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HomeMy WebLinkAboutSEP1978-00367 5F-0 h • w ri JEFFERSON COUNTY HEALTH DE ART NT- � le D03la l 802 SHERIDAN AVENUE INSTALLER 1 ,.i e.Sv a� PORT TOWNSEND, WASHINGTON 98368 RECEIPT NO. 7 � � BUILDER X (206)385.0722 q / _ / 1 SEWAGE DISPOSAL PERMIT DATE [ �y� `� Submit in Duplicate q Jay 6-1 65U1'' I i , - : 4 60-z...... 1651. -23,3 Own Address Phone m / fgeC�.c.,& s7 Directions for locating site 2.,g6 0 d z �' '1t m lam' . 0 INSTALL NEW SYSTEM Z REPLACE SYSTEM El PARTIAL REPAIR El TANK/DRALNFIELD C O TYPE OF NO. OF SITE ' i BUILDING 114' 1""''''"� BEDROOMS 3 �e� BASEMENT hr 0 SIZE ` % )c /0 7 w cp DRAW DETAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING C n SOIL LOGS �� v_ -I 167 <_ p J T+ z '�° Z . �--� ----'' ISI-orIE So�,a lb, a L, 0-10-, 1p /0, o z OD e_ box /p• rn p z II 20 > Y O m Dig two holes per site. (min.) 0 4' deep - 2' dia. -50'apart & flag APPLICANT 1 Drainfield Length /O Width ® Depth 3O # Lines Tank Size /00L-Gal. 0 COMMENTS: o `( c ,,; �, c5�i T�3it/. cSf,Grg L L.o c� (TWO COMPARTMENTS)PARTMENTS) D /f e(.2 ©/� \/- /?/' ) -77-1 (D/R.,:7 e.Jo -. I— m 3 cl .4‘`J lev e, °I P2.0d � Y L.e.,J�„S /4#`57`u /o ° .&--..-- ,o .( o 4S c<> 1009;�,/ 0(/2.- o � 3) -/ eeNISP ,0.--,) /1).e-e-,c. ,c) /,' xi c ..-as-e.) / 21,-577-.9-<-4-E13 /1.10 Jd - N. 0 7 03 'PROVED D' E INSPECTED PARTIAL/FINAL DATE . 1 I c= ify th. t t system was ins :l '�d i' : 'fanner approved by the Health Department. Ai !Ii/ r~ � � INSTA ER'S SIGNA URE DATE DATE INSTALLED 114 ''"y JCHD/1-78, 'J ec ; .a C--;6,50i/ 6/s;/e 3 • JEFFERSON COUNTYHEALTH DEPARTMENT No.: 4548 Multi-Service Building - 2nd Floor 802 Sheridan Avenue Fee: 15.00 Port Townsend,Washington 98368 .385-0722 Date: 8 7 78 Applicant: Jay A Sil,sou Sec. 33 Twn. 31N Rg. 1W Address: 10729 Welk Drive Easterly of Lot 8 W, 42' of Lot 18 and LEGAL D SCRIPTION(DIV.,BLK.,LOT) Sun City, Arizona 85373 all of I•nt 9 81k h8 of Fowler Park Addn. DIRECTIONS FOR LOCATING SITE(DRAW MAP ON BACK) Phone: 602-974-1941 .: •" ,• • - THIS DOES NOT CONSTITUTE Site size 96x100 ( A.) APPROVAL OF A BUILDING OR SEWAGE DISPOSAL PERMIT. Seller Wilbur Harms Buyer Jay A. Gibson I request this site evaluation for l single family residence or INSTRUCTIONS: A minimum of two soil log holes at least 4 feet deep, 2 feet diameter, and 50 feet apart must be dug in the proposed drainfield area and flagged before the evaluation is made. A site evaluation of the above property was made on 8 7 78 by this department and your request has been: • ❑ APPROVED — Pending submission of a completed sewage disposal permit application. F31( CONDITIONALLY APPROVED — Providing conditions listed below are met and submission of a completed sewage disposal permit application. ❑ DENIED. COMMENTS: Set house high on lot. City water is required. Soil Log: 1. 0 - 30" Silt sand Respectfully, 30"-60" Sand • 2. 0 - 30" Silt sand 30"- 60" Sand SANITARIAN Larry Anderson a s L Y • o° • s , • ,. • , . , _ .} ... y‘ ,,... . s,.... 4 . t 1 ,f _ !r • j ` r ..¢ L 1 l Y=;1 d ` 1f / r hv_ 1 'r i 0 . -.... ' ,„ . r i 1 ± .1. ± 4 V f f/, et I r. _... .--� _ jam 1 Oil !! � v ttll • i ''''‘' •••• 4 i tA • ' _ I , ■ - . ^ . / ~ ^ ~ `` ~ . ` . . / ^ i 'Ilt • S " ' \ ' /� , , �«^ (� /` ' ,)' ' + ^ '7'7'. � . ___ ... ___ _ . , / / n • - 0 ' ^» '� ' . . '.-^' , � �' ~ � _ _,- _- - -_- _-_- -_--_, ` ,/' 2p ' - - -- �4' ---------�---------- - ------ - -/ / . / ^ . _-__�_-___�_--_-__�__-_____-��~~-. ' ~ ^ ° , ' ` \ ^ 1 / / ���� 1 ��� � _ �� � | pl / � . ' � ' -CIA ' ' "r . \ I �_^ __ - �� _' �r ` ~^ ` � ^ \'^ I/ ' i ��- . ' _~ T"-- @| -- /_ � ,�� ��yu� , ^ '� ' " ' � - ' \ I P^ 3'76 . .......9 0 �-r-l� } __L-` ~ - )' ` � } - � | ■ ^-^- � ~- ` ^ _ . ` . x * . 