HomeMy WebLinkAboutSEP1987-00217 <Include the following items on your plot plan: V
❑ Property boundaries -0 ❑ Wells 10/
❑ Names of adjacent streets ❑ Septic tank (1®6
❑ Driveways and parking spaces ❑ Drainfield (enter NN if unknown
❑ Surface water(ponds,creeks,etc) ❑ North Arrow
❑ Buildings(residence, sheds,garages, etc)
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W'FJ V R EV ECK5 L I,C
NOT T T® SCALE 1512 Hastings Ave. W.
Port Townsend, WA 98368
Plot plan submitted f f
PermiEt# rparcei# � '� � %T Yv
��_�, an tt part of a Monitoring inspection
cSb(Y' En- °bar]
%lot reviewed or proved by JCPH.
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THIS T 1+111 l EXPIRE ONE YEAR f^ a!DATE 2,5!4it i.ARK.!CATION
FUR PIENEVOEL FOR ONE YEAR*a HiN 30 DAYS BEFORE EXPIRATION. A
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JEFFERSON COUNTY HEALTH DEPARTMENT • `
802 SHERIDAN AVENUE '�„` ~�: o�TSG �' P>t
INSTALLER h.lv■S�� �-`.0. PORT TOWNSEND,WASHINGTON 98368 RECEIPT NO. �`��' `�
ULa ..�Nc.Scs'k. Q'6 $;'A ). (206)385-0722 /�, ' /pe,_
BUILDER SEWAGE DISPOSAL PERMIT DATE' Wl4y'Z.,'+3 _8'�I
w. :_ t wv2z..:.'sd "'.�,=` te" .,..�._-�
Owner Address Phone E tv In
lb'em t2.. uatscok Qoker \�--o.k 13 . 4 %\Aglisi <
Directions for locating site 14 N
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$1 Do® c.,1.p a 41L Cam•,,, la--- , 2 d A CAA.wu.wt.C. .J.%talk• �jt otk�r‘ v2 we 14;-----"334*V t'ILL' t ILA"'. 2
cINSTALL NEW SYSTEM tJ REPLACE SYSTEM O PARTIAL REPAIR 0 TANKIDRAINFIELDO• O n
TYPE OF c�f�� NO. OF j"E '■
BUILDING `�t�cunkft. ) BEDROOMS Z. BASEMENT SIZE ''�' t k O CO
Previous site evaluation by SOIL TYPE DESCRIPTION 9
Health Department m
Yes No 1.---" l) )aic.. ,cc�e`l \.ocoS Ov t1 4,..k.6. Z
Depth to maximum seasonal ('$d..e,ln'T EVA c.Se.^ (Rouuw...t∎kr_o v` '
water table �� �4 )/ ;
Source of potable water supply 2) r
Public ✓ Private
Source type: Drilled well -
,Dug well t7 Z
Other 3) < i
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EVERY APPLICANT HAS THE RIGHT OF 0
APPEAL AS PER JEFFERSON COUNTY �°1
ORDINANCE 2-77. 4)
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NATURE OF PLICANT ' 2
• ED KEI ) OF OR MAJOR DISTURBANCE OF SOIL IN THE PROPOSED OR APPROVED DDRAINFIELD m 0
AREA MAY CREATE SITE CONDITIONS�ThATIARRE�eiINACCCE TABLEFFOR THEE T LTS (INCLUDING
8 f:
SEWAGE DISPOSAL SYSTEM. A,., CHANGE BUILDING OR
PLUMBING STUBOUT LOCATION) AND/OR LOCATION OF HOUSE OR DRAINFIELD INVALIDATES aTHIS Dept.
PERMIT UNLESS PRIOR APPROVAL IS OBTAINED FROM THE HEALTH DEPARTMENT,
for final inspection). STUB OUT PL114BING ABOVE FOUNDATION FOOTING, 0
Drainfield Length I q_c / Trench width a/s p 3c'" CCI-R-L >
TYe�ch de th No. Tank size ��� >
Soil type and application rate used for design 2- GPD/ft2 1.2 1- 1
O no
COMMENTSS7:
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APPROVED DATE INSPECTED PARTIAL FINAL.., '41 SATE n
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I certify that this system was installed in a manner approved by the Health Department 4 i5 ( 6� F
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13141d--(4464.4 • DATE DATE INSTALLED n �rA< R i p
INSTALLER'S SIGNATURE "i m
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y JEFFERSON COUNTY HEALTH DEPARTMENT Permit !
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INDIVIDUAL SEWAGE DISPOSAL INSPECTION FORM Date 7-5-g 1
APPROVED .__L.Z NO ENVIRONMENTALIST 'STEVE 'KIc E
Address F ERPi May Owner.SII-TR LEY G<EE,J
Legal Description' S ECTICni // T ,,YSft2p 2,9N ''}ZANY /M/
Residence )( Commercial I of Bedrooms System Installer Zimy I.0 rey
System Designer-Beim r EpscctN
SEPTIC TANK-- Nor ZN's i ALLED AT- 'T2HE D F z sits- EC-Tlcvo
Commercial Noncommercial Measurements: L W WD
Construction Material Liq. Cap.
DISPOSAL FIELD
Exc. Depth r2y ' Width 77'`" Total Length /20' Sq. Ft. .7 YO '
Rock typ(RAzia l'oc.i( Depth /2 " Under 6 • Over ' .
Engineer Design Yes Type Engineer Approval Letter Yes
Well 50 feet from tank 100 feet from leach field
Well installed at time of septic system inspection Yes No Public Water X
Comments: -y}; c +avt . no+ laCec( ct+ ;rie o-C 'on s7,'c-ficov.
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Include the following items on your plot plan:
❑ Property boundaries ;1/i A ❑ Wells
❑ Names of adjacent streets ' �„� ❑ Septic tank
❑ Driveways and parking spaces >,j ❑ Drainfield(enter NN if unknown))
❑ Surface water(ponds,creeks,etc) ❑ North Arrow
• ❑ Buildings(residence,sheds,garages,etc)
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PLOT PLAN-date prepared k),jL,ItTM,;`-id- F M oprro t,rasp el"-z>4%
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Plot plan submitted by SM.ir
,, as a part of a Monitoring Inspection, '
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Not reviewed or approved byJP�1!
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