HomeMy WebLinkAboutSEP2013-00138 Jefferson County Department of Community Development Let
621 Sheridan St,Port Townsend WA 98368,(360)379-4450 f #
SEPTIC PERMIT APPLICATION -f°il
PROPERTY OWNER Re! _ 'Noah-li.. ) 703 - �".!" ''� .;�1
MAILING ADDRESS P.O.Box 676 s.i e
Z; siooss� 'F`�j
Port Townsend,WA 98865 p•RONALD A. GAReEt "..r
LICENSED DESIGNER �,
PHONE t 3(_j_3 JO 379-6441 0..�11►��t► loosam DESIGNER
1.
Phone# 360—681-2202 EXPIRES: 09/04/20 i
SYSTEM DESIGNER Ronald Garcelon O*1•E: r a/o s/17
LEGAL DESCRIPTION: Section 18 Township 28N Range 1E PARCEL* 821-182-007
Subdivision Name Division Block Lot(s)
Site address/Directions to site 2124 Beaver Valley Road Port Ludlow,WA 98365
SOURCE OF SEWAGE//USE TYPE OF WORK WATER SOURCE
Residential X New Tank/s only Private X
Residential ADU Modification Public _
Commercial Expansion
Community Upgrade
Repair X SITE S 43.575 soft
SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation
Conventional Designate Reserve Area Yes# X(SEP#71-115)
Alternative X Redesign No
SYSTEM DETAILS -
Number of Gallons/day 240 Soil type IV&V (attach soil eval.) Application Rate 0.6&OA galisq.ft lday
Drainfield Bed Length: 42 ft Width 6 ft Trench/Bed Depth 18" a/
Drainfield Trench Length: 74(32+42) ft Width 3 ft Trench/Bed Depth 18"
Septic Tank size 4.000 gal. Pump Chamber size 1.000 gal.
TYPE OF SYSTEM_ Pressurized Drainfield
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of
- their knnwiedne. My 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 nuA and void. I further agree not to save,indemnify and hold harmt =J�$�son ,County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue
against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole
purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the
applicant informs the County in writing at the time of the application that he or she requires prior notice. Inspections shall occur
during regular business hours. Initial here if you require notification before entry
Appeal—A person aggrieved of a decision of the Health Officer may appeal.Appeals shall be submitted to the Health Division in
writing within fifteen days after receiving written notice of the decision.
DISCLAIMER-This application is for an on-site sewage system that meets the state and county
standards in effect on the date of application. This application for an onsite sewage system DOES
NOT assure you of any other County approvals. For example, it DOES NOT GUARANTEE that
you will later obtain permission to build a permanent residence or other structure on this parcel. Any
future app'cation will parately judged by the rules and laws in effect at that time.
i t*-^-
/ ®/3
perty Owner Signature Date
FOR OFFICE USE ONLY 4 k�0?3
II PARTIALED I�f Z-$�1`f ASBUtt_T Fl
AP" are INSP/PUMP TEST E ) iti/t'Z/i tt pu 1 I I /\\`\
,, / ALL HOLD REQ.MET / c, Q
Date /U!l/ Fee / �� Rec# 6 4 lP / Check* /Z Z I Case#SEP 5 t 1 --oo( 178
y,SOtd Cc7..
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street•Port Townsend•Washington •98368
www.jeffersoncountypubtichealth.org
Drone 3bU-3135-9444 Fax MU-3/9-4413/
ON-SITE SEWAGE DISPOSAL PERMIT
PERMIT #: SEP13-00138 Date Received: 12/11/13
Date Issued: 01/29/14
SITE ADDRESS: 2124 BEAVER VALLEY RD
PORT LUDLOW, WA 98365 Date Expires: 04/29/14
APPLICANT: REPS LLC PHONE:
SUCCESS INC, MANAGER
PO BOX 676
PORT TOWNSEND WA 983680676
LEGAL DESCRIPTION: S18 T28 R1E TAX 11
PARCEL#: 821182007 Section: 18 Township: 28N Range: 01 E
DESIGNER: RONALD GARCELON PHONE: 360-461-3575
OLYMPIC ON-SITE
PO BOX 3002
PORT ANGELES WA 98362
SYSTEM DESCRIPTION: PRESSURIZED BED
No. of Gallons per Day: 240 Type of work: REP /
Drainfield Trench Septic Tank
Length: 42 feet Width: 6 feet Depth: 18 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.
fie/W
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.: SEP13-00138
1.) This permit was issued to correct a violation of WAC 246-272A for repairing a septic system w/o
proper permits . The permit must be completed within 90 days of the date of issuance.
