HomeMy WebLinkAboutWELL - SWG Letters / Memos - 12/19/1974 �• �'.O. Box 746 c� No.
Shelton, WA. 98584 THURSTON-MASON HEALTH DISTRICT 4th & Brenner
Phone: 426-4407 DIVISION OF ENVIRONMENTAL NEA TH Olympia,WA. 985 _
() Phone: 753-8073
OWNER PHONE
OWNER''S ADDRESS CITY STATE
SEND REPORT TO 4 ITY� STATE .d1/
SEWAGE CONTRACTOR �/ ^7 DRESS ' f/" 5 �d
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(If self confer *ith E.H.S.) �—
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LEGAL DESCRIPTION ti' s f Q rOW �' aQ 9,0 C _4
LOT SIZES''� L�CJL eiin INTENDED USE OF BLDG.�
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NO. OF BEDROOMS NO. OF BATHROOMS �- BASEMENT PLUMBING: Ye No ,�j_
NAME OF WATER SYSTEM I14DIVIDUAL PUBLIC C MMUNITY
DIRECTIONS TO PROPERTY: (Be Specific)
DRAW A SKETCH SHOWING: 1. Property lines, location of house on the lot, and dimensions of the
lot. 2. Location of the house and sewage disposal system in relation to streams, lakes, wells,
soil log holes, patio, driveways, under�g`round qt�ks, water supply lines and easements.
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The septic s stem is an approved temporary ethod of sewage disposal
DO NOT WRITE IN THIS SPACE �j r
MINIMUMS:
Septic Tank �J _
Drainfield L
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SITE APPLICATION /
SITE INSPECTION FEE L20 - REC IP E ��f
APPLICANT'S SIGNATURE DATA
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APPROVED� `� 0 l�,�NOT APPROVED BY Z� �l
Date Date Inspector/E.H.S.
SEWAGE APPLICATION / / NEW / / ALTERATION
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APPLICANT'S SIGNATURE DATE
FEE RECEIPT NO. BY
PERMIT NO. APPROVE
Date Inspector/E.I.S.
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Mason County Health department
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MEDICAL-NURSING SECTION John V. Butler, M. D. ENVIRONMENTAL HEALTH SECTION
1 10 West"K"Street County Health Officer 303 N. 4 th
Shelton,Washington 98584 Shelton,Washington 98584
Phone 426-4407 Aril 1, 1982 Phone 426-5561
CERTIFIED
Dick Schramm
P.O. Box "E"
M,. Shelton, Wa. 98584
Re: Illegal eptic Tank Installation
Mason Co. Sanitary Landfill
R-4 T-20 3-4
Dear Mr. Schramm:-
It has come to our attention that a septic tank and drainfield has
been installed on the above referenced property. This install tion
was installed without a sewage system permit issue,'. by the Mason
County Health Department. Installing a sewage disposal system with-
out securing a sewage system permit is in violation of Article VI
Section 3.1 of the Mason County Sanitary Code.
You are now required within 30 days of receipt of this letter to:
1. Remove the installation.
2. If you wish to proceed, make application with the Mason County
Health Department. The site will be reviewed and if it can
meet all Codes,anewage system permit will be issued. All in-
stallations then will have to meet all Mason County Sanitary
Codes.
3. You may remove the drainfield and Use the travel trailers as
totally self contained units. All holding tanks must be dumped
into approved sewage disposal cyst ms.
4. You may appeal this decision. All appeals must be made in writ-
ing to the Mason County Board of Health and must be received
within 30 days of receipt of this letter.
If you have any questions, please feel fre to call me at 426-5561.
Sincerely,i
John V. Bu 'ler,. M. D.
Cou4y Heal th 0 facer —_-
Ron4 I&ir'd R. S.
Envi^onmen'al Health Specialis
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cc: Marley Young ✓
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