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HomeMy WebLinkAboutSEP2009-00036 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360) 379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Gerald W.and Iris M. Bracey MAILING ADDRESS 90 Belevedere Dr. Port Townsend,WA 98368 PHONE 360-379-0133 SYSTEM DESIGNER Nathan N. Cleaver Designer Phone# 360-598-6546 LEGAL DESCRIPTION: Section 27 Township 30N Range 1W PARCEL# 965000130 Subdivision Name Kale Point#5 Division Block Lot(s) 242 Site address/Directions to site : same as mailing SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential_x_ New Tank/s only Private Residential ADU Modification Public x Commercial Expansion_x_system currently failing — LA, Community Upgrade Repair SITE SIZE-3-811-r. $1(o‘ SYSTEM TYPE Partial epair- (tank) (drainfield) Previous Evaluation Conventional_x Designate Reserve Area Yes # SEP79-189 Alternative Redesign No f SYSTEM DETAILS Number of Gallons/day_360 Soil type_3 (attach soil eval.) Application Rate_.8 gal./sq.ft./day Drainfield Length 150 ft. Trench Width_3_ft. Trench/Bed Depth 24 in. Septic Tank size_1000 existing gal. Pump Chamber size: TYPE OF SYSTEM Standard Gravity By signing the application form, the applicant/owner attests that the information provided herein is true a4lWWiitontect t©ti4 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 separately judged by the rules and laws in effect at that time. AI I ' 4-//-7/ 0 2 Property Ownfrr Signature Date FOR OFFICE USE ONLY I PARTIAL ASBUILT V406\ FINAL `1(01;4 A ROVED INSP/PUMP TEST PUD 7 J v-( ((o ALL HOLD REQ. MET LL /� (� Date""tom IS Fee " I p Rec# I£ �('1 Check# 11/4-1_ _) Case#SEP 091--547 Macintosh HD:Users:nathancleaver:Documents:Nathan and Emilee's Family Folder:Entrepreneurial:Nathan Cleaver Septic Design Inc:2009 Septic Designs:Bracey,Jerry 2009:Bracy Permit.doc • SEWAGE DISPOSAL PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 • PERMIT #: SEP09-00036 Date Received: 04/13/09 SITE ADDRESS: 90 BELVEDERE DR Date Issued: 05/06/09 PORT TOWNSEND, WA 98368 Date Expires: 08/06/09 APPLICANT: GERALD W BRACEY PHONE: 360-379-0281 IRIS M BRACEY 90 BELVEDERE DR PORT TOWNSEND WA 983689597 LEGAL DESCRIPTION: KALA POINT#5 LOT 242 PARCEL#: 965000130 Section: 27 Township: 30N 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 years (unless otherwise stated above) in accordance with Jefferson County Rules and regulations for on-site sewage syster� co..ied 8.15 amended per ordinance no. 06-0719-07. This permit may not be renewed. Jefferson C•unty Environm ntal 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: 360 Type of work: REP Drainfield Trench Septic Tank Length: 150 feet Width: 3 feet Depth: 24 inches Size: 1,000 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE CONDITIONS OF APPROVAL- PERMIT NO.: SEP09-00036 1.) 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. 2.) This permit was issued to correct a violation of WAC 246-272A. The permit must be completed within 90 days of the date of issuance. 3.) H - AS PER WAC 246-272A AND 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 4.) 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. 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.) 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. 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.) 25 ft. setback from bank to be maintained. 11.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 12.) 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. 13.) 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. 2 of 3 11/22/19 I:\F_SEP_Permitmod.rpt 14.) 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. 15.) This parcel is within a no shooting area per JCC 8.50. 3 of 3 11/22/19 I:\F_SEP_Permitmod.rpt CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT INSTALLER `Vary) S u/ e/ c1L PARCEL# 9 5 ow ) 3 D Permit Owner 6 &a Id 4--11r I's iS 1:4 C e y Permit # 641 -OO(:)� j ABSORPTION AREA: �x DRAINFIELD TRENCH TRENCH TANK #OF #GAL/ LENGTH /C00 WIDTH '�' DEPTH 21 SIZE Io BEDRMS 3 DAY be 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 5J(9/CJq 2/27 / //��AT�F INSTALLER SIGNATURE DAT INST LED ,r,‘df-:',40 l '',1.' 4 j+ %O�Q Ham » of NArmAV V14 - Ammo, P'„S?5',, EXPIRE& y 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. 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O n to -D-1 v) D On x 00 _, , O G� ) no O a -. < cn" O° el. m 5 -1 - O S Z 0 O O in 00 , N O-I 0 CO W O k m w 7 W W N O . O N d Z On p OW (D V) N O O -I m N'.∎ o II 9 cn O 3 "A Z Z CO c0 Co ui l0 x C •�;.�, > z 0 al E?) LO Z Sil 0 Z ::(o D < o u, Z= ?► FR r.. X curl- 3 °_ - m n Q- (D l0 „� N (n 9 d...i • 0 _O C -I a) ■ D X n rn CU N � (D - QO o�- =I (n w o - ID a) m o a -' -n 0-, ° I I rh 0 n O CDs w II ^ C H O pD . o L� ° 3 O CD N n (r) CU (A X n O O o T - n o Cu O rh v 0 m a) 3 o (n 0) Nathan Cleaver Septic Design Inc. Contractor Registration#: NATHACS94002 Soil Logs Re: Jerry Bracey Parcel #: 965 000 130 Soil Logging done on 4/1/2009 by Nathan Cleaver Soil Log#1 0-4" Duff 4-18" Loamy Medium Sand 18-72"Medium Sand g7/1 71 Soil Log#2 � 0-4" Duff 4-22" Loamy Medium Sand 22-72"Medium Sand ,-/Stet Soil Log#3 0-4" Duff " 4-18" Loamy Medium Sand 18-54"Medium Sand Please feel free to call with any questions. . L.�� Thank you, 4( '°Wt/ L N r Q/ NATHANNN CLEAVER '4 , . .1 _Sz EXPIRES / Nathan N. Cleaver Licensed Onsite Wastewater Treatment System Designer. APR 1 3 .39 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. •