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HomeMy WebLinkAboutSEP2013-00121 • Jefferson County Department of Community Development 1A 621 Sheridan St.,Port Townsend WA 98368,(360)379-4450 I . wnei ,y�e SEPTIC PERMIT APPLICATION ti' !., PROPERTY OWNER d e 4 ems on e..Q u n y MAILING ADDRESS C) l Z 2(3 i BERNT PAUL ICSEN-..;i4 yt . . . " : UC ssb be " '114-ER O �� rg,�l2tifl 1-13-11 SYSTEM ( 360 ) 3R4- t3gO SYSTEM DESIGNER E r t cs evi, 1 es t.L vt Design&Phone# 3420- 301 - 0 312.1• LEGAL DESCRIPTION: Section o?il. Township i7 Al Range of UU PARCEL# 10 2.1 4 c2 0 05 . Subdivision Name Division Block Lot(s) Site address/Directions to site o2 9 63 la H Ig h tA)aJ4 101 au it exile, WQ. SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential New Tank/s only Private Residential ADU Modification Public ?( Commercial )( Expansion Community Upgrade Repair SITE SIZE q.73 Acres SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate Reserve Area Yes#Tech Asaitts Alternative 1t; Redesign )( No SYSTEM DETAILS to e� Number of Gallons/day 3t.D Soil type I (attach soil evai.) Application Rate . 8 galisq ft/day Draincreld Length [62 ft. Trench Width 3 ft Trench/Bed Depth .,q-5 _ in- Septic Tank size 1000 gal. Pump Chamber size_ 15 00 gal. TYPE of system Sanrl 11nel Pfessuriz.ett Trtnch By sighing 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 tact 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. Staff's 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 shell 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 w be separately judged by the rules and laws in effect at that time. ° 4 jI �f Jt 5G'N � yr / 'I-, ,9,9/ �'� '\ P r Signature Date 1): i / , :4:( , �t�cEUS ONLY 1 /�� ,/ PARTIAL ASBUILTE )<I 7 . FI /7 NfPiI.��� APPR D INSPIPUMP TEST °?`S`/Y'Yr' t cvd /.'-/i � ALL HOLD REQ.MET Date Fee Rec# Check# Case#SE' 13- )la H:\WEB\PDFs\Septic\septic_permatapp_2008.DOC JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street •Port Townsend•Washington •98368 www.jefferson countyp ub lichee Ith.o rg Nhone 36O-37Sb-U444 Fax 36U-319-446/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP13-00121 Date Received: 10/17/13 SITE ADDRESS: HY 101 Date Issued: 01/16/14 W QUILCENE, WA 98376 Date Expires: 01/16/17 APPLICANT: JEFFERSON COUNTY PHONE: COURTHOUSE PO BOX 1220 PORT TOWNSEND WA 983680920 LEGAL DESCRIPTION: S24 T27 R2W W1/4 NW NW LESS R/W PARCEL#: 702242005 Section: 24 Township: 27N Range: 02 W DESIGNER: BERNT ERICSEN PHONE: 360-301-0324 293 PINECREST DRIVE PORT TOWNSEND WA 98368 SYSTEM DESCRIPTION: SAND LINED TRENCH No. of Gallons per Day: 360 Type of work: NEW Drainfield Trench Septic Tank Length: 152 feet Width: 3 feet Depth: 39 inches Size: 1,500 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 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.: SEP13-00121 1.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 2.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 3.) H - Permanent barriers are required along/around primary and reserve drainfield areas to protect from parking, driving, and other land disturbing activities prior to final. 4.) 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. 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.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 7.) 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 8.) TRENCH TO BE EXCAVATED TO 48" DEPTH AND THEN BACKFILLED WITH ASTM 33 TYPE SAND TO 24"AND UP SIDE WALLS AS PER DESIGN. 9.) 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. 10.) 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. 11.) 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. 