2.) The existing drainfield is be abandoned in place. If encountered in the new installation area contact
the designer and the county prior to further construction.
3.) 25 ft. setback from bank MUST be maintained.
4.) H - Existing tank MAY need to be abandoned. It shall be pumped and filled with clean fill.)a
Documentation to be provided to Health Dept. prior to final. pee/( 7 X
Need conformation that the old original tank was properly abandoned. aIj) '
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.) Health Dept. required to observe pressure test with system designer when system fully
installed/complete, 48 hours notice to be provided for scheduling.
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.) 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.
12.) 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.
13.) When/if designated reserve area is utilized an alternative system providing an additional level of
treatment may be required and must comply with code at the time of application for use.
14.) Contact designer prior to installation for staking of drainfield area.
15.) A pp roval 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.
16.) 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.
SEP13-00138 Page 2 of 2
\\tidemark\data\forms\F_SEP_Permitmod.rpt 1/29/2014
c i
JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 9868
ASBUILT INSPECTION REPORT For RECORD DRAWING 4-C 0 i�o
Designer Suzanne Martin Permit # SEP 13-00138
Installer Shold Excavating (AJ Sukert) Parcel # 821 182 007
Electrician Cascade Electric Design Flow
Property Owner Gerald Wvqant
Site Address 2124 Beaver Valley Road-Port Ludlow
Answer all questions or indicate NA
DATE
Tanks, Pumps and Controls INSP.
Tank (manufacturer, size, baffles) ex. Fred Hill style;outlet filter& risers installed
Pump chamber (manufacturer, size) 1000 gallon Cotton; 22 gal/inch; riser installed 10/29/14
Screen(s)and/or Pump Shroud (type, location) shroud in pump tank around pump 10/29/14
Were Tanks tested onsite for water tightness? e®/ No
Panel Model Infiltrator Timer Model Aquaworx 10/29/14
Pump 1 — Man./Model - Liberty Flow Rate 63 qpm 10/29/14
Pump Location (i.e. garage, treatment unit, basement) in pump tank
Float/transducer settings Inches Timer
from bottom of tank- On/off- 21.775 in. Functions: On x 28 - ec min
Veto - 30.275 in. Off > 240:, sec/ in hr
Alarm - 30.075 in. Veto On - 28 se /min
Storage Above High Water Alarm t ' ; gal. Veto Off- 180 sec/eihr
Dose Counter Reading 7 dose/1:vdose ,.- # gallons/dose -= 30,-..', gal.
Elap. Time Meter Reading 105 54 min E) Pump Throttled? ;Yes Na F
Dose Drawdown (in inches) 1 3/8 N in.
Pump 2 — Man./Model n/a Flow Rate n/a qpm
Pump Location (i.e. garage, treatment unit, basement)
Float/transducer settings Inches Timer
from bottom of tank- On/off- n/a , ,-, in. Functions: On ,.;_,sec/min
Veto - /- in. Off sec/min/hr
Alarm - in. Veto On %'sec/min
Storage Above High Water Alarm 5 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) autoclear 20 seconds; 41 events;
ID=08-08-2013
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 10/29/14
Orifice size 1/8 Lateral Size/schd 1.25 10/29/14
Barrier Material gravel&filter fabric Cover Material/Depth 6" 10/29/14
Residual Head (Iat.# & ft. Head) balanced pre-cover @9.5' 10/29/14
The laterals/pods were balanced es / No 10/29/14
Source/Manufacturer of Drainrock/Gravelless chambers Infiltrator chambers/Cotton Gravel
Drainrock Clean? ED/ No If no, what action taken?
Mound/Glendon Site Prep n/a
Drainfield Length 42 ft Width 6 ft Depth 18 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 / NA If yes how?
Users Manual Provided to Homeowner M1!7/1/ Date //f
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 THE INFORMATION PROVIDED ABOVE WAS VERIFIED 13Y INSPECTION, THE
SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY
(DATE) OR THAT CHANCES HAVE BEEN NOTED AND
THE SYSTEM IS IN COMPLIANCE WITH WAC 246-272. 6 �+;++'
{�
get( pit 5100342 +#
1
Desi ner Signature Date License# r • 51 2 \.�
Suns L Martin +)
owl veins
H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2
DEc 04 20'
System Owner: Gerald Wygant
SEP13-00138;
Parcel #821 182 007
Site Address: 2124 Beaver Valley Road-PL
Pump Tank Detail
15.75"Installed Riser - 4.375"from top of riser
:t
M.
