HomeMy WebLinkAboutSWG - 11/29/1978 SITE NO. PARCEL NO.
PT
° RSTON-MASON HEALTH DISTRICT DAIF BASIS FOR FEE AMOUNT NUM
DIVISION OF ENVIRONMENTAL HEALTH
2000 LAKERIDGE DR.S.W. FIFTH 8 WHICH ST.
PHONE)53-80Z3 PHONE 426-5561
OLYMPIA,WA 98501 SHELTON, WA 98584
APPLICANT
ADDRESS PHOVC DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW
SITE: �., APPROVED ❑ NOT
APPROVED
SEWAGE
CONTRACTOR „ /' /: BV
NAME OF PLAT _ LOT NOT
NO. SEWAGE: APPROVED ❑ APPROVED
SEC _ TOWNSHIP - RANGE
BY,
DESIGNER,
TYPE OF NO OF LOT - '- A-Z --SOIL TYPE
BUILDING BEDROOMS SIZEX -
WATER GARBAGE DEPTH TO WATER TABLE '- `i FT.
SYSTEM ' DISPOSAL
PERC TESTS INCHES PER HOUR
LIQUID WASTE G.P.D.
BY DATE
PRIMARY
NORTH SITE PLAN ANB�SI�SU�T7� r;1 SEPTICTANKISI �.1 GAL. PUMP REQ
'INDICATE DIR }I�I� 1 E 1I T,
DISTRIBUTION TILE TOTAL �I.Z - FEET
DEC j ]8 FILTRATION AREA SQ. FEET
QUANTITY OF
APPROVED STONE-CU. YD.SAND-CU. YD.
REGIONAL PLA tJING FILL REQUIRED-CU. YDS.
SPECIAL SYSTEM REQUIRED
THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT
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
' 1 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:
BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD,
100 FEET FOR SINGLE RESIDENCE, MOBILE HOMES, DUPLEXES
AND MULTIPLE DWELLINGS. NO DRAINFIELD.WITHIN 100 FEET
- - - OF ANY WELL, FRESH WATER LAKE OR STREAM; 100 FEET FROM
ANY SALT WATER BODY.
NOTE:' "FOOTING DRAINAGE„DOWNSPOUTS, WATER SOFTENER AND ANY
OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED
TO OR DISCHARGED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISPOSAL
AREA ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE, MUST BE
DIRECTIONS TO SITE: CONNECTED TO THE SEPTIC TANK.
Sl� A r FINAL INSPECTION REQUIRED BEFORE BACRFILLING
A
K TO SE 6AOKHLL®
_ AFTER INSPECTION 1-
l
/ /(/ /iI o .. ��/ ,� '�"if�✓ �i Y"STRAW
IC-F STONE
OVER TILE
E IL_ STONE
UNDER TILE
THIS SITE PERMIT EXPIRES Et E- 0
CROSS SECTION OF TRENCH Q.