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r� <br />CITY G,� :'Vf�iiGTT <br />City Hal.l <br />Everett� Washin�ton PHOnE: kLpine 9-7101 <br />I1�S1'�CTI01? DEPI�RT1�Ti:\T <br />LGT APPROVAL �' .::GT /� <br />AA1�lE ���Cn�'L% .1DDR�S�-.�G`' D.,% .-�..<,���cY+-c. C��� <br />J �� �y �- / <br />i�DDR�S 01� YR�POSFD BUILDING1i-�_�% �%7C��-LGf ��f� <br />�AL D�SCRII'TIOId: LOT BIACK ADDITI01: <br />1'YPr OF US� p/, .l(� HG. UF L�::DROOi �S �, SIZL OI' LOT �� X l� d� <br />%— <br />SOURC� OF DRII(KII' G l•IAT�R: YUBLIC SUYPLY v� PRIV..9TE '�LL <br />A. SUR?�'l�C� DHAII'liG� <br />1. Is disposal field site well drained? �' �/� �- <br />2, An,y water course (stream, drainage ditch� et , through site?__ � <br />B. TOi�OGi3AI�i1Y <br />1. Any heavy sJ^pes in iield areai C 7��✓ <br />2, 1�1i11 present topsoil in field area be removed or Praded befoce field tiles are <br />installed? ��2 '� � <br />3, Wi]1 m�,y fill rnaterial �e used ii: the disposal £ield site?C If yes, how much <br />.L� i <br />C. SOIL COF.il.TTIOP:S <br />1, Has a hole at least !� feet deep been du�f in the dis;ros:.l Cield area to determine <br />the type oi soil present"���� � <br />7, AFter hole is dug record tl�e conditions at t�te following dertiis. <br />(Recor3 as sand� gr vel� cluy, packed sand� loa,Ty etc,) <br />12 inchea�a ��fi 30 inches_ � � <br />18 inches // 3o inclies --� � <br />2!, inches / / 4� ir.ches �� - � _ <br />3, AnS� ground taater encnunter�u beiore i•a::chii:g u d pt'.i o� 4 feet? � <br />If so� at ial7at derth':` <br />D, �L:T�R T�ST <br />�_ simn' e uater test �iill shoi�r ]iow veL. this soil �aill. drain or percolatc !aater, <br />io �.erform tiiis test: <br />1. Dig a l�cle at lea�t 3u inches deep. Use � shovel or ;_cst hole diFger; <br />size nf hole �aalces no difi�rence - or.l;� deptli, <br />2. �ll hole tritli vater. P'oir let all �;ater run ou+. o� hole. Tl,is soaks the <br />�round and irill give a nore accurate reading. <br />3, agair, pour taater in hole to a:�eip_ht of 12 inches frota tiie bottan, Iet <br />water run aut until there i� just 6 inches fran Lottom le£t _n hole, <br />�„ idete ho�; �aany minutes it tnl:c; for tl�is laot 6 ir.cl�es to �eep axay.�:� <br />5, Divide tsLis time U,y 6 to ohtsin t} - raie cr inch. �%Z _ <br />G. Date iaater te�C iaas rerforr..ed._�L� �: <br />I i�eret y certif 3� the aUo��e it:forr atiol; +.o '�e correct end � tiie a' ovc iestr• ��ere per- <br />forr�ed by :�e zs �:�rescribod, /j "`� � <br />Si;�ned"� G"` , -- �1, - <br />r.ddre; s � - �'_G_' ` — <br />i��'TL�: k septic tar.k permit is ias�.afi on tnc Ucsir o_ t?;e uUnvc information. If <br />there are anv chan�*ec, or alterations ii: the sUove ntut�d soil. cor:di.t9�n^� it may <br />resi�lt ir, t:i� :ir.stallrii�t: 'ei:r ��ci�r,i,�ci �ct the ti.^.e o' i�..'�ec'-o^• <br />