12.) This onsite sewage system is designed for domestic strength wastewater only. Disposal of any other waste strength is considered a violation of this permit. 13.) 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. 14.) 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. SEP13-00121 Page 2 of 2 \\tidemark\data\forms\F_SEP_Permitmod.rpt 1/16/2014 JEFFERSON COUNTY PUBLIC HEALTH. 615 SHERIDAN, PORT TOWNSND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING tR I CSC t 1ES I C N Permit# SEP 13 - 12-1 <®, Installer 2.. 6RADE t L C..(T©DD \oRTttff?N)arcei# /6 006 Electrician f(rR T(-1 ?E 3 l NSW /} EL. Design Flow 360 C P!t Property Owner J E PERSON COO N T Y Site Address 3 I (m i4\NI Y I Answer all questions or indicate NA PATE Tanks. Pumps and Controls INSP. Tank (manufacturer, size, baffles) I'F)3 i 1.Z S iJ LA SEPTIC. TA fU K S ( 16006/10' .7-I Pump chamber(manufacturer, size) it ti 150a " ee �� POMP TANK IS A7PRoxl Mi4TtELy .16 GAL TER L*C.H Screen(s)and/or Pump Shroud (type, location) OUTLET FFLE F I t.Tc W if it inc SEPt"t c TAkps) ()RUN)iC ES IR g 1 A YPU MT TA-0K Were Tanks tested onsite for water tightness? 42, No '5-.27-/(1. Panel Model ENC.. IPC-50I SIB: I13G5 ;2 -- 13° .304-( g-.. 3-/t1- Pump 1 - Man./Model LIBERTY UP ago Flow Rate 4.2. corn 0-.26"14 Pump Location(i.e. garage, treatment unit, basement) 1506 6/4L ?um? Ti4(U K Float/transducer settings Inches Timer from bottom of tank- On/off- k1. in. Functions: On I,06 s- .2 Veto- ,3l0 in. Off- s 4142 r Alarm - 3 %in Veto On- I o0 sec in Storage Above High Water Alarm 6:44 gal_ Veto Off- Igo s mi hr Dose Counter Reading for \I e401)Os aG #gallons/dose gal- Elap. Time Meter Reading 16,:kg min/hrs Pump Throttled? Yes lo Dose Drawdown (m inches) 13`f/ in. Pump 2- Man./Model Flow Rate qpm Pum. Location i.e. •ara_•e, 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/minlhr 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) A IJ S T C_ER C z't309 °-i 400 A UTO CLEAR = I DOSE H:1WEBtQNSITE1Asbuiit_Report Form.doc 04/28/10page 1 of 2 } Pre-Treatment Date Ipso 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 ,t t.SCrt 4 f� 0 Manifold size/schd SC.4-1 40 '.2.2-1 q Orifice size %Q Lateral Size/schd i 4 £CA 40 " " Barrier Material C FD TEX TI LA Cover Material/Depth 18 if `` Residual Head (lat.#&ft. Head) IOt" 4B&V E LATERAL EiJD CAPS 8-425-14 The laterals/pods were balanced es / No it Source/Manufacturer of Drainrock/Gravelless chambers 'PORT (TR.0 /-RI) S.At G1,4VEL Drainrock Clean? 6)/ No If no, what action taken?, Mound/Glendon Site Prep N�/a Drainfield Length 15/ ft Width ?.' ft Depth /4 inches Caps for measuring residual head stored (location) AT \IA LAI E LATERAL I -- Se&:RECOR l7Ri}a}itJE COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary • Health Department Inspection issues resolved Yes No f NA If yes how? E)X t t/J S i D k) 1JsTALLEb OK) OJrLaT 13AFUE F1Lre-Ki VAt yr. x 1Z/414;(7.b END OF L/A/a 4 . Users Manual Provided to Homeowner GbY&NI-R awls-from Date g-2 - ly Tank/component Decommissioning Report Attached Yes/ No/Ciii9 Installer Certification attached/signed Yes/ No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY T1 E INFORMATION PROVIDED ABOVE WAS VERIFIED 13Y INSPECTION, ThE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY 01-140-14 (DATE) OR TWAT CifANqES ffAVE BEEN NOTED AND TOE SYSTEM IS IN COMPLIANCE WITH WAC 246-272. -6 A &e,f41 - g`16-i /06.6'Q Designer Signature Date License# H:\WEBIONSITEEAsbuilt Report Form.doc 04/28/10page 2 of 2 0/i v m' I I Q. cn ea m c CD 5- I 1 co -xn Existing(14'x 56', ) Modular �I o°o / 00 / � m / (3) / =m 70 / a- m C •iw 0-�?Q X. ``nn = 0 1k24 0 it r %.4 37; x zo.-: f ... -I O to '-.‘).-2,........G m - r � o / �,`"° ` \\\\ o 3 0 cD .