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Home My WebLink AboutSWG As-Built - 4/13/1977 SITE NO. PARCEL NO. RECEIPT TFIURSTON-MASON HEALTH DISTRIC ( DATE BASIS FOR FEE AMOUNT NUMBER �- ' DIVISION OF ENVIRONMENTAL HEALTH A/ZP R�L,\ / 529 WEST FOURTH „§ NONE 753-8073 NONE 426 07 426'1 61 OLYMPIA,WA 98501 SHELTON,WA 98584 APPLICANT North Mason School Dist.Py{#p4ry0E3 ADDRESS P. 2/O-L 0. Box 167 881 DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW NOT Belfair, Wash. 98528 SITE: ' APPROVED ❑ APPROVED SEWAGE LL�O_� BY: CONTRACTORUnknown T JJ �Ig,,pp.,, NAME OF PLAT See attached Discription No SEWAGE ROVE ❑ AN APPROVED SEC, TOWNSHIP 23 RANGE 1 BY: DESIGNER: Robert A. Bezzo TYPE OF Classroom A�WpL�fp&F�� LOT250 Studer ,jOILTYPE BUILDING— SIZE_ WATER Belfair Dist. # 1 GARBAGE DEPTH TO WATER TABLE FT . . SYSTEM DISPOSAL PERC TESTS INCHES PER HOUR LIQUID WASTE G.P.D. BY DATE -PRIMARY 750GAL_ PUMP REQ '� �. NORTH � ECIAL STIPULATIONS: SEPTIC TANKI513, — NDICATE DIRE C 10 OF DRAINAGEI DISTRIBUTION TILE TOTAL y -7 —FEET ym FILTRATION AREA SQ. FEET QUANTITY OF — — — APPROVED STONE CU.YD.SAND CU.YD. Exit Dg Buil in 9 FILL REQUIRED "'n C- CU.YDS. Asphalt I SPECIAL SYSTEM REQUIRED playground THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT THE MAXIMUM DEPTH OF THE DISTRIBUTION TILE SHALL BE BE- _ — —I 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 Drain Field LOW TO MEET THESE ELEVATIONS,A SEWAGE EJECTOR MAY BE REQUIRED. New ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES: COOS ruction BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD, 100 FEET FOR SINGLE RESIDENCE, MOBILE HOMES, DUPLEXES nSeptic Tank AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET I� ,p OF ANY WELL,FRESH WATER LAKE OR STREAM; 100 FEET FROM u ANY SALT WATER BODY. O NOTE: "FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER.AND ANY OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED TOOK DISCHARGED TANKTE SEWAGE DISPOSAL B Creek "R AREA". ALL SEWAGE,E. INCLUDING SINK AND LAUNDRY WASTE. CONNECTED TO THE SEPTIC TANK. DIRECTIONS TO SITE: 3/4 of a mile South of Belfair FINAL INSPECTION REQUIRED BEFORE BACKFILLING ro E RACKHLLED AFTF0. INSPECTION Ir•ro:r k- R'STRAW E II sTONE OWA TILE <_ SrDFa UNDER TIE THIS SITE PERMIT EXPIRES CROSS SECTKIN OF TRENCH I �� -' ROATS ENGINEERING LIEU EIR T)F U j(a SE0114QL P. O. Box 995 POULSBO, WASHINGTON 98370 DATE 8 7 • n.,77—SUSO Phone 779-3939 TE EE To 7Y...,.Ty /7/a N�zzzfE �iT�aT 42B �ra/i Sae/T+a /< )A) 511? Q GENTLEMEN: WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints 0 Plans ❑ Samples X Specifications ❑ Copy of letter ❑ Change order ❑ COP16 DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: X For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Returncorrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS E� P S�J PStJ l� COPY TO SIGNED: J It mnewn+ +n no++ nw+e, +bety ruddy us at+nn Phone 779-4450 KE TEIR OF TRUMMOUTTQd ROATS ENGINEERING .. P. O. Box 445 `9 Poulsbo, Washington 98370 ATTENTION TO 46 .«Ot1G 6aPv .5�i�,�u � Sir E ' 2=4, Al .SLc GENTLEMEN: WE ARE SENDING YOU AK Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION G .dEslwv ,�,4>,4G Y%"s. m<' SECT/L .S S re rs TR'E ,nra�c THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval Nf For your use ❑ Approved as noted ❑ Submit copies for distribution As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS n U 111UNSTON-Mill HEALTH DISTRICT a SNELTq! WAS 1 COPY TO /J /• �+ SIGNEDD w.»-..gym..-....,..,�....... a•nclomro• •,. nee.. net•e, kmny..ntr A et-IOT �' MEMO INSTRUCTIONS TO SENDER: INSIED ETO RECINENT. maa�n KK42A I. of C.YELLOW COPY AND FlLE I. WRITE REPLY. ' FOR FOLLOW UP 2. DETACH STUB AND KEEP WHITE COPY Moo,. Bu,inen forms Inc• _ 2 SEND WHITE AND PINK COPIES. 3. SIGN PINK COPY AND RETURN I11O SENDER. /- a2 - 7 MASON COUNTY HEALTH DEPARTMENT PLEASE REPLY BY ENVIRONMENTAL HEALTH SECTION ❑ ❑ ❑ ❑ 428 WEST BIRCH STREET REP.. AIR 'MIRE FMOMf SHELTON, WASHINGTON 98584 MMl ,MIL PHONE (206) 426-5561 TO _, _.,, Planning Department ....... DATE. P.O. Box 186 SLIWECT North Mason Elementary Shelton, Wa, 98584 School This office has no objection tQ--the_.jaRIIance of a building permit to ' remodel the North Mason Elementary School. Sincerely, _ Bruce Pederson, M. D, County Health Officer SIGNED Judy Whittaker Health SPE . RECIPIENT- Please sign uM cemrn Pink copy �. e