HomeMy WebLinkAboutSEP2008-00040 Jefferson County Department of Community Development
621 Sheridan St., Port Townsend WA 98368, (360) 379-4450
SEPTIC PERMIT APPLICATION
PROPERTY OWNER _Cynthia&Cordell Burke
MAILING ADDRESS P.O. Box 38
_Port Gamble,WA 98364
PHONE ( 360 ) 893-2726
SYSTEM DESIGNER Ken Warren Designer Phone# (360)683-6300
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LEGAL DESCRIPTION: Section 3 Township_25N_ Range_1W PARCEL#_501-032-M i
Subdivision Name Division Block Lot(s)
Sityaddress/Directions to site_301 Smith Lane : S on Coyle Rd, E on Hazel Pt Rd, S on Dietz Dr, W on Smith Ln
,,gOURCE OF SEWAGE/USE
TYPE OF WORK WATER SOURCE
Residential X_ New Tank/s only
Residential ADU Modification Public _X
Commercial Expansion Public
Community Upgrade
SYSTEM TYPE Repair SITE SIZE 8.3 Acres
Conventional Partial Repair- (tank) (drainfield) 361,548 SF
Designate Reserve Area Previous Evaluation
Alternative Redesign �/
/� Yes #
SYSTEM DETAILS
Number of Gallons/day 660 Soil type 2-1 (attach soil eval.) Application Rate
_.0 gal./sq.ft./day
Drainfield Length 3;3' ft. Trench Width 3 ft. Trench/Bed Depth_Z '� in.
Septic Tank size /150 gal. Pump Chamber size /SO& gal.
TYPE OF SYSTEM Pump to Conventional
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 judged by the rules and laws in effect at that time.
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Property Owner Signature , L�G -co
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APPROVED FINAL��l�Z
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\\Soils-sto\storage 1\Office Docs\Forms\Jefoo\Permit Annlirarin, nnR rlrir
SEWAGE DISPOSAL PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450
PERMIT #: SEP08-00040 Date Received: 03/07/08
SITE ADDRESS: SMITH LN Date Issued: 04/09/09
QUILCENE, WA 98376 Date Expires: 04/09/12
APPLICANT: CORDELL M BURKE PHONE: (360) 893-2726
CYNTHIA F BURKE
PO BOX 38
PORT GAMBLE WA 98364-0038
LEGAL DESCRIPTION: S3 T25 R1W TAX 21(ENLG BY TAX 37)TL TX A-2 BND TGTH THRU BLA#78004
PARCEL#: 501032016 Section: 3 Township: 25N Range: 01 W
DESIGNER: KEN E WARREN PHONE: (360) 683-6300
SOILS APPLICATION INC
PO BOX 387
CARLSBORG WA 98324
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 years (unless otherwise stated above) in accordance with Jefferson
County Rules and regulations for on-site sews eystems, codified 8.15 amended per ordinance no. 06-0719-07.
This permit may not be renewed. - t—,:../
',Jere/on 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: 110-CONVENTIONAL TRENCH
No. of Gallons per Day: 600 Type of work: NEW
Drainfield Trench Septic Tank
Length: 333 feet Width: 3 feet Depth: 24 inches Size: 1,250 gallons
SPECIAL CONDITIONS APPLY - SEE REVERSE
CONDITIONS OF APPROVAL- PERMIT NO.: SEP08-00040
1.) 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.
2.) H - AS PER WAC 246-272A AND JEFFERSON COUNTY CODE 8.15 ALL SYSTEMS
REQUIRE MONITORING. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN
ACTIVE MONITORING AGREEMENT RECORDED TO THE PROPERTY TITLE PRIOR
TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM.
3.) As per Jefferson County Code 8.15 all onsite sewage systems require monitoring.
Monitoring shall be provided by an approved entity. THIS SYSTEM IS REQUIRED TO
BE INSPECTED PER JEFFERSON COUNTY CODE 8.15 AS ADOPTED OR
AMENDED.
4.) Health Dept. required to observe pressure test with system designer when system fully
installed/complete, 48 hours notice to be provided for scheduling.
5.) 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.
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.) Setbacks to all wells- 100' required from drainfield and reserve areas. 50' required from
tanks and effluent transport lines.
9.) 10' separation required between a Water line and all portions of the onsite sewage
system; effluent transport line, tanks, treatment and disposal components.
10.) Setback to surface waters- 100' required from drainfield and reserve areas. 50' required
from tanks.