Inlet . 5
±24.5"1539 gallons of 1,5 7' storage above high 51"
!.y water alarm
r -not including additional
capacity in septic tank ^.
e' and tank risers
+: :2c
W -±15.5"/340 gallons rR
storage below invert of 1:a Veto set 9.4"from the
inlet of pump tank = bottom of the bell
7r alarm set for 9.2"from
.j, i' bottom of the bell
S -182 gal working volume
'.4,' on set 0.9"from bottom
Cotton-1000 gallon pump V• of the bell
Y' tank;22 gallons per inch — — 20§"from bottom "f
-zb-09 Aquawonc IPCS01 of tank to the
n' bottom of the bell;
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i'4 shroud&bell ,
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OLYV1_ PIC ON—SITE
P.O.BOX 3002 PORT ANGELES,WA 98362 FHREPS LLC
DRAINFIELD 12/02/13 3 1
DETAIL DRAWINGS 13-0138
R OF
821-182-007 ev.
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REPS LLC 12/02/13 4 A
OLYMPIC O�-SITS�' - SPECIFICATIONS 13-0138 OF
WA.I1ak9T R TiTl ) �Si a_. ;rc� p p
Rev. / /
P.O.BOX 3002 PORT ANGELES,WA 98362 821-182-007
/ 4
Olympic On-Site Middleton
Wastewater System Design&Inspections 13-0138
Test Date: 10/30/2013&11/21/13 Present on Site:Ron Garcelon,Aubby Middleton
Parcel#:821-182-007,parcel on Beaver Valley Road USDA Survey—Kitsap Silt Loam
Soils Log
Test Pit#1 Application Rates
00" —59" Fine Sand(sg) 0.6
59" —67"+ Gravelly Loamy Sand 0.6
>.'
Woody Roots to 61"
Suitable Soils:0"to 67"+
Test Pit#2 .
00" —04" Dark Brown Sandy Loam 0.6
04" —58" Brown Silt Loam(abk) 0.4
58" - 68" Grey Silt Loam with Weathered/Rotten Rock(abk) 0.4
'1:4) 1 Woody Roots to 68"+
Suitable Soils:0"to 68"+
4' 1 Test Pit#3
i\t 00" —14" Dark Brown Sandy Loam 0.6
,‘,*
14" —26" Silt Loam(abk) 0.4
26" - 36"+ Compact Mottled Silt Loam n/a
Woody Roots to 36"
Suitable Soils:0"to 26"
Test Pit#4
00" —09" Dark Brown Sandy Loam 0.6
09" —16" Silt Loam(abk) 0.4
16" - 22"+ Compact Mottled Silt Loam n/a
Woody Roots to 22"+
Suitable Soils:0"to 16"
Test Pit#5
00" —05" Fill n/a
05" —11" Dark Brown Loam(abk) 0.6
11" - 52"+ Silt Loam(abk) 0.4
Suitable Soils:5"to 52"
Test Pit#6 iii
s
s
i A
00" —06" Fill s' :±j'/ n/a
06 —09 Dark Brown Loam(abk) i,; �I; 0.6
09" - 56"+ Silt Loam(abk) (s 1�� 0.4
i � n ',x.Z.,
.�.: ' ,
Suitable Soils:6"to 56" tk y `.. A
col or Z: 5100367 �rt,
Test Pit#7 r p.;r a; ctcki'•� ,
LIGEI'SE17 DESEGNER
AnaimagiiiMmoblIolmiimamat
00" —50"+ Fine Sand(sg) EXPIRE$ 09/04/20 iq 0.6
DAM /z./vZ /I 3
uitable Soils:0"to 50"+
P.O.Box 3002 • Port Angeles,WA 98362 ♦ Phone(360)681-2202 ♦ olympiconsite @qwestoffice.net
Olympic On-Site :
Middleton
Wastewater System Design&Inspections 13-0138
Pressurized Drainfield Wastewater System Calculations
Middleton/Parcel#821-182-007
The following calculations describe a repair/replacement Pressurized Drainfield system to serve
an existing 2-bedroom single family residence on Beaver Valley Road, Port Ludlow WA.
