HomeMy WebLinkAboutSEP2010-00072 SEP
Now Med to
• - 39
SEP
gpk.
Jefferson County Department of Community Development
621 Sheridan St.,Port Townsend WA 98368,(360)379-4450
SEPTIC PERMIT APPLICATION
PROPERTY OWNER Darrell & Kathleen Parlapiano
MAILING ADDRESS P.O. Box 594, Quilcene, WA 98376
PHONE (909 ) 984-3195
SYSTEM DESIGNER Nathan Cleaver Designer Phone# 360-598-6546
LEGAL DESCRIPTION: Section 34 Township 26N Range 1W PARCEL# 601 343 038
Subdivision Name J & G Hudson Short Plat Division Block Lot(s) 4
Site address/Directions to site 894 Hazel PT RD (Corner of Hazel PT RD and Dietz DR)
SOURCE OF SE)IVAGE/USE TYPE OFIWORK WATER SOURCE
Residential d New �/ Tank/s only Private �/
Residential ADU Modification Public
Commercial Expansion
Community Upgrade
Repair SITE SIZE 136,521
SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation
Conventional V Designate Reserve Area Yes# I(
Alternative Redesign No
SYSTEM DETAILS
Number of Gallons/day 480 Soil type 4 (attach soil eval.) Application Rate 0'6 gal./sq.ft./day
Drainfield Length 268 ft. Trench Width 3 ft. Trench/Bed Depth 24 in.
Septic Tank size 1,000 (2) gal. Pump Chamber size Na gal.
TYPE of system Standard Gravity
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 s paratel ••ed by the rules and laws in effect at that time.
4.— q- 70
YPrope 1 wner Signature " Date'
FOR OFFICE USE ONLY� • 1 [it.
. FINAL 1111 I
t
"O ED Or--7-
�
INSP/PUMP TEST PUD DM 2- t'"
///,, //��
ALL HOLD REQ.MET 7F rd D /O`"/VFee3 ) Rec# ! /7O !a Check# 2-CO Case#SEP ta—r1.2_,
H:\WEB\PDFs\Septic\septic_permitapp_2008.DOC
SEWAGE DISPOSAL PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450
PERMIT #: SEP10-00072 Date Received: 06/10/10
SITE ADDRESS: 894 HAZEL POINT RD Date Issued: 08/17/10
QUILCENE, WA 98376 Date Expires: 08/17/13
APPLICANT: DARREL N PARLAPIANO PHONE: 909-984-3195
KATHLEEN B PARLAPIANO
1817 S SAN ANTONIO AVE
ONTARIO CA 917626349
LEGAL DESCRIPTION: J&G HUDSON SHORT PLAT LOT 4
PARCEL#: 601343038 Section: 34 Township: 26N Range: 01 W
DESIGNER: NATHAN CLEAVER PHONE: 360-598-6546
CLEAVER SEPTIC DESIGN INC.
1990 KIMBALL ST. NW
POULSBO WA 98370
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.
Permit issued to CONSTRUCT,ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN
JEFFERSON COUNTY,WASHINGTON
Thls permit is issued for a period of three ears (unless otherwise stated . •ove) in accordance with Jefferson
County Rules and regulations for on-sit se age systems, •' 8.15,mended per ordinance no. 06-0719-07.
This permit may not be renewed. (i /t / I 4'
` Jefferson County Environmental Health Specialist
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.
HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION.
SYSTEM DESCRIPTION: 120-CONVENTIONAL BED
No. of Gallons per Day: 480 Type of work: NEW
Drainfield Trench Septic Tank
Length: 268 feet Width: 3 feet Depth: 24 inches Size: 1,000 gallons
SPECIAL CONDITIONS APPLY - SEE REVERSE
CONDITIONS OF APPROVAL- PERMIT NO.: SEP10-00072
1.) This parcel is within a no shooting area per JCC 8.50.
2.) 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.
3.) 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.
4.) Notification of the start of construction shall be faxed or emailed to Jefferson County
Public Health ONE WORKING DAY prior to start.
5.) H -An asbuilt drawing and certification of completion by the Designer is required prior to
final approval.
6.) All components of the septic system are to be completely protected from vehicular traffic
or mechanical disturbance.
7.) Drainlines are to be installed along the natural contours.
8.) Divert all sources of drainage, including roof drains away from septic tank and drainfield
area.
9.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent.
10.) Risers are required to grade with secured lids over both compartments and over the
outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20" riser
over inlet.
11.) 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.
12.) 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.
13.) 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.
14.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from
tanks and effluent transport lines.
15.) 10' separation required between a Water line and all portions of the onsite sewage
system; effluent transport line, tanks, treatment and disposal components.
