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CITY OF EVERETT <br />City Hall <br />Everett, lashinoton <br />FHCr`dE: ALpirSe 9-7101 <br />INSPECTION DEPARTNEN' <br />LOT APPROVAL SHEET / <br />ADDRESS <br />DDRESS . v n n . I _ (4/ <br />ADDRESS OF PROPOSED BUILDING ' <br />LEGAL DESCRIPTION: LOT <<S BLOCK _ADDITION SX <br />TYPE OF USE.Z i 93 <br />��''JJ N0. OF SEDROONS � — <br />S I ZE OF LOT_ a <br />�— <br />SCURCE OF DRINKING ,.ATER: PRIVATE viELL•_ _ <br />PUBLIC SUFFLY�— <br />A. SURFACE DRAINAGE <br />]. Is disposal field site well drained? <br />L. Any water course (stream, drainage ditch, etc.) through site`: <br />B, TOPOGRAPHY <br />Any heavy slopes in field area: <br />ill present topsoii in field area be removed or graded before field tiles are <br />installed? ? f yes, how /much <br />—� any fill material be used in the disposal field site. <br />C. SOIL CONDITIONS <br />has a hole at least 4 feet deep been dug in the di=nosal field area to determine <br />the type of soil present': L y-,:l ' <br />After hole is dug record t Ede oil conditions at the following depths. <br />(Record as sand, gravel, packed sand loam �jtc))Ec <br />12 inches _e �Ca�, 30 inches �° — <br />16 inches ( yj^ 36 inches ' <br />24 inches /7r2! ��--�ti �4"z 48 inches <br />Any ground water encountered before reaching a depth of 4 feet? �rc� <br />If so, at what depth? D. iyATER 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 of 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 eater. Now let all water run out of hole. This soaks the <br />ground and will give a more accurate reading. <br />3. Aaain pour water in hole to a height of 12 inLet <br />ches from the bottom. <br />water run out until there is just 6 inches from Lottom left in hole. <br />4. Note how many minutes it takes for this last 6 inches to seep away._ r <br />7. Divide this time by 6 to obtain the race per inch. / ✓` <br />6. Date water test was performed.=le°— <br />I hereby certify the above information to be correct and the above tests were per- <br />formed by me as prescribed. Signed <br />Address ZL .� <br />NOTE: A septic tank permit is issued on the basis o the above information. If <br />soil conditions, it may <br />there are any changes or alterations in the above stated <br />result in the installation being, rejected at the time of inspection. <br />