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Home My WebLink AboutSEP1974-00091`` .JEFFERSON C0U-.QTY PUBLIC HEI�LTH. ?ysco$ 615 Sheridan Street • Port Townsend • Washington • 98368 www.jeffersoncountypublieheakh.org Case # .7 i Site Address,_g1 .�, t (3,4Q- pP • R Date/Staff Notes C' _A._C-4 � - mss►bl G:1EnvHealthledmin\FormsWotes Page 2008.doc T Map Output Page 1 of 1 )RMATIONAL PURPOSES ONLY - County does not attest to the accuracy of the data contained herein and makes no warranty with respec 3s or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Apr 2 http://gisserverlservleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 4/25/2008 PROPERTY OWNER MAILING ADDRESS Jefferson County Permit Center 621 Sheridan St., Port Townsend W 360-379-4450 SEPTIC PERMIT APPLICATIO • r --y �� it �u �' 31 QIeIg"'P®oh6 _f4 t _.,a1_..,_t,s.4 �1Sv�5 �C rq AMG 22 3 200,0 e LAITY DEVELOPMENT PHONE Area Code ( ) 11+11 1 SYSTEM DESIGNER 0�� + to Z 7 ' 00 - C) 2 LEGAL DESCRIPTION: Section 33 Township ZC1 Range PARCEL # 4 �I ,� 1 e ?p ,� �, Division Block Lot(s) 3Z-3,4 Subdivision Name � SITE LOCATION 01"J1 �� ' `t"® evvj &" k fkl— Zip Code TYPE OF IMPROVEMENT: Residential_ Residential ADU TYPE OF WORK: New Redesign Upgrade Repair Expansion Designate Reserve Area Conventional Alternative Number of Bedrooms Basement: yes no/ Site Size `i- 4e- re s Previous evaluation: 0 / no SEP 14 ` q J Water Source: private �K public TYPE OF SYSTEM Commercial Community Partial (tank) (drainfield) Drainfield Length ft. Trench Width ft. Trench/Bed Depth in. Number of Lines Tank size gal. Soil type (ATTACH SOIL EVAL.) Application Rate gal./sq.ft./day ***********************************************!*********************************0**** THE UNDERSIGNED ACKNOWLEDGES THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND THAT FALSE INFORMATION WILL NEGATE AND INVALIDATE THE APPLICATION AND/OR THE SUBSEQUENT PERMIT. THE PROPERTY OWNER WDLL BE RESPONSIBLE FOR THE ACCURATE LOCATION OF ALL PROPERTY LINES. � P�RPVqD` C4 RENEWED RENEWED Fire District Planning District _ Date FOR OFFICE USE ONLY PARTIAL PRESS/TEST ASBUILT PUD School District Zone FINAL Date r • 23 `f� Fee � Rec # _Check # Case # SEP q—Q -9 L h: %home\pincntrlhlthinfolpermitapp.doc 10/97 PAJ C) v V) cl b� \101� 11 �4* � zcis-F. ' Sw t®+ S 89 mol ►sZ.ru-e, �� ; sa 1 mom- �r _ D E C U V E [� JEFFERSON COUMTY DEPT. OF r.rf!MUtaiTY DEVELOPMENT �usfIp9 p F �art►ons r • j. ti ACTIVITY REPORT FILE NUMBER -1 L� - ':2Q q t PARCEL # G -I 1 q 00 ()tD .I NAME/MAILING ADDRESS -PbA ter- Lams c` i. C'_Gt� + P -,(\ _ SITE ADDRESS _ 01 ,11 O 1 elle r Health Department Staff Li rAo, A+ V4" AS Date q -2-<)o cAoma► n r`p�-r LR So ► 1 s t !� f,2-( tt C D�-�� e Cams ,tcu.r- ; mskvA gA I MG - a �-r Q- W,4 d 0o Ck +o c', nh C1 , o� SS.�.`S� �o,nQci Ioe r e t.c.�i �h'•-5 c on +0 Actions: ti JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN ST PORT TOWNSEND WA 98368 (360)379-4450 PROPERTY OWNER SYSTEM DESIGNER V LEGAL DESCRIPTION: Section _ Subdivision Name Date Logged: f3 SOIL EVALUATI Township Ra OF Goy' '�# Division UVc < Lot(s) Logged By: 7b v k- P--- . Include soil textural characteristics and the depths at which significant ,ehanges occur. Be sure to include depth where mottling or impermeable layers occur. .3 SOIL LOG #1 c ® to tZ in 7'e 5" 1 o in. '5 l� to in:> Anticipated water table in. Roots to inches Health Dept. Commen s � SOIL LOG #3 to in. to in. '�� _ S - to in. (c, ,Anticipated water tabl a in. Roots to inches Health Dept. Comm6'os SOIL LOG #5 —to—in, to in. to in. to in. Anticipated water table in. Rootso- inches Health Dept. Comments =Ab SOIL LOG #2 a- toIf? in. '7-0j- 11to _in.9Ir 171E JAae., to in. to in. , Anticipated water table 4n. Roots to inches - Health Dept. Comments rte•, Shit L e#4 to in. —to—in. ` —to—in. ` to in. Anticipated water table in. Roots to inches � alth Dept. Cornments H A"1NFOHLTH\SOIL. FRM SOIL LOG #6 to In. to in. —to—in. to in. Anticipated water table in. Roots to inches Health Dept. Comments 903 E r Caroline OLYMPIC HEALTH DISTRICT�� Permit ' No. ea Port Angeles SMIAGE DISPOSAL PERMIT APPLICATION Submit t in Duplicate �� Builder Court House iQ Port Townsend r )e! Date Cts R ',�'��►� ADDRESS �� N3;�—Z_ y d PHONES. DIRECTIONS FOR LOCATING SITE APPLICATION IS HEREBY MADE TO: INSTALL NL1? SYSTEM AIR EXISTING SYSTEM 6HO-MBUILDING N0. 4 BEDROOMS BASEMENT IG NAME OF INSTALLER DRAINFIELD LETdGTH ®f ': WIDTH �z 3DEPTH �c+ , z: - #LINES � SEPTI TANK SIZE i 5� D' -RAI,,! A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOTT. TYPE C \-v4, %L F�`�cSk1•\ ANY CHANGE IN BUI MING OR sr-AGE.DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT. DATE OF INSTALLATION SIGNATURE OF APPLICANT APPROVED ✓' DATE.. NSPECTED BY�� - DATE % f o SANITARIAN'S CO11MENTS : 4&V I CERTIFY THAT THIS l �-TAS HEALTH DEAPRTM�ENTl_ i MANNER APPROVED BY THE 1 903 EastCaroii.ne OLYMPIC HEALTH DISTRICT �► Court House Fri t An=j�.-�. Port Townsend b' f BU ING SITE INSPECTIO14 APPLICkTION Submit in Duplicate OWNER_...5�� ^� �� . ADDRESS \, lzx� < -7 DATE+LLL.r17Z- LEGAL DESCRIPTION _ a V� ' Z ) 7 @ DIRECTIONS FOR LOCATING SITE .P'4 AN APPLICATION IS HEREBY MADE FOR APPROVAL OF THE ABOVE LOCATION FOR A STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM. RESIDENCE ✓' COMMERCIAL BUILDING OTHER e. NO. BEDROOMS BASEMENT ASEMENTSITE SIZE I ��fx3a� SOURCE OF WATER TYPE OF Bon -��;� 1 DEPTH TO WATER TABLE DRAW A SKETCH in the space belowt indicating location of building in relation to other buildings, property lines, well, streams or other bodies of water. Indicate proposed location of sewage disposal sy /I Iby (P e Date of Site Inspection 7 10 %7 2 f GNATURE APProv,&dll Disapproved Sana krian ! See reverse side for remarks. THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT. A SEPARATE PERMIT IS NECESSARY PRIOR TO THE INSTALLATION OF A SEPT T AND DRAINF L �1. 903 East Caroline OLYMPIC HEALTH DISTRICT Port`Angeles • Court House Port Townsend BUILDING SITE INSPECTION APPLICATION 0 �grH'®� DRESS ( �.. 1�1T 6 �� w��+w! LEGAL DESCRIPTION . DIRECTIONS FOR LOCATING SITE_' w -n ® r- n L E LL vn , mT Q. A -t- . AN APPLICATION IS HEREBY MADE FOR APPROVAL OF THE -ABOVE LOCATION FOR A STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM. FQ-rU REJ 1tESIDENGE_ �qQ_ T114 &COMMERCIAL BUILDING OTHER NO. BEDROOMS_ 1 BASEMENT�SITE SI?E `' o®SOURCE OF WATER W 45 L L TYPE OF SOLI{ `� _r` DEPTH TO WATER TABLE 15:5 ,t U R�,AW A SKETCH in the space below, indicating location of building in relation to other buildings, property lines, well, streams or other bodies of water. Indicate proposed location of sewage disposal system. Co v &: 160 ` lsuic wro SEW a& 9 `D LAI 10 Date of Site Inspect ior� APPLICANTfS SIG ATURE APProveO Disapprove d * See reverse side for remarks. Sanitarian THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT. A SEPARATE PERMIT IS NECESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK AND DRAINFIELD. RECEIVED MAR 3 J.C.