1986, 05-15 On-Site Sewage Disposal SystemON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM
For Single Family Residences
TO Spokane County Environmental Health Division
FROM: Spokane County Department of Building and Safety
DATE:
"!/L /.5 , 1986
RE :. On Site Sewage Disposal System
REF : Describe Proposal: rOfUR- pOo$u6 WIGS O1061Ae- (4tiviPi;
Property oad tyeOwner : 7C,u;In 9i-%eX94NA/g �� i c_k e'/
Parcel Number 2og4 (�- 1Z 5
Street Address e. jo10"1 5 ') "NAPE -
Legal Description: LOT -7 e,to0K2-- KtictL1..g%5
Sc18D1\115t0
SIGNED:
Prop
ed Ownerp tative
or Authorized Re sen
Date:3 22 S,4
1. An initial review -of the above -referenced property has been
conducted by the Spokane County Planning Department and the
following items are noted. An in-depth re -view of the property will
again be made at the time abuildin.g permit.is applied for.
•
Requirements revieyed for property as of the date set forth.
hereinabove.
Yes/Nof . )
• Dedicatory.Language within Plat. _
Subject Property is Leg 1 ly Divided
Certificate .ef.-Exempti.on: Requi red
Use:Authorized•Under.. Zoning .ordinance
:S'etbacks. Meta in Zoning Ordinance
• Shorelines Permit Required
Variance Required for Following Plirposes:
Other:
PTanning: Department:: bate:
jE mitcdy .
KANE, WASHiIGTON9926o•0050 . I • -. ' T l zpigoNE(509)06.36 5'
On=S'ite Sewege System `R$view;'formr"
Page '2 ':of 2•
2. An initial review of the subject prbpe'rty has been conducted by
the Spokane County Engineer's Office and the following items are
noted. An in-depth final review of the property will again be made
at the time the building permit is applied for.
SPECIAL REQUIREMENTS:
D
Maintained County Road Frontage
Approach Permit Required.._..
Flood Zone Gt
Variance Requirements
Other- �/
!//,tis-fde
Date: 1/4s/5,
3. The Spokane County Department of Building and Safety has advised
the property owner/representative that at such time a structure or
building is to be placed/constructed on the property, a building
permit will be required.
Engineer's Offic
Building and Safety Department:
Date: /s/8.
NOTE:. The review by the various departments as provided for herein
is solely for the purpose of advising the Spokane' County Health
District of the subject property's compliance with various codes and
regulations. The issuance of a permit by the' Spokane County Health
• District for the installation of an on-site sewage disposal system is
not .to be considered. as a vesting of. a right by the owner/rep-'
resentative to obtain a building permit for the. property. :At the •
time that a building permit.is.applied,fori the subject property must
comply with all applicable federal, state or loca1.laas,:ordtnances.
or.regulations with.the exception of those re1atin.g'to the issuance
of.a permit for the; sep.tic.,.tankfdrain field on-site sewage.di$posal
.system by the.Spokane County. Health District; -pursuant to this form
Accordingly, .although -as: of the date of .this' document the. subject •
property..may meet certain :federal,, state.or.local laws, ordinances or
regulations,. in.the event.such items: change. between: the date of this
document: and the. application• for. a: building .permit, the.: ow
tier''/represeftat.i.v.e will•be responsible for. meeting 'su'ch..regulatfons
on the date of thelapplicat,ion.for the building permit.'