Loading...
HomeMy WebLinkAboutSEP2013-00052 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Clark Crandall,Trustee,c/o Townsend Bay Property Management(Chris Nelson) MAILING ADDRESS 412 Logan St. Port Townsend,WA 98368 PHONE (360)385-3896 SYSTEM DESIGNER: Michael S.Deeney Designer Phone#: ( 800 ) 395-7296 A PP `,. 9 ? 1 ' LEGAL DESCRIPTION: Section 2 Township 29 Range 1W PARCEL#943600011 Subdivision Name Chimacum Creek Estates,V.6 Lonq Plats P.21 Division Block Lot(s) 11 Site address/Directions to site 41 Candace Rd., Port Hadlock,WA 98339 SOURCE OF SEW GE/USE TYPE OF WORK WATER SOURCE Residential X "T1 New Tanks(s)only Private Residential ADU Modification Public X Commercial Expansion Community Upgrade Repair X SITE SIZE 12,523 s.f. SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate Reserve Area Yes#SEP77-208 Alternative X Redesign No SYSTEM DETAILS Number of Gallons/day 480 Soil type 2 (attach soil eval.) Application Rate 0.8 gal./sq.ft./day Drainfield Length 80 ft. Drainfield Width 7.5 ft. Drainfield Depth 15 to 24 in. Septic Tank size 1,250 gal. Pump Chamber size 1,250 gal. TYPE OF SYSTEM Pressure Drainfield Bed By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she requires prior notice. Inspections shall occur during regular business hours. Initial here if you require notification before entry . Appeal — A person aggrieved of a decision of the Health Officer may appeal. Appeals shall be submitted to the Health Division in writing within fifteen days after receiving written notice of the decision. DISCLAIMER-This application is for an on-site sewage system that meets the state and county standards in effect on the date of application. This application for an onsite sewage system DOES NOT assure you of any other County approvals. For example, it DOES NOT GUARANTEE that you will later obtain permission to build a permanent residence or other structure on this parcel. Any future application will be separately judged by the rules and laws in effect at that time. Property Owner Signature Date FOR OFFICE USE ONLY PARTIAL ASBUILT Wzof(3 FINAL / ZD(13fAii AP`R• ED INSP/PUMP TEST 1 �,,� PUD (014 l[5 / ALL HOLD REQ.MET Date' /-?9 Fee ` ' Rec#/ � Check -3 7 Case#SEP C:\Data\Wpw\County&State FormsUefferson\Septic Permit Forms\Crandall,943600011,Septic Permit Application.wpd JEFFERSON COUNTY PUBLIC, HEALTH al174 615 Sheridan Street Port Townsend*Washington *98368 wwwjeffersencountypublicheaithmrg one • : ax .1- •-' ; ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP13-00052 Date Received: 04/30/13 : SITE ADDRESS: 41 CANDACE RD Date Issued 05/07/13 PORT HADLOCK, WA 98339 Date Expires: 08/07/13 APPLICANT: CLARK R CRANDALL TRTEE PHONE: VIRGINIA CRANDALL TRUSTEE PO BOX 1166 PORT TOWNSEND WA 983680966 LEGAL DESCRIPTION: CHIMACUM CREEK EST LOT 11 PARCEL#: 943600011 Scotian: 2 Township: 29N Range: 01 W DESIGNER: MIKE DEENEY PHONE: (800)395-7296 CREATIVE DESIGN SOLUTIONS PO BOX 2787 PORT ANGELES WA 98362 SYSTEM DESCRIPTION: PRESSURIZED BED No. of Gallons per Day: 480 Type of work: REP Drainfield Trench Septic Tank Length: 80 feet Width: 8 feet Depth: 15 inches Size: 1,250 gallons DISCLAIMER-This approval is for an on-site sewage system that meets the state and county standards in effect on the date of application. This approval for an on-site sewage system DOES NOT assure you of any other County approvals. For example, it DOES NOT GUARANTEE that you will later obtain permission to