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Home My WebLink AboutSEP2014-00037 Jefferson Comity Deportment of Comma*Development 21 Sheridan SL.Pert Taxorstmel WA NM&pal)3794450 SEPTIC PERMIT APIAXATION pmparmgigjEg Donald & Lisa Benshoof PO wage egogiss 625 Lone Star Road Quilcene, WA 98376-9753 MOPE I( 360 ) 765-4459 Wsi Everett A. Sorensen, P.E. # 360-821-9960 L SUMMON Section 5 inimsiip 27N Binge 1W PARCEL# 701054007 Sulairisthn Mime Division Block ggeaddnessiggrecgons t,va,.5. on Center Rd; E. on Dabob Rd 2,000 ft; S. on Lone Star Road, 625 is at end of road SOURCE OF SEVRIGOLHE TYPE OF IIRITER Resithinial SOURCE X New X Timis only_ private x Fbesictrmird ADU Modicarron Pubic Repair TYPE sitTE s� 5.03 acres Partial Roma--(lank} (drethiekl) Pei/aims Evaluation SYSTIRI Conveniorud X Designate Reserve Area X Yes* aril/S-21 iirriemave Redesign Nu X SYSTEM DETMLS thernber at Gritionsktray Sal type (Math 240 2 sal 1.0 IL Tr Drathfind la 80 wii 3 Length ft. T + <_36 Sepia Tank sit e 1,200 gaL Prim Chamber apt TYPE(*system Conventional Gravity-Drain -Ni.ZS t By them the tans the appir—lkwmer a that the information _ bruin tone acrd to ttie best of Ara, nrelerial falsehood or any omission of a material bid made by the appirormalmor oat respect to this appicairm packet may newt in the pe nit being nil aid void_ 1 fiadrer apeee tar•sire, Wore*and bald,hooks;Jefferson County maid ail Rebates.judgments.mud casts mearnable alikenelrs fees aid expenses With may ih anyway moue awing. Jelberson Carly as a resit at or it consequence of the granting(Otis permt I further agree hi peoride access and right at wary to,fir Cate*and Is employers,represerdatins ar agerds for the sale pine of application review and any remain' later inspector!' Raft awes and rigid at enby MI be assumed unless,the appicard inform the Carroty it ening at the time of 1 appikathaa that he or she Pres prior nice. Inspedines shat outer duirg regidar business hams.. Mai have Wpm rendre ncitiostion before entry Arced—A person ogpewed of a de®i r of the Heath Officer may appeal.,Appeas`frai be oriented to die Health Dinision it s lag mains Tyr days after receiving mitten notice of lire decision. DISC -This appficithan is for an the sbdi aid f uity dandards in an the dale of appladian. 'This _ for an ensile sewage system DOES MDT insure you of any other County approvals. For mancle, t DOES NOT GUARANTEE tad you 1t tam obtaii pennission to buid a permaient residence or otter sbudwe an this . My Ague appficaan MI the separately judged by the noes and laws In cheat at that Dune_ Dade FOR OFFICE IXiEONLY C013 1 1 PARnAL T 0 WM:WIMP TEST Olen � ► �>1 � I►v� G � ALL HOLD 1ma_tET •t '/(l fi L c�(Ol # /190 'C Chollr# i°v- ' Ce#SEP t a 03�- H�rrae>ras + CCi+s,peaitrp_ nira PN 1 JEFFERSON COUNTY PUBLIC HEALTH t,,,,, -6,,i'' 615 Sheridan Street•Port Townsend•Washington •98368 www.jefferson countyp ub Iichealth.o rg Phone "JbU-3iib-9444 Fax 3tiU-3(9-44w I ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00037 Date Received: 04/09/14 Date Issued: 06/13/14 SITE ADDRESS: 625 LONE STAR RD QUILCENE, WA 98376 Date Expires: 06/13/14 APPLICANT: DONALD BENSHOOF PHONE: 360-765-4459 LISA BENSHOOF 625 LONE STAR RD QUILCENE WA 983769753 LEGAL DESCRIPTION: S5 T27 R1W TAX 30 PARCEL#: 701054007 Section: 5 Township: 27N Range: 01 W DESIGNER: EVERETT SORENSEN PHONE: 360-821-9960 STREAMLINE ENVIRONMENTAL, INC 715 GRANT STREET PORT TOWNSEND WA 98368 SYSTEM DESCRIPTION: CONVENTIONAL