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HomeMy WebLinkAboutSEP2011-00062 Jefferson Canty Department d Commonly Development fr,-.N E/ 1T r +alt Sheridan St. Port Townsend WA gamer(WO)379-14510 — SEPTIC PERMIT APPLICATION NOV I o 2011 PRDPEfTYDWNR Anna Waller and the Waller Family Trust Jefferson County MAIUNG ADDRESS P.O. Box 671 =rh,I rnnmentaI Health Brinnon, WA 98320-0671 mores ( 360 y 796-4813 SYSTIBYI DEsiGli=R Everett A. Sorensen, P.E. Desimer phone* 360-821-9960 1193AL DESCRP77ort section 34 Tawnsl ip 26N Range, 2W pARcal 602341011 Subdivision diveon Wayne Division Block Lcd(s) Site addressiOr ections to site SW corner of Jaybird Lane and Church Road, off Dosewallips Road, Brinnon SOURCE OF SEWAC JUSE TYPE OF WORK WATER SOURCE 'Residential X New X Tankls only__ Private X ResidentitalAtMJ X Modiffcatian Pubic Commerdal Expansian Community Upgrade Repair SrfE 1.3 Acres SYSTEM TYPE Partial Repair-(tank) (dr infield)_, Previous E�►akiatioer Corrvntianel! R Area Yes# Akemative X Redesign X No X SYSTEM DETAR_S Number of Gallons/day 600 Soil type 1 (attach sot evet.) Application Rate 1.0 galisq.ftiday Drainfteld Length h 200 gE. Trench Width 3 ft. Trench/Bed Depth /2 it Septic Tank size 1,250 gat Pump Chamber size_1,250 gal_ TYPE of system Pressurized Distribution By siccing the application form, the appicaniiatrner attests that the ima cn prodded herein is true and correct ba the best of their knowledge. Any material falsehood or any omissicri of a materiel fact made by the applicantloviner with respect to this packet may result in this permit being null and void. l further agree to save, indemnify and hold harmless Jefferson County against ail liabilities judgments,court costs,reasonable attorneys fees and expenses Which MEW m any way ague against Jefferson Comity as a result of or in consequence of the grwlitig of this permit. l further agree fry provide access and right of entry to Jefferson County and is employees, representatives or agents far the sole purpose of appication review and any required latm. inspections. Staffs access and of entry wi he assumed the apg:icant inform the County it wiling at the tine of the that he or :-; " prior nakce. Bons occur dig regular busing hoes_ lnibnl here if you rewire . i before wily Appeal-A person aglyieved of a d�sicn of the Health Officer may •F shall be submitted to the Health Dirrision it writing within fifteen dam after receiving written notice of the decision. DISCLAIMER-This Koplicalion is for an on-ste sewage system that nets the state and county standards in effect on the date of wplicalion. This. icalion for an onsite sewage system DOES NOT assure you of any other Comity awrovals. For example, it DOES NOT GUARANTEE that you wil later obtain permission to buid a permanent residence or other structure on this parcel. Any 1: r iiii0-1111PtY * setaalely judtpd by the Ries and laws in effect at that time. W --2-4 Property Owner S _ re Dale / FOR OFFICE USE ONLY I t c l'A ate( ASBUILT"Gad 51/ FNMA APPROVED I y ec� 30 h4 hlSP1PlJrut�TEf-p 1Z�g� ALL NOW REQ.MET Rec*0-731 3 Cituack Case*SEP eo R;\ \P s s ptic\ + cic rAltapp.,.200Fg, SEWAGE DISPOSAL PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 PERMIT #: SEP11-00062 Date Received: 08/05/11 SITE ADDRESS: Date Issued: 11/30/11 BRINNON, WA 98320 Date Expires: 11/30/14 APPLICANT: ANNA M WALLER TRUSTEE PHONE: WALLER FAMILY TRUST PO BOX 671 BRINNON WA 983200671 LEGAL DESCRIPTION: S34 T26 R2W S1/2 SE NE(E 300'OF S 200') PARCEL#: 602341011 Section: 34 Township: 26N Range: 02 W DESIGNER: EVERETT SORENSEN PHONE: 360-821-9960 STREAMLINE ENVIRONMENTAL, INC 715 GRANT STREET PORT TOWNSEND WA 98368 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. 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 systems codifies:.15 amended per ordinance no. 06-0719-07. This permit may not be renewed. i / Jefferson Cou ty Enviro ental 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: 130-PRESSURIZED TRENCH No. of Gallons per Day: 600 Type of work: NEW Drainfield Trench Septic Tank Length: 200 feet Width: 3 feet Depth: 12 inches Size: 1,250 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE CONDITIONS OF APPROVAL - PERMIT NO.: SEP11-00062 1.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 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.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 5.) H - AS PER WAC 246-272A AND 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 246-272A AND 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.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 7.) 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. 8.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 9.) 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. 