HomeMy WebLinkAboutComminsary - SWG As-Built //JJ' /AGE SYSTEM CERTIFICATION r.1
Property Owner e� WA4 (// D ND bw.S ) Address 1v1 /
Sewage Contractor�t,4_a[p i104 to, [ Date Pare
1. Scale: 1 Square = 10,
2. Draw in physical structures to? be on lot.
3. Show location of well or any body of water,
4. Show location of septic system in relationship to structure.
5. Assume an elevation of 100' at one lot corner & indicate the other lot corner
elevations in relation to it.
6. Use Arrows to show direction of slope.
100
v
(,y7
6
r
Sir 4
50NNi.. `j`lD - '
N .1
Septic Tank Volume AAW7�
Drainfield Length
Cubic Yards gravel used
I certify that this system is installed as shown above, and that all-
requirements and standards of Thurston-Mason Health District have 3
E
been satisfied. f1
Signature
Contractor,', License 19 v
r i
June, 1970 l