+Q oi -0 t.D N= -c. ci CO cD i* c.- C- T-I y Inspection Ports �G ; o0 onmF ',.�_1 '''Sc...'".--o 1 I - N -n . 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SVI Coved aC • >,. !�• 5100259 t PPp so- BERNT PAUL ERICSEN.'- 41• „—.. a 0 UCENSED OE IGNER 41 ELECT_ CONDUIT PVC SPLICE BOX 't����������`������w;, TO AQUAWORX FINISH WITH CORD GRIPS 24"0 PVC RISER & LID EXPIRES 02/11/ GRADE CONTROL PANEL 2X± 2X±■ ..I r / / r/ / / / / / / \ //// //r/////r////r// /////' / r / •/ / / / / / / / \\\t, �i\ . . l. l. i ,,- ' /l- $ /. /,r ,r/ /,r ,r/ r/ r r/ \ `Irf��=�! // IN FROM //,\\ �� t 1� i /` ``s SEPTIC /�` ti PVC UNION >- - TANK ® M wi HIGH ^ ; 4 TX MIN. N % LEVEL BALL VALVE t3' ' W¢ , SLOPE \\\ - -.- N TRIGGER ► .s O / _ j"2°0 TRANSPORT STAINLESS .r TRIGGER K£ Z /LINE TO DRAINFIELD NEOPRENE LAP RUBBER \� . •if I 1 w / \i CLAMP OVER i '=:.� � VE fr, • I -:•. ® BELL BOOT (TYP.) j ASSEMBLY / �j \/ ' 'I N _II CHECK VALVE �':-: •INLET BAFFLE I_ I - �� 1 REA TRANSDUCER O. \/ P 2 r +i PUMP IN / BACKFILL AROUND =� �renc0 es TANK WITH PEA PUMP TO GRAVEL TO TOP OF NEW I g 00 GAL. \i• :----. � , e FE luent screen TANK SINGLE` \ _ REMAIN � ����i 4' CONE �i COMPARTMENT/ . •. SUBMERGED d / �'-- BLOCK aimmE CONCRETE PUMP CHAMBER FROM/ •■ -..' ����///���/Y��/��i/A��i //f.A;: PENINSULA TNKS�\\ : -• :::':::':::'::: =:. '::. ' :4_ . ._•::.-_:: :::':::'::: :::'-::'::: \/ -�\�\\/\\���/ PUMP CHAMBER SECTION \�\ / NOT TO SCALE • a." C.0 L o-* xa,l 4 ( 32'X3 ) inside. 4 ;3%Y? 0 0 v v 1 Valve box ,2 ,' (,st ero l- 3 C 381X 3') v IU 0 •-4 4 lnspu+ton Portz --'O 4ate`ICONIC,, 4 4 CA.S ...Q- \ La.-e.ro.L a. C 3$ K 3' 0 0 - cr 0 La.-1-exa.l.. I ( 3$`x 3`) 0 0 0 - DESIGN A" S AFo fro," DSp®SP� puw+? TaNk S 'l .r C• r ctzon G" tn5pec Lein Fait ApPr°\1 / AIN 191 No-f=46 _'� LZ,reCe. VCa::g .ff: 7/�^vg cre /�^ ,4." waskt . Chitin rock 4N �, { e 14* S�.L 't DA 6,art.& d_. y its —y. 1 r 9r7 �.t V M 6A j qF k V I f C-3 5 d. 1 t i/5 V I . .ni_port i ren .h Fis r . in elra. Dei-ai 1 ---- a j jai il \ -E _ NiatiVe ora All Hafive_ Gracie_ i ko,e; :04 L t attA4r:ki ----. 10.ik- 11orke t 1 i E ...1 1.z.ct 6re.d4L 7' —3 i it 4 3 mi§n.eiier \ _ } , 1 ' / II I. MN} Owner. _ 'r�r�" Jefferson I��li.n� ' Parcel* 70.22.4.ioo5 I PAU53 _fit - ED ,f.4 -4- - Designer:Ertcs&„ l�,st n ♦����'tlYbilt»Zi��1Zt„i J f-' It I_ I5-Iy • Jefferson County Quilcene Maintenance Shop ( 702242005 ) Per USEPA Table Calculations System designed for up to 16 employees @ 15 gpd = 240 gpd 240gpd x 1.5 commercial application = 360 gpd total Proposed shop to accommodate 6 employees. Fixtures in the Modular Office to include toilet, bathroom sink and coffee sink. Waste Strength Residential waste strength is anticipated. Non — intrinsically safe components to be used. mss. A 0 s.V (;4 ` • BERNT 51 AUL ERICSEN_.. UCENSED DE IGNER O EXPIRES,02111/ 1 - ire` Jefferson County I' 5100259 -- 702242005 /o- BERNT PAUL ER1CSEt '•. LICENSED DE *1GNER Project Description: EXPIRES 02011 15 Install Sand Lined Pressure Trench System to accommodate up to 16 1-13 employees for proposed new Maintenance Shop consisting of a Septic and DSZG� Pump tank, Gravity sewer line, Transport Line and Sand Lined pressure osg- uctkon • trenches. QVed or C,Dn APP b Septic Tank : DBte Install two compartment mono-pour 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. Septic tank is to be 1000 gallons ( Equal to Hagerman Pre — cast ). 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 FTiP 0418 - W or equivalent. 