HomeMy WebLinkAboutSWG94-00983 - SWG Application - 8/4/1994 _,.,1 ::.. ., f44,:- Y . PERMIT NO. SWG - 0 e
MAS �1'COUNTY L, ARTMENT OF HEATH SERVICES 1. 1 j
4,0
Date
. .426 W. CEDAR/P.O. BOX 1666/SHELTON,WA 98584 Recei c
- PHONE (206)427-9670 Amount$ 1:_ m f i
PROP R OWNEki: m
f DATE:. CHECK APPLICABLE ITEMS ✓` m R. I
s r'•\1‘- ' - \ t\c'� INSTALLING NEW SYSTEM ✓ all
MAIL ADDRESS: DAco-
YTIME. 1 REPAIRING OLD SYSTEM
CI STATE: ZIP EXPANDING SYSTEM
p >Y-•\ \J�� C\V`32-\ • SINGLE F ILY \ /
p PROPERTY ADDRESS: ,1 e'� 11�i C \. V OTHER v71�''�*Z �/ c
SPECIFY:
-SPECIFIC DIRECTION FOR LOCATING SITE: PRIVATE WELL
PUBLIC SYSTEM 1 \n\.•_3
�� \c �--e, �ea---,-)- �J r1 �1 SYSTEM ID NUMBER I_1-:
-••4‘ \ • �.,)� `-'•C� :: c r �c,\e e \" )G i'\G'C"' SYSTEM NAME kid
\ `, \ \ APPL.QANT I(�l
r () \. (A `f`6 t t\ -\r�C NAME \ YNv‘A. C C . A.,.,�c� , N-.Name ofING ADDRESS\�.h ,,L . is
I Installer Lot ``_ p
ft.x ft. 7 ,PRr,n ���i� �' `� �E'`
- Size: 6,� acres TELEPHONE (` x, 1 ` /�l 1.3 s
Name of y
Number of SIZiI�A R o
Designer ( � �' G Bedrooms \� �� X t,_ \ ':\�R/
t= PLOT PLAN �, \--:, (ym I1=
• Draw a dimensional plot plan,
r including: A f"l
g 0 Precise location of test i X \ \ r-�• holes,showing Y'e C, ✓• .e , 0\ \l�r^� (�
''' measured distances to
property boundaries. �!
❑Entry road;other roads, I"
driveways.
G
E NOTE: DO NOT DRAW IN
SYSTEM DESIGN
,,!
e s- 13 — `? L h L.. -F ro LI
OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE.
SOIL LOGS
$ti 7H (Y rN/s'. ._...... _ ..-. T L rll/7
v. r-- o-�i.S4�vol�.+tii o-.?3 Sa4n.� H
d-,?7 JA111)1. 8m 0-3/ SAND LcAM O-22 SONOLOA�t
31-)y 22-66 56�vo46RRyaL a� -S ` "*NO4C7I2UFc. 43-12SAN„tl„i.'Fr
s•' S�NofG/?AFL r��.E t
, /7-', I �RN0�CRaIEi 6-yek ri erinF Z)
(-TV i,Fi.,j 'We r�
�.� .. • Depth from Original y
t *' Grade to Restrictive
• .. _ Layer or Water Table: /7 In. '
•. DESIGNER DESIGNATION SCORES " . MINIMUM SYSTEM REQUIREMENTS •
.,
Finding Score Designer Level: 0 One Two •
Soil TYPe y/ 2
S Septic Tank .% Daily
Vertical Separation r S in. / Capacity:;36 o p Gal. ,\ ,Flpy ,r,cyy,9 GPD
f,.. .Slope. , . ,...: . 2�1 % .� Appi
Infilf:
' Paroef Size` 6:7sr.Ac. -5 Rate i 6 V GPD/FT2 Area 2.9 c'�. FT2
Distance to Shoreline N, ft. ty. Total /2 Inspector Date
c ' „k-°, ,. 7T-7 /u.-9t1:-
• • COMMENTS/CONDITIONS FOR APPROVAL .•
f '
T/,r� Sys/c,r. ,s u,v of :(:..er Ac cc.te,•�' G'i /S4,s i)Q/-cct 4T o ( I -"I.(' '/ �.Fi-� Imo.
' • 0
,: 4 .
Of ,
,` Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit.
all;Permit expires 3 years from date of site Inspection.Denial of this permit may be appealed to the Health Officer within 10 days of denial date.
Appioved,,4f Design Required 0 Not Approved DE,SIIGN:`" Approved 0 Not Approved INSTALLATION:O Approved. 0 Not Approved
. <<,r,BY:.. c , . ~:DATE.,�r.-.�-r,+ BYC,;1/.'�/'t DATE: l6 ..44: BY DATE:
TOP:Health,Dept:-Gtopy RIDDLEt. si ner s Co porroM:•Applicants Copy 1
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