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� SNOHOMISH HEALTH DISTRICT <br />- , ENVIRONMENTAI HEALTH DIVISION <br />CouA .louse, EvereM, Woshingfon 98201 <br />SEPTIC TANK INSTALLATION PLAN <br />Submi[ ia T�iplicate <br />oNmer.......Gar.don..Reykdal ............................. nddnss....8723...De1...Campo...Dr...,Fver.eti Pho�e..EL..3.-292�... <br />ADDRESS OF PROPERTY....�4.2%...-...�22�d...$t.S..E�..>._F,ve.C�.tt .................................. Permic No.22838........ <br />Legat Des��pcson..LnL..86.,..Si7.�e.r...Lake._Ter.r.ac.e.,...°,nohomish..Gounty...lJash.inaton ....................... <br />- - .............................................................._ <br />Dni��r...Lee.Johnson 8 Associates Address.1712 Pacific.Avenue,Everett phone.AL.9-6071 <br />I��ler.....1,�.�ter._Wear--....._ ..............._.......... Addcm.P._O...Box...164,_.Lake..Ste,yens.,... Pho�e.334-5615..... <br />I hercby certify the a��ompanying draw�s ������ �P�ntation o( the system installed at the listed <br />addren. I also certify al� cecommendations and �svictions (concerning plembing stub elea ' ns, maintenance of <br />grada, fills, surface drains, etc.) listed by me on my :�ewage disposal syst 't �wtioo dated.......__......... <br />.....Md�Ch..B....1968.........have been complied with. �� <br />.................................G.. ..."'r <br />.: .. ... /..._......'.---..._..........DaZts�, <br />Signature oj Dengne <br />/ Neil F. arefoot P.E. <br />.TO BE FILLED IN BY HEALTH DEP.9itT�tENT' ONLY <br />Accepced ................... . ' Aliu 1 � 196e <br />.. ..............._......_ Dau..._......................_.--•. <br />A ..... <br />Not Acceoted-_-------_.. �'1 .,_._ <br />Signature of Smitarian...... �.r,-.s�ti ��._. _ : ' ` ;/ �� <br />.. .. .....---"--'--------.. <br />Remark:: <br />ATTENTION HOME OWNER: <br />Your septic tank hu limieations! It was designed and installed to cue for an a�erage•size (amilv. Over- <br />loading the septic tank or disu�rbance of �he drain field may seriously unpair saus(accory operauon. Poincs to <br />iememhrr: <br />1. Have your tank checked periodically to see if pumping is necessary (2��_3 ;�ean). <br />2. Do not channel ground water, surface v:ater, (ooting dr,tins or downspoucs into the �ink or draintield. <br />3. Do not ercavatq fill, place a swaurq dri�•eaay or pauo in, on, or over the drainfield. <br />4. Limit tailet fucturc disposal to sanitary wasta and toilet tissue. <br />�. Deecrgents uul bleacha used in normal household quantities wi11 not hum the action of the septic tank <br />and disposal reld. <br />,.M ae.n <br />Mr & Mn Joaeoh W Doyl� <br />Id2i 122ra St <e ' ;J <br />F.,�1e" `v'� JOB N0. C68-73 <br />^a:ea <br />