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HomeMy WebLinkAboutSEP2014-00001 i Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-44 , SEPTIC PERMIT APPLICATION j ,, Steve Larkin ''61, I'�. PROPERTY OWNER /v + MAILING ADDRESS 2602 Park Street -4,..--k:++; 4° + Bellingham,WA 98225 7". 5 ''+, PHONE ( 360 ) 201-6591 Suzanne ' �',, EXW-,3..Ytll15 SYSTEM DESIGNER Suzanne Martin Designer Phone# (360)554-0224 LEGAL DESCRIPTION: Section 16 Township 30N Range 1W PARCEL# 948 601 507 Subdivision Name Eisenbeis Bayview Division Block 15 Lot(s) 7 & 8 + Site address/Directions to site Sandstone Street SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential ✓ _ New Tank/s only Private Residential ADU Modification_ Public 1 Commercial. Expansion_ Community Upgrade, Repair SITE SIZE +/-16699sf SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate RpsPrve Area Yes# SEP14-00001 Alternative ✓ Redesign ✓ No _ _ - SYSTEM DETAILS Number of Gallons/day 240 Soil type 3/4 (attach soil eval.) Application Rate 0.60 qal./sq.ft./day Drainfield Length 134If ft. Trench Width 3' ft. Trench/Bed Depth 12-24" in. Septic Tank size 1000 min gal. Pump Chamber size 1000 min gal. TYPE OF Pressure Trench System 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. 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 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�/- separately judged by the rules and laws in effect at that time. /i1OPPPw 1 Property Owner Signature Date FOR OFFICE USE ONLY l I OF P��`L_y" p ��U JJ �� �I PARTIAL C�' �> � ASBUILT /I/ FIN A'PROVE!I GZ I INSP/PUMP TEST L D iLj s f e � 1 i ALL HOLD,REQ.MET C + Gt ate Fee Lt Rec# Check# � Case#SEP C•\Doct erts and soff;ng \c„7anno naa,-r;n\My nr„-,,,,onfQ\„yz .anr,,,,,on+Q 7annc\,11hh9n\Tezfersor ro,,rty\Jeffrn forms\Suz\2008 SPA.DOC JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 www.jeffersoncountypublichealth.org Nhone 3bU-385-9444 Fax MU-319-44731 ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00001 Date Received: 01/02/14 Date Issued: 05/27/14 SITE ADDRESS: 77 SANDSTONE LN Date Expires: 05/27/17 APPLICANT: STEVE LARKIN PHONE: 2602 PARK ST BELLINGHAM WA 982252337 LEGAL DESCRIPTION: EISENBEIS BAY VIEW BLK 15,LOTS 7&8 WNAC SOPHIA ST ADJ&PTN VAC ALLEY PARCEL#: 948601507 Section: 16 Township: 30N Range: 01 W DESIGNER: SUZANNE L MARTIN PHONE: PO BOX 179 PORT HADLOCK WA 98339 SYSTEM DESCRIPTION: PRESSURIZED TRENCH No. of Gallons per Day: 240 Type of work: NEW Drainfield Trench Septic Tank Length: 134 feet Width: 3 feet Depth: 12 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 ounty 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.: SEP14-00001 1.) 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. 2.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 3.) 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. 4.) This onsite sewage system is designed for domestic strength wastewater only. Disposal of any other waste strength is considered a violation of this permit. 5.) 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 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 -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 8.) H - This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots to meet the minimum land area required under WAC 246-272A Onsite Sewage Code. COVENANT recorded AFN 583291 9.) 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. 10.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 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.) 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. 13.) 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. 14.) 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. 