HomeMy WebLinkAboutSEP2012-00140 .„$4,
Jefferson County Department of Community Development Vie$
621 Sheridan St.,Port Townsend WA 98368,(360)379-4450 slz.-
1 '?%/
SEPTIC PERMIT APPLICATION f' 0a
PROPERTY OWNER ,e .;r ' +ice<• ES �°/ IV. • x %i>
",4,;•-• te
MAILING ADDRESS 2 1 i+ _. :0.0.:..ERIC N.&AVER s r-
CiL/ehae°44.11 404 . 9:83Z EXPIRES/Lt
PHONE a61, ) 77'/—
SYSTEM DESIGNER Erei Clet toleoe Designer Phone# 34;6--46Z0
LEGAL DESCRIPTION: Section AO TownshipZWRange /W PARCEL# //®/l 9 44-)
Subdivision Name cv'ede7 €* S5'-' Division Block 9 Lot(s)
Site address/Directions to site
SOURCE OF S WAGE/USE TYPE OF WORK WATER SOURCE
Residential i/KVM,,ek New Tank/s only Private
Residential ADU Modification Public ✓
Commercial Expansion
Community Upgrade
SYSTEM TYPE Repair SITE SIZE
Partial Repair-(tank) (drainfield) Previous evaluation _,)
Conventional Designate Reserve Area Yes# p�q--I
Alternative ✓_— Redesign ✓ No
SYSTEM DETAILS
Number of Gallons/day /9 Z0 Soil type 2.. (attach soil eval.) Application Rate 40 galisq.ft./day
Drainfiekl Length fad' ft. Trench Width 3 ft. Trench/Bed Depth /t in.
Septic Tank size 'OI gal. Pump Chamber size.._/O8 0 gal.
TYPE of system Scfrid Lill ect TiQe4G-lers-
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 attomey'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 appii tion will be separately judged by the rules and laws in effect at that time.
Property Owner Signature Date
FOR OFFICE USE ONLY
443 PARTIAL ASBUILT 12'1 FINAL 5 "1/f/
INSP/PUMP TEST J� �� PUD f 3 iici' //17,4),
ALL HOLD REQ.MET n l�
Date I) ) )J3 Fee )2 ,� c� Rec# / 7 \-7/60 Check# `. Case#SEP 1 — `6
H:\WEB\PDFs\Septic\septic_permitapp_2008.DOC
R443N CG
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street•Port Townsend•Washington •98368
www.jeffersoncountyp ublichealth.o rg
inone 36U-3tib$444 I-ax 36U-3/9-4461
ON-SITE SEWAGE DISPOSAL PERMIT
PERMIT#: SEP12-00140 Date Received: 12/07/12
SITE ADDRESS: 2481 ANDERSON LAKE RD Date Issued: 12/17/13
CHIMACUM, WA 98325 Date Expires: 03/17/14
APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE:
2481 ANDERSON LAKE RD
CHIMACUM WA 983259795
LEGAL DESCRIPTION: EVERGREEN COHO ESCAPEE RESORT RECREATIONAL VEHICLE PARK 177 SP
PARCEL#: 901101039 Section: 10 Township: 29N Range: 01 W
DESIGNER: ERIC CLEAVER PHONE: 360-620-2276
21257 FEATHER RIDGE LN. NE.
CLEAVER CONSTRUCTION
POULSBO WA 98370
SYSTEM DESCRIPTION: SAND LINED TRENCH
No. of Gallons per Day: 1,920 Type of work: REP
Drainfield Trench Septic Tank
Length: 640 feet Width: 3 feet Depth: 18 inches Size: 4,000 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 UDC Administrator 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.
Jefferson County Env' onmental 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.: SEP12-00140
1.) This permit was issued to correct a violation of WAC 246-272A for a system in the process of
failing, (not surfacing or backing up). The permit must be completed within 90days of the date of
issuance.
2.) The existing system must be located prior to construction and a 3 foot separation must be
maintained from the new drainfield. Contact the designer and health department if this needs to be
adjusted.
3.) THENCH TO BE EXCAVATED TO A MINIMUM DEPTH OF 42". DEEPER IF NEEDED TO REACH
THE WELL DRAINED SOILS BELOW THE FINNER SOILS ABOVE. THEN BACKFILLED WITH
ASTM 33 TYPE SAND AS PER DESIGN
4.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent
transport line, tanks, treatment and disposal components.
5.) 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.
6.) H - AS PER WAC 246-272AAND 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 246-272AAND 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
7.) Health Dept. required to observe pressure test with system designer when system fully
installed/complete, 48 hours notice to be provided for scheduling.