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. Tank to be 1500 gallons ( Equal to Hagerman Pre — cast ). Tank to be set on 6" of pea gravel. Control Panel The Aquaworx 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 Need pump capable of 34 GPM @ 16.4 TDH. Orenco PFEF4011 - B or equivalent installed inside an Orenco ES1848FB effluent screen. Transport Line Install approximately 190' of 2" SCH 40 ending with 2" long sweep 90 in valve box to grade ( See Drainfield Detail Page for Transport Line Detail ). Use 2" tees with 2" x 1" bushings and 1" gate valves for each lateral. Install risers to grade over all valves. Drain field Trench depth 39 - 54" ( Requires sand lining ) See detail page for trench and inspection port details. All trench bottoms elevations 85.35' or 9.65' below Bench Mark ( Assume 95' ) located on top of "Eastern" Pump Island. Top of sand elevation is 87.35' or 7.65' below Bench Mark. Bottom of laterals is 87.85' or 7.15' below Bench Mark. Laterals 1 - 4, 38' (19 - 1/8th inch orifices, 2' on center @ 12 o'clock ) 1" SCH 40. All laterals end with long sweep 90, with screw on caps inside valve boxes to grade. Enclose additional caps with 1/8 " orifice inside baggie in valve box. The first and last orifices shall be approximately 12" from the beginning and end of each lateral. Install orifice shields after pressure test. Cover with filter fabric before backfilling. Install inspection ports to trench bottom 10' from beginning and end of each lateral and at end, as shown on trench detail page. Dose 45gallons, 6 times per day (270 gpd ) 75% of peak. 5' min. residual head required. Gravity Sewer Line Install 4" ASTM 3034 @ 2% from 1000 Gal. Septic Tank to new Maintenance facility. Install C.O. 2' from building. Water Lines No water line crossings allowed. Maintain 10' minimum separation between septic components and water lines. Inspections Contractor to contact designer prior to construction to set up pre-construction meeting, and inspection schedule. Contractor to flush laterals prior to contacting designer for pressure test. 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. 1. 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. 1 . 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. 2. 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. 3. 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 operating and maintaining the wastewater system in accordance with WAC 246-272A-15501 . 4. Any changes, substitutions, or deviation from these plans shall be approved by the designer and by the Jefferson County Environmental Health Department. 5. The installer shall grade to divert all surface water runoff away from tanks and drainfield/reserve areas. 6. 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 +/- 1/2" from level. 7. Notify designer 48 hrs. prior to pressure test, after permanent power has been connected to panel and L. and I. inspection complete. Any deletions from plans, or necessary adjustments, shall be completed by installer. 8. 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. 9. Setback from the building foundation wall shall be 10' minimum to drainfield, 5&apos; minimum to tanks and 2&apos; minimum to non-perforated sewer pipes. 10. Setback from property lines, easements lines, and driveways shall be a minimum of 5&apos;, for both drainfield and reserve areas. 11 . Water saving appliances, fixtures, and practices are to be used. 12. The septic and pump tanks, drainfield and reserve areas are to be protected from vehicular traffic or mechanical disturbance. 13. The installer is to verify pump requirements at the time of installation. 14. The designer is to provide the as-built and letter of certification. 