HomeMy WebLinkAboutSEP1971-00134rpo';;t
East Caml�rne CLYNP HESTTTI DISTRICT � Court House Angeles Port Townsen
BUILDING SITE it4Sk. ,;` TO d APPLICATION
Submi .�.� i cy : � � � I
OWNER-- Caderol..DQreen...,...ADDRESS �.ordland...�...�, ,. ,.-.. _.......,......_....DATE 2.
LEGAL DESCRIPTION T 2 RlE Tax No. 26
DIRECTIONS FOR LOCATING S ITE
__Fr_0M r2ggj:t_on Lin Lig Point
AN APPLICATION IS HEREBY MADE FOR APPROVAL OF THE ABOVE LOCATION FOR A
STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM.
I:ESIDENCE x ___..COMMERCIAL BUILDING OTHER
NO. BEDROOMS_�_.BASEN,ENTye3;ITE SIZE 5 acres SOURCE OF WATER well
v
TYPE OF SOIL Drainfield in ravel DEPTH TO WATER TABLE
RAW A SKETCH in the space below,0 indicating location of building in rel�._t�,-,-n
to other buildings, property lines, well, streams or other bodies of water,
Indicate proposed location of sewage disposal system.
Septic tank, drainfield and well put in 3 years ago -lived in trailer house *w
going to build house. '
Date of Site Inspection, _,2, L
Approved* .-�.. L,--�.-, Disapproved
See reverse side for remarks.
anitarian
THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT. A SEPARATE PLRi-JT i5
NECESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK AND DRAINFIELD.