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HomeMy WebLinkAboutSEP2014-00085 JUN 2 3 ?nil- Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360) 379-4450 SEPTIC PERMIT APPLICATION Willa Beeman PROPERTY OWNER MAILING ADDRESS do Laurie Beeman 2015 24th Street#11F'�'f. �.. Bellingham, WA 98225 y Suzann i Z e L Martin '�t� • PHONE ( 360 ) 840-0003 • v eng NEk•• et SYSTEM DESIGNER Suzanne Martin Designer Phone# 554-0224 LEGAL DESCRIPTION: Section 21 Township 25N Range 2W PARCEL# 981301 418/420/421/422 Subdivision Name Olympic Canal Add'ns Division Block 14 Lot(s) 18 & 20-23 Site address/Directions to site 150 Mountain Trail Road SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential - New 1,1 Tank/s only Private Residential ADU ✓ Modification_ _ Public Commercial. Expansion_ Community Upgrade, Repair SITE SIZE +/-65169sf SYSTEM TYPE Partial Repair-(tank) (drainfield) Previous Evaluation Conventional Designate RPsPrve Area Yes# SEP81-00073 Alternative ✓ Redesign No SYSTEM DETAILS Number of Gallons/day 240 Soil type 4 (attach soil eval.) Application Rate 0.60 gal./sq.ft./day Drainfield Length 134 ft. Trench Width 3 ft. Trench/Bed Depth 12-24 in. Septic Tank size 1000 gal. Pump Chamber size 1000 gal. TYPE OF pressure trench system-violation correction 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 application will be separately judged by the rules and laws in effect at that time. Property Owner Signature Date FOR OFFICE USE ONLY p f PARTIAL i/Z��S E D ASBUILT I�U.0 y�l/C� FINAL A PRO ED / INSP/PUMP TEST )Y 1 / i CD u -C t`.0 Vj ALL HOLD REQ. MET Date ((')/(9 /I Fee itt t\G Rec# 51 7L Check# (G A Case#SEP I COO t-SJ c•\Doc» ntG cetti ,,ZAPDa nQ^'imerl- \*^y doc>>mAnts 2annA\mhh'20\7effcrc0T1 \Toffro forms\Suz\2008 SPA.DOC JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 www.jeffersoncountypublichealth.org I-'hone 3b0-38b-9444 Fax 3bU-3/9-4461 ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP14-00085 Date Received: 06/23/14 Date Issued: 09/02/14 SITE ADDRESS: 150 MOUNTAIN TRAIL RD Date Expires: 12/02/14 BRINNON, WA 98320 APPLICANT: BYRON L BEEMAN PHONE: WILLA R BEEMAN 30 ELK CT E BRINNON WA 983209668 LEGAL DESCRIPTION: OLYMPIC CANAL ADDITION 5 BLK 14 LOT 18 PARCEL#: 981301418 Section: 21 Township: 25N Range: 2W 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: NEW Drainfield Trench Septic Tank Length: 134 feet Width: 3 feet Depth: 12 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 Environ ental 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.: SEP14-00085 1.) This permit was issued to correct a violation of WAC 246-272A for installing and using a septic system w/o a permit. This permit must be completed within 90 days of the date of issuance. 2.) H - The existing septic tank must be re-plumbed and sealed as needed to prevent root intrusion into the septic tank. Rissers are required as well as a 1/16th effluent screen. Designer to doccument the above items on the final record drawing. 3.) H - The existing structure over the existing septic tank must be removed and a 5' setback maintained from the septic tank. 4.) To help protect the system from continued long term prescription use in the home, the design calls for a second septic tank to be installed. 5.) 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 6.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 7.) 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. 8.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 9.) H - An asbuilt drawing and certification of completion by the designer is required prior to final approval. 