18505 83RD AVE W.PDF111111111111
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18505 83RD AVE W
Fo /V/ 0/t/ /-)s STREET FILE
St"MOM" HEALTH DISTRICT
DIVISION,OF SANITATION
3011 Rockefeller Avenue, Everett, Washington
City of Edmonds
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
18505 — 83rd W,
ADDRESSOF PROPERTY ---------- - ........... __ --- ----------- ---- ------------------------------------------------------ Permit No ---------------------
Charles Hansen ...... Address.18627 - 81st W. Edmonds ........... PR 8-7452
Owner ... .............. ---------------------------------------------- -------------------- -------- ------------- ..... Phone ........................
it It 2 It IN it
Builder...... ............. ............. ------ ------ ----------- ---- Address ----- ........... __ ......................................... --- Phone .......... _ ..........
Designer .... M. 1B. Meyri:r�g Addi-ess--20019..Hiway ... 99L nnwood PR 8-3101
- ...... ........ .. ........... ....... . .. ... ......... ----- -1-y ............ ......... . Phone ........................
Installer --- .-Archie Olson 18329 -- 72nd W. Ed on
-------- ------ Address-- - ..' --------- ------------ I ------- I -------- m� .... d_s ..... ._. Phone ... FIR 8-1433
_------------------- ---------
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
grades, fills, surface drains, etc.) listed by me on my sewage disposal systein permit application dated-. --------------
Oct, 1963
...... ------ ----------- --------------- have been coinplied with.
12/13/63
................................. .. .. ........... ................... .....................
Signature of D&sig �er Date
TO BE FILLED IN BY HEALTH DEPARTMENT ONLY
-,?— IL
Accepted ------- - ... .... -_------------ ---- Date ......... ....... ..
Not Accepted .... --- Date ....... -----_--------- ..............
------_-----_--------
Signature of Sanitaria-h -------------------- ------------_ - ----------- -_----_-_---------_-----
Remarks: ...... ............................................ ------------------------------------------------------------------------ --------------------------------------------------------
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an avcrage-size family. Over-
loading the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2v2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet t1'SS11e.
5. Deter-ents and bleaches used in normal household quantities will not harni the action of the septic tank and
0
disposal field.
BROWN
As-!�vilt Sketch
Ow r - r
fhnrles linnsen
18627 - 81st W.
Fdmo nd s , Wfist-
A0 97,
I rharles 11nnspn
Por. Tr. 88 r, b9 Fdmords Seaview Trs.
16505 - 83rd "".
ritv of Edmonds
Dec. 1963
e s i q n P r:
V. P. �Ieyrinf,
20019 Hitvis, 9C)
lynni.vood, Wash.
Installer:
Arrhie Olsori, 'r
16329 - 72 nd "J.
Edmon0c, Wns�
900 (--1]. S.T.
450 so. f I .
3 ft. trerric,
300.00
SNOHOMISH HEALTH DISTRICT
APPLICATION
DIVISIO N OF SANITATION
3011 Rockefeller Avenue, Everett, Washington
FOR A SEWAGE DISPOSAL SYSTEM PERMIT
I
(Submit 3-Copies).-
Permit to* be issue&to: ....... Gharles A. Hansen
.................. ..............................
For installation at: (street address) -------- lef" ��77 ...................................................
Addition or Subdivision.. --- Seaview Forest # 3 ------------------ Lot ----- 7 ...... Block .....
--------------------------------------------- ------------ ___ .... -----------
3
Type of Building: New ---- X ----- Existing ............ Single family residence,.X ........ ... Number of bedrooms ..........................
Other: (specify type or use) ------------------------------------------------------------------------------------- -------------------------- ..........................................
Builder ... PhArles A. Hansen 18627-.81'st W. Edmonds
-------------------------------------------------------------- ---- Address -------------------------- ------- 179 sh
-------- ---------------- . ................. 10 ... .... : -------
Designer-So. Sno..' Septic Tank Desi n 5208-1801th S. '1.7*, Lynnwood, Wash.
---------------- ------------------------------------------------------ Address ---------- -------- ---------------------------- ---------- ....................
Soil Log Hole No. 1 ----- 0"'--24"' Loam/sand 24"--48"'
-------------- ---------------- _ ............... -------- -------- ... S, dy '014Y
............... .............
--------------------------------------------------------------------------------------------------------------------------------------------- .......................................... I .............
Soil Log Hole No. 2 ----- 0"'--12" Loam/clay ; 12"'36"' Sandy/clay; *
..................................... ------------------------------------------------------------------------------------------------------------
36tt'-48"t blay/;and.
-------------------------- - -- ----------------------- 2 ...................................... ------ ------------- I -- --------- ---------------------------------------------------------------
None
Elevatibnof WaterTabld,if encountered. (Distance from ground surface)... ...... _ ------- --------------------------------------------------
Corrections to control surface water if needed ----------------------------------------------------------- -------------------------------------------------------------
....................... . ............... .................................................................................................................................... .......................
