19819 82ND PL W.PDF111111111111
7652
19819 82ND PL W
NOTICE:
Nb--warranty.of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds does not - warrant the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-m a p (s) , including, but not limited to,
th*e loc'ation of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
e rn p-t o-y e e-s o -r o ff i c, e r S-) -S* h. al- I b e 1-1- a- b.-11-.e f o r -,I h e
information given on this map(s), nor for
ion provided based
any one representat*
upon . said map(s).
CITY OF EDMONDS
CIV14P CEATER — WATER -SEWER DEPARTMENT Call PROSPect 6-1107 when work
Is ready for inspection. (No inspec-
SIDESEWER PERMIT tIORS Saturday, Sunday or hoildn".) N -0 2281
19819 - 82nd Place West
ADDRESS
k. E. FunderbUrk
OWNER----------------------------------------------------------------------------------- RUssell Johnson
........... CONTRACTOR ...... .........................................................................
Permission Is granted _M.ay ... 22.1 .................... _' 19�2_ for ------------------------ days to REPAIIR or CONNECT a side sewer
with City Sewers in accordance With application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a Permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get permit.
NOTE No. 3—Top, of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade shaxper than 'A will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. 5—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe into the wye.
70'
APPLICATION
for
'T V-ty of Edm( SIDE SEWER PERMIT
)ndst%-
STREET FILE NEW CONSTRUCTION CL,,---REPAIRS C]
JYM PLAINT
—EASEMENT No . ..........................................
4:7
OWNER 4L ----------------
----------------
.......
CONTRACTOR ..........
.... ......... ................ PERMIT 1140.
VP
ADDRESS ................. ................. ................
LEGAL DESCRIPTION:
LOT No . .......
.................................. BLOCK No . ..... ...............................
NAME OF ADDITION ...........
72121.
.... .. ..... ......................................... ..........
APPROVED
.� MAY 2 2 19-67
Approved:
DATE ............... By ... .... I ......
EET FILE
OMISH H
,fL
�AjH-DjS.TR1.C.T-,.-
DIVISION OF�SANITNVG
3011 Rockefeller AvetfktEverett, rw-,�Cshi4-tdd
APPLICATION FOR A SEWAGE DISPOSAL*o$-YSTEM PERMIT
(SuMmit 3 Copies)
Cy
G W. Nort
Permit to be issued to: ........... .. I .................... t��a .............................
For installation at: (street address) ------------- 19B1.9QT1.qP1.#'1# ------
----------- ------------------------------------ 0 ............. A ........ �Z
r 1111q�
Addition or Subdivision-..:� cAkwood I \ " -e. ....... Block' ---_I:
.. ....................................................................... ................
I ype,of Bluildih X. -kigti .......... .. Single f mily residence ........ Number JPbekdrooms .... 3
, e x ng, I a ..............
-�Qthen:s ��-qcify type 9rTuiie-)�.. ......................... I ........... ............ ...................... .................
-----------------------------------
luilder G�, R. IiortYmp A U 1804 NIVJ 202nd Seattle
------ ci-r-e§s P
-z . ............................................................................. ......
---------------------------
7' 'ih C ltil-dtp '*,87th St., Seattle 55B
Desi 0 Z � I Address 1045 fit 1 11 01
g -------------- -;x - �iz -------------------------- I ...... .... ... ..... .
! to
So8r-4-og Hole No I medium amounts
"IJ "Ij- .. ....... ...... I ............
........... ......... .......
................................... of --- QlayA ........................................
............
Y ------ [i --------------- ------------- ------------
r" 44 -�,
Soil Log Hole No. 2 --------- Same owl-�t I CV
---------------------------------------------- .................................... � -------- —.'-- ------------ j -------
................................................................. .......... W.- ------ .......... � 77�;
............... ---------------- --
Elevation of Water Table, if.encountered. (Distanc: 1from grouncl_oitrvf-gc-e-)--T—..N-on.e ....................................... T
Corrections to control surface water if needed...
.................. .... ------- !--.4-
........................................... 7 ................................................................ ......
................................... ................. .....
Specify if any removing or grading of topsoil in field area ....... (,Mp .... I .............
. . .............. ............
-------------------- * ............ ..........
.............. ............................ ................................................... 40-1114. ... 1xi
........... ................ ... ............ I .................................... -\ ... .............
Percolation:
Test Hole No. 1 —Average Rate .......... 7 --- ........ I ........ 11-1 .......
V �(,F,.all-in-minutes/,inch=botto 6t'� -test h(le)
Test Hole No. 2 —Average Rate .......... 7 ......................... -bott m"6f' test hcle)
(Fall in minutes/inch om
Test Hole No. 3 —Average Rate- --- .... 6
......................................... (Fall in minutes/inch-bott m 6"Test hc le)
Average percolation rate on which to base drain field design- ............ ...... ........ ..................... f..
Septic tank requirements based on present rules and egulations:
Septic Tank Size ---------- 9QQ ........... gallons.
Amount of Square Feet of Di Id-
,�p-osal- Fie ....................
Si nature — Designer. ... e d L1.
9 9.63 .....
......... ........ Date .... bruary --- 2.8.i�l
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
-rm,
Pe it'lssued Oate) .........
........ mitiNurriber..7 ........
.... P6r
Remarks: ..................................
