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Home My WebLink AboutSWG Application .......,--- . .. , - 4 I... ''1'4• • . . • . . . •'• c " . - .. — . " - %'1;e°• PERMIT,N07 yr,SWG•7•71 -r-'77:svi71:7747:4"b7At.A.,..i04611:110 •4. . 1.141......::c...,' 1 1 l'i'Mirienisit511 .„ .• . .•••/•-•-• - . • , %MILO/14 . , %'. .• , ....' -.1..• 4 l'i i : •. MASO • i D. FA , . ' FVIc ... ••; , • •c.;,.3• 7.:;.:,..-, T': )......4.0.•!-.!--- ,...,,....i.‘"f"••.'''N,••..?.•qi-h4 . • -4 .:Al-o•'''; "ikaiti':v.:11'21;Xor. .; " -'4, / .;/..t- ver..1;_ki.i. ,a; .z.:, ;. ..):,...,.•••,;40: •,, •on . -:,... Ft •;.:., 1,el 00,„1., •--”J '..• ;) ".",. .'..:,. ,,* ,. 1 : A V•I 4,j,..fg Da •• .,<.- ;t Ps - iaal ''. r ,,. • - •• •' t! :•''..f.; ... •.. ......426. DAR i P.O:BOX 1666 SNE TO i A:98564.4p.: A,A;4 t NwnroTI:'":".:.:'. V '' l''''' -.:ViV411.ft.11,.':;'Z.:-.1?,.0,. ....rtili!'r•lii *bp.C).: 1,•0 • . i•t•--,- -• .-. 1;--.;,-,.......,.. ..rilal.0,-kg• rt000 p o. • • • i-3FIONE(206)42M670, ••;',V'tric:4;....J.zii.,.c.:(7fi`t:-N. '•-•"7,-AmoUn $•-•,i•5.9;0 i op.,-;;,,,::.',f,.,:•,••W(4.;.:.:!,:...1.•'•-•• • ,,,,....; •,,.<1 ,,,;.z •,.•1 1 • ,,,bvw,m:*op, :.. . , • ••• • ;3'';'''!A,Ii. .•'•ii.i=41r0”ik,i ...Prh.0,I, E ,-,'•4pifRi''CE'i.I..T T•;.•'•P.)TY O•W: N E_rR..;\\,...Y rk\' I,'‘.6'i.':..'1(.;2.•;I1,'1;•e•V'.'.y•'i••i,:\('I;.•‘','1'..'1*. 5/'.;.".W;.:1.•',;,,,:,•i\.I',.;;d N•,I•"\z.- 1',;-e•n..!.,'6 ••.,.`.•.•.`.:. • CREXEHPPEAAPNIRDKINING.APPLI CABLE ITEMS MAIINGADDFES i! : . DAYTIME PHONE ;i1 ; INSTALNGNEWSYSTEM I• 4/).•' 1J CITY .- STATE: • ip: - SYSTEM - \- \ V .I..I'..• ' N, ) .1I 1•\ • .\,;:j - k../\\;,)--i),.. -')-1 SINGLE FAMILY• •, • , / ' . TY - PROPERTY . V • \. v x ,c.1\le ) Zc1 PRIVATE WELL : •' • SPECIFIC DIRECTIONS FOR LOCATING SITE', .. - : 1 , ,/ e:-;,..,_\,v,•;., •• . ,., %Ise..\ . A;., ...5\,.. r\A l_i_•,,. ."...)c ,\Jo try' ‘,._,I PUBLIC SYSTEM ' •,* •,• . , r I I I•J--- ‘ ) ‘ V . .. SYSTEM ID NUMBER • . X\ • -.\e' ,.. .,- -„,.... SYSTEM NAME \Fe, 1 .e7 \1-\c-1--,C‘ 14)-..„\ \ A.,. -- ,. kI\%A .-jiri ,•• I (ij I APP,WANT‘ 'IC( > \CNC'.\,-.. ':(\f"(. t(' t r..X (JO :: 6(N.. `\e *; '":" •- ".' " ••••''' • ' NAMEVY‘<f 1 CA ..1.. \->:7 qC"kdk. • P . 1 , , MAITG ADDRESS .0. •pc„/....D.. 1..• • . ,. . Lot -• . \\\ 1-311'\`' • ft. _ 1 , 1 • l'' '' ' I• nstaller •••-,:l • .,.. q Size: \ acres TELEPHONE 2! ( , P.V.:. - Name of c., • SIGNATURk . • f•. . 1). \-.‘). 1--- ' . .-: • • Numberof 2. • got .. • o Designer•,. .. \-Q-7-7' : •N•\CA. '• . . BedrOOMS . -:**K) ' • X•"---• •17'•\„ _), ‘ • • \'A. ...):v\OLA • 3 . . • . I\..' I ••,PLOT PLAN • . : • ... 1-.Waw a dimensional plot plan, Lk L_c z.,-..). _ including: I I , - co 'V u(,' .146 (. 