2 of 2
11/22/19
I:\F_SEP_Permitmod.rpt
,, CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT
INSTALLER bk4 MtgG82-J.m ntivez 66,,,,riutivAi PARCEL it ( O1-343-O3
Permit Owner'DA2s2. ..# <1,,Ti-k LEEW VI/644A P Permit # SEP iO-O003-2_TANK #OF ABSORPTION AREA: ,
LLENAGTHELD 2iob 4 TRENCH IDTH 3N TRENCH
DEPTH 2`1 SIZE (2) ()MO EDRMS 1 DAY I I O
Tank Shroud/
IF PUMP AND PUMP CHAMBER REQUIRED: Size Screen
Float Arrangement •
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 F / 1d
Q(i` 2 . 7 /Z- ATF/
/
INSTALLER SIGNATURE DATE INSTALLED
�
1
,00, -
YO:: NATHAN N.CLEAVER "f-,,
-IN$E RES' N, `
EXPIRE° ////`„ ��
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
B ;, - 0M' IO AL = ?V?_ ;.-1 -i -.pof
LEGEND r R RA\/\/I SURVEY Unit 1 1 E D D Scal : 1" = 40 ft R CO 1 1
[CO] Clean Out 41.-y y
. .
[DB] D Box with riser h
[DU] Disinfection
[FS] Filter Sock
327 ,'-,4?0,, 'e,:
_. a
[PT] Pump Tank "' .__
�`v 313
[ST]Septic Tank
��//
�[SP] Splitter /
,water w w
utilities UU U U
gas G G -
Power Meter war
transport T T T '
[PM]
:
y/Tree r �( r r Soil Lo g I
No-Build Zone ;��� �Z�� ��'"'• i
Wet lands ;` i
S
/!'1' ''';:,f‘'',/''''f'4;z1;:',.P:11i'
urface Water/ f
i
MEASURE TABLE - I
Existing Shop -
CO.1 117.3'
ST.1 110.3' 47.5'
FS.1 115.5' 49.0'
CO.3 58.7' '
ST.2 52.6'
CO.l.
DB 173.0' -
1 5.0' 52.0' -
2 8.5' 58.0' ST.1 i
3 16.0' 67.4' 7
4 22.0' 73.5' I y"-.._-
5 73.5' 83.0' f■ FS.1 I,
6 73.0' 86.5' 48)
r
7 74.0' 90.5' in
8 75.0' 94.5' co. '
�� --60'-0''
' I 3
)
6" Sleeve on Sewer Line 40' Long �� I
With ASTM 3034 Under Drivewayv. d
,
..__
.__ - ' FS.' ! as p }t N ,,,,,,„, ,,, -- - t�h� c�, "�� '` CO.2 DB
J� @ �'Qr�, �o. flQSb ST.2 i ,
&7 '(1j ur'" t' I i' U)
4 � {
�, 7 e.,,' ' tocation J` L
30�� a)vs
I £ W
VO I;
t , o
6 � i
7
8
100%RESERVE AREA "� 0
30' X 80' =2,400 SQ FT ,J�
100%PRIMARY AREA
(4) 68' Laterals
•
open space
F
{
F '
Elev,
/
Elev
282 '265.34' -, ... •294
c Nathan Cleaver Septic Design
, s 1990 Kimball St. NW, Poulsbo, WA 98370
• :N N<._ ° 61%.
(360)598 6546 Fax: (360)598 6548
16\. 5 00> �� Email:nathan @nathancleaver.com
�" Y5 NATHAN N.CLEAVER ?l
6„ cEN�E ID-.s17 N;R Tax Parcel: 601-343-038
Date.11/1/12 EXPIRES Owner: Darrel& Kathleen Parlapiano
Time 11:00:00 AM Drawn by: RWS, ICS
Filename.Parlapiano,Darrell&Kathi RD_2010.mcd Septic Designer:Nathan N. Cleaver
LEGEND Et THIS S NOT A SURVEY[ATU]Aerobic Treatment Unit Scale: 1" = 40 ft
[CO] Clean Out f
[DB] D Box with riser ,
irxii,, , „,,„41.e...1.41.....,„,, ,,„ , ,, , ,, ,z,. ,,,,;. ,,,04,,Q,,,,,.,. . , ,,,,,:x„,.. 7 ';:igt:::,•',7, :5 ey/ , /,-;, -,'" lisi",i;W*/'
[DU] Disinfection Unit
r�
[FS] Filter Sock 327 -.....___..
[PT] Pump Tank '
313
[ST]Septic Tank
water W W W ,f
[SP]Splitter
utilities �o� ' power meter
gas G G
Aiiiiihili6,,‘ I /;,fic,,,A4• 1
transport T T T
Tree
1/4 2/4 4�
Soil Log
• • r
-7
No Build Zone
--
Wet lands O �=
` ' .-:,—.1�,4 Orr,
Surface Water _•
1A
PR
GI ,
CO
C p
s
t
re :
=" Cpr urged shop
o
lit
LA .
