7002 MEADOWDALE BEACH RD.PDF11111111111111
12301
7002 MEADOWDALE
BEACH RD
APPLICATION
for
SME SEWER PERNaT
NEW CONSTRUCTION REPAIRS
The City of Edmonds
I V./ I I U z I I
OWNER ............... ............. ...................... -CONTRACTOR ..... 1�1?1,e ....... .................. PERMIT NL?��.l
ADDRESS ..... ........ A�RO_,O gn..'�64W )MEGAL DESCRIPTION: LOT No - ------------ --------------------- * ....... BLOCK No . ............................................
NAME OF ADDITION ..... R.a.h.lw ...........................................................................
No. ..........................................
APPROVED
AUG 9 1970
Approved:
DATE ...... ....... .... ---- 7do-
%
j
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER-SEWE R DEPARTMENT Is ready for inspection. (No inspec-
N2
tions Saturday, Sunday or holidays.) 3807
SIDE SEWER PERMIT
J. .... .. .... .. .... .. .......... ---------- -- ..........
ADDRESS ........................... 7.00.2 .... MEADORDALE ... BEAQ.H ... ROAD --------------------------------------------------
.......................................................
.......... . .. A B PLU.MB-ING
OWNER ------ )��q ... HARR_I_S.0N -------------------------------------------------- CONTRACTOR
..... ... .. .. ........ .... ........
........ --- --- ..................................
Permlssion is granted ...... AUGUST ... 1.9 .............. 19.7Q., for ........ ----------- days to REPAIR 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. 1—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 sharper than % 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 an y work on the main sewer or its appur-
teriances except to insert the pipe Into the wye.
Q 31i %Ve 9 1 q A
" o
S '""9qFF
9' E'94 N D S.
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenui§ North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit ' Triplicat )
7"
ADDRESS OF PROPERTY..
.J7. P'
�ot No ..... I .............. Permit No ... Zip-20 ........
Owner...... ..... ......... ................ : ----- --------- __ ............ Address .... ........ ......... ........................................... Phone ........................
Builder-51 R-8--- PWReOR .... . ........ Address ............ Phone.S.U..3.-I.Q60
Designer. Address ... .. 91 ........... SJA/t ............... Phone. PRk...5B go
#1 - g. z-;
Installene 001* ............ Phone- EM.3 -3 _46 00
OD ---- ......... ..............
F.0 R J_e� ... ........ Address.-,=2.9,
_0 ------- �_PJ
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 system permit application dated ................
. ...... ------- have been complied with.
. ...... . ..........
Date
Signature oi --- D'esign-er --------------- --------------- **** ------
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted........... .................. ........ ........ .............. . Date ....... C
NotAccepted ......... ... ...... ....... .......... . Date. ---- -- .... ... ...........
Signature of _S&Rihftiaii� ------------ . I ........ ........ 54r..' .. ............................
Remarks: ...... .................. ..'a"-J ....
? 4. L. ...... _ -------------------- ----------- ..........
..................... ---------------------------------------------------------------------------------------------------------------------------------------------
INSTRUCTIONS: Use tile 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 average -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 (2y2-3 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 ove'r the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harin tile action of tile septic tank and
disposal field.
.. ...... ... ................ . .
ew r>rw-t �d*W'V. 4�WOW*OANY
P.T�� tw ::;:r,-,
ow -tvf7azryv?: jlk:rr
Ai
44W .*Z,.Ory NAArd"
-4
Ye
I.,- 'K
'e4
vr
im
J�F7
%Iwo
AQVWF�P
STM P, ft, e*,4
OC-4212:�
-5901 P11.AAW,&Y'A14kN
SA,774& IV,4,W.*W4)w -
P4-RCOI.A= Znz
40
Z 3#4
AK' 4,7- AMI i�m
-.41, ACAW.
A. 0.0 15A. OA,.
A4C. aAW- S4,4&a
it"
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North,, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Subrilit in Triplicate)
ADDRESS OF PROPERTY ...... 1702 -.,S - A. - M ' ttftot No ....... / ............ .. Permit No ... /10.3
.4
Owner...... ..... ..... ----- - -------------- ............. ........... Address .... _ ....... ----------------_---- .............. Phone ...... .............. _
Builder--$ f 90 -RARk'Ok ----- - ----------- .-.. Address --- 5_94V-1 P0(1_N_N0jV ---- IV . ........... Phone..511,:. 4 .1 6C)
Designer R-5.5-04,_ Address- .7-3-6 1-J.7. 91 ------- - - st.wt ......... ..... Phone. .... 6,860
Installer.. Ife.0 --------- ................ I ................... Phone.E&37. —a COO
?0_4�6-P14.4 Address-.A.9,
1 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 sewa-le disposal system permit application dated ................