15.) The RV hook-up is not permitted for continuous use by a RV of any type. This 240gpd septic system is designed and sized for one single family residence. Prolonged additional use by an RV will lead to premature failure of the septic system and not approved as a part of this permit. SEP14-00001 Page 2 of 2 \\tidemark\data\forms\F_SEP_Permitmod.rpt 5/27/2014 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING NOV D� ?014 Designer Suzanne Martin Permit# SEP 14-0001 Installer Shold Excavating Parcel # 948 601 507 Electrician Double D Design Flow 240gpd peak Property Owner Steve Larkin Site Address 77 Sandstone Lane-Port Townsend Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) 1000 gal Cotton; Risers&outlet filter installed 9/29/14 Pump chamber (manufacturer, size) 1000 gallon Cotton; 22 gal/inch; riser installed 9/29/14 Screen(s)and/or Pump Shroud (type, location) shroud in pump tank 9/29/14 Were Tanks tested onsite for water tightness? ED/ No Panel Model Infiltrator Timer Model Aquaworx 10/28/14 Pump 1 — Man./Model Liberty 1/2hp Flow Rate 16.5 apm 10/28/14 Pump Location (i.e. garage, treatment unit, basement) in pump tank Float/transducer settings Inches Timer from bottom of tank- On/off- 19;5 in. Functions: On 1:14 sec in Veto - 28;9 in. Off 240 sec/ in hr Alarm 287 in Veto On - 1:14 sec Storage Above High Water Alarm 480 " gal. Veto Off- 1809 . sec/ Ihr Dose Counter Reading 10dose/15vdose. # gallons/dose 3fl" = gal. Elap. Time Meter Reading 00:35:51 smi t(a Pump Throttled? Yes Dose Drawdown (in inches) 1-.5- in Pump 2 — Man./Model n/a Flow Rate qpm Puma Location i.e. •ara•e, treatment unit, basement Float/transducer settings Inches Timer from bottom of tank- On/off in Functions: On , se�rnln 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 f 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) autoclear 60 seconds; 90 events; ID=04-10-2012; dose counter, etc from pressure test 3 November 2014 H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 Pre-Treatment Date Insp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes/ No Sandfilter Basin size/location n/a Sand Fill met design spec? Yes / No ATU (manufacturer, model) n/a Alarm tested Yes / No Disinfection Unit (manufacturer, type, model) n/a Independent Alarm Yes / No Drainfield Transport Pipe size, schd, diameter 2"pvc sch 40 Manifold size/schd 2"pvc sch 40 9/29/14 Orifice size 1/8 Lateral Size/schd 1"pvc sch 40 9/29/14 Barrier Material filter fabric Cover Material/Depth 0-12 9/29/14 Residual Head (lat.# & ft. Head) The laterals/pods were balanced es ! No 9/29/14 Source/Manufacturer of Drainrock/Gravelless chambers Cotton Drainrock Clean?0/ No If no, what action taken? Mound/Glendon Site Prep n/a Drainfield Length 145 ft Width 3 ft Depth 12-24 inches Caps for measuring residual head stored (location) header box COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Health Department Inspection issues resolved Yes / No /elf yes how? Users Manual Provided to Homeowner site visit Date 10/28/14 Tank/component Decommissioning Report Attached Yes / No/0 Installer Certification attached/signed Yes / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY rift INFORMATION PROVIDED ABOVE WAS VERIFIED BY INSPECTION, THE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY (DATE) OR ntAT CHANGES }PAVE BEEN NOTED AND T}hE SYSTEM IS IN COMPLIANCE WITH WAC 246-272. +401, 3 November 2014 5100342 *� fr‘ilir"\ It Designer Signature Date License # s� 0aL ''4 H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 � ;lo 1:,,,,,,,.,,,,..,,,,,„ /I I I VII II Piri I Ird rill ri r 1 II Pi h I iiIIIWAC I A I P Al P I IrliW C S . 0 r+ C a, CD CD 0 O O CD C w g h o _ x Cl,CD -) - -• O CD � A O C • c- D oo O c- r CD O h c+ it V . 