-PERMIT CENTER JEFFERSON COUNTY PERMIT CENTER SHERIDAN ST., PORT TOWNSEND, WA 98368 360-379-4450 (EES) EVALUATION OF EXISTING SYSTEM (lam Evaluation Individual Sewage Disposal System 0 Evaluation Individual Sewage Disposal and Water Systems D Evaluation Water System Only 0 Public APPLICANT NAME Mailing Address Phone OWNER Name Mailing Address `� ��f �Phone t7 Previous Owner I��C' Occupied?� I No I Vacant, How I ng? Number of Bedrooms j Year Installed / 774y Septic Permit Number M a� \ou�n 0 Private "T"Tiffilma ' Site Address: q-51 Legal Description: Parcel Number IT cl -77 AYW Plat Name: e!We 04,17 f ✓� Directions to property �6Z44 --- +ted �� M'', e - if •4 S_�_ T N, R _ Division Block Lot(s) 31�, Attach plot plan showing location of structures, drainfield & septic tank. FOR HEALTH DEPARTMENT USE ONLY- DO NOT WRITE BELOW THIS LINE SEWAGE DISPOSAL SYSTEM* Permitted systemyes no Installed prior to permit requirement? yes no _ Sewage noted on ground at time of inspection' yes no House is unoccupied therefore an evaluation of drainfield performance is not possi le at this time. Health Department records indicate that this system was designed to service a ICS&Uedroom residence. _ Septic tank should be pumped if not done within past 3 - 5 years. Septic tank: -j� ;pa volume _ � 1 compartment 2 compartment Baffles: Kgood condition inlet missing outlet missing Repair area: adequate limited , none available WATER SUPPLY Well casing 12" above ground yes no Well 100 ft from drainfield yes no Sanitary seal in place yes no Water sample taken yes no Sample results Comments: ` Nk LZ1 b ryAnrv.J01�s rw `c�r'�G► gnr�Ss.�a. ;� � �y �2�Arn C,�IC'•QpA f. • ilo. r�ew >k wea ajraA a)ok e, o � -�+,, 5i-� ��c�.c a" � d b,�, 6+4 mov�.ed �pori. yaws 5 cuC Ca wr- c �r i 1, Al g �p ea; d o h S %Z11 -0.1a • ^ c o��, � �o6�r Nt Date - IS Z Time 1' J Environmental Health Specialis C� *This report does not constitute a guarantee, either written or implied, th t e system will continue to function �oper/y. This report constitutes a summary of findings only. Fee $ '?0 - (:) 0 Receipt # �L Check# J (pO 0 Dateg-3 9q SEP# —q H:\home\pincntr\infohlth\ees.6/97 ACTIVITY REPORT FILE NUMBER `1 (t-(30 C( I PARCEL # Ct 11 k4 G 0 Q_ I NAME/MAILINGADDRESS t 1�1 �)!' SI,) <"Tttq SITE ADDRESS Ctqg'1(0' Health Departmipnt.Staff L1 nAG_ �t-il� CS , 1-F-_ Date St O fGe� ro -r 6 045_ Actions t U 14. ot\e.9-- a, 1L QUI �c-c�►n Qct a,r�, ,y\ ono '-� 1 ..:t• ` WNW,- vv. qy yy r Ip , IMMIX SM "_4i On, AV a scoot its I I qny Al ztJ , PO 14 4 j t M p { i rj d c P V„ 4P -mm k"A01 T AW " x WK Ifq Ilk. - -b, -.:, !Srr, ova SlY r- OR -likN 10, w� A A", 1 , Q "WORM, NOW ........................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WASHINGTON DEPARTMENT OF FISH AND nn rn n L ! r� n 3 � II OCT 1 3 BALD EAGLE MANAGEMENT PLAN RCW 77.12.655, WAC 232-12-292 LAULE TEHRYWKY : Ulele Point OIM:-'wMV JCV-ELOPMENT . 117 2._ Jefferson Occurrence # Nest # County The following conditions apply to the entire parcel if any portion falls within the distance guidelines. ❑ Any construction or vegetation removal on a lot within 400 feet of a nest tree or roost site will require a bald eagle management plan tailored for the specific land use and landowners goals. The landowner will need to contact and consult with the Washington Departinent of Fish and Wildlife (WDFW) prior to any clearing or construction. Please contact the WDFW at (360) 681-4276. ❑ Any lot located between 400 and 800 feet of a nest tree site: retain all known perch trees and all conifers 2:24 inches diameter at breast height (db.h). Also retain >_50% of pre -clearing