TRENCH No. of Gallons per Day: 240 Type of work: NEW Drainfield Trench Septic Tank Length: 80 feet Width: 3 feet Depth: 36 inches Size: 1,200 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 E ironmental Health Specialist This permit with conditions must be onsite durin all phases of construction HEALTH DEPARTMENT MUST BE CONTACTED FOR FINAL INSPECTION. SPECIAL CONDITIONS APPLY - SEE ADDITIONAL PAGES CONDITIONS OF APPROVAL - PERMIT NO.: SEP14-00037 1.) This system was installed w/o a permit. System was fully exposed and evaluated by a septic system designer and inspected by county health staff. After review of adjacent soil logs the system was found to be in compliance w/the current on-site waste water code. This "permit" documents and as-builts the system that was installed 2.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state,and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. SEP14-00037 Page 2 of 2 \\tidemark\data\forms\F_SEP_Permitmod.rpt 6/13/2014 CONVEIMMAL SYSTEM ASBULT MISPECTKM1 REPORT INSTALLER Homeowner; Donald Benshoof PA ICEL# 701054007 Donald & Lisa Benshoof penal. SEP13- ABSORPHON AREA: GRAINFIELD I H T SvF ammu N $0 worm 3 <_36 1,200 gals 2 r y 240 Tan : tiro t IF PUMP AND .PUMP CHAMBER I E) I ED Size NA Screen Heat Arran Derr Hr ph at r float--distance to top of tankenvergency storage Dose dra wd wrr t#of inches? it GalionstDose TimertC ose Counter tnfo Pump Size' Manufacturer I CE iw''MS ORWIE SEVWV3E SWIM WAS■FIST LLEDAs DISCUSSED WITH RANDY MARX 10/14/2013 10/23/2013 IFIATF Designer Signature m RdsTALLED Note: Original un-permitted installation c. 2006 by Mr. Don Benshoof, homeowner. On-site consultation with Randy Marx on October 14, 2013, to evaluate soils and inspect installation. Soil evaluation holes subsequently re-filled, distribution trenches restored (horizontal excavation into undisturbed native soils, drain rock at least 6 inches thick, with horizontal 4-inch slotted PVC distribution pipes, distribution trench covered with Class C un-woven geotextile filter fabric and 16 to 24 inches of soil and cover; two 4-inch monitoriong ports per lateral, installed down to infiltrative surface). Note: Plumbing removed from old cabin, reported by Don to Everett o 1 10, 2014. Cabin removal occurring now. IR oto ASBUILT CONVENTIONAL F [5- 701054002 To Lone `,,, Parcel 701054003 , --, 4p ,k i / Star Rd Boundary ,< '� - `Slight Landslide A %-._......, . m NorthernParcel Bounda 513' Q ; , Hazard' per JeffCo jMAP Existing ----. -°` Private 09 `- 39p Well O O _:d 90 - :kh �o� `;�Water Supply ` `ti\ ; wo r co S3 (Soil Evaluation Hole) Location of Former Cottage ;� 1 with primitive plumbing and Existing 1,200 gal 1,300 SF Reserve Drainfield , decommissioned pit privy; Septic Tank dismantled, recycled and " ` f W - land-filled by property S2 x • 701054007 owners 701054004 * 2,-S4 5.03 Acres •.,+ S 1 "� i r j4 Existing 2-Bedroom House w 4 F 0 Existing 2-Trench ', \\ ',.4 / i o Drainfield U' ', „(See Detailed Layout) ,"t >130' Ili t \ Headwaters of Non- �� A. ',ORS, o �\ Fish Habitat Stream ��4�F w Sit,, �.. 0 �M 00 �, �- T T m M -666' 400 7 " 701053006 t TM�_ I , '� ti 4,441 ji ., , r'� As O ' \ li 1. N \ ,, i i 1 I i 7 Drawn By: Everett A. Sorensen, P.E. Streamline Environmental, Inc. Site Plan with Septic System Layout 715 Grant Street p y y Port Townsend, WA 98368-2405 0 60 120 180 240 Ft As-Built (Sheet 1 of 2) everett@streamli neenv.com 360-821-9960 Donald & Lisa Benshoof Revised October 24, 2013 625 Lone Star Road • ,...