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<br />i+UDR�SS OP' YROPOSrD BUILDIPIG
<br />cirY or -:'U�It�TT
<br />City Hall
<br />Everett� LJashington
<br />In'Sl'ECTIOP'. DEPIiRT2�nT
<br />L�GAL DGSCRI3'2I01�: IAT IIIACK /�Y yADC
<br />TYPE OP USE�O /� � I�G. CF PLDROOiiS �
<br />PHOn'B: ALpine 9-7101
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<br />SIZ� OP LOT f11'D�cIN� ,�
<br />SOUY.CC OF DRII•.KII'G �lAT�R: YUBLIC SUYPLY � YRIV.4TE '
<br />A a:...SURI'ACE DI2AIl:kG�
<br />'"', ,. Y�'� ,s
<br />1, Is disposal £ield site crell drained?�]� � J�
<br />2. �1n�,� water course (stream, drainage ditc] ;' etc, ) thrrn:gh site?_
<br />�3. TOi'OG�It1 i3Y
<br />1. Fu�y iieavy slopes in field area7 /�s,
<br />2, L1i11 present topsnil in field are'�be removed or praded before field tiles are
<br />installed? /„ _
<br />3. !dill an,y fill' �a�erial Ue used ii� the disnosal field site?�If yes, hoia much
<br />C, SOIL CCA'DITIOiiS
<br />l, Has a hole at least 4 feet deep been dug in the dis;o^,::1 !'ielu area to determine
<br />the type oF soil Present:
<br />2. After hole is dug record the �oi1 condi+.ions at the following derti�s.
<br />(i�ecord as sand� gravel� la , packed sand, loan, etc,)
<br />12 inches c.i � � 30 inches_S� ��_7.,
<br />18 inches 3u incl�es � i�
<br />24 inches �� �� 48 inches � ��
<br />3, An3� ground irater encountered beFore i•eaching a de�+tli of 4 feet? �
<br />If so� at iahat depth:
<br />J. ' /AT�R T�ST
<br />:. ,imn' e tiater test iiill shoia l�ow veL this soil �ril] drnin or pei•colatc !aater,
<br />io �.erio^m tiii� test:
<br />1. Dig n hole at least 36 inches deep. Use n si�ovel or pcst hole digger;
<br />size of hole �aalces no difference - onl;� depth,
<br />2. F`ill hole tiiti� �ratex, r'oir let nll t,ater run ou+, oP hole,. T!.is soaks the
<br />„ro•and and �rill give a nore accurate read:ng,
<br />3. ligain pour ttater in hole to a i�eight m= l:: i;;chcs frc�a i.ur bottom, Let
<br />water run out until there i5 just 6 ir..._.es Fro�7 bottara left zn hole.
<br />�;, b?ete hota many minutes it taYes foi• this lact 6 ir.cl�es to ee a�a,Y,
<br />5, Divide tLis time U,y 6 to obtain �ie ra{ e ei• inch, �� .�. n�.y ��
<br />C. Date rorater tect taas rerforr.ed. Z�
<br />I iicreby r,ertif�� the at•ove irfor:•�tatirn: { o e co; rect d tiie a' ovc ics' :: �rer ? r- �
<br />forr�ed Uy -�e as �:�rescriUed. �/
<br />Signed `� ,o,
<br />��ddre�s �, _���+
<br />n��TL: ii se;itic tank permit ia issnad or. t��c or,sin o" t!:e ;;Uo;�e info'rmation, I£
<br />tJ�ere arc am� cl���t;re: er 21t erations in i,he aLcve etate3 ;cil. co�.d_t`_ nns� it ma}r
<br />result ii, t:ic u.�P,�llat:ini: '.:_;,� �•�jnci,ed rit +l:c ti:te o:' i�.:;�cct�c�„
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