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SECURED LID WITH'GAS TIGHT SEAL Both tanks'are installed; meet code; to be utilized in this system ACCESS RISER f � �� � FINISH GRAQE y �I TO PUMP * s `° 1 CHAMBER ' FROM SEWAGE SOURCE FLOATING MAT APPROVED EFFLUENT FILTER SEDIMENTS Max.1/16"filter installed PPS SEPTIC TANK (TYPICAL) SECUREAS TIGHT SEAL THREADED UNION D LID WITH G ACCESS RISER 4 SERVICE FINISH GRADE VALVE FROM SEPTIC a f ®®. t _.._0,TO DRAINFIELD TANK P' ■ — Min 180 EMERGENCY STORAGE ANTI SIPHON VALVE'' HIGH WATER ALARM LEVEL —� I! NORMAL TIMER OFF LEVEL WORKING VOLUME ! Assemblx Transduce r ��� � Assembly rI ENCLOSED PUMP SEDIMENT SHROUD• ( CHECK VALVE SEDIMENTS ■9f SUBMERSIBLE CENTRIFUGAL PUMP PUMP CHAMBER (TYPICAL) "AS NEEDED Page 3 of 4; Larkin; Parcel#948 601 507 • ,-- Effluent Ocenco Systems* Incorporated 1-800-348-9843 100 I 1 Effluent Pumps 90 IPEF150 PEF, PKP Series 11/3 hp to 1-1/2 hp 80 PEF 1001 70 as .4— 60 ' CI PEF 751 C = 50 � CD .E - - - - 'PEE 50I 0 40 1-- - effluent pump to drainfield 30 illikhkg4411111114111 23'of - - head 20 10 0 , PKP 3501 PEF 3311 1 I f (('' 0 10 20 gpm 30 40 50 60 70 80 90 Net Discharge,gpm NDW-PC-PEF-1 Hey.5.0,©9/04 Page 1 of 1 Pressure Distribution On-Site Sewage Disposal System Work Sheet Name of Applicant Steve Larkin Site Address or Location Sandstone Street Tax Assessors# 948 601 507 Date 20 March 2014 Designer's Name Suzanne Martin Company Name Shold Excavating Phone# 360-554-0224 Property Information: Number of Bedrooms 2 Maximum Daily Flow 240 Total Absorption Area Required(Sq.Ft.) 400 Trench Information: Trench Width 3' Trench Depth 12-24" Total Lineal Trench Length 60 Total Washed Drain Rock Under Lateral 6-8" Gravelless Chamber Drainfield(Yes-No) no Manifold. Lateral & Transport Information: Total Lateral Pipe Length 134 Lateral Spacing 7'oc Transport line Length +/-96 Transport Line Pipe(Schedule) sch 40 Manifold&Laterals Pipe(Schedule) sch 40 Lateral Line Diameter • 1" Manifold Line Diameter 2" Transport Line Diameter 2" Pump Information: Residual Lateral Head(Squirt Height) 5' Pump Size 20gpm©23'head Dosing Information: Orifice Spacing(inches)- 48" Total Orifices 32 Orifice Diameter 1/8" Total Dose Volume 30 °'tf Number of Doses Per Day 6/8 /. is,. Size 1000 ► Size of Pump Tank(gallons) 100 'er,�l u. Suzanne L Meru" •,a#, Control Panel Information : 4P1-.3 V11/15 Aquaworx IPC-1 Other Information: Page 1 of 6;Larkin; Parcel#948 601 507 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST.. PORT TOWNSEND,WA 98368, (360) 379-4450 s',? SOIL EVALUATION ' ,'4, PROPERTY OWNER Steve Larkin 544 �� i- Suzanne L Marlin 1� Suzanne Martin '`G �usuenrre I, Ex. 211/15 SYSTEM DESIGNER LEGAL DESCRIPTION: Section 16 Township 30N Range 1W Parcel # 948 601 507 Subdivision Name Eisenberg-Bic/view Division Block 15 Lot(s) 7&8 Date Logged: 17 October 2013 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 to 17 in. Gravelly medium sand(North Side) \� o to 24 in.fill to in.South Side massive unsuitable soil ` 24 to 44 in,gray-dy loam to 17 in.Hardpan to i back filled to in. ` to in. Anticipated water table n/a in. �t, Anticipated water table 44 in. Roots to 17 inches Roots to 40 inches 4 Health Dept. Corn • nt Health Dept. Comments , il a,,,, ,SOILIOG #3 SOIL LOG #4 0 to 16 in. Gravelly medium sand 0 to 48 in. fine sand and sandy loam to 16 in. hardpan to 48+ in.very gravelly loamy med sand to in. to in. to in. to in. Anticipated water table nia in. -L `i Anticipated water table ilia in. y�,��,�q( � Roots to 16 inches .. Roots to 48" inches F" " ��'` -7 Health Dept. Comments 1. ...,/ ` Health Dept. comments 77 SOIL LOG #5 SOIL LOG #6 0 to 48+ in.type 4 0 to 12 in.loamy fine sand to in. 12 to 48+ in.gravelly medium sand to in. to in.&very gravelly medium sand to in. to in. Anticipated water table n/a in. Anticipated water table n/a in. Roots to 36 inches Roots to inches Health De . Comments .--,(f(„ Health Dept. Comments 0 F..._ Ca` H:UNFOHLTH1SOILFRM1/00 alial bli-- P -VV\C- &$‘141t43 Ilea r—citf L Alive1511(