The daily flow is: (120 gal/day/bedroom)x (2 bedrooms (min))=240 gal/day. The soil in the
treatment zone/vertical separation is Type IV and Type V. In order to stay out of the 25ft buffer
to the top of the bank the drainfield will be divided into trenches and a bed. The available area
for a bed is 42'L x 6'W.
Bed Sizing:
In Type 4 Sand Soil (/
42'x 6' =252 sgft. (�
252sgft x 0.6 g/sqft/day = 151.2 gal/day V L
Use a bed 42ft Long x 6ft Wide and...
1?-
Trench Sizing:
In Type 5 Silt Loam
240 gal/day - 151.2 gal/day (provided by bed) = 88. gal/day =222sgft .-
0.4 g/sqft/day
Use two trenches: (1) 42'L x 3'W& (1) 32'L x 3'W zt.
12(014X
Laterals, Orifice and Transport Sizes
Use an orifice diameter of 1/8"and an orifice spacing of 3ft spacing in the bed and 5ft spacing in
the trenches. This will result in 24 total orifices in the bed and 14 total orifices in the trenches.
This orifice spacing will result in the correct distribution of the effluent based on the soil
application rates (151.2 gpd in soil Type IV (bed) and 88.8 gpd in soil Type V (trenches).
Use a lateral size of
1 1/4"diameter SCH 40 PVC. Use a 2"diameter SCH 40 PVC transport pipe and header
manifold.
Orifice Discharge— 1/8"orifice diameter
QT= 0.41 GPM x 38 total orifices = 15.58 GPM
I,
Transport Sizing �4
Total system flow- QT= 16 GPM. If velocity (V)<5 ft/sec and A=Q!V % ik „+,
A= 16 GPM = .0071 FT.
”4: X 11
3 i p2''�RQNAtD A.c ON gs,
7.48 GAL/FT x 5 FT/SEC x 60 SEC/MIN LICENSED DESIGNER ••j
:wwwwwwwwwwwwwwwwwat
A=irrz, r= j(.0067/n) _ .0476 FT x 12 IN./FT. EXFVESe 09/04/20/9
a►
/2/021/3
P.O.Box 3002 ♦ Port Angeles,WA 98362 ♦ Phone(360)681-2202 ♦ olympiconsite @qwestoffice.net
t •
Olympic On-Site Middleton
Wastewater System Design&Inspections ; 13-0138
r= .571"or 1.143" diameter minimum.
Use 2"diameter pipe in the transport line.
Headloss (HL)
*Elevation- From highest lateral to pump intake: 7ft+ 5ft squirt= 12ft+20% = 14.4ft
1 1/4" Lateral piping(HL1)—Equivalent Pipe Length
HL1= 40.0 J 16.0 J1%5 = 1.39 ft x 4 laterals= 5.565 ft
I 98.3
2" Transport&Manifold(HLt)—Equivalent Pipe Length
Pipe - 10.0
Through"T" Branch - (2)x 7.0 14.0
45 Deg. Elbow- (2)x 2.5 5.0
Check Valves - (1)x 15.0 15.0
44.0 ft
HLt= 44.0 I 15.0 11.85 = 0.190 ft
I 284.5
**Total Dynamic Head (TDH) = 14.4000' - Elevation
5.565' - HL1
0.190' -HLt
TDH= 20.155'
Spec Pump(x716 GPM and 21 ft TDH Minimum.
Pump Chamber Sizing
Daily Flow+Dead Space Below Top of pump+ 75% of Daily Flow for Emergency storage.
(240) + (16"(21.4 GPI)) +(240(.75)) =240 + 342.4+ 180= 762.4 gallons.
Use a new 1,000 gallon single compartment pump chamber.
Septic Tank Sizing
Use a new 1,000 gallon, two-compartment, concrete septic tank
1'he.Qri, 2aLtank has been removed by others. Newly installed Fred Hill tank shall be water-
tested and utilized if it passes.
Dosing
The timed dosing shall be set to an initial setting of 66%of the maximum daily flow in order to
achieve uniform distribution over 24 hours. The "veto" level shall be set to 85% of the ('v
maximum daily flow for a maximum allowable daily flow to be 204 GPD. Soil in treatment N
zone is Type IV & V and shall be dosed 8 times/day. �o
Actual timer settings calculated and programmed during final inspection. a
P.O.Box 3002 • Port Angeles,WA 98362 ♦ Phone(360)681-2202 • olympiconsite @qwestoffice.net