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CITY OF EVERETT <br />City Hall <br />Everettq aeashington <br />PHONE: ALpine 9-7101 <br />INSPECTION DEPARTNENT <br />LOT APPROVAL SHEET <br />NAN.E AD:ESSel PC /r r e"iv <br />r�+ <br />ADDRESS OF PROPOSED BUILDING <br />LEGAL DESCRIPTION: LOT1g�BLOCk ADDITION <br />TYPE OF USE NO. OF BEDROOMS SIZE OF LOT <br />SOURCE OF DRINKING ..ATER: PUBLIC SUPPLY PRIVATE HELL <br />A. SURFACE DRAINAG <br />1. Is disposal field site well drained? <br />2. Any water course (stream, drainage ditch etc.) through site? e�-� -- _ B. TOPOGRAPHY <br />1. Any heavy slopes in field areal i i - <br />present topsoil in field area be removed or graded before field tiles are <br />installed? iL�sf/ <br />�. ..ill any fill material be used in the disposal field site? If yes$ how much <br />i a , .-- <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 s 1 conditions at the following depths. <br />(Record as sand, gravely packed sand, loam, etc.) <br />12 inches /,*,ef7ni 30 inches _ <br />lE inches 36 inches <br />24 inches 48 inches_ �4afeet? <br />Any ground water encountered before reaching a depth of 407-1- <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 +t least 36 inches deep. Use a shovel or pust 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 />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 lakes for this last 6 inches to seep away. 3 <br />5. Divide this time by 6 to obtain the rate per inch; i - <br />6. Date water test was performed. r i 9G -X- <br />I herebyy certify the above information toe co rect and the above tests were per- <br />formed by me as prescribed. <br />Signed <br />Addres'a <br />MOTE: A septic tank permit is issued on the basis of the above information. If <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 />