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CITY UF �VERETI <br /> City Hall PI-U�E: A�F�tne 'i-i1Jl <br /> Everett� '�Yashington <br /> INSPECTION DEF,�RTfdENT LOT AWF�VAL �!�FT <br /> f�ArviE�L.- �J?• �'.• � , ADDRESS `i a 1� ri �'� ri�t •. <br /> AJDR�55 Of PFAJFOS"tD BUI LUI tJG r U 1 � ; i��� �r_� ���`J� � � - <br /> �- _ � <br /> LEGAL DESCRIPTIUN: LOT G OLOCK ADDITIUN ,�AI G� �-�T �'f ' ' ' " I—AI� <br /> — � , � <br /> iYPE �F USE N0. GF BEDFLOMS SIZE OF :UT � <br /> � <br /> SUURCE UF llRINKIiVG �IATER: FUBLIC SU°FLY v'� PRIVATE dELL <br /> A• SUR,:ACc DriAINAGt <br /> !. Is disposal field ;,itc well drainedY � � � '' _ <br /> 2. Any water coursa �stream� drainage ditc � etc.) thrcugh ei(e?� �,� <br /> B. TOr'OGRArHY <br /> 1. Any heavy slope, in Pield area? t/� <br /> 2. i�ill present topsoil in field arca be removed or �raded bmfore field tiles are <br /> installed? �r�` - <br /> 3. �lill anx fill material be used in the disposal field aite?�f�• - If yes� how <br /> much Co��urL - a-� I-. <br /> C. �IL CUNDITIOMS <br /> . � <br /> ' 1. Nas a hole at least 4 feet deep been dug in {he disposal fleld area to determine <br /> the type of soil present? -�- <br /> 2. After hole is dug record t soil conditions at the following depths: <br /> (Record as sand grav 1� clay� packed sand� loam� etc.} <br /> 12 inches �<��� ' � - 30 inches �'�� � � � � <br /> 18 inches `' "!'� %�T'� 36 inches <br /> 24 inches " � ���� 48 inches � � � r9v�l� <br /> �, Any ground water encounte ed before reaching a depth of 4 feet7 N n <br /> If so� at what depth? . � <br /> D. 4�ATFR TEST <br /> A simple water test will show how wc�ll this soil will drain or_perco.late water, <br /> To perform this test: <br /> 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger; elze <br /> of hole makes no difference - only depth. <br /> 2, fill hole with water. Now let all water run out of hole. Thls.soaks the <br /> ro�md and will give a more accurate readin�. � ' <br /> 3. �gain pour water in hole to a helght of.12 �nches from ths bottom. Let <br /> water run out until there is just 6 inchee from bottom left in hole. <br /> 4. Note how many minutes it takes for this last 6 inches - o s p�way.� - <br /> 5. Divide this time by 6, to obtain t e r t���per ynch.- �TT — <br /> 6, Date water test was perf.vmcd.�' (Q"D -- - ' <br /> I her.�by ceriify tha above inTormation io be eorrect �yg tests_were per- <br /> formed by me as prescrited. � - • <br /> �q � � '-.Tt-f--> <br /> Addrea ! t . '/ — <br /> t�TE: A septic tank permii is i�sued on the baeis of the abov in ati n. If <br /> there are any chanpes or alterations in the Above stated soil conditions� it mey <br /> result in the installation being rejected at the time of inspection. <br />