Loading...
HomeMy WebLinkAboutSEP2013-00082 Oi .. '`,`tI4i Jefferson County Department of Community Development �' ..,,t N 621 Sheridan St., Port Townsend WA 98368, (360) •,A,: ., i SEPTIC PERMIT APPLICATION "• --s , "mow -''7^ t. PROPERTY OWNER LPL 1. " MAILING ADDRESS �-I (`R ► 1 ` . 1 g Yl, RICSEN . •��4 PQa Taw Ye-Jet 1 ; �Y A/ ._-_:.._` * '-� \�/,y it, PHONE ( 3 6 ) '7 7 '1 - 6. I?Cc. 3'T-''' .021 1/ J. 6 ate-l3 SYSTEM DESIGNER e n e,sert "Des U j✓1 Designer Phone# 3(4)"3ô1 - 0 3;L 4 LEGAL DESCRIPTION: Section 0211- Township30 N Range /1 UJ PARCEL# (ill t 0 g i.7 Subdivision Name need.41 C,Y?~JL"Es-takes Division ). Block N Lot(s) I I 1 1o. Site address/Directions t o s i t e N I Ex t -fin IA.4 S W an.506 Age r-P o e`L 1 1 4 4,1A 4, q831994143-) SOURCE OF SEWAGE/USE TYPE OF WORK / WATER SOURCE Residential X New X Tank/s only V Private Residential ADU Modification Public V Commercial Expansion Community Upgrade SYSTEM TYPE Repair . SITE SIZE i�iO,1. t i5 o Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate Reserve Area Yes# Alternative Redesign No X SYSTEM DETAILS Number of Gallons/day 3 40 Soil type (attach soil eval.) Application Rate galisq.ft./day Drainfield Length ft. Trench Width ft. Trench/Bed Depth in. Septic Tank size 1000 gal. Pump Chamber size 1000 gal.1 TYPE of system f Lt.m p in ( ô vin m u yt it,I Doi i n fi eJ Oct ( rC . LoSS 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. OA. vc<1 6, tc(_l3 - Property Owner Signature Date FOR OFFICE USE ONLY / PARTIAL ASBUILT z 1 4J1!JI - i APP OVED INSP/PUMP TEST 5/(31/ PUD . d fr "71 i ALL HOLD REQ.MET Pct G;/Mlit b"" -7/El] 1 Dat- - _ " Rec# !L -1 Check#l g �� Case#SEP� 3 D, H:\WEB\PDFs\Septic\septic_permitapp_2008.DOC y"st)h t Q� `- .JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 www jefferson countyp ub lichee lth.o rg I'none 3bU-365-U444 Fax 3bU-3/9-4461 ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP13-00082 Date Received: 07/11/13 Date Issued: 09/19/13 SITE ADDRESS: 144 SWANSON AVE Date Expires: 09/19/16 APPLICANT: DANA E KOVAC PHONE: PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 983689223 LEGAL DESCRIPTION: OCEAN GROVE ESTATES#2 BLK 8 LOTS 11 & 12 SUBJ TO EASE V522/P898 PARCEL#: 977100817 Section: 24 Township: 30N Range: 02 W DESIGNER: BERNT ERICSEN PHONE: 360-301-0324 293 PINECREST DRIVE PORT TOWNSEND WA 98368 SYSTEM DESCRIPTION: SEPTIC TANK TO IND SYS No. of Gallons per Day: 360 Type of work: NEW Drainfield Trench Septic Tank Length: feet Width: feet Depth: inches Size: 1,000 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 Environm ntal 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.: SEP13-00082 1.) H-A signed Customer Agreement with the system owner, Jefferson County PUD#1, shall be submitted to this office prior to final approval of the septic permit. 2.) Installer will verify with the system manager, the Jefferson County PUD#1, and the designer for specifications of pump requirements and inspections required by either party. 3.) Health Department is to be contacted for a final inspection of the septic tank and pump chamber prior to covering. 4.) Final approval of the sewage disposal permit will be given at the time our office has written notification by the PUD and/or the designer that inspections have been made and the installation meets their satisfaction. 5.