HomeMy WebLinkAboutSWG Application la$3 2 • `I L •LsOCLPARCEL NO.
RECEIPT
IS
DATE BAS FOR FEE AMOUNT NUMBER
THURSTON-MASON HEALTH DISTRICT
DIVISION OF ENVIRONMENTAL HEALTH -
529 WEST FOURTH NB W.K ST P.O.BO%P46
PHONE)53-90)3 PHONE426d 07
OLYMPIA,WA 98501 SHELTON,WA 98584
APPLICANT Ilorth 'mason Scnool Dist.P�{4.0E3
.ADDRESS LP,d' 1 BOX 167 2/7-' DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW
P. D
❑
Belfair, Slash. 411523 SITE: �' APPROVED APPROVED
SEWAGE
CONTRACTOOnknown L} -/3 .T.
NAME OF PLAT See attac leJ Ii15CYi ption NOT. SEWAGE ❑ APPROVED ' ❑ EA'PPPTROVED
SEC. TOWNSHIP RANGE BY,
DESIGNER. Robert A. ,iezZO
TYPE OF 10T?JO s}uden SSOILTYPE
-BDLLDING Classroom Ay9j&Ry SrzE_%
GARBAGE DEPTH TO WATER TABLE FT,
SYSTEM 3elfair Dist. ' 1 DlsPosAL
PERC TESTS INCHES PER HOUR
LIOUID W ASE G.P D. BY DATE
PRIMARY -jL)GAL. PUMP REQ
�. NORTH ECIAL STIPULATIONS: SEPTIC TANKISI_,
JTIEwDICATEDIRErn0 OFDRATNAGEt DISTRIBUTION TILE TOTAI FEET
FILTRATION AREA SQ. FEET
4 QUANTITY OF
— — — r APPROVED STONE CU.YD.SAND CU.YD.
LBiSt ❑q 1 FILL REQUIRED CU.YDS.
itu.11 inn P -
SPECIAL SYSTEM REQUIRED
'1ZJ�rOJIJ THE ELEVATION OF THE BUILDING SEWER SHALL BESUCH 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
OFFICER. IF THE ELEVATION OF THE BUILDING SEWER 6 TOO ,
u`rdin Flclu LOW TO MEET THESE ELEVATIONS,A SEWAGE EJECTOR MAY BE
REQUIRED.
:I ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES:
C0115 rART OF THE FIELD,
UCti 011 y� BETWEEN WELL AND ANK OR ANY P
100 FEET OR SINGLE TRESIDENCE, MOBILE HOMES'TILE
DUPLEXES
euti c Tani: AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET
: OF ANY WELL, FRESH WATER LAKE OR STREAM; 100 FEET FROM
ANY SALT WATER BODY.
p NOTE: "FOOTING DRAINAGE, DOWNSPOUTS. WATER SOFTENER AND ANY
OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED
TO OR DISCHARGED SEWAGE,
INCLUDING SINKE SEPTIC SYSTEMOR THE AND LAUNDRY WASTE. MUST AL
[peen '� CAREAONNECTED
TE SEWAGE,
\ CONNECTED TO THE SEPTIC TANK.
DIRECTIONS TO SITE:
3/4 of a mile South of uelfair FINAL INSPECTION REOWRED BEFORE BACKFILLING
TO of EAcXFB,Tn
AFTER INSFECTKIN
2"STRAW
E� STONE
OVER TILE
EJ STONE
UNDER TILE
THIS SITE PERMIT EXPIRES IF_ C� � I
GROSS jEOTION OF TRENCH