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C�Tv CF �vtttEl � ��. � ; <br />•' City Hall PI-tif�E: ti�pin �-ri �l <br />'werett. ';lashin�ton <br />I�1;iPECTICN DEF,;HT:�iENT LJT APFrOb'AL SHEET <br />i4Aw,E f� �., rt , 7.��_ `�-i it��y ADDRESS ' 7 r . <br />.-,r <br />AilDRtSS OF 1=FUrOSED BUILUII�G ''c; ; '�' _ �%�. .�� ` <br />LEGAL DESCRIPTIOiJ: LOT BLOCK ADDITIU�V <br />TYFE �F USE I�O. GF t3EDFCOP.IS � <br />�URCE OF llRl NK I iVG �lATER: !=�dLl C SUPFLY � <br />A. �URFAC� Di2AINP.Gc <br />SIZE OF LUT /C�� �' '-���� <br />ri�l VATt <br />1. Is disposal £ield site v:el; drained: <br />2. Any water cuursa istream� drain-+�e ditch� etc.) throuph site? ?'.�- <br />B. TOrOGRA=H'( <br />1. Any heavy slopec in field area? ��/�"��- <br />2. ';Jill present tepsoil in field area be removeu or oraded before field tiles are <br />installed? '� �- <br />3. .Jill any fill material be used in.the dlsposal field site? '.'�%� If yes� hew <br />, � <br />much 1 _/A��;. �r,'; . � : �'��.,�-_;�,� jy , <br />� C. SOIL.IX��iUITIOP!S <br />1. Ilas a hole at least 4 feet deep begn dug in the disposal iield area to determine <br />the type of soil present? � <br />l_. After hole is dug record the soil' conditions at .he Pollov+i�� depil�s: <br />(Record as sand� pravel� clay� packed sand� loam� etc.) <br />N <br />12 inches ,i e�i,...,-� 3C inches ."v:-�-c� <br />!8 inches .'� 36 inches _ <br />24 inches �� 48 inches -�!'` `%.-� <br />�. any �round water encounterGd bef9re reachin� a depth of 4 fect? " ___ <br />I f so � ct v�hat dcpth?� �. , <br />D. ��A fR TEST <br />A simple water test �:�ill show how well this soil will drain or percolate �•�ater. <br />To perform this test: <br />1. Di� a hole at least 36 inch�s deep. Use a shovel or post holc-. di�ger� size <br />of hole makes no difference - only depth. <br />2. Fill hole with wat�r, Now let all water run out of hole. This soaks the <br />�round and will �ive a more accurate readinp. <br />3. Again pour water in hole to a hei�ht ef 12 inche> from the bottom. Let <br />water run out until there is just 6 inches from bottom left in hole. <br />4. IVote how many minutes it takes fur this lasi 6 inches to seep away. '.�/ <br />5, Divide ihis time by 6 to obtain the raie per inch. <br />6. Date water test was performed. <br />I hereby ce•tify tha above information te be correci and the above tests �vere p�r- <br />formed by me as prescribed. , <br />Sisned <br />Address '�� <br />�:O1E: !\ septic tank permii is issued on the basis of the'above information, li <br />there are any chan�as or alterations in the above stated soil conditions� it may <br />r..;sult in the installation being rejected at ihe time of inspection. <br />� � � � .. <br />� J r �. <br />� � � � ��1C ;.�� ,.. <br />�.�, � . , <br />���; .: . _. � <br />