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HomeMy WebLinkAboutSEP2014-00075 1 Jefferson County Department of Community Development 621 Sheridan St.,Port Townsend WA 98368,(360)379-4450 , SEPTIC PERMIT APPLICATION pRopERnDER RODNEY&VICTORIA KONRAD MAIUNG ADDRESS 5729 GRAYHAWK LANE NE OLYMPIA, WASHINGTON 98516-9306 PHONE ( 360 ).438-1812 SYSTEM DESIGNER NATHAN N. CLEAVER Designer Phone# 360-620-4216 LEGAL DESCRIPTION: Section 15 Township 25N Range 2W PARCEL# 502-152-008 Subdivision Name Division Block Lots) 18 Site address/Directions to site LOT 18;JUPITER LOOP, BRINNON SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential If New Tank/s only Private d Residential ADU Modification Public Commercial Expansion, Community Upgrade Repair SITE SIZE 249,614+/- SYSTEM TYPE Partial Repair-(tank) (dr nfieid) Previous/ Conventional V Designate R Area Yes#5 5 Alternative Redesign If No SYSTEM DETAILS Number of Gallons/day 480 Soil type 4 (attach soil eval.) Application Rate 0.6 gal./sq.ftjday th 3 ft. Trench/Bed Depth 12 in. ' r�size NA Dal. � ��. - SI t 11 _E GRAVITY SYSTEM \ ' ,n VILA, S t Al attests that the information provided herein is true and correct to the best of `'�J mission of a material fact made by the applicant/owner with respect to this bk..3.A/VY .3 1 and void. I further agree to save, indemnify and hold harmless Jefferson ' r+ iasonable attorney's fees and expenses which may in any way accrue against l— ie granting of this permit. i Jefferson County and its employees,representatives or agents for the sole inspections. Staff's access and right of entry will be assumed unless the m -� the application that he or she requires prior notice. Inspections shall occur i304NAk:li. / ire notification before entry A lrl,JQ� alth Officer may appeal.Appeals shall be submitted to the Health Division in of the decision. on-site sewage system that meets the state and County ition. This application for an onsite sewage system DOES ipprovals. For example, it DOES NOT GUARANTEE that permanent residence or other structure on this parcel. Any future n uon > epara et y judged by the rules and laws in effect at that time. ttb sto 7/0tq Property Owner Signature FOR OFFICE USE ONLY t.0 4 I � rr /3 PARTIAL r�(` ASBUILT '&)� Ib FINAL APPROVE M4 n , ,,u INSP/PUMP TEST 1 C ( , /Cf 1/5- �) ALL HOLD REQ.NET ` Datej/U,11 q Fee I Z�� Rec#/�7 t 7 Check# 932T, Case#SEP 1 —043- H;\WEB\PDFs\Septic\septic_permitapp_2008.DOC JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 ry'H[N�tu www.jeffersoncountypublicheakh.org F'none .3bU-Jtf5-9444 t-ax JbU-i/9-44t3/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP14-00075 Date Received: 06/10/14 SITE ADDRESS: JUPITER LOOP Date Issued: 09/30/14 Date Expires: 09/30/17 APPLICANT: RODNEY L KONRAD PHONE: VICTORIA L KONRAD 5729 GRAYHAWK LN NE OLYMPIA WA 985169306 LEGAL DESCRIPTION: S15& 10 T25 R2W TAX 32 PARCEL#: 502152008 Section: 15 Township: 25N Range: 2W DESIGNER: NATHAN CLEAVER PHONE: 360-598-6546 NATHAN CLEAVER SEPTIC DESIGN 1990 KIMBALL ST. NW POULSBO WA 98370 SYSTEM DESCRIPTION: CONVENTIONAL TRENCH No. of Gallons per Day: 480 Type of work: NEW Drainfield Trench Septic Tank Length: 267 feet Width: 3 feet Depth: 12 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. Kif/( Jefferson County Environ ental 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.: SEP14-00075 1.) The existing "pump house"w/storage and a loft does not contain any plumbing fixtures nor are any approved. Counts as one bedroom at this time. 2.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 3.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 4.) 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 5.) 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. 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.) Contact designer prior to installation for staking of drainfield area. 12.) 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. 13.) 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. 14.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 15.) 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. 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. SEP14-00075 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 9/30/2014 17.) The application was reviewed by the Jefferson County staff for the potential presence of Critical Areas under the provisions of the Unified Development Code (UDC). After al Geographic Information Systems mapping review the following Critical Areas were confirmed to be present on the subject property: the property is mapped as having an erosion hazard on the south half of the property, away from the current proposal. 18.) The site plan as submitted with the Septic Permit application on June 10, 2014 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 approved site plan shall be resubmitted for review and approval by Jefferson County Department of Community Development. 19.) This approval is for a Septic Permit only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 20.