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_�, � ,,_ _ <br />�.t.�`� � (P � u � � � <br />�� ��- , , <br />C11Y UF tVEfiElI <br />��ty riall Pl,ONE: v,�f;io, �-rl �! <br />Everett. '��a;hin�,ion <br />IfVSF[CTICN DEPARTialENT LOl PFFrUVAL SHEET <br />� <br />�Aiu,E 1 �r�Jc iDDRE55 lor� St G� �; ra CiRiLr� <br />�ilDRtSS (iF i=F, r05[D BUILUII�G ,'�,`� -=1-�� <br />�EGAL DESCRI PTIUPJ: LOT._� ULOGK ADDI TION � W� k`-_�So It.� '�-c R RRC�I'. <br />I YPF UF USE �,�,�,��� GF BEDFCOfu1S �__ SI ZE OF �UT �I a�, ( a.�_ <br />iUUHCE Uf llRINK'1!G dATER: rUBLIC SUPFLY �� r'NIVATE <br />A. SURFACE DRAIDJAGE <br />1, I; disposal f,old site well drained� �`, <br />=. i��y vrater courez (stream� draina�e ditch� e c.) ihro�gh site?__�//� <br />B. TOFOGRA?HY <br />1. Any heavy slopes in iield area?_ n/t� <br />7. .lill present topsoil in field area be removed or graded before field tiles are <br />insial led'? <br />3. .+ill any fii8ma{erial be used in the disposal fie!d site`?�L If yes, how <br />much <br />C. 50�1_ (Y�UDITIONS <br />1. Nas a hole at least 4 Feet deep been du� in the disposal field area to determine <br />the type of soil present? .�r� .� <br />. Afier nole is dup record the soil condi{ions at the following depths: <br />(fiecord as sand� �ravel� clay� packad sand� loam� etc.) <br />$ bZ inches ToN Sc+i/ .3299 inches 1�,�.�Y��y lc.r�l C.c�� r/.�ti <br />�P. inches t7i• iJfA✓���,i��. 36 inches C.�r i�n<Kcd iirNd <br />24 inches r, .� �� 48 inches �N.inq.v <br />. iiny �round water encountered before reaching a depth of 4 feet? /o�n <br />If so� at what depth'?_ - <br />D. CIATER TEST <br />a simple water test will show how well this soil will drain or percolate water. <br />To perform this iest: <br />1. Dio a hole at least 36 inches cteep. Use a shovel or post hole di��er� size <br />of hole makes no diffe�ence - only depth. <br />2. Fill h��le viith water, Now let all water run out of hole, This soaks the <br />ground and will �ive a more accurate reading. <br />3. A�ain pour water in hole to a height of 12 inches from the bottom, Let <br />water run oui until there is just 6 inches from bottom left in hole. <br />4, Note how many minutes ii takes for this last 6 inches to seep a�vay. �10 <br />5, Divide this time by 6 to obtain the rate per inch. \ S <br />6. Date water test was performed. y-/ 9- C 7 <br />� hereby certify {he above information to be correct a�d the above tests were per- <br />f'ormed by me as prescribed, <br />�ignzd� �,�.� <br />Address_ P, c,9. �\l 'j,j� �� <br />��UTE: f\ septic tank permit is issued on the basis oP the above information. If <br />there are any chanpes or alterations in the a6ove stated soil co�ditions, it may <br />r=su1{ ir 1h�- installation being rejected at thc time of inspection, <br />W <br />