or pre -construction conifer stand with diameter distributions representative of the original stand (>6 feet tall). Windowing and low limbing of trees is acceptable provided no more than 30% of the live crown is removed. Any clearing, heavy equpment use, or external construction will not be allowed between February 1 and August 1 within 800 feet of an active nest. WDFW or a qualified consultant will determine if a nest is active. xAny lot located >800 feet but within %2 mile from a nest and within 250 horizontal feet of the shoreline or top of high bank bordering a shoreline: Retain all known perch trees and conifers >_24 inches diameter at breast height (db.h.). Also retain 250% of pre -clearing or pre -construction conifer stand with diameter distributions representative of the original stand (>6 feet tall). Windowing and low limbing of trees is acceptable provided no more than 30% of the live crown is removed. I have read and understand the above condition(s) placed on Parcel # 977400021 located in the _Wc Quarter of_hM Quarter of Section 33 , Township 29N - Ranged (East/West meridian) with actual street address of 931 Olele Point Road . If the landowner(s) feel these conditions are too restrictive, a site specific plan may be developed with the Washington Department of Fish and Wildlife. If the conditions set forth above are acceptable, please sign below and this will serve as your Bald Eagle Management Plan. Activities will be periodically monitored and failure to comply with this Plan constitutes a mi§demcnor as set forth in RCW 77.15.130. ' �`,:.. • RN Regional Program Manager Send Original To: WDFW Region 6 Office 48 Devonshire Road Montesano, WA 98563-9618 ••• ••, u 931 Olele Point ;•.d WIN0. Jefferson County Department of Community Development October 18, 2000 • 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: LARRY CARTER PAT CARTER 931 OLELE POINT RD PORT LUDLOW WA 98365 Critical Area Review Case Number: CAR00-00380 Project Description: conventional Parcel Number. 977400021 ST -R: 33-29N-01 E Site Address: 931 OLELE POINT RD PORT LUDLOW WA, 98365 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. c: File 1AF_CAR Waiver Standrd.rpt 12/13/99 Memo Jefferson County Permit Center 621 Sheridan Street Port Townsend, Washington 98368 (360) 379-4450 TO LOLer-i cKA iQ+ C.' FROM 4S�z..ftY►h. L.R i j DATE —9/25/0o T COMMENTS fs ,.1 T Q.J • t earth a -p VA -111 of IK �- a -u. Lv►� t �no�" � �.a\d �� Vie_ BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00616 Received Date: 9/21/2000 SITE ADDRESS: 931 OLELE POINT RD PORT LUDLOW, 98365 APPLICANT: LARRY CARTER PHONE: (360)437-9224 PAT CARTER 931 OLELE POINT RD PORT LUDLOW WA 98365 SUBDIVISION: OLELE POINT Block: Lot: 32-34 PARCEL NUMBER: 977400021 Section: 33 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER: PROJECT DESCRIPTION: STORAGE SHED TYPE OF WORK GAR SQUARE I TYPE OF IMP NEW MAIN: VALUATION 4,480.00 ADD'L: CODE EDITION: 1997 HEAT BASE: OCCUPANCY: Aquifer UNHEATED: OCCUPANCY: OTHER: CONST TYPE: GARAGE: CONST TYPE: DECK: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 9/as/®J Permit Plan Check State Building Code Total: Amount Paid By: $111.25 MAM $33.38 MAM $4.50 MAM $149.13 128 HEAT TYPE: HEAT TYPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: PARCEL TAGS: YES NO STORMWATER: YES NO AREA Wetland Erosion Seismic Streams Flood Way Flood Plane F&W Landslide Shoreline Aquifer Forest: Commercial Rural Date: Rece 09/21/00 34356 09/21/00 34356 09/21/00 34356 hF BLD App Bld.rpt 10/29/99 f' �'...'