8.) Designer must be contacted prior to start of construction and for inspections during installation.
DESIGNER IS REQUIRED TO DO A PRECOVER INSPECTION ON ALL TYPES OF SYSTEMS.
9.) This onsite sewage system is designed for domestic strength wastewater only. Disposal of any
other waste strength is considered a violation of this permit.
10.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health
ONE WORKING DAY prior to start.
11.) H -An asbuilt drawing and certification of completion by the designer is required prior to final
approval.
12.) 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.
13.) Approval of this permit does not assure the existing septic system has capacity for all uses allowed
by current code.
14.) 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.
15.) 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.
16.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area.
SEP12-00140 Page 2 of 3
\\tidemark\data\forms\F_SEP Permitmod.rpt 12/17/2013
17.) 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.
18.) 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.
SEP12-00140 Page 3 of 3
\\tidemark\data\forms\F_SEP_Permitmod.rpt 12/17/2013
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JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 'p
ASBUILT INSPECTION REPORT For RECORD DRAWING
MAY 2
2014 _ O�
Designer // /G C l f/�ee Permit# SEP /Z- Z.2®/yam
Installer � �KC %� 6611°S Parcel # '!t/IA/OW
Electrician ���GTiP, / k 'Rc ' S° Design Flow J d Z ,td
Property Owner 3►.: c S A 7.
Site Address Z4'8/ A so
GA?!Ph 2CC1n c
Answer all questions or indicate NA �
3Z S - ,?7795- DATE
Tanks. Pumps and Controls INSP.
Tank (manufacturer, size, baffles) 6)Zir c; e CZ)
'r Ii3.5-GogG/6)�y /5
Pump chamber (manufacturer, size) /f CZ, ISCO 9e✓ V, Z�
Screen(s)and/or Pump Shroud (type, location) 5-,04C 5-,04C G" frile./ Z
� 2?,/f
3' AtArn
Were Tanks tested onsite for water tightness? / No
Panel Model SSJ E Aail&nz k's Timer Model 3� /y
Pump 1 - Man./Model Flow Rate gom
Pump Location (i.e. garage, treatment unit, basement)/rA_ /9Z0 k7 T6 =1''9O/ycSas`c% =30
Float/transducer settings Inches Timer , •
from bottom of tank- On/off - !h in. Functions: On ec min
Veto - ZO in. Off - 3c) se•witt hr
Alarm - y/ in. Veto On - sec/min
Storage Above High Water Alarm '&O nal. Veto Off - sec/min/hr
a
Dose Counter Reading i4v # gallons/dose 30 gal.
Elap. Time Meter Reading 6, ,, 7 min/hrs Pump Throttled? Yes /q..
Dose Drawdown (in inches) in.
Pump 2 - Man./Model Flow Rate QOM
Pump Location (i.e. garage, treatment unit, basement)
Float/transducer settings Inches Timer
from bottom of tank- On/off - in. Functions: On sec/min
Veto - in. Off - sec/min/hr
Alarm - in. Veto On - sec/min
Storage Above High Water Alarm gal. Veto Off - sec/min/hr
Dose Counter Reading #gallons/dose gal.
Elap. Time Meter Reading min/hrs Pump Throttled? Yes / No
Dose Drawdown (in inches) in If additional pumps-complete the info in this table
( ) for each and attach.
Other Timer functions & settings (e.g. override on/off)
H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2
Pre-Treatment 4,0,, Date Insp
Sandfilter basin high water alarm shut4 down pump to Sandfilter Yes/ No 21Q
Sandfilter Basin size/location >�
Sand Fill met design spec? Yes ,,/ No
ATU (manufacturer, model) /v4 ' Alarm tested Yes / No
Disinfection Unit (manufacturer, type, model) Independent Alarm Yes / No
Drainfield
10,C5s1 /PCB-
Transport Pipe sJi�ze, schd, diameter Z Manifold size/schd j/�lv� 1/6<,t9Sp• J
Orifice size !c , Lateral Size/schd /di
Barrier Material Cover Material/Depth
Residual Head (lat.# & ft. Head) / f
The laterals/pods were balanced CP / No . / /
Source/Manufacturer of Drainrock/Gravelless chambers I J iaS C .ts*ib�"S.
Drainrock Clean? Yes / No If no, what action taken? `
Mound/Glendon Site Prep
Drainfield Length 6g0 ft Width �� 3 . ft Depth 18? inches
Caps for measuring residual head stored (location) Itater ' r ,
COMMENTS (inspection notes, changes from design or deficienciesrin installation) Attach additional
sheet(s) if necessary
Health Department Inspection issues resolved Yes / No / NA If yes how?
