1522 MAIN ST.PDF1522 MAIN ST
04
6,1 S/SEWAGE DISPOSAL PERMIT
Septic Tank ........ .....--.....gals. CITY OF E D M O N D S No.
Disp. Field--------- -1--- -23 ....----sq. ft. Department o Puis
�U_�-, � Works
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Other-------------------------------------
NameU I�
Thom..as E.___Belt--_........................................is hereby authorized to install/
------------••---------------T ---------- E
repair sewage disposal system at
1522 Main Street
--------------------------------------------------------------------------------------------------------------- ---------------------------------- -...........................................................................
Date issued on-. ----- j 1y..269 1�G7...............
Permit expires one year from date of issue
DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies with all provisions of the City
of Edmonds Resolutions.
Signatureof Installer ............................................................................ Date ..................................
ApprovedDisapproved Date ........................................ --------.............. By ..................................................................................
Remarks:_ ......... ...........................•------....--------......-•----.....-------....----.....----•-----------------------••--•-----------------•------....--•-•---••---........-----..----------------------
SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------- Date ..........................................................
This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: .... T.k 10M.A-S........!.......... ......
For installation at: (street address) %? '�---�----- ........ ...........
Addition or Subdivision.77-0 sA M.\"...._p.4�.... 4- .............. Lot.------- ....... Block -----------
Type of Building: New ..... Y(..- Existing.........--. Single family residence.....(....... Number of bedrooms.-..5.................
Other: (specify type or use) .................... ......................... -------- -------------------------- -------- ------------------------------------------------------
Builder ......... H............ Address ..... ... ...AZ-.134...��4 ai.,.. a.-P /1
Designer................................. ........ . .. ... .... __.---- ---- .....Address..-.. ......-- . . ----------
Soil Log Hole No. 1.----- Q.„.-.30...----...A .yD-:.. �i, .Gr2A J.'F--L-_.._....'.3.0'.'-3.G�"....
Ca�4V�L.........--�Ca"-4.8`' Co�.n _ c.T .....GLl�, ....�t.. A.`� .1..
--- - .................................... . ........ 2.... ....... ......
Soil Log Hole No. 2..------.. ........ ----- ----------
Elevation of Water Table, if encountered. (Distancefrom ground surface) ..... .4..! .........................................
Corrections to control surface water if needed......... . .4..}..'......................................................................................
----------------------------------------------------------------------------------------------------- ---------------------------- ---........... -............... -.......................................
Specify if any removing or grading of topsoil in field area........i' .Q-.T�..................................................................
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Percolation:
Test Hole No. 1 —Average Rate...v.'4.\ .... .. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2 — Average Rate_ 1. 5........'_............................. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate_.._.1...0 ............ ......... ......... ......(Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design .........1...Q..M.1.4.I.1�► Date Taken*-..-
Septic tank requirements based on present rules and regulations: 'MIR MIDDLETON & ASSOCIATES
Septic Tank Size.... O O__...._gallons. Consulting Engineers & Land Surveyors
324 Main St PR 8-1171
Amount of Square Feet of isposal F' d.. 4'?�. ..............
/ EDMONDS, WASHIN TON
Signature —Designer ....... .. .. ...... �� __ _ � ��
- ... Date.... l........./.. .....................
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) ................ .7/26/67.............................. Permit Number ........... 291
Remarks:.........Subj ect-. to_.City... Inspection
19
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PLOT PL
AN & DRAINFIELD DESIGN FOR: THOMAS E. BELT, 912 IOth Ave., Edmonds, :.''Nash.
Lot 4, TOMMY PARK ADDITION NO. 3, according to the plat thereof, recorded in
Volume 25 of Plats, Page 118, records of Snohomish County, Washington.
July 6, 1967 Scale: 1" 20.00'
Percolation Tests Soil Log Data
No. Depth Rate S-1 0" - 30" Sand & Gravel
30" - 36" Sandy Clay & Gravel
P-1 30" 6.5 min/in. 36"-48" Compact Clay b Gravel
P-2 30" 7.5 min/in.
P-3 30" 7.0 ruin/in S-2 Same as S-1
Average Rate: 7.0 min/in.
Provide 423.00 sq. ft. of trench area in two laterals of equal length. X 7.1 ' long)
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