HomeMy WebLinkAboutSEP1978-00354 TE h/ /7r. x/o:5. &r--i'' %;a3
JEFFERSON COUNTY HEALTH DEPARTMENT 'K'
802 SHERIDAN AVENUE , `
INSTALLER O • \-•0%-‘t--) PORT TOWNSEND, WASHINGTON 98368 RECEIPT NO. "`.PVa--
BUILDER .-5-44', 71" Cio.v '/ (206)385-0722
.-5-44', 71" DATE X0--\3-71?)
IIP SEWAGE DISPOSAL PERMIT
Submit in Duplicate
"7,e. A#V 7'47,e5 . . E4*J
Owner Address Ph me 1.ZD 14 m
D
Directions for locating site r-
v
m
a-Liclo .,9.0eu-ka,,,) 0 .
-u
INSTALL NEW SYSTEM g REPLACE SYSTEM ❑ PARTIAL REPAIR❑ TANK/DRAINFIELD❑
_
0
TYPE OF NO. OF SITE `S` s4 .., � z
BUILDING /7p ofAr BEDROOMS _2- BASEMENT SIZE " t\� co to
D
ilk
RAW DETAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING W n
SOIL LOGS S 4s-.�-. %-v-\ o
g , N Z
1 . los ar , -
Z A
�I -Huse., r G
i
O
• ���, cn
•t ! b < _
o Z
/' ri1
4-,. z
r co
r
Dig two holes per site. (min.) el \ 0
4' deep -2' dia. -50' apart & flag APPLICANT
Drainfield Length I Sb' Width ine r-.th 3 # L -s 3 Tank Size \t Gal. D
COMMENTS: c
pv� Q--4 \ - (TWO COMPARTMENTS) D
1 Cid o
50"
0
-.Zsk-.Th t o/Pi /?t) o\e■ ►
f#PPROVED DATE INSPECTED PARTIAL/FINAL DATE („*
certify that this system was installed in a manner approved by t - ealth Department.
../ 7 -. ./
INSTALLER'S SIGNATURE DATE DATE INSTALL D
x
JCHD/1-78
tt~ •
tf(.,,
7
\ \ \ . • '1.:„,- \\ -,,,. _;.:_,,_.;....,,„■..---\ . '
. \ \\ -,, ... \. N.e....t,
r— . M ,,,,
, ..„...----. ., ,
,.. 1
\(\,. .
, _.
,_„._.•....„
....7,....,......._ / ,.-.
i ,s'...,,,
,,
.... . • . , \\_,,
. \\
w ,.. . ..
,,.., .
•. .
.. ! \ . ,s ,
e
,..0.,,, .. 1
■
\d! }
a
i
- t .,
5�. 3 5-Y.'.
OLYMPIC HEALTH DISTRICT
/1 -4/ r,
��
Date 2/ j 77
•
SITE EVALUATION RECORD y
Sec. Twn. Rq.
TO: Harry F. Tew Tnt 9n Pstrfog
Legal Description
c/0 Kassebaum
Seavi eta T?rivA
Hadlock Realty ; P.O. Box 248 Directions for locating site
Next lot past Loops.
Hadlock Wa. 98339
89 x188x70x151 _
This does NOT constitute Site size ( A.)
approval of a Building or
Sewage Disposal Permit.' Seller Harold M. Louis
Buyer Harry F. Tew
A site evaluation of the above property has been made on 7-12-77
Date
• by this department and your request for approval for sine family dwelling
has been
LJAPPROVED; Pending submission of a site plan and application for a sewage
disposal permit.
CONDITIONALLY APPROVED; providing conditions listed below are met.
1DENIED
COMMENTS: Locate the home toward bluff providing adequate area between home and road
for drainfield.
Yours truly,
Soil log: 0 - 4' sandy soil
0 - 4' sandy soil, some gravel
Sanitarian Randall M. Durant, R.S.
OHD 4/75
• . • .,
O ' • '
11. ‘ . • , n
• .
. • . , . , n '
' '•• , •
- '
, . i
/ „.... .._
, • . , ,
, ..
1 (-.
....7... ...„,, . . -
• ......._ I ,
,,
.
...--.-.-. .
--.„,.....
.,../ , ----..
..,....
:, • . . ....._ ...
-- ... - '.
•
,
/ ../.',/>"-
/ / • 1:.' : ,.. , '
' -
ss
''''••,..,, ,_.'•
.'",... • . ..,
/". \ .
. , ....,....
/ i
s
--... '
'1
/
•., \ i„._. '-'
,.„
`....,„, ''''' ,•••-'1
. .
-..,,,., '-.- , ,j l
\ ,
.
. ___\, „
.\ ----
• . \ . ,:.
..x.. .
. ,
„
. ,-..
.... .
s „
. •
e .
\\ -CZ,
\ehri S, i
.e..."*. e i....- , ..
., \ -,1,.... ..... .,,
\ 3=
' 4.:i .
, .
'I
i
, 1
N. • i
2 i \ 1/444 i
. ,
,,
' \ \
; '
i /
, ...../ I, , ' ■
\
-'1--1 •
• \
-,
'4.1 \ -----7.--------
O ‘i
411
, I \
L):
■.; t
. . .
. .
. ,
= .