8 I ' .0 Predse location of test • )051 . ( I .. .n holge,showing \ , measured distances to : ,) F7 4\ .--- . ' • ;property boundaries. _ ..t, .1 '• • -, 0 • . • ( , E Id Entry road;•other roads, _____I! ::'•,.•. . driveways... ' . (0N...0. ,--••_A'(.. ..__\_.,,• . -...T.f„. 1 .i ., ' 1 )-31 . . • . • - • hurt: . DO NOT DRAW IN ' .. . c4 -A . SYSTEM DESIGN G- c ,,-r ;rc , %r _ i • ....At :) Sc((, , K5 . iA ,Fl) • • • • " . . . . • • • %. • OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE , .. • i I - i . SOIL LOGS ' . • 'i '• • . ' ' . i !I L .:::::.11•• ••••:,:•:.• • :_,,,-, • .;;., ...,:,..,.,..!s • • 4':-/-ii it...2. .. i - f-7•11 4 I' .- •• --Tii Kr 2- • - • : I .;) .... . ,...„ ....,.:,.• . --, el.. ., I . ...- 1 ..4'..z_ e 1.1y:Air_ t y .uer ill •• .... • •:, '1 .• 6:.... Z S- 5,4, tc•-,e-0.. - "•' Z'' c-4 AI"4."' I" :•• • • ...,: " . • ., • . . . . 72 .--",,..el it)b JO(CTI k.€/... • ...,., : z c- - c...%••• :,..r4 it)ts 4 G I/-4 uci..... • • -z 3- 7C3 SA'Ati< 71 CI 12.4...r.: - . l'...:4 . 1 • .: *,t. • .,k: i 1.c11-76. .2-) - •, -,: • •:,.: •• 1 .,. . • ( -rsi i.) r ) . • • ' . , •- • •c -/-7/1,6; t) . . .1 , , .,:.,. . k •i r.i. •.I " • , Depth from Original ,.! . • • •• Grade to Restrictive / i , 1,•• • K • • - •• •• • • ' ' ' ••, • Layer: or Water Table: ''-' 'Z' In. . 1 ' . DESIGNER DESIGNATION SCORES:...i' - •• :. •-: . , : .,.. MINIMUM SYSTEM REQUIREMENTS .. I I .. I. Finding 1 Score I Designer Level: 0 One .q Two;.....". .• • . • . . . 1 . .. . . . 1. .. Soil Type..t .- •. , ... _ : • ..., . . , 1 — * • • • . • • - , It;.' “ ".. ..1. .. ••• .• , . : Septic Tank ; • • • • '.:.Daily.;'.1.,••. • • ,, :1 • Vertical Separation i 0.0, ...:.: 3. •• .,, ,„ .. : .. .Capacity:',.', i'.-..*:.. Gal. : • , ...; 901q,...-'•••,7•:ff . GPO I i ' I 1 . . *‘,1).. *,-,* -, '. " ' 1', • ' '!',••••'.•':•, ) • • ., •• , • • ,....,...f • . . Slope • As,.. ...‘••• 14 •• . • ' ';'.,.:..• • • A-r.I. : i. -•; .. , ::.•!:.••• Hilt!,`•*'••;''• • • 1 . i . ....,.. . Fr • - • 1 1 •`'..Paiiel Sze'' - • 't :•/....; Ao,.....e,:-:.:•.6.,.(,..,:,•i'it.f,.::-,,:-:'.!•:. 1 •: .. Rate:::'.:',4,'•',i' •ft:.GPD/FT2 : ... •.; '',....' Area FT2 s,s -- •t.' § ..•?,.. , .. ' 1,115.1513at9r.c: .,... ......rv...-J..,.'t......- ''':...•:-'.. 9e...tli ,'•ii•: •I.... -q if Distance .,p t' horeline 4Q ft. .I , • ••••-;.. Total I./)- . •:••••.• , • ' •;\•-‘• •- , •,:,...:::ti:•::•-•.,i,,iiir tt•Tr-$.1.:•40-.4i.1.,:i•:•,4i •i9t,t,..), '•. ., .A.. .•L;. •:'•'.•:.'•:1:,•2ii':' c. s-.. ' .: irs,rii• ., ; \ .. s *. •. .'.1..,.'•1.......t`t;!'5.•t 11 -•“•4';,-,•4 ! t.:: ..:..;f:, • ..:i .4,:• lo •••'' - • • . 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