Users Manual Provided to Homeowner 7C;7-4C Date 2 `f ?9/j'
Tank/component Decommissioning Report Attached Yes / No / NA &45.--leW Z
Installer Certification attached/signed Yes / No
ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer
I CERTITY THE INFORMATION PROVIDED ABOVE WAS VERIFIED BY INSPECTION, THE
SYSTEM WAS INSTALLED AS DESICINED AND APPROVED by,TEFFERSON COUNTY
(DATE) OR THAT CHANGES HAVE BEEN NOTED AND
THE TEM I COMPLIANCE WITH WAC 246-272.
r /2-0
Designer Signature Date License #
H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2
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NOTE:
DesIGA THE DIAGRAM APPLIES MAINLY TO PRES E
SUR_
S pGETAS�PGSo ,ctIon DISTRIBUTION DRAINFIELDS W/CENTRIFUGAL
EFFLUENT PUMPS , FOR DRIP IRRIGATION
Approved DISPOSAL SYSTEMS, AN ORENCO BIOTUBE
PUMP VAULT I s REQUIRED, WHICH INCLUDES
COMPOSITE pate
PUMP TANK THE EFFLUENT SCREEN & A VAULT FOR A
- TURBINE PUMP, '
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24" PVC FIBERGLASS LID
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o 7,- , PtPETRANSPORT ,-
FLOAT WATER" ALARM
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/ 57"7-77, PUMP VAULT\ — NOTE:
f = n�l To AVOID CONFUSION
WIRES FROM THE r
2 �ja _,
JUNCTION BOX To
. * / � �d� �/ THE FLOATS 8 THE zz';
/ 2/ PUMP HAVE NOT BEE).
L I QUID LEVEL (VAR [ ES) SHOWN.
2" HOLES —
(NO BASKET SCREEN) OPERATIONAL
(ON1 FLOAT - 4"
ABOVE REDUNDANT !`1 \
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•
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CLEAVER CONSTRUCTION, 21257 NE Feather Ridge Lane
INC. Poulsbo, WA
98370
Work Phone 360-779-5652
Work Fax Phone 360-598-5341
Work Email
erig @cleayerconstyuction.net
f
October 31, 2013 ,� w' a •,`
Jefferson County Department of Community Health Au ,c � R
621 Sheridan St„ ,�� l'
Port Towsend, WA EXPEREfSa jj
98368
Attn Randy and Linda ,
Re; SKP# 3 Redesign ‘,1
Drainfield;
The soil logs in the design area show silty, clay loam 0" - 23", Oxygen to
the exisiting system has been substantially restricted by the depth of install and poor
quality, restrictive cover over the drainfield. This is a major factor in system perform-
ance and failure. The original design by Northwest Septic called for 6" cover(top
soil) , 12" gravel to incase distribution pipe, and 24" of C-33 sand below gravel. It
also shows visqueen on side walls from top of gravel to bottom of sand. See at-
tached diagram and install narrative with specific caution to install shallow. " It is im-
portant to understand that the more shallow the cover the more oxygen can get to
the bottom of the bed and that this enhances the treatment of the effluent" Current
park management have stated that the original systems were installed by volunteers,
and that the utilities in the park were installed and grading took place afterwards.
The original system was designed for 100 gpd as the EPA guidelines allow for
a RV park . This design calls for a drainfield capable of handling 1,920 gpd ( 8 sites
at 240 gpd per site) In a recent phone call to John Crook (Oct. 31st), he verified
the daily site average in the 80 gallons including the dumping of holding tanks.
Many of the park residence have moved south for the winter. Typically, when these
tanks are dumped, 80 gallons comes from the black water tank and 20 gallons from
the grey water tank follows to flush the pipe. This is done on a 4-5 day cycle, or 20 -
25 gal per day average.
Even though dumping is included in the daily average, it is possible for all sites to
dump on the same day creating a surge on the system. Therefore, I've added the
total potential surge to the daily average in arriving at the 240 gpd per site. I'm us-
a-h^
ing approximately 1.5 x the current daily usage, plus 100% dumping on the same i2
day.
The surge created by the holding tank dumping will be moderated by having
all sewage enter a 2,000 gal 2 compartment tank, the first compartment (1,400 gal.
+- ) will buffer the initial surge created by the 4'-5' drop from the holding tank valve to
the tank inlet. The 4" opening in the partition wall will reduce the turbulence as it en-
ters the second compartment of the first of two septic tanks. The second
tank,(2,000 gal.) is actually the third and forth compartments of the septic tank sys-
tem.
