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{��,�.t O� _ � CI TY OF EVERETi <br /> "`��'II� 4 Ci ty Nall PHJNE: ALpine 9-7101 <br /> Everett� Wash�ngton <br /> 9��/� INSPECTION DEP,�RT';�FNT LOT APPH(1VAl SHFET <br /> NAwIE�g�T ,[Qc'ri<b�.et /�Y ADDF;ESS /J.� -/dS��AL�E�f �o'fllEG�/�' <br /> A,�DR�SS UF Ff���SED BUILLING 1.`���3 � //fir`iyriZ lC�i1� <br /> LEGAL DESCRIPTI��SUTL. �LUCK�_ ADDITIUN _��`�A.C� �I�/-'S % <br /> TYPE UF USE .0 'c N0. GF E3EDFL`�IdS �3 SI ZE OF LOT �»J( <br /> 90URCE OF DRINKIVG �IATER: rUt3LIC SUPFLY ✓ PRIVATE �JELL <br /> A, SURFACc DiiAINAGE <br /> 1. Is disposal field site well draineJY '+ ' � <br /> 2. Any water course �stream� drajnage ditch� etc.) through site?_ (� � /,r 1 <br /> B. TOFOGRAPHY <br /> 1. Any heavy slopes in field area? �/ �- � <br /> 2. i'lill present to soi! in field area be removed or graded;before field tiles are <br /> instal led? � �L f�' � <br /> 3. l�ill any filt material be used in the disposal Pield site?� IP yes� how <br /> much � n ` <br /> � C. SOIL QUNDITION� ' <br /> 1. Has a hole at least 4 feet deep een dug in the disposal field area to determine <br /> the type of soil present? ! <br /> 2. After hole is dug record the s �l conditions at the following depths: <br /> (Record as sand� gra�•el� elay� packed e•and� loam� etc. ) <br /> 12 inches C' � �t � 30 i�ches /-'��� �C• ,� <br /> 18 inches _;[���.� . 36 inches � •�5.�„� <br /> 24 inches P.., ;�; ,-,:r 48 inches �,7?.' T <br /> . Any ground wate; enrnuntered before reachirg a depth of c= '? •'�l C•� <br /> If so� at what depth? " <br /> G. r;ATFR TEST <br /> � simple water test will show how woll this soil will drain or percolate water. <br /> o perform this test: <br /> 1, Li�, a hole at least 36 inches deep, Use a shovel or post hole diggerq size <br /> cf hole makes ra difference - only depth. <br /> 2. �ill hole witfi water, Now let all water run out oP hole. This soaks the <br /> ground and will give a more accurate readinQ. <br /> 3. Apain pour water in hole to a heiqht of 12 inches from the bottom, Let <br /> water run out until there is just 6 inches from bottom left in hole. � <br /> 4, No{e how many minutes ii takes for this last 6 inche to seep away. �"%'wv.,r <br /> 5. Divide this time by 6 to obiain the rate per inch. r <br /> 6. Date water test was performed.�4 r-E/�3' G F' <br /> I hereby certify th� above inforrrN{ion to be correct and the abuve te�'i .were per- <br /> F�rmed by me as prescribed. � � i <br /> Si�ned <br /> Address �17, -,�fr ./lE.t',ez ,�Eil1=�'�I/_ <br /> ���TE: A septic tank permii is issued ur the basis of the above information. If <br /> c'iere are nny chanpas or alterations in the above stated soil conditions� it may <br /> r,:sult ;r the installation oeing rejected at the time of ins,�ection. <br /> ��C—Y —17�/ <br />