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SEP2014-00043
Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Shirley Scheier& Michael Thorwick /-" h';� A, 1....'t, h MAILING ADDRESS 3056 NE 86th Street „_ 5.1, Seattle,WA 981154 4.4 f '��� PHONE 360 344-2602 : SuzannaLManin •'� Er.T1,1,5 SYSTEM DESIGNER Suzanne Martin Designer Phone# (360)554-0224 LEGAL DESCRIPTION: Section 13 Township 30N Range 2W PARCEL# 938 701 034 Cape George Colony 4 Subdivision Name Division Block 10 Lot(s) 36 & 37 ,.p Site address/Directions to site 37 Quilcene Place-Port Townsend " ,, SOURCE OF SEWAGE/USE TYPE OF WORK �' WATER SOURCE Residential ✓ _ New ✓ Tank/s only ✓ Private Residential ADU Modification_ ---- Public 1/ Commercial Expansion_ Community Upgrade SYSTEM TYPE Repair SITE SIZE +/-0.56ac • Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate RAsprve Area Yes# SEP99.69�2 2-' Alternative ✓ Redesign No SYSTEM DETAILS Number of Gallons/day 240 Soil type 5 ex. (attach soil eval.) Application Rate 0.90 ex gal./sq.ft./day Drainfield Length ex ft. Trench Width ex ft. Trench/Bed Depth qlendon in. Septic Tank size 1500 prop. gal. Pump Chamber size ex gal. ex. 1000 gal. septic tank to remain TYPE OFTank only-pump on demand from 2nd compartment of prop.1500gal septic tank to ex. 1000gaI septic tank 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 an • - ounty approvals. For example, it DOES NOT GUARANTEE that you will later o 4 tai ,p00. 11:111, build a permanent residence or other structure on this parcel. Any future applic. 1 l - . .. tely judged by the rules and laws in effect at that time. ,■∎• ,!fir_ r _ ii Z e7 1 ' v perty Own gnature Date FOR OFFICE USE ONLY )3/ ' s PARTIAL ASBUILTO FIN ►/ AP RO E n4' INSP/PUMPTESTEA ohs- prv�4 i(, IIS Y � / ALL HOLD REQ.MET C Date Lill /i y Fee V Rec# /q 9/ 49 Check# ✓ .33 y Case#SEP Li -04 'S �.\nnn,,,nenfa a eett;nrJe\c„vanne Mme,-f;n\My nnn„menra\my tlnn„mere- 7anne\mhh�p\Jefferapr, r.,,,,,t�r\Teffr., forms\Suz\2008 SPA.DOC • JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING Designer Suzanne Martin Permit # SEP 14-00043 Installer RJ Services, Inc. (Charles Smith) Parcel # 938 701 034 Electrician Design Flow 240 (SEP99-212) Property Owner Michael Thorwick&Shirley Scheier Site Address 37 Quilcene Place-Port Townsend, WA 98368 Answer all questions or indicate NA MAR 20/s DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) ex. Pump chamber (manufacturer, size) 1500 gallon 2 compartment, Peninsula, pumping 9/5/14 from the second compartment of the tank Screen(s)and/or Pump Shroud (type, location) shroud around pump in pump chamber 9/5/14 Were Tanks tested onsite for water tightness? 