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� . _. _ ..�..s...__ �. ., . .. _. . " " � �4i:1 �.l r <br /> ♦ <br /> I <br /> i <br /> � � <br /> � <br /> i I <br /> I <br /> I <br />' I <br /> CITY GF EVERETT I <br /> City Hall <br /> �veretl� �iashinoton �',';;� <br /> fHONE: ?Lpine 9-'i101 <br /> -� <br /> INSPFCTIOPI DEGART��EPJ�i <br /> ���{zr������'�� �%��F'�� � LOT APPRGVAL SHEET <br /> � /, <br /> ?IAN.�,�^"�-.f/�� �r"�`t ADDRESS <br /> ADDRESS OF PRCPOSED EUILDIPJG , <br /> �,7� E'?il�� � �C `- 7� �.�! <br /> LEGAL :?ESCRIPTICIN: LOT BLOCF ADDIT!ON <br /> TYPE OF USE✓z'��� fJO. OF 6EDR()CfvS � ' SIZE OF LOT <br /> iOURCE OF DRINKI�:G �.ATER: PUFLIC SUFFLY.7,�' FRIV,+Tt ��ELL_ _ <br /> A. SURFACE DRAIPIAGE <br /> 1 . Is disposal +'ield site �Nell drained: ;�-�` • <br /> �, l�ny yvater course ( stream� drainage di'�ch� etc.) through site'„��:4� ��2��'%' ��u <br /> �C��.(� <br /> B. TOPCGRAPHI' <br /> � , Any heavy slopes in field area':_ '" <br /> �, ;,i ] ] present topsoil in field are be removed or graded before field tiles are <br /> installed?� <br /> s. s. ill any fill terial be used in the disposal field site?�L' li yes� how much. <br /> C. SOIL CG�dDITId�dS <br /> ; Nas a hole at least 4 faei deep been dug in the :'isposal field area to determin^ <br /> � the type of soil present? -�` - <br /> �. Pfter hole is dug record t e oil conditions ai the following depth- . <br /> ( Record as sand� c�ravel � � packed sand� loam� etc.) <br /> 12 inches__ 30 inches -. <br /> 1� inches 36 inches � �'� -�w <br /> 24 inches 4£� inches. <br /> ., Any ground water encountered bePore reachir� a depth of 4 i�eei( , %'�' <br /> If so� at what depth? <br /> D, �t�ATER TES? <br /> A, simple water test v�ill show how ,veli this sci] will dr�in or percolat�= v�ate� . <br /> To i:erforn this test: <br /> ] . Dig a hole 2t least 3� inches deep. Use z shovel or post hole digger: siz� <br /> of hole nakes no difference - only deptn. <br /> �. Fill hole with water . �dow lei all �+ater run out of hole. This soaks the <br /> ground and will give 2 more accurate reading. . � <br /> j, Ac;ain pour water in hole to a height of 1? �nches from the bottom. Lei /` `��, . <br /> wai.er run out until there is just 6 inches from boitom ]eft in hole. J��f � <br /> 4. Note how many minutes it takes for this last (: inches to seep away. �1- �f��� <br /> �. Divide this time by 6 to obtain the r te �er �nch. Z � � <br /> 6. Date v;ater tesi was performad. $�1�� - <br /> I herel.:y certify the above ;nforRation to be correct and tne above tests �.vere per- <br /> ;ormed by me as prescr'ibed. �/�/ <br /> Siened�,� �'.C-4��"� <br /> Address - <br /> h'CTE: P septic tank permit is issued on the basis of th^ �bove information. IP <br /> 'here are any changes or aitera�ions in ihe above stated 5J11 r_ondi !ions� it may <br /> res�lt in the installation beinp rejected at the time 'of inspection. <br /> 3 ` <br /> 1��' <br /> —- —�� -- -� <br />