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CITY OF EVERETi <br />City Hall PWNE: A -pin, <br />Everett, 7lashington <br />_INSPECTION DEPARTMENT _LOT APHOVAL SHEET <br />NA B„!, ADDRESS_, !S2/- <br />SS OF PR)POSED BUILDING !/S // ' 9 3 SlC �- <br />LEGAL DESCRIPTION: LOT-4-BLOCK ADD ITION...Ji� <br />TYPE OF USE 7�` N0. OF BEDFOOMS "3 SIZE OF LOT '%7JC <br />SOURCE OF DRINKING DATER: PUBLIC SUPFLY /�� _ PRIVATE BELL <br />A. SURFACE DRAINAGE <br />1. Is disposal field site well drained? C _e <br />2. Any water course (stream, drainage ditc etc.) through site? <br />B. TOFOGRAPHY <br />1. Any heavy slopes in field area? <br />2. Jill present top it in field area be removed or graded before field tiles are <br />installed? Z% <br />3. dill any fill material be used in the disposal field site? L If yes, how <br />much -:Z "_ <br />C. SOIL OUNDITIONS <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: <br />(Record as sand, gravel, clay, packed sand, loam, etc.) <br />12 inches 30 inches <br />18 inches 36 inches c <br />24 inches , 48 inches <br />:. Any ground water encounters before reaching a depth of 4 rest'? <br />If so, at what depth? �1! <br />D. WATER TEST <br />A simple 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; size <br />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 />gground and will give a more accurate reading. <br />3. round <br />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 how many minutes it takes for this last 6 inches to seep away._ 1 <br />5. Divide this time by 6 to obtainAlle.rate per inch. <br />6. Date water test was performed. <br />I hereby certify the above information o be correct t e above tests were per- <br />formed by me as prescribed. . <br />Signed <br />Address �A?/_ LLy�--•%{� <br />NOTE: A septic tank permit is issued on the basiq above information. If <br />then: are any changes or alterations in the above stated soil conditions, it may <br />result in the installation being rejected at the time of inspection. <br />