HomeMy WebLinkAboutSWG Application - 6/11/1981 =MLWkC0UNTY
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ONVMENTHEAAL LTN LTH SDEaARTMENT FOR DEPARTMENT USE ONLY
RCH STREET • SHELTON, WA. 98584 DATE BASIS FOR fEE AMOUNT RECEIPT
NUM ER
PHONE (206)42G5561 -
- . . PIgNF - SITE: ❑ APPROVED ❑ NOT
APPROVED
ADDRESS BY:
RICHE: •. �: .
yW DESIGNED SYSTEM REQUIRED_i
CONTRACTOR SEWAGE
DESIGNER
EEGAL CFSCaIPTION SEWAGE: ❑ APPROVED ❑ APOPROVED
BY:
TVPE of SOIL TYPEBUILDI NO. OF RIOT
StNW R BEDROOMS SIZE_X DEPTH TO WATER TABLE PERC. RATF/ ,.�„�,�.
SWGLE RESIDENCE II�� PUBLIC WATER
WATER SYSTEM Y' SYSTEM ❑ NAME SEPTIC TANK(S) GAL. PUMP REQ.COMMERCIAL ONLY
LIQUID WASTE G.P.D. DISTRIBUTION TILE TOTAL
DIRECTIONS TO SITE: FEET
FILTRATION AREA SQ. FEET
QUANTITY OF
APPROVED STONE- -CU. YD. SAND CU. YD.
FILL REQUIRED_. . CU. YDS.
FINAL INSPECTION REQUIRED BEFORE BACKFILLING
F DEPTH OF
�BACKFILL
Y'STRAW OR PAPER
— — E�STONE 8
OVERTILE O
E�PIPE SIZE
N
E�STONE
SITE PLAN AND SPECIAL STIPULATIONS (_ ygDBR TµFD
(INDICATE DIRECTION OF DRAINAGE IL�rSS' (lull U
CROSS SECTION E
JUN 1 1JG
REGIONAL P
COMMENTS:
THIS SITE PERMIT EXPIRES