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.s� ��.�.� <br /> • CITY CF �Vr:i,tl� � ��'. >" <br /> Ciiy Hall PI-.Of�'L: A��,in, :i-�1 !1 � <br /> cverett. '��ashir�to� /1� 6J <br /> INEPECTION �EF',1RT.iEi�T LOT APFr=C)b'�L SHFET <br /> iJAm� / � ��c�,'f' ADllRESS SHCS .S- �, s ��� `•v� c_ <br /> NilD1i�5S UF �F�Ji-0SED BUILDiNG__ •{ C � _ S�'4 �+c T- <br /> �EGAL DESCRIf'TION: LUT .3U BLOCK— - ADDITIUN �-v�re7� U���� <br /> �Y�E GF USE �s: n0. GF 4EDF1�OfJ�S 3 SI ZE OF �OT i,�n ;�X 3•/a vy' <br /> �UURCE OF llFINKIiVG �IATEIi: FUOLIC SUPFLY �-" _ rRIVATE ��ELL <br /> A. oURFA.C"c DR.41N^.;E <br /> 1. Is disposal field sitc v;ell drair,ed: !rs <br /> 2. Any �ater course �stresm� drain�Pe ditch� etc. ) ihreurh site? � � <br /> B, TOFOGRAFHY <br /> L Ar.y heavy slopes in field area? /Ye <br /> 2. Slil. Nrasent topsoil in field area be removed or oraded before field i�les are <br /> installed? '� <br /> 3. �lill any Pill material be used in the disposal fi;;id site? �� If yes� how <br /> much <br /> C. �IL C�NDI1l0�!5 <br /> 1. Has a hole at least 4 fee+ deep been dur� in ihe disposa� fieiJ are� to determine <br /> ihe type of soil presen�? ��r <br /> 1_. Afier hole is dug record the soil conditions at the Pollov,�n� depths: <br /> (�ecord as sand� grav 1 � clay� packed sand� loam� etc.) J <br /> 12 inches � � � 30 inches � . � <br /> 18 inches � 36 inches � <br /> 24 inches o 48 inches '�. � <br /> �. Any �round water encountered before reachin� a depth of 4 fect"�~ �'✓n _ <br /> If so� at what dcpih'? <br /> D. IJATFR TEST <br /> A simple water test v:ill show ho�v well this soil will dra�n or perculate ��,ater. <br /> To perPorm ihis test: <br /> 1. Dig a hole at least 3G inches deep. Use a shovel or post hole diPgarg size <br /> � of hole makes �o difference - only depth. <br /> 2. Fill hole with water. Now lei all water run out of I��le. This soaks the <br /> �round and will pive a more accurate reading. <br /> 3. Again pour water in hole to a hei�,ht of 12 inches from ihe botiom. Le{ <br /> water r�n out until there is jusi 6 inches from bo.tom left in hole. <br /> 4. Note how many minutes it takes for this las: 6 inches io seep away.�__ <br /> 5. Divide ihis time by 6 to obtain the rate per inch._:� <br /> o. Date water {est was performed. %� �' � <br /> I hereby certify ihe above information io be correci and ihe above tests �vere per- <br /> formed by me as prescri6ed. ^/' • � �� <br /> Si�ned� ,- � � <br /> Address "', — ' ' � � �— <br /> �'OTE: A septic tank permii is issucd un the basis of ihe above in£ormation. 1P <br /> there are any ch,�nnes or alterations in the above stated soil ecndiiions� it m�y <br /> rnsul� in ihe installation b�in,� rejecled at ths time of insprction. <br />