build a permanent residence or other structure on this parcel. Any future application will be separately judged by the rules and laws in effect at that time. All construction and development activities must comply with all permit conditions,state and local codes,and Recommended Standards and Guidance documents in effect when the permit is issued. The property owner is responsible for the accurate location of all property lines.Any removal of or major disturbance of soil in the primary or reserve drainfield area may create site conditions that are unacceptable for the installation of a sewage disposal system. Any change in drainfield or tank location may invalidate this permit unless prior approval is obtained from the Jefferson County Environmental Health Division. If during excavation or development of the site an area of potential archeological significance is uncovered, all activity in the immediate area shall be halted,and the UDAdministrator shall be notified at once. Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN JEFFERSON COUNTY, WASHINGTON This permit is issued for a period of three years (unless otherwise stated above) in accordance with Jefferson County Rules and Regulations for On-Site Sewage Systems, codified in JCC 8.15 as amended. This permit may not be renewed. "4(4 Jefferson Count Environmental Health Specialist This permit with conditions must be onsite during all phases of construction HEALTH DEPARTMENT MUST BE CONTACTED FOR FINAL INSPECTION. SPECIAL CONDITIONS APPLY - SEE ADDITIONAL PAGES CONDITIONS OF APPROVAL- PERMIT NO.: SEP13 c0052 1.) This permit was issued to correct a violation of WAC 246-272A for a failed septic system. The permit must be completed within 90 days of the date of issuance. 2.) H - Existing tank shall be properly abandoned. It shall be pumped and filled with clean fill. Documentation to be provided to Health Dept. prior to final. 3.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 4.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 5.) H - AS PER WAC 246-272A AND JEFFERSON COUNTY CODE 8.15 ALL ONSITE SEWAGE SYSTEMS REQUIRE THAT A RESTRICTIVE COVENANT REGARDING THE MONITORING OF THE ONSITE SEPTIC SYSTEM BE RECORDED TO THE PROPERTY TITLE. THE PROPERTY OWNER SHALL ASSURE THAT MONITORING IS PROVIDED BY AN APPROVED ENTITY AT THE FREQUENCY DEFINED PER STATE WAC 246-272A AND JEFFERSON COUNTY CODE 8.15 AS ADOPTED OR AMENDED. A COPY OF THE RECORDED OPERATIONS AND MONITORING AGREEMENT IS REQUIRED PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL PERMIT 6.) Designer must be contacted prior to,start of conatr , {iion and for inspections during installation. DESIGNER IS REQUIRED TO DO A PRECOVER INSPECTION ON ALL TYPES OF SYSTEMS. 7.) Notification of the start of construction shall bg faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 8.) Before final approval is given, the designer shall provide an operations and maintenance manual to the property owner and the Health Department. The manual must instruct the owner of the on site sewage system on the ways to properly operate and maintain all components of the system. 9.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 10.) Approval/issuance of a sewage disposal permit does not guarantee the approval of other development or a building permit on this site. Compliance with other Jefferson County and Washington State Codes is required. 