HomeMy WebLinkAboutSWG Application - 11/22/1977 'S PARCEL NO.
ITE NO. �%
BASIS FOR FEE AMOUNT ECEI T
- TI4URSTON-AMSON+IfALTH DISTRICT DATENumBER
I IS ION OF EN/VIRO�NN�MyEENTALHy
529 WEST URTH �Ab '.T�•'� }
PHONE 753-8073 PHGNE420mP P
OLYMPIA,WA 98501 SHELTON,WA 98584
APPLI ANT
ADDRE PHONE_ DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW
25 �ELNerAK. l�r 3Z1 L.4`Ib
�6A IT
WN= rl F�C'Z- SITE: gAPPROVED ❑ APPROVED
SEWAGE BY. ., I
CONTRACTOR -
III ,NAME OFPAT f/I'llS �4 �h,/ OT
O- SEWAGE: ❑ APPROV EO^LOT I ❑ q PROVEO
SEC. j TO NSHIP L2) N(er lh RANGE I WIC-,, BY:
DESIGNER:
TYPE OF 61NCLE5 NO.OF I LOT SOIL TYPE
EUILDINGFH M/LTT_BEDROOMS SIZE__%
WATER GARBAGE DEPTH TO WATER TABLE FT.
SYSTEM"*�`•��" ✓c.r DISPOSAL
J'; PERC TESTS INCHES PER HOUR
LIQUID WASTE G.P.D• By_DATE
PRIMARY Gql, PUMP REO
NORTH SITE PLAN AND SPECIAL STIPULATIONS: SEPTIC TANKISI
IiNiTCATEOIRECTION OF DRAINAGE)
DISTRIBUTION TILE TOTAL FEET
FILTRATION AREA ✓'=' SQ. FEET
QUANTITY OF
APPROVED STONE CU. YD. SAND—CU.YD.
FILL REQUIRED-„_ CU.YDS.
r�' 0 III1 SPECIAL SYSTEM REQUIRED
THE,ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT
NOV 2 1977 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 j
REGIONAL PLANNING LOW TO MEET THESE ELEVATIONS,A SEWAGE EJECTOR MAYBE
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 t ` ULTIPIf WITHIN 100 FEET
OF ANY WELL, FRESHWATERE GS. NO E OR ST E UAM; 100 FEET P FROM
I 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 INCLUDING SINK KANDEM OR THE AUUNDRYSWAS WASTE, MUSTAL
BE
I ARE% . ALL SEWAGE,
CONNECTED TO THE SEPTIC TANK.
DIRECTIONS TO SITE: FRCR-L -eEvr",c C-, E)\• T
CM Oro --r-iF'aT� -�2Ew. N,wAy (ARJP FINAL INSPECTION REQUIRED BEFOREBACBFILLING
�N F3�,ER.N�..1 ICI12� �v. Fu LL,C K\ ZO JJTi� TO BE BACKFILLED
O F I ) - • id
�D IT ` .2 TO BI"
6o Tc=, T-H E U=Gr. h"T•`- AvvaoK 1300 r'STRAW
,JV THE RD_C T.RE Q)C411T. 51IDE µ/IT, C+t STONE
, •, )IAT F uc ,iw THE Tc,,PC�j L'NE. PfllOVE0.TILF
yJAL, STIiA161IT A4 kCI HO "s '01-1- nYnSTONE
rLO STOOL' FC110E IZE' tt•1r IL- 12 "'IItr" R'2. UNDER TILE
THIS SITE PERMIT EXPIRES F- 0 >
CROSS SECT�ON OF TRENCH Q• „
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