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CITY OF ;VCRGTT <br />City Hall <br />Everett� Washington <br />Il•'.Sl'cCTIOP'. DEFLRTiIED:i <br />PHOnB: ALpine 9-7101 <br />LCT APPROVAL SHL�i <br />i'AhIE (�(�:' I�, AM �. I�'� � l' 2_ ADDRGSS 7�i�-3 (-+ R� Nf L JI� <br />r.DDR�SS OF 1'ROPOS�D <br />/�� ,r iprr,. � , <br />LLGAL DGSCRIYTIOhI: IA2 D1ACK ��d-"rA7D TI ; Sn-9���i `^�� 19•Zv -SN�, -� • <br />�iN I'� <br />TYPE OF US� e;n" hG, OF D.DROOiiS � _ SIZ� OF LOT_1Z X /('D <br />SOURCG OF DRII� KII'G YIkTER: YUBLIC SUYPLX ✓ YRIV.4T� � LLL <br />ALSURFkCL DHAII'kG� <br />1. Is disposal £ield site kell drnined? 7�._ <br />2, Any water course (stream, drai�iage ditch� etc. <br />B. TOPOGI?ltI�HS <br />si <br />1, Any heavy slopes in field area? 1�� <br />2, 41i11 prese�it topsoil in field arca be removed or Praded before field tiles are <br />installed? <br />3, Wil.l any fill raaterial be used ii; the disposal :ield site2�j�U I.*' yes� how much <br />�� <br />C. SOIL COI�DITIOI;S <br />1, Has a hol.e at least Q feet deep been dug in the dis;os:l field aren to determine <br />the t3�pe o£ �oil ��resenti ���s <br />2, �fter hole is dug record the soil conditions at the following depths. <br />(Record as sund� gravel� clay� packed sand� loam� etc.) <br />12 inches 30 inches_ _ <br />18 inches 3b incl�es _ <br />24 inches 48 inches ,_ <br />3, Auy �round ttater eucountered beFore recichiug a depth o� 4 feet? <br />If so� at �ahat depth': <br />D. �IAT�R T�ST <br />,. ,^,;mo' e uater test ti�ill show how vell this soil iaill drnin or percolate �auter. <br />7o periorm tii3c te,t: <br />1. Dig a hole at least 36 inches deep, Use � shovel or pcst hole dip,ger; <br />size of hole �:iak�s no difference - onl;* depth. <br />2. �ill hole iaith taater. P'ou let all taater run ou': or hole. Tl,is soaks the <br />' �round and irill give a nore accurate reading, <br />3, .'�gain pour iaater in hole to a height of 12 ii�clies fro;a tiie Uottoi=�. Let <br />�aater run out until there is just 6 inches from bottora left in liole, <br />,',. D'ote hoar �aany minutes it tnl:es for this last 6 inche, to ceep a�aay. <br />5, Divide tLis cime Uy 6 to oUtaiu i>>e rate ;ei• inch. _. <br />G. Date w2tier test was ��erfcr�.ed. <br />I i�ereUy certif)� the atove infor;.etion io '�e co;rect and the a ovc icst^, �rere pei•- <br />forr�ed b�� ^�e as �:�rescriUed, <br />Signed <br />l�ddre^s <br />i(��TL: A,ei?tic tank permit is issn2d on tae Ucsis of the •�bo��e inCor.:�ticr,, I� <br />t��ere arc any chanCe: cr ali ;rations ii: i�he aUove etuted ;oil. cci.d=t�ons, it ma�� <br />re3ult ir tiie irstallatini; 'ein� rcj�ci,e�i cit {he ti::e o:' ii.s-�ec�'.or.. <br />