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' /,z — ✓i/✓i/Ei <br />CITY OF EVERETT <br />City Hall PHONE: Alpine. 1-11J1 <br />Everett, ''Nashington <br />I NSPECT I ON- DEPARTI✓IENT LOT APFFOVAL SHEET <br />NAm;E _[' ate! _( ADDR_ E�� s <br />ADDRESS OF PROFOSED BUILDING___(�fj 3 <br />LEGAL DESCRIPTION: LOT BLOCK ADDITION <br />TYPE OF USE _ NO. OF BEDFOOIAS SIZE OF LOT <br />SOURCE OF DRINKING dATER: PUBLIC SUPFLY PRIVATE BELL <br />A. SURFACE DRAINAGE <br />1. Is disposal field site well drained? f1 c_ <br />2. Any water course (stream, drainage ditcb/I etc.) through site?_��Z h <br />B. TOFOGRAPHY <br />1. Any heavy slopes in field area? <br />2. 'Jill present topsoil in field ar a be removed or graded before field tiles are <br />installed?_ <br />3. .Jill any fill material be used in the disposal field site?__ If yes, how <br />much •� <br />C. SOIL CONDITIONS <br />1. Has a hole at least 4 feet dee been up in the disposal field area to determine <br />the type of soil present? a� <br />2. After hole is dug record the soil conditions at the following depths: <br />(Record as sand, gravel, clay, packed sand, loam, etc.) <br />12 inches _ 5 30 <br />inches =_ <br />18 inches S �-- 36 inches <br />24 inches c_ 48 inches <br />s. Any ground water encountered before reaching a depth of 4 <br />If so, at what depth? ^-` <br />D. UATFR TEST <br />A simple water test will show how well this soil will drain or percolate water. <br />To perform this test: <br />1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger; size <br />of hole makes no difference - only depth. <br />2. Fill hole with water. Now let all water run out of hole. This soaks the <br />ground and will give a more accurate reading. <br />3. Again pour water in hole to a height of 12 inches from the bottom. Let <br />water run out until there is just 6 inches from bottom left in hole. <br />4. Note how many minutes it takes for this last 6 inches to seep away. <br />5. Divide this time by 6 to obtain the rate per inch. <br />6. Date water test was performed. <br />I hereby certify the above information to be correct and the above tests were per- <br />formed by me as prescribed. <br />Signed <br />Address <br />NOTE: A septic tank permit is issued on the basis of the above information. If <br />there are any changes or alterations in the above stated soil conditions, it may <br />result in the installation being rejected at the time of inspection. <br />