The URL can be used to link to this page

Home My WebLink AboutSEP1970-00070Phone: 3 S ✓r' _ Q B qVNumber of bedrooms Previous owner (if Known) 07A kncrcyk Year Irk tallee' / Legal Description: Section Tovmhip -� Rarge / Street Adrxess [6so/ )�/a s Jet ilpe),Zale", a SEWAGE DISPOSAL Permitted s; -stem ✓ yes no Installed prior to permit requirement yes ✓no SetAlage noted on ground at time of inspection* es nn House is 'moccupied therefore an exraluation of drasnfield performance is not possible at this time. A review of our records indicate that this system was designed to service a -& bedrOrm residence. This system is not considered adecivate for a bedroom residencP unless it is sized per current regulations. Septic tank should be pimped if not done within past_ 3 - 5 years. s' L��G '�`• 3 -QL6-Ga Pe-co,PA ak�ackpA,. WATER = Y Well casing 12" above ground yes no Sanitary seal in place yes no Well 100' from drainfield yes no Water sample taken yes no Sample results Ca®ents: Date :3 - 2-1-A S& Time i onmental Health Specialist * This report. -does not constitute a guarantee, either written or implied, that the system will contime to ftmction properly. This report constitutes a summary of findings only. EESFOR?i 11/88 e� �1 10 01 Jefferson Count} Health Depav;ment��D �� Receipt No. 802 Sheridan Ave. Fee: g6.00 Port Townsend, WA 98368 206-385-0722 Date: 02 -- 9�- EVALUATION OF INDIVIDUAL DISPOSAL SYSTEM AND/OR WATER SUPPLY S7mivi&l.ial Information Rernaesteri: Sewage Disposal :� System;• " C . Water Simply P+»lic (/"Private — _ FEB2 1 92 Appl icants vam u- c7_ C�� 1 Crxn let Renort To: Owners Name f Q �-HC J E E �. C (_� U N s i Address�® a eHEA DEPT A kyr Phone: 3 S ✓r' _ Q B qVNumber of bedrooms Previous owner (if Known) 07A kncrcyk Year Irk tallee' / Legal Description: Section Tovmhip -� Rarge / Street Adrxess [6so/ )�/a s Jet ilpe),Zale", a SEWAGE DISPOSAL Permitted s; -stem ✓ yes no Installed prior to permit requirement yes ✓no SetAlage noted on ground at time of inspection* es nn House is 'moccupied therefore an exraluation of drasnfield performance is not possible at this time. A review of our records indicate that this system was designed to service a -& bedrOrm residence. This system is not considered adecivate for a bedroom residencP unless it is sized per current regulations. Septic tank should be pimped if not done within past_ 3 - 5 years. s' L��G '�`• 3 -QL6-Ga Pe-co,PA ak�ackpA,. WATER = Y Well casing 12" above ground yes no Sanitary seal in place yes no Well 100' from drainfield yes no Water sample taken yes no Sample results Ca®ents: Date :3 - 2-1-A S& Time i onmental Health Specialist * This report. -does not constitute a guarantee, either written or implied, that the system will contime to ftmction properly. This report constitutes a summary of findings only. EESFOR?i 11/88 e� �1 10 01 ACTIVI'TV 6CP0ftT •. FILE REFERENCE: 0 INDIVIDUAL OR \\ ESTABLISMENT: LV= TO fuu : OTiA:R REC NDA?IONS: OM: - , L9 ga. UP=LN?ATDZ: l_ r -\Ac,. AkIk-a f 4-)- a GOODMAN SEPTIC DISPOSAL P.O. Box 233 PORT TOWNSEND, WA 98368 (206) 385.2557 Paoucr Si 1 } t a GOODMAN SEPTIC DISPOSAL P.O. Box 233 PORT