10.) 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. 11.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 12.) H - This existing developement is not grandfathered from minimum land area requirements as the original septic system was installed w/o a permit. This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots to meet the minimum land area required under WAC 246-272A Onsite Sewage Code. COVENANT recorded AFN 584500. 13.) 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. 14.) 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. 15.) 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. SEP14-00085 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 9/2/2014 16.) 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. SEP14-00085 Page 3 of 3 • \\tidemark\data\forms\F_SEP_Permitmod.rpt 9/2/2014 ' t 1 1 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING 4, Designer Suzanne Martin Permit # SEP 14-00085 ,#1, Installer Shold Excavating (Evan Neville) Parcel # 981 301 418 2�Ir Electrician Cascade Electric Design Flow 240gpd peak Property Owner Willa Beeman Site Address 150 Mountain Trail Road-Brinnon, WA 98320 Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) ex. 1000 gal; risers &outlet filter installed 3/5/15 Pump chamber (manufacturer, size) Infiltrator IM 1090 1000 gallon; 28 gallon/inch 2/13/15. Screen(s)and/or Pump Shroud (type, location) shroud in pump tank 2/13/15 Were Tanks tested onsite for water tightness? Yes / No Panel Model Infiltrator Timer Model Aquaworx 2/13/15 Pump 1 — Man./Model Liberty Flow Rate 28 Wm 3/5/15 Pump Location (i.e. garage, treatment unit, basement) in pump chamber Float/transducer settings Inches Timer from bottom of tank- On/off- 22.9 in. Functions: On 1:05 sec/min Veto - 29.6 in. Off - 180 sec/min/hr Alarm - 29.5 in. Veto On - 1:05 sec/min Storage Above High Water Alarm 547 gal. Veto Off- 240 se min/hr Dose Counter Readin g 8 dose/Ov dose # gallons/dose 30 gal. Elap. Time Meter Reading 00:11:35 min/hrs Pump Throttled? Yes k No„ Dose Drawdown (in inches) 1 1/16 in. Pump 2 — Man./Model 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-07; ID:05-08-2013; autoclear 1 dose; 67 events H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 of 2 • Pre-Treatment Date Insp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No Sandfilter Basin size/location n/a Sand Fill met design spec? Yes / No 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 2/13/15 Orifice size 1/8 Lateral Size/schd 1" pvc sch 40 2/13/15 Barrier Material filter fabric Cover Material/Depth 12-24 2/13/15 Residual Head (lat.# & ft. Head) 8' pre-cover 3/5/15 The laterals/pods were balanced es / No 3/5/15 Source/Manufacturer of Drainrock/Gravelless chambers Cotton Drainrock Clean? Yes / No If no, what action taken? Mound/Glendon Site Prep n/a Drainfield Length 134 ft Width 3 ft Depth 12-24 inches Caps for measuring residual head stored (location) In header box COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary .2.)tank has been re-plumbed &sealed; 3.)The ex. structure that was over septic tank has been removed; 4.) second tank was not installed because the person using long term antibiotics is no longer in the home; Health Department Inspection issues resolved Yes / No /CIA f yes how? Users Manual Provided to Homeowner maliled Date 16 rywi As Tank/component Decommissioning Report Attached Yes / No / NA Installer Certification attached/signed Yes / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY Ti- E 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 T}fE SYSTEM IS IN COMPLIANCE WITH WAC 246-272. sly. y 3/12/15 5100342 t 4 'SPA. .,,�:, II �ll� Designer Signature Date License # 502 "'y � Suzanne L Martin F rrts vnn, H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 R 4.