HomeMy WebLinkAboutSEP1970-00141 903 East Caroline OLYMPIC HEALTH DISTRICT Permit No 4011,11111
Port Angeles Fee Paid )
SEWAGE DISPOSAL PE2`j1T APPLICATION '1414111II
Submit in Duplicate ,
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NAME e a r/ 4414 ,/ ADDRESS //37 7 ( DATE 47-/` 7
LEGAL DESCRIPTION PHONE ill
DIRECTIONS FOR LOCATING SITE A-737 %I' .40-a.27r crl':-`
APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM REPAIR EXISTING SYSTEM
,44,„,5 e ..._-. /O K/o$ : &4 //
YPE OF BUILDING NO. OF BEDROOMS BASEMENT SITE SIZE NAME OF INSTALLER
CN THE REVERSE SIDE, DRAW A DETAILED PLOT PLAN GIVING THE FOLLOWING INl+ORMATIOE
1. Property lines 7. Driveways, patios, carport, etc. ;
2. Location of building 8. Streams or bodies of water nearby
3. Location of septic tank 9. Location of perco tion est holes
4. Location of drainfield 10. Septic tank size AATP u Salloms
5. Slope of land 11. Length of propose drainfield
6. Water lines & well(if applicable) 12. Depth to water if encountered.
PERCOLATION TEST RESULTS
Depth ;Time required to *-Percolation rate JType of soil
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IIIof holetseep last 6 in. (divide time by 0
Pere. No. 2
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Pere. No. 2 "-
Perc. No. 3. Z
DRAINFIELD LENGTH /, Sj WIDTH 2 j DEPTH 2 NO. OF LINES ........
IT IS HEREBY AGREED THAT THE PROPOSED INSTALLATION WILL BE MADE IN THE MANNER
AS DESIGNED AND APPROVED ON THIS APPLICATION.
Signature of Applicant
APPROX. DATE OF INSTALLATION.
SANITARIAN'S COMMEN S: Al. c ," 2:;.e.-41,' L..-.4 "'• /�''�'°'°�'"� -
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THIS CONSTITUTES A PERMIT WHEN HEALTH OFFICER'S SIGNATURE APPEARS AS APPROVED
PLAN APPROVED a. ,&"w DISAPPROVED DATE S- --1-D c-
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DATE INSPECTED SANITARIAN O
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REMARKS: v /. a — 0
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, Parcel Print Page 1 of 1
Parcel Number:936300902 03/26/2015
Owner Mailing Address:
LINDA M CONNORS
PO BOX 927
PORT TOWNSEND WA 98368-0002
Site Address:
1037 TREMONT ST
PORT TOWNSEND 98368-0002
Section: 2 School Dishict: Port Townsend(50)
Qtr Section: NW1/4 Fire Dist: Port Townsend
Township: 30N Tax Status: SNR/DSBL
Range: 1W Tax Code: 0100
Planning area: 98368-0002
PTSEWER Sewer: Connected(No CWF) Drainage:
Bank: View 1:
R-II(SF)-Medium Density
View 2: Zoning 1: Single-Family
Zoning 2: Zoning`3:
Sub Division: 9363 - BROADWAY
Land Use Code: 1100
98368-0002
Property Description:
BROADWAY ADDITION BLK 9 LOT 5
http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=936300902 4/27/2015
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