TOWNSEND, WA 98368 (206) 385.2557 Paoucr Si 1 .903 East Caroline OLYMPIC HEALTH DISTRICT Permit No. �C&7 i 07 Fort Angeles Pee Paid $ 7 -5 - SEWAGE --5SEWAGE DISPOSAL PERMTT APPLICATIONi Submit in D p3 icate NA ADDRESS ,• .,, " ® DATE ',EGAL r DESCRIPTION_ ✓p� PHONE DIRECTIONS FOR LOCATING SITE Ala Chi'," e,A�� & APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM AIR EXISTING SYSTEM 814 YPE OF BUILDING NO. OF BEDROOMS BASEMENTSITE SIVE NAME OF INSTALLER ON THE REVERSE SIDE, DRAW A DETAILED PLOT PLAN GIVING xHE FOLLOWING INFORMATJot 1. Property lines 7. Driveways, atios, carport$ etc. 2. Location of building 8. Streams or ;�odies of water nearby 3• Location of 4* Location septic tank q. Location of percolation test holes of 5. Slope drainfield 10. Septic tank IIsize �� Sanons of land 6. Water lines.& ll. well(if applicable) 12. Length of p4posed drainfield Depth to wader if encountered,. PERCOLATION TEST RESULTS LdPtin - 'x3 -me, required to Percolation rate Type of soil ( of hole seep last 6 in. (divide time bj 6) Pere. No. 1� Pero. No. 2 -----�"" Pero. No. DRAINFIELD LENGTHP� WIDTH. .....fL ,�. ` _ DEPTHN0. OF LINES r wva vua:.v ilYOJ.HLL AS DESIGNED AND APPROVED ON THIS APPLICATION. APPROX. DATE -OF INSTALLATION SANITARIANIS COMMENTS:, PLAN APPROVED Cpl DATE INSPECTED 7 REMARKS: 5-68 azurell DISAPPROVED SANITARIAN DATE p + fI rx LAN ,Nx N A a�'il RIO L • I, •� I I ,I I � YYY i I 14 i f _ SII 'ILII I f I y QG 1 . 4 i S 1..,' i �� M �' In " 1 `I�► :I �•�� 1 , It JLI. ll I I � - IR•' II � 1�1r r.,l y ,.p 1 � I�� _ I I i. I. ! I J! I if if I J1 I I , I C I SII FF 4w d I, _ ,t 11 1 I 1_ I I , i Ii N I r' if <qn I 1 l +,tfi r I 4 I' I ti i II 1 .I. i r. b` L Ill r.. I � q I •f rI otl! I ..i r F{1. 1 i If i �v I .1i; If 4 I, If 1 I if j a lifh. f o I, I "I I :• i f I _l. .J"EFE'ERSCil�T GC)UPITIr"Y' E T_T2 LL72 DT0 251.LPPL,2 T= 0W Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT #.... :BLD92-0101 DATE RECEIVED.:02/18/92 SITE ADDRESS:6301 FLAGLER RD :NORDLAND, WA 98358 ------------------------------------------------------------ OWNER.......:ALICE JENSEN PHONE: 385-0894 MAILING ADDR:PO BOX 231 :NORDLAND WA 98358 ------------------------------------------------------------------------------- CONTRACTOR NO CONTRACTOR PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: ARCHITECT/..: -PHONE: DESIGNER....: MAILING NPDR: --------------------------------------------------------------- PARCEL NO ... :953700-421 HEAL _ LEGAL DESC..:STR 29-30-01 EWM, TAX # BY; TE: LOT 11 , BLOCK 4 GLENNAN SUBDIV S IN 4 _ BY: DATE: DESCRIPTION OF IMPROVEMENT: remove interior walls, expand kitchen ------------------------------------------------------------------------ BUILDING TYPE ...... :RES BEDROOMS--- BATHROOMS-- MAIN FL...: 0 sf TYPE OF IMPROVEMENT:ALT EXIST.: 2 EXIST.: 2 2ND FL....: 0 sf GARAGE/CARPORT.....: PROP..: 0 PROP..: 0 3RD FL....; 0 sf WOODSTOVE..........: TOTAL.: 2 TOTAL.: 2 BASEMENT..: 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP..:SEPTIC CARPORT...: 0 sf TYPE OF CONST......: WATER SUPPLY.:PWELL GARAGE....: 0 sf UNITS.: 0 STORIES:O HEAT TYPES.: DECKS.....: O sf DIMENSIONS: -------MOBILE HOME------ COMMERCIAL: 0 sf FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf EST COST.