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HomeMy WebLinkAboutSEP2014-00147 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 ut L 2 2 2014 SEPTIC PERMIT APPLICATION s�q PROPERTY OWNER Kenneth & Evelyn Livingston ti :, te MAILING ADDRESS 71 Windship Drive ,�� °• `�,� Port Townsend,WA 98368 � 51042 ••'u.v`f # Arr;" Suzanne L Martin • # PHONE ( 360 ) 385-2063 tis� 'z--"t't E:P1'.3 vtlns SYSTEM DESIGNER Suzanne Martin Designer Phone# 990-3304 LEGAL DESCRIPTION: Section 26 Township 30N Range 1W PARCEL# 964 700 064 Subdivision Name Kala Point#1 Division Block Lot(s) 64 Site address/Directions to site 71 Windship Drive-Port Townsend SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential ✓ New Tank/s only Private Residential ADU Modification_ _ Public Commercial. Expansion_ Community Upgrade, Repair if — SITE SIZE +/-16224sf SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate RPsPrve Area Yes# SEP83-00124 Alternative ✓ Redesign No _ SYSTEM DETAILS Number of Gallons/day 240 Soil type 4 (attach soil eval.) Application Rate 0.60 gal./sq.ft./day Drainfield Length 134 ft. Trench Width 3 ft. Trench/Bed Depth 54 in. Septic Tank size 1000 gal. Pump Chamber size 1000 gal. TYPE OF Sand-lined trench 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 attomey'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 future application will be s parately judged by the rules and laws in effect at that time. /� 1/4 Pre . er Signature Date FOR OFFICE USE ONLY `/ PARTIAL ��z/I S 1.�p ASBUILT U /I_ FINAA 41•5 A PROVE INSP/PUMP TEST 1/26/I5-ED FAVIr t((2'15 ALL HOLD REQ.MET Date n1,me iZ�t�' Fee 12I Rec# C r`[J V, Check# Z5 J Case#SEP I —1"! r'\D is and settinjs\s",anne Mart;n\My Dn^""ants\*^y rinnIlm.rife 7mnn.\mhh9n\J'affergor rn,l,,tyAJeffrn forms\Suz\2008 SPA.DOC �45 °<. JEFFERSON COUNTY PUBLIC HEALTH ,t "'sue ,4o''` 615 Sheridan Street•Port Townsend•Washington •98368 www.jefferson cou ntyp ub li c hea k h.o rg Rhone MU-Mb-9444 rax 3b0-3(9-44t3 I ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00147 Date Received: 12/22/14 Date Issued: 12/26/14 SITE ADDRESS: 71 WINDSHIP DR Date Expires: 03/26/15 PORT TOWNSEND, WA 98368 APPLICANT: KENNETH E LIVINGSTON PHONE: 71 WINDSHIP DR PORT TOWNSEND WA 98368-9545 LEGAL DESCRIPTION: KALA POINT#1 LOT 64 PARCEL#: 964700064 Section: 26 Township: 30N Range: 1W DESIGNER: SUZANNE L MARTIN PHONE: 360-554-0224 PO BOX 125 CHIMACUM WA 98325 SYSTEM DESCRIPTION: SAND LINED TRENCH No. of Gallons per Day: 240 Type of work: REP Drainfield Trench Septic Tank Length: 134 feet Width: 3 feet Depth: 54 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. 27(. 7 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.: SEP14-00147 1.) This permit was issued to correct a violation of WAC 246-272A as the drainfield backs up into the home. The permit must be completed within 90 days of the date of issuance. 2.) H - The existing irrigation lines must be removed in all areas where less than 10' to any septic component, (existing or new.) Must be confirmed on the final record drawing. 3.) H - Two trees are to be removed as per approved design. 4.) The existing drainfield will be encountered during installation of the new drainfield. The existing drainfield must be decommissioned and sealed off to prevent the possibility of effulent from entering the old system when this new system fails in the future. See design for detail 5.) TRENCH TO BE EXCAVATED TO 54" DEPTH AND THEN BACKFILLED WITH 30" of ASTM 33 TYPE SAND AS PER DESIGN. 