HomeMy WebLinkAboutSEP2003-00028 Jefferson County Department of Community Development
621 Sheridan St., Port Townsend WA 98368, (360) 379-4450
SEPTIC PERMIT APPLICATION ("J !�' Il
PROPERTY OWNER 'f ii ' G y .i ` i �� . `. - I
I MAIL2003 J
ING ADDRESS 2? Ql k. 3 e:=',oen
Y t SIT ' /qG C)94 / '. ...app, " _i
DEPT. DFJCOM YIUiv�iY GEVF
—5 2 2-1
PHONE Area Code ( 9.4-9 ) .5'4 43. f
SYSTEM DESIGNER
LEGAL DESCRIPTION: Section 22 Township 2JN Range.2,i PARCEL# 70 Z 2 72- e9
Subdivision Name 4 4)4 CH/3/4/%VA/ Division Block Lot(s) 4 72x.y.z7
SITE LOCATION , C4,24/67,474:7 ,q IAA -, /%1 CE/f l Zip Code M3 74
SOURCE OF SEWAGE: Residential j.- Residential ADU Commercial Community
TYPE OF WORK: New k Redesign Upgrade Repair Partial (tank) (drainfield)
Expansion Designate Reserve Area
Conventional
/®°'Alternative Drainfield Length 2 6 67 ft. 4Trench Width � ft.
V
Number of Gallons/day 4-3& Trench/Bed Depth -"'' - in. . �vL Number of Lines 3
Site Size ,�F4j.� e0j x.24-- Septic Tank size /'2 G gal. 7�� / Pump Chamber size „.�
9 P /� d=7, gal.
Water Source: private public Soil type 4 (ATTACH SOIL EVAL.)
Previous eval: yes / no SEP 4/41(' Application Rate 02 , gal./sq.ft./day
TYPE OF SYSTEM j4/// = j2,6) 1.4 6 pge//ry
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 it's employees, representatives or agents
for the purpose of application review and any required later inspections. Access and right of entry to the
applicant's property or structure shall be requested and shall occur during regular business hours.
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.
"iLs049efell T ? - x 2-7 - 03
Owner Signature Date
FOR OFFICE USE ONLY
_ PARTIAL -4 I<C3n43161131-a6 ASBUILT (OW 0g lSS1 I,,
APPROVED PRESS/TEST PUD — 0 Fire District Planning District School District Zone
Date Z/10 Ic; Fee ; .L',✓Rec # C.,)".0(,_,... Check# -1Z` Case#SEP ON?
H:\env_health\linda\GD\FORMS\SEPTIC PERMIT APPLICATION.DOC 7/01
SEWAGE DISPOSAL PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450(800) 831-2678
PERMIT #: SEP03-00028 Date Received: 02/10/03
SITE ADDRESS: COUGAR RUN Date Issued: 04/01/03
QUILCENE, WA 98376 Date Expires: 04/01/06
APPLICANT: PATRICK J KINCAID PHONE: (949)548-5221
PO BOX 3086
NEWPORT BEACH CA 92659-0650
SUBDIVISION: LOG CABIN INN SHORT PLAT BLOCK: LOT: 4
PARCEL#: 702272022 Section: 27 Township: 27N Ranae: 02 W
DESIGNER: TOM MCCLANAHAN PHONE: 765-3898
120 LINGER LONGER RD
QUILCENE WA 98376
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.
Permit issued to CONSTRUCT,ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN
JEFFERSON COUNTY,WASHINGTON
Thls 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 sy ems, codified 8.15 amended per ordinance no. 08-0921-00.
This permit may not be renewed. ` / f
A X, Jefferson County Environmental Health Specialist
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.
HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION.
SYSTEM DESCRIPTION: 110-CONVENTIONAL TRENCH
No. of Gallons per Day: 480 Type of work: NEW
Drainfield Trench Septic Tank
Length: 266 feet Width: 3 feet Depth: 18 inches Size: 1,200 gallons
SPECIAL CONDITIONS APPLY - SEE REVERSE
CONDITIONS OF APPROVAL - PERMIT NO.: SEP03-00028
1.) 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.
2.) 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.
3.) 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.
4.) As per Jefferson County Code 8.15 all onsite sewage systems require monitoring.
Monitoring shall be provided by an approved entity. THIS SYSTEM IS REQUIRED TO BE
INSPECTED EVERY 6 YEARS..
