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CITY OF EVERETT <br />City Hall <br />Everett, aashington FHONE. Alpine 9-7101 <br />INSPECTION DEPARTMENT <br />LOT APPRQVAL SHEET <br />NAME ADDRESS_ <br />ADDRESS OF PROPOSED BUILDING <br />LEGAL DESCRIPTION, LOT,LC—BLOCk�ADDITION <br />TYPE OF USE C NO. OF BEDROCKS 3 SIZE OF LOT -- <br />SOURCE OF DRINKING ..ATER: PUBLIC SUPFLY PRIVATE nELL <br />A, SURFA •E DRAINAGE <br />Ct/ <br />1. Is disposal field site well drained? h site? r'4' <br />2. Any water course (streams drainage ditch, etc.) throw g <br />B TOPOGRAPHY <br />1. Any heavy slopes in field area': <br />2. :ill present topsoil in field area be removed or graded before field tiles are <br />installed? //G— <br />.i. omaterial <br />�ill any fill be used :n the disposal field site?_If yes how such <br />lzz aU: L kia I � � u.., <br />1. Has a hole at least 4 feet deep been dug in the disposal field area to determine <br />the type of soil present? <br />2. After hole is dug record the soil conditions at the following depths. <br />(Record as sand, gra Glr packed sand, loam, e1c.)30 ( <br />12 inches' ~` 36 inches � / r / " <br />10 inches *.n 1 AAA inches <br />24 inches - 1 <br />.., Any ground water encountered before reaching a depth of 4 feet'1 <br />If soy at what depth? D WATER TEST <br />A. simple water test will show how well this soil will drain or percolate water. <br />To perform this test: <br />1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger;s:ze <br />of hole makes no difference - only depth. <br />2. Fill hole with water. Now let all water run out of hole. This soaks the <br />ground and will give a more accurate reading. <br />height of 12 <br />3. Again pour water in hole to a inches from the bottom. Let <br />water run out until there is just 6 inches from bottom left in hol ,1 y <br />4. Note how many minutes it takes for this last 6 inches to seep awl* <br />5. Divide this time by 6 to obtain the rate ,Fe rinch. <br />6. Date water test was performed. [L c r <br />I hereby certify the above information to be correct and the abp a tests were per- <br />formed by me as prescribed. Signed <br />Address <br />NOTE: A septic tank permit is issued on the basis o the above information. If <br />there are any changes or alterations in the above stated soil conditions, it may <br />result in the installation being rejected at the time of inspection. <br />