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HomeMy WebLinkAboutSWG Letters / Memos - 5/22/1998 MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 FAX 427-7798 May 22 , 1998 Dorothy Ethridge PO Box 40531 Bellvue, Wa. 98015 RE: Parcel Number: 12330-51-00017 Site Address: NE 140 Galley Way We want to thank you for your participation with the Mason County Department of Health Services in the Lower Hood Canal sanitary survey. Your system was surveyed on 5/18/98. At the time of the inspection, your septic system appeared to be functioning and has been given a non-failing status. For your information, operation and maintenance guidelines for you septic system have been enclosed. If you have any further questions, please call me at 360-427-9670 ext.353. Sincerely; Cindy E. Bingham Water Quality Technician ON-SITE SEWAGE SYSTEM SURVEY _ PERMISSION TO INSPECT FORM w Project: Ilic �Cfl I� � OWNER INFORMATION JAN 2 1 1998 Name: �(�.� �TM(cED6E, Address: HEALTH SERVICES II v tie intro 4801 S SFFE INFORMATION : Parcel k : P 33a- 5I-0oQ o Owner's Phone: a)(p �o4�-3(o-la Address: NC ILn GN11e s (Lq City: State: WA_ zip: 9 Building Type: F (F-Fun Time Reside ; S - Smsoml Residence; C Commercial; M - Multi-family Rmldonco; V - Vwc ) Septic System Type: (S - Srmdara sank and dminfield; P-Prwsuro Distd%ution; F - Seed Finer, M -Mound; T - Deep Trench; H- out House; GO - Other; U - unmewa')) Installation Date: U Year Last Pumped: 19 91.E (Freer Year or U- Utdmur�) System Location: (F-Front Yard; B - Back Yard; S -side Yard; A - Adjacent Lot; U - Unknown) Number of Residents: U Shoreline (Y/N): , OCCUPANT INFORMATION(complete only Udlderent tkan owner): Occupant's Title: (nut, t , ms) First Name: Last Name: Occupant's Phone: - PERMISSION PERMISSION FOR ACCESS TO INSPECT THE SEPTTC SYSTEM(( i(YIN) SIGNATURE. P Date: (- h::qz-- Comments: U r�k ray VJ -