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HomeMy WebLinkAboutSEP2014-00123 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 OCT 2 0 2014 SEPTIC PERMIT APPLICATION e Robert E. Stead ie, PROPERTY OWNER i ', _.,,_i 4. !s'e MAILING ADDRESS 29852 Marine View Drive r %� Federal Way,WA 98023-3422 re'y' '� ' Suzanne L Motion 'lyee PHONE ( 206 ) 660-3227 •uutusuao�s7cNea be EWA=.1116 SYSTEM DESIGNER Suzanne Martin Designer Phone# 990-3304 LEGAL DESCRIPTION: Section 8 Township 29N Range 1W PARCEL# 901 081 014 Subdivision Name tax 17&tl tax C;tax rr-9(Is rr-10,11) Division Block Lot(s) Site address/Directions to site 61 Madrona Beach-Port Townsend(across from Southport Lane) 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 +/-28970sf Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate RPCPrve Area Yes# SEP74-00032 Alternative ✓ Redesign No SYSTEM DETAILS Number of Gallons/day 240 Soil type 3/4 (attach soil eval.) Application Rate 0.60 qal./sq.ft./day Drainfield Length 134 ft. Trench Width 3 ft. Trench/Bed Depth 30 in. Septic Tank size 1000 gal. Pump Chamber size 1000 gal. TYPE OF pressure trench system 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. Staff's 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 jud•ed by the r -s and laws in effect at that time. a„,62..t.L. L � •C.7 . 10 — 6 - I :/ Property Ow : Signature Date liik / FOR OFFICE USE ONLY `� PARTIAL i'0 AS UILTO 5�0?!�� FIN' i' /Q//'� APPRO ED (� INSP/PUMP TEST/976-- 02 12 as ii ALL HOLD REQ.MET 11 ' pQ � y� Date b 0 Fee I L I D� Rec# 1 B 1� Check# `J 1 p 2... Case#SEP 14-■ Z_S C•\Doom=n*s pd S.ttia0.s\suzaane_martin\my D"c”,,alts\my doc,ments Tanne\mbh2ll\Jeffer2or C^»nty\Jeffro forms\Suz\2008 SPA.DOC ,,,ON JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 q�Hf HOBO www.jefferson countyp ub Iichealh.org Nhone :3bU-.38b-9444 Fax ibU-.i/9-448/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00123 Date Received: 10/20/14 Date Issued: 11/19/14 SITE ADDRESS: 61 MADRONA BEACH DR Date Expires: 02/19/15 PORT TOWNSEND, WA 98368 APPLICANT: ROBERT E STEAD PHONE: 29852 MARINE VIEW DR SW FEDERAL WAY WA 98023-3422 LEGAL DESCRIPTION: S8 T29 R1W TAX 17&TL TAX C TAX RR-9(LS RR-10,11) PARCEL#: 901081014 Section: 8 Township: 29N Range: 1W DESIGNER: SUZANNE L MARTIN PHONE: 360-554-0224 PO BOX 125 CHIMACUM WA 98325 SYSTEM DESCRIPTION: PRESSURIZED TRENCH No. of Gallons per Day: 240 Type of work: REP Drainfield Trench Septic Tank Length: 134 feet Width: 3 feet Depth: 30 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. Jefferson County Envi nmental 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.: SEP14-00123 1.) This permit was issued to correct a violation of WAC 246-272A for a failed drainfield. The permit must be completed within 90 days of the date of issuance. 2.) H - THE EXISTING WATER LINE MUST BE LOCATED AND RE-ROUTED IF ANY SEPTIC COMPONET IS FOUND TO <10' FROM THE WATER LINE 3.) H - Existing tank shall be properly abandoned. It shall be pumped and filled with clean fill. Documentation to be provided to Health Dept. prior to final. 4.) NO PORTION OF THE TRENCH, UP SLOPE OR DOWN SLOPE, CAN BE >36" 5.) Approval/issuance of a sewage disposal permit or installation of a septic system does not guarantee the approval of other development or a building permit on this site. Future buildings that require connection to an on-site sewage system (OSS) shall only be approved if the OSS meets the current standards and codes in effect at the time of the building application. 6.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 7.) 