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CZTY OF ,UrItC3T <br />City Nall <br />Everett� Washington PHOt�E: riLpine 9-7101 <br />Ii'SPECTI01? DEP1iRT1f�NT <br />/ LOT APPROVkL SH:�T � <br />I'N�1E i(�L-C���i71' i� ��V� Y' ADDRI�'SS ���C�L�,�� Jl)C�'���7/7F ��/� <br />ADUIiCSS OF YROPGSED HUILDIP:G <br />IS',GAL DGSCRiPTI019: LOT�BIACK�ADDITI01;_ �., r v!, l�� i/ �� r/� <br />r�� � �� <br />TYP� OP USE /Yn.7�F HG, OP DrDR00iiS � SIZE OF LOT C� O, L/ . x <br />SOURC� Or DRIbKZI'G 4JIsTER: YUHLIC SUYPLY �>u' S PRIV:ITS '!LLL,--- -- <br />A. SURi�AC� DliAIt'AGB <br />1. Is disrosal fi�ld site well drained4 V���' S <br />2. Any� iaater course (stream, draina�e ditch� etc, through site?_ _ <br />23. TOPOGRIt1 }fY <br />1. lu�y heavy slopes in field area? %%<— <br />2, l•fill present t��spil in field area be removed or eraded Lefore field tiles are <br />installed?_ _ !� �, <br />3. V)i7.1 2n,y fill iaaterial be used is: the disposal field site7"�If yes, how much <br />C. SOIL COl'DITIOI;S <br />1, Has a hole at least !� feet d�pp been dug in tl:e dis;os�l field area Lc determine <br />tl�e Cype ol :,oil presenti .iCl �f�� <br />2, After hole is dug record the soil conditionc at the following depths. <br />(Record as sand� � vel� clay� packed �and� loam� etc.) <br />12 inches� � � 30 inches <br />18 inches �-J .. ti,.� 3o inches i! <br />24 inches ' v. 48 incl�e� <br />3. An3� grow�d irater enceuntered beiore reaching a de�-t1� of 4 feet? ✓J1t^-- <br />If so� at tahat depth: <br />D. U�iTER T�ST <br />.: simn7e iraier test iiill sliota how vell this soil iail] drain or percolatc �.aater, <br />io �.erform t}:is te;.t: <br />1. Dig n hole at leact 36 inches deep. Use a^,hovel or post hole dip,ger <br />size of hole i:!akes no difference - onl;� depth. <br />2. F+11 hole iiitL vater, I'oir let all t,atcr run out, o!' hole. Tl.is soaka the <br />�round and will �ive a nore accurate reading, <br />3. ��gain pour iaater in hole to a height of 12 inches fro;a ti�e bottoin, Iet <br />water run out until there is just 6 incY,es fro:a bottora left in hole, <br />�„ blote hoii vian�� minutes it tal:es for this la�t 6 ir.che� to .eep ariay. ��� <br />5. Dzvide tL•is time Uy 6 to ohtain t�i� r�y�te �er inch, /�, � <br />C. Date water te�t wa� rerforr..ed. �vf� % i91.•� <br />I iiereUy certif5� the abovr irfor::ation to ':e co�rect ond tl�e a`ovc icst; �rere per- <br />forr,�ed l�v '�e as �;resm�ibod, � /I �j ���h�� <br />Signed i��,�cc �� <br />l;ddre�s = 1�� � , , ,:��/%'L— <br />i(��TL: k septic tank pe:mit is issrefl on t�ic U:sin of the aUoJe in Pnrn:si i,n, 7f <br />t��cre are ant� change;, or alterations ir i.he aUove r.tate3 soi7 cw-c' t:-�nn, lr ra;; <br />r�sult ir; t;�e ir�t.all^t-in�; 'cir�.E .�1^ci:,ii ��t �I�:e t'��c o� i_i.:�,cc'.� �. <br />