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• CITY 01� �':ti,El'. <br />Cit�; liali PI,vP'E: A�E;in� l-il �I � <br />Evereit. �'�as!iin�ton <br />INSPFCTION DEP,1RTId�FNT LOT AfFrl)VAL SHE[T <br />fJA�vE_ Stanwood Constructioa Co AP.11fiE:,SF.O. Aox �.�1� Stantiood�ash.q�}292 <br />AJDR�SS OF PfiUiOS�G E,UI LLI fJG // �� � � /L�t.'�� , . .(`. - — <br />LEGAL DESCRIFTION: LOT_],� BLOCK�_ ADDITIUiV Svlvan Crest <br />TYI'E �F USE RPc� �b. GF i3EDFCOf95 _�__ SIZE OF LOT 5(b[ 120 _ <br />SuL'RCC OF ll�IiVYI�G �JATER: FUBLIC SU?fLY a. <br />A. dURrP.Ci: DRA1�4Gc` <br />i�r�l V��TE ,lE�L <br />1. Is disposal field site �vell drair.edY ves <br />2. .1ny water course (stream� drain�ge di=r_h- etc.) throuph site� �p_ <br />B. TO�OGR/'�PI,1` <br />1. My heavy slopcs in fi�ld area'� ilo <br />2. :lill present topsoil in field area ba removed or or,d•_d 'oefcre field iiles are <br />installed?_ yww <br />3. �Jill any fill rrk3terial be used in the disposal field site?��es If yes� how <br />much 90^ naua <br />' �.. �IL G�P,iUITIOt!S <br />2. <br />� ;5 <br />1 / <br />Nas a hole at least 4 feet deep been dug in the disposal field area to determino <br />ihe type of soil present? v�y <br />r\fter hole is dup rerord ihe soil condiiions ai .he following depths: <br />(Record as sand� �ravel clay� packed sand� loam� etc.; <br />12 inches top Soi� 30 inches Aame <br />lE inche;nan „�rave�_1_.loam 36 inches f1 <br />24 inches n �� � 48 inches �T <br />Any �round water encouni=red be`ore reachin� a depth of d fect''_�p _ <br />If so� a{ wha{ depth? <br />D. � �ATFR TEST <br />A simple water test will show how well this soil will drain or percolate waler. <br />To perform this te�t: <br />1. Di� a hole at leasi 3b inches deep. Use a shovel or poat holz di��ar; size <br />of hole makes no diiference - only depth. <br />2, Fill hole with wat�r. Idow let all ,vater run out of ho1e. This soaks ihe <br />Sround and will �ive a more accurate readinr;. <br />3. �1�,ain pour .vaier in hole to a hei�ht ef 12 inches from the Lotiom. Let <br />wat�r run out until there is just 6 inches from botiom left in hole. <br />4. No{e hcv� many minutes it takes for this lasi 6 inches to saep away.j�_ <br />5, DiviJe ihis time by 6 to obiain the rate per inch. 2.5 <br />6, Date water test was performed.,��j,�,(j$ <br />I hereby certify {ha above information io be correci and the ab�ve tesis �vere per- <br />£ormed by me as prescribed. <br />/ <br />5i�ned i�,.c � i,.� <br />NddressP.O. Rog__201�S ans,cQad�Cash,9$292 <br />KOTE: A septic }ank permit is issucd un the basis of {he above infc{ mation. If <br />there are any changes or alterations in the above stated �oil ccnditions� it nay <br />res�li in the installation bein�� rejected at th� time of inspection. <br />