HomeMy WebLinkAboutSEP1970-00133SEP 70
903 East Caroline OLYMPIC H AL71 DISTRICT Permit No.
Sgl
Port Angeles Fee Paid $7
SEWAGE DISPOSAL PES 111 T APPLICAT
Submit in Du hicate
NAML ADDRESS Rt. 2, Box 434 Port DATE 6-30J-70
Townsend
LEGAL DESCRIPTION PHONE
itrWrr.r.rr`. rrrr..� - - - - - r�r • r �.�..�.4r�
DIRECTIONS FOR LOCATING SITE/4 mile up W. Uncas Rd from Disc. Bay Store. Then
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e up gravel rd. <
,APPLICATION IS HEREBY MADE TO: INSTALL NEW
SYSTEM , REPAIR EXISTING SYSTEM
/044/4
YPE OF BUILDING NO. OF BEDROOMS
BASEMENT
SITE SIZE
NAME OF INSTALLER
ON THE REVEE SI
RSDE, DRAW A DETAILED PLOT PLAN GIVING THE FOLLOWING INi�ORP�ZATI0N
1« Property linesV
7.
Driveways, patios, carports etc.
2. Location of building
8.
Streams or bodies of water nearby
3. Location of septic tank
4. Location
q.
Location of percolation test holes
of drainfield
10.
Septic tank size 4,0& 0 galloms
5. Slope of land'
6. Water
11.
Length of proposdded rainfield
lines & well(if applicable)
12.
Depth to water if encountered.
PERCOLATION
TEST RESULTS
"upto,[l lime required to
Pere. No. 1 of hole seep last 6 in.
Pero, No. 2
Pere. No. 3.
r.
ercolation rate
divide time by Q
Type Or 80117
DRAINFIELD LENGTH WIDTH DEPTH NO. OF LINES�,,,,,,�.,,,,,;
IT IS HEREBY AGREED THAT THE PROPOSED INSTALLATION WILL BE MADE IN THE MANNER
AS DESIGNED AND APPROVED ON THIS APPLICATION.
APPROX. DATE OF INSTALLATION Signatureof Applicant
ZANITARIAN'S COMMENTS
PLAN APPROVED
DATE INSPECTED
REMARKS:
5-68
ALTH OFFICER'S SIGNATURE APPEARS AS APPROVED
DISAPPROVED DATE 6 3 O V
SANITARIAN (t -
f��
903 East Caro a OLYMPIC HEALTH DISTRICT Court House
Port Angeles Port Townsend
BUILDING SITE INSPECTION APPLICATION
Submit in Duplicate
OWNER ffeqHC� 14 A3 4;.oe T - ADDRESS Rtz �Sx�y�� 'T�,�5ehol DATE -x'/-70
LEGAL DESCRIPTION
AN APPLICATION fS HEREBY MASE FOR APPROVAL OF THE ABOVE LOCATION FOR A
STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM.
RESIDENCE -S Z-' COMMERCIAL BUILDING OTHER
NO. %ASEMENT SITE SIZE ,.8OURCE OF WATER
TYPE OF SOIL DEPTH TO WATER TABLE ({�
DRAW A SKETCH in the space belowq indicating location of building in relation
to other building$, property lines, well$ streams or other bodies of water.
Indicate proposed looation of sewage disposal system.
Date of Site Inspection,
Approved' Disapproved
* See reverse side for remarks.
tT�,
APPIC T S IGNAT
Sanitarian
THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT. A SEPARATE PERIIT IS
NECESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK AND DRAINFIELD.
re
Parcel Print
.• 10 T171•� ��
I
' �A
PORT TOWNSEND WA 983689737
Site Address:
300 CASSELARY RD
PORT TOWNSEND 98368
Section:
Qtr Section:
Township:
Range:
Planning area:
Sub Division:
Land Use Code:
23
School District:
S W 1/4
Fre Dist:
29N
Tax Status:
2W
Tax Code:
Discovery Bay (5)
06/24/2011
Port Townsend (50)
Gardiner (5)
Taxable
151
1100 - HOUSES (single units, non-farm)
CPA#554132 D/C#554133
Property Description:
S23 T29 R2W I TAX 14 SUBJ/EASE
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