11.) All construction and development activities must comply with all permit conditions, Washington State and Jefferson County Codes and Recommended Standards and Guidance documents in effect when the permit is issued. 12.) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Unified Development Code for other/future development on the site. 13.) This community drainfield, serving more than one residence,will require a management and operations agreement with an entity approved by the Jefferson County Health Department as per Jefferson County Policy when/if the residences`ore&separately owned or the property is subdivided. 14.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. SEP13-00052 Page 2 of 2 \\tidemark\data\forms\F_SEP_Permitmod:rpt 5/7/2013 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 CONSTRUCTION INSPECTION REPORT For RECORD DRAWING Designer /Ch'i'? 'G- Permit# SEP / " Q445� Installer eV/9/4 Ne 1i/G 42/4,5/04 OK„c"f ttrp'7"'//t16 Parcel# 443 G®ems 41// Electrician Design Flow 4134 Property Owner e-2 o 'ee G/g'-•41V 4444, �°" a Site Address 4/ a ,8 f � T" /141Aeg+Cte WA) vs} I err.. Answer all questions or indicate NA JUN 2 0 ?ft3 Tanks, Pumps and Controls Date Insp. Jefferson C Tank (manufacturer, size, baffles)/Z&2to.9G zco�/? wy14�F s#�ua, S-ZZ-1 Pump chamber(manufacturer, size?/2c' Screen(s)and/or Pump Shroud (type, location) / U/-',P v,10 47- w/, I r t ' /3 Were Tanks tested onsite for water tightness? Yes / No Panel Model 4-4tiA"R-X /PC"")-5-4='..t Timer Model 44,Ui544e71zX 5-Z7-/3 Pump 1 - Man./Model Q/2&/co S-614 S` 1 Flow Rate 44. / gpm $ " 2-Z-1 3 Pump Location (i.e. garage, treatment unit, basement) Bottom of transducer to bottom of tank S. 47" Float settings (above bottom of tank) / transducer settings Timer Functions: (above bottom of transducer) On/off- p,9 I/ On - / /`airy 7s�c Veto - 2 z, / " Oft- 0Q,-,/./ 3f Alarm - 22, !'r Veto On - Storage Above High Water Alarm •---g ' gal. Veto Off- z3�3r.Div s`3s�� Dose Counter Reading ci # gallons/dose S' 3. Elap. Time Meter Reading 5-A-///v Pump Throttled? Yes No Dose Drawdown (in inches) .3.5'1' /A/ Z r t'o 7 e Pump 2- Man./Model Flow Rate gpm Pump Location (i.e. garage, treatment unit, basement) Bottom of transducer to bottom of tank Float settings(above bottom of tank)I transducer settings Timer Functions: (above bottom of transducer) On/off- On - Veto - Off- Alarm - Veto On - Storage Above High Water Alarm gal. Veto Off- Dose Counter Reading # gallons/dose Elap. Time Meter Reading Pump Throttled? Yes / No Dose Drawdown (in inches) If additional pumps complete this info for each C:\DatalWpw\County&State Forms\efferson\Construction Reports\Alternative sys ASBUILT 2010-2.FRM.wpd 01/10/13 page 1 of 2 Pre-Treatment Date Insp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No Sandfilter Basin size/location Sand Fill met design spec? Yes / No ATU (manufacturer, model) Alarm tested Yes / No Disinfection Unit(manufacturer, type, model) Independent Alarm Yes/ No Drainfield Transport Pipe Size/Sch Z 1/sc Manifold Size/Sch. z '1S-cf/!4--e% 5-Z Z-(3 Orifice Diameter ), /' Lateral Size/Sch. Y. Z 5 's 4C' s-ZZ-1 Barrier Material F?'- Te 1e F.4 A-J2' - Cover Material/Depth é // ➢z7 CS s G Residual Head (lat.# &ft. Head) g -5 " S- Z 3—/ Source/Manufacturer of Drainrock/Gravelless chambers SiV -1 '(c P1 9N> Drainrock Clean?CD/ No If no, what action taken? Mound/Glendon Site Prep. - Drainfield Length gO.o ft Width a ft Depth 7-2- tra /5 inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Other AQuaworx panel settings: SWarn at , ZBios at 91 , Autoclear set at -Z doses min-sec. 5'Fy4'4A Y'.4N�S 4 ,*6i /LI P� ,�1.