5.) An asbuilt drawing and certification of completion by the installer is required prior to final
approval.
6.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from
tanks and effluent transport lines.
7.) 10'separation required between a Water line and all portions of the onsite sewage
system; effluent transport line, tanks, treatment and disposal components.
8.) MAXIMUM TRENCH DEPTH 18 INCHES
9.) Divert all sources of drainage, including roof drains away from septic tank and drainfield
area.
10.) 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.
11.) 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.
12.) The application was reviewed by the Jefferson County staff on March 13, 2003 for the
potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the
Unified Development Code (UDC). After an initial Geographic Information Systems
mapping review and an investigative site inspection, the following ESAs were confirmed to
be present on the subject property: Landslide Hazard 1 (slight), Fish &Wildlife (Eagle,
Spotted Owl)., Susceptible Aquifer Recharge Area
13.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
14.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top or toe
of the Landslide Hazard Area.
2 of 4
11/22/19
is\F_SEP_Permit.rpt
15.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
16.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
17.) Construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
18.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
19.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
20.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
21.) Among the native conifer species which may be used in buffers or for re-vegetation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar
(Thuja Plicata), and Western Hemlock(Tsuga Heterophylla).
Among native tree species which may be used includes:Vine Maple (Acer Circinatum),
Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus
Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa),
Bitter Cherry(Prunus Emarginata), Oregon White Oak(Quercus Garryana), Cascara
(Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz
Scouleriana).
Among the native shrub species which may be used are: Sevice-Berry(Amalanchier
Alnifolia), Red Osier Dogwood (Cornus Stolonifera)Sala! (Gaultheria Shallon), Ocean
Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark
(Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa
Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry
(Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium).
22.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs)and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
3 of 4 11/22/19
is\F_SEP_Permit.rpt
23.) Washington State Department of Fish &Wildlife commented on the application on March
26, 2003 and determined the proposal is not in conflict with eagle habitat. Washington
State Department of Fish &Wildlife commented on the application on March 25, 2003 and
determined the proposal is not in conflict with spotted owl habitat. However, if the
applicant will be logging a large portion of the property in the future, there may be impacts
in the form of noise disturbance to breeding pairs of spotted owl. The applicant shall
follow WAC 222-10-042 in the Washington Forest Practices Rules, Board Manual, and
RCW's.
24.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
25.) Development Review Division staff conducted a site visit of the parcel on March 14, 2003
and determined the proposed septic system is out of the Landslide Hazard area and its
buffer. The site is fairly level at the eastern portion of the parcel with a slope bisecting the
parcel north to south. This narrow slope does not require a landslide hazard buffer.
Steep slopes exist along the western portion of the parcel and require a 30 foot buffer.
26.) Minimum setback for structures from the edge of the easement for Cougar Run Rd is 20
feet. Minimum setback from the edge of the ingress/egress easement along the western
parcel boundary, crossing through the parcel and along the eastern portion of the northern
parcel boundary is 20 feet. Minimum setback from the northern parcel boundary not
located next to an easement and the eastern parcel boundaries is 5 feet.
27.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
28.) Tthis parcel was created through the Log Cabin Inn Short Plat as recorded October 20,
1980. Several surveys with boundary line adjustments were recorded, and the current
configuration of the parcel was surveyed and recorded December 29, 2003 under AFN
430019, V 21, P 131.
29.) The site plan as submitted with the septic application on February 10, 2003 has been
reviewed for consistency under the UDC, and has been approved by Jefferson County
Department of Community Development. Any modifications, changes, and/or additions to
the stamped, approved site plan dated March 311, 2003 shall be resubmitted for review
and approval by Jefferson County Department of Community Development.
30.) The applicant shall follow WAC 222-10-042 in the Washington Forest Practices Rules,
Board Manual, and RCW's if logging large portions of the parcel.
4 of 4
11/22/19
is\F_SEP_Permit.rpt
•' As CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT
INSTALLER b00,6_ REEIf f'S' PARCEL # 70 29,-7 20
Permit Owner PMM fZ i c.k' kt*.r\GQ I n Permit # St?.c 6 -e)651128
ABSORPTION AREA:
DRAtNFIE TRENCH t TRENCH // TANK #OF #GAU
LENGTH o ?O WIDTH 3 DEPTH lei SIZE_ _BEDRMS A l DAY
Tank Shroud!
