1500 MAIN ST.PDF11111111111
14205
1500 MAIN ST
LE v,
CITY of EDr2oNns STREET H
LOT APPROVAL STREET
NAME ADDRESS
M �
• d
ADDRESS OF PROPOSED BUILDING 41'190
LEGAL DESCRIPTION: LOT BLOCK ADDITION
TYPE OF USE ` -NO. OF BEDROOMS %3 ; SIZE OF LOT - /d 0"X - / ! z
SOURCE OF DRINKING WATER: Public Supply��- Private Well
a. SURFACE RAINAGE
1. Is disposal field site well drained?
2. Any water course (stream, drainage ditch, etc. through site?_
'b. TOPOGRAPHY
1. Any heavy slopes in field area?'
2. Will present topsoilJn field area be removed or graded before field tiles
are installed? A ' l�
3. Will any fill material be used in the disposal field site?
If yes, how much? 11&*'nC.
c. SOIL CONDITIONS
1. Hasa hole at least 4 feet deep been dug in the disposal field area to deter-
mine the type of soil present?
2. After hole is dug record the soil co ditions at the following depths. (Re-
cord as sand, gravel, cl� , acked sand, loam, etc.)
12 inches 4 30 inches
18 inches r 36 inches_
'24 inches. 48 inches
3. Any ground water encountered before reaching a depth OT 4 feet?
If so at what depth? %,e-
d. WATER TEST
/ r
A simple water test will show how well this soil will drain or ere 1 bate
p 1 p o
To perform this test:
1. Dig hole at least 36 inches deep. Use a shovel or post hole di er
size of hole makes no difference --only depth.
2. Fill hole with water. Now let all water run out of hole. This so s
the ground and will give a more accurate reading.
3. Again pour water in'hole to a height of 12 inches from the bottom.
Let water run out until there is just 6 inches from bottom left in hole.
4. Note how many minutes it takes for this last 6 inches to seep away.
Record this time below.
Number of minutes for last 6 inches to seep away
$. Divide this time by 6 to obtain the rate per inch
6. Date water test was performed
I hereby certify the above information to be rrect and the ab ve tests were
performed by me as prescribed. ''
Signed .�•
Address Q d 2.6 0
NOTE: A septic tank permit is issued on the basis of the above information. If
there are any changes or alterations in the above stated soil conditions it may
result in the installation being rejected at the time of inspection.
Percolation Rate and Required Absorption'Area. For single Family Dwellings.
Percolation Rate (Time in Lineal feet of 4 inch tile
minutes for water to fall using trench with width of
one inch) _ f two feet
3 150 minimum
4 1?5 "
5 190 "
7 225
10 250
12 265 n
15 285 "
30 175
Over 30 Soil Unsuitable
J� S
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