6.) H - Existing tank shall be properly abandoned. It shall be pumped and filled with clean fill. Documentation to be provided to Health Dept. prior to final. 7.) Contact designer prior to installation for staking of drainfield area. 8.) 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 9.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 10.) 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. 11.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 12.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 13.) Approval/issuance of a sewage disposal permit or installation of a septic system does not guarantee the approval of other development or a building permit on this site. Future buildings that require connection to an on-site sewage system (OSS) shall only be approved if the OSS meets the current standards and codes in effect at the time of the building application. 14.) 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. 15.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 16.) 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. 17.) 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. SEP14-00147 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 12/26/2014 18.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 19.) 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. 20.) 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. SEP14-00147 Page 3 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 12/26/2014 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 988 ASBUILT INSPECTION REPORT For RECORD DRAWING 2 Designer Suzanne Martin Periiiit# SEP 14-00147 �"l� Installer Shold Excavating (Evan Neville) Parcel # 964 700 064 Electrician Cascade Electric Design Flow 240 gpd peak Property Owner Kenneth & Evelyn Livingston Site Address 71 Windship Drive-Port Townsend, WA Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) Cotton 1000 gal, baffles, risers&outlet filter installed 1/8/15 Pump chamber (manufacturer, size) Cotton 1000 gallon, 22 gallon/inch 1/8/15 Screen(s)and/or Pump Shroud (type, location) shroud in pump chamber 1/9/15 Were Tanks tested onsite for water tightness? G/ No Panel Model infiltrator Timer Model Aquaworx IPC 1/14/15 Pump 1 — Man./Model Liberty 1/2 hp Flow Rate 44 apm 1/14/15 Pump Location (i.e. garage, treatment unit, basement) in pump chamber Float/transducer settings Inches Timer from bottom of tank- On/off- 21.15 in. Functions: On 45 - le')/min Veto - 33 65 in Off 240 sec/'hr Alarm - " 33-45 in. Veto On - 45 sec min _ _ Storage Above High Water Alarm 430 gal. Veto Off- 1 80 sec®hr Dose Counter Reading 4 dose/0 vdose # gallons/dose 30 -. gal, Elap. Time Meter Reading 00:0-4t32= min rs Pump Throttled'? Yes N z Dose Drawdown (in inches) 1..3/8 ' ''' M. Pump 2 — Man./Model n/a Flow Rate qpm Pum• Location i.e. •ara•e, treatment unit, basement n/a Float/transducer settings Inches Timer from bottom of tank- On/off n/a in Functions: On . sec/min Veto ', in. Off x 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 o " If additional pumps- complete the info in this table Dose Drawdown (in inches) `, in for each and attach. Other Timer functions & settings (e.g. override on/off) autoclear 30 seconds; 26 events; ZB-09; ID=05-08-2013 H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 f r 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? S/ 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 1/13/15 Orifice size 1/8" Lateral Size/schd 1"pvc sch 40 1/9/15 Barrier Material filter fabric Cover Material/Depth 0"cover/54"deep 1/9/15 Residual Head (lat.