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 6.) 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. 7.) H - This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots. COVENANT recorded FN 578818 8.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 9.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 10.) 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. 11.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 12.) Divert all sources of drainage, including roof drains away from septic tank and pump tank areas. 13.) Septic tank and pump chamber to be water tight. Extra protection (i.e. Bentonite) to be used around inlet, outlet, and risers due to high water table. 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.) 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. 17.) 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. SEP13-00082 Page 2 of 2 \\tidemark\data\forms\F_SEP Permitmod.rpt 9/19/2013 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING Designer ERIC.SE N T)E 5 16/ N Permit# SEP 13 - g 2, Installer STEWA T 6XC4VET1 Parcel# 477 /002 (7 Electrician ELEC rroceiA iiesign Flow 36O Property Owner DA MA KO O(... C,✓ Site Address 144 SuJANSONl AvE. PORT ,TCNMSE JD. b . Answer all questions or indicate NA -;~. DATE Tanks., Pumps and Controls INSP., Tank (manufacturer, size, baffles) $H d Li 1006 6 A-L. t 4 Pump chamber(manufacturer, size) " .20 4AL Screen(s)and/or Pump Shroud (type, location) T i A-F F LE FILTER Al ItJ SEPTI c TACK ©REtlCh BLOT PV'U57-Iglq) tPUrcrTA�K Were Tanks tested onsite for water tightness? 114-,1 No Panel Model MPAUA \0010, tom- 5 01 t i IPCS 2 - 1 3 - 3 4 4 7 0 Pump 1 - Man./Model URUCO In OSl OS I*tFFlow Rate 15 corn Pump Location(i.e. garage, treatment unit, basement) ?v ttp TAI)K " Float/transducer settings Inches Timer from bottom of tank- On/off- 42, in. Functions: On 3 s- Veto- 4.o in. Off- .24.0 - ' r Alarm - 40 in Veto On- ,3 s t� Storage Above High Water Alarm 3'k gal. Veto Off- I $ • s "', i hr Dose Counter Reading 0 #gallons/dose • S. gat. Elap.Time Meter Reading .2:00 is Pump Throttled? Yes C, Dose Drawdown(n inches) %tf. in. Pump 2- Man./Model Flow Rate apm 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/Firs Pump Throttled? Yes I No it additional pumps-complete the info In this table Dose Drawdown (in inches) in_ for each and attach. Other Timer functions& settings (e.g. override onioff) 7-13/AS 07- 13 37) A-0 To CLEAR I DOSE H:tWEB\ONSITEtAsbuiit_Report Form.doc 04/28/10page I of 2 ! , w Pre-Treatment Date tnsp 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, schd, diameter I.ZS 504 40 Manifold size/schd Orifice size Lateral Sizelschd Barrier Material Cover Material/Depth Residual Head (lat.#&ft. Head) The laterals/pods were balanced Yes / No Source/Manufacturer of Drainrock/Graveiless chambers Drainrock Clean? Yes l No If no, what action taken? Mound/Glendon Site Prep Drainfield Length ft Width ft Depth inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary TRAtJs PORT (-WE AC k f LLEb AT TIME. OF lnfsPEe-TL PJ. IMSTALLE'a .CA1D 46 (Set) -BE ToN tTFOtJTMJk war 4 OUTLET tP tP t !1 (sER.S. Health Department Inspection issues resolved 0 No 1 NA If yes how? ANTI- S17001\1 VALVE Mo\irt To ToP OF btscAtMz6.