$: 18000 SIZE: BANK HT ... :0 ft PROJ GRP..: 1350 SH SETBACK:O ft --------------------------- Owner/agent------------- -- FEES -------------- Signature: Date: Issued BY Date: ------ --.-- __ _. type amount by date recpt PRMT $ 189.00 AK 02/18/92 62987 PLCK $ 28.35 AK 02/18/92 62987 B.C. $ 4.50 AK 02/18/92 62987 Ly $ 221.85 FAL .f 1:1 1:10o O O 00 ❑00 ❑ -O❑ IJ91 p 14 .% H p p H N N F✓ H r iii VI 6P W m N Y' O tU 00 J Ch VI ON W � N FA Ortn � fi p Wli Y. O f,. < C rt N ttij r Lav C, rt m :3 U11fiH0 ro K d Y•O m O �z t21ro mro ` cntd z� w0v Wt/1tr—►'3 °J o tdx W W ' a H Wm0tt W mo��tJro rtWmm"rtWLnrommWF'i0m a nWtila- K0 :Wm Y• �' ° omba Hw Wnamm KwNOrto c0P-H 0,00z piU-1- m ° MH vrt Y• ted° WOY- c oWmrotrro15m W WmmbWrtY-C°•cm�d� H• 1-h b m m rtma P)W:C 3roWOQa�n NtimortW.MP_"m:3m�'. o o r F� �n .7O,W H Y-fiW rtWNCtroKf�Nrt m NmY-nm: �mri C'W .O 0�' Y-Y' n`' o ft w Y•Ortwro0NmoWHrtmo m WY-rtW F-AmW ,H W rtbd rnW � �o O mpOtd Drt►Cma�i rtiiOw fydrOmtt 0 R mroO0 O W ; tr H rt:3M MM m4 "- Sol H Y- N tr W O' O ct tr N m O__ m rt m W N m O rt P. W Y. ..m Oroct Fj p O O,� W SON � mrt b'�: m� ' 9d Y.C�AM' i �' � Q,p cmD E� 0$1 rtN��i p `�� ti rt a wrovA � rt moa WY• rt a w rt O m a n P-O' N V m m m rt t� W �i ° W a m U. °itm NY- �m�mrtW Nn rtp•a)M N Y• rt n m On p Nmn�n�K mmronY•it W�Y•rt0 m o N IV @ Y. fi N m N m J F+• �.tW� WOO m :r N m( t F,,,• W O' m m 0 N F, Y•o:3WWO o rt O �N rt0W NW t WO o OrtfyrrO 0yYnW 1; Yah O%�&)4�Oa -N- � a�� v —a a —I J I I . 0 VICINITY MAP (directions to your property) SAMPLE PLOT PLAN DRIVEWAY SE SAM IN FEET PROPOSED BUILDING LouTt� OF SEPTIC AND DRAINFI ..._�.... ...`..._..-..._...LOCATTIION OF WELL TOP OF BANK IIF APPLICABLEI I t 4 • 0 V 6 . I JEFFERSON COUNTY JEFFERSON QaUfi'*TY UNIVERSAL PLOT PLAN[ANN'NG & BUILDING DEPT. (This is not a permit) FEB 18 1992 Fill in the following information as completely as possible Use N/A where the question is not applicable. Property owner name: a I e -e- 1 Phone# work: Mailing Address: zip code l � -727 Site Address/911#: p iz code l x -- Mile Post # l_G1 Phone# work: homer LEGAL DESCRIPTION: 9 Digit Parcel # c7 5'3 "7cO "T Section Township Range Govt. Lot # Tax # Plat/Tract/Addition (c� (", ),\ e^ a'N S�4 Area/Division Block # Lot # Parcel Area/Size Proposed Subdivision Naive Shoreline Setback Setback u Bank Height. /0)0, Authorized p/contractor/Developer Contact Phone: ' 'TS --?4 Address r POTABLE WATER SOURCE: check one Public Supply O Port Townsend 0., PUD Other Name: State I. D: Private Supply Drilled Well Other i OFFICE USE ONLY Planning Area Fire Dist. _ School Dist. Land Use Designation Shoreline Designation Project Use: Signatur.142 1z ✓ Date Screen: 01 Parcel # 000953700421 Geo Cd 302129403211 GLENNAN SUBURBAN ACRE BLK 4 LOT 11(N100' W OF RD Mode' INQUIR) Auto Rollo OFF Nbad Cd 3138 * Taxpayer Cd JENS 0105 JENSEN, ALICE I TIP Chg Dt 11/06/1996 * Title Owner T/P Chg Usr JODI Tax Code 0211 Status Tx TAXABLE Land Use 1100 RES -SINGLE Affidavit Vol/Page / C/U Code S/C Cd C a 1 n u -n lnwA A J% -2 tnre nnA ►nn ur.ne►nr.n A a