HomeMy WebLinkAboutSEP1999-00197 Jefferson County Permit er E p U '' ,I
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621 Sheridan St., Port Townsend I 6.'w 4-6c-2
360-379-4450
i! l? _ 7 1999
SEPTIC PERMIT APPLICA V
PROPERTY OWNER: BEN THOMPSON �E t, �NTER�
MAILING ADDRESS: 9308 MOUNT BAKER HWY., DEMING, WA 98224
PHONE: (360)752-3374
SYSTEM DESIGNER: TILLMAN ENGINEERING, INC.
LEGAL DESCRIPTION: Section 32 Township 30N Range 01 E
PARCEL NO: 021-324-020
Subdivision Name GRIFFITHS POINT ESTATES Division Block Lot(s) (2O ,)
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SITE LOCATION: 725 GRIFFITHS POINT RD.;TAKE FLAGLER RD.TO MARROWSTONE ISLAND, FOLLOW
FLAGLER RD.TO LEFT TOWARDS NORDLAND,LEFT ON GRIFFITHS POINT RD.,APPROXIMATELY 0.7
MILES TO ABOVE NOTED ADDRESS ON WEST SIDE OF ROAD(SITE ADDRESS IS POSTED).
ZIP CODE: 98358
TYPE OF IMPROVEMENT: Residential X Residential ADU Commercial Community
TYPE OF WORK:
New 4 Redesign Upgrade Repair Partial(tank) (drainfield)
Expansion Designate Reserve Area
Conventional Alternative X Drainfield Length 173 ft. (EXISTING)
Number of Bedrooms 2 Trench Width 3 ft. (EXISTING)
Basement yes / no Trench/Bed Depth 12 in. (EXISTING)
Site Size 0.74 ACRES Number of Lines 4 (EXISTING)
Previous evaluation: yes / no SEP 94-0422 Tank size ST=900, PC=1000 gal.
Water Source: private X public Soil type 4
Application Rate 0.60 gal./sq.ft./day
TYPE OF SYSTEM: SAND FILTER PRETREATMENT TO PRESSURE DISTRIBUTION TRENCHES
THE UNDERSIGNED ACKNOWLEDGES THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND THAT
FALSE INFORMATION WILL NEGATE AND INVALIDATE THE APPLICATION AND/OR THE SUBSEQUENT PERMIT. THE
PROPERTY OWNER WIL BE RESPONSIBLE FOR THE ACCURATE LOCATION OF ALL PROPERTY LINES.
Signature �— r Date ( (3075.7
1
FOR OFFICE USE ONLY S
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APPROVED RENEWED '
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RENEWED
Fire District l Planning District 3 School District Z 1\ Zone
Date /(1/ Fee ;Cv5 d° Rec# 1 T /V Check# SI 1 `t Case#SEP (qt- OM 7.