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2- <br /> CITY <br /> CITY OF 7NERETT <br /> City Hall <br /> Everett, Washington PHONE: ALpine 9-7101 <br /> INSPECTION DEPARTMENT <br /> —/ LOT APPROVAL SHEET <br /> NAMET �iADDF--AS <br /> ADDRESS OF PROPOSED 6UILDIN4 3 A I <br /> LEGAL DESCRIPTION; IAT C BLOCK ADDITIOL' �� ? <br /> TYPE OF USE NO. OF DLDRGOiS 3 SIZE OF JOT_ Vk- <br /> SOURCE OF DRINKIN WATERT PUBLIC SUPPLY I' PRIVATE '.'CLL <br /> A. SURFACE DRAII'AGE <br /> 1. is disposal field site well drained? <br /> 2. Any water course (stre:A, drainage ditch, et through site?_ .n+ <br /> B TOPOGRAPHY <br /> 1. Any heavy slopes in field area? ."L.n <br /> 2. Will present topsoil in field area be removed or graded before field tiles are <br /> installel? ✓4-e <br /> 3. Will any fill material be used in the disposal field site?y_K6If yea, 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? - <br /> 2. After hole is dug record the oil conditions at the following depths. <br /> i (Record as sand, gravel, clay, packed sand, loam, etc.) <br /> .'2 inches 30 inches <br /> 18 inches �4�t"s�����`'�36 inches_ <br /> 24 inches . 48 inches <br /> 3. Any ground Crater encountered before reaching a depth of 4 <br /> If so, at what depth? <br /> D. WATER MST <br /> is simo'e water test will show how yell this soil will drain or percolate water. <br /> To perform this test: <br /> 1. Dig a hoIr at least 36 inches deep. Use a shovel or post hole digger; <br /> size of bole nukes no difference - only depth. <br /> 2. Fill hcle with anter. rota let all water run out of hole. This soaks the <br /> grouni and •.Till give a more accurate reading. <br /> 3. Again pour dater in hole to a height of 12 inches frora the bottom. Let <br /> water run out until there is just 6 inches from bottom left in halo. <br /> 4. Note how mart' minutes it takes for this last 6 inches to veep atray. ((r .G:....t, <br /> 5. Divide this time by 6 to obtain the rate ! or inch. et e,204a �T•.a�,ky <br /> o. Date water test was performed. -CGL �:p s 6 a <br /> i hereby certify tl.a above information t.o be coereet and the wove tests were per- <br /> ferved by no as prose-abed, <br /> Signed <br /> Addrorsi:r 2� <br /> NOTM A septic tank permit is issued on the basic of the above information. If <br /> there are any changes or alterations in the above stated soil cor:ditiono, it may <br /> result in the installation 'eing rejecto-i at the time o, ihopection. <br />