|
i
<br /> 4 �
<br /> CITY OF �:U�F2ETT `� � � � ��o+-��-o-o-r�� �y-�.
<br /> City Hall
<br /> Everett� l•lashington PHOfiE: ALpine 9-7101
<br /> II�'S1�ECTIOP'. Dc„'.4RTAIGNT
<br /> � IAT APPROJAL SH*'.:�T �, ��
<br /> 1'..1I�IE_ � ��h �� _ ADDFtGSS�`/ 5� � ' 'T /I! � � ,C � 'o c��.� .
<br /> i r� lN c� �-
<br /> > > /� �
<br /> i�DDR�SS OF YROPOS�D $UII,DING_ � .�'(.�,�+-c.v-�s�-� E�t—
<br /> r�,<<� c �_� e � o C- �?Hc 7`/2
<br /> L�GAL DrSCRIITIOhI: LOT BLOCK ADDITIOI;_ �e- C sr' c H 1> C�!_ !_S
<br /> 'I'YPE Oi' U5� /�J t1 hG. CF L+T;DROOiiS_ � SIZ� OP� LO'�� / S��C�
<br /> SOURC� OF DRIfiKIl i l!kT�R: YUBLIC SUYPLY_� PRIV".TE '.�LL
<br /> r
<br /> A, SURrkC� DHAII'kG�
<br /> 1, Is disposal Field site well drained?_ �� -S
<br /> 2. An,y iaater course (stream, drainago ditch� etc. 1:hrough site?„_,^/�/
<br /> H. TOi'OGi�AI�i3Y
<br /> 1, Any heavy slopes in field area7 /�� �
<br /> 2, 4fi11 present topsoil in fielcj a�e�e removed or Praded Uefore field tiles are
<br /> installed? ('!= �R y /� i ( / �� ��
<br /> 3. ?1i].1 an,y fill ra— aterial be used ii; the disposal field site?�If yes� how much
<br /> C. SOIL COI�DITIOIiS
<br /> 1. Has a hole at least Q feet deep been dug in the dis;�os:l field area to determine
<br /> the t,ype of soil present^: L��S
<br /> 7_, ACter hole is dug record the s il conditions at the follo�:ing depti�s.
<br /> (Record as sand� gravel� clay, packed sand� loam, etc,)
<br /> 1?_ inches ,� q ,vt 30 inches_�-i ,� �' S r�_ �� �
<br /> 18 inches , � ,.1 3u incl�es += _ . .�
<br /> 24 inches Fiti,_= f�2 I> 48 inches /= ti�.- 1%�n'i��
<br /> 3. An3� ground irater encountered before i•euchitig a deptli o: 4 feet? � (S
<br /> If so� at �ahac depth:
<br /> D. UATER T�ST
<br /> �- simg'e irater test will shoia tioca irell. tliis soil rriL- druin or pei•colntc !uater,
<br /> io ��eriorm ttiis test:
<br /> 1. Dig a hole at least 96 inches deep, Usc a siiovel or post hol� dig�er;
<br /> size of hole �:�alces no difference - onl;� depth,
<br /> 2, z�ill hole vitL water, P'oir let a].1 t+ater run ou+, of hole. T;.`_s soaks the
<br /> �round and i�ill give a nore accurate read;ng,
<br /> 3. :�guin pour tiater in hole to a heip,ht oi 12 inches fro:a ti�e boi;tom, Let
<br /> water run out until there is just 6 incl:es from cottost left in hole,
<br /> %„ I�!ote hov many minutes it tal�es for this last. 6 ir.cl�es to ^eeg.at�ap. � �
<br /> 5. Divide tLis time by 6 to obtain tlie rai.e . e_• iiich, �. _�
<br /> C. Date trat.er test was rerforr..ed,���.�;E /
<br /> I iierel7y certif}• the atove irfor: atioi; to �:e c�,�rect end the a' ovc �esi; vere per-
<br /> forr.ed b,y ^ie as prescriUed,
<br /> Signed /i,Q� ,�i
<br /> �;ddre:s �IL � (�r-rt
<br /> I�JTL: ii ,e,�tic tsnk pe:mit i; i;^._�.�d on tne on�ia of t?:e above informatiun. I£
<br /> t�iere are anv chan�ec or alte.ation^, in {,he �Uove ctuted aoil coi.c?__i.�ona, it ma}�
<br /> re3ult it: thc ir.stallati�i: ' einp rcj�ct�c� nt +he tirte o� i�.s,,ectior.,
<br /> —r_�L�. _x.
<br />
|