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�'� �L'.�,�)•� <br /> � <br /> C. � `r <br /> o n�� �`a�.. <br /> ,/„ y � <br /> �t Fye�" � CITY Uf [VEREI'' <br /> r�o p '�`'V ' _ • City Hall � Pf-UI�E: N��;in_ �-71J1 <br /> J ) �i � .J' <br /> y�u' . ;, �� Everett� ;7ashin�ton <br /> '"� 7��' I NSPECTION DEP,1RTfaiENT LOT APFP,OVtiL SHEET <br /> J� ���.,�'�� �� � � ' / <br /> fdA�viE1�'`."'�`7"Ln. �-�t.,t�,4.�. �. .) rv.� iADDfiESS _ . i'z- ' - <br /> � AilDR�SS OF FFi�JFOSED�BUI LU�NG � �� � ' . '• '/ o .i;,- � '� . � -l�/'G��-�O-�• <br /> LEGl�L DESCRIPTIUN: LOT� BLOCK_�� ADDITIUN -- � '.• ,r, i �� ✓ <br /> -� ,j <br /> T'{FE �F USE;'�rile 'rJW. GF BEDF�.'Of�AS �_ SIZE Oi LUT <br /> SUURCE UF llRl NKI iVG �JA1 ER: FUBLI C SU?FLY ,�L�h�/c: PR! VATE :IELL ' <br /> A. c;URr ACc DiiA I NP.Ge <br /> 1. Is disposal field site r�ell drainedY �� ' � <br /> 2. Any water coursz (straam� draina�e ditch� e c.) through site? i1/ U <br /> B. TCFOGRA?H'J <br /> 1. Any heavy slopes in field area"_ <br /> 2, ilili present topSoil in field area be r moved or �raded bePore P�eld tiles are <br /> instal led?_�l (� �",, <br /> 3. �Jill any fill mat_rial be used in the disposal field site?� If yes� how <br /> much <br /> C. �IL CUNDITIONS <br /> 1. Has a hole at i.east 4 feet deep been dug �n the disposal field area to determine <br /> the type of soil present� �r' � <br /> 2. Hfter hole is dug record the soil conditions at .he Pollowin� clepths: <br /> (Record as se.ncl� ravel� clay� packed sand� loam� �tc.) <br /> 12 inche� _ ��n$n� 30 inches <br /> 18 inchr.s 1�',. ' ' 36 inches <br /> 24 incFss �S� . /97 48 inches <br /> s, Any ground �vater encoun ered be`ore reaching a depth of 4 fect? nn _ <br /> If s�� at what depth? <br /> D. FIATFR TEST <br /> A simple waier 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. Us�a a shovel or post holc di���rY size <br /> of hole rnakes no dii'ference - only deptli. <br /> 2, Fill hole with water. Now let a.11 water run out cf hole. This soaks the <br /> ground and will �ivc a more accurate readin�. <br /> 3. A�ain pour water in hole to a heiPht of 12 _inches from 'the botiom. Let <br /> water run out until chere is just 6 inches from bottom ieft in hole. <br /> 4. No{e how man� minutes it takes for this las: 6 inches to seep away./.� /17,n. <br /> 5. Divide ih�is time oy 6 to obtain the ra e ar inch. � m�ll. <br /> 6. Date water tes't was perforrucd. <br /> I hereby certify the above information to be correct and the above tests were per- <br /> formed by me as prescribed. � /� 1 /)/��✓ <br /> Si�,ne `��� o/ <br /> Address�,�j�_�1�°L—/•• Jf��t"�S k/.s�, <br /> KOTE: A septic tank permii is iasued on the basis of the above �nformation. If <br /> thera are any chanpas or alteraticns in the above stated soil condilions� it may <br /> result in the installation baing rejected ai the time of inspection. <br />