#& ft. Head) lower lateral 7.5'; upper lateral 8' 1/14/15 The laterals/pods were balanced ©e / No 1/14/15 Source/Manufacturer of Drainrock/Gravelless chambers infiltrator chambers Drainrock Clean? Yes / No If no, what action taken? n/a Mound/Glendon Site Prep n/a Drainfield Length 134 ft Width 3 ft Depth 30/54 inches Caps for measuring residual head stored (location) header manifold riser COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary 2.) Irrigation was not removed because it is not potable water&there is double check valve installed 3.) Trees have been removed 4.) The old drainfield was not encountered during installation of SEP14-00147 6.) Old septic tank has been properly abandon and replaced with new septic tank Health Department Inspection issues resolved Yes/ No /0 If yes how? Users Manual Provided to Homeowner y (i//le( G7 f '//G�w--/Date 1 VO14 /5-- Tank/component Decommissioning Report Attached 0 No / NA Installer Certification attached/signed ©e / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY 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 THE SYSTEM IS IN COMPLIANCE WITH WAC 246-2 72. 11?; r - 19 Jetili ) S 5100342 , Designer Signature Date License# '� SuzanneLMarto • ,+, "�..0 seen 1. -"" • H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 s�� System Owner: Kenneth & Evelyn Livingston �G�S` SEP14-001471; Parcel #964 700 064 Site Address: 71 Windship Drive-Port Townsend, WA 98369 Pump Tank Detail 2 7/8" from top of riser 22.75"Installed Riser - anti-siphon -installed i'2%Jtis2:53 ..3;_:.-::.4':1.r..!.?:S:.LI u 4:a :T' _;:t:v5°``„r.i Inlet .75 'y ,y ±28.6"/629 gallons of storage above 59 7/8" .' high water alarm `r fe -not including additional capacity in X; septic tank and tank risers e -±19.6"/430 gallons storage below r?: k invert of inlet of pump tank y4 Veto set 9.4"from the bottom of the bell ti Y alarm set for 9.2”from .y i. bottom of the bell 4: -182 gal working volume t' •: on set 0.9"from bottom r "' Cotton-1000 gallon pump 6% of the bell tank;22 gallons per inch — 20}"from 'k Y. -zb-09 Aquaworx IPCS01 2+"between bell bottom of tank '•:f CI. &shroud to the bottom Y" of the bell •.'"..1� it/ti U `"+ Fk 0041 of." 31 s ms . •.At► IO IV N ,�► / W Ark..di A8*/A:- ►►•. 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SE m 0G) oosummQ r� y O 7 Z CD •V90 OOL b96#lealed uo;s6u!Al-j :9 lo 9 a6ed Page 4 of 5; Livingston; parcel#964 700 064 r Pressure Distribution On-Site Sewaje Disppsal Sstem Work Sheet 1 Name of Applicant Ken & Evelyn Livingston Site Address or Location 71 Windship Drive-PT Tax Assessors# 964 700 064 Date 17 December 2014 Designer's Name Suzanne Martin Company Name none c - Phone# 360-990-3304 r._ Property Information: 2 bedrooms X 0.60gpd/sf=400 sf drainfield required/3'wide trenches Number of Bedrooms 4 =134 LF; 12+"vertical separation Maximum Daily Flow 240 Total Absorption Area Required(Sq.Ft.) 400 54"trench depth (minimum 6"into native soils); 0"cover; Trench Information: Trench depth to 54"back fill with 30"of Trench Width 3 C-33 sand then minimum 6"gravel. Trench Depth 54" Total Lineal Trench Length 134' Total Washed Drain Rock Under Lateral 6-8" TDH=17.5(25)feet Gravelless Chamber Drainfield(Yes-No) no -Residual-5' -Friction loss-4.5' Manifold. Lateral & Transport Information: —Transport line+/-1' Total Lateral Pipe Length 134' —Manifold&Lateral-+/-3.5' Lateral Spacing 6'oc El. Difference-+/-8' Transport line Length 37' -Pump On-+/-180' -D/F ie elevation-+/-188' 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: -2'Residual