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HomeMy WebLinkAboutSEP2014-00008 Jefferson County Department of Community Development 621 Sheridan SL, Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Barbara Gould + MAILING ADDRESS 103 North Lvter Ave. 7Ø " / Port Townsend,WA 98368 ° ` PHONE ( 952 ) 446-1148 e/ 510 0,50 SYSTEM DESIGNER Ronald Garcelon Designer Phone# 360-681-2202 viva ` LEGAL DESCRIPTION: Section 35 Township 30N Range 1W PARCEL# 989-600-018 � ` OS/04/20k 0C/eta/icy Subdivision Name Prospect View Estates Division Block Lot(s) 18 . Site address/Directions to site 33 Elston Avenue, Port Townsend,WA 98368 SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential X New Tank/s only X Private Residential ADU Modification Public X Commercial Expansion CoEnrnuit-y Upgrade Repair SITE SIZE 16,250sgft SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional X Designate Reserve Area Yes# X(SEP#95-00182) Alternative Redesign X. No i' S P I - o _ yv o,9s SYSTEM DETAILS Number of Gallons/day existing Soil type existing (attach soil eval) Application Rate existing gal./sq.ft./day Drainfield Length: existing ft Width existing ft Trench/Bed Depth existing.-. ' Septic Tank size 1,000 gal. Pump 13a,si 01 sizeµl30 gal. pu► ert-ic, JUN 0 9 2014 TYPE OF SYSTEMP,asto 4- Tank Placemenkfor existing Conventional Gravity Drainfield aktY 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 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 future application will be separately judged by the rules and laws in effect at that time. Ir 6_ . 0 ! 1 .6 /3 Property Owner Signature Date ( FOR OFFICE USE ONLY c / id r PARTIAL ASBUILT IP2Ct �f l I/I FINAb f II//5 AP'RSV= INSP/PUMP TEST I/t fIs` CpPUD 4,A IS ALL HOLD REQ.MET a Date / Fee )-- 6-0 Rec#/5-6 O 5 d Check# J(-/ g Case#SEP I — 008 - JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street •Port Townsend •Washington •98368 www.jeffersoncountypublichealth.org Phone 3bU-38b-9444 Fax 3bU-3/9-4415/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00008 Date Received: 01/21/2014 SITE ADDRESS: 33 ELSTON AVE Revised Date: 06/19/2014 PORTTOWNSEND, WA 98368 Redesign Issued: 02/21/2014 Date Expires:02/21/17 APPLICANT: BARBARA GOULD TRUSTEE PHONE: B A GOULD REVOCABLE TRUST PO BOX 283 ST BONIFACIUS MN 553750283 LEGAL DESCRIPTION: PROSPECT VIEW ESTATES LOT 18 PARCEL#: 989600018 Section: 35 Township: 30N Range: 01 W DESIGNER: RONALD GARCELON PHONE: 360-461-3575 OLYMPIC ON-SITE PO BOX 3002 PORT ANGELES WA 98362 SYSTEM DESCRIPTION: SEP TANK/PUMP CHAM TO IND SYS No. of Gallons per Day: 360 Drainfield Trench Septic Tank Length: feet Width: feet Depth: 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 Syste s, odified in JCC 8.15 as amended. This permit may not be renewed. Jefferso County Envi onmental 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 REVERSE CONDITIONS OF APPROVAL - PERMIT NO.: SEP14-00008 1.) A riser on the existing D box and monitoring ports in the drainfield are required as per design. 2.) The septic tank must be baffled as shown on the approved plan set. 3.) The pump basin and control panel specified on the plan set may not be substituted w/o approval from the Jefferson County Health Department 4.) 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. 5.) H - AS PER WAC 246-272A AND JEFFERSON COUNTY CODE 8.15 ALL ONSITE SEWAGE SYSTEMS REQUIRE THATA 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.