€ TiPg" Users Manual Provided to Homeowner T)A/M A K a\f AC.. Date 6-11-IL/ Tank/component Decommissioning Report Attached Yes/ No/ Installer Certification attached/signed Yes' CP ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY T#E INFORMATION PROVIDED ABOVE WAS VERIFIED BY INSPECTION, TOE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY lRII 3 (DATE) OR TWAT C#ANgES ffAVE BEEN NOTED AND ME SYSTE IS IN COMPLIANCE WITH WAC 246-272. &NI Ma - 5-11 14 5to 259 Designer Signature Date License# H:iWEB1ONSITE\AsbuiitReport Farm.doc 04!28/10page 2 of 2 /-FILE NAME DANA KOVAC.TRV SCALE DATE DRAWN BY 20 Ft/In 5-21-2014 Bemt Ericsen JOB REVISION SHEET 977100817 1/1 1/1 J This map drawn with TRAVERSE PC,Software _-_ M 115.00' ` I Ex. C.O. N 88°27'42"W / �rro ,!4 5'6" J . . ,I! m O 00 I , ,,, PUD Sewer � ' StubOut Q �, r.`f4 2 of : �. °i Drive = L. BERN1 At9L ICSEN .it Drive, �' 9 r ac• 3r3r11 isi .. a_ m a b co " Lot 12 X � ° rn NI PGG�r F1Jll��t:iyllj Ow (o �.3*Pr—iy, 1 -a- Z (1) U 5./) in 33' i Q) o > r` Q Existing 3 BDRM Home x Ex PUD C 2 I Sewer Line O — is. I, to 115.00' Q CU CU N 88°27'42"W J- Ex. Deck I CO III ) Aa 9' I Flow —Ex. Deck' B 12' 12 Meter C.O. 3o'`4° Check 19), E I- Naha ,- ''N ._,.,304,,,2, 'O'?ir QQ� Pot, T 0 w 0 to N, 1000 Gal. C D Lot 11 Septic and to M `f) N20 Pump Tanks z Measurements: A to C= 15' AtoD= 17' AtoE= 12' BtoC=34'9" B to D=39'9" BtoE=39'3" 115.00' S 8827'42"E � v ' # 00 v ,C.s `'" 'iP� IFILE NAME �� 0 s i ; P 1i, i Dana Kovac.TRV er,t,"� i .�'�. SCALE DATE DRAWN BY ,� if,5 100 41 20 Ft/In 6-27-2013 Bemt Friesen 0, BERNT PAUL ERICSEN••. S r .. JOB REVISION SHEET N d';}� "�NEIL" i�'TS ®w.�ookoh ..�®w�.�mwww�w+. 977100817 1/1 1/1 i...1- <o t1/ P ` .1 0 20' This map drawn with TRAVERSE PC,Software __i_ 6. 28.-i3 115.00' N 88°27'42"W SPACE DISPOSAL . M APpr,, �;,. :•CIFIt.: S (� ///p i;o w N b n M 9 Z Lot 12 ai > Q c 0 w 115.00' C (13 N 88°27'42"W Lot 11 Maintain 10'min. 0 r between water and w 0 ao in r sewer stubouts o _ CV tri 1" SCH 40 Z to existing pressure sewer I line. 1000 Gal Septic and I O Q Ii Tanks rl- 1 Pump i 115.00' S 88°27'42"E c5rWAGE DISPOSAL DESIGN Approved for o s u ion 0/ z m _ a DoLe rt j ger-sr -.EN kit k ID * N d i l gg-.6 . w O #"q ^ St e.- O *Z g- !eF OPT ' • - o.., 0 e L C aD Si ot i ac o d; >* I--��.0cy o z - 3 ki E : Eo. > OQ 5 I z g$ cQ Q_ old of I n go �-> 3 > r aa- off= o 1311 W e g 2 ....c alLE _ _ 6--._-0 a ` �'a a 3 S�-CSC► °a z '� ° o �aV 3 ' C9 O3ka� Ea � g CC u a El 1; ill = el til -Ful _____\___!- \ 1 _� I��..3 a - 110 - _ 1. -.r . -� _ s r 1. :.a LL O• 1 W % "'VII :: ::::: 0 1 u ill -: 3 : !:t; xo.,:g • 0,( ,) 0,............._ ., :1:14 .... N..2..5.Z.."'“1P:.. :2 L.44-1-,::-..11'i 1 ii,z-l1i—■,112■2.%.z.4 E.o0211 w0 cl 1 -. Rh.l..2 .,....m..r * - -0Mra�a0iw,�ai�aaa:a00 «-•:e«.•�ceri+�:.�.�.•»� .: ta<;=0 r. 4c>3 :: „).. i''g;o c;f . Rti ' ' i§k iti v 0_ *-4_t e i ..))-m V„, ,Tri t-3 vi . ei._ !a 1,, v • ::.:. tIVW7 0* E - 8diti La ra4 11° oi - M.1 2 .Z0°. 12-1%ric h ii.,.., g -I ipl •_. ... ::; le sa ma 0 vA *C3KZ la rOF *>` av *r' * > * ::z i� {LO4-7 ••[C\\ (fit Ex la_ S 4 b..... 0** 4 tlf ht Nn C_ _ 0 N as �° 1 s ? .. o SI•_ i t = « _ ! - spa * '� 5 v jel - :; : o .� Z a .:, a oil - ...1 \ � li to 7/ 9jf Y9' �r -• -} - 1 �1 n tE , wow AVON tam al 01 30Van MIZOViii k". .....a 5 . ...4 1 'X'04-0C-- t-.ZL g • g1_ o E*- 1 W r b. 3 ° c '1 471 100g 17 -."