T
Ns
CD
r iLA
I ,
-,60'-0..
sleeve 4" sewer line
w/SCH 40 PVC
I M ��Y/
under driveway W
T
I
`` __-. FSI =.7
' ST
()
I
, }L�
, V/
100%reserve CO .I I ' w
Future 2,300 s.f; 77' x 31' ® DB
SFR Location
300 ,
wwi,,
t W
a i
I O
4 T
*a ,",,,r)
\f10°/0
1
111'-2" `� • m►
w
100%primary: gravity I d
4 Bedroom
' 4 ea. x 67' laterals; 2681.f. _
2,300s.f; 77' x31' - (f)
I 0-
89'-1"
j/
Ele / „ , o %
/ / / //
i//////////%/ /
282 ///ii, Elev
265.34' _ '294
Notes:
-Water lines to be >10' from all septic components. an Cav
I
` 1990 Nath Kimball Slet. NWer, PoulsboSeptic, WA 98370 Design
` ': (360)598-6546 Fax:(360)598-6548
/ Z s32 E-mail: nathan@nathancleaver.com
ki ,'` s�' 601 343 038
s,00zs, �` Tax Parcel:
'�� NATHAN N CLEAVER Owner:Darrel& Kathleen Parlapiano
Date:5/17/10 a-_ N$_ DE NER p
Time:7:45:24 AM cv _.
EXPIRES Drawn be RWS
Filename:Darrell Kathi Parlapiano SiteMap_601343038.mcd Septic Designer: Nathan Cleaver
111� N
� -
O
LI ■a
0 rim
x
•
X1__1. 0
A
m LU 3 ∎■
1 N ! 3 � �■
o
v, A gv
A
�� 2
m cu
w
cv
_.
•
:
r QL, p U)
S N
IDO
3 4
2
O j IDm
Pp
....r..•..•■.�.•..•.•-■ 0 n .....•. rt n n
2'� -I m -i -1 -I ul 4 W O N )-•
6" 9 12" ��`•'..��W.Di -�i < d (D fD O ......... ......
En
2 m �� ?rto - - O (DD X n n v m DO (. = p
ll=11=11=11=11=11=11=11=11=11=11=11=11=�l �1 .�1�?.; <' rh o �D < 3 _' < rt z a r,•r
:11.=11 II II 11 11 11 11=11 II 11=11 11 C < 0' CD o) CU
I:�i=li Dn.I'.II -.7...'-11 II. 11 11. 31 II O lD n Oo n rn , n n 0 j D r co --
11-=11 _
—� stn o °' 3 D na� � comn , al
I=11=11=.=11=11=11.0.0.•:*: : -, 0 0. CD 1•p - •-. 0 Cn Cu n ,, Cu O - < d-' - 3 -
H O 0r
111=11=113..........
II�I:ILIIIIII.�.....4. = n N) r �• O m (!1 7 rr d O �r
= 11=11=11=.........:.
.. 11=11 11..∎ 1 • n r cu ` °rt' — 6 = a =. 3 Lc ' Di n 3 < n =
I_=1I=11 .... = CD N m a l^ 70 — n� = T. 3 OJ -I O v=i
1�L�1 11 II::: < a d I m Cu -I u c = = r-1-
:II=I1 II,: rn a O O W d c 6 0 N re r*.
II=11
'11=11 II•••• ' = O �
1=11=11 .... * p n _ �• < rnr ZO
II=11 II•• ` r* o d =
11=II=11 "':•. m- 5 = o - n N W -P ol (D v) .. • rr cu-L=ii n:::.: (J) _ .. o - - co — W R° = A
IIIIII:IIIIII .,, CD m o o -. aao > nC
II-II=11 .... •:. /! 6 n r* In ....co
-n I=II=11 11.... n v CD cn
ko=11=1-41=...4::.C.I1 11: D c lD p
_
1,1111=1LI1:11,4sss o rt Ul n N
11=11-II (0 N CU re
11=11=11.; ., -, N. o n
11=11=1I �,
11=11 Ii ei
11=,11=11=1)=11=i=1=11=11-Ii=ll=if•?_a '13,--' v'
=11=11=.11=11.=11-;11 X11•=11=1!' 11=11-.;1__' 0
-9..-.-1►-1-D_n-u=u- -u-.n C a l0
v) a =
.. co '•r .-.
co
O
v � v n,v C) ...... ' — =
O1
a -
rt
O N= •
co
c
m 3
ID
O
(A
p
O)
v)
O
rt O
_
v)
rt
0)
r
rt
r� 0
csr S�T _x � `a,n D 0/1,..
ys V D STAl4
2 O ,
2Q ••• n i,N+ N 1 `
O ..,
,: .0 0
\} tt,9 n 0 G) z w rev Z
�r~
co n., - c -• .. .. o ..
