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�L�✓�'� CITY OF EVERETI <br />� � i� City Hall PHONE: ALpine 9-7101 <br />�� � Everett� '+Jashin�ton <br />�• ���� I PJSPECTI ON DEPARTIv1ENT L0T APPf�VAL SHEET <br />A��E�S..��. li Qui•nEa� //Jt. ADDRESSi>1-iak°�A✓�.rJF_ i�<-1�cvw,: $�S'�•�•y <br />AilDRcSS UF FF4Jr=0S[D BUI lLl IJG 7 a�/ }�.F � 5 i <br />�EGAL DESCRIPTIGN: LOT� 9LUCK� ADDITiON SIl,�(/A,J �RE.SI <br />TYF[ UF USES�NhaE F�P� f�. GF �EDF�IJ�S 3 SI ZE OF LOT �' x i�' a <br />�JJURCE OF DRIfJKIiVG �IATER: FUBLIC SUPFLY ✓ PRIVATE ��ELL _ <br />A. SURFACE DRAINAGE <br />1, �s disposal field site crell drainedY `i•� '' <br />2, Any water coursz �stream� draina�e ditch� etc.) �throuph uite`' �'�-c <br />B. TOFOGRA?HY <br />1. Any heavy slope� i❑ field areai <" <br />7_. Slill present topsoil in field area be remo ed or �raded before field tiles are <br />insta11ed7 -�1 �t! <br />3. '�lill any fill mat�.�ial be used in the disposal fiald site?yl� � If yes� h�r� <br />much � <br />� LE� C. SOIL O�fVDITI�NS <br />1. Has a hole at leasi 4 feet deep been dun in the disposal field area to deiermine <br />the type of soil present? s <br />?. rlfter hole is du� record the so'1 condi{ions at the Pollowing depihs: <br />���ecord as sand� �ravel� clay� packed sand� loam� etc.) <br />12 inches la3>n 30 inches 5iz �r�Gi�<� <br />18 inches �����- 7�---� 36 inches _T�'+� G<<�-rb r.-r� <br />24 inches 1�21s-�-I�u7#1 48 inches ���/r. �JSr,�,1 <br />.��ny ground water encouniered before reachinp a depth of d feci? �-�-D _ <br />If so� ct what depth? <br />D. ;ATFR TEST <br />simple water test vrill show how well this soil will drain or percolate water. <br />� perform {his tesi: <br />1. Lig a hole at leasi 36 inches deep. Use a:shovel or posi hole di��er� sizc <br />of hole makes no difference - only d�pth. <br />7_, Fill hole witl; wat�r, fJow lei all water run out of hole. This soaks the <br />�round and will pive a more accurate readinc;. <br />3. A�ain pour water in hole to a height of ]2 inches from tf�e botiom. Let <br />water run out until there is just ( inchcs from bottom left in hole. � <br />4, Note how many minutes it takes for this las; 6 inches to seep awny. -� <br />5. Divide ihis time by 6 to obiain the rate per inch. �� <br />6. Date water test was performed.�_f.�l- � y <br />hereby ceriify th� above information to be correct and the above testS were per- <br />�rmed by me as prescribed. ��/%; .� <br />Si�ne� �''-�utyG <br />Addressr7:�-��'f^"�'vf,t+t. �r[trG�ft <br />T[: rl septic tank permii is issued un the basis of the above information. If C7L y-7)G) <br />�era a�o iny cl•_inges �r alterations in thc a�ovc stated soil conditions� it may <br />.suli .� ihe installation bein� r�,jected at ihe time of ins,�ection. <br />