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1445 10TH PL N
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APPLICATION
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The City of Edmonds SIDE SEWER PERMIT
l ' OUTSIDE ❑ INSIDE lEf
CARD No. .........................................
EASEMENT No. ............................................... .
REPAIRS ❑ _
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OWNER..�V ........?!................................................................... CONTRACTOR ...................................
Y. /0..
AV� STREET
HOUSE No . ........... ...
........................ �............................................................ AVENUE LOT No. ...........................
NAME ADD ....... 07.7.A..6 ........
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10
............................................................ PERMIT No___ 2 � 7...��
.............................. BLOCK No.............................................................
......................................................................................................................
APPROVED
O"PT 191982
Date Approved:
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BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ......................................................
SEWER WORK ORDER ISSUED ................................................ DATEr� `'...:; ...r�.'��:'�-�--BY .....�'-1�
CITY OF EDMONDS
7110 - 210TH ST. SW • EDMONDS, WA 98026 • (206) 771-0235 • FAX (206) 744.6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
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890 19°'
February 24, 1995
Betty Holt
1445 - 10th Pl. N.
Edmonds, WA 98020
Dear Resident:
LAURA M. HALL
MAYOR
I have reviewed your account and will allow a credit to your account in accordance with
our City policy. The policy states that the customer will be billed at the retail rate based
upon the average water consumption for the same period during the previous year. In
addition, the excess water lost from the leak will be billed to customer at the City's
wholesale rate with a 15% surcharge added for administrative cost. Only one leak credit
will be granted in any three year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241.
Sincerely,
Ron Holland
Water/Sewer Supervisor
RH/lk
cc: Ilene Larson
Utility Billing Clerk
wordata\water\#233300
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
0
LOT APPROVAL STREET
NAME/ /iri 'ADDRESS OF PROPOSED BUILDINGADDRESS XW
LEGAL DESCRIPTION:
LOT
TYPE OF USE N0. OF BEDRO�`�1 j �Q� SIZE OF LOT " p/ w .
• SOURCE OF DRINKING WATER: Public Supply Private Well
A. SURFACE DRAINAGE
1. Is disposal field site well drained?
2. Any water course (stream., drainage ditch eta. ough site?
B. TOPOGRAPHY
11. Any heavy slopes in field area? v( �
2. Will present topsoil in field area be re ovdd or graded before field tiles
are installed?
3. Will any fill material be used in the disposal field site? �(
If yes.. how much?
C. SOIL CONDITIONS
1.Has. a hole at least 4 feet deep been d g in the disposal field area to
determine the type of soil present? ,
2. After hole is dug record the soil c"onditioA at the following depths.
(Record as sand, gravel., clay., packed sand., loan, etc.)
12 inches 30 inches
18 inches 36 inches
24 inches 4 8 inches
3. Any ground water encountered before- reaching a debth of Tre—eT?
If so at. what depth?
D. WATER TEST
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A simple water test will show how well this soil will drain or percolate water.
To perform this test:
1. Dig hole at least 36 inches deep. Use a shovel or post hole digger --
size of hole makes no difference —only depth.
2. Fill hole with water. Now let all water run out of hole. This soaks
the ground and will give a more accurate reading.
3. Again pour water in hole to a height of 12 inches from the bottom.
Let water run out until there is just6 inches from bottom let in hole.
4. Note how many minutes it takes for this ]last 6 inches to seep awayo
record this time below.
'L •=, Ioer of minutes. for Tisst 6 inched two seep awq
'5.. Divide this time by 6: to obtain the irate. per inch A
6. Date water test was performed G / ;ill._.
I hereby certify the above information to be correct and the above tests were
performed by me as prescribed.
Signed
Address
NOTE: A septic tank permit is issued on the basis of the above informa ion. vIf
there are any changes or alterations in the above soil conditions it may result
in the installation being rejected at the time of inspection.
Percolation Rate and Required Absorption Area. For single Family Dwellings.
Percolation Rate (Time in Lineal feet of 4 inch tile
minutes for water to fall using trench with wid f
one inch) two fe
3 0 minimum
4 1-7
5 190 11
• 7 225
10 �50
1.2 265 ,t
15 2-85 «
30 3.75
Over 30 Soil Unsuitable
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