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HomeMy WebLinkAboutSEP1990-00318 ti 0L104,15 /3 1::)A � .Jrte—s1107i4 F-41 iheAri✓a21if‘—LA'sP `c.t.D. ('71(,¢113..,$11‘, .,0,e.) I `O D C.L '• 6-a 4 B LSE 5E427 y•'(--t RD EFFE .soN COUNTY HEALTH DEPARTMENT Permit # Q _ . A t N-$a i 3 3 4.04,b INDIVIDUAL SEWAGE DISPOSAL INSPECTION FORM Date 6 - 4o APPROVED YES ' No EilVI TALt$T r• Ai 1.6 n . , Address k __1 i.- T . :\k Omer , aa. F4 � • Legal Description S 33 1 ' R k,'_... "qh \oi cQ.t SCE, 3 t ", Residence Commercial I of Bedrooms q System Installed f2tP. System Designer a b o SEPTIC TANK Commercial 'X Non commercial Measurements: L W WD Construction Material c.or.tsvoist Lig. Cap. 4' DISPOSAL FIELD PR B 2015 Exc. Depth (-(-3("34 Width -2; Total Length \50' Sq. Ft. Lk 6-0` Rock Type Depth Under Over Engineer Design Yes Type Engineer Approval Letter Yesy Well 50 feet from tank 100 feet from leach field • Well installed at time of septic system inspection Yes No Public Water Comments: `Jt()AQ . ©--B..s� 1 t4ARAIKIFI7E4..D ARISIA PERMIT mi3d Slo ft It Le 017-5'40'11 - 1LAA,' ENVI177 HECK L.L.C. 1612x ::_,: ;gss. Ave. W. Port Townsend, WA 98368 vyo‘ lS-- 137ft:4,„..... 9b-318 b 4 - Plot plan submitted action Sa n1 °I b — bD315 art of a 1plonitorin• insp as a P b JCPH. R Not reviewed or approve Y 4,.a._re 1 clkQ