IF PUMP AND PUMP CHAMBER RE UIRED: Size Screen
Float Arrangement C \ A �u ,tjy__�,a___.J�r� e jac ,tjQ W�-?o,1 v�-
High water float- distance to top of tank/emergency storage /LGC a3��'���""� • ��`�D�� S� t t, g�G
Dose drawdown (# of inches) #Gallons/Dose
Timer/Dose Counter info Pump Size/Manufacturer
I CERTI THIS 0 ITE SEWAGE SYSTEM WAS INSTALLED AS DESIGNED, PER PLAN APPROVEDq—/-dc,
11-r ^0 nATF
INSTALL SIGNATURE DATE INSTALLED
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JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
621 SHERIDAN ST., PORT TOWNSEND ,WA 98368, (360) 379-4450
SOIL EVALUATION
PROPERTY OWNER 'g7", 'JJ=/'' .<7 1i1 .„ /„te::,
SYSTEM DESIGNER Md. C ,e,.. , 1*41 5 7
LEGAL DESCRIPTION: Section 22. Township2741Range ;41,4/Parcel # Z 27Z 022.
Subdivision Name 4� t Division Block Lot(s) 4. 7- Z y
Date Logged:99 ,74;52:4,/ E,3 Logged By: - ' "‘,4. ,� -hi,..
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
to ' `'' in. �,Z, f 6013 e> to in. 4,' 2,e
.0 to 72 in. 4> L 4143 to 72 in.J• 17j'S2,;t,
to in. to in.
to in. 63 to in.
s j Anticipated water table in. . Anticipated water table in.
Roots to inches ' Roots to ir 5-4 inches
t el
Health Dept. Com ents „ c Health Dept. Co eft `�
53 ,
7
� s
SOIL LOG #3 SOIL LOG #4
?t to in. 5, .., 4f3., c' to 4 n. 6r ,z, 7,
z , to °fir in _5:4.7 4 f . to 75 in $,,4, 4-X7 6,
4-g,to in. 5,9 a„ ),...:40:40. to in.
to in. to in.
Anticipated water table in. Anticipated water table in.
Roots to__ ,_,-57.4. inches Roots to inches
Health Dept. Comments Health Dept Comments
° LOG#5`� tCt
! .w (r- . I s u E �;,may SOIL LOG #6
to In. � ' ._____ 11,
JR____
to in.
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to in. to in.
to in. to in.
to in. - a sY to in.
Anticipated water table in.
DEPT. OF CUPhI) si1l LOEELOPIv1EIiT Anticipated water table in.
Roots to inches Roots to inches
Health Dept. Comments Health Dept. Comments
H:\INFOHLTH\SOIL.FRM 1/00
•
ONSITE SEWAGE DISPOSAL
SYSTEM DESIGN •
Date
. / . 3
Property Owner ,g /G if/A(L R4D.
System Designer ,//I 4.64R—A7,4h A/ n3/Vr
Legal Description: Section .2-2. Township 2.7/V Range !.J
Subdivision Name /pc", C, 3f tV JA/iV Division Block Lot(s)47-22.7
I. CALCULATIONS
If for residential use:
Number of Bedrooms: 4 x 120 G.P.D. _ 4-251) total G.P.D.;
If for non-residential use, attach calculations used to determine G.P.D.
Soil texture waste water application rate 0/4 G.P.D./ft. squared
(see page 214 of the EPA Design Manual)
DRAINFIELD SIZING:
Absorption area: 0,0 square feet (total G.P.D. 4- G.P.D./ft. squared)
Trench or bed width -3 feet
Trench or bed length 26i,,-7 lineal feet (sq. ft. +trench or bed width)
II. APPURTENANCES
Septic Tank Size 12 bP gallons
Pump Requirements (If Necessary) /{ ./
Elevation difference in feet
Friction loss
Pump capacity should be G.P.M. at T.D.H.
Number of doses per day
Dosing volume gallons ) a .\
\ ,
Pump chamber size gallons Lill
FEB 1 0 2003 11 ) .