--r-,r'1' ' cT rrS14 C- , ,f----: -,.....,,, i _._ 4 r -ocatuction Pt.n.o> ran* DETAIL I NTS I .2 COMPARTMENT SEPTIC TANK DETAIL (N7-4,v - L.-....1 0, cast--,3 ,e-c6.> - FILTER RISERS TO SURFACE . SOC-K ' „:,,e .145511 f Illaineing .$ '' 0 4) .. emery/ley , CLEANOLJT -.`. Sfor0-5e. .INLI —,, as: .70 6A.P.4311, 1111 1 in mo - e'-' . ,...: - - . . Wow-L.65 Ve titre f I mit ow MR Mt I 1:. (7)-\0_ rex?' II II 1111 II I ----- FROM :- 0..x,_-CV ./-(4?) •1 NOUSE ...-. re EN MI I I I - . •. lik41) ....1•••^.1 0 0 9 i ;• . . ..e. .% I .• JUL0 3 ,„4, - ...- .-.;-1..4,* 2.-. A qi**... - .'' ::: *"-%.... •••.. • (;) i'10-fp ... . (J) • 2".. PVC CHECK VALVE (4) W PVC UNION (5) II PVC BALL VALVE (s) "I PVC TRANSPORT LINE (7) AQL1AWORX TRANSDUCER - 1 (a) SPLICE BOX ; I', , .._. . . . (9) Scict.C.LI utevi.-r t•t.yriow tilja.er Lei Pe-41- leti'ie bt,111;„,i Ore-neo .1>sd U 67-19 Ici FINCRED GRARJE + --.\\N ----- -- . . I :iii=iii4 P i=111=111=111 = FOR =OES CROSSING DOSING - 4.4 amva ROW& ..... 2"CROSIER SURFACING 70P COURSE)! a le.......„„taw IMCKFILL. Caner TO PER WSOOT/APWA 9-a3.9(.3). I - 95W UNDER ROADWAYS 6 &WM FALSE R WSOOT/APSA = ..... T 9-0110. - ' •••• if = o UNEWARD TYPE I OR MURK- ii PROVIDE sm. 40 PC ,... WIT TRACER WE MARKED iii .-- - ENCASFINENT UNDER RIMOINOS ii __.----" ----—fr*ALL WAD =saw mo ORIVRiG Ill -- 2. - - --, ----a•.. .^. ARMS i PPE BEDEW PER -' ........--•-,..•-.4--.1r-*: .t.:.... - WSOOTAPWi 9-03.16. CONSIRILT - ..‘ ,.0 47.- -_- lo...- ..- ..: 11 .tn■• III I ,.:•-53'• --- . . . ••■= il ......„.......MOWN AND MULL PIPE-MI *SPOT/ APIM 7-17.3. r mow MOM is .....- -. — ....a- -: : MR!. 11 POPE LESS DAN 2 FELT TRIM ROACIMM . . .,. n . -:- ; ::1- OA TIEN DICASE PIPE M DP. FOR AREAS ODER DIM ROAD CROSSING OR - - = --•-:---;:"- ', '.. -:-1-.1‘.... II 2" taws atm usc Lit`s-: -.-- * •:.% - .r '"--*- REPRO MERYL at AIME MICTERML FREE OF ROCK LARGER THAN lyr2". 24 MIX 1 PVC PIPE(1 I LOCATIONS REOLIIING TWO OR MORE PIPES RI DE SALE MEWL, TIME SHALL RE 1. - 1.11141 HORIZONTAL cesecseux saw"f/PES). . PVC PIPE TRENCH DETAIL NO SCALE • 004 Ail if its, go; ..- ..1#lir., 0 0110 Owne r: . 0 0 i•f" 0*,. • ,A1 _ . Parcel# " 7 00 1? I (e.ri, i„,,,, , •- :-.4.. .' Designed by:13erfa Erato r, , 12:4/2E91 ..'',.. 0.. 138Wit YAM tRICSEN... 44 "... • ' — .4. - ,* c Itt:' tic www100.10.1wWWww.N.1106.10000,010:101ow■14 37. - - ,„.. IL' oil i 4II. vat d rf 1„ "!! eo1 i 1 t, r rN 0",.. BERNT PAU ICSEN%'. 1 t fi\ s'''( . ,. 11 L1 t4 -1-:- 4 -j3 s' '' ,,,, h , ,, , ,,,. I Dana Kovac 977100817 Project Description Install Septic and Pump tanks, connect to community sewer system. Septic Tank Install two compartment mono-cast concrete equipped with water and airtight un vented risers to grade. Tank shall be water tight. Fill tank with water after placement, to be observed by Designer. Seal inlet and outlet pipes as well as riser with Bentonite. Septic tank is to be 1000 gallons. Tank to be set on 6" of pea gravel. An outlet baffle filter is required in the septic tank. Screen size to be 1/16". Use Orenco FTi P 0418-W. Pump Tank Pump tank shall be mono-pour concrete equipped with water and airtight un vented riser to grade. Tank shall be water tight. Fill tank with water after placement, to be observed by Designer. Seal inlet pipe and riser with Bentonite. Tank to be 1000 gallons. Tank to be set on 6" of pea gravel. Control Panel The Aqua Worx control panel is to be