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 7.) H -An asbuilt drawing and certification of completion by the Designer is required prior to final approval. 8.) 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. 9.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 10.) 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. 11.) 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. 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. Page2of2 \\tidemark\data\forms\F_SEP_PermitRedesign_nw.rpt 6/19/2014 f . CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT INSTALLER ii.Zi \, 1l[ 1 tka PARCEL # r T.6' &/8 Permit Owner z24 &0o-`C Permit # '— ABSORPTION AREA: DRAINFIELD / TRENCH s.-, , TRENCH 4 TANK #OF #GAL/ LENGTH Zit WIDTH ' DEPTH SIZE' / _BEDRMS DAY 36o Tank(V.5"..Z. Shroud/ IF PUMP AND PUMP CHAMBER REQUIRED: Size 1r .trIt Screen Float Arrangement High water float—distance to top of tank/emergency storage, Dose drawdown (#of inches) Po e- ae ,7 /Y.#Gallons/Dose ea#. ,a-�' .,ZC7 Timer/Dose Counter info 47-- Pump Size/Manufacturer L/cT/1 2y '4,, I CERTIFY THIS ONSITE SEWAGE SYSTEM WAS INSTALLED AS DESIGNED, PER PLAN APPROVED L .,----o-o` . 10 its!I9 nATF INSTA LER SIGNATURE DATE INSTALLED I or oil i 10 7 .4:>.f. yM • / 1, h j MG : VER-r,A`I Lrs:z;y, '. :Lc, - to EX- .- 1F.. f ASBUILT C(I \LNITI NAL F _l -f(- 4 pdf ., N • 14, go - ,---- E 1.,-, 07 So ..., o of. ..,,>, %. .4 (' ) 1 - 1..Ott /1 . , 0, • S po,A,:; • .•••.. go\ / . /• > poi- p Afr,• SCare: 1" = 20' f•' eil'r*, --<- f "4-; ' • d , .„._____ RIO ' '-a4EAVER1' 1 0. . .. # \ o' le 20' 40 . 4°. * *-2 .: 20 I , 101:111111AA0161W‘WilllekV4.11046AM.; , . . 1 ;‘ 1,1,. #, . \., /4( ‘ \ \ \ \ ' k-1 y / , \ (A.... ,....._ , , / r5, \ \ / EXISTING DRAINFIELD7 / -/'- 1,., -c7" c_3; -Li- \-1 c.". -,...---''-' - ' \ \ON• , / kZ-eRtie .. \ D , / .- - - _ .,------- , / /SEPTIC TAN est,tv 1-1. , i _.. ..' •NTROL ii i < / R ANEL I' "1" \ ,------'' 9 II*-- _ /0 i 1 / ki\ZP - 0,0 / '---- eif V/-c-- cc,?) os, cr%- I I 4tts 4-.0 10' IN. / I •■ r-- te/A-t.S)6 /:po <<.‘o / 1/ l'A2c °49 DISTRIBUTION BOX \ I 0 5' EAN -‹ , • OUT ---S7 vi:,..„4/,... /56 I k://k -----7 4/ di& _,.• I ____ ‘ 24" DIA. 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Ov��\ ■ CY,'6. 13NVd,�' � ,6 Ili < 0 1 6 la ' ��\ -1011N9 0 .\ \�'� NV1 0Ild3S / w °° s� \ N0�`Ib0 000't M3N ,6/ / \' . .._.0 or) \ V) °l / O 'j i d0 //(l 'sue \' /tip c)(SlelOd e01INOW -1-1b1SNI) O �■ O�'� a�3ldNibda ONIISIX3 O > / �bJ \ / O / \?\ \ / O� / - CP Z ,Of' ,0Z ,0r 0 I I ,oz = „r :a.Pas S 1 3 ∎fti — M ,1 N Olympic On-Site Gould Wastewater System Design&Inspections 13-0157 SA Tank Placement Calculations 2014 Gould/Parcel# 989-600-018 The following calculations describe a new Septic Tank Placement and Pump Basin to serve a proposed 3-Bedroom SFR and connected to an existing conventional gravity drainfield installed in 1998 under SEP#: 1995-00182. The property is located at 33 Elston Road, Port Townsend, WA in the Prospect View Estates. Septic Tank Sizing Use a new 1,000 gallon, two-compartment, concrete septic tank from Peninsula Tanks or Designer Approved Equivalent. See page 2 of 2 of the design drawings for specifications. Pump Basin Shall be an Orenco Systems, Inc. 24" Dia. pump basin listed on WA DOH 6/1/14 List of Registered Sewage Tanks. See page 2 of 2 of the design drawings for specifications. Pump and Controls The pump shall be a Goulds EPO411 or designer approved equivalent. Control panel shall be an Orenco on-demand control panel with a dose counter, high-water alarm and On/Off control capability. �t. JUN JuN 0 9 2014 ?tit 1,, 'i.F n trt.