15. This system has been designed in accordance with WAC 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. ONSITE SEWAGE DISPOSAL SYSTEM DESIGN rf(j 0,0/ 401 005 Date R— 3 — 15 Property Owner "3{f•065OY (O1dr1t't1 System Designer E(1 C$e,rt —De St jvl Legal Description: Section c24- Township a7 Range a VJ Subdivision Name Division Block Lot(s) CALCULATIONS If for residential use: (If +p Ilo Pwvlolec$ x 15 G.P.D. = X 1,5= 366 total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. Soil texture waste water application rate . 9 G.P.D./ft. squared (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: Absorption area: 4S6 square feet (total G.P.D. G.P.D./ft. squared) i rench or bed width 3 feet Trench or bed length 152 lineal feet (sq. ft. 4 trench or bed w�, iii)• . �I II. APPURTENANCES !tic , • Septic Tank Size 10 gallons fir ' �r Pump Requirements (If Necessary) t,!ra 1 BERNT 510025 RICSEN x,11 Elevation difference in feet Cj ,rte LICENSEE)DE IGNER EXPIRES 02/11/ _ Friction loss 8,2 • Pump capacity should be 35.1 G.P.M. at 19.2 T.D.H. Number of doses per day to x A5 2 10 D = es-4f' T-ea-k Dosing volume 45 gallons Pump chamber size X500 gallons H:'.home\RIncntr\infohtth\sewd sn III. DRAINFIELD CROSS SECTION J 11,07-T „ a ( A NATI7F. SOIL 1 1 T. (- 1 7\11:-ERIALA3LE Y;177RIAL/ SEAS aikr, SATURATIC.':; A. Trektir;:Depth 3.1 -54 inches $ee Th.-412j_ pity_ B. .- 6 :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 34 inches See_ 1 -a -c NOTES: r ..A1 • •.!0, Nr. s •• ATTACH DETAILED DESIGN OF SYSTEM , 1 , - • - • a, z -5100259 okfBERNT PAUL ERICSEN• II mr ' C NSEb 08 I NER • olomkilohlwommiwoomwv•mv, • VA 5-1+ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST.,PORT TOWNSEND ,WA 98368,(3601 379-4450 - SOIL EVALUATION PROPERTY OWNER \1 e-E&('Q y1 SYSTEM DESIGNER C 1'I L.Sen --beside) LEGAL DESCRIPTION: Section Township017N Range 02 ii,) Parcel # 70.2a.4 L©p5 Subdivision Name Division Blockia4,t.) Lot(s) Date Logged: $-!' - 1) Logged By: T ex v E f i(,SG44 Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG # (© SOIL LOG # 7 0 to 11 in- G RV: F N'Cis_ L : d to in. D K ' . L?Rv. .:s. i to in. Q-K11 - 1r✓1 tZ1/, Piq -CRS . T 1. 5 to 13 in. Br. C�7ZJ.-V.ON FN-cues s1,1 .2-q to 6g in. 6111. F ki -C R-5 snJD 61-)/(-ob .) TI 13 to 74- in.aRV ~'l. !i V, FN -CR5 5■t, to in. to in.(1,O/ Gv b5 st S-Fones) T I Anticipated water table in. "cipated water table-774 in.0\\Roots to to inches Roots to 3(, inches Health Dept.-Comments Health Dept. Comments SOIL LOG #: g SOIL LOG # 6 to iF in.DK.'BR 6K\j. L.S. p to (o in. "bri.F5tom. F1RV, L. to 12 in.6TV.-V.aR j. FNY-C-S. LS. % to .24 in. "B g. 01(11. TIv-CleS. L.S. T3 is to aS' in. \1, to-kV. C-�S. SnT. T"i �4' to (,g in. 67ZJ -v. C�Rtf FN-g.(:.RS an: a8 to 74 in. t -RA!, F N CRS,_ StJI). r to in. ( ‘tjJ C4,6S i Moyle$ Anticipated water table>74 in. )0 Anticipated water table 7&S in. Roots to .?jti, inches Roots to 32. inches Health Dept. Comments . ` alth Dept. Comments f SOIL LOG #5 SOIL LOG #6/\.410° to in. to in. to in. to in. to in. to in. to in. '' 2 l L01 to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments H_INFOHLTHISOIL.FRM1KO �� . ~ ^ . • " + - ------ _�- ____ _____ _-----__----__� --- ------__----��_ /• | l F •-?_--.5----2:--0" I ,r—!'" ..! , , ; - - - . kN /. Evi---ci--- Scale In Feet Scale 1"=60' i . Parcel Print Page 1 of 1 Parcel Number: 702242005 06/24/2011 Owner Mailing Address: ( 7 JEFFLRSON COUNTY ) COURTHOUSE PO BOX 1220 „— Cl PORT TOWNSEND WA 983680920 ( Site Address: Section: 24 School District: Quilcene (48) Qtr Section: NW1/4 Fire Dist: Quilcene (2) Township: 27N Tax Status: County Range: 2W Tax Code: 320 Planning area: Quilcene (10) Sub Division: Land Use 9100 - VACANT LAND Code: Property Description: S24 T27 R2W I W1/4 NW NW LESS R/W I I No Photo Available I • 11/5L C')/ \ )4, http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL_N... 8/20/2013