10.) 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. 11.) 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. 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. 2 of 2 11/22/19 I:\F_SEP_Permitmod.rpt JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING Designer Everett A. Sorensen, P.E. 360-821-9960 Permit# SEP11-62 Installer Mark Stewart Parcel # 602341011 Electrician Homeowner, Ms. Anna Waller Design Flow 600 gals/day Property Owner Anna M. Waller, Trustee; Waller Family Trust Site Address 263 Church Road; Brinnon, WA 98320 JAN 5 2015 Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) Peninsula Septic Tanks, 1,250 gallon 2-compartment 11/22/2014 Pump chamber (manufacturer, size) Peninsula Septic Tanks, 1,250 gallon 11/22/2014 Screen(s)and/or Pump Shroud (type, location) Orenco BioTube Pump Vault with 11/22/2014 Integral Filter, in Pump Tank Were Tanks tested onsite for water tightness? Yes / No Panel Model Aquaworx IPC Simplex Timer Model Built into panel Pump 1 — Man./Model Orenco PF300511 Flow Rate (nominal) 30 gpm Pump Location (i.e. garage, treatment unit, basement) Pump Tank Float/transducer settings Inches Timer from bottom of tank- On/off - 1.5 in. Functions: On 50 seconds sec/min Veto - 21.7 in. Off - 144 minutes sec/min/hr Alarm - 21.7 in. Veto On - 100 seconds sec/min Storage Above High Water Alarm >480 gal. Veto Off - 144 minutes sec/min/hr Dose Counter Reading 0 # gallons/dose 32 gal. Elap. Time Meter Reading 0 min/hrs Pump Throttled? Yes / Dose Drawdown (in inches) 1.1 in. Actual flow rate: 38 gpm; Tank: 28 gals/inch Pump 2 — Man./Model None Flow Rate gpm 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/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) H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 --Pre-Treat t-- Date Ins) Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No lit, . t. 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, diameterl.5"Sched 40 PVC Manifold size/schd 2" Sched 40 PVC 8/28/2014 Orifice size 0.125-inch Lateral Size/schd 1" Sched 40 PVC 50 ft 8/28/2014 Barrier Material Class C Geotextile Cover Material/Depth 8/28/2014 Residual Head (lat.# & ft. Head) Laterals 1-4 each had approximately 6 ft squirt 11/22/2014 The laterals/pods were balanced Os / No Source/Manufacturer of Drainrock/Gravelless chambers Local quarry, sorted & washed Drainrock Clean?Os / No If no, what action taken? Mound/Glendon Site Prep Drainfield Length 200 ft Width 3 ft Depth 12 inches Caps for measuring residual head stored (location) Within vaults at ends of each of 4 laterals COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Effluent filter on septic tank effluent Health Department Inspection issues resolved Yes / No /0 If yes how? Users Manual Provided to Homeowner Yes Date 1/7/2015 Tank/component Decommissioning Report Attached Yes / No / 0 Installer Certification attached/signed Yes / N® ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTITY 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 ,51,,,,o , ti5 TE S OMPLIANCE WITH WAC 246-272. � mr, _ d 1/7/2015 P.E. #32550 �'����' '� ;Y,. o4 iz Designer Signature Date License # M H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 " .,- ,7-1.A' / C ✓ CO N. to u.i C) al O COO o 0 00 • . 0) 0 tN (N tr) C fa fnN °) N co CN1 14 A M CV CN1 co Cl)O U) Cu CO CO >. CO / Co' 0 C � � � O co f O r Q C N pp CD —)O > f�Q °' Church Road -� N � co° _o �--=To Dosewallips Road- ► 2 c a W (a L • H a� a� c fn -t ° a ° >tc N X N cL o.. a o a =• . 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A- Itzmv) 11 /6/L,, SOIL LOG #1 SOIL LOG #2 0 to 10 in.Top Soil 0 to 6 in Top Soil 10 to 24 in. Brown fine sandy soil 6 to 20 in. Brown fine sandy soil 24 to 72 in.Coarse sandy soil, 10-20% cobbles 20 to 70 in. Light brown medium-to-coarse 72 to 76 in.Coarse sand to in. sand, 20°%° cobbles No evidence of prolonged saturation No evidence of prolonged saturation Anticipated water table >76 in. Anticipated water table >70 in. Roots to 30 inches. Roots to 30 inches. Health Dept. Comments �� Health Dept. Comments L40 SOIL LOG #3 SOIL LOG #4 0 to 6 in.Top Soil 0 to 6 in. Top Soil 6 to 70 in Light brown coarse sand, 10-20% 6 to 68 in. sand,bro-2o medium-to-coarse cobbles cobbles to in. 68 to 73 in.Gray coarse sand to in. to in. No evidence of prolonged saturation No evidence of prolonged saturation Anticipated water table >70 in. Anticipated water table >68" in... Roots to 50 inches. Roots to 24 inches. Health Dept. Comments Health Dept. Comments LAYAZ 1 1/4- 11-Q / RECEIVED AUG 0? 