°s...ae`� „200. S'C'•t D • r LICENSE ............ it !!! ■ 1!!<t EXPIRES: 09/04/20/4, DATE; I 0 CU crs a P.O.Box 3002 ♦ Port Angeles,WA 98362 • Phone(360)681-2202 4 olympiconsite @gwestoffice.net JEFFERSON COUNTY PERMIT CENTER FOR OFFICE USE 621 SHERIDAN SEPTIC PERMIT APPLICATION Date 2C PORT TOWNSEND WA 98368 RECEIVED Fee $ /5`0, (.) (353) 379-4450 :UN Receipt # /p�'/t? 2 2 1995 Check ; n JECFERSON COUP.. Case = P/ /JZV G> /s - KirioAti VCIV(Cr! PROPERTY OWNER 67-e J7 e 17 MAILING ADDRESS 4 d ?0 so, /sc o'Y ert j13 72.1•4,4 e.=70' • a, 9 8.3 8 PHONE Area C_de ( G ) - 3 G 3 G SYSTEM DESIGNER d _�$', /•�/C f. P L�' LEGAL DESCRIPTION: Section 3•$ Township 3 O Range J,dA/ PARCEL # t—(oa Subdivision Name rpm CtI�/e. Division C. BIock /6,2 Lotis) /8 SITE LOCATION A:- ‘---i7d D/ I""cosPe AVf , i3OkVt c ,1 <Ji(c )�rG .;TTACH MAP) tl 2.C`-��TJ�1 .�tC- )� '.Jl�� Ir�� , h�C`��`" J�t�r-') E�. TYPE OF IMPROVEMENT: F_sidential t/ Commercial +j TYPE OF WORK: New 7 Redesign Upgrade Repair Partial: tank drainfeld Number of Bedrooms Drainfield Length .a d0 ft. Easement: yes ^.o / Trench,Bed Depth 2 f in. Site Size .%).,3 7 Number of Lines Previous evaluation: yes no Y Tank size ga . Water Source: Private Public y Soil type 4 (ATTACH SOIL EVAL.: Drainfield Width ..3 f;. Application Rate , . gaLlsq.ft.lday TYPE OF SYSTEM 6 O/7 v G/77./.0 7.7/ 7/41 THE UNDERSIGNED ACK(NC.'.LEDGES THAT THE INFORMATION PROVIDED IS TRUE AND CCRRE!sT AND THAT FALSE INFORMATION WILL NEGATE AND INVALIDATE THE APPLICATION AND/OR THE SUESEQ14:NT PERMIT. THE PROPERTY OWNER WL_ BE RESPONSIBLE FOR THE ACCURATE LOCATION OF ALL PROPERTY LINES. Signature Date FOR OFFICE USE ONLY n • 3/r y 93 ' r(ci- 7 /5 -FA,k APPROVED PARTIAL FINAL Lelt.C! RENEWED - RENEWED Planning District School District Fire District Community Plan h gfCME'Pt NCNTRUKa.1E 1NtPERMIT.FRM UDd..4 1:95 SEWAGE DISPOSAL PERMIT JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN STREET, PORT TOWNSEND, WA 98368 (360) 379-4450 PERMIT NUMBER:SEP95-0182 ISSUE DATE:08/31/95 DATE RECEIVED: 06/22/95 Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN JEFFERSON COUNTY, WASHINGTON ISSUED TO • GENE SETON 4890 SO DISCOVERY RD PORT TOWNSEND WA 98368 PARCEL NUMBER: 989600018 (Permit valid for this parcel ONLY) LEGAL DESCRIPTION Section: 35, Township 30 N, Range 01 West Subdivision : PROSPECT VIEW EST Block : 162 Lot(s) : 18; TRACT 18 LOCATION • ELSTON AVE DESIGNER • TED STRICKLIN, PE THIS PERMIT IS ISSUED FOR A PERIOD OF ONE YEAR (UNLESS OTHERWISE STATED BELOW) IN ACCORDANCE WITH JEFFERSON COUNTY RULES AND REGULATIONS FOR ON- SITE SEWAGE DISPOSAL SYSTEMS, ORDINANCE NO. 1-83 . DATE OF EXPIRATI0N:08/31/96 ` 'icea ' Jefferson Co. Environmental Health Specialist. The property owner will be 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 building or sewage disposal plans (including plumbing stubout location) and/or location of house or drainfield invalidates this permit unless prior approval is obtained from the Jefferson Co. Health Dept. Issuance of a permit or renewal does not preclude the applicant from complying with all other state and local regulations. HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION. TYPE OF SYSTEM: CONVENTIONAL TRENCH NO. OF BEDROOMS: 3 Drainfield Trench Tank Length:200 ft. Width: 3 . 