Laserfiche WebLink
„� r �� Y ci Tv oF �vE�tn <br />� ��r�'�S/ '%l y� � City Hall Pf-IONE: ALpine 9-7101 <br />l,f,(�� �,I � � Evereti� CJashington <br />w IPISFECTICN DEPARTIv�EivT LOT APF'r'OVAL SHEET <br />!' i SZ '/O i r�.��G .t''r' .rj/_=[GE�'` �� � 5��`�' <br />NAiviE."r.� `� i�✓� v����el i/'� � , ADDRESSl7 <br />AllDfitSS OF FF4JrOSED EUILUiIdG 7�'�� Y.E`^� `r'� t"G%-/;!_=i (• <br />LEGAL DESCRIPTION: LOT� BLOCK �f ADDITIUN .S�S� A,iS CI�/=5i <br />TYPE UF USE•Si.�'�s� Fil�f:f�. OF BEDF�,`OfJ�S _, � SI ZE OF LUT c� �' �� s a <br />�URCE OF DRINKIiVG �JATER: FUdLIC SUPFLY '� <br />A. SURFACE DRAINAGE <br />i-R1 VATE ,JELL <br />1. Is disposal field site well drair.edY' �; � <br />2, Any water course �stream� drainape ditch� c.; through site•'7"r' <br />B. TOFOGRAFHY <br />1. Any heavy slopes in field area?_ �' S <br />2. '�dill preseni topsoil in field area e removed or �raded before field tiles are <br />installed� '��+� t If yes� ho:� <br />3. '��ill any fill material be used in the disposal ficld siic'�.�L <br />much _��— <br />C SOIL WNDITIONS <br />1. Has a hole at leasi 4£eet deeP been dug in the disposal field area to determine <br />the type of soil present? V-�'�r <br />2 A£ter ho?a is dup record the roil conditions at the following depths: <br />�(Record as sand� gravel� clay� packed sand� loam� etc.) <br />12 inches ��a�.. � 30 inches (��'r+��C <br />18 inches 36 inches D�r' d��-.•!> <br />24 inches ' ' ..- �/ 48 inches � <br />. Any ground water en uniered before reachin� a depth of 4 feei? .�'Lt� _ <br />IP so� at what depth? <br />D. i1F.iFR TEST <br />simple water tesi will show how wel] this soil w�ll dra�n or percolate water. <br />> perform this tesi: <br />1. uig a hole at leasi 36 inches deep. Use a shovel or posl holc di�ger� size <br />of hole makes no difference - only depth. <br />z, Fill hole with water. Now let all water run out oP hole. This soaks the <br />ground and will pive a more accurate readinp. <br />3. Again pour water in hole to a hei�ht oP 12 inches from the bottom. Let <br />water run out until there is just ( inches from bottom left in hole. � <br />d. Note how many minutes it takes for this las: 6 inches to_seep away.l.�' _ <br />5, Divide ihis time by 6 io obtain the rate per inch. --1 <br />6. Date water test was performed. �`1 r'�,/3 �`� <br />� hereby certify the above information to be correct an the above tests were per- <br />ormed by me as prescribed. ��� �J � �� �i�`>'»�' � <br />Si�ned �� ��[ � -� r'� <br />Address i7� �/c b� ti9c'G il�G /3L=G �G v� ce-- <br />"TE: A septic tank permii is issued on the basis of the above information. If <br />,ere a,c �n� ch:in�as �r alterntions in thc .�k;ovc siated soil conditions� it may <br />�:suli .�� the installation bein� r�jecteJ nt tf�,e time of ins;,ection. <br />