�lo iz y 2 /Al ",e Q4c it.G la pIZ10 y-o sPSc)-ia>y Health Department Inspection issues resolved Yes / No/ NA If yes how? JUN Je 9® ?013 ffer re .S, Users Manual Provided to Homeowner vv/ 77/ �' ���'-• .*W. 4lew n""enta 17,14te ea/th Tank/component Decommissioning Report Attached Q/ No / NA Installer Certification attached/signed Yes / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I certify the information provided above was verified by inspection(with exceptions as noted, if any). I also certify that this on-site system was installed in accordance with the approved design and verified through periodic observations of construction such as site plowing for mounds, pressure testing with all system components exposed(no backfill, except over transport pipes), and final . inspection of the completed system(with exceptions as noted, if any). To the extent revealed 1 y these periodic inspections,the system complies with all the conditions noted in the permit as approved by Jefferson County S -1- 1 3 (Permit Approval Date)or that changes have been noted and the system is in compliance with WAG 246-272. /01, /411 57-77-1 3 5100110 Designer Signature Date License# C:\Data\Wpw\County&State Forms\Jefferson\Construction Reports\Alternative sys ASBUILT 2010-2.FRM.wpd 01/10/13 page 2 of 2 • '64bC — CANDACE RD. — " JUN \\\\)//'` ' APPROXIMATE EDGE OF SE/RVICE LOCATE J 0 l EXISTING PAVEMENT MARKING C77 • der . \ o EXISTING WATER y t • OP C V -."4 "It .3 _ METERS ea/ r h \\\\.e p � `` .' 4 ,2 \\k . , �4_ 5 N 87d46.27" W \\ 5100110 99.92 \\ 2 iHAQ. 8. DEENEY /////////////////////////IR///////1e I APPROXIMATE TO SITE EXPIRES 0a/1S/14 PROPERTY LINES EXISTING v 41 CANDACE RD., PORT HADLOCK 1 DRIVEWAY 2 PROPERTY p�p � 2 I-IIVI R I 1 DEScIIIf 1 MCI y LOT 11 OF CHIMACUM CREEK ESTATES AS RECORDED k IN VOLUME 6 OF LONG PLATS, PAGE 21, RECORDS W OF JEFFERSON COUNTY, WASHINGTON, AND LOCATED IN SECTION 2, TOWNSHIP 29 NORTH, RANGE 1 WEST, Design Notes EXISTING FENCE W.M., JEFFERSON COUNTY, WASHINGTON. r -------Expected Flows Design =240 gpd Maximum Actual =160 gpd Expected Influent Quality EXISTING DUPLEX Grease&Oil: 20 mg/L (41 CANDACE RD., BOD: 125 mg/L 3 PORT HADLOCK) TSS: 80 mg/L 1 "N 3 LEGEND TKN: 65 mg/L -"> i ny lzb ) N 1 EXISTING BACKHOE SOIL HOLE OBSERVED BY CDS AND N S JEFFERSON COUNTY ON 4/22/13. HOLE LOCATIONS _r ARE APPROXIMATE ONLY AND ARE NOT BASED ON AN h ACTUAL SURVEY. x AGCY NOTE'' PROPERTY LINES ARE BASED ON INFORMATION PROVIDED BY THE CL/ENT, THE __ x %2; s jRECORD OF SURVEY RECORDED IN VOLUME 6 OF LONG PLAT5, PAGE 21, RECORDS _________ ___ _ "% OF JEFFERSON COUNTY WASHINGTON AND ON JEFFERSON COUNTY ASSESSOR'S MAPS_ Jf PHYSICAL FEATURES SHOWN IN RELATION TO PROPERTY LINES ARE BASED ON il "`:-7: 'z.;:m,z,l,^r,, 7r..,,,, . .,,, ---------___ INFORMATION SUPPLED BY 7HE CL/ENT. lHE LOCATION OF PHYSICAL FEATURES IS �, ,, »:' ti. , ,, ' -. A- IM ,,, BASED ON HAND COMPASS AND ACOMB/NATION OF PAC/NC TAPING, AND MEASURING i� II 2' "r ,, "� WHEEL AND ARE NOT BASED UPON AN ACTUAL SURVEY. MAPPING INFORMATION IS/ ; / -` 'l # � i TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY.. :: / i a�...L WL:i:r r/r.y W�' RECORD DRAWING NOTE I2 I tc THIS IS TO CERTIFY THAT THIS ON-SITE SYSEM WAS INSTALLED BY EVAN NEVILLE WITH t I APPROXIMATE SHOLD EXCAVATING IN