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HomeMy WebLinkAboutSEP1996-00052 Y JEFFERSON COUNTY PERMIT CENTER • FOR OFFICE USE 621 SHERIDAN SEPTIC PERMIT APPLICATION Date 7 cA� f'l b • PORT TOWNSEND WA 98388 Fee $ /✓ ; (360) 379-4450 Receipt # /1/ 79,-- / Check # /I// O Case # j (p-. 005 PROPERTY OWNER C-t W1. C) re ci e r-S MAILING ADDRESS 5 S 71 c2 Id �-S-Cjn'd l n e r R U -----, 1 - 9 � _ :) E t PHONE Area Code ( ) - 1 1 JEFFERSON MINTY SYSTEM DESIGNER e h � 3 � PEMIT CENT' i LEGAL DESCRIPTION: Section 13 Township 29 Range Z. IA) PARCEL # Subdivision Name &j-j,y,L .1 te-r, c.4- y Division Block C Lot(s) E3-9"/© SITE LOCATION 0 id Ga rt:tiler lad qz, 4505"OO) (ATTACH MAP) TYPE OF IMPROVEMENT: Residential X Commercial TYPE OF WORK: New A Redesign Upgrade Repair Partial: tank drainfield Number of Bedrooms 3 Drainfield Length f ZO ft. Basement: yes no A Trench/Bed Depth .36:. in. Site Size I I 0 X I SC) Number of Lines 2- Previous evaluation: yes X no Tank size /000 gal. Water Source: Private Public )( Soil type (ATTACH SOIL EVAL. Drainfield Width 3 ft. Application Rate / 0 gal./sq.ft./day TYPE OF SYSTEM E 't9wG,e-eIl 1137-741 // T revi c h THE UNDERSIGNED ACKNOWLEDGES THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND TH , FALSE INFORMATION WILL NEGATE AND INVALIDATE THE APPLICATION AND/OR THE SUBSEQUENT PERMIT. THE PROP OW i WILL BE RESPPN . BLE FOR THE ACCURATE LOCATION OF ALL PROPERTY LINES. �. C j /4lI: '/ Date 2-'�--'' Signature A��i 4 ,a ..- lir FOR OF USE ONLY /11 E�1 � Nr 1 M A R VED PARTIAL ? -% FINAL '. • RENEWED RENEWED Planning District School District Fire District Community Plan H:\HOME\PLNCNTR\INFOHLTH\PERMIT.FRM Updated 1195 SEWAGE DISPOSAL PERMIT JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN STREET, PORT TOWNSEND, WA 98368 (360) 379-4450 PERMIT NUMBER:SEP96-0052 ISSUE DATE: 03/18/96 DATE RECEIVED: 02/29/96 Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN JEFFERSON COUNTY, WASHINGTON ISSUED TO RAMON BRODERS 5571 OLD GARDINER RD PORT TOWNSEND WA 98368 PARCEL NUMBER: 964505001 (Permit valid for this parcel ONLY) LEGAL DESCRIPTION Section: 13 , Township 29 N, Range 02 West Subdivision : JUNCTION CITY Block : 50 Lot (s) : ; LOCATION OLD GARDINER RD DESIGNER JOHN (DUKE) SHOLD THIS PERMIT IS ISSUED FOR A PERIOD OF ONE YEAR (UNLESS OTHERWISE STATED BELOW) IN ACCORDANCE WITH JEFFERSON COUNTY RULES AND REGULATIONS FOR ON- SITE SEWAGE DISPOSAL SYSTEMS, ORDINANCE NO. 1-83 . DATE OF EXPIRATION: 03/18/97F Jeffers.n Co. E ironmental Health Specialist . The property owner will be responsible for the accurate location of all property lines . Any removal of or major disturbance of soil in the primary or reserve drainfield area may create site conditions that are unacceptable for the installation of a sewage disposal system. Any change in building or sewage disposal plans (including plumbing stubout location) and/or location of house or drainfield invalidates this permit unless prior approval is obtained from the Jefferson Co. Health Dept . Issuance of a permit or renewal does not preclude the applicant from complying with all other state and local regulations . HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION. TYPE OF SYSTEM: CONVENTIONAL TRENCH NO. OF BEDROOMS : 3 Drainfield Trench Tank Length: 120 ft . Width: 3 . 