6_ ` \ . ( ` ~y / � . �� }� ` ° 75 N..... �� � ^ /~' `3 i, ` �� ' ' .. , • � ' ` . _� �~ ` . ' , 1 ' -- ------' 1 \. . `\| � — — . 1. .�. - -- ---- - c ,' ., ` '. ^ - . G/24 7f __ l v w k.1)1 • ` + o* ". - . f c„. :; ,'LctoeS 74e 7o/r1zzye 2 Z • } l !'DD ! - I \....,..........:, I • . o _ r N. k _ — — ` 0 Q 11 _ h i ra i PA II 5 I� _ •� ,1*-5> \ F I as c ,„\a c 1`Y' 4---f: 60 -. a �I ! \ 1, 5 3t t ' .., 1 Ic. . 1, 1 s .: - Q I \,40 ri ','3 r F ! a Complaint Sheet Dated 5/4/83 - 5/19/83 Nature of Complaint: wetness in side yard along house toward bluff - they believe may be • sewage. Name of person(s) causing complaint: Harms old house, or Burnham home or just surface water. Address or direction: Above Seaview - Fowler Park Phone: Name of Person reporting: Mrs. Gibson Address: 2860 Claremont, P.T. Phone: 385-4592 **************************************************************************************** DO NOT WRITE BELOW THIS LINE **************************************************************************************** Investigated by Randy Durant Date: 6/6/83 Conditions Found: Dry today -based on uphill property drainfield location, existing cut at lot line, cut in hill of Gibson's house & replaced drain from roof (2 weeks ago) Appears it is likely just surface water. Checked upslope drainfield (Burnham) OK on this date (+) he said a drain was installed (runs from bluff to cul-de-sac) C/T his and Mr. Gibson property line. Action taken Dates 6/6/83 on site met Mr. & Mrs. Gibson. JCHD (1-80) e alledkYou lease Call DATE �, TIME Returned Your Call i Was Here To See You �`� Will Call Again • A MESSAGE FOR YOU Wants to See You M Left Information 1-.)- SCAN No. I I ON SCAN No. OF �J ,� 76"v eAr,,,, f S/, 43x5'- vr,.y� MESSAGE: e.G4zaw-- - fl ')/ilca c5/3.3 � � � ` 'C `- —r-‘`> 4 ..L\. ..1 t') • sec1-2:v-"-"k `Nis"'ce's)C 5V5 8 5 ... \\�L.k C.,.tS SF 8023 3 {.—_w _ _ I ITIALS a aqi —s�rCtS �C1S V�'"�.x��+� C lied You Please Call DATE TIME Returned Your Call /o. Was Here To See You • Will Call Again A MESSAGE FOR YOU Wants to See You Left Information SCAN No. U i ON SCAN No. OF _I LJ 2 5(4,o CA- mss —ifs �- 4 SF 8023 411,0 3 INIT1 d. Parcel Print Page 1 of 1 Parcel Number:951906807 08/15/2014 Owner Mailing Address: WAYNE C NAGY KIMBERLY M NAGY 2860 CLAREMONT ST PORT TOWNSEND WA 98368-1032 Site Address: 2860 CLAREMONT ST PORT TOWNSEND 98368-1032 Section: 33 School District: Port Townsend(50) Qtr Section: NE1/4 Fire Dist: Port Townsend Township: 31N Tax Status: Taxable Range: 1W Tax Code: 0100 Planning area: 98368-1032 Sewer: PTSEWER- Drainage: Connected(No CWF) Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: 9519 - FOWLER'S PARK Land Use Code: 1100 98368-1032 Property Description: FOWLER'S PARK ADDITION BLK 68 LOTS 8(E4'),9(ALL), 10(W42'),21(W42'),22(ALL),23(E4') ALL VAC ALLEY, W/EASE http://www.coj efferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=951906807 3/17/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map / f✓ f Y/✓ � ✓ll r ,k f y/✓0,4,✓ ✓ r " `✓ ✓✓ r fi " r,J✓ /i ✓ x fi ✓✓.A � f ✓ / f f r .r 3 ---c- „,,,,-,- / li V. i�'. 961900602 r✓r✓ ✓� /✓ _ __I E Legend F 11111,-,,✓ 1, ✓” 993800019; So1ect d F9aturaa TGW 5 ✓ ✓ fy ; sent 96190680€ I Cam ✓ / .✓✓" +151906810 Rur Cdr!¢ 951906801 ry "7.-- —95190600r 9619 12 951906815 i y 95191 14 1 I ( 1 JG_R68tf6 I E 7 it 3 Parcels H 951 eer __ 1 L 951947303 p �, 1 01910 i6o t St !— 951907302 951907307 — - , 1 1 1 051907313 i ,951907301 I I 951 1 ■i ___ 9 g 951907306 E 9 1s 101435407 i , 961800024 l �i ,951 _ I $ 101335036 iy. ✓ r� IIII—II —71 993000025 L / ; 951907503 951907502 1 J 993840426 101335005 , 951907541 169rt r- r 4aps*Swotted by.ieetesam campy Contra Soismott QS FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Mar 17 13:15:15 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/17/2015