� Base map and elevation contours from Quilcene, WA 98376-9753 Ail . EN= http://maps.co.jefferson.wa.us/ Jefferson County Tax Parcel 701054007 Water supply °� A SO'>e approximate route,,'` ��@- c 0i .,J' • ". i 2 -r b/ _ ;/ w Driveway , � 5 �4 'c-, c1STE� _ `s`® ' ��AL Existing 1,200 gal 2-Compartment ‘/71/7/(( Concrete Septic Tank with Access Risers To-Grade Equipped with Effluent Filter Existing three- connection D-box Existing 2- Bedroom House 5.5' 16' Existing Drainfield: ` Two 3'x40'trenches with >_6"of drain rock, 4-inch how c slotted PVC distribution piping, covered with un-woven geotextile filter fabric; each trench equipped with two •capped 4-inch monitoring ports installed down to c.' , f\..) infiltrative surface, enclosed within utility vaults • 10' 30' Monitoring Ports •• 1111!!!! , Detailed Septic System Layout b3 As-Built (Sheet 2 of 2) Drawn By: Everett A. Sorensen, P.E. 40' Donald & Lisa Benshoof Streamline Environmental, Inc. 625 Lone Star Road 715 Grant Street P Aillil ort Townsend, WA 98368-2405 ', Quilcene, WA 98376-9753 everett@streamlineenv.com 360-821-9960 Jefferson County Tax Parcel 701054007 October 24, 2013 • •10' 10' 0 12 24 36 48 Ft "l L 't] Ll 1 -1 1 End LA NJ NA g 0, rA Ord �M e SOIL EVALUATION 90� 0 Property Owner Donald & Lisa Benshoof �`'O System Designer Everett A. Sorensen, P.E. 360-821-9960 sr LEGAL DESCRIPTION: Section 5 Township 27N Range 1W Parcel# 701054007 Subdivision Name None Div. BIk Lots Date Logged: August 26, 2013 Logged By: Everett A. Sorensen, P.E. SOIL LOG #1 SOIL LOG #2 0 to 8 in. Topsoil 0 to 8 in. Topsoil 8 to 96 in. Light Brown Med to coarse 8 to 96 in. Light Brown Med to coarse to in. sands, with 5 to 10% gravel to in. sands, with 5 to 10% gravel to in. to in. No mottling. Application Rate: 1.0 gpd/ft2 No mottling. Application Rate: 1.0 gpd/ft2 Anticipated water table >96 in. Anticipated water table >96 in. Roots to 8 inches. Roots to 8 inches. Health Dept. Comments Health Dept. Comments SOIL LOG #3 SOIL LOG #4 0 to 8 in. Topsoil 0 to 8 in. Topsoil 8 to 72 in. Light Brown Med to coarse 8 to 36 in. Light Brown Med to coarse to in. sands, with 5 to 10% gravel to in. sands, with 5 to 10% gravel to in. to in. No mottling. Application Rate: 1.0 gpd/ft2 No mottling. Application Rate: 1.0 gpd/ft2 Anticipated water table >72 in. Anticipated water table >36 in. Roots to 8 inches. ki\ \CLi Roots to 8 inches. Health Dept. Comments Health Dept. Comments Notes: 1. Soil in all holes is fairly loose, easy to penetrate \' 2. Soil Type 2 STRNEAMLINE 4 0 20,E 715 Grant Street • Port Townsend,Washington 98368 Phone(360)821-9960 • www.streamlineenv.com Aprl 11,2014 Mr. Randy Marx Environmental Health Specialist Jefferson County Public Health Environmental Health Department 615 Sheridan Street Port Townsend, WA 98368 Re: Septic System Design and Permit Application Donald and Lisa Benshoof 625 Lone Star Road Quilcene, WA 98376-9753 Tax Parcel Number 701054007 Dear Mr. Marx, Streamline Environmental, Inc. (Streamline) is pleased to submit this septic system design and permit application for the referenced property, owned by Donald and Lisa Benshoof. SUMMARY The applicants wish to properly permit the conventional gravity-drain septic system installed at the referenced property, by the applicants, without a permit. Upon thorough evaluation of the site and installed septic system, Streamline found the system, as installed, designed in conformance with