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2 <br />p.�,,,..,� '� y s z. <br />�o���� <br />CITY l;F C4cRE1�1 <br />�ity ha11 PI-UP;E: A�f:�.rn l-il l <br />�verett. .7ashin�tcn <br />IfJSPECTIGN D[P,aRTf��ENT �OT APFF�1�'AL SNEET <br />/7 . <br />PU�.;,E�e"-�,2 %i`3X�,o - _ AJDfiES�_ G-'/ -- <br />r�' <br />The North 63.63 feet of the South 507.R3 feet of the East.— <br />150 feet of Government Lot 2, Section ',8, Township 28 N., <br />F:ange 5 E., W.M. EXCEPT County Road. _ - <br />� �i <br />SI ZE OF LGT .� j�'� '� <br />� <br />i <br />TYFE ��F USE �.s�.�- f�0. GF �Ellf�OI.iS < <br />�'!�!�;U= OF URIidKIiVG �IAT�R: i=UBLIC SUPFLY �! <br />A. �URF�C� D�iAINP,GE <br />FNI VNTE :rELL <br />1. Is disposal field site vieil drained'? �(� 5 -� <br />2, Any water course istresm� drainsge ditch5 etc:.) through site? //��� <br />B. TOr=OGRArH'r <br />1 Any heavy slopes in field area?�[�� — <br />2. ':lill present to-prsoil in field area be removed or sraded before field tiles are <br />installed? /V � <br />3. ,�ill any fill material be used in t.he disp:�s�1 fiald site?_�_ If yes� how <br />nuc'h <br />� � ;. ;;OIL CUI�iliIT106!S- <br />L Has a hole at least 4 feet deep been dug in tha disposal fiald area to determine <br />the type of seil present� V P 5 <br />2. «Pter hole is dug record the soil conditions at .he following depths: <br />iRecord as sand� gravel� clay� pacl<ed sand� loam� etc.) <br />12 inches ���=--- — 30 inches 4� � � T�-yYt <br />18 inches .�.-�n--+�✓` 36 inches � ��` <br />24 i nches f'%�a-�+� 48 i nches <br />�, Any prcund water encountered be`ore reachin� a dapth of 4 eot'' ��/� - <br />If so� :t vrhat depth? <br />D. �'ATFR TEST <br />A�imple water test �:�ill show hor� well this soil will drain ur prrcalaie �vater. <br />To p�rform this test: <br />1. Dio a hole at leasl 36 inches deep� Use a shovel or post hol� dip�ar� size <br />of hole makes no difS'erence - on:y depth. <br />2, Fill hole with e+ater, i�ow let all water run out of hole. This soaks the <br />�round and will �ive a more accurate readinn. <br />3, i1�ain pour �.vater in hols to a hei�ht of 12 inches fr'om the botiom. Let <br />v+ater run out until there is just 6 incnes ?rom b^ttom left in hoie.� � <br />^�inutes it iakes for this last 6 inches to seep away. ��� <br />4, No{e hovr manv � � : � <br />>, Di�ide this time :�y 6 to obtain the rate per inch. ��+'� z <br />6, Date water test was performed. `?- �!'� � <br />I hereby certify tha above inior�ation io be correc't and ihe above tests �vere per- <br />formad by me as prescribed. / � <br />S i gn� d / -�4i'�t � -.�''/ `�. <br />�/� � <br />Addresc,.�_L_-.Z _--�-- <br />I:OTt: A septic tank permii is issued on the basis oP it�� al�^:'� ���t"crmatiun. I f <br />there are any chanpas or alterations in the above stated soil ccnditions� it may <br />r�sult in the installation being rejected at the time of inspection. <br />