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HomeMy WebLinkAboutSEP2013-00136 et s fir f ® - }t i 44 Jefferson County Department of Community Development �'�"'. 0 0 r/2 621 Sheridan St.,Port Townsend WA 98368,(360)379-4450 ��.!' ( -1� `r<6i SEPTIC PERMIT APPUCATION I ' - - �,ek.4,• PROPERTY OWNER 4 IV S 4 -6 A�bAKA I C ,{- , ' �, I ,fi, - 5100259 ,,��;. MAILING ADDRESS , i 4 E. 1 • .,1 :. L ER ICSEN--- `) i Ir/ i 11 u ' . ♦ 8 4 - 1 0 d C N�1 li • \\\\\\!�\\WI PHONE I ) 3_y -I,1- sYsTEM DESIGNER ER 1 t...5 EN DES 1E7N Designer Phone# O176779000013/, 3 O - d f 6 3 4 LEGAL DESCRIP1 ONl: Section I Tow ZEN_ Range 1W PARCEL# Subdivision Name 'i .LAS i_E ..E 1 Division Block Lot(s) 23 site address/Directions tosite It, ED61EWATTr 'POET H AtLO Cis , AtJA 61 8339 SOURCE OF SEWAGEIUSE TYPE OF WORK WATER SOURCE Residential '1( New Tank/s only Private Residential ADU Modification Public`PUb Commercial Expansion Community Upgrade Repair SITE SIZE :AO Aug SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate Reserve Area Yes# 13- 1 aid ' ux S i-`�1 Redesign )( No - car ,+ �; SYSTEM DETAILS Number of Gallons/day cvio Soil type (attach soil eva1.) Application Rate gat./sq.ft./day Drainfield Length ft. Trench Width ft_ Trench/Bed Depth in_ CC Septic Tank size I 0 0 0 gal. Pump Chamber size gal- '1 i''(�S —0 'Q` '5 PA e J S TYPEofsystem TANK 4 eiRAWiTY PI � TO (aOMMu N r rr 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 1 further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey'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 lime 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. Property Owner Signature Date FOR OFFiCE USE ONLY PARTIAL ASBUILT 012.1W/ G / FINAL • / , APPROVE INSP/PUMP TEST P.,U L0\46- ALL HOLD REQ.MET Cg- ily, 6014 #5L LOSS b/q11,�� D a t e /c/i H Fee /Z /= Rec# /L/7799 Check# //'7 r Case#SEP 1 J —OO 13 Lo H:\WEB\PDFs\Septic\septic_permitapp_2008.DOC �` JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 www.jefferson countyp ub lichealth.o rg 1-none 36U-3bb-9444 Fax 3bU-3(9-44tf I ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP13-00136 Date Received: 12/11/13 SITE ADDRESS: 76 EDGEWATER CT Date Issued: 03/13/14 Date Expires: 03/13/17 APPLICANT: HANS KNIGGE PHONE: BARBARA KNIGGE 4315 201ST AVE NE SAMMAMISH WA 980746120 LEGAL DESCRIPTION: VILLAS BY THE SEA LOT 23 PARCEL#: 997900023 Section: 1 Township: 29N Ranqe: 01 W DESIGNER: BERNT ERICSEN PHONE: 360-301-0324 293 PINECREST DRIVE PORT TOWNSEND WA 98368 SYSTEM DESCRIPTION: SEPTIC TANK TO COM SYS No. of Gallons per Day: 240 Type of work: NEW 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. Jefferson County Envir nmental Health Specialist This permit with conditions must be onsite during II phases of construction HEALTH DEPARTMENT MUST BE CONTACTED FOR FINAL INSPECTION. SPECIAL CONDITIONS APPLY - SEE ADDITIONAL PAGES CONDITIONS OF APPROVAL - PERMIT NO.: SEP13-00136 1.) No portion of the sewge transport line may pass through the proposed rain garden. 2.) Villas By The Sea Plat denotes a 50-foot shoreline setback from the top of the bluff. No land disturbing activities will be allowed waterward of the Shoreline setback. 3.) Final approval of the sewage disposal permit will be given at the time our office has written notification by the PUD and/or the designer that inspections have been made and the installation meets their satisfaction. 4.) This system must be constructed by an installer certified by the Jefferson County Public Health Department per state code WAC246-272A-0250. 5.) Septic tank and pump chamber to be water tight. Extra protection (i.e. Bentonite) to be used around inlet, outlet, and risers due to high water table. 6.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 7.) 