11.) A 30' setback shall be maintained from the disposal component and reserve area to any
downslope footing, curtain or interceptor drain or drainage ditch.
12.) H - Permanent barriers are required along/around primary and reserve drainfield areas to
protect from parking, driving, and other land disturbing activities prior to final.
13.) All components of the septic system are to be completely protected from vehicular traffic
or mechanical disturbance.
14.) Drainlines are to be installed along the natural contours.
15.) Divert all sources of drainage, including roof drains away from septic tank and drainfield
area.
16.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent.
17.) 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.
Page 2 of 4
11/22/19C.
£
18.) 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.
19.) 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.
20.) The application was reviewed by the Jefferson County staff for the potential presence of
Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development
Code (UDC). After an initial Geographic Information Systems mapping review and an
investigative site inspection, the following ESAs were confirmed to be present on the
subject property: conservancy shoreline designation; stable/unstable recent slide
shoreline slope stability; eagle; landslide hazard area 1, 2, & 3; SUSC aquifer recharge
area; coastal SIPZ.
21.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
22.) A Geotechnical Report dated January 27, 2009 prepared by Stratum group was
submitted in conjunction with this application. The report addressed the stability of the
geologic hazard area. A minimum setback of 50-feet shall be measured perpendicularly
from the top or toe of the geologic hazard to the proposed development including septic
tanks and drainfields.
23.) Because of the silty to clay soil towards the south portion of the eastern third of the
property, development for drainage purposes is better accomplished on the western
two-thirds of the property. If development takes place on the southeastern portion of the
property, drainage should be managed in a different manner than described in the
geotech report and may require tightlining of stormwater and foundation drainage to the
base of the bluff. As the preferred building locations are not in this area, no specific
recommendations are provided. If development does take place on the eastern third of
the site, site specific drainage recommendations specific to the proposed development
should be made.
A septic drainfield should not have any adverse affects on the stability of the bluff as long
as the drainfield is located at least 50 feet form the top of the steep shoreline bluff slope
and outside of the south eastern third of the property because of the silty to clay shallow
soils in that area.
24.) Site grading soils and debris, landscape debris, or any other material should not be
disposed of over the bluff face or placed at the top of the bluff. Over time, debris will
break down and form an unstable mass that will slide, damaging the slopes below.
Native vegetation particularly trees and low native brush within 30 feet of the top of the
bluff should be disturbed as little as possible. No trails or grading shall be performed on
the bluff face. If trees are thinned or limbed for view purposes on the bluff face or within
the 30-foot native vegetation setback area, all debris should be removed from the bluff
face. Some thinning of small Douglas fir trees growing between the top of the bluff face
and the proposed home site should not cause any problems as long as the native brush
understory is left in place and at least one tree per 30-foot center is left in place. Foot
trails through the brush are acceptable and will not cause any stability problems. NOTE:
Prior to any vegetation limbing, trimming or removal within shoreline jurisdiction or critical
areas, applicant shall contact the Jefferson County Department of Community
Development (360-379-4450)to see if a vegetation permit is required prior to such
activity.
Page 3 of 4 11/22/195
I:\F_SEP_Permitmod.rpt
CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT
INSTALLER /9//y /W/C -s�� 1yo�7 PARCEL # °moo / ®3 z - /t'
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Permit Owner /7' C Permit # g
ABSORPTION AREA:
DRAINFIELD , TRENCH ' TRENCH C„. /' TANK #OF #GAL/ 6:00/°&--19"t
LENGTH —533 WIDTH DEPTH 7` SIZE - BEDRMS DAY 4Z0/WC--
Tank l Shroud/ �' GO Q2 7T/3�
IF PUMP AND PUMP CHAMBER REQUIRED: Size .SO'O Screen
Float Arrangement 09/0c/cc-if 2.6- 0 9
High water float—distance to top of tank/emergency storage O N /9 " ,cZif 36'" C/C7a 52"
Dose drawdown (#of inches) / �!a #Gallons/Dose 3
Timer/Dose Counter info 2, DosF 0 v`p63-6- Pump Size/Manufacturer 0/F 1716o P / /00S//
I CERTIFY THIS ONSITE SEWAGE SYSTEM WAS INSTALLED AS DESIGNED, PER PLAN APPROVED
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JEFFERSON COUNTY PUBLIC HEALTH
?. 615 Sheridan Street • Port Townsend • Washington • 98368
www.jeffersoncountypublichealth.org
Case# Site+Q Site Address 30 St r"1
Date/Staff Notes
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G:\EnvHealth\admin\Forms\Notes Page 2008.doc
Jefferson County Environmental Health Dept.