-3.. 1. p c\C)N\t -4. o y� �a , o o, Or. N a d . 7 0 a 0 c- • V % / S S' 4‘N. F ,I * : ,7111 ) i'''Cr':' ..s..'"•no:gr'.•, .:• Lb 4,,A/ ca N .7 ki o -0 '4740A, % V. 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Page 4 of 4; , ^ Parcel#981301 418/420/421/422 Pressure ��� '---~^~ "^n.mxmrSe»ma"� 0�° � Name»f'�ppKcuotVNUoBeeman ' -^~~«������ stem Work Sheet Tux,�oucouoro# Site/�ddm:uu«rLocation 150 �WounCoinTnaU&3U Elk C 1Jcui@o�/'uy�m�� - '�''-�^ 1Ju1c 2June2O14 oudE Suzanne- -~' Company� �u � Sh /d - '-~`~" 'o phooc# 3^0'554-0224 Pro er In °motion: Number of Bedrooms»«ux/onu/oI)uUy�/ovv --`-`-----`------`. 2 Total/�huoqodoo&rcu----------------- --���--- 24OQpd/O�GUgp��f=4O0of Required(Sq.Ft.) ..................................---- d:o/n5e/d required/3' trenches=134 LF Trench In ormation: 12'24'trench depth; 0-12''cover Gravelless Chamber Drainfield(Yes-No) _______ ��--- TDH=�2(2O)hao� -Residual-5' Mani old. Lateral& Trans Total � -Friction Lateral Spacing _.Length --`-----------,,--_. 134 -Transport Transport -'---'----------. -MonVb�&Lo�no��' ' Trunnnort�iu��o�¢�'''�'..'.�'''''''�'........ --------' n':oc B. Difference-+/-3' -" Transport Pipe(Schedule) �''''''''�''''''''''- 'pumPOn'+�83' r�m�i��dJ��ut�ruo91 ----------'' -D/F Lateral Line Diameter Pc(8«h�dun) --___--..-----' � /*o elevation-+/-86' � 8�undbldLino[�um -------'' : ------------..---�`r -- Transport Diameter- --.-----------------. Residual Lateral^^^a« (oguot spacing-9-14 per Pump Size __________.~,e') ----________. g �� ---------------. 28 head ��m/«3=34 orifices =13.94(20 gpm � Control Panel In ormation : . . . page 2 of 4;Beeman; Tank Cross Section-Not To Scale parcel#981301 418/4201421/422 (For illustrative purposes only, actual tank configuration may vary, tanks must be on list of approved products.) SECURED LID WITH GAS TIGHT SEAL JUN 23 ?M 1 ACCESS RISER • FINISH GRADE 1 fj \ / Lbj 4 C TO PUMP % 1 n — CHAMBER FROM SEWAGE SOURCE FLOATING MAT 1-- APPROVED EFFLUENT FILTER SEDIMENTS Max.1/16"filter installed SEPTIC TANK (TYPICAL) SECURED LID WITH GAS TIGHT SEAL THREADED UNION ACCESS RISER SERVICE FINISH GRADE NNNAf VALVE • FROM SEPTIC l ui —►TO DRAINFIELD TANK • — Min_180_Gallon I -- EMERGENCY STORAGE ANTI SIPHON VALVE HIGH WATER ALARM LEVEL f I Aquaworx Transducer NORMAL TIMER OFF LEVEL WORKING VOLUME Assembly �► ENCLOSED PUMP v 7="r SEDIMENT SHROUD' \ CHECK VALVE 18" SUBMERSIBLE SEDIMENTS CENTRIFUGAL PUMP PUMP CHAMBER (TYPICAL) *AS NEEDED SEWAGE DISPOSAL DESIGN Approved f r Construction Dat • • Page 3 of 4; Beeman; Parcel#981301 418/420/421/422 csi Effluent Pumps OrenSystems' Incorporated 1-800-348-9843 t-- Effluent Pumps --_ 90 PEE 150 PEF, PKP Series I t 1/3hpto1-1/2hp 80 1PEF1001 E I 70 9. 3 60 p PEF 751 i so = 50 , .a , C PEF 50 3 30 effluent pump 20'of � � head 10 IPHP35D1 IPEF3311I I 0 10 120 gpm I 30 40 50 60 70 :iI 90 Net Discharge, gpm NDW-PC-PEF-1 Rev.5.0,©9/04 Page 1 of 1 JUN 2 3 2014 Page 4 of 4;Beeman; Parcel#981301 418/420/421/422 Pressure Distribution On-Site Sewa e Dis os al S stem Work Sheet Name of Applicant Willa Beeman Tax Assessors# 981301 418/420/421/422 Site Address or Location 150 Mountain Trail &30 Elk Court Ea Designer's Name Suzanne Man Date 2 June 2014 rti Company Name Shold Excavating Property Information: Phone# 360-554-0224 Number of Bedrooms ............................... Maximum Daily Flow """'"""""••••••••••••••••.. 