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� <br /> (�r��,�.,k '- a9a . �;, ; � - <br /> �IIY UF EVEfiETI <br /> City Hall Pf-��E: N��:�rn l-rl JI <br /> �ve:e{t. '�7ashin�ion <br /> INGFECTICf�i ''EF,�HT�iFIuT LOT APFr�[Jb'1L SHFET <br /> idA��.E ��J/i� ,� ' �',Ii%,;,;) 11DDFESS_ ff 05 _,''� <br /> ,�.,. .' _ ._ <br /> NJDRcSS OF FFu�OSED BUILLIIJG 51r.�s� �,�4;,�,�( „�. , <br /> �EGAL DESCRIFTION: LOT BLOCK ADDITI�N <br /> IYFE �f USE IW. GF BEUfz;ULs; SIZE Of �UT <br /> `�.�URCE UF llRINKIUr �JATER: FUBLIC SUa'rLY 'riilVl�TE r'ELL <br /> � A. �URrPC� DiiAIN�G� <br /> � <br /> �`, 1. Is disposal field site v+ell drainedi <br /> \ � 2. �1ny water course �stream� drainape diich� etc.) {hrouph siie? <br /> j� <br /> , B. TO�OGRA,=1,'/ <br /> 1 � <br /> � � 1. Any heavy slopes in field area`? <br /> "� 2. .lill present topsoil in £ield area be removed or �radcd �efore fi�, <br /> .�`� installed? 1d iiles are <br /> � 3. ��ill any f�ll ma{erial be us�_�d in the disposal ficld ;ite: If yes� how <br /> '� much <br /> �� C. �IL CUNDITIONS <br /> 1 <br /> �, 1, Nas a hole at leasti 4 feet deep been dug in ihe di;,po�a1 field ar�,� in d�ierniine <br /> �j the type of soil present? <br /> � 1. �{iter hole is dug record the soil conditions at .he followin� dcpt�s: <br /> �'' (Record as sand� gravel� c�ay� packed sand� loam� etc. ) <br /> ' 12 inche; _ 30 inches <br /> 18 inches 36 inches _ <br /> � ; 24 inches --- 48 inches <br /> `;�� s. Any �round wa{er encouniered before reachin� a depth of 4 fect`� <br /> �1 ' f so� at wha{ dcpih' - - <br /> _ � D. F'ATfR TE�T <br /> A imple water tes{ will show how w•all ihis soil will drain or percolate water. <br /> To�perform this test: <br /> 1, Dip a hole at least 3G inches deep. Use a shovel or posi hulc dig�erg size <br /> of hol� makes no difference - only depth. . <br /> 2. fill hole with water, fJow let all water run out of hole. This soaks the <br /> �round and wi_1 �ive a more accurate re�dinv. <br /> 3. A�ain pour �va{er in hole to e hei�ht cf 12 inches from the botiom. L�{ <br /> water run oui until thcre is just 6 inches from bottom left in hule. <br /> 7. fVo{e how many minutes ii takcs for ihis las: 6 inches fo seep away. <br /> �. Uivide ihis time by 6 {o obtain the rate per inch. <br /> G. Date water test v�as performed. <br /> � h�reby certify tha above information io be correct d7Lhe a ove tests �vere per- <br /> formed by me as prescribed. �/� ' t1�� �� � . <br /> 5i�ned v'� 'Cu . L[��«.t <br /> Address 11Ll.'P�i� �_y=,-^,:. .� ,_ �,� �: �� ZF,. <br /> I<01Ec A sepi:c tank permii is i�sued on the basis o£ the above informatiun. If ' <br /> thcra are any chana�s or �l {craiir,ns in ihe al�.ovo s,a{c.d soil ccnditi=zns� it miy <br /> resuli in thc. insf311alion b��in�_ rejecicd al. th�� tic�c of i�sp,�ction. <br />