0 No Panel Model Infiltrator Timer Model Aquaworx 2/26/15 Pump 1 — Man./Model Zoeller BN 152 Flow Rate 10 porn 2/26/15 Pump Location (i.e. garage, treatment unit, basement) in second compartment of 1500 gal tank Float/transducer settings Inches Timer from bottom of tank- On/off- - 19.9 ; in. Functions: On 30 " se /min Veto - 3 8 in. Off 20 sec hr Alarm - 31 6 in. Veto On 20 se /min Storage Above High Water Alarm +1-20 ', gal. Veto Off- 15 sec/'hr Dose Counter Reading 4 d/0 vdose # gallons/dose 10. gal. Elap. Time Meter Reading 00 02 04 min co- Pump Throttled? „;Yes No Dose Drawdown (in inches) vy ,,A-14: Pump 2 — Man./Model n/a Flow Rate am 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 , , 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""/ No 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) ID: 05-08-2013; 1 dose autoclear; ZB-08 H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 4 V if System Owner: Michael Thorwick & Shirley Scheier �o SEP14-00043; c�R Parcel #938 701 034 Site Address: 37 Quilcene Place-Port Townsend 0.6 �___ _ _1ICPM to cniInca 2.5 64"transducer 6 8 1 _ to ex.septic tank I '- I I 1 rr//�{,, outlet plugged baffles installed Y 1 tank has been water tested�� {r��/{� J 12.8"veto 1500 Gallon Peninsula 2 compartment tank, 0---------- pumping out of second compartment ZB-08; 12.6"alarm tank was waterproofed at manufacturer& bentonite around risers,inlet&outlet;2.75" start @ 0.9 between shroud and bottom of the bell. pump in shroud sq 1 /A...p N� ,r i5100342 ••,+41■/ SUZANNE LEA MARTIN • EXPI" 211! B a) 0 v Lo •o ;, v (n N. E o ° N G V NFO- z . ON M C) e9 8 C a $ "c .CLL °_ OCC M Co Tr cf)6 3 W Eao > (oa° QxUZo U lJ.l a mats m 8m rnM 4 O� m —° U L.L og ; m ° � ° � d' m oi,, 'D '! d ° 0) 8a W o_ EN ° - II to me Ii : %ii - C .` C ''O D , N '5 * OU N °// W . tOc c . J cony 0 0n IT) r vijc`a +I rn 3 —y Q y v 0 N >. ,_. ;1.-. n- N m n c 3 -' 3 c = N °�'�j-- m i ( G_ OO CO CO € ‘° 1 O (o m rn ac3co V CO O d o `a N 0 L N a/ < FO.. (n w C 0 3 7 as C o v Q v .. o .3 :4 om .= : v z in aai Nit im O rn a ` ? o % c E D • o N 0 co 0• �° x eD w 0 L E 0 asEov _0 c3rn-oar oasaocE L ca) EO0O .c N L y _c o c fl ) O fM .a 2 0 y >, a) rna c o 2 c E 3 E m Z ao E. u� o u) m V O X T ca O -rr ca a) N V S N 0 ....,,,,,'.°/ N IA O p 1 inc.' a / .69•OZI 3.60.1E.EN .W in yi TT '°'''' IIM , v I \ ,. 1 F 0 . :ii Li\.;:\_., ,-\\KI _._. _ :11 -------- ., ___4..5..,-. i ...." ,7:. J _/1, ys, . 3 ° G \ /AT ; 6 A Q q / ,�^moo Ar► V 4 ii,,, --r- i0:4.' R' Y° rR•f+1. -'4"V (A ,7 41 1 C N V L _ -,— Y I Q N d C / O u 3 L.__ ........._ tz....._ ___ • • Z Y 7 4 C O p U to C Y V E O N /r N I' 50'W 130.0' j n 0.v C L d Y pY C O- 3 O Y.I- ar u c o.- PALMER DRIVE • /ROLM'moo I V I V.74 4-07U-A-‘196"'( Detail of ex. septic tank and SUN 06 2014 proposed inlet from proposed septic/pump tank Jefferson aunty Environmental Health ink#1rom pumpla tkbsepic tank,nr.t below the aam tom b audio _ '•.t. . 1•pwech41cm • • .�. • b mr.pp d Proposed • • Pup 1rk�. ... ' .4 .....• • :i. y''. i' fir. • • YiNYan sc.boor " I.Pat di40s dm mud . lowrdusUrw lho the chow zone : psepOct nk "I;.