mounted outside, within site of the pump chamber on a post or on a wall of the residence. A transducer is required with this panel. Pump I r„ Use Orenco 10 OSI 05 HHF — 6 Stage single phase 115 volt or equivalent which meets pump spec. Pump to be installed inside an Orenco Biotube ( PVU 57 — 1819 ) Transport Line " Flow Meter " to be installed outside of pump tank ( see pump tank detail page ) Install 1" SCH 40 PVC from Flow Meter to connection at Pressure Sewer Line. Dose 45 gallons, 6 times per day ( 270 gpd ) 75% of peak. Inspections Contractor to contact designer prior to construction to set up pre-construction meeting, and inspection schedule. 2 to 2n General Construction Notes 1. The work described herein consists of construction of an on-site wastewater system_ 2. The contractor shall be knowledgeable and experienced in the construction of this type of wastewater system and shall hold a valid certificate from Jefferson County Division of Environmental Health. 3. if during the installation of the system the contractor finds soil conditions that may lead to premature failure of the system, construction shall be terminated immediately and the designer notified. Such soil conditions may include groundwater, fill, clay, highly compacted soil, bedrock or excessively permeable soils. a. Any inconsistencies, errors, or omissions that, in the opinion of the installer, would compromise the quality of the wastewater system shall be reported to the designer prior to construction. 4. Transport pipe and laterals shall be Schedule 40 PVC, unless otherwise stated in design, solvent welded joints. All fittings shall be Schedule 40. All transport pipe in traffic areas shall be Schedule 40. Backfill in traffic areas shall be pitrun gravel and compacted.All gravity pipe shall conform to ASTM D 3034. All gravity and transport pipe shall be bedded, using native or imported material free of rocks, debris and sharp objects. Double case in traffic areas with 6" ASTM D 3034. 5. All exposed soil shall be seeded and mulched prior to the final inspection. Seed shall be spread at an approximate rate of 10 lbs. per 5,000 sq. ft. 6. The installer shall be responsible for constructing the system according to plans and conditions of permit and shall be responsible for its proper operation and function for one year. The owner shall be responsible for 3 operating and maintaining the wastewater system in accordance with WAC 246-272A-15501. 7. Any changes, substitutions, or deviation from these plans shall be approved by the designer and by the Jefferson County Environmental Health Department 8. The installer shall grade to divert all surface water runoff away from tanks and drainfield/reserve areas. 9. The bottom of the trench or bed may be inspected by the designer prior to placing sand fill or drain rock and shall not exceed +l- Yz" from level. 10. Notify designer 48 hrs. prior to pressure test, after permanent power has been connected to panel and L. and L inspection complete. Any deletions from plans, or necessary adjustments, shall be completed by installer. 11. Setbacks to all known water lines shall be a minimum of 10'. No crossing of water lines with any septic component shall be allowed, except as included in septic design approved by Jefferson County Health Department. 