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. NOV-03-2on9 TUE 12:00 ?i1 s cho ; sh has th d; s t FAX NO. 4252395254 °, 03 <br />' �1�L© <br />ENVIRONMENTAL HEALTH DIVISION <br />�� SNOMAISH `' water Swastorvaier8aotion <br />HEALTIi OCT 2 8 2U]5 3020RuekerAvenue,Smle!CA <br />UDISTRICT �Snnaho(�mislll 1� a25Ever3395 50 ett, WA 2ai 39no <br />Beafthy Gtfesrvtr.rH—il'ratl��"'Gbmrill nilies <br />ONSITL SEWAGE DISPOSAL SYSTEM PLAN (AS -BUILT) <br />Type of System: ❑ Gravity ❑ LPD ❑ SF ❑ Mound ❑ Repah- <br />❑RedacedSystem [TOther 1440L1;.'Jir1Cy <br />Permit No. d' 7 Property TaxAcoountNo. 60 `) 3g� fob b/00�ot# C�f��' Z <br />Owner Name /Ni GG LL=A-/�/ <br />Owner Address tP i Z,-u. ity_G H 4c. C- rP Zip 3 <br />ADDRESS OF PROPERTY City <br />Lrdgai Dcscripdon <br />i tic— LA,-4 to 5 HO' 2 <br />S, ta.e, <br />Designer S , V Cc 1'a-If-55 x~Address Phone 60 74 7'7� Q <br />IT e � s.� ¢eSo y tee` _Address r? � y Phone i 6o + �: <br />Onsite Sewage Disposal System installed and approved for - sq. ft. of <br />absorption area installed for I o d gal. per day. <br />I hereby certify the accompanying documentation is an accurate representation of the system installed at the above <br />ref=.nced property. I also certify all requir(mictiLe listed on tho approved Application for Onsite_Sewage_Dispgaal <br />Permit dareci have been complied with. <br />Si2nami-elbf Oesivricr or P.E, License 8 Dare <br />FOR F12—ALTH DISTRICT USE ONLY <br />ACCEPTED ❑ NOT ACCEIY D DATE IIIy1, I�tr <br />Signature of Sanitarian C�— <br />Remarks <br />ATTENTION I•IOME OWNER <br />Your onsite sewage disposal system has lini:Lzbonsl It was designed and installed to care for an ave•agc sized <br />family. Over -loading the septic outk or disturbance of the drainfield miy seriously impair satisfactory operation. <br />Points to remember: <br />l . Have your tank checked periodically to see if pumping is necessary (every 2 112 to 3 years). <br />2. Do not channel ground water, surface water, footing drains or downspouts into the Link or drainfield, <br />3. Do not oxcavate, fill, place a structure, driveway or patio in, on, or over die drainfiold and its replacement area. <br />4. Limit toilet fixture disposal to :unitary wastes and toilet tissue. <br />5. Detergents and bleaches used in normal household quantities will not barn the action of the septic tank and <br />disposal field. <br />6. Practice water cunservati i. <br />. Snuhoutish Health District strongly re.ommends garbage grinders NOT be used. <br />It is the homeowners responsibility to insure the system is properly operated and maintained. Refer to <br />the Operation and Mainter•anre mnterial provided. <br />Nt)-ICAi?gi M3 <br />l <br />