HomeMy WebLinkAboutSEP1976-00291 /4-7,11 f li'n) i 'i///a 14/, -,,, 5641 76 - �`�
903 E. Caroline OLYMPIC HEALTH DISTRICT Permit No, ). 73
Port Angeles, Wash. SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate Bui.7.der !'.j h t411/
• Courthouse
Port Townsend, Wash) Date OWNER 111 o/ j Q. �i�'• A1411 to (1 ADDRESS Ri, • !� j3&)X 73 6 PHONE 6 3 i' di6-573
Le t is int, u p 1/(' ��-x ni
DIRECTIONS FOR LOCATING SITE 0 7 - J /c .t h. €s' -fes e)
AAo-t• - .Segthe,c1) tAr — , : -, . - - - : .-,
APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM,REPAIR EXISTING SYSTEM
'Res i oge. e--e g_-_. - tr • �----b /3
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TYPE OF BUILDING NO. OF BEDROOMS 'S a1s0+ SITE S IZE
NA O INSTALLER
DRAINFIELD LENGTH �J WIDTH 2( DEPTH #LINES 3-4\ SEPTIC' NK SIZE C�
DRAW A DETAILED PLOT PLAN BELOW, SEE INSTRUCTIONS. SOIL TYPE C\i.„., `ice S,x .
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ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS
PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT.
INSTALLATION SIGNATURE OF APPLICANT
AAPPR.OVED DATE / ?--7?---�S I A INSPECTED BY j0,.',.;o C` ATE e)/I a./ [cc,
SANITARIAN'S COMMENTS: s � ,� 5 ,— Q �.k, \:.„A__
IP _ v c� °e,.��. -..vim �,.3 ,. `s N :-.[C b`V
of ,/ ,, .._, i I CERTIFY 4, �'' �4 ".." '4fr p
4s, , 4, � Azig.i x„dh,�, _40 o THE MANNER APPROVED BY THE HEALTH
DEPARTMENT ,,rj �-1; DATE
INS ,,LL ERS N q ._�..�
OHD 6-75
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Found at:City of PT website , .,
Public Works>Maps&Drawings>Record Drawings>Side Sewer As-Bulks '
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OLYMPIC HEALTH DISTRICT
Date 3 ....,.,. .0r 7
•
SITE EVALUATION RECORD
Sec. 33 Twn. 31N Rq. 1 WWM
TO PENINSULA REALTY, INC. Lot 4., Division 1 , Seaview Estates
Legal Description
Washi ngt.on Rc. KParn .y
(see attached map!
Pnrt Tnwn cPnd , Wa. , 9$368 Directions for locating site
4: 90 x 146avge. 13140 sq.ft.
This does NOT constitute Site size 5, 90 x 127 " ( 11410)
approval of a :Building or
Sewage Disposal Permit . Seller Wm. H. McKeldin
Buyer Albert J. Lacy
A site evaluation of the above property has been made on
Date
IIby this department and your request for
has been
APPROVED; Pending submission of a site plan and application for a sewage
disposal permit.
CONDITIONALLY APPROVED; providing conditions listed below are met.
EIDENIED
COMMENTS: Lot 5 has been previously approved for a two bedroom home; kill
purchaser' s intention is to build a 3 bedroom/)bath home to be occupied
by three persons, utilizing both lots 4 8c5.
• __...._...._4��;<�... Yours truly,
Soil log: 11°' ... I
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Sanitarian
OHD 4/75 -�
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DIVISiON 1 _.„. . , _ .-
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33 , T. 31 .,R. I W WM. '� `= --
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1QN COUNTY,. WASH.
PORT TOWNJSENCa /
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4 ; 6784
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OLYMPIC HEALTH DISTRICT
• Date _7c
SITE EVALUATION RECORD
Sec. 11 Twn.'31N Rq. R-1 !,
T0; :.-7 t- 4 .Inr! ` _ i1rie+w1 :,Lt F-ems. �'Iv. 1
"i vncy Legal Description
21 .1rev;.0 ._rive
L n =pproxinat elv 244 ft. west
Aax,rillc FiY 11745 Directions for locating site
Af Cnc* ^,vc!.
This does NOT constitute
approval of a Building or Site size24, 52S s „, ft. ( A.)
Sewage Disposal Permit, Seller
Buyer ,Ll-art 3, Lacy
A site evaluation of the above property has been made on 7-23--74 and
Date
• by this department and your request for ,f)prnv,,2 for a ;l n,lle tami?y residence
has been
APPROVED; Pending submission of a site plan and application for a sewage
disposal permit.
,, iCONDITIONALLY APPROVED; providing conditions listed below are met,
111
DENIED
COMMENTS: r.,;, r i; 1 rj F-1 ; fA on lot 5 - deep trench rn be r.,: uired. I°'r i.or to
ao r:;vP1 74 9 r,<,:?rl-;ng or t end c.sew3 e dispo:z1 er lit the b. i Jding kite ^Eut-t be
:ub itted for r-view, ilunbing must t e stubbed ,Jut
�r• tr,o wn -F s4nri of nnuthw st corner of home.
• Yours truly,
Soil log:
Sanitarian hand 111
tF cWsa
�5 $ 4�95dawley
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