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� FROM :DCfiC/MRM 3RO FL 20G 9E6 6646 20�_.L'7-09 08s10 MBG7 P.02�06 <br /> � �- uIG <br /> R(� n � <br /> SNOi10AAI�H HEAL?H DISTRIC�151�1�11��67-000—ot5-0206 � � <br /> Emlronm��ttl Nalth Divi�ion T� (Proporry 7tx Aaounl Num��� I <br /> 3020: Ruek�r, r102. Ev�ntt, WA u�ao, APR 08 1994 ' <br /> WiNr � Wv}qNet�r 9sNon 330•SP70 � <br /> � .1�IIOhp�pjS�1 ❑ fMw ❑Renew� �qplMlpn <br /> APplI0AT10N FOp AN ONqTE SEINAOG p��NR � p�Pair �Alta�atlo <br /> ' Applleant— C�^—`�v crnnehe - � <br /> —.—� Phqp-717��ia6 i <br /> �y�o �y�o 16012 Meadov Ro.d ���r yy�nwoOd � 98037 <br /> Fbr tn�t�Ihtlen �t 7830 Uopar RidOo ztoad C��y gver�tt <br /> soc��r Ze a s6e� of <br /> �vp_ ib_ �ia 600_ 6uediWdan Name (or anech i. ■I : Aolm 1 Pidae <br /> 9 )—��-ri Lot�Blk_ I <br /> Aaaici <br /> W�Iw�SupplY ❑Individual: 9ouroe ��yNd�l waro� �ypply e�pplioation atriCMd7 YR�No__ <br /> O P�K (moro �f�n on�eonnectbn): Nvnoexistina e1tY (Atheh I�H�r ef mll�billt�) <br /> Prop�rty looalad withln oritiul wate��aupply aroa? Pb X Ya� Name ef Servica Area <br /> 86WAGE DISPagAL 91IST�M DESIGN INFOqMATION <br /> Atba� � cepla ol a dNail�e onsit� �N�y� dqpe��l plan rltil � minimum et s ��11 kp d�se�lpller,�. <br /> Typ� of g�lbinp; New�; Eilstlnp�;$Fp�; p���� � of BWiooms? Commeralal �Oth�r <br /> TYPG OF 6YaTEM PROpOBEC (pravity, LPD,NbuM,etc,) aravity _ p,�m,sk�6��3 ���u� <br /> D�pth ta Wa1af T�blelRs�trictH� lay�r: �5 ineh�e. 8bpe In Dni�fiNd/R�ana: �� !G /25 K <br /> . Suil T�xture TYM (1-6): � Appfiration R;to: _ 0.6 p�q ry�ay. Daly �w q�: _30o pallonuday. <br /> �be��tpn ��oa: 49seq n Tnnch Daplh:�6-24„elq 7ronan wqpe 36 Inchpc D�Ie Boils Lopp�d. 3-24-44 <br /> S�MI�7ank 61�axisti�pl Pump ChamE�r 81 :�^�" <br /> O�i Pu^4 BPmMoadf",�`'� <br /> Rpu(red Covsr 9d1: D�pN r eubk yerda <br /> Slgn�tun ot Do�ipner <br /> �a1pM�SNu�w ' a LicanwNo- 4�___PhonoNo.�3�5669 ' <br /> Adtlrwo_7 209-5TH ST City�LY�vilio a 98270 <br /> p De�s 4-fi-94 <br /> FOp HEALTH DISTRICT UiE ONLY <br /> A�CUCATION APPROVGo eaW: 9�nnarian: <br /> commen�iconeluon+: � M <br /> Conditionql Approv� (ee� Nner) Dap; IQ 7v <br /> ar{a�� <br /> APpLICA710N A�PROv�� E7�p�qEB ON: <br /> Approval of thlt appNcatien ft baecd sobly pn inlp�syo� P���� �n thl� eppliution and dopt nal conaEtuh a portnit lo � <br /> bagln conetruction of the oyatam or eny othar Improvemants on IM siro. 7Aic appraval ehsll NOT bv consldercd �n <br /> uwr�na�, slMer expnu�d or Impliad, tha� d�wlopm�M p�rm�u for thb �ito Mll be iseuad, (•9N IrVsrw �Id� for <br /> aadltionil fntarmotion.) <br /> APPLICATION DISAPPROVED Date��_ Senll�rian: <br /> , (S�� sttaoh�d denlal Ntf��), •g Q � sldo fOr itltlit Jnel nfo��ltbn. /� <br /> PERA�ITIS5UqMCEAPPROVED � ' ��Date: 6nnitariby • 1 �iLti�� <br /> PCRMRI3SUED:(pau) �/4��9y,�__gY; p�q�pT��R <br /> C�Iwd la InopacUon: (Oata) /I Ey; Inetall�r: � — � <br /> Finel InspMion: By: � 0018: <br /> Hu i. <br /> ,.. _,. ���.u�I � <br /> �� <br /> � <br />