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CITY OF EVERETT <br /> City Hall <br /> Everettq uashington <br /> _ PHONE: Al-pine 9-7101 <br /> INSPECTION DEPARTWENT all <br /> LOT APPROVAL SHEET <br /> NAA.E ADDRESS 7S� 1/mss <br /> ADDRESS OF PROPOSED ILDINGCCe /- <br /> LEGAL DESCRIPTION: LOT�B ocv ADDITIM Vt a 511 -5 <br /> TYPE OF USk w, o N0. OF 13EDROOVS I -SIZE CF LOT <br /> SOURCE OF DRINKING JTER: PUBLIC SUFFLY _ C PRIVATE HELL <br /> A. SURFACE DRAINAGE y <br /> 1 . Is disposal field site well drained / t <br /> i, Any water course (streams drainage uitchj etc.) through site'?---ALQ <br /> B. TCPCGRAPHY p/ <br /> 1 . Any heavy slopes in field area'r /l� <br /> ill present topsoil in fie d area a removed or graded before field tiles Arn <br /> installed? <br /> �. ..ill ary fill material he disposal field site?&If yes, how much <br /> l <br /> C, SOIL CONDITICNa <br /> 1 . has a hole at least 4 feet deep be p dug in the disposal field area to determine <br /> the ty-)e of soil present? � a S <br /> 2. After tole is dug record the soil conditions at the following depths. <br /> (Record as sand, gravel cAlAypacked sand,i loam, etc.) <br /> 12 inches 30 inches <br /> 16 inches y�1 _ 3, inches <br /> 24 inches _ ' 4� inches ' r A <br /> I 1. <br /> Any ground water encountered before reaching a depth of 4 feel? iy,!" <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 at least 36 inches deep. Use r shovel or post hole digger: size <br /> of hole crakes 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 /> 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. 5 <br /> 4. Note how many minutes it lakes for this Inst 6 inches to seep away. <br /> y. Divide this time by 6 to obtain the rate per inch. 2 l <br /> 6. Date water test was performed. — <br /> I hereby certify the above inforrration to be correct and the above tests were per- <br /> formed by me as prescribed. <br /> Signed <br /> Address_1 <br /> NOTE: A septic tank permit is issued on the basis of the a ovn information. `If <br /> there are any changes or alterations in the ebove stated soil ronditions5 it may <br /> result in the installation being rejected at the time of inspection. <br />