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_ CITY OF EVERETI <br /> { City Hall PHONE: A"p:nr 'J-11 JI <br /> Everett, ''I'lashingto�INSPECTION DEPARTMENT LT APFITJVAL SHEET <br /> - NAA�aI ADDRESS 44zadzl / <br /> ADDRESS OF PROPOSED BUILDING 3 Z 2- 22 •.S V:/ �G�' Y P // <br /> LEGAL DESCRIPTION: LOT BLOCK ADDITION <br /> TYPE OF USE W. GF BEDFOOMS -2. SIZE OF LUT <br /> SOURCE OF OF DRINKING MATER: FUBLIC SUPPLY 114 H / C- PRIVATE :BELL _ <br /> A SURFACE DRAIN&F_ <br /> 1. Is disposal field site well drained? 'Ce- <br /> 2. Any water course (stream, drainage ditch] a c.) through site? <br /> B. TOPOGRAPHY <br /> 1. Any heavy slopes in field area? // <br /> 2, Will present toppil in field area be moved or graded before field tiles are <br /> installed? /► 6 <br /> 3. dill any fill material be used in the disposal field site? If yes how <br /> much - <br /> C SOIL OUNDITIONS_ <br /> ' 1. Has a hole at least 4 feet deep been dug <br /> g in the disposal field area to determine Y <br /> the, type of soil present? _ <br /> 2. After hole is dug record the so conditions at the following depths: i <br /> (Record as sandy ravels clay, packed sand, loam, etc. ) r� <br /> i <br /> 12 inches r.tM 30 inches <br /> 18 inches 36 inches rr <br /> 24 ir,ches i 48 inches rr <br /> :. Any ground water encountered before reaching a depth of 4 feet's--- <br /> If sot at what depth? <br /> D HATER_TEST i <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 socks 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 <br /> 4. Note how many minutes it takes for this last 6 inches ig seep away• <br /> 5. Divide this time by 6 to obtain the rate per inch. .� <br /> ( 6. Date water test was performed._^L-,�9" G <br /> I hereby certify the above information to be correct and the above tests were per- <br /> formed y me as prescribed. Sij 1 <br /> s <br /> AddressA -lAnc 29- <br /> f ITE: A septic tank permit is issued on the basis of Vna above infor6iation. If <br /> I 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 /> L <br />