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CITY OF M-RETT <br />` City Hall <br />Everett, Washington PHONE: Alpine 9-7101 <br />INSPECTIOY DEP.ARMENT <br />e <br />i LOT APPROVAL SHEET <br />NAME / ADDRESS <br />ADDRESS OF PROPOSED BUILDING Q y 0 <br />LEGAL DESCRIPTION: LOT BLOCK ADDITIOI: l(ics.�2 AXeVa <br />TYPE OF USE; NO. OF BEDROOES SIZE OF LOT <br />SOURCE OF DRIhKIFG WATER: PUBLIC SUPPLY�----PRIVATE 'ELL <br />A. SURFACE DRAIFAGE <br />1. Is disposal field site well drained'? <br />2. Any water course (stream, drainage ditch, etc.) through site?, <br />B. TOPOGRAI-dY <br />1. Any heavy slopes in field area? 11 Y <br />2. Will present topsoil in field area be removed or graded before field tiles are <br />installed? 2 a— <br />3. Will any fill material be used in the disposal field site? � If yes, how much <br />C. SOIL CONDITIONS <br />1. Has a hole at least 4 feet dee been dug in the disposal field area to determine <br />the type of soil present": ' <br />2. After hole is dug record the it conditions at the following depths. <br />(Record as sand, gravel, clay, packed sand, loam, etc.' <br />12 inches 30 inches <br />18 inches 36 inches.';] Y' <br />24 inches i •�-� { 48 inches L i <br />3. Any ground water encountered before reaching a depth of 4 feet? <br />If so, at what depth? <br />D. iIATER TEST <br />i. simn'e 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; <br />size of hole makes no difference - only depth, <br />2. Fill hole with water. Fow let all water run out of hole. This soaks the <br />;round 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 hoc many minutes it takes for this last 6 inches toyseep away. <br />5. Divide this time by 6 to obtain the rate !+e• inch. <br />6. Date water test was perforned.2 61 <br />^? <br />I hereby certify the above information to~lie correct end the •ove test "ere per- <br />forved by me as prescribed. �� � <br />Signed r C <br />Address 2 /' _ <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 '1eing rejectod at +•lie tine o, i:,spection. <br />