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CITY OF-:,VERETT <br />City Hall <br />Everett, Washington <br />INSPECTION DEPARTHENT <br />PHONE: Alpine 9-7101 <br />LOT APPROVAL SHEET <br />ADDRESS y r,� :-iv �9 S to <br />ADDRESS OF PROPOSED BUILDING <br />LEGAL DESCRIPTION: IAT, J_BLOCK ADDITION.,g!�Z <br />TYPE OF USE o.�rc• NO. OF MDROOii 0 SIZE OF LOT_ <br />SOURCE OF DRIFKIFG WATER: PUBLIC SUPPLY i -- PRIVATE IMLL <br />A, SURFACE DRAINAGE <br />1. Is disposal field site well drained? <br />2. Any water course (stream, drainage ditcV etc.) through site?. d <br />H. TOPOGRAPHY / <br />1. Any heavy slopes in field areal 4 1.1.1 /L SIA) - . <br />2. Will present topsoil in field area be removed o� before field tiles are <br />installed? h// <br />3. Will any fill material be used in the disposal field site?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?_ q/c f <br />2. After hole is dug record the oil 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 (�'r2 ._, A e0- y, <br />24 inches 48 inches 11 t • <br />3. Any ground miter encountered before reaching a depth of 4 feet? /1/0 <br />If so, at What depth: <br />D. i1ATER TEST <br />i. simo?e miter test will show how yell this soil Will drain or percolate water. <br />To perform this tests <br />1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger; <br />size of hole makes no difference — only depth. <br />2. Fill hole with water. row let all Water run out of hole. This soaks the <br />around and trill 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 takes for this last. 6 inches to seep away.��/•� <br />5. Divide this time by 6 to obtain the rate ;ce inch. <br />6. Date water test was rerformed. .U.. v. <br />I hereby certify the above information to lie coerect and the wove tests Were per— <br />forred by no as proscribed. <br />Signed���� <br />Addroea <br />NOTL: A celitic tank permit is issr.ed on the basin of the above information. If <br />there are any changes or alterations in the above stated soil cor.ditionn, it may <br />result in the inetallnticn 'eing re.Joctnd at f•he tine o, ii,epect on. <br />