Laserfiche WebLink
j <br />SNOHOMISH HFJJTH DISTB.ICT <br />3011 Rockefeller Ave., <br />$5.00 fee for permit Everett, Warhiu3ton Phone ALpine 9-2o61 <br />jyy / LOT APPROVAL SHEEP <br />ADDRESS OF PROPOSED BUILDING 4— ___•— N 1 5:��fi�r•rrr.! �r��r/ of �e/aicr� <br />'zero/ <br />LEGAL DESCRIPTION: LOT' / BLOCK ADDITION '.// <br />TYPE OF USE NO. OF BEDROOMS --__SIZE of LOT <br />SOURCE OF DP.INFaNG WATEP: PUBLIC SUPPIY PRIVATE W LL — <br />A. SURFACE DRAINAGE <br />1. Is disposal field site well drained? <br />2. Any crater cours-- (stream, drainage ditch, etc.)tYcon� site? <br />B. TOPOGRAPLr, <br />1. Any heavy slopes in field area? !- <br />2. Will present topsoil in field area be removed or graded before field tiles are <br />installed? :iI <br />3. WilI any fill wnterie..L be used in the disposal field site?.':' .If yes, how much- <br />C. SOIL CONDTTIONS <br />1. Has a hole at least 4 feet deep been dug in the disposal field area to determine <br />the type of soil present? <br />2. After hole is dug record the soil conditions at the following depths. (Record <br />as sand, gravel, clay, packed sand; loam, etc.) <br />12 inches 30 inches _ ' '411,0+1 <br />18 inches 36 inches L:•r ! <br />24 inches 48 inches <br />4. Any ground water encountered before reaching a depth of 4 feet?�If so at <br />what depth? <br />?. WATER TEST <br />A simple water test will show how well this soil will drain or percolate crater. To <br />perform this test: <br />1. Dig e, role at least 36 inches deep. Use a shovel or post hole digger-- <br />sizo 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 ran out until there is just 6 inches from bottom '_eft in hole. <br />4. ^tote how many minutes '-t takes for i.s last 6 inches to seep away. <br />Record the time. !lumber of minutes for last 6 inches to seep away 360 <br />Divide this time by 6 to obtain ':he rate per inch, u: <br />6. Date water test was performed. <br />I ce`�` the above information to be correct and the above tests were uer- <br />for� . by mL s Tprescri bed. %., r t � %' <br />Signed e t...: <br />Addzess ! _--r /),r'� l acre I//fir.• <br />NOTE: .A septic tank permit is issued on the basis of the above information. If there <br />are any changes or alterr.ldons in the above stated soil conditions it may result in <br />ttic ins taJntion'nci.ng r?jected at the time of Lnspe:ction. <br />