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f VIII OF EVERETI / _ 0 �J <br /> City Hall PHONE: Aspin, V-11J1 <br /> - I Everett, Washington <br /> INSPECTION DE Ti NT LOT APFROVAL SHEET <br /> NA �(/JSti r- / �oL+ . ASE 7T ADORESS�1�/ 3 '� 5 �+ ZDMeA1o5 1/JIJ ) <br /> ADDRESS OF PFOPOSED BUILDING �n � 7 7 PI 5 t/✓_ <br /> LEGAL DESCRIPTION: LOTS BLOCK 3 ADDITION i b P/AT <br /> TYPE OF USE AoM --- _ 10. OF BEDROOMS 1 _ SI ZE OF LUT 7Y <br /> SOURCE OF DRINKING DATER: PUBLIC SUPFLY Y z PRIVATE BELL <br /> A. SURFACE DRAINAGE <br /> 1. Is disposal field site well drained? __y 5 <br /> 2. Any water course (stream, drainage ditch e'. through site? AIA NE <br /> B. TOFOGRAPHY <br /> 1. Any heavy slopes in field area? /)"D N <br /> 2. Will present topsoil in field area be removed or graded before field tiles are <br /> installed? N n <br /> 3. Jill any fill material be used in the disposal field site?--,&.Q_ If yes, how <br /> { much <br /> EI C. SOIL OUNDITIONS <br /> 1. Has a hole at least 4 feet deep been dug in the disposal field area to determine <br /> t the type of soil present? P 3 b <br /> 1. 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 �yv LOAM 3b inches S><H <br /> 18 inches L amr- 36 inches sa :� GReUd l I1' <br /> 24 inches Sa_tigA 48 inches N6+✓TZIlk :$-*Mr <br /> Any ground water encountered before reaching a depth of 4 feet'? Ne.n/cf _ <br /> If soy at what depth? <br /> D. VIATER 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 /> 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 /> water run out until there is just 6 inches from bottom left in hole. / 'C -J <br /> 4. Note how many minutes it takes for this last 6 inches tp seep away._ <br /> 5. Divide this time by 6 to obtain the rate per inch. / o % <br /> 6. Date water test was performed.d-2'Zr'� Irm u <br /> I hereby certify the above information to be correct and the above tests were per- <br /> formed by me as prescribed. <br /> Address,,yr + � o �l� 5� SA7,1,(e✓O5 WN. <br /> NOTE: A septic tank permit is issued on the basis of the above information. Ir <br /> there 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 /> ii <br /> i <br /> T <br /> r <br />