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_. .�. . _ �-- -�-_-- - <br /> �� <br /> � �� CITY OF �VEFtI'1 <br /> :�'� City Hall �Id1fiL: A�{:in�_ �-�1 '�1 <br /> � [verett. ,'�ashin�ton <br /> INSPECTION DEP�aRT;aIENT LOT HPFr(JVAL SHFcT � <br /> AA��.E <br /> AUDFESS �7"C � - �J��y <br /> � �/ � _ �� <br /> AilDR�SS UF i'fi�rOSED BUILDIIJu - --� ��-' <br /> LEGAL DESCRIPTIO�: LOT_� K " ',iliL" '�i�'_ J� --' <br /> � <br /> iYF[ UF USE _ _ �0. GF BFDf-�0f�1S � SI ZE OF �UT �� � ��� <br /> :uURCE UF llfiliJVU?JG ,lATLR: PUBLIC SUPFLY _ _ rriIVATE �,.'ELL <br /> A. �UFFACE Dii .�P:^.uE <br /> �! - <br /> 1. Is dis osal field site �:�ell drained'� <br /> 2, Any water coursa �strr-sm. drainlge ditch� etc.J throu�h site�__� ' <br /> 3. TOFOGRAFHY <br /> 1. Any hesvy slopcs in field area? �L — <br /> 2. '.�ill prescnt topsoil in fielo area be removed or pra.ded betore f�eld ttles are <br /> instal.ed? �� ° I f ves hoe�. <br /> � . <br /> 3, �lill any f? 11 material be used in the disposal fi �ld site� � <br /> much ��.�.-- <br /> C. �IL �f�DITIONS <br /> 1, Has a hole et least 4 feet de�p,been dug in the disposal field area 'to datcrmine <br /> {.he type of soil present? ��` � ' <br /> ), i+fter hole is dug record the soil cunditions a+ the following depths: <br /> (Record as sand� ��avel � clay� packed san30 inchesrtc. ) <br /> 12 inches <br /> lE inches 36 inches <br /> 24 inches 48 inches ii -�•� <br /> �, Nny pround water encountered before reachin� a depth of 4 f�et? 1% -' - <br /> If so� at what depth? -- - <br /> D. ��ATFR TEST <br /> A simple water test vrill show hov well this soil will drain or p�rcolate water. <br /> To perform ihis tesi: <br /> 1, DiS a hole at least 36 inches deep. Use a shovel or post holc diggar� size <br /> of hole make5 no difference - only depth. <br /> z, Fill hole with water. Now let all wate,r run out of hole. This soaks the <br /> �round and will �ive a more accurat�- raading. <br /> 3, A�ain pour water in hole to a heipht of 12 inches from the bottom. �et � <br /> water run out until there is ust 6 inches from bottom left in hole�� <br /> 4, Note how many minutes it takes for this las: 6 inches to,seep away. � <br /> �- �u.r�• <br /> 5, Divide this time by 6 to obtain the ra e pe' inch.__��(�4 <br /> 6. Date water test v�as performed.-_'���� �/ <br /> I hereby certify the above information to be correct and the above tests were per- <br /> formed by me es prescribed. S�s^ed�SPrL� ��y - <br /> Address <br /> P:OTE: A septic tank permit is issued on the basis of the above information. IP <br /> }here are any changes or alterations in the above stated soil conditions� it ��,�Y <br /> r�;sult in the installation bein� rej_cted at ihr- time of inspection. <br /> � <br /> - - ��+�r�a..�s.m�.. . n�uamt�e��eea <br />