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¢ <br />�� CITY Uf tVEREIi <br />. <br />��n City Hall Pf-�(1NL: N��_�.ir,� ,_�1 �1 <br />��•�` Everett. '��ashin�ton <br />. INSPECTICN DEP,iRT�iENT LOT APFi�IVAL SHEET <br />NA�viEfl?C /-/ C'• � /�o / S ADDRESS 3�G 3 �E� �=n' AL �r�d,_s_ <br />4llDRtSS UF FFi{)POSED BUI LLI NG (/? (A,/ /� � , j _ <br />�EGAL DESCRIPTION: LUT E3LOCK ADDITIUN <br />IYPE UF USE !?GS. fW, Gf �EDFCOWS _,;�_ SIZE OF �UT _�no x,2 �v <br />�URCE OF llRINKI�IG JATER: FUBLIC SUPFLY � rs ±-RIVNTE <br />A. SURFACc DRAINAGE <br />1, Is disposal field site well drainedF i�E 5 <br />2. Any vaater course (stream� drainage ditch��etc.) throu�h site�r%� nn/ A� t p F La� <br />8_TOFOGRArHY Su n" F/.�c E �7�,y� ;r/Esi 5� �r <br />/� "� p f_% fl c.c� c F .� n`T' <br />1. Any heavy slopes in field area? �o <br />2. .�ill present topsoil in field area be removed or �raded before field iiles are <br />installed7 i�/a <br />"3. .+ill any fill material be used in the disposal Pield site'? �✓a If yes, how <br />much <br />C, SOIL OUNDITIONS <br />1. Has a hole at least 4 feet dcep been dug in the disposal field area +o determine <br />the type of scil prese�t? __ ��S <br />. After hole is dup record the�soi] cronditions at the following depths: <br />(Record as sand gravel� clay� packed sand� loam� etc.) <br />12 inches Ln,vM V�'q„r/� 30 inches �-�/�UC� SAN� <br />� 18 inches S�✓ I„�i.t 36 inches �• �� <br />24 inches �. ' v 4f3 inches '� �' <br />. tiny ground water encountered before reaching a depth of 4 feet?_[�% <br />If so� at what depth? - <br />D. 41ATER TEST <br />a simple water test will show how well {his soil will drain or percolate water, <br />To perform this test: <br />1. Di� a hole at least 36 inches deep. Use a shovel or post hole dig�er� size <br />of hole makes �o difference - only depth. <br />2, Fill hole with water, Now let all water run out of hole. This soaks the <br />pround and will �ive a rnore accurate readinp. <br />3. A�ain pour water in hole to a hei�ht of 12 inches from the bottom. Let '/ � <br />water run out until ihere is just 6 inches from botiom leit in hole. � 7 #� � <br />4, Note how many minutes it takes for fhis last 6 inches to seep away.� �� Z 5��� <br />5, Divide this time by 6 io obtain the rate per inch./yf .3 <br />6. Date water test was performed. Jr.t��/, !v i�l� <br />I hereby certify ihe above information to be correci a�d ihe above tests were per- <br />formed by me as prescribed. / ���- � <br />Signed L z�-7� �- � c-- ��-' _�.�- <br />Address -��ic�3 �cn�l:n./ c� .� <br />�;i?TE: A septic tank permii is i,sued on the basis of ihe above information. If <br />tt�erc are any chanpes or alterations in the above stated soil condition;� ii may <br />r.,suli ir th� installation bein� rejected a1 the time of inspection, <br />