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HomeMy WebLinkAboutSEP1971-00139�. OLYMPIC HEALTH DISTRICTco Ccwrt Hauge; `Pratt Townsend, waw a. 3 Last Caroline OLYMPIC HEALTh ISTRIC Permit No Part Angeles Pee Paid S WAGE DISPOSAL PERI" T . APPLICATION Submit ` n .ADDRESS �3A ? HAMS � PHONE yyyy i AL��. ,imam LEGALIO DZRRCTtONS FOR LOPATING +SIT 4,im APPLICATION'' :��I. AL 1. MA i � z '*+ �9 �F i'iI+�V�Y i . M SYSi� \� 1. �' ANT F +¢'�''[�T"�#}+� © BUILDING B �t . INSTALLE�a T TXFOW RR ; E SID , DRAidt A DETAILED _ 1. Propert _; banes % • Drivewe�y► : Patios t carport • etc. 2. Loce.ti ° :r "of building � Strew or. bod�.e+e. of w&tpr, de rby ,(J 3# Locati depot, tack '9 Location of peroalation . 6t holes ,.of +. Locat: f drainf field 10,E . S+pt.c tt sib. .t 5 • Slope of sand ll Length o pr' opoeed .' d = ,e d . 6 Water ee & well(if applicable. 120'Depth to water if sacouatererd• PEifLi�TIQ . TEST " �' U`LTS ` h 77 77 epth Tip@ requ.r@; to ercc t tn: of hole eeep list ic:. divide tim-6 by 0 Pere. No* PPero. `No. 2amm .... Pere. o._ 3. .. ":- .> _ .: ., _ ,;. .... .YVCM1.'L-ri='"''rZ - Y ";. N.•.iw Tr.< t�,:..y . ... DRAINFIEL� GTH: DTg DEP T NO* OF'. ES �►-� � Q --ASK ` �M... IT `IS r iER _j' 'A.GI=D .THAT TSE. P #OPC3SED INSTALLATION i iL% BE MATE IN THE MAt�i� AS DE WN D AND APPROUD ON THIS APPLICATION x athr+� cif PPct APPR,O DATE OF '� N STALLATIN SANITARIAN fS (;O NTS IS = CONS IT S11 ERI .. EN . H ALTH 0 C TER S I ATS PLAN .APPROVED ISAppRtVEt DATES " C) DATEL SANITARIAN '.." REMARKS j �M,'� 7 �i. TUT'�fil 4i + U TA ilU A! �iiVEi/ B Ni�Y% M Ldr ii LLW a _ INS TA L a S : H DA' , . , ...... . SOW~ AM ft. w 0 %W '0 WOW r fi ii*iTIL bW WY