HomeMy WebLinkAboutSWG Application - 8/9/1977 JE NO. PARCEL NO.
DATE BASIS FOR FEE AMOUNT RPCEIPTER,r NJ MB 1HURSTON-MASON HEALTH DISTRICT -.
DIVISION OF ENVIRONMENTAL HEALTH
529 WEST FOURTH 110 W.K ST P.O.BOX)46
PHONE 753.8023 PHONE426-4407 --
OLYMPIA,WA 98501 SHELTON, WA 98584
APPLICANT
ADDRESS PHONE DATE APPLICANT MAST CALLFOR INSPECTIONS LISTED BELOW
L .
SITE: APPROVED NOT
❑ APPROVED
SEWAGE �A�, / BYy _
CONTRACTOR
NAME OF PLAT
LOT
SEWAGE: ❑ APPROVED ❑ qPQ VED
SEC TOWNSHIP RANGE BYK
DESIGNER.
TYPE OF NO OF LOT SOIL TYPE
BUILDING BEDROOMS S¢E x WATER GARBAGE DEPTH TO WATER TABLE FT.
SYSTEM DISPOSAL
PERC TESTS INCHES PER HOUR
LIQUID WASTE G.P.D. BY DATE
'
PRIMARY If GAL. PUMP REQ _
+ NORTH SITE PLAN AND SPECIAL STIPULATIONS SEPTIC TANK
I51
[INDICATE DIRECTION OF DRAINAGE[ / / J FEET
� ,. ... . .. . ... .. DISTRIBUTION TILE TOTAL
FILTRATION AREA 7 5;F-�SQ. FEET
QUANTITY OF
APPROVED STONE CU. YD,SAND CU.YD.
I
- - FILL REQUIRED - CU. YDS.
SPECIAL SYSTEM REQUIRED
THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT
! I .... THE MAXIMUM DEPTH OF THE DISTRIBUTION TILE SHALL BE BE
TWEEN 12 INCHES AND 36 INCHES FROM FINISHED GRADE TO
TOP OF TILE UNLESS OTHERWISE STIPULATED BY THE HEALTH
OFFICER. IF THE ELEVATION OF THE BUILDING SEWER IS TOO
LOW TO MEET THESE ELEVATIONS,A SEWAGE EJECTOR MAY BE
REQUIRED.
ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES:
BETWEE1100 FEEN ORLSINGLEANDT EANK SID NRCE,, MOBILE HHOMES,ANY PAT OF THETILE DUPLEXES
AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET
O WELL,
WAT ER FRESHWATER LAKE OR STREAM; 100 FEET FROM
AUG 9 1977 ANY SALT
Y.
NOTE: FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER AND ANY
OTHER
O OR DISCHARGED TANKED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISE
CTED
REGIONAL 1 -ANN:Td TOSAL
AREA". ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE. MUST BE
CONNECTED TO THE SEPTIC TANK.
DIRECTIONS TO SITE:
FINAL INSPECTION REQUIRED BEFORE BACKFILLING
1 TO BE BACKFILL0
AFTER INSPECTION
3" STRAW
STONE
OVER T[Lfi
STONE.
UNDER TILE
FRq n
$',SLT E 4T EXPIRES e—
CROSS SECTION OF TRENCH Q
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