The URL can be used to link to this page

Home My WebLink AboutSEP1979-00334 .. � JEFFERS iN COU TY HEALTH DEPARTMENT a``- �' 802 SF RIDAN AVENUE 4. lioteiTALCER / PORT T NSEND, WASHINGTON 98368 RECEIPT NO. 7/.."*--- BUILDER : 14 II ( C�� 511YLa l G (gDI 385.0722 DATE 1/17/7 ler /2©, 8'X /o�z SEWAGE DISPOSAL PERMIT /sGo p rO Submit in Duplicate p ` _33aLk I$�lt4tl (3 ,24L( r�l /5 Vez-.2 y, u/"G�,, Pi7 z!1 .--.- epa, 3 Owner Address Phone ,- ltm 0 Directions fors locating site 007 1446-n447 S tr��k 1''`15 1 117 sa 6/1 L. S:Je. o ` m gx,.07 s r►-tel,- 51dTc bL . S/ <) 17 ,401Ai j G k..? � moo dz To 0 MI INSTALL NEW SYSTEM REPLACE SYSTEM ❑ PARTIAL REPAIR❑ TANK/DRAINFIELD PX 7-1 0 l�, TYPE OF NO. OF _ SITE �� `d BUILDING &S BEDROOMS BASEMENT SIZE lt-Z X -- , 0c vi DRAW DETAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING W n ''mac SOIL LOGS o — 9 . Sa.-�1/4 , S.\\ v , -i 040 - v_ Z < i z � 0l Z. n � S ‘\*.....)) co 0 \_ r m Dig two holes per site.(min.) =/ y'c sd�z�' �I . ..- . 0 4' deep -2' dia. -50' apart & flag APPLIC.,�„ c vt" m. Drainfield Length r 65 Width oZ Depth 3a 4 # Lines 3 Tank Size a Gal. D COMMENTS: -. 1-, (TWO COMPARTMENTS) D �9 3-31'31 „a ` .waa .;,/,21),Q,a A °' / / ice hi ' _ate �� - i •PPROVED DATE INSPECTED PARTIA /FINAL 7/1( TFC a( . I certifythat this system was installed in a manner approvedbyp S' ^"A Y the. Health De artment.�/ r�,� n � � C , Cc INSTALLER'S SIGNATURE DATE DATE INSTA'" : � S rns i t, J HD/1-78 '�L -...„ --. Include the following items on your plot plan: 4"-'-• -o'r-- i 1/4r--- - ci Property boundaries o Wells JUN o Names of adjacent streets 0 Septic tank 0 Driveways and parking spaces o Drainfield(enter fftitifivoklMIV4(sy —"ent Y 0 Surface water(ponds,creeks,etc) 0 North Arrow th CI (Buildings(residence,sheds,garages,etc) N ,I,vyt)tkf'S'S-'3°)CIS. VkKS-TY 1.174 // 5 PLOT PLAN-date prepared c4.,\b\ av \--at Le z( /t,t.ririi Fog_ PleSznct24144,-;-1--/" PeCr;• t'''• I 6/44(4 c- Aivi't'l- PAP-14 k*4 4aNkec \ \ Mal IA COS Se \ii4/174 7 \/S I \ I l legefk torALL ,2 e \ 7 0 kill 7N sr — / 5 if.___ __ Li< „ / _71 1 ...._ — , — -........„ . . (di' Fitriv.r-il Le ao 0) - i - l ..- . ... x e.s- LI 1•"crieff ?AilT•-0110/ -iiii,,65' ... zoZ4 t g c:p ri? ENVIRCNAHECK, LL.C. NOT TO SCALE 1612 Hastings Ave.W. Port Townsend,WA 98368 lip U-2.0:iz'R&L.D./ a/clfZek a u-e-rorOt4ITI-Raf2C15 to k)sc, relOW-ecl,. ___or Parcel* F"i::. --19--- 31-1- cA) Q-co-te.1 Zint ituwil st,iv, i \- e,o331-f box ,--cop lir-iV--1V •-AWI\ 'sw\-CA.ce, -r/s .r2Aed to 4 Pik tikt 56` pi.-6)-)2 Litt y ) ca , or.. .5.na ti<- 30 \Ow\ ill 01-y-ai k-kkiG..CQ_, `--- --------____7"."1 \ y!.. A Vie, 4 , • its,�+„ \\S\-'44`A c� • ..., (4.15,,--SA....«.N\?\VIN\22,..1.7)....\.4....4;\.. ./....psstt....04.4t..%,,ot_.4,\\ ,,,,,o • • \® ti' , Iti'y • • �� -: it i , { i 4 1446.' � N <_ S i -V5 ` -'_ .; . r. ; - . • ¢ - s a e s 4 t I 6$ res k e i H • 1 t 1 j IS 0 i E a 4 / I • 1 { I f8 I 1 s. i. .. t'. t__... I , , . . _ . • , , , lb2' i , HATING "