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HomeMy WebLinkAboutSEP1988-00160 FOR RENE�WLL FOR 0 r .-' 'vti ' A(S t.3,..." t�e9``TON. ' • • - 4 ' Y .' JEFFERSON COUNTY HEALTH DEPARTMENT - 802 SHERIDAN AVENUE INSTALLER I u Jo PORT TOWNSEND,WASHINGTON 98368 RECEIPT NO. Q �/. (206)385-0722 DATE '1�4^gE BUILDER SEWAGE DISPOSAL PERMIT f?o< 13ex 56 D U �k er^ rte. 114c1/064 4 AP,,. C 'eg 3 ' ro:` ; rtn Owner Address Phone E e•- 0 flC 0 Directions for locating site it.: 3'27/ ©4k 34K P)R.D v. Z d 0 INSTALL NEW SYSTEM P9 REPLACE SYSTEM❑ PARTIAL REPAIR❑ TANK/ORAINFIELDLJ- ° cn O TYPE OF NO. OF _ SITE s. 3 $ 4_ b z BUILDING N e S BEDROOMS , I BASEMENT -SIZE a Previous site evaluation by SOIL TYPE DESCRIPTION III Health Department 1) SEE raT r AGt#I O Yes No Z i, Depth to maximum seasonal `fir water table i\ 4 " Source of potable water supply 2) Public Private .I Source type: Drilled well X 'Dug well 3 Other 3) < x a 1 EVERY,APPLICANT HAS THE RIGHT OF • Z IN APPEAL AS PER JEFFERSON COUNTY 4) ORDINANC 2-77. if 1/. /iii./ ..%" / - S N'TURE OF . • ` ` ∎ Z REMO . OF OR MAJOR DISTURBANCE OF SOIL IN THE PROPOSED OR APPROVED DRAT NFI ELD m O .,E•_� C �DI T I ONS THAT ARE UNACCEPTABLE FOR THE INSTALLATION OF A Q AREA FAY %.�rra I c SITE SEWAGE DISPOSAL SYSTEM... ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS (INCLUDING PLU RING STUBOUT LOCATION) AND/OR LOCATION OF HOUSE OR DRAINF1ELD INVALIDATES THIS PERMIT UNLESS PRIOR APPROVAL IS OBTAINED FROM THE HEALTH DEPARTMENT. (Call Health Dept. for final inspection). STUI8 OUT PLIIIBING ABOVE FOUNDATION FOOTING, p Drainfield Length 000 Trench width 3 Trench depth /12° No.lines 2 Tank size / j Soil type and application rate used for design ` '- GPD/ftz - d 8 O 4 COMMENTS: 3E E Pki-I A CO EO CctimrnPIQ t -• ___L_NSTA L.L. PE-Q zoNN 'r. soVc.O_s Of-s-r car. y-y-S V APR 08'88 Re.,,,,,-,-e.9 `(-18"--10 PROVED DATE INSPECTED P-RTIA�FINA∎ DATE `� n I certify that this system was installed in a manner approved by the Health Department. III- INSTALL ITS SIGNATURE DATE DATE INSTALLED 4:41: 171-4 .. .."1,,,-.K-.1://5:a--,.,, 1' ',,--4 e -ca /a.s-f-1 2-6 !� L_. ,..:« __....ASS' -_Cl/. _........ _. ... • • JEFFERSON COUNTY HEALTH DEPARTMENT Permit # e3 l e I INDIVIDUAL SEWAGE DISPOSAL INSPECTION FORM Date j_, a`j CI APPROVED YES NO ENVIRONMENTALIST l_._k(Ylrti A-416, r• Address `cyI k P.a , Owner -O 4- Le a1 Descri t ion R 1 q l I -( y.f)Qq Residence Commercial # of Bedrooms System InstallerjaLkAIL02S a c� System Designer,:)Qh r�Sd • SEPTIC TANK Commercial N4 Non commercial Measurements: L W WD Construction Material (Or-NC,1_9_1 i Lig. Cap. \ 000 i D G�Cti� jr I DISPOSAL FIELD �c � C � 0 jc {- Vr\ r\ \U u,-7"ems Exc. Depth \-2 Width � Total Length Q00 Sq Ft. C.S1 0(� Rock Type Depth Under Over Engineer Design Yes Type Engineer Approval Letter Yes Well 50 feet from tank X 100 feet from leach field Well installed at time of septic system inspection Yes No Public Water Comments: � C,,, �5�i,,,,ti ' �S�-� . Q�' ( k. Nv,c)._ (` R i A e4.1.21,01-\ AlC) C-AIQA -- A s,13. 1 1 fb P r k ''.:A 00 ! cy 0 50 '% I Asb,,;,34 ,,,,V) A:d41 10,A 'f` �L • V .S,\, 23' cairn Drain Z. Z CIS To s>r- , S — y Tie s ; s -N /YOU/OWP — — — — — — — � �R/ 41P_. _ _ _ — _ _. __: jpE , 41 ,, .2,, . 0,, 1::::3 • e�`e1 4c e 1. e Jr A IP • s: • ct v -.ate, �� A; _.