Specify if any,,removing or grading of topsoil in field area--. -_------_-- ----------------_-- -------------------------------------------------------
--------------------
Percolation:
Test Hole No. 1 —Average 'Rate ----------- -------------------- ........ ............. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate. ---------- 8 ------------------------------------------ (Fall in minutes/inch-bottorn 6" test hole)
Test Hole No. 3 — Average Rate .... ------ 7 ------------------------------------------- (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design..---. .... ....... 6 ------- ........ ...................... ......
Septic tank requirements based on present rules and regulations:
900
Septic Tank Size ...... _ ------_---------- gallons.
Amount of Square Feet of Disposal Field ........ ------------------ ......
Signature —.Design�r
............... A/&1 1- ----------- ........ ---------- Date ... 77- Xk f.. .............
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) ------- t - ------- _----------- Permit Number ...... 14�_6 -------------------
Remarks: ......... ............ ------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------- _ ----------------------------------------- ---------------------
BROWN
Xr
Harold Olson
5208-180 1 th S. W.
Lynnwood,,.Wash.
IAF
Drive
910 pe
Non -basement.
900 Gal,*, S.. T.
T373 Lin. ft. of
drain'tile
17
2 -trench.
31 wide
399- Sq,. ft. -required
'13�ainfield not to
exceed shaded area.
... ...... ..
A p
.0
0
r Hole
0 Pe
Soil Log
4" Ti ht line
9
Drain.tile
NOTICE:
-ul ..d
Nbwa rra nty--OT a-c(-_, Y.
The information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,e c'ty of �Edm.onds does not. warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
tFernap(s), including, but not lim*ted to
Such
the lociation of any sewer stub shown
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the "ity of Edmonds nor its
k__1
emp-1-o-yee-s o-r office-rs -sh-a-1.1 be 1--'-1a-b--1.-e for the
information given on this map(s), nor for
ation provided based
any one represent
upon . said map(s).
AP P L I CAT I Ulb— - ---2,-
for
LYN PLANT
The City of Edmonds
-STREET
p 5v= SIDE SEWER PERMff
IL CONSTRUCTION REPAIRS E]
EASEMENT No . ....... ..................................
�- ��j
--- -- ----- - --------------------------
ADDRESS . . ...... ........
CONTRACTOR ...... 4 15, 1./ ....... .......................................... — PERMIT No.
LEGAL DESCRIPTION: LOT No . ..... . �;7 ................................. BLOCK No.
.............
A
SEWAGE DISPOSAL PERMIT
Septic Tank ........ ...... gals. CITY OF EDMONDS 4.0..(� ...........
Disp. Field ........ ...... sq. f t. Department of Public Works
Other....... .........................................
................................ is hereby authorized to install/
Name ............... ....................
repair sewage disposal system at
.......................... ............
......................... ........................ .
Date issued
oni .... ...... ............ ............... ......................
Permit expiresi6ne yearlfrofii,date of issue
DO NOT,QOVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby cer . tify'. th . is, system was installed under my supervision and control and complies with all provisions of th'e Cfty
of Edmonds Resolutions.
Signatureof Installer ...................... ...................................................... Date ................................
Approved F� Disapproved 7 Date ............ ............................... Y ......
Y 7T
Remarks: ... .............
.............. .. ........ ..... ................ ....................................... ........................................................................
SANITARIANOR DESIGNER ........ ............... ........................................................................ Date ......... * ..................................................
This perm it shall I be . posted in a reason ably 'conspicuous plac e on- the job until' inspection has been completed.
j�;�GIITX F EDMONDS
_,0
Call PRospect 6-1107 'When work
R DEPARTMENT eady. lo ins ection. .(N , ins
liVIC CENTER — WATER-SEWE .19 r r p . 'o Tel—
tions Saturday, Sunday or holidays.) N,
2001
S-IDE- -SEWER PERMIT
....................
................. ....... I .......
ADDRESS ....................................................
Roth
'CONTRACTOR .................. ..... ................
OWNER .......... ....... StarL. -e-Y ... Zacury ...................................
V
0
M if
April
12, 67 2W.FlUdd.sewer!;
'W
............. days to REP
................ 19 ......... for ......
Permission is granted .............................
city Sewers. in accordance with application on file and governing 0i'dinances.
W1
...........
ATTENTION IS CALLED TO THE FOLLOWING: ease r r r,. ust
obtain a permit to construct sewer inside property I.Inei.,.A iIC "
NOTE No. I —The owners of the property may be it h'1Zs,'bcen inspected..
be employed to construct side sewer in street area. Do not cover any portion of sewer sewers wh �� ou get permit.
. 7- 2—Obtain full information regarding Ordinance ll,.16.030 and Regulations governing side en=y
NOTE No. . . Inside property line; minimum grade of 2%.
VOTF No. 3—Top, of side sewer must have at least 30 inches coverage at property line and 12 Inches
No bends in grade sharper than Ys will be permitted. Contractors shall be responsible for
renches in street must be water settled and surface of street restored to original. condition.
NOTE No. 4—T improper work.whlch may develop within one year of completion.
f allure due to do any work on the main sewer or its appur-
or to
NOTE No. 5-1t Is unlawful to alter or do any other work than is provided for in the permit,
tenances except to insert the pipe into the v6rye.
.............
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