ACCORDANCE WITH THE APPROVED DESIGN AND VERIFIED THROUGH 0 20 to l _ l e PROPERTY UNES OBSERVATIONS OF PRESSURE TESTING AND•FINAL INSPECTION. TO THE EXTENT REVEALED BY THESE OBSERVATIONS, THE SYSTEM COMPLIES WITH ALL THE CONDITIONS NOTED IN THE SCALE,W FEET PERMIT (SEP 13-00052) AND WAC 246-2724. THESE RECORD DRAWINGS ARE ONLY AS STING FENCE EXISTING FENCE ACCURATE AS CAN BE EXPECTED FROM THE DESCRIBED OBSERVATIONS BY THE DESIGNER X —L—X_ — AND FROM CHANGES OR REVISIONS SUPPLIED BY THE CONTRACTOR TO THE DESIGNER. 99.94 THEREFORE, WHILE IT IS BELIEVED THAT THESE RECORD DRAWINGS GENERALLY DEPICT HOW S 88d57'46'E THE PROJECT WAS CONSTRUCTED, SOME PORTIONS OF THE PROJECT MAY NOT ACTUALLY FOUND SURVEY EXIST AS SHOWN ON THESE RECORD DRAWINGS. May 27, 2013 2:42:59 p.m. MARKER FOUND SURVEY Drawing: CR4NDALL 943600011 (RCD DWG).DWG.DWG MARKER © CREATIVE DESIGN SOLUTIONS, INC. 2013 REVISION DATE SEPTIC SYSTEM, PARCEL #943600011 R ' CREATIVE DESIGN DESIGN Permits,SOLUTIONS DRAWN BY: MICHAEL S. DEENEY SITE PLAN DRAWING '®— P.O.BOX 2787, PORT ANGELES,WASHINGTON 98362 SHEET 1 OF 3 ( DATE: 5/27/13 FOR: CLARK CRANDALL, TRUSTEE 2(29_1w) CDS (800) 395-7296, (360) 457-6353, EMAIL: MIKE@CDS4YOU.COM EXISTING DUPLEX I W APPROXIMATE LOCATION OF EXISTING PORT HADLOCK) ABANDONED SEPflC TANK. SEE (41 CANDACE RD., CERTIRCATION OF SEPAL TANK ABANDONMENT. 2 W APPROXIMATE LOCATITIMATROL y lu U k W ESTED ON LOCATIONS OF CON OF PANEL EXISTING GRAVITY SEWER LINES \ SEE LEGEND ON SHEET 1 �1111111111...._ x W E xrsnNC CLE4NOUT W EX/SANG 1,250 GALLON PUMP 1,250 GALLON TWO ix CLE4NOUT CHAMBER. x APPROX/MAT£ LOCATION OF �D COMPARTMENT SEPTIC TANK. I EXJSTING 2 FOOT WIDE GRAVITY N <; ''. ;ss x e4llh ": :'`' 2" SCH. 40 PVC. ORAINRELD TRENCH. :�✓i>'::`�•:'�;'•.;,, jF BACKRLLED PRJOR t;ii%•:: •:., "" TO INSPECTION. '•.4.: is J...:+w:J zo L__ ----------- --------------- .. '..".. f it :.: ii 4" PVC. BACKRLLEa ——— — — — _ — — _.,........ OBSERVATION B_.S£ VA TION P 01 -4- 7) ORT To.3!' :%' "''`c '`' -?T.,,,.� .. PRIOR TO INSPECTION.wS :s < : l :t .: :. J ,y .: ,>,� '7-.74 : ` '' : :;:., BOTTOM OF DRAINROCK lJ i i , .fi ::� ?::.0' ; :„ �4 S S4 :i �l ♦F.^.'T :°t. i w "••• / s.0 i f / J + -i: / ; + . /.}? p % . : . :. .. f t � .\ �: , . ` :r r<•,•. , v : H< Si'Wi:Si4A . r.: .!. t i r r :i. : is• %1 r i: r8; ' .f . ' J yy f . 1+ lI\ . : :J. r • � �Mi ' .! _ : J. Y'1 fi'i l l .J F.:J_ .rX. i f6 : 'r+: �irrLlr. 'f J J f.' ,::. m or \(� •� , �� r— MANIFOLD CLEANOUT/ PACHAEL 3. DEELY + I _ _ 8g,g_ _ _ _ _ _LcErnED mum: ///////////////////////////////////� I 08SERVAAON PORT TO EXPNiEB 08/18/14 BOTTOM OF DR4/NROCK I LATERAL OBSERVATION x PORTS W 2 PVC BALL VALVES 1 d110 I �` 4 BEDROOM 80.0' x 8.0' 2 PRESSURIZED DRA/NRELD BED I (DESIGN CALLED FOR 80.0' x 7.5). v? I wl X ii... L....._..._.. ..... .. I 89.9' APPROXIMATE PROPERTY LINES x 90STING CE x�x x x�, x x X/SANG IC£ >L FOUND SURVEY 1 00X+ RESERVE MARKER DRAINFIELD AREA FOUND SURVEY (1,580 SQUARE FEET) MARKER I 0 10 May 27, 2013 2:42:59 p.m. SCALE W FEET Drawing: CRANDALL 943600011 (RCD DWG).DWG.DWG 0 CREATIVE DESIGN SOLUTIONS, INC. 2013 REVISION DATE SEPTIC SYSTEM, PARCEL #943600011 RECORD — ' CREATIVE DESIGN SOLUTIONS •DRAWN BY: MICHAEL S DEENEY SITE PLAN DETAIL DRAWING Septic System Designs, Permits, a inspections SHEET 2 OF 3 � DATE: 5/27/13 FOR: CLARK CRANDALL, TRUSTEE P.O. BOX 2787,PORT ANGELES, WASHINGTON DS4YO 2(29_11V� �$ (800) 385-7296, (360)457-6353, EMAIL: PIKE @CDS4YOU.COid