2 Total Absorption X40 240gpd/0.60gpd/sf=400 sf rP Area Required S "" ( q.Ft.) 600 drainfield required/3'wide Trench In ormation trenches=134 LF Trench Width .. 12-24'trench depth; 0-12"cover ..................................... Trench 3' TotalDepth .................................... Lineal Trench """"""""' h Len ................ Total 1�4 Washed gt d Drain Rock Under der Lateral .............. Gravelless Chamber Drainfield(Yes-No) "'" -8- ................................ no TDH=12(20)feet Mani old. Lateral Trans -Residual-5' Total Lateral Pipe Length port In -Friction loss-4' Lateral S 134 --Transport line+/-1' Spacing --Manifold Transport line Length &Lateral-+/-3' /-3 El. Difference-+/_3' Transport Line Pipe "" 48 p (Schedule) -Pump On-+/-88' Manifold&Laterals Pipe(Schedule) sch 40 -D/F ie elevation-+/_86' Lateral Line Diameter """""'••••••••••••••••............. schsch 40 meter ........ Manifold """ Line Diameter �"—_ meter ................ Transport Line Diameter 2.. Pump Information Residual Later Head(Squirt Height) ......................................Pump Size Lateral -4'spacing-9-14 per Resi ............ . 20'head lateral x 3=34 orifices DODO_ Information: 34 orifices @ 0.41 gpm Orifice Spacing(inches) =13.94(20 gpm) Total Orifices .............................................. 48 ............... ......................................................... /8 orifice Diameter ���• meter ................. rotal Dose .................................. 1/8 Volume ..... lumber of Doses ............................................................... 30 oses Per Day ......................................... ;ize of Pump Tank 66 8 1ii (gallons) ......... 1000 Pa In mation . . . °%,' or :�P; pig : , .N e, \quaworx IPC-1 1z 5 o z . ' Suzanne L Martin �t. Ex"�RES z+ins 'th er In ormation JUN 232014 . JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST., PORT TOWNSEND,WA 98368, (360) 379-4450 t SOIL EVALUATION r i 'e' Psr� °� . 1 44 Willa Beeman , :N'1 PROPERTY OWNER I SuzanoeLMartin �'�� —.i ZEn sr THEW" 1t •SYSTEM DESIGNER Suzanne Martin LEGAL DESCRIPTION: Section 21 Township 25N Range 2W Parcel # 981 301 418/420/421/422 Subdivision Name Olympic Canal#5 Division Block 14 Lot(s) 18&20-23 Date Logged: 24 February&24 May 2014 Logged By: Suzanne Martin Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #1 ��e4 SOIL LOG #2 0-7" Dark brown loam 0-6" Dark brown loam 7-26" Brown gravelly sandy loam 6-38" Reddish brown loam 26-48" reddish &yellow brown gravelly sandy loam 38-66+"Grey gravelly medium sand 48-55" Light yellow brown gravelly silt loam 55" hardpan C I J� .„ ��� P Anticipated water table n/a in. " �'� Anticipated water table n/a in. Roots to 60 inches Roots to 58 inches Health Dept. Comments Health Dept. Comments SOIL LOG #3 SOIL LOG #4 0-3" Dark brown loam _'>� 0-4" Organic Duff topsoil , 3-50" Reddish brow loam 4-6/22" Reddish brown loam 50-63+" Yellow brow ong blocky silt loam 6/22-32/38"Yellow brown strong blocky silt loam 32/38+" Weak blocky massive silt loam AtAr Y �, - c / ' VERY SLICK CAREFUL. Root in the way of digging the 1 ��rYYY��1 tgs � ramp less steep. difficult access 12 Anticipated water table n a in. Anticipated water table n/a in. Roots to 63 inches Roots to 43 inches Health Dept. Comments Health Dept. Comments /1 �' SOIL LOG B-back filled `n SOIL LOG #6 \ 0-24" Reddish brown loam 24-60" Grey fine-very fine sand portions are in area of previous test pit. 0 Anticipated water table 56 in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments H:INFOHLTHISOIL.FRM 1/00