HomeMy WebLinkAboutSWG Application / As-Built - 3/30/1976 C
THURSTON-MASON HEALTH DISTRICT 0
5th A Birch, P.O. box 746 N,. 3 6
Shelton, Wash. 98584 mI.SnOw or twvu10.01w1At wuttw Courphg nee Annex
A Phone: 426-4407 dajivle, Wash. 98501
Phone: 352 4851 EKT 84
OWNER
OWNER'S ADDRESS �D /0 A(E 481lS CITY 5�STATE c/
SEND REPORT TO ! bo ✓� CITY—STATE—
SEWAGE CONTRACTOR ADDRESS
j (If self, confer with E.H.S.)
/-LEGAL DESCRIPTION L )/_ 5 //Q I qqI'aly L / pL
PARCEL NO. LOT SIZE b 2 ' — L J O INTENDED USE OF BL .L +7l
NO. OF BEDROOMS___j _/'NO. OF EArME0OMS F ffft BASEMENT PLUMBING: YES NO
NAME OF WATER SYSTEM ACtlVj4 INDIVIDUAL PUBLIC-)�—C WUNITY_
DIRECTIONS TO PROPERTY: (Be Specific) ' URN .P, GH_- / o
Lf F� ._ % y!/L'-Q+ — Lo><is on �.EiT, .. 02t1w� �' Vt! 'ye yow '✓/
DRAW A SKETCH SHOWING: 1. Property lines, location at hn,wa on the lot, and dimansl ns of the
lot. 2. Location of the house and sewage disposal system in relation to streams, la es, wells, is -
aoil log holes, patio, driveways nderground Lanka, water supply 11nes and eaeemen[
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From Gay/
The Septic system is an approved temporary method of sewage
die os al until .snits severe are available. _ !
DO NOT WRITE IN THIS SPACE �Y20_ UJ.yWAI_L SCSI fl� ' ' ej {7/
j ' MINIMUMS: 50 'Y ,,I �(�7 rGl,(yt.l`/{�
Septic Tank .7 ,��Yp�`�'µ(�l.(,/9�`���.I,, ,�� �a' I OQ h, "z J'(.0 e'z/ CQ
j Drainfield ��2�; `r V �aMl(�/n\1/I
/9O O(
PP 31- 30-. 73-
/ / SITE APPLICATION DATE
APPLICANT'S SIGNATURE
SITE INSPECTION FEE OC RECEIPT N0. 6APPROVEDUF/{`/JNOT APYROVEO BY
''�—p''a� - Date Inspe of/E/-7 SEWAGE APPLICATION NEW /=T ALTERATION /� DATE T 6176
APPLICANT'i SIGNATURE
FEE 1-0 = RECEIPT NO 3 3/ 6 BY
RMIT NO, APPRy.V,ED BY InsPectpr/E.X.S<
Printed from t sars l.0 y D
Printed from Mason County DMS
THURSTON-MASON HEALTH DISTRICT g�
524 YVT ONE 753-8073 P.O. BO%7`FJR kFD WAJP,ItC' T. PXONF 426-4407
OLYMPIA,WA 98501 OSHVIONA 98584
n o,
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSALS T* wi
0WNE& TOWNSHIP RANGE S C.
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. NAME OF L T /
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER PLAT 3 O (O
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 X
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH NO. SZE
° AND PLASTIC MATERIALS DOWN THE DRAIN,OR BY LARGE DEPTH TO MONTH ARBAGE 8 YES
AMOUNTS OF WATER FROM LEAKY FAUCETS OR FAULTY WATER TABLE OF YEAR SPOSAL 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 TOTAL FEET
CLEANING AT THE RIGHT TIME WILL AVOID THE RISK OF LENGTH '
INJURING OR DESTROYING THE DRAINFIELD DUE TO TRENCH AREA TOTAL SO.FT.
SOLIDS CARRYING OVER INTO THE DRAINFIELD. CALL THE
THURSTON-MASON HEALTH DISTRICT FOR A LIST OF LIC- TILE CORRUGATED [I SOIIDI ❑CEMENT
ENSED SEPTIC TANK CLEANERS IN YOUR AREA.THE CLEAN. DEPTH
ER CAN SERVE YOU BEST IF YOU SHOW HIM THIS RECORD ROCK
WHEN HE COMES. CU. YDS. DEPTF INCHES
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE SPACE RESERVED FOR
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS REPLACEMENT DISTRIBUTION FIELD: 50.FT.
RECORD IN CASE ANY BUILDINGS, DRIVEWAYS, SWIM. .+_NORTEL._.. 1 .i � . ! _
�- MING POOLS, OR EXTENSIVE GRADING OR FILLING ARE -�r \J
LATER CONTEMPLATED. 3..
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO /P i
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH gy
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE E-la
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED.THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCHTHAT SURFACE WATER IS NOT POCKETED ON THE DRAIN. +FIELD. ANY SETTLING OF THE GROUND OVER THE TREN- %.R
I CHES SHOULD BE FILLED IN WITH SOIL. DO NOT EXCES. ,
L
SIVELY WATER THE LAWN IN THE DRAINFIELD AREA. I 4
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT
EQUAL TOONE HALF INCH OF RAIN PER DAY.
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CONNECTED
I NTO THE SEPTIC SYSTEM OR DI SCHARGED INTO THE DRAIN- M T
FIELD AREA. b � '
a
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD •�L tI
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE.
JUVENATORS OR CHEMICALS TO CLEAN A SEPFIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY '
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• t— + SOOTH'#
POUNDSARVILL NOT KILL THE BACTERIAL ACTION OR SLOW
DOWN THE OPERATION OF THE SEPTIC TANK.
DATE APPROVED By
THIS IS AN IMPORTANT DOCUMENT
nted' ` W,MWf€RCoumy MS CERTIFIED BY
Printed from Masan County DIMS �,