<„. tee ¢• 4 I)11/ d IC 71.:',.„--)-1,\Q/7- ... . , ----- .,. 1 , fon insttl i- I K-- .. kAr,k. loIeS -... y\ , ,....y_c -,..\ N , -IA , 4 Z ■.4 4 , V. _ _ _ \ / u*T-,,A,,__ \f \--- O,,,,,..-Q-c- 6----), ,41,,,-- (-_-_-3 ot --------7 A k\ NI.s t (Ty\ txt; 1) f3, , , t--.0---,-. Viz•fi.,.::'— t ,,,,, . :.,-;>—' -2-- -`(-c, Trt•O Z) --'f VICI:(l.; ;C14:42--( 0/117""/ G('"14., . .- , 411,A:i 11Q--- _ tir.:3-1.)&>- 1;7.5 ig,?5.-"‘" / A 1 - (oc.;—C:j 0 0, , ivigt1N- 4.- ag;i4=12,21(.- -i-s,4*:' ••••....., Qp.„wr .'*\ 2 Xi. TiA/6 4c DE \,( , ‘• i., ).4 -.-i ctgi-FiN • 4/ 0 41,Z .- , )f 2 co ti- 10 13's .2- C) .7- MR. )-u-i()RE AI ( ....... i—A 'lc—, cD,CJ" it) 1).., , ..- 9 0 —( *\1_ C — I I K . X il 190X3 +0 .k • ) I , I/&„,,- r ess Vv.,) .'--4:447 ,,f)640 h o :,,,,,c,J_Q t. Q. 10 to U\ c o ,4,:t ,,w,, 77-EIVED t 1 i'—'4--"r ,H --k-- c.,-, r,‘ Q.0, 28"90 ) - 0- ,,,., , -1-• I i ' \ ()4 I (PS '■_i___,3. i ,- H rP' 101 y i..—v 7"-•(,) ,) .14.'”- r/ '--*' / N i s , \ , \ ‘ q0 i os.ruecn lower edge $ boeic,o,„ --.)rt ‘vNct1/4 &ro vIck 0 /7V ei:e? ag 142 S VA d Grave-I gn )04 • \A ID ruto1/4)4 layer pp. ig;)00 401: ea _41° st A GI s. icrteCy.iti amih. .fire, or pvc 0101es dow§} coriat'in -t)ralv• -1)e-eat I 00'4-Z.4ehe- coop DO cc • SOIL LOGS ; S . 19 , T . 29N, R. 1E Gunther Graff 4-11-88 1 . 0 - 9" sand and gravel fill 9 - 22" loamy sand 22 - 40" medium sand and gravel 30 - 40" moderately compacted prominately mottled water at 40" 2 . 0 - 8" sand and gravel fill 8 - 19" loamy y sand 19 - 41" medium sand and gravel 35 - 41" moderately compacted prominately mottled water at 41" 3 . 0 - 21" loamy sand 21 - 44" medium sand and gravel 22 - 44" moderately compacted prominately mottled water at 44" 4 . 0 - 12" loamy sand 12 - 40" medium sand and gravel 25 - 40" moderately compacted prominately mottled roots to 25" water at 40" SOIL INFORMATION {, r.... . he'd r Owner : 4 I e t E V'c1 -r# '5 Legal Description: Section 9 Township 2 94! Range / Subdivision �/ Division Block Lot Date Logged: 'Y- 4 - 0g 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 to `�F in. f2u/e/4/ pied, Sand to 18 in. G ra t/e/4/ /1fec/Safid to in. to in. to in. to in. to in. to in. Anticipated water table in. Anticipated water table jo r in. Roots to inches Roots to 11 inches Soil Log #3 jj Soil Log #4 / to 54 in. 6ra'e`/y /Ved i d ® to 5-1 i n. 6.i-rse/'/�ec/ to in. to in. to in. to in. to in. to in. Anticipated water table 10' in. Anticipated water table 4S? in. Roots to 1AO inches Roots to inches Soil Log #5 Soil Log #6 to in. to in . to in. to in. to in . to in. to in, to in Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches _Sni/'n1 USEFUL ABBREVIATIONS FOR SOIL CLASSIFICATION DK. - DARK SND. - SAND FN. - FINE BR. - BROWN LS. - LOAMY SAND MED. - MEDIUM TN. - TAN SL. - SANDY LOAM CRS . - COARSE OR. - ORANGE SIL. - SILT LOAM GRV. - GRAVELLY GRY. - GRAY SCL. - SANDY CLAY LOAM COB. - COBBLY YL. - YELLOW SICL. - SILTY CLAY LOAM RK. - ROCKY BL. - BLUE CL. - CLAY LOAM CPT'D. - COMPACTED C. - CLAY CMT 'D. - CEMENTED V. - VERY X. - EXTREMELY MOT. - MOTTLES RT . - ROOT DEPTH FNT. - FAINTLY DIST . - DISTINCTLY PROM. - PROMINATELY JEFFERSON COUNTY HEALTH DEPARTMNET 'B ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN Date: 4-1- Designer : afltl h 7 ho Legal Description: Section P7 Township 