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' � CITY 0'r EVERETT <br /> Ci{y Hall PI-:0�[: ALpine ?-11 `1 <br /> Everett. '�Yashin�ton <br /> IN;PFC?{ON DFP,IRTI.9FNT LOT APFr7JVdL SHFET <br /> P.A�.E /�• L . , �i � �o� ADDRESS sy� 5 Ju .r s Pt � .. a� L' <br /> AilllRtSS OF i=F,U�O�[p PUILLIPJG� �� St. /� wrs�— <br /> �EGAL DESCRIPTIUU: LUi ,7`I BLOCK ADDITIUfV � v« a7t De /�r <br /> TYF[ Uf USF �Da �+ (�p, GF E3EDf-l�Of�15 _ SI ZE OF �UT �.? �G �� X ,3 �I � <br /> 9JURCE OF llRl WK I iVG dATER: i ,18L I C SUPFLY �/t'S i%R I VNTE clELL �t o <br /> —7'_— <br /> A. Sl!RFACc DRAINPGE <br /> I. Is disposal field site �,:�_il drair.ed:' �r5 <br /> 2. Any water coursa tstream� dr:�inape ditch� ic. ) ihrouph si{e? <br /> 9, TOFOGRAPH'f <br /> 1. Any heavy slopes in £ield area?_ NO <br /> ?_. ''•lill present to soil in field area be removed or oraded before field tiles are <br /> insta11ed7 rs <br /> 3, �lill any fil Jf'erial beLyZsed i� he dis�psal �eld 5,�#e`� � Ys If yes� how <br /> much Ti�...i. h a ra V a���. .... ��r �....� /i.,n� <br /> C. JDIL CUNGITIONS <br /> 1. Has a hole at least 4 feet deep been dug in ihe disposal field area to determine <br /> the type of soil present? _�/es <br /> 7_. i�fter hole is d��s record the 5oi] conditions at :h•a follewing dcpths: <br /> ��ecord as sand� gravel � clay� packed sand� loam� �{c. ) <br /> 12 i nches L o e .,v� 30 i nche� $a ..,�r� <br /> :E i nches c�— 36 i nches _ � .. � <br /> —�— / <br /> 24 inches •S� _�_ 48 inches e� �...�J <br /> '. ��ny ground water encouniereJ before reachin� a depth of 4 'fect'•'__ /Vo <br /> If so� a{ whet depth? ---- <br /> n. �:1ATFR TEST <br /> '� simple water {est v�ill sho�ti how wcll this soil will drain or perc�l ,t:� c::tor. <br /> To perform this test: <br /> 1. Li� a hole at le :st 36 inches deep. Use a _=hovel or post hole di���r� size <br /> of hole makes no diiference - only depth. <br /> Z. Fill hole with water. Now let all �vater run out of hole. This soaks the <br /> �round and will pive a more accuratc readinn, <br /> 3• �lg-iin pour w�ier in hole ' � a hei�ht of ]2 inchcs from ihe bo{tom. Let <br /> water run oui until there �s just � incncs fron bottom left in hole. <br /> 1, fVo{e how many ninutes it takes for ihis las: 6 inches to seep away.�2 /'1� :� , <br /> �, llivide ihis {ime by 6 to obtain the rate per inch._ ..�� G `7 <br /> G. llate water tesi was perFormed. �D ,3 O G•T <br /> I hereby certify tha above information to be con-ect and the above tests �ver per- <br /> formed by me as prescribed. <br /> 5 i�ned �, <br /> /�d�l� �;e�os' sL�� < <br /> ,�'1t. .a sep{ic tank p�rmii is issued ur if�,e basis of the above informatiun. If <br /> •-'�ar:� a ' _ ;�ny ch:in�,as or alierations in thc ,b�ve stated .oil crnditions, it may <br /> � ��suli -r the insla ll ation being re�ectcd at t��e {ime of ins:�eciion. <br /> � <br />