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,' <br />�.c, 4 <br />; rr <br />� mw ' <br />ur� <br />� <br />F <br />� <br />s,',;?,t. <br />CI'Y � [VERETT <br />City Nall <br />Everett� �+ashington <br />INSFECTIOtd DEPARTNEPJT <br />_JT APPRGVAL SHEET <br />FHONE: ALpine 9-l101 <br />ADDRESS l ��� � ��''�'�-- <br />ADDRESS OF F?iCf'USED BU I Un I n1G � "'-��' - <br />LEGAL DESCRIPTION: LOT � BLOCk2_ADDITION,���:�-� <br />TYPE OF USE1G�N0. OF 6EDROOWS�_SIZE OF LOT �- <br />SOIIRCE OF DRI�!KIPdG �.ATER: PUBLIC SUPFLY__ �._PRIVATE nELL <br />P.. St!RFACE DRAIPIHu't <br />]. Is disposal field site well drained%____✓�' � <br />2. Any water course (stream� drainage ditch tc.) through site?�� -- <br />B, Tt�OGRAFHY <br />I. Any heavy slopes in field area': ��" � <br />�, i;ill present topsoil in field area be rertaved or graded before f�eld tiles are <br />installed? �1�L-d-� <br />:i. �:ill any fill mater�al be used in the d�sposal £ield site?�.If yes� how much <br />2 <br />G. SOIL CONDITIOtJS <br />Has a hole at least 4 feet deep been dug in the disposal iield area to determine <br />the type of soil presenti <br />After hole is dug record the soil conditions at the following depths. <br />(Record as sand� pr vel� �� packed sand� loam� etc.) <br />12 inches zd� 30 inches �-�^-� <br />18 inches rr-�• 36 inches <br />24 inches / 4P inches <br />Any ground water encou ' ered before reaching a depth of 4 feet? <br />If so� at what depth? <br />D. 4YATER TEST <br />A simple water test v;ill show how well this soil will drain or percolate water. <br />To periorm this test: <br />�. Dig a hole at least 36 inches deep. Use z shovel or post hole digger:size <br />of hole makes no difference - only depth. <br />2. Fill hole with water, fluw let al] water run out o£ hole. This soaks the <br />ground and will give a more accurate reading. <br />3. A�ain pour water �n hol� {o a height of 12 inches from the bottotn. Let <br />water run out until there is just 6 inches from boitom ]eft in hole. <br />4. Note how many minutes it lakes for this last 6 inches ao seep away.fZ�`ZX�-✓� <br />7. Divide this time by 6 to obtain tf�e, rate er i[�h_. �',.<,e2�'�-?'- <br />6. uaie water test was perfornred. _�1 _ Z� �a �� - <br />I her>by rartiTy the above inforRation to be correct d the above tests v+ere per- <br />formed by me as prescribed. � ��f�.tG <br />Sipned � <br />Addres A.�� ` — <br />PICTE: P septic tank permit is issued on the bas�s o the above information. IP <br />'here are any chan�es or alterations in the zbuve stated soil conditions� it may <br />res�l{ in the i�stallation beinp rejected at the time of inspection. <br />