12. Setback from the building foundation wall shall be 10' minimum to drainfield, 5' minimum to tanks and 2' minimum to non-perforated sewer pipes- 13. Setback from property lines, easements lines, and driveways shall be a minimum of 5', for both drainfield and reserve areas. 14. Water saving appliances, fixtures, and practices are to be used. 15. The septic and pump tanks, drainfield and reserve areas are to be protected from vehicular traffic or mechanical disturbance. 4 1T 16. The installer is to verify pump requirements at the time of installation. 17. The designer is to provide the as-built and letter of certification. 18. This system has been designed in accordance with WWAC 246-272 A and the most current Department of Health "Recommended Standards and Guidelines for Pressure Distribution Systems," and has been approved by the Jefferson County Health Department. Nevertheless, negligence or improper action on the part of the users could result in the premature failure or malfunction of the system or its components. 5 2413 Public Utility District #1 Of Jefferson County , , June 28,2013 Board of Commissioners Barney Burke, Di$trict 1 Ken McMillen, Di$trict 2 MEMO FOR RECORD Wayne G. King, istrict 3 James G. Par ker,, Manager SUBJECT: Septic Connection LUD#5 1. The purpose of this memo is to verify that parcel 977100817 has the right to connect to the LUD#5 LOSS with a 3 bedroom connection. 2. Lot 11 Block 8,Volume 4 of Plat/Surveys,Page 27 Plat of Ocean Grove Estates,No.2 participated in Local Utility District#5 for a 3 Bedroom connection to the Large On-Site Septic System located in the Ocean Grove Area of Jefferson County. 3. Any questions can be addressed to the undersigned. W Y' t\(,6(.° mes G.Par er, PE a -5,0(ii r/cd Manager 230 Chimacum Road/P.O. Box 929, Port Hadlock,WA 93339 PH(360)385-5800 FX(360)385-5945 , r ONSITE SEWAGE DISPOSAL SYSTEM DESIGN 9 71100 g 17 Date (o - et 7 - 13 Property Owner D eLn a k e w c e , System Designer E YIC,SeAl leso3n Legal Description: Section 24- Township 30 Ni Range „-V Subdivision Name OCR► 6rr0J€.+GS-104e5 Division o. Block g Lot(s) 11 12, I. CALCULATIONS If for residential use: Number of Bedrooms: .3 x 120 G.P.D. = 060 total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. Soil texture waste water application rate — G.P.D.Ift. squared (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: 411. 0320/ 3 Absorption area '-' square feet (total G.P.D. :- G.P.D./ft. squared) Trench or bed width — feet Trench or bed length lineal feet (sq. ft. 4 trench or bed width) II. APPURTENANCES Septic Tank Size 100 0 gallons Pump Requirements (If Necessary) Elevation difference in feet 6 +0 Se,,jLr S Friction loss I, et Pump capacity should be (a G.P.M. at T.4/ T.D.H. Number of doses per day 6 Dosing volume 45 gallons iii Pump chamber size 1000 gallons `, go.� ®~ P . a� b 4 fse f ,, l . y I • ,, `4 H:lhomelptncnir\infohlthIsewdsn BERNT 1 csEN.As ar 1.41"10.1406.11.76.1101•11"116111.1100■Wow IN ', .2.9-13 x +: III. DRAINFIELD CROSS SECTION /T/L L/7 i" Cr.:.. Rik NAT.IE SOIL A lB --- 1.74 PERMI A3LE MATERIAL/ / SEASONAL Sr-?'RATIO A. Trench Depth inches B, inches of drainrock below pipe C. inches of vertical separation from trench bottom to impermeable material/seasonal saturation D. inches of fill (if needed) E. Trench width inches NOTES: ctea. ATT H ,D.E ILED DESIGN OF SYSTEM 'a` t.::;.