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t..w.lu �oo q � �-�-�-¢.. d�..�µ,t. �-e� 3��.��6- ��6 � <br />�, r00c � ^ .. .. <br />(� (.l . . .-e.41 �n, cr <br />�/���� '�,�"'�'� i CITY (;F tVERETI p�pRE: A��tnc'%1� <br />�� �-� City Hali F <br />� � � � Everett� '��ashin�tcn <br />I P1SPE�T �CfJ U"=.PARTi�IENT LOT APFr�JVAL SHEET <br />�' <br />� �q � <br />IJA�aiE ' (�t � . a � '.'Y. � J4/'vin.fL,Q;.l�,C � ADDR_SS_ �� -? J�,;�/.;L G�,�' �c? �.t'i-..i �-t./ <br />AJDRtSS OF FFd)rOS[D BUILLING � � ��' +-� �"��" � <br />LEGAL DESCRIPTION: LOT � BLOCK ADDITIUN ������ �� <br />TYFE UF USE .� �' �:0. GF BEDF�Of�1S .�v• S! ZE OF LUT i r X �•�� <br />�JJURCE OF llRINKING �IA7ER: FUBLIC SUPFLY �� FRIVATE uELL — <br />,7 � <br />A. �URr ACc DRAI NP.GE <br />1. Is disposal field site v:ell drained? ��� <br />2. Any water coursz �stresm� drainage ditch etc.� through site?�.—. <br />B. TOFOGRAPH'f <br />�j�,°-� — <br />1. Any heavy slopes in field area? <br />2. ��ill presen: to sp oil_in field area be removed or graded before field tiles are <br />installed? � ���� <br />3. ��ill any fill material be used in :he disposal iield site?_�f r If yes� how <br />much ��--. <br />C. 9JIL CUNDITIONS <br />1. Has a hole at least 4 feet deep baen dug in the disposal field area to determine <br />the type of soil present? <br />Z, After hole is dug record the soil conditions at the Pallowing depths: <br />(Record as sand� gravel� clay� packed san30 incheset.� +��✓-�`� <br />12 inches � --- — <br />18 inches / � 36 inches `��c��� <br />24 inches,�� 48 inches <br />�, Any ground water enEtountered before reaching a depth oP feet? '�i1^d'� - <br />If so� ai what depth? --�-- <br />D 17ATER TEST <br />A simple water test v�ill 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. Uce a shovel or post hole dig�er� size <br />of hole makes no difference - only depth. This soaks the <br />2, Fill hole with water. Now let all water run out of ho1e. <br />ground and will give a more accurate reading. <br />3. A�ain pour water in hole to a height of 12 inches from the bottom. Let <br />�TMj water run out until there is just 6 inches from bottom left in hole..�� <br />4, Note how m.-ny minuies it takes for this last 6 inches to seep away. <br />5. Divide this time by 6 to obtain Ehe rate per inch. �- <br />6. Date water test was performed..� ' Z—�� <br />I hereby certify the above information to be correct and the above tests were per- <br />formed b� ne as prescribed. <br />Signed <br />Address..�L.� . � /-�:�r- ,F - r` �.:c� s.TC,, iC%n�, <br />nO1E: A septic tank permit is issued on the basis of the above informatiun. If <br />there are any changes or alterations in the above stated soil conditions� it may <br />result in the installation being rejected at the time of inspection. <br />_�������✓� v �i -/ <br />� /�-LCU ��`,..-�ia�✓ ✓ `f �r� � p �i <br />� , <br />