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HomeMy WebLinkAboutSEP2010-00019 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360) 379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Lawrence Graves MAILING ADDRESS 812 Harrison Street Port Townsend,WA 98368 PHONE 360-316-1091 SYSTEM DESIGNER Nathan N.Cleaver Designer Phone# 360-598-6546 LEGAL DESCRIPTION: Section 32 Township Range 1 E PARCEL# 021324025 Subdivision Name Division Block Lot(s)_ Site address/Directions to site : 831 Griffith Point Road SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential_x_ New_x Tank/s only Private Residential ADU Modification Public x Commercial Expansion Community Upgrade Repair SITE SIZE_40,946+/-_ SYSTEM TYPE Partial Repair-(tank)_(drainfield) Previous Evaluation Conventional Designate Reserve Area Yes#_06-326 Alternative x Redesign No SYSTEM DETAILS Number of Gallons/day_480_Soil type_5_(attach soil eval.) Application Rate .4 gal./sq.ft./day Drainfield Length_19 ft. Trench Width_19_ft. Trench/Bed Depth NA in. Septic Tank size_1500 gal. Pump Chamber size: 1500 TYPE OF SYSTEM Glendon Biofilter By signing the application form, the applicant/owner attests that the information provided herein is true and'cdrrect'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 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 fu ure ap ca-ion will be separately judged by the rules and laws in effect at that time. 311x ,0 Property Owner Signature D to FOR OFFICE USE ONLY 11 1 PARTIAL ASBUILTF�k )a i1 FIN ?4 APPROVED INSP/PUMP TESTED 12/11M PUD 1111, , )$ I ALL HOLD REQ. MET Date3tyyam�,, 69P+ 1 ( D'D Fee Rec# t Check# ` 1 Case#SEP 10- 1 SEWAGE DISPOSAL PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360)379-4450 PERMIT #: SEP10-00019 Date Received: 03/10/10 SITE ADDRESS: 831 GRIFFITH POINT RD Date Issued: 04/22/10 NORDLAND, WA 98358 Date Expires: 04/22/13 APPLICANT: LAWRENCE M GRAVES PHONE: 360-316-1091 18216 NE 31ST ST REDMOND WA 98052-5926 LEGAL DESCRIPTION: S32 T30 R1E TAX 105 BND TGTH THRU BLA 108153 PARCEL#: 021324025 Section: 32 Township: 30N Range: 01 E DESIGNER: NATHAN CLEAVER PHONE: 360-598-6546 CLEAVER SEPTIC DESIGN INC. 1990 KIMBALL ST. NW POULSBO WA 98370 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- • s wage systems, codified 8.15 amended per ordinance no. 06-0719-07. This permit may not be renewed. v 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: 280-GLENDON BIOFILTER No. of Gallons per Day: 480 Type of work: NEW Drainfield Trench Septic Tank Length: 19 feet Width: 19 feet Depth: inches Size: 1,500 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE CONDITIONS OF APPROVAL- PERMIT NO.: SEP10-00019 1.) The proposal must comply with all conditions of the shoreline permit exemption (SDP10-00031). 2.) The proposal must comply with the signed eagle management plan. If the owner is unable to do so contact the Washington Department of Fish and Wildlife (WDFW), Jeff Skriletz at WDFW(360-427-2164 or jeff.skriletz @dfw.wa.gov). 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.) 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.) 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.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 7.) This system must be constructed by an installer certified by the Jefferson County Public Health Department per state code WAC246-272A-0250. 8.) 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. 9.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 10.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 11.) 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. 12.) 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. 13.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. Page 2 of 3 11/22/19c I:\F_SEP_Permitmod.rpt 14.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components EXCEPT at the location approved in the plan submitted 4/12/2010. The crossing must meet the DOE Criteria for Sewage Works. 