H:\home\pIncntr\inlohlth\se wd Sn
III. DRAINFIELD CROSS SECTION
•
/-I/L1,/7//
n _
a•• o�.;.. R•""
NATIVE SOIL
•
•
B
IMPERMEABLE MATERIAL/
SEASONAL SATURATION
A. Trench Depth 21 inches
B. (;p inches of drainrock below pipe
C. +i-3.74-- inches of vertical separation from trench bottom to impermeable
material/seasonal saturation
D. 62 inches of fill (if needed)
E. Trench width 34' inches
NOTES:
•
I P V t 4J
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ATTACH DETAILED DESIGN OF SYSTEM FEB 0 2003 �� i
DEPT. D �.{ � Y ii"7t 1Y i; J`' 't
Jis�' ;4 i i
•
Stormwater Calculations
IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) sq/ft Structures(all roof area) sq/ft
Driveway sq/ft Driveway sq/ft
Sidewalks sq/ft Sidewalks sq/ft
Patios sq/ft Patios sq/ft
Solid Decks sq/ft Solid Decks sq/ft
Other sq/ft Other sq/ft
Total New sq/ft Total Existing sq/ft
TOTAL NEW+TOTAL EXISTING* sq/ft
*This amount will be used to check total lot coverage
Please also indicate the amount of land disturbing activity, in addition to the creation of impervious surface, that will take
place:
LAND DISTURBING ACTIVITY
Drainfield area cleared //49,0 sq/ft Well,Structures, Utilities,etc. sq/ft
Driveway sq/ft Other sq/ft
$ aAl� Total Land Disturbance
�Z ��
sq/ft
739 'iLIc -t
0 t(--.(i„„soiv
44, JEFFERSON COUNTY
0-z DEPARTMENT OF COMMUNITY DEVELOPMENT
1' 0'� 621 Sheridan Street • Port Townsend • Washington 98368
8IN0 360/379-4450 • 800/831-2678 . 360/379-4451 Fax
STORMWATER CALCULATION SHEET
Pursuant to Unified Development Code (UDC) section 6.7, all new development and redevelopment must conform to the
standards and minimum requirements set by the Washington Department of Ecology Stormwater Management Manual for
the Puget Sound Basin (SMM). For specific information regarding the stormwater minimum requirements refer to
UDC section 6.7. Generally, the minimum requirements and thresholds for developing specific plans are as follows:
• Small Parcel Erosion and Sediment Control Plan [see UDC section 6.7.3(b)] — Generally, this is required for
all development that: (1) creates or adds less than 5,000 square feet of impervious area [individual detached
single-family residences, accessory dwelling units, or duplexes creating or adding less than 3,000 sq/ft of
impervious surface shall follow Best Management Practices (BMPs) but are not required to submit a plan]; (2)
land-disturbing activities of 10,000 sq/ft or more but less than one acre.
• Small Parcel Erosion and Sediment Control Plan and Permanent Stormwater Quality Control Plan [see
UDC section 6.7.4(a)] Generally, this is required for all development that: (1) creates or adds less than 5,000
sq/ft of impervious surface that covers more than 50%of the site; and (2)the creation or addition of 5,000 or more
sq/ft of impervious surface.
• Large Parcel Erosion and Sediment Control Plan [see UDC section 6.7.4(b) — Generally, this is required for
all development that includes: (1) land disturbing activities of one acre or more. If this is required you should
contact a licensed engineer.
Stormwater Disposal Policy Along Marine Shorelines
Pursuant to UDC section 3.6.5(c)(3) all new development activity, including single-family residential construction,
located on Marrowstone Island, Indian Island and within 500 feet of any marine shoreline is required to infiltrate
stormwater runoff on-site, to the maximum extent practicable. This provision is intended to prevent seawater from
intruding into underground aquifers, reduce non-point source pollution to marine waters, and reduce the potential for
shoreline erosion due to tightline failure. This provision is interpreted as establishing a hierarchy in which the first and
best alternative is on-site infiltration using drywells or other methods, the second best alternative is upland off-site
disposal, and the least preferred alternative is direct discharge into marine waters through a stormwater tightline. In order
to utilize the least preferred alternative (a stormwater tightline discharging directly into marine waters) applicants must
demonstrate through a geotechnical or similar report prepared by a licensed professional that both on-site infiltration and
upland off-site disposal are not practicable or feasible. The report must include cost figures for comparison.
Please note that if a stormwater runoff tightline that terminates at or near the marine shoreline is allowed to be included in
a development application, review under the Jefferson County Shoreline Master Program, the State Environmental Policy
Act (SEPA) and other agency approvals (such as Hydraulic Project Approval from the Department of Fish and Wildlife)
may be required. A Joint Aquatic Resources Permit Application (JARPA) form would need to accompany any permit
application which includes a stormwater tightline at or below the ordinary high water mark.
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