HomeMy WebLinkAboutSEP1986-00248 Include the following items on your plot plan:
o Property boundaries ❑ Wells APR 2 8 2015
❑ Names of adjacent streets a Septic tank
o Driveways and parking spaces a Drainfield (enter NN if unknown
❑ Surface water(ponds,creeks,etc) ❑ North Arrow ///
a Buildings(residence, sheds, garages, etc)
ii- c) SA Rp i�P 1..5 On 1 f5 00`]
PLOT PLAN-date prepared ,,.t ,z -6,,,Arq F-„A (\,\btiy-Ton.y,,(,, D.,5i)CE ttv3
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1911AINFIELD AREA
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(414'-'7 RESERVE A
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NOT TO SCALE 1612 Hastings Ave. W.
Port Townsend, \NA 98368
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es Perini or Parcel# 51�p g(o-oZ�g `�� �_.. 'V(�1 (tl( t.
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FOri KENtvirl FDA(AIL Yf.Aii ifiiirtiN Al DAYS WORE EXPIRATION.
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JEFFERSON COUNTY HEALTH DEPARTMENT •
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802 SHERIDAN AVENUE
INSTALLER Lindsey Exc. PORT TOWNSEND,WASHINGTON 98368 RECEIPT NO. 9/"L"
-8°6 F°(- 14e"j* ForMost Const.00
- ' 40-051.1x. (206)385-0722 4
BUILDER VIZ- E.V51
M SEWAGE DISPOSAL PERMIT DATE 9.----/
..., ,.
. .683-3181 54tui4h‘ gq,3 gi... 1/4564) 60-619Ze40 ; '-'
Donald L. Olson
4931 Brentridge P1 377-3035 -- - - -
Owner /AO sand pld Address Bremerton,Wa.
Phone '.. • S :, ,. i- ,
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North on Cape George Rd. 'Cr-utcher, West to first dirt road Z - > ..
Directions for locating site ../:.8-..
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then south approx. 500 ft,
INSTALL NEW SYSTEM 0` REPLACE SYSTEM 0 PARTIAL REPAIR 0 TANK/DRAINFIELD 0- .2
Single n g 1 e OF ,0 A t 1
TYPE OF NO. SITE 640' Y33 •
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BUILDING family res 4EDROOMS 3 BASEMENT yes .SIZE 5 acres ,
.4, CA
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Previous site evaluation by • SOIL TYPE DESCRIPTION git-zibje, - z -• 0
Health Department . 0.12.Voese.,/earvi En• -4
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Yes x : No x z
/9- 1)iz-2.6" Mosc kamy sand Ai&cern,—6irtwet
Depth to maximum seasonal 2(Q-48 icoSe $ano( avid 0 ra44e1 it i FM .51hAt.• Amu Z
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water table 6 f teoursegituel) V. ■-■
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Source of potable water supply P‘ 2) 61-/24 loose-loctivi cr)
Public Private x • • 4.-y2i /rose /van), 5441-0( arra ylarte 4A-
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Source type: Drilled well . X. 2Z-z "' /0-1,--xe- Ineet(044-, S '.40
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Other - 3) ‘44O1-r4A4--v4..e r,,
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EVERYr*PPLICANT HAS THE RIGHTOF 12.-20"tioe,5-e Jam-vey/Agin, ..
APPEAL AS PER JEF• — 'ON COUNTY ' 2,0.-qpi/ewe. 0Ar,..,e,2,-ei 91-44,Y..1214,4serte (( U4-e- Z
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. 11-4114 /ewe..-54,01.•rm-ef 04 44-ee 1.tinente Colt44-e-•S_461 'TURE OF • :k . . . - etRA,W., z
ANY RE00 • OF OR MAJOR DISTURBANCE OF SOIL IN THE PROPOSED OR APPROVED DRAINFIELD Fi2 0
• AREA MAY CREATE SITE CONDITIONS THAT ARE WACCEPTABLE FOR THE INSTALLATION OF A § P
N SEWAGE DISPOSAL SYSTEM. ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS (INCLUDING ,
PLUIBING STUBOUT LOCATION) AND/OR LOCATION OF HOUSE OR DRAINFIELD INVALIDATES THIS 1 Z
PERMIT UNLESS PRIOR APPROVAL IS OBTAINED FROM. THE HEALTH DEPARTMEN.
r. (Call Health Dept.
STUB OUT PLUMBING ABOVE FOUNDATION FOOTING, 2-4■91- .
431 for final inspection). 0
Drainfield Length 1501 Trench width <9: Ttench depth 3o" No.lines a Tank size /neje C
Soil type and application rate used for design 0/ • 'GPD/ft2. — /,A,. r- 4
0 m
c.)
COMMENTS: 1)Leila ettii%V-cTied eti.zet, 44 iteze-peet-t-j--;ipAt.r."- d-'box ovi....piLert adit.et 14)444 -/et Ci-hi2
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• • 4;61,',5.717 ilA 7,k i • -4.L...d hl'fl/en14.41,1 itt's...ellAcck hthlite-1-7 kdez(ai-e,ol,0 IA d4,4.4,11-t:e-tep,
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APPROVED . DATE INSPECTED PAFITIA.. FINA DATE 1 -g
I certify that this system was installed in a manner approved by Ote Health Department. ,i, 0'4 FfA--)bj6;
lilt ZLIY:: l 7 '"'".W ec, 17
461)014,
INSTALLERS SIGNATURE DATE DATE INSTALLED
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