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czTY on vr�s�� <br /> City Hall <br /> Everett� Wushington FHCI�B: l.Lpine 7-7101 <br /> IP.SIE�TI01? DEFARSi�NT <br /> LOi APPROVAL SHsPT ,,/ <br /> i.'Ai� . � � ADDRI'SS ���d ` / �,lrldF �!�' <br /> aDllRGSS 01 YhOPOS�D BU LDING ��.�q Cl.to.P . _ r�r <br /> I�CAL llCSCRIPTIOI�: LOT BIACK +DD7TI01: <br /> �i 7 / y / <br /> TYPE OF 'JSE .P a�cR�1�G. OP Pl"�Dfi00i:S � SI7,6 CP LOT ,�oC D /I 7� <br /> SOURCE OP DR1I KIi'G �:!liT�R: 1 UBLIC SUPPLY � PRIU.ITE '�i,LL <br /> A, SURFACE DtiAI]';+Gi; <br /> 1, Is disposal £ield site well drained?�4- <br /> 2. Any water courae (stream� drairl�e ditch� etc. throu�h site?.•��-O <br /> H. TOPOGRAI't1Y <br /> v . <br /> 1. Any heavy� slopes ir. field area; �Z sc�,�-- <br /> 2, i•lill preseiit topsoil i.: field area Ue remove3 or Praded Uefore field tiles are <br /> installedY ��72c'7 <br /> 3. idill an,y fill tiaterial be used ii: thc disposal fie'_d site7��If ��es� hota much <br /> C. SUII. CCh:DITTC'i(S <br /> 1, Has a ho].e ai; least 4 feet dee been,dug in t}:e dis; os:l �ield area to deternine <br /> the type of �oil pre�ent? ��� <br /> ?, After hole is dug rccord the �oil conditions at the followin� de�tns. <br /> (Y.ecord as eand, rravel� cla,y� acked sand� loaT� � ) j <br /> 12 inches 1 C g0 inches �'1 L��•f! � D�i�. <br /> 18 inches n (i _ 9ii incl�es %�R -� <br /> 24 inche� �Q 4t3 ir.ches �'i,./ .Llla <br /> 3, Any ground �!ater encountered Uei ore i•cachin� a deptli o: 4 feet?�J�,(�] <br /> 1� so� at tahat dej�th: <br /> D. UdTER T�ST <br /> .. .^>imn'e rater test i�ill show l�ow ti�all this suil itill drain or percolate �aater. <br /> 'io E.eriora tliia te;;t: <br /> 1. Dig a l�ole at laac+ 36 inches deep, Use a si�ovel or post hole digger; <br /> size of hole c:ake� r.o diff'erence - onl�� drpth, <br /> 2, ^ill ho].e �iith irater, Ioir let all t�nter run ou' of hole. T?.is soaks the <br /> �ro•,md and �rill �ive a nore accurate madii.p, <br /> 3, :+p;,in prnzr trat.er .',.: hole to a heiglit oi 1' inches tro;a ti�c bottomo Let <br /> water run out uniil there is Just 5 inci;es fro�n bottora left in hole,�t�, <br /> ,',, 1'ote hov many minutes it teLes for this la�t 6 irches i.o ceep utaaY.� <br /> 5. Siivide tLis time Lt� 6 to obtain t1�a rs{ u� ' �Q <br /> u, Date uater te�t was rerforr.:ed,____S_� / ' _. <br /> I iiereLy certif3� the abovr. ir.forrn.�tior. +o '�e r_o;rect - , i ti�e e'�v i u: �!ere ; cr- <br /> forred Uy aie as ;�rescriLed. � <br /> SiFned ,��lul ' �� <br /> i;ddre^s;,�' / /y/�-2t'_�,�17� �r.lti; �c" ' <br /> i:�T;,: A ::c;i;ic tanl; pc=mit is i�^��.efl oi: tac ims.i^ o^ t1:e .�Uovc inCorrnti.�n.TIf ' <br /> {.4uro ^.rr. �en}� cl� � ���c ... al�t�:-at���,; _.. i. -� �Lcn-o rt::tr:i cc.il. cat.r�'., ;�n:� . { �,�^, <br /> rcault i�. L:ir i� c.,�17:�.iinr. ' c_�c _ i��.'�.��;i r.t ' l�c '�.:�te o� �-�.c-ec' �.cr,. <br />