CO c c 6 rn rn ~`
D
CO: > rt rt c, a (D X- v n CO
o o o r -Di n 3 z �• / 0) co N N T`
-I N D nn X N c + al O a cn rn o
M = � o
m Z Z O p < .-. p 00 - p fD o 4 7a- Co co O *k m w =
ul O 0 fl1
- Z A 6) Q V co 4, rt 3 rt
3 Z Oo 0 O n -+, 0 co fD v) (XD C O 0
n) Z c� W C7 (n p .. In
r -Di n •A w v c0 < ,,,,t -O ' -0 II O v U
N W �
° D v wm °° ; nO o3 0 ° fD m v 13
o Z a) O Q. Cr) N p (f) X m Z O- ., m n
I- o CO S. r�"" Frn0 O X p
3 T' ± '_" I--• _
I> 3
m rr (D X �� G) O) -' o _ W a N •7a =
. m N � ` h , II 'nom X O c
l N • U1 O — O -,
TS Ln 3 T O a
v' N CD •. o O) II CI •
= Co' Z II 0 _1 '
0
7 m °0, = co G 0
41. p o ! O) X
p
v T
V1
TI �'
0
_
CO .
co
p
v
Nathan Cleaver Septic Design Inc.
Contractor Registration#: NATHACS94002
Soil Logs
Re: Darrel&Kathleen Palapiano 411 b
Parcel#: 601 343 038
Sec: 34,Township: 26N,Range: 1W P g
Soil Logging done on 23 September 2009 by athan Cleaver
Soil Log#1
(Id?I—P
0-16"brown loamy fine sand
16-60"light brown fine sand
Soil Log#2
0-24"brown loamy fine sand
24-72"light brown fine sand to_r_
Soil Log#3 ........_7_______–
0-24"brown loamy fine sand
24-72"light brown fine sand
Please feel free to call with any questions '`"
N �\
Thank you, 95/:<,: 2 .-z f.
y Yom ..,n,. `PA
F�0. NATHAN'N 2CLEAVER t�i�
N >
EXP!#teS •�'�% 7 r i'7
/ /'°
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.
ENVIRONMENTALLY CRITICAL AREAS REVIEW
SEP10-00072
Owner: DARREL N PARLAPIANO Site Address:
KATHLEEN B PARLAPIANO 894 HAZEL POINT RD
1817 S SAN ANTONIO AVE QUILCENE WA, 98376
ONTARIO CA 917626349
Parcel Number: 601343038 S-T-R: 34-26N-01W
Legal Description J & G HUDSON SHORT PLAT LOT 4
Total Acreage: 3 Fire District: 2 Planning Area:
Flood Map (FIRM) Panel No: Flood District: School District 48
WATER SUPPLY UTILITY: Service Area --- PUD:
Resourc- ands: Near (<500')Resource Lands: Lots:
Yes 8)
ESA'S
Shoreline: Property distance to Shoreline:
Stream/Type: --___
Wetland:
Flood/FEMA:
Seismic: --
Landslide: --
Erosion: —
Fish & Wildlife:
Critical Aquifer Recharge:__
c Tp 7. --
SSS --
Flood Certificate:
Violations:
Require Declaration of Restrictive Covenant to meet minimum land area_____
Recorded Date of Subdivision:_ _ <5yrs=Plat Conditions on plat or Old Ordinance
PARCEL TAGS: No parcel tags found for this parcel.
Associated CASES status issued finaled description
BLD10-00120 A 6/1/2010 NEW DETACHED SHOP- UNHTD,NO PLMB
RAP10-00007 F 1/21/201 4/16/201( RAP- Hazel Point Rd
SEP10-00072 P
I:\F SEP_EHECA_Review.rpt June 11,2010
SEP-26-2012 05:12A FROM:MORCER CONST 13607653914 T0:3794487 P.2
INSTALLATION START NOTIFICATION DATE SENT Cal°GI-le
This form shall be faxed or smelled ONE working day prior to starting construction
Jefferson County Public Health - Environmental Health Dept.
Phone: 360-385-9444
FAX: 360-379-4487
EMAIL: septic@co.jefferson.wa.us
PERMIT OWNER r re t 1rLo....p I cL i
SITE LOCATION O 1 4 Kai ai 2_42i be,
PARCEL NUMBER (0 o ( 3 Lt..? o 3 8'
SEP NUMBER S'eits 1 a —.060 7 d� j
INSTALLER \41'- VAQp � CONTACT PHONE 3o 1- 13o t
DATE FOR INSPECTION Oci.. 4
SYSTEM WILL REQUIRE PRESSURE TEST - YES NO_L%
'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.
Jefferson County Staff Only::
MONITORING AGREEMENT MAILED DATE/INITIALS f
PRESSURE TEST SCHEDULED