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CITY OF XrRETT <br />City Hall <br />Everett, Washington PHOKr^.: Alpine 9-7101 <br />INSPECTIO1.1 DEFARTHEFT <br />PROPOSED <br />LEGAL DFSCRIFTION: LOT,/ —BLOCK ADDITIOI: <br />TYPE OF USd� a NO. OF DLDROOiS 3 ME OF LOT gs x /Oct <br />SOURCE OF DHIhKIPG WATER: PUBLIC SUPPLY { PRIVATE 'TELL <br />A, SURFACE DDRRAIhAGE <br />1. In disposal field site well drained?// P S <br />2. Any water course (stream, drainage ditdh, etc.) through site?.—:22 ei <br />D. TOPOGRAI-HY <br />1. Any heavy slopes in field area? '%I D <br />2. Will present to soil in field area he removed or graded before field tiles arc <br />installed? d <br />3, Will any fill material be used in the disposal field site? elf yes, how much <br />C. SOIL CCFDITI0I;S <br />1. Hae a hole at least 4 feet dee been dul in the dis;,osr:l field area to determine <br />the type of soil present? f� <br />2. After hole is dug record th6 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 <br />24 inches 48 inches <br />3. Any ground water encountered before reaching a depth of 4 feet? <br />If so, at what depth?_ 6 <br />D. HATER TEST <br />l: simn'e water test will show how yell this coil will drain or porcolatc water. <br />To perform this teat: <br />1. Dig a hole at least 36 inches deep, Use a shovel or post hole digger, <br />aiee of hole sakes no difference - only depth. <br />2, Fill hole uith rater. Paw let all Crater run out of hole. This soaks the <br />ground and uill give a more accurate reading. <br />3. Again pour grater in hole to a height of 12 inches from thr bottom. Let <br />water ran out until there is just 6 inches from bottom left in hole. <br />4, Note hot: %any minutes it takes for this last 6 inches to veep array. iy:c� <br />5. Divide this tiro by 6 to obtain the rate :or inch. _ 2- <br />6. Date water teat was rerformed.2=0 'v( ser-7- TA-2r: <br />I hereby certify the above information its he <br />formed by ne as proserihed. <br />NOTE: A septic tank permit is ismuod on tac <br />thore are any chonges or alterations in the <br />result it, thr ir.etallatinn 'ping rcinctrd at <br />correct orul"i u'ovr firsts were per- <br />Sipned %//' <br />l:ddromasut^f <br />br.si .-of the above information. If <br />aboctuted soil co:.ditionc, it may <br />she tine o, i.r.o-)ect.on. <br />