Laserfiche WebLink
CITY OF EVERETT <br />City Hall <br />Everett� hashin�ton <br />FMONE: <br />IP!SPECTIC�I DEPART!dENT <br />%t/// _ ;% ���,,-�. <br />PLpine 9-"li01 _! <br />�: - <br />, I0T APPRGVAL SHEET <br />iIAA�,t��/�C-��' -�.'`w'— ADDRESS //S /� �.-w, P9 <alz, <br />�Ei. ���, ,Q � ..—,i� <br />ADDRESS OF FRCPUSED EUILDI�K; �P ,��� •�"�—�� �� '� <br />LEGAL �ESCRIPTION: LOT__BLOCK ADDITIOt�! <br />TYFE OF' USE.��c,��'"'- N0. OF BED`�OIA+S -3 S I ZE OF LOT %{ �i I�� <br />SC�JRCE GF DR I PIY. I P!G ,. ATER: �'UE'L I C SUFF LY J FR I UATE v� <br />l•. SURFACE DRAIDIAGE <br />!, Is disFosal field site �vzll drained:�� • <br />�. �1ny waier course (siream� drainage ditch� etc.) through site`1 <br />B, TOP�RAf HY <br />;. My heavy slopes i� field area': �"v „ <br />_. .ill p�esent to� soil in field area be removed or �raded b2fore field tiles �rP <br />insialled: lL0 <br />.. •.ill ary fiil m�^terial be uced in the disposal field =_ite? -,�c If yes� hov+ rruch <br />C, SOIL COiJDITIuJS <br />;. Nas a hole a1 leas't a iaet d�ep been dug in the disposal field area to determin� <br />the iyp< of s�il ;�r=5ent': �" <br />�. Pfter hole is dut� record thr suil condiiions ai the following depths. <br />(Record as sand� pr vel� c�-'�yy packed sand� loam� etc.) Q ,o <br />1 � i nches � 30 i nches�JLeti--:9 9�-a-�-D d-�---- <br />lC inches 3u inches " `' <br />24 inches�o � ��� iriches_ �' " <br />. Any �round water encoiintered beiore rea^.i'�inQ a dep{h of a feet? <br />If so� at what depth? <br />D. '��i1TER TE57 <br />�. siTple :�ater te5t v�ill SF10N' MOY! well 4hi5 soil will dr�in or percolate water. <br />Te perPorni this test: <br />1. Dip a hole �t ]easi 36 inches de�p. Use � shovel or post hole dig�er:=izc- <br />oP hole nakes no difference - only depth. <br />�. Fill hole with water, �dow let all siater run out of hole. This soaks the <br />�r�und and wil] giv� a nbre accurate readinp. <br />3. A�,��n pour water �n hole to a hei�ht of 12 inches from the bottom. Let <br />waier run eui until there is just o �nches from cottom left in hole. <br />4. �ote how many minutes it takes for this l�st 6 inches to seep away. <br />` Divide this iirne t,y G to obtain th raie i er ;nch._� <br />6, D:+.e �•:ater test was performed. �`� li /9 C. Z _ <br />I hereby cer!ify the abovF inforRntion to be correct and the above tests were per- <br />formed by me as orescribed. U . � <br />Siened '/ ,� ,�� <br />Addr�ss /i s- i_G._/ ' 9 <br />f�iGTf_: F septic {ank permit is issued on the basis o` ih^ �bove in£ormation. If <br />'her� ,re any- chanpes or alterations in ihe ebove siated soil ronditions� it may <br />��si.li in ihc; inslall�{ion brinp rejected at the tim� oP inspection. <br />