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HomeMy WebLinkAboutSEP2014-00063 Jefferson County Department of Community Develofitherl 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION 07A Frederick & Suzanne Thumhart PROPERTY OWNER ( MAILING ADDRESS 70 West Kinkaid w- ',!f Port Hadlock,WA 98339 , ann a PHONE ( 360 ) 344-2378 su �+`n�rtrt 'e+,+ ?� EAPI'r'21,1H6 SYSTEM DESIGNER Suzanne Martin Designer Phone# 554-0224 LEGAL DESCRIPTION: Section 34 Township 30N Range 1W PARCEL# 961 805 111 Subdivision Name Irondale #2 Division Block 51 Lot(s) 33-37 Site address/Directions to site SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential ✓ _ New Tank/s only Private Residential ADU Modification / Public 1 Commercial. Expansion_[ a_ _ Community Upgrade, ✓, Repair SITE SIZE +/-11981sf SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional ✓ Designate RPsPrve Area Yes# SEP78-00318 Alternative Redesign No _ SYSTEM DETAILS Number of Gallons/day 240 Soil type 4 (attach soil eval.) Application Rate 0.60 qal./sq.ft./day Drainfield Length 134 ft. Trench Width 3 ft. Trench/Bed Depth 24 in. Septic Tank size 1000 gal. Pump Chamber size n/a gal. TYPE OF conventional trench 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 seJage 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 - •plication will be separately judged by the rules and laws in effect at that time. 01-Aa 7 7 / Property Ownellgnature Date 7/^ FOR OFFICE USE ONLY ��a 9 Ook 14 �_ e,,_) (% 1 / 1/J PARTIAL ASBUILT� mil. ' ,� FINAL �7 APPROVED .a INSP/PUMP TEST �S I t/l lq ALL HOLD REQ.MET I 9=q Date CA Fee Rec# J15 y_Z) Check# /ta! Case#SEP ILI-6 r•\D^,- ments. a•s .;n,-„mo„rg Zann�\TMgbh2o\Jefferson'C"wity\JeffCo forms\Suz\2008 SPA.DOC `= JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street •Port Townsend•Washington •98368 www.jeffersoncountypublicheakh.org I-'hone ibU-3db-9444 Fax MU-3/9-44tt ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00063 Date Received: 05/21/14 Date Issued: 07/24/14 SITE ADDRESS: 70 W KINKAID ST D PORT HADLOCK, WA 98339 Date Expires: 10/24/14 APPLICANT: SUZANNE THUMHART PHONE: FREDERICK THUMHART 70 W KINCAID ST PORT HADLOCK WA 98339 LEGAL DESCRIPTION: IRONDALE#2 BLK 51 LOTS 33 THRU 37 PARCEL#: 961805111 Section: 34 Township: 30N Range: 1W DESIGNER: SUZANNE L MARTIN PHONE: PO BOX 179 PORT HADLOCK WA 98339 SYSTEM DESCRIPTION: CONVENTIONAL TRENCH No. of Gallons per Day: 240 Type of work: EXP Drainfield Trench Septic Tank Length: 134 feet Width: 3 feet Depth: 24 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. /l—f , 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.: SEP14-00063 1.) 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. 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.) Approval of this permit does not assure the existing septic system has capacity for all uses allowed by current code. 4.) 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. 5.) This permit was issued to correct a violation of WAC 246-272A. The permit must be completed within 90 days of the date of issuance. 6.) H - AS PER WAC 246-272AAND JEFFERSON COUNTY CODE 8.15 ALL ONSITE SEWAGE SYSTEMS REQUIRE THATA 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.) 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. 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.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 13.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 14.) Risers are required to grade with secured lids over both compartments and over the outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20" riser over inlet. 15.) Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 16.) H - This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots 33-37 of block 51, Irondale #2 to meet the minimum land area required under WAC 246-272A Onsite Sewage Code. COVENANT recorded 5/7/14 under AFN 583587 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. SEP14-00063 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 7/24/2014 18.) This system as designed and approved is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD. SEP14-00063 Page 3 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 7/24/2014 CONVENTIONAL SYSTEM AS-BUILT INSPECTION REPORT Installer: Shold Excavating-Evan Neville Parcel # 961 805 111 Permit Owner: Frederick&Suzanne Thumhart Permit# 14-00063 Designer: Suzanne Martin Design Flow: 240 gpd Site Address: 70 West Kincaid-Port Hadlock,WA 98339 ABSORPTION AREA: DRAINFIELD TRENCH WIDTH TRENCH DEPTH TANK SIZE #OF BEDRMS #GAL/DAY LENGTH 134 3' 12-24" 1000 2 240gpd IF PUMP AND PUMP CHAMBER REQUIRED: Shroud/Screen Tank Size: Float Arrangement High water float—distance to top of tank/emergency storage Dose drawdown (#of inches) #Gallons/Dose Timer/Dose Counter info Pump Size/Manufacturer COMMENTS (inspection notes, changes from design or deficiencies installation)Attach additional sheet(s) if necessary Installed 2 compartment, concrete septic tank and distribution box. Risers, clean-out, speed levellers and outlet filter have been installed. All OSS Component installation have met or exceeded State and local codes and regulations. tank was bedded in pea gravel. tank from SEP78-00318 has been decommissioned. Barriers have been set to protect the drainfield area. Users Manual Provided to Homeowner Mailed 11September14 Date ATTACH ASBUILT DRAWING signed by Designer or stamped/signed by a Licensed Professional Engineer I CERTIFY THE INFORMATION PROVIDED ABOVE WAS VERIFIED BY INSPECTION, THE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY (DATE)OR THAT CHANGES HAVE BEEN NOTED AND HIS SYSTEM IS IN COMPLIANCE WITH WAC 346-272 10 September 14 5100342 Designer Si nature Date License# , 51 2 y; ' # Suzanne L Martin _ f0 IV CD x CD a Ili N rif II I I pit p loll 1.1 I kV 4•0 6, / X 0 ► " ` VLb C - 1m ► `° a k, = (/) CD CL _o o CD n, r- n, - - cn v) * - * x ? o . OP � 0) 9 = o, 0., 0 N CD Q a ii : il o, o a Qx 0 -,o, o 0 no, 3 n CD Cr - Cn °o 1 < O c— .--+ CD 04 -3 0 r/ 0 -1 x i° : -, n -amC7 N CD *. 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SECURED LID WITH GAS TIGHT SEAL ., 1 ACCESS RISER FINISH GRADE °'a^ ' L— ' L / ._ - distribution box FROM SEWAGE 7 SOURCE FLOATING MAT 1-____. APPROVED EFFLUENT FILTER SEDIMENTS maximum 3/16"filter SEPTIC TANK (TYPICAL) Page 1 of 4; Thumhart; Parcel#961 805 111 p JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST.,PORT TOWNSEND,WA 98368, (3601 379-4450 s',, SOIL EVALUATION •Frederick&Suzanne Thumhart 5' 2 '•,''#,� PROPERTY OWNER cti?y s'' • Suzanne L Martin /+ SYSTEM DESIGNER Suzanne Martin .„„s LEGAL DESCRIPTION: Section 34 Township 30N Range 1W Parcel # 961 805 111 Subdivision Name Irondale#2 Division Block 51 Lot(s) 33-37 Date Logged: 16 April 2014 Logged By: Suzanne Martin 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 #1 SOIL LOG #2 0-8” Dark brown sandy loam 0-5" Dark brown sandy loam `, 8-24" Yellow brown fine sand 5-14" Dark brown loamy sand test pit caved in 14-24" Dark yellow brown fine sand 24-70+" Yellow brown medium sand Anticipated water table n/a in. Anticipated water table n/a in. Roots to 30 inches Roots to 30 inches Health Dept. Comments Health Dept. Comments SOIL LOG #3 SOIL LOG #4 1 0-7" Dark brown sandy loam . 0-7" dark brown sandy loam 722" Dark yellow brown fine sand 7-24" Dark yellow brown fine sand 22-60+" Yellow brown fine sand 24-55+ Yellow brown fine sand Anticipated water table n/a in. Anticipated water table n/a in. Roots to 38 inches Roots to 48 inches Health Dept. Comments Health Dept. Comments SOIL LOG #5 SOIL LOG #6 0-18" Dark yellow brown fine sand 18-50+" Yellow brown fine sand Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments H:UNFOHLTHISOIL.FRM 1100