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- � ,�.___ . . <br /> i;ITY CF �1'EiiET' � <br /> c;t, E;zi i �Fur�E: ti�;.�,�- ;- � i .� <br /> _vcrett� '�Jashin�ton <br /> IfV:;FFCIICfv �EF,;RT,.iFfuT LOT APFrf1VAL SHF[T <br /> id;1,���E � ADllRESS � � � <br /> AJDR�SS OF f-f,OFOSEU BUIL.LIfdG ' <br /> LEGAL DESCRIPTION: I �T BLOCK Ac�DITIUN I <br /> TYFE UF USE R0. GF F3EDflJOf�15 SI ZE OF �UT <br /> `>�`l'RCE OF DRIi41�I ��1Q JAlER: FU�LIC SUPFLY rRIVATE �,:ELL � �� _ I� <br /> A. �URr AC� Dii.41 �1P,Gt <br /> 1, Is disposal field site e,ell drainedY / % _ <br /> 2. Any a�ater coursa �stresm� draina�e ditch� ,etc. ) throuph site'? ', <br /> B_ TOFOGRAr=HY <br /> 1. Any heavy slopes in Pield area? <br /> 2. :lill present topsoil in field arEa be removed or �radad before field iiles are �I <br /> installed? J <br /> 3. �lill any fill me,terial be used in the dispo�al fiald sitc-? If yes� how I <br /> much <br /> r,. �i� a,n��iTior;s <br /> 1. Nas a hol� at least 4 feet deep been du� in the disposal field arza to determine <br /> the type cf soil pr�sent: <br /> 1_. After hole is dug recor�l the soil conditions at .he following deptl�s: <br /> ��'�ecord as sand� �ravel� clay� packed sand� loam� etc. ) �� <br /> 12 inches 30 inches <br /> 18 inches 36 inches <br /> 24 inches 48 inches � <br /> �. i;ny Pround water encocnt��red be`ore reaching a depth of 4 feet'?__ _ � <br /> If so� et whai depth'c <br /> D. FIATFR TEST <br /> A simple v�ater test v:ill shovr ho�v well this soil vaill drain or percolate water. � <br /> To perform this test: <br /> 1. Dig a hole at leasi 36 inches deep. Use a shovel or post hole dip�ar� si>_e I <br /> of hole makes no difference - only depth. <br /> 2. Fill hole with v+ater, Now let all water run out of hc:e. This soaks the <br /> �round arid vrill �ive a more accurate readinp. <br /> 3. A�ain pour water in hole to a hei�hi of 12 inches Prom the botiom. Let <br /> water run out until there is just 6 inche�s from bottom left in hole. <br /> �1. Note how many minutes it takes for ihis las: 6 inches to saep away.____ <br /> 5. Divide this tir�� by 6 to obtain the rate p=r inch. <br /> �, Date water test was performed. <br /> I hereby cer{ify ihe above information to be correci and the above tests �vere per- <br /> Pormed by me as preacribed. _, '� � <br /> 5igned_--—`�-�` ' <br /> Address J�� a1�_ <br /> �:Ult: A septic tank permii is iasued on the basis of the above information. Ir" � <br /> there are any chanpes or alteraticns in the above stated soil conditions� ii mi� <br /> r�sult in the installatiun bain� rejected at ih� {ime of inspection. <br /> i � <br /> � <br /> 4 <br />