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 246-272A 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 8.) 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. 9.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 10.) H -An asbuilt drawing and certification of completion by the Designer is required prior to final approval. 11.) 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. 12.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 13.) The site plan as submitted with the Septic Tank to Community System application on December 11, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated December 30, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for a Septic Tank to Community System only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 15.) The area in which the site is located is listed on the Washington Heritage Register for"Cultural Resources of Hadlock Bay". In the event archaeological items are discovered, the proponent, the land owner, or contractor shall observe the protocol developed by a professional archaeologist in conjunction with local Native American tribes as follows: Stop work; notify immediately the Director of Community Development (360) 379-4450 who will immediately notify the State Department of Archaeology and Historic Preservation (DAHP); protect the area; obtain services of a qualified archaeologist; and, if necessary, obtain appropriate permit from DAHP. SEP13-00136 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 3/13/2014 16.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 17.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 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. 19.) 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. 20.) This parcel is within the Chimacum-Hadlock no shooting area per JCC 8.50. 21.) This project reviewed and approved as a Shoreline Exemption under JCC 18.25.090 (5). 22.) 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. 23.) 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. SEP13-00136 Page 3 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 3/13/2014 p . CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT INSTALLER I`1 a e-I-I iP1 K attyt PARCEL# gg7c 000 Permit Owner 1-10$'5 h nL�g e, Permit # 6.941 13— 3 to ABSORPTION AREA: DRAINFIELD TRENCH TRENCH TANK #OF #GAL! [� LENGTH --' WIDTH DEPTH SIZE I Qb BEDRMS of DAY cite) 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 AS INSTALLED AS DESIGNED,PER PLAN APPROVED 5- r3-t`{- l5 t' a7-/A DATE APPROVED Di S,5Ace SIGNATURE DATE TaAvk hat, a.n 0 d-k+ ba 'lt l f#i,- In54131 -d cL1+a c4tS ('e cord- clravJ n9 ��, M an ua,� cLco S o-ff a-+ 'RtSM a ehce. 5- 29 -15 .01 L r isl (-FILE NAME \ or 1i HANS&BARBARA KNIGGE.TRV 00 g. t SCALE DATE DRAWN BY 1 ,f: ,.4,f° 15 Ft/In 5-29-2015 Bemt Ericsen Si r!r` ,�1t;'iii.JOB REVISION SHEET s` _ i�. `997900023 1/1 1/1 J • •. awl, This map drawn with TRAVERSE PC,Software r 0 15' roc BERNT PAU EHICSEN'.`�1a, am mil S C NSEtY•E feNER... / a �`�s�.woe.►� oa o o►�®o. 1, . .rso ,u r, 1. at 00 cc,. Existing 2 Bedroom Home (/j� tP to Septic tank and transport lines 67'_v `l o° o from house to tank and tank al to existing stub out were installed Measurements: ‘-c ,..'" A and backfilled prior to designer A to C= 14'3" ct■ being notified. Routes are as A to D= 18' described by installer(Marty B to C= 14' Kithcart) A B to D= 17' 6l° C.O. AA�N. \ C Ilk 1 \\ I� EXISTING WATER ✓\ METERS \r — \ Ov\� a evr \ 0 ■` - 4"AST--.M.. „ STMS \, \ GOO e \ "Found" • ` 3034 \ Corner ■ \ D1 • `■� Existing \ 3636 °Y� /� '` Stubout s 6�°3°c 4ycl • Gooks 1, N oo� Existing Pavement eO* cl Approximate location of existing water and sewer lines as shown on "As Built"drawing. Water Line looked for on 2-27-2014 to edge of pavement(verified by Bernt Ericsen ) to depth of 5'.Appears to be under pavement as shown on"As Built"plans. ii 0, 44 v • tli 9/j2 o• t x t�!t' tFILE NAME \ ,►l._y " _ �-!c .' HANS&BARBARA KNIGGE.TRV Arri 1 SCALE DATE DRAWN BY j 5100259 4 s F 20 Ft/In 3-4-2014 Bemt Ericsen BERM PAUL ERtCSEN IQ JOB REVISION SHEET r CLNSED[}E IGNER la 997900023 1/1 1/1 S 021111 This map drawn with TRAVERSE PC,Software - 3-5-14 0 20' 5 1.. e23 7 r‘SSIGA 1\S37S?0S C i 5�N CGS',. for 0 le, / �/ 4 if" saw 0 as 'd' tP 'z til wo & wp o°' PROPOSED LOCATION \ �0 1000 GAL.SEPTIC TANK AND 4°ASTM 3034 TO - EXISTING-01.