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i;17Y Cf �vEi;El�i <br /> City t�al! PIUR:E: N��;�rn �l-11J1 <br /> :v�rett. '��ashin�ton <br /> INSFECTICN DEP,IHTI�iENT LOT APFid7b'AL SHEET <br /> � � / -. <br /> fVAm,E_ � �� � ���r ��r' /i n �, i r s-_ C�DDFES� ���_`� ���' !� ��. .� ��. . <br /> AilDRcSS OF i-FiUr05[U BUI LUI NG 7� ?`� l� �%"i-�- /(�� , f� /��,� ,! /i �- r' T�T <br /> LEGAL DESCRI PTION: LOT�._Y BLOCK ADDI TIUU � i ° � V -C��n-� c: '�/f `: <br /> TYFE �F USE,`?'"' '�Y�,IW. GF E3Eu�0�,1S ��_ SIZE OF �UT % /S � �n� <br /> �JJURCE UF llRINKIiVG �lATER: r'UBLIC SU?FLY � FrIIVti�E .iELL _ <br /> A. �l!RrPCc Di3AINAGr <br /> 1. Is disposal field site v:ell drair.edF � <br /> 2. Any watcr course �stresm� drain�ge ditch� etc.) throuph si{e'� i�' r <br /> B. TO�GRAPHY <br /> 1. Any heavy slopes in field area`' ����' <br /> 2. ��ill present topsoil � � field area be removed or Fr�ded before field tilas are <br /> installed? <br /> 3. �lill any fi '.i rnater e be used in the disposal field site� ���� If yes� how <br /> much <br /> C. �IL CUNDITIONS <br /> 1. Has a hole at least 4 feet dcep been du� in ihe disposal field are� to determine <br /> the type of soil prese�t? Y f= =� "- <br /> 2. �\fter hale is dup recorr+ the soil 'conditions at the follov,ing dcptls: <br /> (Record as sand� gravel� clay� pe.cked sand� loam� etc. ) <br /> 12 inches 30 inches _ <br /> 18 inches 36 inches _ <br /> 24 inches �+£' inches <br /> s, i�ny �round water encouniered be`ore reachin,� a depih of 4 Peci'•' /5' �- _ <br /> I f so� at v+hat depth'? <br /> D. �.!ATER TFST <br /> A simple water test �vill show how well this soil will diain or percol:a{a viater. <br /> To perform this test: <br /> 1. Di� a hole at le�si 36 inches deep. Use a shovel or po�t hol� di�g�r� size <br /> �`�- _ of hole makes no difPerence - only depth. <br /> "L �e' 2. Fill hole with vrater. IJow lct all wster run out of hole. This soaks the <br /> �� % E�round and will �ive a more accurate readinv. <br /> �"j `� 3. Apain pour �vater in hole to a heiphi ef 12 inches from tl�e botiom. Let <br /> water run out until there is jusi 6 inches £rom bottom left in hole. z <br /> \�/ •1. Note how manv min�ces it takos for this las: 6 inches to seep away. <br /> 5. Divide ihis time oy 6 to obtain the rate p�r inch. • 33 3 ;„,,, <br /> 6. llate water test �vas performed. :�- -� % <' .`� <br /> I hereby certify the abovc inform�tion io be correct and ihe above tests were per- <br /> formed by m� as prescrihed. �j . , <br /> Si�neJ' r-,i�i��/. /:; 1 . _:� - , . <br /> Addres ��� 2 �._����.�.._. -�t�.�.— , ., r. , <br /> ICOIe: %1 s��itic t%+n' permii is i�r-.uod or. ihe hasis of the above �nformatic,n. If � <br /> there nre �ny chringes or ali�rniions in the above stated soil conditions� it may <br /> rusuli ir. +he ins}all�tion 6ain�� rojr,eicd ai iL•c time of inspeciion. <br /> s <br />