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1 <br /> SNOHOMISH HEALTH DISTRICT <br /> Division of Sanitation <br /> 3011 Rockefeller Avenue <br /> $10.00 fee for pen'lt Everett, Washington Phone Alpine 9 2061 <br /> LOT APPROVAL SHEET <br /> NAME ADDRESS <br /> ADDRESS OF PROPOSED BUI ING C L L <br /> ��jj <br /> LEY3AL DESCRIPTION: I I I Bl,)CKT�/ 2 ADDITI N <br /> PRIVATE WELL LOT SIZE NUMBER OF BEDROOMS <br /> A. SURFACE DRAINAGE <br /> 1. Is dispcsal field site well drained? <br /> 2. Any water course (stream, drainage ditch) etc. ) through site? <br /> B. TOPOGRAPHY <br /> 1. Will topsoil in field area be graded before field tiles are installed? <br /> 2. Will any fill material be used in the disposal field site?_If Yes,how much_ <br /> C. SOIL CONDITIONS <br /> 1. Dig 2 holes at least 4 feet deep in the disposal field area to determine the <br /> type of soil present. <br /> 2. After holes are dug record the soil conditions at the folio-Ing depths. (Record) <br /> as sand, gravel, clay, packed sand, loam, etc. ) <br /> Soil lot #1 18 inches _ Soi: log #2 18 inches <br /> 36 inches 36 inches <br /> 48 inches 48 inches <br /> k, Any ground water encpuatered before reaching a depth of 4 feet? <br /> If so, at what depth? <br />