- EXISTING 6"STUBOUT WATER METERS (Located 2-27-2014 and (Top of neighbors meter verified by Bemt Ericsen) box is"Bench Mark") Marked with 2"x 4" 9'6"below"Bench March" (Top of Meter Box) 10.00' O 7 N 59°22'19"E O ` �� "Found" ■ m Corner x� ____4L0- 71‘- "Bench/. O Mark" ` Existing 56 10.81' • `N S 30°3T41"E \ StUbout _ et Water Line looked for on 2-27-2014 ,S to edge of pavement(verified by Bemt Ericsen) G : to depth of 5'.Appears to be under pavement as shown on"_Aa Bttik"plans. e - 7 Existing Pavement �� �QG� /' b ` Approximate location of existing 9 V3'lv\VP w el ater and sewer lines as shown - onfP iituik"-drawmg. 04'7,4f1P4S -vi3.41\FI\T: m ). . (stal5Pci- kWi 4E ggiqo0 3 FINISH GRADE 24'0 RISERS IWIH LIDS NA77YE FILL e?co)--- %\./ rlJf __ ff, rl ‹, f/ f. flll1l13 J �Q IN FROM //- - --. " s P ,'.--__'. OUTLET t 1Z mil US BUILDING%INN. %` - ' EFFLUENT LEVEL IBM i--4 STAINLESS STEEL !' _ �°' 0 CLAMP OVER ' :. f p'! 4"0 PVC OUTLET NEOPRENE RUBBER it -. BAFFLE NO SCREEN) BOOT(TYP.), -. \___4-ø PVC N / -- eRENC�?> I:. Pia 0 4nit—v _ INLET BAFFLE 1 0 -. NEW ;GOD GAL 2 - COMPARTMENT ; CONCRETE SEP TANK FROM PENINSULA TANKS ��: .- 0 // // f ACKFI AROUND I - T \ TANK lNl7TI H PEA � GRAVEL 'TO TOP OF A / /! 1!!!!/..-_ /< / - r/ ..N. .�\/X\,���,\ SEPTIC TANK SECTION NOT TO YG i uY.1 SAES. > `,". ,,„- „�, SEWAGE pYSPQ �� , ct�oA j�tp ;}^w Approve._ 1 �- or t y� GE ED D I N o. s . _ CONDUIT FINISH PVC SPLICE BOX °sti�t� iotaveOoviiratotai..s; TO . •+ AWORX GRADE INRI CORD GRIPS 24"0 PVC RISER & LID �5 02/1 CONTROL - s \ /J I/J I/I/J I/J//f if f` _ /ll///, fJ to lj /t fJ JJ tl \,.\� / li.if.f,./i./ .• e _ ,fJ,f/,t/,if if / ,t ff //. S IN FROM \* j'r _—.1.1j• l/Il/// .r"-': : / ea SEPTIC i� j��. 1. . TANK @ , lam HIGH Uk PVC UNION )- . - 4 1%MIN. i•� r - a z 'BAL i\ w o et - ..-2-0 TRANSPORT g 03 '-. ,LINE 70 DRAINRELD NEOPRENE RUBBER / VETB .._ f/ BOOT(TYP.-)\/ �' x 1 ASSEMBLY fj 4°6� PVC '�' ► ,, CHECK VALVE -..\�• INLET BAFFLE 2-1..—... � READS,4NSOUCER 1 : l 1 ,i ,,P IN =- / BACKFILL AROUND "131, 2' TANK WITH PEA PUMP • I �� SIR s . GRAVEL TO TOP OF NEW 1I DOO GAL \<,,:. co SINGLE l REM 1 1 u�itsi _` TANK COMPARTMENT -VERGED I BLOCONC ,i CONCRETE PUMP / CHAMBER FROM /. !//!!!//!////ll/I/////!J11 � PE INSULA TANKS' /-: _-_- --:- :. _ - .. q 1 \i� am�1 �' PUMP CHAMBER SECTION NOT TO SCALE • it ICO 1` p0 v ( - !e „KING— •t .C� 0 /ems•�o� A7/ SV" ore HAMS & BARBARA KNI 3E , r` °'!! P4�t V? e 997900023 �; : � as, B VT PAUL ERSEN%.-44 Project Description: 's ,e7'I Install Septic Tank and gravity pipe (ASTM 3034 ) to existing stubout ( location 3-�-1. verified ). s Plot?tan Septic Tank: Two compartment mono — pour concrete ( 1000 Gal. ) equipped with water and airtight unvented risers to grade. Tank shall be water tight. Fill tank with water after placement, to be observed by Designer. Tank to be set on 6" of pea gravel. An outlet baffle filter is required in the septic tank. Use Orenco FTiPW 0418 - W or equivalent, to be approved by Designer. Gravity Pipe Gravity pipe from house to septic tank to be ASTM 3034 installed @2% minimum. From septic tank to existing stubout ( location verified ) @ 1% minimum. Water Line Install water line from meter to house. Maintain a minimum of 10' between water line and septic tank / sewer lines. • Inspections Contractor to contact designer prior to construction to set up pre-construction meeting, and inspection schedule. General Construction Notes 1. The work described herein consists of construction of an on-site wastewater system. 2. The contractor shall be knowledgeable and experienced in the construction of this type of wastewater system and shall hold a valid certificate from Jefferson County Division of Environmental Health. 3. If during the installation of the system the contractor finds soil conditions that may lead to premature failure of the system, construction shall be terminated immediately and the designer notified. Such soil conditions may include groundwater, fill, clay, highly compacted soil, bedrock or excessively permeable soils. 1. Any inconsistencies, errors, or omissions that, in the opinion of the installer, would compromise the quality of the wastewater system shall be reported to the designer prior to construction. 1. Transport pipe and laterals shall be Schedule 40 PVC, unless otherwise stated in design, solvent welded joints. All fittings shall be Schedule 40. All transport pipe in traffic areas shall be Schedule 40. Backfill in traffic areas shall be pitrun gravel and compacted. All gravity pipe shall conform to ASTM D 3034. All gravity and transport pipe shall be bedded, using native or imported material free of rocks, debris and sharp objects. Double case in traffic areas as described in plans. 2. All exposed soil shall be seeded and mulched prior to the final inspection. Seed shall be spread at an approximate rate of 10 lbs. per 5,000 sq. ft. 3. The installer shall be responsible for constructing the system according to plans and conditions of permit and shall be responsible for its proper operation and function for one year. The owner shall be responsible for operating and maintaining the wastewater system in accordance with WAC 246-272A-15501. 4_ Any changes, substitutions, or deviation from these plans shall be approved by the designer and by the Jefferson County Environmental Health Department. 5. The installer shall grade to divert all surface water runoff away from tanks and drainfield/reserve areas. 6. The bottom of the trench or bed may be inspected by the designer prior to placing sand fill or drain rock and shall not exceed +/- i/z" from level. 7. Notify designer 48 hrs. prior to pressure test, after permanent power has been connected to panel and L. and 1. inspection complete. Any deletions from plans, or necessary adjustments, shall be completed by installer. 8. Setbacks to all known water lines.shall be a minimum of 10'. No crossing of water lines with any septic component shall be allowed, except as included in septic design approved by Jefferson County Health Department. 9. Setback from the building foundation wall shall be 10' minimum to drainfield, 5&apos; minimum to tanks and 2&apos; minimum to non-perforated sewer pipes. 10. Setback from property lines, easements lines, and driveways shall be a minimum of 5&apos;, for both drainfield and reserve areas. 11. Water saving appliances, fixtures, and practices are to be used. 12. The septic and pump tanks, drainfield and reserve areas are to be protected from vehicular traffic or mechanical disturbance. 13. The installer is to verify pump requirements at the time of installation. 14. The designer is to provide the " Record Drawing " and letter of certification. 15. This system has been designed in accordance with WAC 246-272 A and the most current Department of Health "Recommended Standards and Guidelines for Pressure Distribution Systems," and has been approved by the Jefferson County Health Department. Nevertheless, negligence or improper action on the part of the users could result in the premature failure or malfunction of the system or its components.