I -.�N
. ..................................................... ------- ....... ................................................. ............... .................
BROWN
#P20
CA File Noo
Critical Areas Checklist
Site Information (soils/ topography/hydrology/ve
getation)
k I q
1.. Site Address/ Location: Pts> 17-L ro t>_r, 960Z
I Property Tax.Account Number:. Ob 5q5b 600 6 fl. DO
3. Appto.,dmate Site Size (acres or square*feet)-� 9 .5,
4.- Js this.site curreq�y_�eyoqped? 411", no.
-,yes;—
If yes; how is site developed? 5� I�PjrLoq t4OM S. 6 -Z. .4Ar'rbWT
5. De�crib6 the general qit6 tb�Ographk.',�h' 0,,4hat 00y.
Flat: 1�ss fitap 5-
feet-elevation d=ge over entire site.
R614
U. slope's, ?n,: b�,li� agefierallj le6 tha� 5'%' (a vertical" r: s'e of 10-feet over 'a horizontal.
`distiiic6 of,
11��
f
Hilly:. �si��zpfiesmt�o:n.,site",iDf,,more than 15% and less than 30% (a . . vertical rise of 10-feet
over. a hofizontal.distance of 33 to 667feet).
-site �(a, vertical. rise. of 1046et� ..a horizontal
eep:. gi# f greater fl= V% pwsent�qn,
Oep o
over
-33
.,d*ance.of less.fl=
Other'(pleasb e6cr_
ibe):
6. 'Si contains a'_r'e!;a's'Qf' Dep
61*409water,
r
Site contains 41�asopal standing waten-
,qf AOprbx. Deptk
Vhit s� of thi year?
8. Site,is in the floodplain, 6_ a.a,watergours
ei
9. Site cort6inis ii, 'bri" area i4here vifttet Iso 6. ac-'rioss F, gro�un surface? ows- are year-round?
—Flows are seasonal?
10. Site is primarily: i6 meadow
;'shrq
urban la��caped Oa�� shrubs etc)
is
lii�"","-Olbirious,i,��etL-trid resenton�site
Otj Stiif Use Oinly-
1. Plan Check Nt1FbV!r, applicable?
2. Site is "7
3. SCS mapped soil Vp*)? tA*
V
M
V/' 4t_."V.M
4. Critical Areas inventory or CA. map indicates Critical Area on site?
i ted earth subsidence landslide hazard area?
5. Site within desigr ON
DETERMINATTON
STUDY REQUMED WAMER
'.0 Am. J*A
TrA AM
The purpose of the Checklist is to exiableCitystaff to
whe
. . & or
may be, present on the subject property. The information
needed W complete the Checklist should be easily
available from observations of the site or data availablear,
City EWI (Critical areas inventories, maps,, or, soil
City. of Edmonds
IX-alopment Serrices Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Ine Critical Areas Checklist contained on this form is to A property owner, or his/her authorized representative,
be filled out by any person proaripg-a Development must' -fill. out the checklist� sig hi and date it and submit it
"'101_1 to
Permit Application. for the City of Edffionds,' the City. The City will review the checklist make A
his/her submittal of the application to . the City. precursory site. visit and make a determination of the
subsequent steps necessary to complete a development
permi�- applicati6i
Please submit a vicinity map, along with the -signeo copy
of this form to assist qity staff in finding and locating the.
:,specific -piece of J degeritbed-4--o'n�'this.lf4ofuL.- in
addition, the _ Apfficapt shaR, include other
. . i .1 " ; I pertinent
information. (6.g. -.site p,la.n,..t ography n*' eli.) or
?p
studies in cloniii;��on with -this Checklist to assistant staff
.in,completing theirpreliminaryassessm6dt of th�lite.
Date Received: 2- �3 C)s
City Receipt#:
Critical Areas File #: —
Critical Areas Checklist Fee: $*So=
Date Mailed to Applicant —
.The undersigned applicant, and hiAer/its'heirs;�,and-assigns,..*in.ci:;i��� on- the processing of the application agrees
to release, indemnify, defend and hold the City of Unionds harmless' from' any . and all Aai�ages, including reasonable
attorney's fees, arising from any action or infimction based in whole or part upon false misleadinz maccurate or
_7
incomplete information furnished by the applicant, his/her/its agents or-emplo
yees
By my signature, I'cer* that the information and exhibits hat -with submitted an true and correct to the best of my
ti'It V
knowledge and that I am auth to file this applica Joinit'b'n e of theowner , as below.
SIGNMURE OF APPUCANT/AGENT DATE
Prope Owner's Authorization
rty.
By my signature, I certify that I have authorized the above Ap�libjntjAgent to apply t subject land 'use application,
and grant my permissionfior the public.officials and the staff of the City of F4nonds enter the. putject property for the
to
purposes of inspection "and
,Rt�g �plication.�
SIGNATURE OF OWNER
Owner/AppOcant-,
Name
PL
SftW Address
ky N f4 WOOD '�IA 9S637
city State zip
Telephone: 7-0 17 - Z
Email address (optional):
.ApplicantRepresentadve:
I C-14A IE,Lr,
Name -
k4
Z to
city State zip
Telephone: (0 — Ct 4-0 — &5 1.1
Email Addre:54tional): 6% M 81itE (4b)
EAV,TH —W'03,
ec,co—I -6 C -T
IIVE-r