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ci� or :vrar�rT <br />City Hnll <br />Bverett� Washington FHO1�E: bLpine 9-7101 <br />II'Sl ECTI01' D�PIiRTIdENT �� p. � � `� <br />t � <br />LOT APPROVNL SH�T �.s�✓•"r� <br />I'AI-fE /� i (_f//i/EO �- /.�i '_sS �= ADDRI3SS <br />ADDit�SS OP YROPOSED BUILDII�'G S(> � �' f/� l��/� %�"��'C=.�'�/� <br />L�GAL D�SCRIPTI017: IAT �S 3BLOCK ADDITI01; G�'G�[= !��' i7-�<'_ <br />� <br />TYPE OF USF., /t"[=S hG. OF Dr�DR00iiS l SI2E GF LOT �`1l'-1' /�/-' <br />SOURCE OP DRIIiKII G 11l+TER: YUBLIC SUYPLY �� PRIV.ITE ' �LL <br />A, SURPACE DNAII'f�GG <br />1, Is disposal fiald site ��ell drained7�i .i. <br />2, (1n,y water course (stream� drainn�e ditch� e c,. thraugli site?_ � l.� <br />B. TOPOGMIHY <br />1. (uiy heavy slopes in field area? ' 7`"L� <br />2, 1•lill present togsqil in field area be removed or Praded before field tiles are <br />installed? ��� <br />3. Will 2n,y £ill ranterial be used ii; the dis;;osal field site4_If ye�� how much <br />C. SOIL COFDITIOP:S <br />1, Has a hole at least 4 feet deep Ueen dug in the dis;os;l field aren to determine <br />tl�e typo of soil present: /�'.�% <br />7_, After hole is dug record the ao' conditions at the following depths, <br />(iiecord as sand� grarvel� clay, packed �and� loa�n� etc.) <br />12 inches �-' n. _ 30 inches_ �t��� <br />18 inches / 36 incl�es r(� �V.r/ <br />2Q inches �-f����(� 4g inches �-���i1�� <br />3, An3� ground irater encountered be£ore i•eachiug a deptli o: 4 feet? '�'`'� <br />If so� at iaiiat depth: <br />D, �Ie1T�R T�ST <br />.. s�mn'e uater test tirill show how vell this soil tail] drain or percolatc !aater, <br />ic �.eriorm this te:t: <br />1. Dig u hole at least 36 inches deep, Use a sliovel or post hole dig�er; <br />size of hole ;:ialces no difference - onl,� depth. <br />2, F`ill hole rritl� vater. 1'o�i let all rrater run out of hole. Tl,is �oaka the <br />�round ans rrill give a more accurate readinp. <br />3, hgr.in pour trater in l�ole to a height of 12 inches frota ti�c Sottoi�. Let <br />taater run out until there is just 6 inches fro�n Lottora left in hole. <br />,;, A?ote hor; many minutes it takes for this last 6 ir.ches to ^eep a�aa,y. .�`� <br />5, Divide tLis time Uy 6 to oUtain the rat. •e� inch. `-i <br />6. Date ianter te�t was rerforn.ed, ;� L� /�/ /`!G 3_ _ <br />I i�erel-,y certify the above infor:�atio�i +.o';e co:rect and tlie a ovc Cests �rere pei•- <br />fora�ed b}� *�e as prescribod. \ <br />Signed ���2�I�,7n� \ %` �'.t— <br />laddre�s ic� / �'t P' �/-r-. 7�Cz:�-, <br />i(��TL: A septic tank pe:mit i� i��..�d on t��c b:sis ef the above/iuformation. If <br />i�,��ure are arv c}�aurec. or elterriti�n� ii:� t,'��e above otated soil oo�.d'ztions� it may <br />re�u1C i�: t;ic .i�.^tailci�ini; ' cinc �•cj�cl,�ci .1t �l;c tL•.i� o: i�.:, ect�on. <br />