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r ; i� CITY UF �VtRETI �_Plt�x,�-�� f.S v h <br /> ' ��r City Hall PI-��E: A�F:�rn i-il.!1 � y/�/6 �/ <br /> -' � � ' Everett; YJashin�ton J` <br /> � � �,"•,'''��-. " IPJSPFCTION DEPART(�1ENT LOT APFr";OVAL SHFET <br /> � - rt Z r <br /> Y' ��// t 1 �7 <br /> ''y� I - '�; I�{11ViE VY �/� • � ' <br /> / "r''� t A— ADDfiESS G�� �r,rj J / � <br /> '' ` �L J .- <br /> ,�&� i� AilDR�SS OF Ffii)FOS[D BUILLING .S O,�O G�'�S',f hC.. L. J l <br /> ��"" ''� �; �EGAL DESCRIPTION: LOT BLOCK ADDITIUN ���-Lr�.Y �J�� 3�A- � <br /> r.,(h:: � . : <br /> ��.�,_;.<•• / <br /> i <br /> TYFE �F USE Go+�i R0. GF BEDR�Ofu15 �_ SIZE OF �UT �''�� y'/fd <br /> �(JURCE OF ARI NKI iVG dATER: FUBU C SUPFLY �' s FRI VNTE dELL _ <br /> A. SURFACE Dr�AINP.GE <br /> ,� �,,_.; -_ 1, Is disposal field site well drair,ed? <� <br /> - 2. Any water coursa �stream� draina�e ditch� tc.) throuph siie? /l�u <br /> 8. TOFOGRAFHY <br /> 1. Any heavy slopes in field area? /V o _ <br /> 2, :lill present topsoil in field area be removed or �raded before field tiles are <br /> install�d? /I�D <br /> 3. �lill any fill rtaterial be used in the disposal fiald site? ;�/C.'�_ If yes� how <br /> much _ <br /> C. �IL CONDITIONS <br /> 1. Has a hole at least 4 feet deep been dug in the dis�osal field area to cietermine <br /> the type of soil present? �! �1' <br /> J. �after hole is due record the s6i1 condition, at the following depths: <br /> (Record as sand�V�ravel „ciay� packed s�n�� loarry etc. ) <br /> 1?. inches �%�• :� 30 inches <br /> lE inches s,:., 36 inches <br /> 24 inches c •. , 48 inches <br /> �, hny ground water encountered berore reachin� a depth of 4 feet��J _ <br /> . ! If so� at vrhat depth? <br /> ''� � . �, . : y D. �lATER TEST <br /> � <br /> ��; a simple water test v.-ill show how well this soil will drain or percolate water. <br /> � To perform this test: <br /> �' 1. Di� a hole at least 36 inches deep. Use a shovel or post hole diggerg size <br /> � ~.i�-',_: �� of hole makes no difference - only depth. <br /> - � 2, Fill hole with water. IVow let all water run out of hole. This soaks the <br /> �-�� �; ground and will �ive a rtwre accurate reading. <br /> _„�;',:. _ r 3. A�ain pour water in hol=_ to a hei�ht of 12 inches from the bottom. Let <br /> � " C water run out until there is ust 6 inches from bottom left in hole. � <br /> r '? , "s'-A� F 4. Note how many minutes it takes for thi, last 6 inches to eep away. J�/» / :-� <br /> ' ' „3' 5. Divide this time by 6 {o obtain the rate per inch.�� Nri .� <br /> 6. Date water test was performed. ��-�a • �� �� <br /> � hereby certify tha above information to be correct and the above tests `v�re per- <br /> formed by me as prescribed. � . � <br /> Signed �� i/iE... /�t� v�"•Yt: �.--- <br /> Address C<^ 'f' iJ,-•:�1 �//-_T <br /> tiOTE: A septic tank permii is issued on the basis of the abova information. If <br /> there are any chanpes or alterations in the above stated soil ccnditions� it may <br /> result in the installation bein� rejected at the time of inspection. <br /> , . <br /> , � � _ <br /> , J <br /> �� :i C, ,l . .��.ai,�-.. l.lil!` �.� i.f. �''-LU..:. t'(� .r�Yi... <br /> � t.CL <br /> 1: <br /> d <br /> . 77 A-^,- l�' �E.�,a.��.�._ 1„'c .c. <br /> , <br />