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HomeMy WebLinkAboutSEP1976-00292Impr...... thii )61,e-Kr FT t 1 , --1 903 E. Permit Caroline OLYMPIC HEALTH DISTRICT No. */ J.9 Port Angeles, Wash. SEWAGE DISPOSAL PERMIT APPLICATION Submit in Duplicate Builder t4.2/',4'4/ Courthouse Port Townsend, Wash. Date trUtto/ArR9) ) 974 OWNER jr 4?7- / Sigh/i I ADDRESS Rt ,R) ,47 x :1"0":,?, PHONE 7J,,Tr. ,,'41? a !pd. c agWir DIRECTIONS FOR LOCATING SITE 'I 441 14 E So i A '''' •c. r,,/e ,Cilk 0 Al e AO 419.4 r y 44 e'A/ kits.:r7. crit, , '0 47 APPLICATION IS HEREBY MADE TO: INSTLLL NEW SYSTEM X REPAIR EXISTING SYSTEM / TYPE OF BUILDING NO. OF BEDROOMS BASEMENT SITE SIZE NAME OF INSTALLER DRAINFIELD LENGTH WIDTH - DEPTH #LINES , SEPTIC TANK SIZE j",„kr-)t, e.„) ccA.4 DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE r.-9,0), CRte,44" /'1 ■ ..ec el,/ ."°' C.7 ' • i ,,-- -- kJ . WAN% Pri.o___. , .. - '.1. __-- s .z.•,7 2,---- ------ irk \ C As 4ta ' w 40,0• 1-.. ..... 0, % .K. " --- , i ,,,,, ..... -7- 't4 x v 1 ' / --------- ', --4 . --,.......__. --------____ ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT. DATE OF INSTALLATION37- / ,;r 2. SIGNATURE OF NT ' - APPROVED --:-.-24---___ -----) DATE C 0.22 X.7, INSPECTED BY 4111 -- , —-- DATE/ Allr72 (-)A SANITARIAN'S COMMENTS: 4 AO* c, -1 's‘V _ ,1/4.,,-s.-‘ -v?.,,,,,%.,\ ,.,. /4..‹.. - ...%--,■k. ..,s-,.\-4\--5 .0 - i'..' •.- -., •-.5---),-," :4*.1 \4. 's ..< ''.‘ N*.yiNkeks., s...-4 \N '.FN....IN-4k) '\-.INc."...= \k....,..r.......„%a;c,,Ak. S-••■/.....* 6.-.." -I'v•Nt--1 . '..1s- ""..-‘-.•.‘,z-t, ''. ‘ I CERTIFY THAT THIS SYSTEM WAS INSTALLED IN THE MANNER APPROVED BY THE HEALTH DEPARTMENT DATE INSTALLERS NAME CHD 6-75 4 3 t dr3-' g y' n ° ` ~ � ` �urce{Prio �ag� lofl . pa�e8Pdummbe��O1352OU7 06/24/2011 Owner Mailing F�}BERTPS/UH LIA���(13�104�)��: 303OCENTERRD CHIMACUM WA 983258750 Site Address: 3030 CENTERRD CHIMACUM 98325 Section: 35 School District: Chinnacurn/4�\ Qtr Section: NVV1/4 Fire Dist: Chinoacurn(1) Township: 29N T�x �tatus� Taxable Range: 1VV T�xCode� 211 south Planninganea� �hin��ounl�n�nd Vo|k�s/Center(5) Sub Division: Land Use Code: 81O0 - OPEN SPACE 8100 Prope�yDesuription: �3� T29 R1W I TAX 1(LS TAX 25 & 26) I ENLG BY TAX 28(SEC 26l I BND TGTH THRU BLA#103248) I SUB]/EA�E #502852 i'li7,'2.frw''''''''=11 ,4,,,;:, ,,'1.'',,I,‘ ,-,.:;‘,....„Ifir",#'''' ‘4,1,...* y '1..i-P: P-' ' CEL Map Output Page 1 of 1 ArcIMS HTML Viewer Map z 904263423 - .' `" 901263422 %,cri. r 90126 }45 (l�� 9 4 7 2530 1 7 t tI+ t 901274005 901274947 t "1 :901253016 i t.� e4€ ` i E r` 941253412 ( J 90526'1000 //' l I3 I 1 zz 9Pt2630ta 1, Legend ............. .E( F 941. Highlight Feature .3S2f r'...... _ ... 'I Selected Features t r' I Towns ® Caul*teat * Rvxat Centers t i JC_Roads Parcels-1i ■ y 901352M2 944362005 909341001 . 901352003 901352943 1 r /I 9073.52001 ' 17015,20W _._ 901352NI 1:f ,./,' r 941341045 / 941'S2S104- 9:1352010 alter vwak.1 by dettog wiCw'Cant*Scwt,t,.C15 , C +i"VI FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the method and accuracy of its collection.Wed Oct 09 14:05:50 2013 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 10/9/2013 Go , Ie ••• ,o, _____. ■u I Get directions I I My places I C3 i' J / Map 3030 Center Rd Chimacum, WA 98325 Traffic i.ili irli a C7 Directions Search nearby more el Maps Labs-Help Google Maps-©2013 Google-Terms of Use- Privacy 1100ft I , +r 20 m Edit in Google Map Maker Report a problem