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HomeMy WebLinkAboutSEP1996-00022 JEFFERSON COUNTY PERMIT CENTER 1 FOR OFFICE USE 821 SHERIDAN SEPT 1 I• : i J' 1 J '- Date / /�!'�/ ! 9I PORT TOWNSEND)NA 98388 - - Fee•. $ �� '• - )380) 379-4450 (JAN 2 5 1996 Receipt # . .,./4 Ch k. - > JEFFERSON COUNTY Case # SEP PERMIT CENTER - - PROPERTY OWNER • :1G p 1 aDh1 ~B r ,d rS MAILING ADDRESS ,J S'S 7 j ®Id Ga Ada»e.r .�O oet "`tewhsen-I w14 9834 iii y a PHONE Area Code ( ) SYSTEM DESIGNER' G ' V% � S�I 0'tC�I ' ' v C3` �. LEGAL..DESCRIPTION :Section I3 Township Range 2W_. PARCEL 1 Subdivision Name '' C I Division ▪ -' Block SO Lots) Sys lnc.t� + SITE LQCATION 14 ' s J if L r 'It a �05 t POl Qa r v S• G • ., (ATTACH Pi,• > Y IMP y ► NT'''..•Fits $ k it PJ,r :. ;9m�nercia,J .., t 1 t-h s ' 3 �`: h i f • 17,:."ya,.. r J,•j� „'.13..i.."Y•.1- r,a , - !. 4-...t rE h $,-i K..:t h+ r+�..'4;-° �a9?.v'.. ♦ - , t 7 Ti •lei- f. } zl + -..,..4--ii"....,'.i 1-7%i, t-a r,1 t!'� z• t ">{ % as z� ?� ' . �P> , ;> r) :7 ` ti •wr r r ♦ <,�"-4 w�x '; s�f.f 1 r a. � 't F; a�a5 ;I.:4,- ,yj`r i.: a,�,r � £a , t tin t ysn a� 3 a. 3 `�^t"�I • r ti 1 a.. r ti a aka a . 5� r !t _ , „ t ,a _.X r 4" a -_ , <�' � �drai field }, now›.,. )C�3# �Re4es A" r o. ” Upora a .., • Repair Partial s•t 1• " 31 .�",, ---:� cr ;, ',l�<, • -rX k'l ova F ,� t '1-;: :; '?ti�'('k�it Gr y, r F a F r .0.•i-'S s�:u.t -w-az • 1 1 • t itt4•4 •�! ty W, ) �^! ..tom 3C4 aSi.a • 1f 1l r) A •C ';V. -' ,Y ! ' • WiH ` .,. .r .t9 u-:f '. i[ �1.a.H •1 y ,% hp�+ M1 ,,•i :i ., '� .•,..: -.c- 7[ ".,,f;}t <-. Ws. .° w s � .� ,il F ;Y.,: i - a s i•i{ t r a 4 . r , w�1 ., a�• a r ,^� a Nurpl�,er of Bedrooms .. , • ,Dra)nfield:Length>r ` `. •ft.; $aCCCC r %,ept yes -. no )( - •Trench/Bed D ppth :r 3(. in. >c•' Site Size t J P' 1 So °' Number•of Lipe .!*r ,_ 2!::_ 4 f 2 sy,. v! -r i x. - . ,may.,,•.. t }ti•Prg. �ig t � .- ;,y9 , no Tank size S), �. 9 r . t �, " ..t <5 r� ry �- (AT V% §O Y •L•' h V1 a r e` rFq▪ ate_ %PuLl)c X Soil type T � . c.,?w <. • Drai. eYc w rh n ft a _ Application Rate gal !$ ft /day S , •E . .• F ST V a s ,/ o4 � r:1 c4 ,.*** .• ,*•*{ 4+ •*4 •• •*•** *••f**•M**••e***••**•*•••**•*!***••*•r•*•••w•*•**•••••*••iR*t*• . •• THE .UNDERSIGNED ACKNOWLEDGES THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND THA-1, FALSE JNFORMATION.WILL NEGATE AND INVALIDATE THE APPLICATION AND/OR THE SUBSEQUENT,PERM, IT -n-j e fO 'uRTY II( wILL 13E R S/0 ' BLE FOR THE ACCURATE t4Oc#�TION 1L PFR It S OF L PRO TY L tIn `�� s1 _ • yam,; 1 t r•. . 4 k � lr3 c 1 •! 'SI4 ., 1.ura ! i t 2rn•t:1 ; .'Date-,. �2 ,..