HomeMy WebLinkAboutSWG Application / As-Built - 8/14/1996 1 3oY�- Q =G LA qC )
th'a Tf«h, P.O: Box 746 THURSTON°MASON HEALTH DISTKICT No. ��VB�
Shelton, Wash. 98584 owtoox or rxvn oxwrxur .... Courthouse Annex
Phone: 426-4407 q Olympia, Wash. 98501
Phone: 352-4851 EXT 84
OWNER ,2 jyjyG S PHONECX-4=�8 JL
OWNER'S ADDRESS e0D ITY6GLf4/; STATE
SEND REPORT TO Q (7 &_A.L /Sc S' CITY QAZ fpd ij STATE
VK
SEWAGE CONTRACTOR ADDRESS P,O, f1c�T'/7�Br/f'iic 9852�1
(If self, confer with E.H.S.)
LEGAL DESCRIPTION �'a Z3
TA Z /v
PARCEL NO. LOT SIZEAjell Zee r5gp INTENDED USE OF BLDG. eC5
NO. OF BEDROOMS 3 NO. OF BATHROOMS / BASEMENT FLEMBING: YES NO A
NAME OF WATER SYSTEM W6LL INDIVIDUAL 1 PUBLIC COMMUNITY—
DIRECTIONS TO PROPERTY: (Be Specific) j2& O1,0 /j Lf His-/. w� t6d r/fir Ar ref,
�,rdeoT zoterT
DRAW A SKETCH SHOWING: 1. Property lines, location of h—, on the lot, and dimensions of the
lot. 2. Location of the house and sewage disposal system in relation to streams, lakes, wells-,
soil lag holes, patio, driveways, on Q� pond tanks, water supply lines and easements.
c" e/ _
a6 a a-7 9
/3aYce/ Nce sc
C Jr I n T hPo>�.9f W QU�r�" )Y(y`IIL.
Tci%> is G ,
The septic system is an approved temporary method of sewage
disposal until s ni available
DO NOT WRITE IN THIS SPACE
MINIMUMS: `^I �� e>"-� \ Ja.SCI•✓l SlKLl1�Jt.�-
Septic Tank (9Of L— 1
Drainfield llfS 35T)
SITE APPLICATION
APPLICANT'S SIGNATURE DATE 2
SITE INSPECTION FEE /O� RECEIPT NO._Dp�[ Y
APPROVE 3-PJZ NOT APPROVE➢ BY
D8C R
--Tl J
DBCe pap C t0 1
SEWAGE APPLICATION NEW / /
APPLICANT'S SIGNATURE ALTERATION DATE � --2/
FEE 20 RECEIPT N0.�0/�) BY _
PERMIT N0. /3 APPROVER Z7-7G B
Date Inspector/E.H.S.
aaaO )a - ollw0
THURSTON-MASON HEALTH DLSTJtICT -
.PHONE 753-8073' P.O. BOX 746 110 W. "K" ST. PHONE 4Y6-4407
MPIA WA 98501 SHELTON, WA 98584
1
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM L..
OWN PX / TOWNSHIP RANGE SEC •sJE
� � C'aTuT
THI ECORD IS NOT A GUARANTEE O 'PERFORMANCE. NAME OF l0T FDvin c
4 SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER PLAT _ NO.
NITH PROPER MAINTENANCE AND CAREFUL USE OF COMMENTS
HATER 11 CAN GIVE MANY YEARS OF TROUBLE FREE SER
DICE MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SITE q AERATION FIELD x
3Y FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH NO. �y�/ SIZE
4ND PLASTIC MATERIALS DOWN THE DRAIN,OR BY LARGE DEPTH TO MON?H GARBAGE YES
❑ NO
AMOUNTS OF WATER FROM LEAKY FAUCETS OR FAULTY WATER TABLE OF YEAR . DISPOSAL [� NO
FIXTURES. INSTALLER
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY 61lTL RD
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE SIZE
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND SEPTIC TANK ISI /D a 0 G' L
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. DRAINFIELD TOTAL FEET
CLEANING AT THE RIGHT TIME WILL AVOID THE RISK OF LENGTH Ss- 130
INJURING OR DESTROYING THE DRAINFIELD DUE TO TRENCH AREA TOTALSQ. FT-
SOLIDS CARRYING OVER INTO THE DRAINFIELD. CALL THE `� 3 `J 4
rHURSTON-MASON HEALTH DISTRICT FOR A LIST OF LIC- TILE ❑ CORRUGATED SOLID ❑ CEMENT
ENSED SEPTIC TANK CLEANERS IN YOUR AREA.THE CLEAN- DEPTH !4
ER CAN SERVE YOU BEST IF YOU SHOW HIM THIS RECORD ROCK
CU WHEN HE COMES. YDS. /IL --- DEPTH INCHES
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE SPACE
CE RESERVED
NT D DISTRIBUTION FIELD. $Q. FT.
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS
RECORD IN CASE ANY BUILDINGS, DRIVEWAYS, SWIM- NORTH
MING POOLS, OR EXTENSIVE GRADING OR FILLING ARE
LATER CONTEMPLATED.
SHRUBS OR TREES SHOULD NOT OF PLANTED CLOSE TO _
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH an
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE a /�
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
CHES SHOULD BE FILLED IN WITH SOIL. DO NOT EXCES-
SIVELY WATER THE LAWN IN THE DRAINFIELD AREA. • `t `
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT s-I
EQUAL TO ONE HALF INCH OF RAIN PER DAY.
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CONNECTED
INTO THE SEPTIC SYSTEM OR DISCHARGED INTO THE DRAIN-
FIELD AREA.
O
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
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
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 SOUTH '+'
NORMAL USE OF BOWL CLEANERS OR CLEANING COM-
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW ^
DOWN THE OPERATION OF THE SEPTIC TANK. /f f�dfJ' /CSLL
Z7
ROVEB Y
THIS IS AN IMPORTANT DOCUMENT
KEEP IT WITH DEED OR OTHER DATE CERTIHED t�
ESSENTIAL PAPERS.
O•