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CITY CF �VEtiETi � �`��OD <br />City H�11 PI,O�[: A�p�rn 'i-i .!1 <br />Evarett. '��ashin�ton <br />If�15FECTIOAi llEP;aRTfJ;ENT LOT APFF(i�',�L SHEET <br />�; ,: E.�.,�-�����i n J.�d fL� ADllfiESS 7��Ci `� ��i /f�� L 1�'r� Y <br />AilDIitSS OF rFur05t:il �UILUIMG ��� � _ �.<.G.�, ���'-' _ _ <br />LEGAL DESCRIPTIGN: �UT_� d�J)CK_�_ A::�?" f�UN ✓Lc/ o��y�i// ri�,�y/� <br />TYFE UF US'= �� ICO. GF 6FDF�OMS � SI ZE OF �UT /� il X� i <br />yJURCE OF llRINICING �JATER: FUDLIC SUPFLY � PRIVATE ,iE�L_ <br />�. �URr P.C� Dr�.41 NP.Gt <br />1. Is disposal field site �rcll drair.eds^ ��.P S __ <br />2. Any �vater coursa �strearn� drairn�e di.ch� etc. throu�ii site'�_�i� _ <br />B, TOFOGRAPHY <br />l. Any heavy slopes in field area� iJ U _ <br />2. :�ill present to�so� in field area be removed or �raded before fiald iiles �re <br />insialled? �/� �," <br />3. ��ill any fill material be used in the disposal fiald site�� If yes� rqw <br />rnuch <br />C. �IL CUPlDITIJf�S <br />1. Hag a hole ai least 4 feet dee een du[� ihe disF „al field area to deiermir� <br />the type of so i 1 present? ���,z �• �/.1�.,,� •-` ' <br />J. �ifter hole is dup record the soil conditions .t ihe fcfllowin� depths: <br />(Record as sand� �ravel� clay� packed sand� 1oam� etc.) <br />12 inches 30 inches <br />18 inches 36 inches �—�— <br />24 inches 48 inches <br />�, Any �round water encountered before reachinp a depth of d feci''_�_____ <br />If so� at whai dcpth'? <br />D. �:IATER TEST <br />A simple water iest will show ho�v well this soil will drain o�' percolate rrater. <br />To perform this tesi: <br />1. DiF� a hole ai i�ast 3� inches deep. Use a shovel or post hole dippar� size <br />of hole makes rn� difference - only depth. <br />2, fill !;�le with vater. Now let all water run out of hole. Thi� soaks the <br />pround and ,viit �ive a more accurate readinv. <br />3, A�ain pour �sater ir hole to a hei�M ef 12 inchcs irom the bot{om. <br />water run oui until there is jusl 6 inches fron botion left in hole. <br />4. IVo,te how many minutrs it takes for t�5is las: 6 inches ,tc seep away. <br />5. Uivid.; ihic timn by 6 to obtain ihe aie per inch. <br />6. Daic water test wa, performed. S�_s /G� ' <br />✓� / <br />I hereby ceriify thz above infr,rmation to be correci a% e ibo e ts �•rey <br />formed by me as prescribed. � � i�i <br />Ji�ned� <br />A�Idress l. ' <br />�OTE: A septic t3nk permii is issued on the ba;is of'','.e a6ova iriformation. <br />there are any channes or alierations in tF,e above staicn soil c�nditions� ii <br />rvsult in the insialla:ion bein� rejected _it ihe {ime �f inspeciion. <br />Lei <br />per <br />r ,- <br />