21)11 Jefferson County Environmental He,3lti-< • Proposed New Residential Septic System Description Parcel Number 602341011 Property Owners: Anna Waller and The Waller Family Trust Mailing Address: Site Address: P.O. Box 671 SW Corner of Jaybird Lane and Church Road Brinnon,WA 98320-0671 Brinnon,WA 98320 irt Pressurized Distribution Septic System " Parcel Area 56,500 ft2(1.30 Acres) �"' ! °� Drinking Water Source: Private Well Proposed Septic System Capacity: 5-Bedroom,600 gal/day peak flow(average 5.450 gpd) • /"� • liej Soil Type 1, Sandy Gravel to>6'deep Anticipated Depth to Ground Water is>_6 ft below ground surface • 32550 rw Application Rate: 1.0 gal/ft2/day °i t s, CISTE475°GS7 " ¢7 g f Infiltrative Surface Area 600 gpd/1.0 gpd/ft2=600 ft2 `ONAL�� Four gravel trenches, 3'x50'(each 150 ft2) Septic System Components Septic Tank 1,250 gal (minimum), two-compartment concrete tank; with two 24"-diameter access ports above inlet and outlet, with risers bonded to tank, extending up to-grade, equipped with secure lids. Tank equipped with influent baffle/drop tube and outlet drop tube with removable effluent filter. Pump Tank 1,250 gal (minimum), single-compartment tank with one 24"-diameter access port with riser bonded to tank, extending up to- grade,equipped with secure lid. Tank equipped with influent drop tube. Gravity-Flow Transport Pipelines 4-inch PVC ASTM D-3034 sloped 2% ('/4 inch per ft)from proposed house to proposed septic tank, approximately 120' (and from possible future ADU to proposed septic tank). Pipe run(s) equipped with long-sweep clean-out(s). 4-inch PVC from septic tank to pump tank,sloped as needed. Control Panel: Aquaworx IPC-SM Simplex Control Panel, 120 VAC, powered with two 20 Amp circuits(allowing one circuit for pump,one circuit for panel&alarm); installed outside and within sight of pump chamber. Pump Assembly: Orenco BioTube Pump Vault model PVU571819 equipped with stabilizing/lifting bracket, sump inlet screen, pump inlet filter cartridge,and pump slot. Sewage Pump: Orenco High Head Pump model PF 300511; 0.5 Hp rated for 30 gpm @60 ft of water column head, with discharge pipeline equipped with check valve, flow control valve, flexible hose connection, vacuum-breaker and unions. Electrical supply cord shall have ample slack to allow pump removal without disconnecting wires Pressure Transducer: Aquaworx Liquid Level Transducer installed on PVC pipe bracket extending to pump tank bottom to maintain fixed height. Signal cable shall have ample slack to allow easy removal of transducer without disconnecting wires. Pressurized Transport Pipeline 1.5-inch schedule 40 PVC from pump tank to drainfield distribution manifold,40 to 50 ft. Most of this pipeline shall be installed at elevation below drainfield laterals,to minimize drain-out during rest periods. Drainfield Distribution Manifold Single 2-inch schedule 40 PVC manifold feeds four drainfield laterals. Manifold installed at elevation below ALL laterals remains flooded during rest periods. Long-sweep elbows on each end of manifold, accessible in utility vaults with lids installed to-grade, allow maintenance access(power flushing). Drain Field Four 3' wide by 50' long gravel trenches installed horizontally and parallel to elevation contours, spaced on ?6 ft centers, with infiltrative surfaces 12" below grade. Each trench equipped with 1" diameter schedule 40 PVC distribution lateral, with long- sweep elbows at each distal end, with hand-tightened threaded caps, allowing maintenance flushing, accessed within diameter cylindrical cylindrical utility vaults(or equivalent)extending 2-4"above grade,capped, secured and marked. Orifice Configuration: 16 orifices per lateral, 1/8-inch diameter, on 37"centers, starting and ending 22"from trench ends. Pipe shall be fully de-burred around orifices after drilling. Orifices shall be pointed up to minimize drain-out during rest periods. PVC orifice shields shall be positioned above each orifice to spread orifice discharge and prevent erosion. Four spare 1" PVC threaded end caps shall be provided, and shall each be drilled with an additional 1/8"orifice for testing residual head during start- up and maintenance. Approximately 0.4-0.5 gpm per orifice (26-32 gpm total) at 5 to 8 ft of water column residual pressure, respectively. Designed by Everett A. Sorensen, P.E. Streamline Environmental, Inc. 715 Grant Street NOV I Z�11 Port Townsend, WA 98368-2405 STREAMLIA 360-821-9960 ENVIRONMENTAL efferso Streamline Project Number 110610 '5°110 TO Ilryv.3rItal�UDt)' November 10, 2011 Cl) > 73 0 (:).-t Cu CNI 1-- Cu a) 0 co c) ... . . .. . . . , . .. , . ''cTi rn 2 8 (-) 2 0 c's La5 0 _1 -0 '..,..,''''..;143-':''.',■;,-''''::..'''''-:',..1 il',:::::':',Si:,,,:,'''','''''::.,'''::'.7,:;':.. :'1,:';':''-',..:-:'...',:.I:.:','':',.:':[.{..'::'':',,',.':i..'t'''''',,,!,-;.''''' .(1) r '. 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