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. 8.) 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 246-272A 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 9.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 10.) This system must be constructed by an installer certified by the Jefferson County Public Health Department per Jefferson County Code 8.15.120 (9) and state code WAC246-272A-0250 for installation near a shoreline. 11.) 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. 12.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 13.) 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. 14.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required and must comply with code at the time of application for use. 15.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 16.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 17.) 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. SEP14-00123 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 11/19/2014 18.) 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. SEP14-00123 Page 3 of 3 \\tidemark\data\forms\F_SEP_Perm itmod.rpt 11/19/2014 r JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 9tss368 ASBUILT INSPECTION REPORT For RECORD DRAWING '' (". l ?rr• Designer Suzanne Martin Permit # SEP 14-00123 Installer Toby Kilham (Ericsen Excavating) Parcel # 901 081 014 Electrician Cascade Electric Design Flow 240gpd'peak Property Owner Robert E. Stead Site Address 61 Madrona Beach Drive-PT Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) Cotton, risers, baffles&outlet filter installed 4/15/15 Pump chamber (manufacturer, size) Cotton, risers installed, 22 gal/inch 4/15/15 Screen(s)and/or Pump Shroud (type, location) shroud in pump chamber 4/15/15 Were Tanks tested onsite for water tightness? €)1/ No Panel Model Infiltrator Timer Model Aquaworx IPC 4/24/15 Pump 1 — Man./Model Liberty 290 Flow Rate 16.5 qpm 4/24/15 Pump Location (i.e. garage, treatment unit, basement) in pump chamber Float/transducer settings Inches Timer from bottom of tank- On/off- 22:275 ` = in Functions: On 1:86 sec in Veto - 3(1:775 , in. Off- 240 sec/63hr Alarm - 30.575 " in Veto On - 1:56 sec min Storage Above High Water Alarm +1-400 gal. Veto Off- 180 sec hr Dose Counter Reading Odose/3vdose # gallons/dose 30 gal. Elap. Time Meter Reading 00:10:52 min rs Pump Throttled? Yes 'No Dose Drawdown (in inches) 1 3/84 in Pump 2 — Man./Model n/a Flow Rate qpm 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 Dose Drawdown (in inches) in If additional pumps-complete the info in this table for each and attach. Other Timer functions & settings (e.g. override on/off) ZB-08; Autoclear 1 dose; ID=05-08-2013; 33 events H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 ? t Pre-Treatment MAY 2 - ` Date Ins, Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No 2015 Sandfilter Basin size/location n/a t D ,,,t, , � �rrraiE,ot Sand Fill met design spec? Yes 1 No ‘.‘,s_ . ATU (manufacturer, model) n/a Alarm tested Yes / No Disinfection Unit (manufacturer, type, model) n/a Independent Alarm Yes / No Drainfield Transport Pipe size, schd, diameter 2"pvc sch 40 Manifold size/schd 2"pvc sch 40 4/16/15 Orifice size 1/8 Lateral Size/schd 1"pvc sch 40 4/16/15 Barrier Material filter fabric Cover Material/Depth 0 4/16&23/15 Residual Head (lat.