Laserfiche WebLink
' IntICT t itiw.r <br />3011 Rockefeller Ave., <br />t-5,OD fee_.for permit Everett, Washington ph me aptne 9-2061� `1 <br />IOT APPROVAL GEM <br />eenarrc/ /c'. 4,rr _ AD1.."'73S <br />2 2 7 r� ; S/ <br />PC": <br />n ' 3 OF MOM BUILDING � `/DGCr�G'Oc i7 DRiG'�_ <br />TN:L DES071T'ICN: LCT 17 BLOCK -- ADDITION Nr9/�/`1 �� lire•' _ <br />T_TE OF USE 00r"E' NO. OF BEDROOMS -3 SIZE OF LOT <br />^1MCE OF DRINKING WATER: Public supaly X Private Well <br />A. SU.'.?ACE DRAINAGE <br />1. Is disposal field sitz well d::rined? i6S <br />Any water course (stream) drainage ditch, etc. through site?_tO <br />B. TOPOGRAPHY <br />Any heavy slopes in field crey.? /VJ <br />WJ.11 present topso'.1 in ficid ac..a be removed or graded before field tiles are <br />installed? Iye) <br />3. Will any fill material be used in the disposal field site? C� If yes,how much_ <br />C. SOIL CONDITIONS <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? yes <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 Lcovr, 30 inches 5a. -' 6+ays/T_ <br />6 1AChe6 i ri ?r/Sn .i r 6. ut <br />18 inches 54nd grtyr , )or.�ar ks 3 ems+. <br />24 inches Sa_A 4Vkyy-1 48 inches • <br />4. Any ground water encotered before reaching a depth oYTfeet? U If so at <br />un <br />what depth? <br />D. WATER TEST <br />A simple water test will show how well this soil will drain or percolate water. To <br />perform this test: <br />,..,,, 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger-- <br />Jy►� S —4c�, size of hole makes no difference --only depth. <br />N 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 />r, 3. Again pour water in hole to a height of 12 inches from the bottom. Let <br />ti water run out until there is just 6 inches from bottom left in hole. <br />• n .k"'. 4. Note huw many minutes it takes for this last 6 inches to seep away. <br />?j r•� Record the time. Nember of minutes for last 6 inches to seep away liin :n <br />•�4•OfW"'!' 5. Divide this time by 6 to obtain the rate per inch. 3•++'M 11 <br />6. Date water test was performed. led <br />I hereby certify the above information to be correct and the above tests were per- <br />formed by me as prescribed. <br />Sig•.iedd+P=Rnformn,tion- <br />Addres<;Fst L, r%cccGNOTE: A septic tank permit is issued on the basisabove Is h.rt <br />are any changes or alterations in the above stated soil conditions it. may result if, — <br />the installation being rejected at thO time of inspection. <br />