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CITY OF EVERETT <br />City Hall <br />Everett, .vashington <br />. PHONE: Al -pine 9-7101 <br />INSPECTION DEFARTNENT <br />OT APPROVAL SHEET <br />NAIVE Ydtj[i/14 ADDRESS / 7/3 <br />ADDRESS OF PROPOSED BUILDING_,!- 751e- <br />LEGAL DESCRIPTION: LOT;,:LBLOCI` - ADDITION <br />TYPE OF USEJ&;g&,4JO. OF BEDROOMS SIZE OF LOT 20 >c <br />SOURCE OF DRINKING .•ATER: PLIPLIC SUPPLY �� PRIVATE uELL <br />A. SURFACE DRAINAGE <br />1. Is disposal field site well drained? t v <br />2. Any water course (stream, drainage ditcq etc.) through site. 7 n <br />B. TOPOGRAPHY <br />1. Any heavy slopes in field area': I�-P <br />e. .ill present topsoil in field area be removed or graded before field tiles are <br />installed? = <br />!. 'i.ill any fill material be used in the disFosal field site?LoIf yes$ how much <br />C. SOIL CONDITIONS <br />1. Has a hole at least 4 feet de Pp been dug in the disposal field area to determine <br />the type of soil present? <br />2. After hole is dug record t soil conditions at the following depths. <br />(Record as sand, gravely packed sand7 loamq etc.) . <br />12 inches s� ?v 1A , t� 30 inches di t ne+�-� <br />tl�. <br />18 inches � — 36 inches lid • Cysa ...�' sf.ar" ' f�c� "°'�'` <br />24 inches ..1arx 48 inches <br />:. Any ground watt* encountpred before reaching a depth of 4 feet? 1 0 <br />If soy at what depth? <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 et 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 />qround and will give a more accurate reading. <br />3. Again 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 lakes for this last 6 inches to seep away. <br />5. Divide this time by 6 to obtain �e rate per inch. ( A <br />6. Date water test was perforred._= �g, le f� y <br />I hereby certify the above information to be correct and the above tests were per- <br />formed by me as prescribed. Signed `` /J <br />Address G7/3 7J.i�a, sl <br />NOTE: A septic tank permit is issued on the basis of the ove information. If <br />there are any changes or alterations in the shove stated soil conditions, it may <br />result in the installation being rejected at the time of inspection. <br />