The black water holding tanks allow for 4 - 5 day holding and settling, then
when dumped a certain amount of agitation occurs. The tankage as designed al-
lows for over a 4 day retention time for settling in additon to a high quality outlet filter
(2)and a two tank pump tank system. ( Septic System Study show out of 9 systems
monitored, all were under 100 gpd) Annual classes in septic dos and don't is rec-
ommended with one topic being , dumping on different days. Also, if possible have
as many park models on each septic system. The park models have standard flush
toilets, (no holding and dumping) minimizing surging and suspended solids.
Septic Tank Sizing;
Design flow of 1,920 gpd x 2.0 = 3,840 gal. Proposing 2 concrete 2- com-
partment 2,000 gal. septic tanks, totaling 4,000 gallons.
To further protect the pump tanks and drainfield use Orenco FT054-36 septic
tank outlet filters. (2) each with a rated capacity of 2,000 gallons. Install on outlet
baffle on each tank.
Pump Tank Sizing;
Design flow of 1,920 gpd x 2.0 = 3,8400 gal. Proposing two (2) single
compartment 2,000 gal. tanks totaling 4,000 gallons. ( see attached tank cut sheet)
Existing Tanks;
Why not use the existing tanks? When system #2 was replaced last year,
the tanks were water tested by inflating test balls in the inlet and outlet pipes. Risers
were sealed to the tank tops and filled to the top with water. The water column
dropped rapidly until the level dropped to below where the concrete lids were mor-
tared to the tank walls indicating substantial leaks at that point. Then the water con-
tinued to fall at a slower rate indicating cracks in the tank walls and or floor.
John Crook has been manually pumping system #4 to monitor and keep ef-
fluent off the surface of the ground. He has observed the tank filling, after pump out
without any sewage flow into the tank, indicating ground water intrusion. In my ex-
Page 2
perience pre 1995 tanks were not made to the same standards, and by pressure
dosing with timers your just asking for problems in trying to use tanks of this vintage.
At present the management is aware of 3- Return Osmosis (RO) system in
the park. RO systems use 5 gallons of water to create 1 gallon of useable water.
These systems are needed primarily when poor water quality is available. For ex-
ample, some areas in Arizona and Mexico were noted by John Crook, (one of the
park residence and managers.) as providing unpleasant water. This park is served
by a public water system with great water quality. My recommendations to the park
management are to prohibit the use of RO systems. The directing board met Mon-
day Aug. 19, and approved the restriction. This will be implemented into their by-
laws.
Waste Strength; 1. Samples were taken earlier this year to Twiss Analytical, Inc.
They have already been submitted to JCH. These numbers can change signifi-
cantly with varying occupants, their habits, and health conditions, and time of year.
System # 3 was tested and came back with BODs at 494, Oil & Grease at 13.7, and
Total Suspended Solids at 396. This could be reflecting a very recent dumping of a
tank of tanks (with heavy concentrations of solids and possibly travel chemicals)just
prior to sampling which would affect the readings. Another possible cause could be
an occupant on the system that was using strong drugs. With aging park tenants
careful monitoring of the system will be critical due to the potential for cancer fight-
ing drug treatments, for example. Whenever possible, when such treatment condi-
tions exist, it is recommended to shut down the system and pump tanks to keep the
chemicals out of the system.
2. Waste from park models is different from travel trailers and motor homes. Park
models have typical waste water because they have flush toilet with standard
flush volumes and some have cloths washers. The travel trailers and motor
homes use holding tank and minimal water is used with each flush, and often
showers are taken at the community center. I recommend that park management
arrange for park models to be incorporated into each septic system where possi-
ble to help achieve typical residential flows. The added retention time in the sep-
tic tank system will help in not only settling of the suspended solids, but will help
somewhat in breaking down the waste. The majority of the treatment will take
place in the shallow install where the aerobic bacteria thrives.
3. It should also be noted that a large percentage of the travel trailers and motor
homes leave the park by October and don't return until sometime in April.
This design reflects a substantial upgrade to the existing system which has been in
use for 24 years. It's my opinion that the flaws in the existing system are as follows;
the drainfield was installed almost 3 feet deep and backfilled with a silty clay loam
backfill directly over the gravel. This will create an anerobic condition leading to the
formation of a biomatt that seal off the infiltrative surface and then over time, the ef-
Page 3
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fluent will find the path of least resistance to the surface. As designed, a shallowih-
stall of=< 18" with graveless chambers backfilled with sandy material will make all
the difference in performance. Initially, monitoring of the system will need to be on
a 6 month basis for the first 2 years and then annually. The additional tank sizing
will increase retention time for moderating flows, and helping to buffer waste
strength.
I recommend that park management address and hold annual education classes on
the health of septic system with all park occupants.
Sincerely yours,
Eric Cleaver
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