0 ft. Depth:24 in. Size: 1000 gal. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE Conditions of Approval - Permit no. : SEP95-0182 For: GENE SETON Page: 2 1) 10 ft. setback to water line from any portion of drainfield to be maintained. 2) MAXIMUM TRENCH DEPTH 36 INCHES 3) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. Protective barriers are required around drainfield. 4) Drainlines are to be installed along the natural contours . 5) Any portion of transport line under a driven way is to be double cased or equivalent. 6) Asphaultic emulsion or equivalent required on septic tank and/or pump chamber. 7 ) Approval/issuance of a sewage disposal permit does not guarantee the approval of a building permit on this site. 8 ) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Critical Areas Ordinance for other development on the site. sep prmt.txt 09/05/91 L l_ As bA_ L4 v ,Lio ev,&-• ki. ec\ o / 8 - k rV\\.,,__. . i_. r"\ -\-0■Alv...4-- V e,f.--;c%.-,e a '41.44-1<:it EP cr5 -0182- *,.. lig.... 4- .s,. ot\N 1 VA a 00 1 0 i-ve,.. A (4.A , S' Ree-ry - Arect 1 0 o .3 N ck 1 / l9c2 1. 1 01 ci $ a+ iaa 1 Co e, 4 ! \ \ 1><'') 1.0 41ge )( $ $ - k --- --N- 4,•,\ i I N, 94 0 , 0..... 1 ill \ , I 1i i ____ RECEIVED OCT 0 1 1998 JEFF. COUNTY HEALTH AND HUMAN SERVICES * ACTIVITY REPORT FILE NAME/NUMBER RS PARCEL # q9 600 O . ' .12_.-(3 NAME CD ,e,""_54. 4:15`c\ ADDRESS Health Department Staff: L ( . A+ kA Date: q- NARRATIVE: 1 64 )k--Q 5Q CA. Grn "J ev cy.,-..ct c/y\QA Lis I 1 ,!\R aackAA cxbook, QbJTh (-\ - 10Q eA / DL9 4,(6 0-.0A cor„p -0 nim.c) rYLQ.A Ca.) r-N (Z- c";1 0-30 33-So ,:,;(5 So- Pc I ,e*r-i 1:6 kto Actions : , t 4N-0• FOR OFFICE USE ONLY FOR FINALL INSPECTION INFORMATION AND APPROVAL SYSTEM INSTALLED BY c'0 ' CCIA\-e-52 ABSORPTION AREA: ler LENGTHELD �� WI DT (j: DEPTHH Q 4 SIZE PRESSURE TEST OBSERVED APPROVED SPECIALIST DATE COMMENTS: rc. 1\ c off^ ` �^ � S e �c` q -b®k. , v)ft-ems l ase (-SpQkftf t • 6—V ► lJ "i C J°1 lea V 0 k _ _ IA st 0.l 'e-r) ■:\)--`k \ .; • 5 i 5.÷, NAME PERMIT NUMBER , . , ■ jti,pic 1 0 FOR OFFICE USE ONLY FOR FINAL INSPECTION INFORMATION AND APPROVAL SYSTEM INSTALLED BY c 0 , CO-17 ABSORPTION AREA: otr- • DRAINFIELD 1 TRENCH . TRENCH ,ii11 TANK LENGTH Q00 WIDTH -,..3Lo DEPTH ,t...1.st SIZE PRESSURE TEST OBSERVED APPROVED - SPECIALIST DATE COMMENTS: I (3--k- 1% at.6 ct Lc?00 9 B\v...\• ---,- -- ''- • ... , . _ __....... \ . ' \ sz,/ . ... . . . . s . , • e...Q . s \ . \ (O \ ; q I r • • . • . .. . . .. . . . . .... . , - '• ' - -\ --- ... t:-P iiiNR . . . , . . . . , . , .._A<;-(5.'Y'\' ' • . . . 7 , . ... . . . r .$... ,,..... . . 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I, • . • ‘., ,... . , ... v : . .. ... 1 REC ED ..UN 2 2 1995 SOIL INFORMATION Jtje!FASON COij r, OWNER (9e', e --S�J c Parcel Number LEGAL DESCRIPTION: Section 3.5°' Township $co Range 214/ Subdivision . Division 4. Block /4-2 Lot/s4047' "Ai- .�/ DATE LOGGED: 8-//- 91e LOGGED BY: 7;7. off' 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 r9 to 17 in. .S :.: • D to ..2e) in. SJd 19 to JG in. 15 to '349 in. C a'!, to 48 in. .S.G (j ® _14 to ,79 in. .t,S .yeA to 7a in. to in. Anticipated water table - in. . Anticipated water table in. Roots to . .3.3 inches Roots to 4e, inches HEALTH DEPT. COMMENTS HEALTH DEPT. COMMENTS / ,Z.Gro‘i 014 SOIL LOG #3 SOfl "LOG #4 °�(` o to .3 9 in. SL 4 to 404 in. .5 to G 6' in. ..,5 c— 4/4 to 7-e i n. G to in. i..,. to in. � .' to in. to in. Anticipated water table in. Anticipated water table in. Roots to 41,4i inches Roots to $14 inches HEALTH DEPT. COMMENTS HEALTH DEPT. COMMENTS SOIL LOG #5 SOIL LOG #6 to 4,,/ in. 1 %.5.4 O to /19 in. .SL. 3 to 641 in. ,.,,' 1 to 7L in. S 4 G I to 72 in. ..S Gr. to in. to in. to in. Anticipated water tables. — in. Anticipated water table -- - in. Roots to .