HomeMy WebLinkAboutSEP1971-0009203 East Caroline -
Port Angeles
SEP+l - 92
OLYMPIC HEALTH! DISTRICT Permit No. d'
Fee Paid $ �
SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate L.s 4Z�
NAMBADDRESS 9.�.�E �l�! p�,(�EL�' DATE�4, j3
LEGAL DESCRIP ION /' PHONES..,
DIRECTIONS FOR LOCATING SITE_h t w
APPLICATION IS HEREBY MADE TO: INSTALL NEN SYSTEM REPAIR EXISTING SYSTEM
2 '
YPE OF BUILDING 1110. OF BEDROOMS BASEMENT SITE SIZE NAME OF INSTALLER
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.. 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 percolation test holes
4. Location of drainfield 10. Septic tank size gallons
3' Slope of land 11. Length of proposed drainfield
6. Nater lines & well(if applicable) 12. Depth to water if encountered.
PERCOLATION TEST RESULTS
Depth Time requi-` red t
of hole seep last 6 in.
Perc. No. 1
Perc. No. 2
Perc. No. 3.
vercoiation rate
(divide time by 6)
DRAINFIELD LENGTHWIDTH D]
AS DESIGNED AND APPROVED ON THIS APPLICA
APPROX. DATE OF INSTALLATION V1213
SANITARIANIS COMMENTS
PLAN APPROVED_\,."ISAPPROVED
DATE INSPECTED-UML2SANITARIAN
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Screen: 01
Parcel # 000978900084 Geo Cd 282104207231
OLYMPUS BEACH
LOT 81(TAX 131)
* Taxpayer Cd CLEA 4000 CLEAVER, JAMES D
• Title Owner
Mode: INQUIRY
Auto Roll: OFF
Nbad Cd 3310
T/P Chg Dt 8/11/1989
T/P Chg Usr SR
Tax Code 0231 Status TX TAXABLE Land Use 1101 MH-REALW/LND
Affidavit 59578 Vol/Page i C/U Code S/C Cd
Legal Doc SWD 8/2/89 $30,000 Amount