current Washington Department of Health guidance. Design drawings presented in this submittal are As-Builts. SEPTIC SYSTEM DETAILS Capacity Peak discharge rate: 240 gallon per day (gpd); average discharge capacity: 160 gpd or less. Parcel Land Area The parcel is over 219,000 square feet(SF) in area, about 5.03 acres. Drinking Water Supply Private water well. 2 Nearby Water Wells No known wells are within 100 ft of the subject parcel. Topography The site is relatively level in the developed portion, dropping off to moderate slopes with grades typically ranging from 10 to 15 percent. Surface Water and Drainage There are no perennial surface waters on the site, or within 100 ft of it. There is a non-fish habitat stream with headwaters close to the southern boundary of the subject parcel, flowing southward, away from the subject parcel. Soil Evaluation Four soil evaluation holes (labeled S 1-S4 on site plan) excavated in August 2013 revealed shallow topsoil to <8 inches below ground surface, followed by coarse sand with intermittent layers of medium sands, and gravel comprising less than 20%, to the full depth of excavation, ranging down to 96 inches bgs in S1 and S2, shown on the attached Site Plan. Groundwater was not encountered in any of the holes, and no indications of prolonged saturation, or confining layers, were observed. Environmentally-Sensitive Areas Jefferson County's online parcel mapping tool did not indicate any environmentally-sensitive areas covering the subject parcel. An area with 'slight landslide hazard' is located northeast of the subject parcel. Vegetation The site is well vegetated with forest, shrubs, lawn and gardens. The area surrounding the parcel is occupied by forest. Drainfield Sizing With Soil Type 2 an application rate of 1.0 gal/day/ft2 (gal per day per square ft) is allowed. With a peak flow of 240 gal/day,240 square ft of infiltrative surface is required. Reserve Drainfield Area A proposed 1,300 SF reserve area is shown on the included Site Plan. This area provides ample space for a 100%replacement drainfield. Septic System Operations & Maintenance The applicant will record an active monitoring agreement to the property title, prior to final approval of the system, in accordance with County requirements. State law requires that this gravity-drain system will be inspected every three years, with an evaluation completed by qualified personnel and recorded with the Jefferson County Environmental Health Department. More frequent inspections of the system are recommended, but do not need to be recorded. Also prior to final approval, Streamline Environmental will provide the applicant an Operations & Maintenance Manual that specifically describes this system and the best practices to be followed for maximum service lifetime. 3 As-Built Drawings are attached here, including: o • Site Plan with Septic System Layout, As-Builts Sheet 1 of 2, and • Detailed Septic System Layout,As-Built Sheet 2 of 2 Please feel free to contact me directly if you have any questions regarding this submittal or the subject site. Sincerely, Streamli•e Environmental, Inc. P � /. Everett A. Sorensen, P.E. Principal Engineer (360) 821-9960 everett@streamlineenv.com Attachments Septic Permit Application cover form Soil Evaluation Form Site Plan with Septic System Layout, As-Built(Sheet 1 of 2) Detailed Septic System Layout, As-Built(Sheet 2 of 2) Copy to: Don and Lisa Benshoof 625 Lone Star Road Quilcene, WA 98376-9753