HomeMy WebLinkAboutSEP1974-00271Al
E. Carole OLYMPIC HEALTH DISTRICT Permit Ion �d
Port Angeles SMJAGE DI:SPOZAL� P1--, jIT`APPLICATION
Submit in Duplicate Builder��6`22a C��sz
Court House
Port Townsend Date 3j 7
06sNE ADDRESS PHONE
DIRECTIONS FOR LOCATING SITE ---
APPLICATION IS HEREBY MADE TO; INSTALL NES' SYSTEM ---REPAIR EXISTING SYSTEM
YPE OF BUILDING NO OF B L'DROOPfiiS BAS EiFT'E S IZ w NAME 0 I�iSA;f.R
DRAINFIELD LENGTH 'IID DEPT4• NES a SEPTIC TANK S IZ
r SOIL TYPE
DRAWA DETAILED_ PLOT_PLAN BELO��.. SEE INSTRUCTIONS.
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ANY CHANGE IN BUILDING OR SE'_ SAGE DISPOSAL PLANS LOCATION OR SI # NVIALIDATES T IS
PERMIT UNLrSS PRIOR APPROV L OBTAINED FROM THE HEALTH DEPARTMENT.
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DATE OF INSTALLATION SIGNATURE OF APPLICANT,
APPROV7 _J-�j DATEINSPECTED BY DATE a 171Y .0
.aA1�zITARL�.N'S COP ii ��TS: _._.a
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I CERTIFY THAT T
'HIS
S I S D T MANNER APPROVED BY THE ..
HEALTH DEAPRTME' .1144D DATE (�
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X103 E. Caroline OLYMPIC HEALTH DISTRICT - Permit No, CT70 -z
Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION
Court House Submit in Duplicate Builder
ur■_..arwr..rninrirrMi In1
Port Townsend Date �/ .,�.
Oti-.���..... ADDRESS_y =.. _, • PHONE
DIRECTIONS FOR LOCATING SITE
APPLICATION IS HEREBY MADE TO: INSTALL N ,,t ,SYSTEM, L, �AIR EXISTING_.SYSM
YPE OF BUILDING NO. OF BEIROQMSBASal", IT TE SIZ NAME OF INSTALLER
DRAINFIELD LENGTH WIDTH c DEPTH-� #LINES S�EP`TIC TANK SIZE �� n
- --
.-DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS.. SOIL_ TYPE
MANGE IN BUILD GOR: SL' AGE DIS OSAL PLANS, 'LOCATION OR SITE, INVALIDATES THIS
PERMIT UNLESS PRIOR APPROV zL 013TAINED FROM THE HEALTH DEPARTMENT.
DATE OF INSTALLATION SIGNATURE OF APPLICANT
APPROVED DATE INSPECTED .BY DATE
SANITARIAN'S CONMEE NTS
I CERTIFY THAT THIS SYSTEM ', AS IID=STA11LED IN THE MANNER APPROVED BY THE
HEALTH DEAPRTMENT DATE
INSTALLERS NAN,'E
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JEFFERSON COUNTY HEALTH DEPARTMENT
Multi -Service Building - 2nd Floor
802 Sheridan Avenue
Port Townsend, Washington 98368
385-0722
No.: 369 3
Fee: $15.00
Date: 1`9-79
Applicant: pctHad7 ack Pro-pertien Sec. 2 Twn 29N Rg. 1W
Address _ PP.Q. Sox 325 Tax Lot #71, Adjacent to 5eafirst west fine
LEGAL DESCRIPTION Im.. BILK., tOn
Port Hadlock WA 98339
DIRECTIONS FOR LOCATING SITE (DRAW MAP ON SACK)
Phone: 385-1281
THIS DOES NOT CONSTITUTE Site size 88A•)
APPROVAL OF A BUILDING OR
SEWAGE DISPOSAL PERMIT. Seller Glenn Dean
Buyer Seattle -First Bank
I request this site evaluation for single family residence or single office building (bank)
(2 employee totihe**
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 1-23-790 by this department
and your request has been:
❑ APPROVED — Pending submission of a completed sewage disposal permit application.
CONDITIONALLY APPROVED Providing conditions listed below are met and submission of a
completed sewage disposal permit application.
❑ DENIED.
COMMENTS: Soils were generally unacceptable. one area (Southeast area of lot) had
suitable soils in a limited area. Drainfield must be located in this area. Low water
use is essential
Soil Log: 1-
a -
5'
Land and gravel
2.
0 -
6'
sand
3.
4 -
6"
clay topsoil
6 _
36"
sand
36-48"
hardpan
(4
other logo basically hardpan)
6.
0 -
3'
clay and hardpan
3
- 5'
dense sand, 61ts, gravel
Respectfully,
Randall M. DuranW1'R5IW
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