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_ <br />CIiV GF tVERETT <br />City Hall <br />Everet{� �iashington <br />FHONE: ALpine 9-'r101 <br />INSF'ECTIOM DEPARTVEN' <br />LOT APPRGVAL SHEET <br />R)AN.c ' :' c /' ' : --,L„ . � , � �� ADDRESS <br />� <br />ADDRESS OF PR('PUSED EUILDING .�'� �' - �� �� �; -:�S � , � ' - � t� I � <br />LEGAL �ESCRIFTION: LOT BLOCK ADDITION <br />TYPE OF USE /r J. �. N0. OF 6EDROquS --a' SIZE OF LOT _ <br />SCYJRCE OF DRI P!K I�!G ,.ATER: PUPL I C SUPFLY � FRI VATE r�ELL <br />A. SURFACE DRAINAGE <br />I. Is disposal field site well drained: ;•%i%-'1- <br />1. �+ny water course (stream� drainage ditch� etr�.) through site? ""� L--L—'� <br />B. TOPOGRMHY <br />.. Any heavy slopc:s in field area': `� L_-� <br />._. '.il] present tup=oil in field area be removed or graded hefore field tiles arP <br />inslall�di ' �.-�. - <br />+. ..ill any fil! rti.terial be used in tne disposal field �ite?=LfT' yes� how much <br />C. SOIL COtJDITI0iJ5 <br />;. Nas a hole at least 4 f�et deep been dug in the disposal field area to determin� <br />the iype of s�il present': <br />�. Pfter hole is du� record ihe soil conditions at ihe following depths. <br />(Record �s sand� pravel� c��'packed sand� loam� etc.) <br />12 inChes � �le�-.� 30 inches �� �' <br />1� inches ii .. 36 inches i . <br />24 inches �i i, 4F inches,� _�-�� s� ., � <br />. Any pround water encount�red before �eachinQ a c'�pih of 4 feet? '72.0-i <br />If so� at what d=_pth? <br />D. '+�ATER TEST <br />A simple water test will shoH how we ll this eoil will drain or percolate water. <br />`u �:erform this 1est: <br />]. �if, a ho1= �t leasi 3ti inches deep. Use 2 shov�l or post hole digger:=izc <br />of Iho1e makcs no difference - onl� depth. <br />�. Fill hole with water, �dow lei all svater run out of hole. This s�aks ihe <br />�round and will giv� a more accuraie readin�. <br />�. Ao2in pour water in hole to a hei�ht of 12 inches t"rom the bottom. Le1 <br />water run out until there is ,just 6 inches from Loitom left in hole. <br />4. �ote how many minutes it lakes Por {his l�st l; inches io sesp away.,,�(L <br />5. Divide tf�is time by G tn obiain the rate i�er inch. S <br />b. Date v:ater tes't was performed. �- Sl' �..�— _ <br />I hereLy certify the above inforrraiion to be correct ano the a6ove tests were p�r- <br />formed b;� me as prescribed. �� ,( ) /� <br />SiP,nedJ �r7 <�. �/c-t>"7 <br />Addr�ss^'/� U/�/Z�f/i <br />f"��T[: P septic tank permii is issued on the basis of t!ic �hove information. IP <br />'here are any chanpes or alterations in the ��bove stated soil conditions� it rr�y <br />�-si�li in the. installation heinp r���cted at tho tirro of inspection. <br />