+9•f� i 3 1; aa� t r �tr t irk 3 5 ` a t' v ::f▪ L ytilt ' , ;U NLY 7Y a .7.w22 1(j •;- 'w':- ,> - x • �r R7.wfr pPR® T F s'r P/,RTIAL f .T,ENEWED "' 1 WED , , • ;,Flab g Distr)ot School District Fire District Community Plan `'1 G,X.,• o pw ,oily nMlT FPM UpdN•d 12 23•YI a' -. .Y<, 1 t of n _ a J 1 r • SEWAGE DISPOSAL PERMIT JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN STREET, PORT TOWNSEND, WA 98368 (360) 379-4450 PERMIT NUMBER:SEP96-0022 ISSUE DATE: 02/20/96 DATE RECEIVED: 01/25/96 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: 964505002 (Permit valid for this parcel ONLY) LEGAL DESCRIPTION Section: 13 , Township 29 N, Range 02 West Subdivision : JUNCTION CITY Block : 50 Lot (s) : 1, 2+; 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: 02/20/97 Jeffer on Co. Environmental 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. : SEP96-0022 For: RAMON BRODERS Page : 2 1) 25 ft . setback to bank to be maintained from reserve area 2) A recorded easement is required for the primary and reserve drainfields . The easement is required 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) 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 FOR OFFICE USE ONLY FOR FINAL INSPECTION INFORMATION AND APPROVAL SYSTEM INSTALLED BY 0.1.4-42-- 5l i ABSORPTION AREA: DRAINFIELD TRENCH t LENGT H � WI TH TDIEM 51 SIZE 1000 PRESSURE TEST OBSERVED fir,. APPROVED N SPECIALIST DATE COMMENTS: 1ld 'LL ,114 • Sr .►.. / %L. �i.1.a k. a i / f4 kilY (© I n j 4 ctAolvos-L., ----)K.,,..s.s..,..___________ ,,,(4,,, j2.:"..., , 3 I/'`S' x{61-. -i co ZSI.. K .- is-+ N' , 0.6 AP _ \V \ /4 ,' t'3' S� . 4 0 Dozo' 8c"J- NAM 1 PERMIT NUMBER` , • . .. 0‘s9°s . . oe se\N a- pd,pRo\I%-- 2teic_itp_ lor5AN 2 5 19':36 i Buci-101•1 #41 _____-■111111 CONSI. 'VW JEFFERSON CENTER COUNTY PERMIT ■D 1 II 0 > - Ci- \ \ 1 1 ol \ \ n 0 0 ' ... ,.. . -, -.--• N. /Z.0'i'. -,:i...,' 0 \ t \ -----. LA 0 79 1.W°P .11 la." itt t4. t - i _ __ __ ........._ ... - . 1......16 $ , $r ›..L. * le* "At„ ,t JC• \ 1 40 IP " K t 4 i 1 V — •% lc> ' 0 A- -.. .., s** * M . Dui * e 9 ''.' VT:- \ 3.-a_ 6111 P • _ ___,.....,. , -- ... \ , th 0 + --12 Nit. \le, D e.,,, O ___.-----\------- ,40. 4. . i ' trc 0- to3 I .1> c° kz. I A, N\ t., P 1 ` --- lb i p 4 -1.a ...,.. ci - 3 A 0 .. . 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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 j tq in. li i in. ' t0 s 1 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. 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 #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 table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments H:11\I N F O H L.T H\S OI L.F R M •t r ri �' .. ; .. 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