-2.0 inches Roots to Ad) inches HEALTH DEPT. COMMENTS HEALTH DEPT. COMMENTS / E ED EIV JEFFERSON COUNTY PERMIT CENTER R 621 SHERar�AN Sr SOIL EVALUATION PART T.OWNSEND WA 98368 ���7 17 1 2 1995 (360)379-4450 jcr.�c�l 1 CCU"ir 1/�®�j � 4 ' a i.ridii f 1+CIY I tr, PROPERTY OWNER e/7d. .._5-- -=o� //—c-L--- SYSTEM DESIGNER _Zig d , ��=roc ,.--7, LEGAL DESCRIPTION: Section ,5c Township , v Range / c/ Parcel # AVAIr Subdivision Name ,. ';--®/;(2W Division z Block/4,2, Lots) /71 .Z/ Date Logged: ‘ —..Z —9.4-- Logged By: 7 J7 —, J /' -7 Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #$ /f/ SOIL LOG #28 to g in. ,.S'. p to ...14. in. .SL 37 to 474 in. .,.5 fir, .24 to Id.,./ in. Meet, .S to in. ii.Z t o 43 in. .S Gri-- to in. to in. Anticipated water table --- in. Anticipated water table in. Roots to A/ 5' inches Roots to 1f/ inches Health Dept. Comments Health Dept. Comments AS /' ..0 sz*, ' /, SOIL LOG #3/7 SOIL LOG "4 o to /6---in. SI— ® to 43 in. .4 S 1_5" to L 3 in. to G7r. 44 / to 49 in. net/. Sari./ to in. to in. to in. to in. Anticipated water table in. Anticipated water table in. Roots to 5,,J inches Roots to .5._.3 inches Health Dept. Comments Health Dept. Comments O `7 cy L SOIL LOG #5 g' SOIL LOG #6/7 Q to .34 in. L $ p to 414 in. ,,C Q,S .16 to 70 in. pfad s. 414. to 74' in.1fici, ,5, to in. to in. to in. to in. Anticipated water table -- in. Anticipated water table -- in. Roots to ,37 inches Roots to .S".. inches Health Dept. Comments Health Dept. Comments H.NIINFOHLTHlSOQ.FRM s RECEIVED JEFFERSON COUNTY WEALTH DEPARTMENT AN 2 2 1995 ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN J���GRSONC(�U�!'", (j ltti Date: &_ - 9-5- Designer: / ETc �7'-Ic.,s '', 7 Legal Description: Section Township .3 Range / Subdivision Division G Block 11,..2. Lot 1B Owner: _19 7-os-7 / Address: - 6' 9 o So. Di -aver 1. Rd. . CALCULATIONS If for residential use: Number of bedrooms : x 120 G.P.D. _ -. L Total G .P.D. If for non-residential use, attach calculations used to determine G .P .D . Soil texture waste water application rate a, G G .? .D. /ft . squared (see page 214 of the EPA Design Manual ) DRAINFIELD SIZING: Absorption area: 400 square feet (Total GPD G?D/ft squared) Trench or bed width 2 feet Trench or bed length 2e,,57 lineal feet (sq. ft . ; trench or bed width) II . APPURTENANCES Septic Tank Size 1 x240 gallons Pump Requirements (If Necessary) Elevation difference in feet Friction loss Pump capacity should be gpm at - — TDH Number of doses per day Dosing volume gallons Pump chamber size gallons • • RECEIVED III. DRAINFIELD CROSS SECTION UN 2 2 1995 J'�' FRSON Gou r • /1// �rGri t+tiV�' D /H/// .y y' Native soil A B C Impermeable material; Seasonal saturation A. Trench Depth ..Z 1r' inches S. c!5'' inches of drainrock below pipe C. !W,t7 inches of vertical separation from trench bottom to impermeable material/seasonal saturation D. "44Y7 inches of fill ( if needed) E. Trench width d4 inches Notes : - Attach detailed design of system