15.) Setback to surface waters- 100' required from drainfield and reserve areas. 50' required from tanks. 16.) Dry season installation required. 17.) A 30' setback shall be maintained from the disposal component and reserve area to any downslope footing, curtain or interceptor drain or drainage ditch. 18.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 19.) Contact designer prior to installation for staking of drainfield area. 20.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 21.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 22.) Septic tank and pump chamber to be water tight. Extra protection (i.e. Bentonite)to be used around inlet, outlet, and risers due to high water table. Tanks shall be tested for watertightness onsite and verified by the designer. Documentation shall be provided with the record drawing and asbuilt report. 23.) Dose counter and elapsed time meter are required in the control panel for all system components. 24.) 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. 25.) Compliance with the conditions of the Site Plan Approval Advance Determination is required. 26.) 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. Page 3 of 3 11/22/19E I:\F_SEP_Permitmod.rpt 1_,Nr\\ JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING NOV 19 2°14 Designer Suzanne Martin Permit # SEP 10-00019 Installer Bernt Ericsen Excavating (Tim Thomas) Parcel # 021 324 025 Electrician homeowner Design Flow 480gpd peak Property Owner Lawrence Graves Site Address 831 Griffith Point Road-Nordland Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) 1500gal Cotton; baffles& outlet filter in place 9/15/14 Pump chamber (manufacturer, size) 1500 gallon Cotton; 29 gal/inch 9/15/14 Screen(s)and/or Pump Shroud (type, location) shroud in pump tank around pump 9/15/14 Were Tanks tested onsite for water tightness? es / No Panel Model Aquaworx Timer Model IPC 9/15/14 Pump 1 — Man./Model Zoeller BN152 Flow Rate n/a gpm 9/15/14 Pump Location (i.e. garage, treatment unit, basement) in pump tank Float/transducer settings Inches Timer from bottom of tank- On/off 20.9 in Functions: On 15 6;iirnin Veto 33.4" in. Off 825 � sec/�hr Alarm 33.6 in Veto On 15 le)/min Storage Above High Water Alarm 417/6• 5 gal. Veto Off- 6:19 sec in hr Dose Counter Reading 0 dose/23 V dose #gallons/dose per gbt gal. Elap. Time Meter Reading mine Pump Throttled'? x . ." Yes Dose Drawdown (in inches) n/a in. Pump 2 — Man./Model n/a Flow Rate PPM 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 4 sec/min Storage Above High Water Alarm �� gal. Veto Off -� sec/mm/hr Counter Reading # gallons/dose -', gal. Elap. Time Meter Reading min/hrs Pump Throttled? r Yes-/ Na Dose DraWdOWn (in inches) k in. If additional pumps-complete the info in this table for each and attach. Other Timer functions & settings (e.g. override on/off) 81 events; ID=12-01-0824; autoclear 22 dose H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 Pre-Treatment Date lnsp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No Sandfilter Basin size/location n/a Sand Fill met design spec? ©e / No ATU (manufacturer, model) n/a Alarm tested Yes / No Disinfection Unit (manufacturer, type, model) n/a Independent Alarm Yes / No Drainfield 2" 1"pvc sch 40 Transport Pipe size, schd, diameter Manifold size/schd p 9/15/14 Orifice size n/a Lateral Size/schd n/a 9/15/14 Barrier Material jute Cover Material/Depth Glendon Biofilter 9/15/14 Residual Head (lat.# & ft. Head) n/a The laterals/pods were balanced es / No 11/05/14 Source/Manufacturer of Drainrock/Gravelless chambers n/a Drainrock Clean? Yes / No If no, what action taken? n/a Mound/Glendon Site Prep yes 9/11&12 Drainfield Length 19 ft Width 19 ft Depth glendon inches Caps for measuring residual head stored (location) n/a COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary n/a permit rnnrlitions have been met Health Department Inspection issues resolved Yes / No /CI If yes how? Users Manual Provided to Homeowner mailed Date 11/7/14 Tank/component Decommissioning Report Attached Yes / No / ©A Installer Certification attached/signed Yes / 0 ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY THE INFORMATION PROVIDED ABOVE WAS VERIFIED 13Y INSPECTION, THE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY (DATE) OR THAT CHANGES HAVE 'BEEN NOTED AND THE SYSTEM IS IN COMPLIANCE WITH WAC 246-272. 