HomeMy WebLinkAboutMLA18-00038 Permit Applicationc ON cad DEPARTMENT OF COMMUNITY DEVELOPMENT
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Tel: 360.379.445() 1 Fax: 300.379 4451
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PERMIT APPLICATION
Steps in the Permit Process: !0UNI-Voct,
-Review application checklist to ensure all information is completed prior to submitting applicatio,
-Make sure septic has been applied for and water availability has been proven.
-Make an appointment to meet with the Permit Technician by calling 360-379-4450.
-This is not a standalone application; it must be accompanied by a project specific supplemental application.
-Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued.
For Department Use Only
Related Armlication #s:
Building Permit #
MLA .#
Site Information
Assessor Tax Parcel Number: 960300020
Site Address and/or Directions to Property: 51 Oak Road, Port Hadlock, WA 98339
Access (name of street(s)) from which access will be gained: Oak Road
Present use of property: Residence
i Description of Work (include proposed uses):
Wastewater - Sewage,Disposal
This property is served by Port Townsend or Port Ludlow sewer system? YES NO X
If not served by sewer identified above, identify type of_septic system below:
Type of Sewage System Serving Property:
X Septic Septic Permit #: 5EP94_-0.0. 1.4.1
Community Septic Name of System: Case #:
Are other residences connected to the septic system? No
Additions or repairs to sewage system:
Is it a complete or partial system installation: Complete _X Partial
Has a reserve drainfield been designated? Yes -s X No
Date of Last Operations & Maintenance check: 7/21/2016 Attach last report to application
Describe or attach any drainfield easements, covenants or notices on title, which may impact the property:
Recorded easement (AFN 596989) for curtain drain serving neighboring property (parcel 960300021)