29 // Range / Subdivision Division Block Lot Owner : 6 ,' hem ra Address: � � 1 K S ct� lc k Lv4, gg339 I . CALCULATIONS If for residential use: ' � Number of bedrooms : x 120 G.P.D. = Total G .P .D. If for non-residential use, attach calculations used to determine G .P . D . Soil texture waste water application rate G .P.D . /ft . squared (see page 214 of the EPA Design Manual ) DRAINFIELD SIZING : �° Absorption area: tp ap square feet (Total GPD — GPD/ft squared) Trench or bed width .3 feet Trench or bed .wid-th 2147C, lineal feet (sa . ft . — trench or bed width) lert,,/h II . APPURTENANCES Septic Tank Size /ew7 gallons Pump Requirements ( If Necessary) Elevation differance in feet Friction loss Pump capacity should he gpm at TDFI Number of doses per day Dosing volume gallons Pump chamber size gallons -.S/ih{e� - , : III . DRAINFIELD CROSS SECTION /7/./ D 1 Far f DRAttI ROCK Native soil A 1.B __ __ I E 1 C — Impermeable material/ Seasonal saturation A. Trench Depth /2_ inches it B . () inches of drainrock below pipe if C. 36 inches of vertical separation from trench bottom to impermeable material/seasonal saturation ,/ ,, D. 12 1IF inches of fill ( if needed) rr E . Trench width 36 inches Notes : Attach detailed design of system NAME GLAN}TI4ER C1 RPFF LEGAL DESCRIPTION 5 IQ T 29N R it= COQ: 1. Performance monitoring contract required with PGA #1. Contract required for final approval of sewage disposal permit. Contact PUD #1 at 385-5800 for information. x 2. Recommend installation of low water use fixtures. X 3. Divert all sources of surface runoff from drainfield (foundation drains, downspouts, etc. ) . X 4. Install drainfield in exact area of soil logs. 5. Remain 100 feet from all wells and all surface waters (including seasonal drainages) . 6. Do not disturb reserve drainfield area; do not build on, drive on , or pave. 7. Drainlines should be installed along natural contours. X 8. Drainlines should be installed cross slope. )( 9. Bottoms of trenches/bed must be level. X 10. Drainlines must be level. 11. Distribution boxes must be set on concrete pads and water leveled. X, 12. End caps required on distribution lines. 13. Curtain drain required per instructions. 14. Inspection ports required in absorption bed/downslope portion of fill. 15. Dry season installation required (summer/fall) . )( 16. The septic tan/pump chamber/closing siphon shall be watertight to prevent groundwater intrusion. 17. Minimum pump chamber size gallons. 18. Maximum flow per cycle gallons. 19. Owner to provide adequate size pump with audiovisual alarm. 20. Pump to be set on foundation a minimum of 6" above chamber floor. 21. Risers to grade required for septic tank/pump tank. 22. Trenches to be installed no deeper than 12" into native soil; " of partial fill (sandy loam) required for cover. 23. Alternating drainfields required. 24. Sand lined trench required. 25. Recommend against the use of garbage disposal units (will severely shorten drainfield life) . X 26. Drainfield should be seeded soon after installation to aid in evapotranspiration of effluent. 27. Certified "as-built" drawing required by installer/designer. 28. Final inspection required Health DepartmeDesigner. X OTHER: 03 PTE R LTA/E J TIY E VTC.rNaTy O F �u1L L oo- 2 r 0 FEE T o F 'DRf}ri/F.ZE D B E 1�6�N piJ nl.Z'F