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r � <br />CITY OF EVERETT <br />City Hall <br />Everett� �iashington <br />fHGtJE: ALpine 9-'i101 <br />I�SFECTIRJ DEFARTNENT <br />LOT APPRGJAL SHEET <br />NA1�.� L-a.^� - ' - � � ADDRESS ` ' �% � �/ i �%[-r l n ,-i <br />r. \ � <br />ADORESS Of PRC4�OSED BUILDING �Il ,''Y' %�}�rr,��>:.:,><:�/ /.�i'���'. Fu�':, i; <br />- <� � <br />LEGAL �ESCRIPTION: LOT � BL�CI< < ADDITIOfV��ep�hr '- rJ�:�`� Li%''° �" <br />TYPE OF USE�� �� �' N0. OF BEDROCHS '!:- •' SIZE OF L <br />SWRCE OF URINKItJG �.ATER: PUEUC SUFFLY X FRIVATE r�ELL <br />�, SURFACE DRAINAGE <br />I. Is disposal field site well drained% i�''." <br />2. Any water course (stream� drainage ditch� etc.) through site? %11., <br />B. TGPOGRAFHY <br />I. Any heavy slopes in field area': Y�S <br />e. �:ill present topsoil in field zrea be removed or graded before field tiles are <br />insialled? Y�'_s <br />�. �.ill any fil' material be used in the dispnsal field site?_If yes� how much <br />C. SOIL CONDITIOiJS <br />1. Nas a hole at least 4 feel deep been dug in the disposal field area to determir�� <br />the type of soil present? yr � <br />2. After hole is dug record thg soil conditions at the following depths. <br />�qecord as sand� aravel� �ia�� packed sand� loam� etc.) <br />12 inches � �:> �-r 30 inches <br />]8 inches ' 36 inches <br />24 inches 4E inches <br />.. Any ground water encountered before reachinQ a depth of 4 feei? .�'o <br />If so� at what depth'? <br />D. sNATER TEST <br />A simple water test�sill show how well this soil will drain or percolatc water. <br />To perform ihis test: <br />1. Dig a hole at least 36 inches deep. Use a shovel or post hole dig�+er:t;ze <br />of hole makes no difference - only depth. <br />2. Fili hole with water, tJow let all water run out of hole. This soaks the <br />�round and will give a rtare accurate reading. <br />3. Again pour water in hole to a height of 12 inches from the bottom. Let <br />water run out until there is just 6 inches from boitom ]eft in hole. <br />4. Note hov� rr�ny minutes it takes for this last 6 inches to seep away._� <br />7. Divide this time by G to obtain the rate per inch._ - i''���� <br />6. Date v:ater test was perforn�ed. �' ' _ <br />I hereby certify the above inforrration to be correci and the above tests were per- <br />formed by me as prescribed. <br />Signed <br />Address _ ' <br />P�CTE: P septic tank permit is issued on the basis of the above information. If <br />there are any changes or alieralions in thc above stated soil conditions� it may <br />res�lt in th� installation beinp, rejected at the iime of insrection. <br />