6 November 2014 5100342 f f t. resigner Signature Date License # 51 2 f•t't Suzanne L Martin +) owr: vnn5 H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 1V0V X 920 /4 System Owner : Lawrence M. Graves SEP 10-00019; Parcel #021 324 025 Site Address : 831 Griffith Point Road -NordLand Pump Tank Detail 20 3/8•installed riser 9'between top of transducer i riser •f fluent Line to drainfield ±1L4'storage above high 51 t.transd■:er water:below inlet-t417gal: additional storage above inlet 1t615gaLI 1500 gal.Cotton Concrete tank: -4 gal -29 gallons per inch 805' 64' veto set for 13.6'from with Aquaworx transducer bottom of the bell 8zb-08;with shroud s57• alarm set for 13.4' from bottom of the bell LS *362 gal working volume on set 0.9'from bottom of the bell *20'from bottom of 1 tank to the bottom of the bell tit) tl 6 November 2014 1 is YI( :y 510 Suzanne M arGm �! f81SW Nz it X. z ! 1115 .051; 3 .SS* ii... ..... 04) mC < T21 np 0 * 4 —I ° 70 0 3 -< 0 G7.. O En- 5.mcpmv, '— -.0. II n 7 7 D CD N CL CD n� � � �c ' N h3 d N 0 �Co) � 3 N d.�_ O 0 �rt00 �ade ` 3 = O< X 3 CD 0 0) 47 x 47...co aa CD 7 O v * CD W p 0 3. 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Water/Trans ort Line Crossing Crossing Detail Side View 1" : 1' Water Line E E 1" Transport Line • SEWAGE DISPOSAL DESIGN Sewer Line Top View A . • e r C instruction 1" : 10' ®j*/ /Pai($ Water Line 10, 4 The transport line must be 18" deeper than the water line within 10' of the crossing and sleeved with Schedule 40 pvc. The crossing should be as close to perpendicular as possible. 10, Contact the septic designer prior to altering this detail. 1'`% Nathan Cleaver Septic Designs, Inc +rt:. Phone: (360) 598-6546, Fax: 360-598-6548 ' / �� CUSTOMER: Lawrence Graves ��'O F '" Fti'4, TAX ID#: 021-324-025 ''0 I ' J _'c.L% LOCATION: 831 Griffith Point Road .. 5100251 �� DRAWN BY: NNC - NATHAN N CLEAVER ?i t t „ fi DESIGN BY: NATHAN CLEAVER �� EXPC DATE: 1/16/2010 ,/, ^ W I I r m 0 rn p D I Z v a) Qo o c. o C T CE Fn p X N W O al �oY1�e m V, o - o 3 m a Fn 3 a a r o _(O 5- fl, 00 ° C CD N 71 S Z3 —' O idi A� Q N ` cn• O O CO_ m 3 U -'C� N CS c. 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C co p n '-0 o r2° —_1 z —" . . ti �I I I + 0 C■ � . d w n 0 .] 'a � l= o o N w CD Q Io_ D I t b o -11 , II: _ — 11 d ILS C° 0 co I,k�� �� ���11 — �,� ���111-I = -i O C7 CLEAVER CONSTRUCTION, INC. GENERAL CONTRACTORS * MATERIAL HAULING * SEPTIC AND DRAINAGE SYSTEMS * ROCK WALLS 22900 Stottlemeyer Rd. * POULSBO, WASHINGTON 98370 Phone (360) 779-5652 * fax (360) 697-1441 SOIL EVALUATION ' 'MA ED Kevin Miller Griffith's Point Rd. Nordland Re: Parcel Number: 021-324-025 & 026 Efilialik 1' KO Soil Evaluation: 8/22/2006 Weather: clear ,` Soil Log #4 Soil Log #1 0-2" DUFF Q—1S ii-CI_._, 0-2" DUFF 4'� 2-20" SILT LOAM \ °- k Q1`3 x';00 � �~I 2-24" SANDY LOAM "1 -a itil t► 20-24" LIGHTLY MOTTLED SILT LOAM m 24-34" LIGHTLY MOTTLED VERY FINE 24-29" HEAVILY MOTTLED SILT LOAM" MOTTLING AND COMPACTION AT 29' SAND ol1`a�� i A MOTTLING AND COMPACTION AT434" 0 \ a ROOTS TO 34 S . /0 -' Sa Soil Log #2 464.� 0-2" DUFF 0-°77 OK f r\SL_ (� 2-21" SANDY LOAM --1-\Q i c f(3c'n S t... /LS`� 21-26" MOTTLED VERY FINE SAND 1g _Qs- 0;�f0- con,,0-rs,Ce MOTTLING AND COMPACTION AT 26" -+S 5-k.. tat, 1) ROOTS TO 26" -4 a,)r Soil Log #3 0-2" DUFF ®- ct - �1� 2-24" SILT LOAM -*t Cs? "'SL- 11.`t:-..� MOTTLING AND COMPACTION AT 24" ',. �'�-r `� ROOTS TO 24" 1�' 'k i%� ��°`, "-t 1y. •. 4` 1I0? NATHAN N..CLEAVER �\\ J. EXPI-E / . ♦ Nathan Cleaver Onsite Wastewater Treatment System Designer / a Oct