /1ny heavy slo��s in field area`� ���� _ --- <br />2. '.lill present topsoil in field area be removed or �raded 'oefore field tiles are <br />installed"1 �IC"`.� � <br />S. �rill any fill maicrial e uscd in the disposal fiald site'•�_ �f yes� hov: <br />much <br />c. soi� a�NoiTior��s <br />1. iias a hole .�t le.zst �+ feet dacp been dug in ihe disposal field area io detcrmine <br />the type of so i 1 pr,,sent : i� `� <br />Z. Ai'ter hole is dug record the soil conditions at .he following dc-p.l�s: <br />(Reoerd as sand� gravel� clay� packed sand� loam� c`OA � <br />12 inches i,��t�1 30 inches <br />18 inches '�� �L1 36 inct�es _��✓1�'� 1� Jk�-` <br />24 inches 1' 48 inches _ <br />„ Any ground waier encountered be`ore reachin,� a dopth cf -i Fe�t�:�t_' _—_ <br />I P so� at v+hat dopth'? <br />D, �:!NTfR TEST <br />A;imple water {esi v�ill show how well this ;oil �,�ill drair, or perccl�ate �•�ater. <br />To perform this test: <br />1, Dip a hole at l�ast 36 inches deep. Use a shovel or po>t holc dig�er� sizc <br />of hole mal<es ne difference - only d�pth. <br />�, Fill hole with water, fdow le{ all water run out of hole. This soaks ihe <br />F�round and will �ive a more accurate readinp. <br />3. �gain pour water in hole to a heinM ef 12 irches from the bottom. Let <br />water run oui until there is just 6 incnes from bottom leit in hole. <br />; fVote how many minutes it takcs for this las: 6 inches to scep away.�__ <br />�, Divide this time by 6 io obtain the r te per inch. G. '� <br />6, Date wat�r tesi was performed. y P3 <br />I hereby c��rtify ih� above inforrn3tion i_o f;e correc't ond the above �sts were per- <br />fur;ne�1 by m�� ,��, pre�r,rih�d. � Q� <br />5isned -� (�llt� ,�. e� P - ) - <br />-T- <br />� 1'\- 1 <br />Address "2 � i ?-----'�ai:�.._�ArC�= �J, <br />�71ir: i �,,��iir, tnn��_ per�.�ii i�� isr,w.d on ihe basis of the above information. li <br />i'=r-, e.r�, �iny ch:�n;,:s -�r ri�i�.rniiens in thc ahove stated soil cenditioiu� ii r��y <br />r�„i�ll i�� ',I-��: in;i;illa:ion b;inn rc_loctcd .�i ihe iirie of inspeciion. <br />