615 Sheridan St., Port Townsend, WA 98368 ��}►►►
SOIL EVALUATION .' "►
it t��.
Property Owner-Cordell & Cynthia Burke b��
System Designer- Soils Applications Inc. Ken Warren �� � 3 ,►
SPIRES s1/4013
LEGAL DESCRIPTION: Section-3 Township- 25N Range-1W Parcel# 501-032-022
Subdivision: Division Block Lot(s)-
Date Logged: 10/09/07 Logged by: Ken Warren & Eric Hibbard
Include soil textural characteristics and depths at which significant changes occur. Be sure to
include depth where mottling or impermeable layers occur.
SOIL LOG#1 ( ,_ / Health Dept. Comments:
0" to 10": Duff
U
•
1
WED
0" to 25": Loamy Fine Sand
25" to 54": Gravelly Medium Sand \i6 gq, tt�� I ,.
- p lU
54" to 69": Medium Sand N
Anticipated water table " Ef f Ef�SON COIN 1 I QCU
Roots to 36"
SOIL LOG#2 Health Dept. Comments:
0" to 24": Reddish Brown Loamy Fine Sand
24" to 47": Gravelly Medium Sand `�� ,� f u l C +
47" to 80": Fine Sand ray. CANNf
Anticipated water table "
Roots to 68"
SOIL LOG#3 Health Dept. Comments:
0" to 14": Reddish Brown Loamy Fine Sand
14" to 82": Medium Sand
water table "
Roots to 72"
\\
1
3
Jefferson County Environmental Health Dept.
615 Sheridan St., Port Townsend, WA 98368
Cynthia & Cordell Burke Parcel# 501-032-022
SOIL LOG #4 Health Dept. Comments:
0" to 10": Loamy Fine Sand
10" to 24": Reddish Brown Fine Sand C ) A Lcm 5 r ,
24" to 67": Medium Sand
Anticipated water table "
Roots to "
SOIL LOG #5 Health Dept. Comments:
0" to 19": Reddish Brown Gravelly Loamy oamy Fine Sand
an
19" to 61": Gravelly Medium Sd ) C �j I ` � 4 r r�` C3l�-
61" to 84": Medium Sand
Anticipated water table "
Roots to "
RECEIVED
MAR - 7 2008
'7fFERSON CDUNIY DCD
Jefferson County Environmental Health Dept.
615 Sheridan St., Port Townsend, WA 98368
Cynthia & Cordell Burke Parcel# 501-032-016
SOIL LOG#4 Health Dept. Comments:
0" to 10": Loamy Fine Sand
10" to 24": Reddish Brown Fine Sand
24" to 67": Medium Sand
Anticipated water table "
Roots to "
SOIL LOG #5 Health Dept. Comments:
0" to 19": Reddish Brown Gravelly Loamy Fine Sand
19" to 61": Gravelly Medium Sand
61" to 84": Medium Sand
Anticipated water table "
Roots to "
Soils logged 05/05/2008 By Ken Warren & Eric Hibbard
SOIL LOG#6 Health Dept. Comments:
0" to 4": Duff : *,.kr:
4" to 14": Dark Brown Gravelly Loamy.Fine Sand
14" to 26": Reddish Brown Gravelly Loamy Sand
26" to 40": Tan Gravelly Fine Sand
40" to 66": Tan Medium Sand
Anticipated water table "
Roots to 48"
SOIL LOG #7 Health Dept. Comments:
0" to 4": Loamy Fine Sand
4" to 16": Reddish Brown Loamy Fine Sand
16" to 84": Tan Medium Sand
Anticipated water table "
Roots Throughout
•
Jefferson County Environmental Health Dept.
615 Sheridan St.,Port Townsend, WA 98368
Cynthia & Cordell Burke Parcel#501-032-016
SOIL LOG#8 Health Dept. Comments:
0" to 6": Loamy Fine Sand
6" to 18": Reddish Brown Loamy Fine Sand
18" to 82": Tan Medium Sand
Anticipated water table "
Roots Throughout
SOIL LOG#9 Health Dept. Comments:
0" to 4": Loamy Fine Sand
4" to 28": Reddish Brown Loamy Fine Sand
28" to 84": Tan Medium Sand
Anticipated water table "
Roots to 54"
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