� — :4. - 4 4 r- ? ' S:LCUG kO cam, .: ¶Q co / roa II Jim 2.14 lea` �z + s� . yr+ 4 't J Na+, Su.,,, MSd 4+4 ` C td- Pliir N Page 3 of 5; Scheir/Thorwick; Parcel #938701034 0 2' 4' SCALE 1"=2 FEET risers to surface transducer� 8 f I.I�__/�/{{{ to ex.septic tank I r n r— -outlet to be plugged baffles to be installed t13.2"veto if there is a hole in mid point of" _ center all it must be plugged 8 water tested C±i3aarm 4.25 start Cot 0.5 min 2"between shroud&transducer 6------------1 The pump should be set for ri 1 approximately 10 seconds on and pump in shroud 1.50 (( approximately 4 min off. Precise recommend Screen 1.75 times to be set on site after the I pump rate is known. I.li! 1.,_ <\‘\11\ e6 o S.-PC,��a 0 Boa, airi Ir .. , / �,vwnx-4/ 11• i " - 1% f i'.' 5100342 111 1 �•••.• �S tUZANNE LEA MARTIN y t'- , 1 / 1 41) Page 4 of 5;Scheier/Thorwick; Parcel#938 701 034 • • `• Effluent Pumps Orenorated Systems' 1-800-348-9843 I ; I Ii I. -w - i Effluent Pumps 90 , PEF1501 ' PEF, P1(P Series 1/3 hp to 1-1/2 hp i 1 • 1 PEF 100 : 3 r , H 70 l I E f • I 4.0 1 I p PEF751 1 I Y t { 1 I 3 E • PEF50 1 1 w! S i i i 30 1 l , , . . 20 effluent pump "' , ` 15'of , l ..„ head -� I X1,4. 10 •I j i s a -, i JS _ i rt 11 I firth PKP30t I PEF 33 d4 A n > s rte+i 1 7 ri 1t a c6+. L.1 ;.i 0 �� 20 30 40 50 60 - 70 80 90 Net Discharge,gpm NDW-PC-PEF-1 Rev.5.0,©9/04 Page 1 of 1 Page 1 of 5;Scheier; Parcel#938 701 034 ONSITE SEWAGE DISPOSAL a SYSTEM DESIGN �i' 4 April 2014 5 2 � y Suzanne l Martin ••.; ) Date p o. Ny1.. � � f9/J Eowi nmu Property Owner Shirley Scheier&Michael Thorwick 4 April 2014 System Designer Suzanne Martin Legal Description: Section 13 Township 30N Range 2W Subdivision Name Cape George Colony Division 4 Block 10 Lot(s) 36/37 I. CALCULATIONS If for residential use: Number of Bedrooms: 2 ex x 120 G.P.D. = 240 ex total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. Soil texture waste water application rate 0.90ex G.P.D./ft. squared (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: Absorption area: ex square feet (total G.P.D. :G.P.D./ft. squared) Trench or bed width ex feet Trench or bed length ex lineal feet (sq. ft. 4 trench or bed width) II. APPURTENANCES Septic Tank Size 1500 min gallons • Pump Requirements (If Necessary) Elevation difference in feet +/-10 Friction loss +/-1' Pump capacity should be 10 G.P.M. at 15 T.D.H. Number of doses per day demand Dosing volume demand gallons Pump chamber size 2nd comp gallons H:\home\pincntr\infohlth\se wd sn x i a 1:13W1Vd Q m ?L Fl-___.- c a m a A.0E1 709eIN \ ...------- ----- ------ _------- --.------' 9 j S CA V ....,/ C in m c ug m m QQ a a Q S v' �3 N m j j / 3 bi b1 Z s i M m / f� P m 0 rn ` , � \\ \ ,-) E I V $ \\N � \ C r : a Q <: . 7 #0. I z i v / P d A d A � g f N3 31' • E / = am-i j..:t : :' t, 120.69' m x m ► 1-QQ0. N fea • 1;3 st.'liii .c% -.G. 0 fl) goll 1491tFlegickffilliibit § likA .S. iii; iggligigiFill"'—' Bkill 11111. 11Filflli 3 co 5 j 1111 ril:zigltil Ii 411 st ga s§ alai( ffilit 110 § 3ael I a-- g /I 3116 lirgi 11 e 8. -,,„, li!il frillr 1; * 1 1 :i5 se il mom m 1111 IftQ m pe V iil pli 0 g Q � m0 N R; ill _, iii g F210