# & ft. Head) 58"with tubes 4/24/15 The laterals/pods were balanced ©e / No Source/Manufacturer of Drainrock/Gravelless chambers cotton Drainrock Clean? Ye / No If no, what action taken? Mound/Glendon Site Prep n/a Drainfield Length 134 ft Width 3' ft Depth 12-36 inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary .2.) The location of the ex. water line has been verified to be more than 10'from all OSS Components 3.) Tank has been properly abandoned, see pump out and installer certification .4.) The maximum installation depth has been maintained less than 36" Health Department Inspection issues resolved Yes / No / NA If yes how? Users Manual Provided to Homeowner rVLYY1 et Date2°tApe_ Tank/component Decommissioning Report Attached e, No / NA Installer Certification attached/signed Ye / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY Th E INFORMATION PROVIDED ABOVE WAS VERIFIED 13Y INSPECTION, THE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY (DATE) OR THAT CHANGES HAVE BEEN NOTED AND T}fE SYSTEM IS IN COMPLIANCE WIT}f WAC 246-272. , �"%. 24?)410 Y. 1 g" 5100342 Designer Signature Date License # • 5°n L M2 'y Suzane art n ) owr,..nwn H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 ) . . . WA Y 9 If 4' 1 015 System Owner: Robert E. Stead SEP14-00123; Parcel #901 081 014 Site Address: 61 Madrona Beach Road-Port Townsend Pump Tank Detail 1" from top of riser 21"Installed Riser---- &•Ils.1.7-.7.3ZMI.4•••I:r.47:•••....It3ur•I:::•,?...t,:r.X.V...:;•;;;•4;,:11•1•.;•./.4..:,r.ii z:•.;;I.,:•-•,1...!.:-.1:4....:. 0 i :4 Ni. ''.. .75 Inlet ..1 ±27.4^/600 gallons of .s, 77,4-1— 3 3/4 storage above high 8 " 1Y water alarm -not including additional Pcapacity in septic tank F. and tank risers -±18.4^m00 gallons ).i ,4, ,-.':• storage below invert of tr• Veto set 9.4"from the ... bottom of the bell inlet of pump tank ...4 i...1 alarm set for 9.2"from bottom of the bell < -180 gal working volume :,- • on set 0.9"from bottom •;. •4:' of the bell *T. Cotton-1000 gallon pump - - I,i• -;r 24 tank;22 gallons per inch a... .... -zb-08 Aquaworx IPCS01 :','• `.:•-4,1:4,',.!e4,PI:t14:',.31y....S0.i.::::::',7,'..^1<.T.,,44i)::•w:A.,:A elA,,...v.-44ti,....";.o.:--tw-1-7.4szt-4,,t1.;:.:":e.?..u,..v.i-nus!-7.1 • s ii 1 f o o i t.... . •it ... • .,,,,v ...',.... - #, 0%. '.. ..... • ..,' mr,r. • -A e or, 5100342 A, •. 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SECURED LID WITH GAS TIGHT SEAL Oct ACCESS RISER <2D, r l I FINISH GRADE ti LLr El \ � H _ .- � a �` , TO PUMP _ -� � CHAMBER IIIIIIIIIIINI/ FROM SEWAGE SOURCE FLOATING MAT APPROVED — EFFLUENT FILTER SEDIMENTS Max.1/16"filter must be installed LDS NG C3I`�p��; tCU t lon PpnCa ed * r 1 SEPTIC TANK N (TYPICAL) SECURED LID WITH GAS TIGHT SEAL THREADED UNION ACCESS RISER SERVICE FINISH GRADE \ ®' VALVE* .;r.,_1/, l FROM SEPTIC J �IA •••11 —II.TO DRAINFIELD TANK h! IIII �,, — Min_180 Gallon A II EMERGENCY STORAGE ANTI SIPHON VALVE HIGH WATER ALARM LEVEL -- 11. i III Aquaworx Transducer NORMAL TIMER OFF LEVEL WORKING VOLUME Assembly ■. ii ENCLOSED PUMP W 1141 SEDIMENT SHROUD' — CHECK VALVE 18" a L SEDIMENTS SUBMERSIBLE 1 1 CENTRIFUGAL PUMP PUMP CHAMBER (TYPICAL) minimum 1000 gallon pump chamber required. *AS NEEDED Pump on+/-42' Page 3 of 4;Stead; Parcel#901 081 014 d • ail Effluent PumpsIncorporated 1-800-348-9843 100 ' I I Effluent Pumps 1PEF150I PEF, PKP Series 1/3 hp to 1-1/2 hp 80 PEF 100] 70 .r . • CD Et 60 0 PEF75 aar = 50 - v .E . as = PEF 50 0 40 o 'effluent pump I- 30'of head --■111111111 • • 20 - 10 - • 0 PKP 3501 I 'PEE 33-111 0 10 20 gpm 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 4; Stead; Parcel#901 081 014 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST.,PORT TOWNSEND,WA 98368, (360) 379-4450 %�, s. s it SOIL EVALUATION '®I #'t Robert E. Stead