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_ ... �.O i <br /> ' Ii. . . . ,�= . " idY':c <br /> . ' <br /> � CITY UF �VEfiETI <br /> Citv Hal � PI,ONE: A�pin.. �-�1.!1 <br /> � Everett� 'Nashingten <br /> INSPECTION DEP,IRTI�IENT LOT APGrp�'AL SIE-1 <br /> � � <br /> NAiviE���l�,l._( �� di,�-.-L-�...�� ADDRESS <br /> AJDRtSS OF FFV;)FOSCD BUILUING /� r� 1,�,�7 11C� ��+-`�X)�. I <br /> �EGAL �ESCRIPTION: LOT� BLOCK ADDITIUN i�_w�a_t.� „ �.L��, � '�� <br /> � �s k v��" '_ <br /> TYPE UF USE uL: fCO. OF BEDR;;Ufu1S _�_ SI ZE OF LUT I f'.Y I I57 ' g <br /> r. , <br /> :,, �1 <br /> SUUI�CE OF llRl NK I NG �JATER: FUBLI C SUPFLY C.�t�_ F R I V A T E �J E L L��t� _ ; , <br /> A. SURFACE DRAINAGE I <br /> 1. Is disposal field site well drained? ��,oA <br /> 2, Any water course �stream� draina�e ditch� etc.)� through ;ite? *-�� <br /> B. TOFOGRAFHY <br /> 1. Any heavy slopes in t"ield area? {`� L> <br /> 2. Slill present topsoil in field area be removed or e�d before ficld tiles are <br /> installoa? <br /> 3. �lill a�y fiil material be used in the disposal field site? � If yes� how <br /> much - <br /> C. SOIL IXiNDITIONS ' <br /> 1. Nas a hole at least 4 feet dee been dug in the disposal field area to determine <br /> the type of soil present? '-'�� <br /> 2. Aftar hole is dup record the soil conditions at tlie following depths: <br /> �F�ecord` as sand� gravel� clay� packed sand� loam� etc. ) � <br /> 12 �inches �('��-•, 30 inches -��tw�' .4'-----� <br /> 18 inches /�.,,,� 36 inches .n— ,-.4aG --� <br /> 24 inches '��A� 48 inches � � <br /> ° :...�-X <br /> �. Any �round water encountered before reaching a depth of 4 feet� � 1�-U <br /> � f so� at what depth? '�� - <br /> D. FihTER 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 dig�er� size <br /> of hole makes no difference - only depth. I <br /> 2. Fill hole with water. Now let all water run out of hole. This soaks the <br /> ground and will �ive a rtare accurate readinv. <br /> 3. A�ain pour water in hole to a height of 12 inches from the bottom. Let � <br /> wa'ter run out until ihere is just 6 inches from bottom left in hole. <br /> 4. Note how many minutes it takes for this last 6 inches t seep/-�•-ay.�_ II <br /> 5. Divide this time by 6 to obiain the rate per inch.��_ <br /> 6, Date water test was performed. r1'�-�..,� !. 9 / S'�, -� <br /> I hereby cer{ify the above information to be correci and the above tests were per- <br /> formed by me as prescribed. <br /> S i�necJ ��'�_c�i��-�'�r,n%� <br /> Address---� �n'l.Y '?i rt�' �h-{ <br /> tiOTE: A septic tank permii is issued on the basis of the above information. If <br /> there are any chanpes or alterations in the above stated soil conditions� ii may <br /> � result in the installation being rejected at the time of inspection. <br /> —c-. <br />