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�� CITY OF EVERETi <br />O�✓''�y I� City Hall PHONE: ALpine 9-7101 <br />��� �7 � �' Evereti� ti'�ashin�ton <br />�` '/Iry INSPECTION DEPART!rfENT LOT APFFfJVAL SHEET <br />' lC dDDRESS -/Ob•yi�./O/-" /�.r,f��<ifO�iC- %5� �' / <br />fVA��E�C .C�SET �d«��-OFRS %f LZa <br />1ilDRESS OF FFrJr=OSED BUILllING 7,�/j Y�u� S'% <br />L �GAL DESCRI PTION: LOT� BLOCK� ADDI TIOfJ 5��+/�N� � R�5 j <br />/ <br />TYFE UF US6S/�l�C.� FAi'Jf�• GF BEDFI'�fJ�S 3 SI ZE OF LUT �O X/ s d <br />�URCE OF DRINKIiJG �lATER: FUBLIC SUPFLY �� "rRIVATE ,�ELL <br />A SURFACc DRAINAGE <br />1. Is disposal field site well drained° �{ S <br />2. Any water course �stream� dr�inage ditch� etc.) t rough site? �� f' <br />B. TOFOGRAPH'f <br />]. �ny heavy slopes in field area? �' <br />2, Clill preseni toosoil in field area b removed or graded beiure Pi�ld tiles are <br />installed? -�-�-*� <br />3. '��ill any fill mai rial be used in the disposal iield site� �t-� If yes� how <br />much 1 S D V'L� _ <br />`T-- C. SOIL CUNDITIONS <br />1. Has a hole at least 4 feet deep been dug i,� the disposal field area to determino <br />the type of soil present? �u'-S <br />? After hole is duP record the soil conditions at the Pollowing depths: <br />�(Record as sand� �ravel� clay� packed sand� loam� etc.) .� ,� <br />]2 inches �N�'»� 30 inches �J � <br />l8 inchcs / C,� �rt 36 inches f_2�_�l <br />24 inches � r��n 48 inches � <br />, Any ground water encountered before reachin� a d�pih of � fe�i'' -�'z-�'-�- <br />li so� at what depth? <br />p iJATFR TEST <br />simple water test will show how woll this soil v,ill or.tin or percol.�te r+at�.r. <br />� perform this tesi: <br />1, `�i� a hole at least 36 inches deep. Use a shovel or po�i hoie di��ger� sizc <br />�.f hole makes no difference - only depth. This soaks the <br />z, Fill hole with water. Now lei all water run out of hole. <br />�round anr! will giva a more accurate reading. <br />3, A�ain pour water in hole to a heinht oP 12 inches from the botiom. Let <br />water run out until there is jusi 6 inches from bottom left in hole� <br />4, Note how many minuies it takes for this las: 6 inches to seep away. <br />5. Uivide ihis time oy 6 io obtain ihe rate per i ch.�� <br />6. Date watur tesi was performed.� �f=� G� <br />� hereby ceriify the above information to be correct and tf_e above t pts�ere per- <br />� � `'"' � , -�{'�,-Y <br />`ormed by me as prescribed. y''ne�, /� <br />(l <br />� ilddres�;J7:� `/U A%�F .L'G-'!it?�L=u.[/- <br />^TE: A septic tank permii is issucd on the basis of the above information. If�e�_7)[�/ <br />,cro -.rc �iny ch.:n�as ;r alteraticns in thc abovc statcd soil conditlons� it may <br />�,si�li .� thr,� insiallaticn 6�inp rojc-cic�� �1 il��� iime of ins,�cciion. <br />