d �' PROPERTY OWNER ' � Suzanne L Martin �� a� k ..t-3:L fl .re `,, SYSTEM DESIGNER Suzanne Martin LEGAL DESCRIPTION: Section 8 Township 29N Range 1W Parcel # 986 704 004 OCT 2 0 2014 Subdivision Name tax 17;tax rr-9 s 10,11)tI C Division Block Lot(s) Date Logged: 11 September 2014 Logged By: Suzanne Martin Include soil textural characteristics and the depths at which significant changes cur. Be sure to include depth where mottling or impermeable layers occur. y ( /'d z SOIL LOG #1 SOIL LOG #2 0-4"dark brown gravelly loam 0-7"dark brown gravelly loam 4-7"Yellow brown gravelly loamy med. sand 7-23"Yellow brown gravelly loamy medium sand 7-32+"Yellow brown gravelly medium sand 23-32+"yellow brown gravelly medium sand 4 Ec ��' Anticipated water table n/a in. 1 Anticipated'Water table n/a in' n'. Roots to 2 inches Roots to 32 inches Health Dept. Comments Health Dept. Comments SOIL LOG #3 SOIL LOG #4 0-9"silty fine-medium sand 0-16"yellow brown gravelly loamy medium sand 9-22/27"weak blocky loamy fine-medium sand 16-54+"yellow brown gravelly medium sand 22/27-60+"Yellow brown gravelly medium sand on North side lens layer of compact gravelly loamy sand `> c'' ;.i ,,,„ -, '( , �:n "t`S @28"with inclusion of silt loam peds(1-3") difficult dig access , e LA Anticipated water.table Ilia in. Anticipated water table n/a in. 1 f , Roots to 57 inches Roots to inches ` ,;- .3 , /1A5AJ Health Dept. Comments Health Dept. Comments u , unlabeled test pit to North unlabeled test pit to south` V - 0-6"dark brown gravelly loamy fine sand 0-11"weak blocky silty fine-medium sand 6-32"yellow brown gravelly fine-medium sand 11-30"weak blocky very fine-medium sand 32-40/44"yellow brown very gravelly fine-medium 30-60"yellow brown gravelly medium sand sand roots to 49"; no evidence of seasonal water table 40-44-44/48"compact gravelly loam 44/48-60"gravelly medium sand roots to 60"; no evidence of season water table Health Dept. Comments Health Dept. Comments H:UNFOHLTHISOIL.FRM1/00 CC j Page 4 of 4;Stead; 2 0 Parcel#901081014 ®,4 Pressure Distribution On-Site Sewage Disposal System Work Sheet Name of Applicant Robert E. Stead Site Address or Location 61 Madrona Beach-Port Townsend Tax Assessors# 901 081 014 Date 24 September 2014 Designer's Name Suzanne Martin Company Name none Phone# 360-990-3304 Property Information: Number of Bedrooms 2 2 bedrooms/0.60gpd/sf=300 sf Maximum Daily Flow 240 drainfield required/3'wide Total Absorption Area Required(Sq.Ft.) 300 trenches=134 LF 30"trench depth; 0"cover Trench Information: Trench Width 3' Trench Depth 30 Total Lineal Trench Length 134 Total Washed Drain Rock Under Lateral 6-8" TDH=22(30)feet Gravelless Chamber Drainfield(Yes-No) no -Residual-5' -Friction loss-4' Manifold. Lateral & Transport Information: --Transport line+/-1' Total Lateral Pipe Length 100 --Manifold&Lateral-+/-3' Lateral Spacing 6-9'oc El. Difference-+/-13' ort line Length 30 -Pump On-+/-42 Transport g -D/F ie elevation-+/-55' Transport Line Pipe(Schedule) sch 40 Manifold&Laterals Pipe(Schedule) sch 40 Lateral Line Diameter • 1° Manifold Line Diameter 2" Transport Line Diameter 2" Pump Information: -4'spacing-11 per lateral x Residual Lateral Head(Squirt Height) 5 =33 orifices Pump Size 20gpm@ 30'head -33 orifices @ 0.41 gpm =13.53 (20 gpm) Dosing Information: Orifice Spacing(inches)- 4' Total Orifices 33 Orifice Diameter • 1/8" Total Dose Volume 30 • Number of Doses Per Day 6/8 / �'',t� Size of Pump Tank(gallons) 1000 -, ,r + i � 1 N��I Control Panel Information • p Suzanne L Martin ors vnns Aquaworx IPC-1 Other Information: