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Home My WebLink AboutSEP2014-00065 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Philip & Beth Spooner � yr MAILING ADDRESS 561 Saddle Drive Port Townsend, WA 98368 206 ) 234-5358 Suzanne L Martin PHONE tier t Ny"' EJ�IRF51/11115 SYSTEM DESIGNER Suzanne Martin Designer Phone# 554-0224 LEGAL DESCRIPTION: Section 18 Township 30N Range 1W PARCEL# 941 500 028 Subdivision Name Cape George Village Division 7 Block Lot(s) 28 1 Site address/Directions to site 561 Saddle Drive SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential ✓ New ✓ Tank/s only ✓ Private Residential ADU Modification_ Public ✓ Commercial Expansion_ Community Upgrade Repair SITE SIZE +/-66904sf SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate Reserve Area Yes# SEP02-00184 Alternative ✓ Redesign_ No _ SYSTEM DETAILS Number of Gallons/day 360 ex. Soil type 4 (attach soil eval.) Application Rate 0.60 qal./sq.ft./day Drainfield Length ex. gbt ft. Trench Width ex. gb ft. Trench/Bed Depth ex. qbt in. Septic Tank size 1000 prop qal. Pump Chamber size 1000 ex. gal. TYPE OF proposed septic tank plan for a proposed plumbed shop (not to be a residence) 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 li tion will separately judged by the rules and laws in effect at that time. / Property Owner Signature D e • FOR OFFICE USE ONLY �" ( �( Ud 1 1 PARTIAL 611 w 'Cv ASBUILT J (I5 FINA )')J1 APPROVED ,,/ INSP/PUMP TEST Pike( ,\.. `� `�- �� , [p I - ALL HOLD REQ.MET CUA 04-4. `tp3c-k / 1�(i5 Date 4)2( L d Fee �... tU Rec# S Q) 2 5 Check# ) l Case#SEP 19 - 0 US- r'\DCct�marts and Satti'vs\-S"Izanna Martin\My DccrmaPts\my dccrm9n*s Zanna\ulb1120\Jaff.rsc^ Ccunty\Jaffr'c forms\Suz\2008 SPA.DOC 0` JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street •Port Townsend•Washington •98368 www.jeffersoncountypublichealth.o rg I'none 3bU-335-5444 Fax 3o0-319-4461 ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP14-00065 Date Received: 05/21/14 Date Issued: 08/06/14 SITE ADDRESS: 561 SADDLE DR Date Expires: 08/06/17 PORT TOWNSEND, WA 98368 APPLICANT: PHILIP W SPOONER PHONE: BETH M SPOONER 561 SADDLE DR PORT TOWNSEND WA 983688905 LEGAL DESCRIPTION: CAPE GEORGE VILLAGE DIV 7 LOT 28 PARCEL#: 941500028 Section: 18 Township: 30N Range: 1W DESIGNER: SUZANNE L MARTIN PHONE: 360-554-0224 PO BOX 125 CHIMACUM WA 98325 SYSTEM DESCRIPTION: SEPTIC TANK TO IND SYS No. of Gallons per Day: 360 Type of work: MOD Drainfield Trench Septic Tank Length: feet Width: feet Depth: 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. '../9,, /(h6A3Q■ (-7t1"‘ Jefferson County Environmental 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.: SEP14-00065 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.) 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. 3.) The onsite sewage system is designed for a maximum capacity of 3 bedrooms and currently is connected to a permitted 3 bedroom home. The system does not have capacity for additional bedrooms, accessory dwelling unit or other use resulting in increased flows to the system. 4.) H - AS PER WAC 246-272AAND JEFFERSON COUNTY CODE 8.15 ALL ONSITE SEWAGE SYSTEMS REQUIRE THATA 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 246-272AAND 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 5.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 6.) 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. 7.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 8.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 9.) 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. 10.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 11.) Divert all sources of drainage, including roof drains away from septic tank area. 12.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. 13.) Septic tank to be water tight. Extra protection (i.e. Bentonite) to be used around inlet, outlet, and risers due to high water table. 14.) 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. All existing tanks shall be in compliance with access riser requirements. 15.) This system as designed and approved is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD. T Gi l�`15 i1QIU'\� SEP14-00065 Page 2 of 2 \\tidemark\data\forms\F_SEP_Permitmod.rpt 8/6/2014 • 1 ' is CONVENTIONAL SYSTEM AS-BUILT INSPECTION REPORT Installer: Ericsen Excavating Parcel # 941 500 028 Permit Owner: Philip&Beth Spooner Permit# SEP14-00065 Designer: Suzanne Martin Design Flow: 360 gpd Site Address: 561 Saddle Drive-Port Townsend,WA 98368 ABSORPTION AREA: DRAINFIELD TRENCH WIDTH TRENCH DEPTH TANK SIZE #OF BEDRMS #GAL/DAY LENGTH ex. ex. ex. 1000 gal 3 360gpd IF PUMP AND PUMP CHAMBER REQUIRED: Shroud/Screen Tank Size: SEE SEP02-00184 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 COMMENTS (inspection notes, changes from design or deficiencies installation)Attach additional sheet(s)if necessary Cotton septic tank was installed on new shop building (BLD14-00310). The tank has risers, bentonite was placed around all interfaces of the septic tank(inlet, outlet, riser, etc). Outlet filter has been placed in the outlet baffle of the septic tank. The septic tank is protected from vehicular traffic by two man rocks. The water line and the sewer line have maintained more than 10' horizontal separation.Tank was test on site for water tight. Users Manual Provided to Homeowner delivered 11March15 Date ATTACH ASBUILT DRAWING signed by Designer or stamped/signed by a Licensed Professional Engineer I CERTIFY THE INFORMATION PROVIDED ABOVE WAS VERIFIED BY INSPECTION, THE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY (DATE)OR THAT CHANGES HAVE BEEN NOTED AND THIS SYSTEM IS IN COMPLIANCE WITH WAC 346-272 16 June 2015 5100342 Designer Signatur Date License# +ice!?'; I♦ ► s, z ► Are. .Suzanne l Martin '.'►►► 8.@ y_... ►�... omn tinny ___ ,16'661 .�i'♦,.♦�� *u it \ .- '�►e1'A. 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