0 ft . Depth: 36 in. Size : 1000 gal . SPECIAL CONDITIONS MAY APPLY - SEE REVERSE Conditions of Approval - Permit no. : SEP96-0052 For: RAMON BRODERS Page : 2 1) 25 ft . setback to bank to be maintained for primary and reserve drainfields . 2) Recorded easement required for primary and reserve drainfields . Easement must recorded with the Jefferson County Auditors office prior to final approval of this permit . 3) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. Protective barriers may be required around drainfield. 4) Drainlines are to be installed along the natural contours . 5) Divert all sources of drainage away from septic tank and drainfield area. 6) Any portion of transport line under a driven way is to be double cased or equivalent . 7) Approval/issuance of a sewage disposal permit does not guarantee the approval of a building permit on this site . sep prmt.txt 09/05/91 _ , 'J i f�� I 1 i 1 \ �'•-,!�I r, --t.- 6T X41 I j 1. : 'l',.,i "t -ti I Ji ' i° :tip 1 a16 I ! , I . r ; r, ?I -1 i_ f -/ .1.,-19 T --�` -- - -> i ' T r j A. ,,, Hi _i._%, 1. .k)' ‘' 1 1 A I ' t : Nt- II) 0,\ 1 - 'fil 1 t. 71 ...y..,6" I i i - , -.. 1 T-ti . . ! r.1 : ir , ,. ,, . : .. ,,,__., , ..„,. , . !" • , .,‘, •, , , ,_ • ,, , 7 I k ' : ' '... ! ., • , : , , P„ 1 IrZ \aI z\; , -,,1:* . i I ! I \, ! ' i i i -,a' I I'c ,� i i ` . . , ._ ..I- .i , �nl it v : 1� 1 I' , �, \nt I I • R I\ I i I • , '. ! . , _ J_;:• A_ 1 1 u t∎ 1 • '--v\ .• ; '1.. I !—~! LL' .1 , i f YL 1L;.', S�_ • I I .r• r_ i ,, &1,n ;D yt -i , . . . NJ-o I 1 'v , ! N I i ',; . i �, I; `., - .jJ� ! ,,., 1 4k tt I.i t- I t 1! ' 1 i i I i , rN 1 1 , i I 1 . . �i �� u I I Il _ '7I' 1 1 L•1 I , -: -ri I ` ,; - :_ i I I. 1 i tt. "1: '1 1 , 1 1 1 I� 3 --� ! T 1 ! \ 1 d , 1 0 i t ' Illy i 1 1 y • . I ` f 1 , `' i ' f I \ j - I . FOR OFFICE Llak:2_USEONL Y FOR FINAL INSPECTION INFORMATION AND APPROVAL SYSTEM INSTALLED BY ABSORPTION AREA: LENGTH DRAINFIELD i zD TRENCH 3 ' DEPTH 3 ` S ZEK PRESSURE TEST OBSERVED /� APPROVED 7 SPECIALIST (2.4 DATE -7 itc1C ° COMMENTS: D) 414 ' *578-1 _.414■-- , I rG ' 37 d 3 X yd l$' "346f q C 4 .), , ..._ /-13 ,1,4 itqt--- e,a-vtia_ &me_ NAME PERMIT NUMBER gida/cIs 12 , ‘ . ._...-... _ _... ot 14.. 50 ,,,.. q 'S i 1 0 N . A i I ey (Vaca+ec) 0 ,0a 5 , 'Ada. 1 ____ID i .4..4 e... f - 1 ; .1 i .... 1 i +31 ----- 1 i „ \61/4or , 1 , 1 . . , . 1 t ... , '-- ., _.1... L APPROVED FO' CONSTRUCTION , 1.■ g.6' Sewage Disposal System JEFFERSON COL&1Y PERMIT P.,c!'lr' ,,,-.■ ,;:-P ,. ' JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN ST SOIL EVALUATION PORT TOWNSEND WA 98368 (360)379-4450 , PROPERTY OWNER P-0-->/14/19-(4d to-area's SYSTEM DESIGNER b , Shp j LEGAL DESCRIPTION: Section Township Range Parcel # Subdivision Name Division Block Lot(s) Date Logged: Logged By: Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #1 SOIL LOG #2 0 to in. 44 E7 to -� i to in. F to ' to in. to in. to in. to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments SOIL LOG #3 SOIL LOG #4 to in. to in. t•. in. - • 40 ., . • .<,,- in to in. to in. to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments SOIL LOG #5 SOIL LOG #6 to in. to in. to in. to in. to in. to in. to in. to in. Anticipated water table in. Anticipated water t. D nn �._. 1 Roots to inches Roots to I - n 3 ItHealth Dept. Comments Health Dept. Com F µ- 2 g H:\\\INFOHLTH\SOIL.FRM JET ii kr, PEA