Lateral Head(Squirt Height) 5' lateral sal x14=70 per ( q g ) lateral x 4=70 orifices Pump Size 35 gpm@ 25' head -70 orifices @ 0.41 gpm= 28.7(35 gpm) Dosing Information: Orifice Spacing(inches)- 24" Total Orifices 70 Orifice Diameter 1/8" Total Dose Volume 30 .rt Number of Doses Per Day 6/8 s�(",••• Size of Pump Tank(gallons) 1000 Control Panel Information • „f Marti n •Suzanne L Man f, '•L' 1115@ i Noe' 1t EXPIRES 2111115 Aquaworx IPC-1 Other Information: The sand layer must be installed minimum 6"into native soils, 30"sand with a total trench depth of 54" • • Page 3 of 5; Livingston; Parcel#964 700 064 . • .....-• Effluent Pumps Orenco Systems' Incorporated 1-800-348-9843 100 , ', /" I 4 1 1_ _. . . Effluent Pumps PEF 15© 90 EF , PKP Series 1 1 hpto1-1/2hp 1 j 80 �• i i PEF 100 l ' F l 70 , :! j S 1 1 b j 3 I.w 60 f 0 PEF 75 ` H . h 50 1 1 u l ca C PEF 5€1 i i ti* a 1 D 40 i j To _hi 11111111 ;t l effluent pump 30 ratimmunigni 1111M1111111*Emir11116.1 ,. 25'of head l _l � ., ,, „__. 20 1 10 PEF3311 ' 0 1 , ! t. i . I PKp 3501 I i 0 10 20 3d35 gpm li 50 60 70 80 90 Net Discharger gpm NDW-PC-PEF-1 Rev.5.0.©9/04 Page 1 011 , page 2 of 5;Livingston; Tank Cross Section-Not To Scale parcel#964 700 064 (For illustrative purposes only, actual tank configuration may vary, tanks must be on list of approved products.) SECURED LID WITH GAS TIGHT SEAL 1 ACCESS RISER .aFC' r FINISH GRADE 2,8 --7_e TO PUMP / f CHAMBER FROM SEWAGE SOURCE FLOATING MAT APPROVED EFFLUENT FILTER SEDIMENTS Max.1/16"filter must ---� / be installed 1�,L " '''.GE DISPOSAL DESIGN SEPTIC TANK ''Dyed for onstruct on (TYPICAL) e....5./X- Late SECURED LID WITH GAS TIGHT SEAL THREADED UNION ACCESS RISER NN SERVICE FINISH GRADE — VALVE n dliiim.;/7/ FROM SEPTIC c 1®lyl S i II —÷TO DRAINFIELD TANK r 11 ri 180 ? I • II — EMERGENCY STORAGE ANTI SIPHON HIGH WATER ALARM LEVEL Iwo 1 VALVE 180 Aquaworx Transducer 1 NORMAL TIMER OFF^LEVEL WORKING VOLUME 'I well ENCLOSED PUMP • SEDIMENT SHROUD' �NI CHECK VALVE* 18" SEDIMENTS ,, 11111111111M SUBMERSIBLE CENTRIFUGAL PUMP PUMP CHAMBER (TYPICAL) *AS NEEDED 1000 gallon pump chamber • Page 1 of 1; Livingston; Parcel#964 700 064 p JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST..PORT TOWNSEND.WA 9836a-(360t S79 4450 r�, SOIL EVALUATION ���to j AS� 1 # Kenneth&Evelyn Livingston ?��� -��� ; M�'r, PROPERTY OWNER y g =. -- 5e 2 ••••. Suzanne L Martn 0# ', f�tC ,f, ��'C� fSONDt GNg7" tt SYSTEM DESIGNER Suzanne Martin y.R. jt Ja LEGAL DESCRIPTION: Section �6 Township 30N Range 1W Parcel # 964 700 064 Subdivision Name Kala Piiiiir#1 Division Block Lot(s) 64 Date Logged: 15 December 2014 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 0-15" Dark brown gravelly sandy loam/Grey mottled 19 4" Yellow soils 19-49"Yellow brown fine sand , fine sand (disturbed soils) 49-62"compact mottle ne s o d l 15-36"light yel/brn gray.fine sand w/faint mottled VamixAk, LAP ` 36-55"Grey mottled fine and - I . J. Pats a-`` l 4 6'`' seep @55" rr: r �. t !, �T t t t fvv j 4 ' el lip 1 Anticipated water table in. p Anticipated water table in. F\' 3 Roots to 48 inches Roots to 49 inches H e a l t h C o m m e n t s 01461 tG } Health Dept. Comments SOIL LOG 3 L S k \I4 L S SOIL LOG 4 /LMCtAL5 11, 0/6/01 / 2 1 9((` Z Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments SOIL LOG 5 SOIL LOG #6 0-36/39"Type 4 fill 36/ 9- 6+"type 4 soils/AN ate4,6 y L1 (0i __VP zs step ramp to avoid ex. drainfield U Anticipated water table in. Anticipated water table in. 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