HomeMy WebLinkAboutSEP1976-00277 i/ood wor e E. A-.
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6c-e TO O 21717
903 E. Caroline OLYMPIC HEALTH DISTRICT Permit No. r4/12-
Port Angeles, Wash. SEWAGE DISPOSAL PERMIT APPLICATION 15 , /
Submit in Duplicate Build
0 Courthouse 9'r/3
Port Townsend, Wash. Date 6
i
OWNER 74, 4c/4)ØT ADDRESS/ L C.o,rA®'E- PHorlf,54 .37 7
DIRECTIONS FOR LOCATING SITE -.i.e., _41: r
2Iikeo (- r
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APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEMEPAIR EXISTING SYSTEM g
Tii- d-te/f 4/4 0,T h f ---7/1"- E BUILDING NO. OF BEDROa4s BASEMENT SITE NAME OF INSTA R
O
DRAINFIELD LENGTH \ C WIDTH DEPTHjo4' #LINES a- EPTIC TANK SIZE `,.,,o a.
DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL a•.
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ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS
PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPAR ,e T
E STALLATION i SIGNATURE OF APPLICANT ,j,�7�l "'
AP OVED / DATE /,7 04 INSPECTED B i 40 � 1 . /24e'2 op
SANITARIAN'S COMMENTS: °J t ,e_ . Ri �a(_ ‘`.l' $,sNI
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I CERTIFY THAT IS S STEM AS IN "A • ,IN '`E MANNER APPROVED BY THE HEALTH
DEPARTMENT , ��'�� . .r. DATE
INSTA ERS 'AM
OHD 6-75
de, . /(`, Ct/*-.. /P.c- t../'1 eGre6 re) &tee ,
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OLYMPIC HEALTH DISTRICT
•
SITE EVALUATION RECORD
Sec, Twn. R.
Legal Description�~
TO: :kw/ Hay ,__cri ct
,L 7 ot 2, L)iv_ 1, =•r3ow ''mot=Ltr�s
Worgan Hill
Yort mcaw11'i.cnri r.'A 9S 68
Site Size 1Q,6Q0 09 ff Apr%relvimataly
Seller hrs rim}
Buyer � � �
A site evaluation of the above property has been made by this department and your
• request for ,. . • • .,- o r-sidence
has been ( o ) (conditionally approved) (dg ).
Comments:
•
unacceptable clue to clay and hardpan soils. lowever, in two of the holes there
- = - • . .
gravel was discovered. I assume this would be the same. Due to the poor soil, a
.. . _ - it
and building permit a specific plot plan must be submitted for review and the building
Very truly yours, site staked.
Sanitarian
andall M. Durant, S.
Date: 7 g 75
RMD/sa
•
O D:11/73
360 174 a 1:il ill eto*--cq7
2495 Cape George Road
. ,:6,- .eegillicuzi Ciet!rtY)062- Port Townsend,WA 98368
OPERATIONAL REPORT 360-385-7155 . 360-457-4121
SEPTIC TANK O t ,
Date of Service
Grp
Technicians signature �aA � i
Service provided for
Address JUL 1 2014
'�. t.
Phone JUL
c c,- ,:,�n
ent,:;r Health
Job Address #people in home
#bedrooms ___---
Last Date Pumped
SEPTIC TANK Compartments: Single__
Double_ 1
Gallons Comp Other(specify)
Material:ri tank__--- Polyethylene__.:-- Metal___
Material: Concrete Poo
Conditions Conditions of septic tank: Good_-- No__�_-'
Was ground water observed leaking into tank?Yes
If yes,where was water observed? , No t
Yes -- No-�------
back into tank from drainfield. _ No Miser to grade on cleanout access:Yes_
Effluent running No /Riser to grade on outlet:Yes— e
Riser to grade on inlet:Yes _ -� No_�� in.
Yeses e (bottom layer)
If no risers, were risers installed? in. sludg ( in.
compartment Scum (top layer) (bottom layer)
Solids in Tank: 1st comp to layer) in. sludge {
2nd compartment scum (top Y } Material
BAFFLES air_ - Repaired--
Good �- Needs Rep Material
Repair__ Repaired____----
Condition of inlet baffle: Good_ Needs Rep Material
Condition of center baffle: r Repair _- Repaired
Good_=, 7-Needs Rep Material
Condition of outlet baffle: Filtered
Screened --
Unscreened�.='-- .�
Type of outlet baffle: No '�.=----
Cleaned outlet baffle and/or screen: Yes
PUMP CHAMBER / EFFLUENT PUMP If Yes, complete the following
pump? Yes ---- No,_�
Does the system include a p _
P
Size of Tank Gallons No—_If no,was riser installed: Yes___.__- No----
Riser to grade: Yes Metal Other (specify)
Polyethylene--
Material: Concrete ______--�Yew No_____--
Was ground water observed leaking into tank .
If yes,where was water observed? inches
Depth of accumulated sludge in Pomp tank
Was the effluent tank pumped?
Yes No
Needs repair_ --
Recommended additional information Not Working
Working Needs repair__
Condition of Pump: Not Working minutes/sec.
Condition cyof cle Alarm: Working c cle
Pump cycle drawdown:
Inches Time for pump Y
Comments:
,;....,
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Dennis Perkon
From: Antoinette Avery
Sent: Friday,June 27, 2014 9:05 AM JUL 1 2014
To: Dennis Perkon
Subject: RE: Sewer Connection t r, nty
nvi onment J Health
Hi Dennis,
We are billing them for a sewer connection so I sure hope they are connected! Let me know
if you messed this up! Ha ha O
Happy Friday,
- A
From: Dennis Perkon
Sent: Friday, June 27, 2014 8:35 AM
To: Antoinette Avery
Subject: Sewer Connection
Antoinette,
Would you be so kind as to check to see that the residence at 2146 Cook Avenue is connected to city sewer.
Thank you
Bennis erkon
Building Inspector/ Plans Examiner
250 Madison St.Suite 3
Port Townsend, WA 98368
(360) 379-5058 Fax. (360)344-4619
dperkon@cityofpt.us
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