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� / <br /> � / < " - .�I � <br /> , CITY Of EVEkETT <br /> ' City Hall PHOPIE: ALpine 9-7101 <br /> ' �'� Everett� Washin�ton <br /> �� INSPECTION DEPARTIc�ENT LOT APFF4�VAL SHEET <br /> % �• ' / / � /_ <br /> IVA�aiE,� � V-f . ��i ••v< - 1DDRESS � �-', � - '� '� �L . <br /> ADDRtSS OF FF4Ji9SED BUI Llll NG' I � � �' �����` � '' '� �L <br /> i �� . � � i �� � <br /> LEGAL DESCRIPTION: LOT � BLOCK ADDITIUN ; <br /> TYPE UF USE t�. OF BEDFL'Of�1S � SIZE OF LUT � � '% � ����`�, <br /> SOURCE UF DRINKIiUG ��ATER: FUBUC SUPFLY � rRIVATE �JELL <br /> A. SURFAC"c DRAINAGE <br /> 1. Is disposal field site r:eil drained° "�'� �' <br /> 2. Any water course �stream� draimge ditch� etc.) thro�gh site? ��•� � <br /> B, TOFOGRA?HY <br /> 1, My heavy slopes in field area? a�" <br /> �. 'ilill present topsoil in field area bc removed or graded before field tiles are <br /> installed? � i '� <br /> 3, I�i11 any fill material be used in thc disposal field site? � ^ If yes� how <br /> mu�:h <br /> (` $OIL CONDITIONS <br /> 1. Has a hole at least 4 Peet dcep been du� in the disposal field area to det�rmine <br /> the type of soil present? �J� � <br /> After hola is dup record the so�il cronditions at the following depths: <br /> � (Record as sand� gravel � clay� packed sand� loam� etc. ) <br /> 12 inches � ' 30 inches ',n <br /> 18 inches 36 inches ' r <br /> 24 inches 48 i�ches <br /> , Any ground water encouniered before reachinP a depth of 4 feet� _ <br /> I P �:o� at v�hat depth? <br /> � IVATER TEST <br /> simpl� water test will show how wel: this soil wi: l drain or percolate water. <br /> � perf rm �his test: <br /> 1. i� a hole ai least 36 inc!�es deep. Use a shovel or post hole dig�er� >ize <br /> �f hole makes no diPference - only depth. <br /> 2, Fill hole with water. Now let all water run e�ut of hole. This soaks the <br /> �round and will give a more accurate readin�. <br /> 3. Again pour �.vaier in hole to a height of 12 inche:, from ihe bottom. Let <br /> water run oui until there is just 6 inches from b�ttom left in hole. _ <br /> q, I�ote how many minutes it takes Por this last 6 inches ;seep away. <br /> 5. Divide ihis time by 6 to obtain the; rate per; inch.. <br /> 6. Date waiar test was performed. � % <br /> . <br /> hereby ceriify the above information to be correct and the above, tests Were per- <br /> �rmed by me as prescribed. �� .� f . , <br /> Sinned :`'�., . � <br /> Address _ <br /> "TE: septic tank permii is issued on the basis of the above inPormation. If <br /> :ra _ r+ny • ."n,es �r alterations in the atove stated soil. conditions� it may <br /> ,suli .� ihe irstallation beinp rejected at the time of irs�,ection. <br />