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Home My WebLink AboutSWG Application / As-Built .1 717 THURSTON-MASON HEALTH DISTRICT No. 6d Q 5th 6 Birch, P.O. Box 746 _ Shelton, Wash. 98584 DIVIEION Of ENVIRONMENTAL NLALTN Courthouse Mnex Phone: 426-4407 61ym a, Wash. 98501 Phone: 352i 4851 ERT 84 OWNER %/ , /_/,t�/Z I� N N PHONE C I / p p ITY cyJ IT - STATE 6/ f OWNER'S ADDRESS D ` O / I L C SL lY 1 / L.I - - 3 1L7 s s SEND REPORT TO A 050 dF- CITY STATE SEWAGE CONTRACTOR ADDRESS n (If self, confer with E.H.S.) LEGAL DESCRIPTION L I / O )L dIJM ,L J PARCEL N0. LOT SIZE G - S /OINTENDED USE OF BL .CA )3r,( 2 2 NO. OF BEDROOMS NO. OF BATHROOMS_Jregf_BASEMENT PLUMBING: YES NO OF WATER SYSTEM '4 l INDIVIDUAL PUBLIC_X_C MMUNITY_ NAME ,Y T /+ DIRECTIONS TO PROPERTY: (Be Specific) / u R IU '�' G� - - -1-0 /�O rtil 6/4 /C z - cuy' c_e 1. CF_ FT. AOC1cGrrl Ell 3_hO LFJ=, OH✓ 1� // 6 R m � _ j�7v�-�- — � v i ��,s o� " Lo f ESL DRAW A SKETCH SHOIVING: 1. Property lines, location of hr`,ifie on the lot, and dimensions of the . lot. 2. Location of the house and sewage disposal system in relation to streams, la es, wells, /S soil log holes, patio, driveways underground tanks, water supply lines and easement f'tI✓GL1Ps L tit E= le""d_ [( )74/?J gF_ PTIC T' fnlK scBitf. w Tl� h �fuN�i f�1� r�li �IFcb from G�/f� The septic system is an approved temporary method of sewage _ disposal until sanitary sewers are availa1b� -le. .� _ �' DO NOT WRITE IN THIS SPACE !�-� ctr.Qp` Lu V�tA�f 50 I I U ,r J " 0 es MINIMUMS: O �� p �f ,.J(`/a Septic Tank �/tM'-^-'�-- .Q,. W e-Q/ti lJ� r�I'ti /� Drainfield 1 I oL t,VA a'�1� I O C 3 a"k,-Q All SITE APPLICATION 3 l 3�^ / 3 APPLICANT'S SIGNATURE DATE SITE INSPECTION FEE /O m RECEIPT NO.3(0 APPROVE ` NOT APPROVED BY Da Date Inspe or/EKW. SEWAGE APPLICATION NEW / / ALTERATION l=T 6 9( 7 APPLICANT'> SIGNATURE DATE 7�i / FEE 2.0 °— RECEIPT NO. 3 3/ 6 BY , PERMIT NO. APPROVED BY Date Inspector/E.H.&. THURSTON-MASON HEALTH DISTRICT 529 WT rIONE 753-8073 P.O. BOX 70$ W*Y T. PHONE 426-4407 OLYMPIA, WA 98501 �j SH�TON, A 98584 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL S STEAA OWNER,, TOWNSHIP RANGE SEC. H L THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. NAME OF L T A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER PLAT r / O (fl WITH PROPER MAINTENANCE AND CAREFUL USE OF SOIL WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- COMMENTS VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SITE AERATION F ELD BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH NO. S ZE X AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY LARGE DEPTH TO MONTH GARBAGE ❑ YES AMOUNTS OF WATER FROM LEAKY FAUCETS OR FAULTY WATER TABLE OF YEAR DIISPOSAL ❑ NO FIXTURES. INSTALLER THE SEPTIC TANK ITSELF SHOULD BE.CLEANED EVERY TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE SIZE FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SEPTIC TANK ISI THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. DRAINFIELD I TOTAL FEET CLEANING AT THE RIGHT TIME WILL AVOID THE RISK OF LENGTH ' INJURING OR DESTROYING THE DRAINFIELD DUE TO TRENCH AREA I TOTAL SQ. FT. SOLIDS CARRYING OVER INTO THE DRAINFIELD. CALL THE THURSTON-MASON HEALTH DISTRICT FOR A LIST OF LIC- TILE DEPTH CORRUGATED ❑ SOLIDI ❑ CEMENT ENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE CLEAN ER CAN SERVE YOU BEST IF YOU SHOW HIM THIS RECORD ROCK WHEN HE COMES. CU. YDS. DEPTH INCHES HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE SPACE RESERVED FOR DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS REPLACEMENT DISTRIBUTION FIELD. SQ. FT. RECORD IN CASE ANY BUILDINGS, DRIVEWAYS, SWIM- 1 -NORTH_ MING POOLS, OR EXTENSIVE GRADING OR FILLING ARE LATER CONTEMPLATED. qT SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO 11 THE SEPTIC TANK AS THEY WOULD INTERFERE WITH CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCH THAT SURFACE WATER IS NOT POCKETED ON THE DRAIN. , FIELD. ANY SETTLING OF THE GROUND OVER THE TREN- CHESSHOULD BE FILLED IN WITH SOIL. DO NOT EXCES- SIVELYWATER THE LAWN IN THE DRAINFIELD AREA. WATER EVAPORATION FROM THE EQUAL TO ONE HALF NCH OF RAIN PER I IS ABOUT DAY. -2y}41 FOOTING DRAINAGE, DOWNSPOUTS AND WATER A SOFTENER RECHARGE WATER SHOULD NOT BE CONNECTED INTOTHESEPTICSYSTEMORDISCHARGEDINTOTHEDRAIN- FIELD AREA. a THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE __ G"% ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK 1 HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY I . . BE HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY CHANGING THE CHARACTERISTICS OF THE SOIL. THE NORMAL USE OF BOWL CLEANERS OR CLEANING COM + �y� �t ---SOL'JTH-I+ j POUNDS-WILL NOT KILL THE BACTERIAL ACTION C ON OR SLOW � DOWN THE OPERATION OF THE SEPTIC TANK. DATE APPROVED BY THIS IS AN IMPORTANT DOCUMENT KEEP IT WITH DEED OR OTHER DATE CERTIFIED BY ESSENTIAL PAPERS. O.