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<br /> - C�iiy finll PI,Uh;[: �i��.�o� ,_�1 i�;
<br /> Evere.it. '�7ashin�ton
<br /> INSPECTICN DEP,aRT��iENT LOT APFr(�VAL SH'rET
<br /> �d rv�.t�o_/�. :.� ,�-� ��, � � .
<br /> — S .'-ir ADDFESS/��� 7 ?.,�11. G'r•: •='•;. �
<br /> ailDRtSS UF FFur�SCU BUILUIhJG � ' S ° iJ,-,,� _ � { '% r �-� •
<br /> ,.,. . �, _ v��r" i.,- ,. :,
<br /> �EGA�_ DESCRIPTION: LOT_ BLUCK A�DITIUN
<br /> iYFE '. F USc IW, GF BEDfX;Uf,�S ___ `LL � SI ZE OF �UT _,?, .•Z �!
<br /> GYE'�
<br /> :UL'fa:r UF llRli�IU�VG �JATER: FUBLIC SUPrLY �� FRIV�iTE .;�L�
<br /> �a. �URFACE DRAINkGE
<br /> 1. Is Jisposal field si{e well drainedF
<br /> 2. Any v:ater course (stre_iiry drainage ditch� cte.) {hrouph site?
<br /> B. TOF'OGRA=HY
<br /> 1 . Any he,ivy ;loF�c¢ in iicld nrea? d�<
<br /> 2. :lill nres�rt topsoi in ficld area be removed or �raded before field tiles are
<br /> installedY
<br /> 3. ,iill any f�ll material be used in the disposal field site'?_ �,�o _ If ��es� hew
<br /> �wch •
<br /> C. SOIL C�NDITIONS
<br /> 1, iias a hole at least 4 Peet deep been du� in the disposal field are;� to de{„rmine
<br /> the type of soil present?
<br /> ?, iifter hole is dup record the soil condiiions at the followin� depths:
<br /> ���ecerd as sand� ravel � clay� packed sand� loam� etc
<br /> 12 i nches � 30 i nches ./• �r- ,< < •
<br /> 1P. inches ' � 36 inches r�✓
<br /> 24 inr,hes r. . (. . .'Kf,,,�4 � 48 inches /�� /
<br /> s. ��ny nround water encountered before reachin� a depth of 4 Peet? I//
<br /> � f so� at wha{ depth? {/S/ —7—�--
<br /> D. JhTFR TEST
<br /> A simple water test will show how well this soil will drain or percol,�t�� e,�ter,
<br /> To perform this tesi:
<br /> l. Ui� a hole at least 36 inches deep. Use a shovel or post hole digger� size
<br /> uf hole makes no difference - only depth.
<br /> . . Fill hole with water. Now let all water run out of hole. This soaks the
<br /> �round and �vill �ive a rtrore accw-ate readinp.
<br /> 3. A�,ain pour wa{er in hole to a hei�hi of 12 inches from the botiom. Let
<br /> water run oui until thcre is just 6 in�hes from bottom lefi in hole.
<br /> •i. Note how many minutes it takes for this last 6 inches to seep away.�5`_
<br /> �. Divide ihis time by 6 io obtain the ra:.e per inch. r Q 9/
<br /> 6. Date water {est was performed. 3•H - ] �_ t�� :__
<br /> � hereby certify the above information to be correci and the �bov� tests �.vere per-
<br /> formed by me as pr,�scribed. , . i
<br /> �
<br /> Si�ned�t%/.... 'Ki!:�� �,;,,:.
<br /> Addressl'� s ;. •. ; a v.:.S ��� % ,,,, C.!,:,.�,,.:..
<br /> �01E: A septic tank permii is issued un the 6asis of the abo.e informatiun. If '+•� - �
<br /> ihere are any chnnnes or alterations in the above stated soil conditions� ii may
<br /> r�,suli in the instzllalion bainr, rejected at the time of inspeetion.
<br /> � _� Cy/� ',
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