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. SEP14-00075 Page 3 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 9/30/2014 it CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT INSTALLER got KO Jf2AO ( o ) PARCEL# SO2_- Permit Owner 11O C*3 -"( /fIC-0012-4:VD Permit # 3 EP 34 - 00095 AB ORPTION AREA: DRAINFIELD , TRENCH TRENCH TANK #OF tt !! #GALI c t LENGTH 2.1-4 5., WIDTH DEPTH 12. SIZE 1,000 BEDRMS ? DAY 't Tank -Shroud/. IF PUMP AND PUMP CHAMBER REQUIRED: Size NA Screen ORENCC 13\olv'l+E `°t sack. Float Arrangement iN OeaTtET' OF C°TA 01r— High water float-distance to top of tank/emergency storage Dose drawdown(#of inches) #Gallons/Dose Timer/Dose Counter info Pump Size/Manufacturer I CERTIFY THIS ONSITE SEWAGE SYSTEM WAS INSTALLED AS DESIGNED,PER PLAN APPROVED 30/y ATF INSTALLER SIGNATURE DATE INSTALLED MAINTENANCE BASICS 'There is a "filter sock" in the outlet baffle of the septic tank.The filter sock should be pulled out and hosed off every 6 months to avoid clogging and backing up into the house. Rubber gloves and other precautions must be taken to avoid contact with sewage. The tank should be pumped every 3-5 years. 'The drain field area needs to be seeded to prevent erosion. 'The D-box should be opened once a year to make sure that the outlet pipes are all level. Rubber gloves and other precautions must be taken to avoid contact with sewage. There is a"Speed Leveler" dial on each outlet pipe that can be turned to level the outlets 'The large green lids on the septic tank and the green cover over the D-Box must be secured at all times with screws or bolts to prevent hazard and tampering. 'Keep all traffic and heavy equipment off the drain field area. *Septic systems are only capable of treating and disposing of normal human waste, toilet paper and water. Some mild soaps and cleaners are also expected to go to the system as part of household cleaning. 'Do not dispose of chemicals, harsh cleaning agents, medications, garbage disposal waste, etc.to the septic system. Please feel free to call with any questions. 360-598-6546 Nathan N. Cleaver Licensed Onsite Wastewater Treatment System Designer I I Ii r m o � oo � cNvi .awN � d m U `' i z , I I ►_ I pp CO O ?? rn 0 - C� m v) co N I {OIN F.' 9\ W.9\ 9\ �. 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Z -A*� cu'DQ ir G7d N N 5 .o N n o m o 0 C n Z N 7 D m -AS v G) r N Z t_ r T. to II TI al d W a 07 v 0 Z v not m to -n A 4 r X O m ? -1 co 7 Q- ..i0 II m m D w -n t 0 0 < m m > a n o x n II CO G) (D H f- R < m O pa °ofl !of `� W ao 0 T - X N Z co P j m } I_-' O Z o A r1 A co ..S ea 0 Check one: vi INSTALLATION START NOTIFICATION DATE SENT \ 1 0 2-cii L PRESSURE/PUMP TEST INSPECTION REQUEST DATE SENT This form shall be faxed or emalled ONE working day prior to starting construction OR a minimum of 48 hours prior to pressure/pump test Jefferson County Public Health-Environmental Health Dept Phone: 360-385-9444 FAX: 360-379-4487 .0c r EMAIL: septic@co.jefferson.wa.us ' /7 , cof PERMIT OWNER RtLI VA-e t,, kb IA v a d SITE LOCATION „,..-0- 2)1/4,1t.. f 1+-C V. La' F'),., ki al I'l Oki PARCEL NUMBER U — Lc22- — D(.',.,'' SEP NUMBER I 1--- — 0 C 61 INSTALLER R of,1 CI'et) 0 V\Y4\at CONTACT PHONE 31aC) 4-)g_- I I 2- DATE FOR INSPECTION SYSTEM WILL REQUIRE PRESSURE TEST - YES NO *The designer is required to complete a pre-cover inspection of all systems. Please contact the designer prior to beginning construction to schedule installation inspections and pre-construction meeting if required per the permit or designs specifications. _—___........................_______ ............._.........—..................____ --\6 Jefferson County Staff Only:: MONITORING AGREEMENT MAILED DATE/INITIALS "'Y \7ESSURE TEST SCHEDULED /04 E A LI 0 410,4 .- 1 I , reML:11 LIci c ,-1--) ctll t-rth,tres (ire vwlirkeizi tir--1' 4- , ( 4' t-odl , _:-; ,, ›..e-- Nathan Cleaver Septic Design Inc. Contractor Registration#: NATHACS94002 Soil Logs ,/ Re: RODNEY KONRAD Parcel#: 502-152-008 `., Section: 15,Township: 25N,Range: 2W of Lo in done on 1st FEB 2012 y Nathan N. Cleaver Revis ted on 29th APR 2014 by a an N. Cleaver I ,42_ ' f Soil Log#1 0-3? ^ Oet'el /" 0 - 2" Duff 5-) !�t 2-60" Gravelly Bwn San.Loam L 1 Soil Log#2 0 - 2" Duff _3 ! 2 - 50" Gravelly Sandy Loam 0 A 50" Pockets of Solid Red Rock At ito 111t p 5i.. rSoil Log#3 J 1-/ I kik_ 0 - 2" Duff Qito.4t6 A.Ze-4-, 2-34" Gravelly Brown Sandy Loam 34-42" Gray Compact Rock Soil Log#4 _ 0 - 2" Duff 2 - 18" Gravelly Brown Sandy Loam Q 18" Solid Rock O /Q6.--t- ' Soil Log#5 5 ,,�3. 0 - 2" Duff 0`2 & �J L 6 : . 2-26" Gravelly Brown Sandy Loam G S - o 26" Compact Till nom, W g Soil Log#6 V Q_ `mot U/ , .: NATHAN W,CLEAVER as ' --3 f t aIJIIV ow a.", f.1r.**::. 0 - 2" Duff EXPIRES 0 f.,. 2-36" Gravelly Brown Sandy Loam 36" Compact e a/i Please feel free to call with any questions. Thank you, Nathan N. Cleaver Licensed Onsite Wastewater Treatment System Designer. Address: Telephone: 360-598-6546 1990 Kimball Rd. NW Fax: 360-598-6548 Poulsbo, WA 98370 Email: nathan @nathancleaver.com Please call ahead to make an appointment if you would like to meet with me.