. ...... _have been complied with.
00, oo,
.............................. ........ ... .. 7 ...... ...... ............. ........
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted.............................. ....................... ...... ... Date ------- /-a la o-/( ........
Not Accepted ............. ................. ........... ..... Date - -------
Signature of ...................... ..........
Remarks: ...... . ....
.. . ........... .... . �. ....................... .........
INSTRUCTIONS: Use the reverse side of this form for tile 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 average -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 (2,/2-3 years).
2. Do not channel ground wat er, 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 ove*r the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not liarin tile action of tile septic tank and
disposal field.
6o2c -110
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: ......... Stan..Parker
................ ................................
For installation at: (street address). ----- 174Z. ........... ......................................................
Addition or Subdivision ....... Rob.indal.e ....................... ................. ................... _ ........ ....... Lot-. ..... ...... Block ................
....... ...... __ ..
Type of Building: New .... A .... Existing ---- --- .. Single family residence YeO. Number of bedrooms 3 .... .......
Other: (specify type or use). ...... _ --_-----_---- ------- -----------------------------------------------------------------------------------------------------------------------
Builder. ..... Atan..Parker
------------ ........ -------- ------- ..................... ---- Address .... � _59.01. _-.. Phimey.. North _... Seattle. . ...........
Designer ... 9M.Vihaley & Associates
. ............ . ........... .............. .............................. Address ---- _73-01- .......... ---------
Soil Log Hole No. 1 -------- C�-4 --- ...... ...... - 4!-23. R.B.._.Sa*_/.Gr ..... . .... .................... .........
a
.............................................. ...................... I -------------------------- ........... ..........................................
SoilLog Hole No. 2_ ........ Q-4. ... 0 ..... D.k. ........ B.. ....... ...........................................
26-48 Gray Sa./
................................. ................ ---------------- - ---------- - q?�! ........ ........................ .........................................................................
Elevation of Water Table, if encountered. (Distance from ground surface) . . ... . . ...................................
Corrections to control surface water if needed ........... 90O.-Plan ............................................................................................
Specify if any removing or grading of topsoil in field 'area .......... See..Plan .........................................................................
....................
Percolation:
Test Hole No. I —Average Rate ........... 4��Q ........... ...... ...... � . (Fall in inintites/incti-bottoin 6" test hole)
Test Hole No. 2—Average Rate ............ 54 ............. ....................... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3 —Average Rate ........... 4..6 .............. .............. ....... (Fall in minutes/inch-bottom 6" test hole)
Average' percolation rate on which to base drain field design ...... ----- 4*71 ---- ........ Date Taken ..... 8/20/63.
Septic tank requirements based on present rules and regulations:
Septic Tank Size_. ........ �99 ......... gallons.
Amount of Square Feet of,lb s 0 1 Fi Id ....... ............ . ..... .... ......
'J's ,
--- ---------------------- ---- ---- _- - Date ..... 8/29/6-3.-: ....... ..........
Signature — Designer ........ .....
L"' ;i
DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency)
Permit issued (date).. ........... �7 ......... �_/_ ..... ....... .......... Permit Number .......... �1.02 .....................
Remarks: .................................. ................. __ ..............................................................................................................................
................................ .................................................................................. . ....... .............................................................................
1 /�V4-X.
SEWAGE DISPOSAL PERMIT
Septic Tank ...... 7A.0 -------- gals. CITY OF EDMONDS
Disp. Field ......... nt 17-T"..sq. ft. Department of Public Works
I '.. "i
No. ...........
Name.. .......... .................... .......... ......... . . .. ............................. is hereby authorized to install/
repair sewage disposal system at
..........................
............ 17 ....... ................. -----------
.............................
............
Date issued on.. .............. J? ....... /0 ......... 4-S-3 ...........................
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 ............................................................................ 1)ate ----------------------------------
ApprovedDisapproved Date ----------------------------------------------------------------- By ................... .................... I ------------- ............................
Remarks:.. ................ ..................................... 7 ....................................... .................... ............................................................................................
SANITARIANOR DESIGNER ------------------------------------------------------- ........................................ Date .................................................... t .....
This pe rmit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.
1". Ap
NOVI
f4
01.
4r
s- 4CS
. TO
101-
14,
07
A16
lip
lk
'Z 01
ol
3 t
IA 4
Ott
i-4 Vi.
t:l
Wvv-)
p MV, tpq
- - - - - - - - - - - - -
1723Z
741!
501L Le-�Z--j DAJA
4
0-4,"
--j-PA ail 4,v-,
/Vlc��
z;�vvv;v o,-- &,xi
5 7Z 7%,' 1:- /,V
WlPt
-7Y -
Y f,
71
O!ATION