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�� � �',,:3 �'y �`� <br />�,�.1n V-�" CI TY OF tVERETT <br />� City Hall PHONE: ALpine 9-7101 <br />Evereit� ti'�ashingion <br />If1�F!�CTICN GEP�1RTIa1ENT LOT APf-i=rJV,1L SHFET <br />/ 'l ADDRESS /�:l /cY �Air �ir i3L-�'c/� _F <br />iJAiviESu.�Sc % ��ti�.��s �— <br />NilDf��SS OF rF,UrOSED BUILUIIVU �� �� C� S� - <br />�EGAL DESCRIPTIUN: LUT �� t3LOCK_� ADDITIUv �S U/}� <br />Cj3C- S 1 <br />iYFE UF USES/��4!_F. �4��• GF BED('�:{i�J�S 3 SIZE OF LUT GO X�� V <br />SOURCE OF DRI(JKIiVG JATER: i-UBLIC SUPFLY ✓ PRIVN7F �:ELL <br />A, 3URFAC"c DRAINAGE <br />l, Is disposal I'ield site �h'eil drained? �F' S <br />Z, Any water course �siream� drainape di.ch� etc.) throuph ::ite'� ��� <br />B. TOFaGRAFHY <br />1. My heavy slopes in Pield area? <br />/.�� S <br />Z, ':lill present topsoil in field area be removed or �daded before field tiles are <br />installed? �'L'n o�• F S I f es how <br />3, llill any fill ma eyial be used in the disoosal Pield site•� Y i <br />much � <br />C JOIL CUNDITIONS <br />1. Has a hole at leasi 4 feet deep been dug in the disposal Pield area to determine <br />4he type of soil present� �S i <br />2 �\fter hole is dup record the sbil conditions ai .he Sollowing depihs: <br />(Record as sand� �ravel� clay� packed sand� loam� etc.) ` � <br />1?_ inches ^•-�-rn 3D inches ��"� <br />r 36 inchesS - ' � <br />18 inches �.(�c�.�- <br />24 inches ��`� 48 inches �� �4' <br />, Any �round water encouniered before reaching a depth of„ feci'��1 Z_-- <br />If so� at what depih? <br />D. �lATFR TEST <br />d or crcolate vratcr. <br />, simple water test v+ill show how well th�s soil will rain p <br />o perform this tes1: <br />1. Li� a hole at leasi 3b inches deep. Use a shovel or posi hole dinger� size <br />of hole makes no difference - only depth. <br />z, Fill hole witL wat.�r, i�ow let all water run out oP hole. This soaks ihe <br />�round and will �ive a more accurate readinc;. <br />3. �4gain pour water in hole to a hei�hi of 12 inches from the botiom. Let <br />water run out until there is just ( inches from battam left in hole1� <br />4, Note how many minutes it takes for ihis last 6 inches o seep�aw� . <br />5, lli��ide ihis time by 6 to obtain the rate �er� ch. <br />6, Uate water test was performed. ��� <br />I hereby ceriify tha above information to be c6rrect and ihe above tesis were per- <br />:,rmed by me as prescribed. 5i�ned ��� �//��/�- <br />Addres��7.�-/C>S �P�'G'.E i�•Fiic`. c�F_ <br />^TE: �� Geptic tank permii is issued un tLe basis of ihe above information. �f <br />iere a'u any ch.inces or alteraiions in thc aLove stated soil conditions� i: may <br />,,��{ :�� ihe insiallation beinp rejectcd a{ ihe time of irs,,e�iion. �L.�j-7>�/ <br />