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CITY OF '-XERETT <br /> City Hall <br /> Everett, Washington PHONE: Alpine 9-7101 <br /> IFSPECTIOF DEPARTHEVT <br /> IAT APPROVAL SHEET <br /> NAME D/�j'/lJ r'TE✓E�' ADDRESS,, <br /> ADDRESS OF PROPOSED BUILDING—a j j 7?W' IJ d f s; r✓ <br /> LEGAL DESCRIPTION: IATZBLOCK ADDITIOV/ f r'i �' T .P/�;'� ,/,t���'.�:d <br /> TYPE OF USE/WALt NO. OF BrDROOiiS sin OF IAT 2L.4P�X'A �I <br /> SOURCE OF DRIEKIFG WATER: PUBLIC SUPPLY 7Z ex PRIVATE 1fELL <br /> A. SURFACE DRAI17AGE <br /> 1. Is disposal field site well drained? &i--C <br /> 2. Any water course (stieam, drainage ditch, eta.) through site7_� <br /> B. TOPOORAP tY <br /> 1. Any heavy slopes in field area?42 _ <br /> r 2. Will present topsoil in field area be re�aoved or graded before field tiles are <br /> installed? //J <br /> 3. Will any fi_T1 notarial be used in the disposal field site?'0-If yes, how much <br /> C SOIL CONDITIONS <br /> 1. Has a hole at least 4 feet deep been dug in the dial,osal field area to determine <br /> the type of soil present; <br /> 2. After hole is dug record the soil conditions at the following depths. <br /> (Record as sand, gravelpp clay ack d sand, loam, a c.) <br /> 12 inches fnj'Ld' �- /� 30 inches t. '' '7 <br /> 18 inches f/ // 36 inches ' <br /> 24 inches48 inches 4 J <br /> 3. Any ground water encountered��ntered be Yore reaching a depth of 4 feet? <br /> If so, at what depth? <br /> D. iIATER TEST <br /> j is simo7e water test will show how well thin soil will. drain or percolate water. <br /> To perform this test: <br /> y 1. Dig a hole at least 36 inches deep. Use a shovel or post hole diggerl <br /> isize of hole ;cakes no difference - only depth. <br /> 2. Fill hole with water. Fou let all water rim out of hole. This soaks the <br /> ground and trill give a core accurate reading. <br /> 3. Again pour water in hole to a height of 12 inches fron the bottom. Lot <br /> water run out until there is fust 6 inches from bottom left in holo. -/ <br /> 4. Note how malty minutes it takes for this last 6 inches to eep away. 2.7 <br /> E 5. Divide this time by 6 to obtain the rate j,cr inch. <br /> 6. Date water test was performed.,4a /41 su e <br /> I hereby certify the above inforointior: t.o 'ie correct and the a •ove test: •lore per- <br /> furred by me as proscribed. <br /> Signed / / )0 `f'Z`.` <br /> Addroea <br /> -4'L, 7a ef W <br /> NOTL: A septic tank permit in isened on tae basin of the above information. If <br /> there are any changea or alterations in the above stated soil co:.ditionn, it may <br /> result in the irstallotinn ',eing rejected at the tilne oZ b xpect on. <br /> • <br />