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HomeMy WebLinkAboutSEP2014-00077 ' Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360) 379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Donald & Ana Weerts /� ��►►1► MAILING ADDRESS 161 Maple Drive rP �o;,,,%� Port Townsend, WA 98360 50 Martin'-A►,► PHONE ( 201 ) 503-5681 +� ' S���tibr r .'' ►'►. i tit5�i N ► E%PI- 31n5 SYSTEM DESIGNER Suzanne Martin Designer Phone# 554-0224 LEGAL DESCRIPTION: Section 13 Township 30N Range 2W PARCEL# 940 800 030 Subdivision Name Cape George Village Division 4 Block Lot(s) 30 Site address/Directions to site 161 Maple Drive SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential ✓ _ New Tank/s only Private Residential ADU Modification_ — Public 1/ Commercial Expansion_ Community Upgrade Repair it + SITE SIZE 12405 SYSTEM TYPE Partial Repair-(tank) (drainfield) ✓ Previous Evaluation Conventional Designate P' 'rve Area Yes# SEP14-00077 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 13.4 ft. Trench Width 17 ft. Trench/Bed Depth n/a in. Septic Tank size 1000 ex. gal. Pump Chamber size 1000 ex. gal. ,� ,�^ 2� TYPE OF Repair Glendon Biofilter M31s ,( ���l�""` �11 )�l' u� - By signing the application form, the applicant/owner attests that the information rovided 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 7?-4S— PARTIAL .6'/tt/IS" ASBUILT 7/30A5- ED FINALS' 2/:- D A PROVED ,� / INSP/PUMP TEST 7/2- _4 eD PUD 1/4 ----) > IS Ff' ? O M a5Pe-e-lilt y%* ALL HOLD REQ.MET ,f 3 I Date f)10 1 15 Fee 12Lo a� Rec# 5 S Cos Check# 1 3 I L' Case#SEP 1 y —O1 r•\nno ,arts a.,� S.+t;,,7s\S"z.DD,a Ma,-t ,,\any p^,„meats\my H.,,-,,,,,o is za,,,,. hh?.,\Toff.,-sr+n C^tasty\7ffCc forms\Suz\2008 SPA.DOC �45oN JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 www.jeffersoncountypublicheakh.org Phone 3tiU-38b-Y444 Fax 3tiU-3/9-448/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP14-00077 Date Received: 06/11/14 Date Issued: 01/22/15 SITE ADDRESS: 161 MAPLE DR Date Expires: 04/22/15 PORT TOWNSEND, WA 98368 APPLICANT: DONALD A WEERTS PHONE: 360-390-5681 ANA WEERTS 161 MAPLE DR PORT TOWNSEND WA 983689422 LEGAL DESCRIPTION: CAPE GEORGE VILLAGE DIV 4 LOT 30 PARCEL#: 940800030 Section: 13 Township: 30N Range: 2W DESIGNER: SUZANNE L MARTIN PHONE: 360-554-0224 PO BOX 125 CHIMACUM WA 98325 SYSTEM DESCRIPTION: REM & REP MEDIA-GLNDN No. of Gallons per Day: 240 Type of work: REP Drainfield Trench Septic Tank Length: 134 feet Width: 17 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 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.: SEP14-00077 1.) This permit was issued to correct a violation of WAC 246-272A for a failing Glendon system. The permit must be completed within 90 days of the date of issuance. 2.) The contaminated soil removed from the basins must be de-watered and placed evenly in the downslope protection area. These contaminated soils must be limed to disinfect and then covered w/ 6 inches of clean soil. 3.) Confirm that all rims are level. Doccument on record drawing 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.) H - An asbuilt drawing and certification of completion by the designer is required prior to final approval. 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.) This site has been granted a waiver from the state onsite sewage regulation 246-272A- table IV for an existing building <30' down slope to an absorption area... Compliance with conditions of the waiver is required. 9.) 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. 10.) Approval/issuance of a sewage disposal permit or installation of a septic system does not guarantee the approval of other development or a building permit on this site. Future buildings that require connection to an on-site sewage system (OSS) shall only be approved if the OSS meets the current standards and codes in effect at the time of the building application. SEP14-00077 Page 2 of 2 \\tidemark\data\forms\F_SEP_Perm itmod.rpt 1/22/2015 C". JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 T � ,� ASBUILT INSPECTION REPORT For RECORD DRAWING 2 - °< y \‘<::3 n,, c Designer Suzanne Martin Permit # SEP 14-00077' 's�G�� Installer Shold Excavating (Evan Neville) Parcel # 940 800 030 Electrician Fredrickson (9/2005) Design Flow 240 gpd peak ,S Property Owner Donald &Ana Weerts Site Address 161 Maple Drive-Port Townsend, WA 98368 Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) 1000 gal 2 compartment with baffles &filter 2005/2015 Pump chamber (manufacturer, size) 1000 gallon 2005 Screen(s)and/or Pump Shroud (type, location) vault 2005 Were Tanks tested onsite for water tightness? Yes / No tanks have proper levels Panel Model Aquaworx Timer Model 2005 Pump 1 — Man./Model p100511 n/a Flow Rate um 2005 Pump Location (i.e. garage, treatment unit, basement) in pump chamber Float/transducer settings Inches Timer from bottom of tank- On/off- 25.9 in. Functions: On 10 emin Veto - 34.4 in. Off- 9:47 sechr Alarm - 34.2 in. Veto On - 10 0 min Storage Above High Water Alarm +240 gal. Veto Off- 8:42 sec/ in hr Dose Counter Reading 8337D/3415V-D ' # gallons/dose per gbt gal. Elap. Time Meter Reading 00686:01:31 min 16)-s Pump Throttled? Yes No Dose Drawdown (in inches) n/a in. Pump 2 — Man./Model n/a 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-OB;Autoclear 22 dose; i:\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 1" pvc sch 40 Manifold size/schd 1" pvc sch 40 2005 Orifice size n/a Lateral Size/schd n/a jute Cover Material/Depth 2015 Barrier Material P Residual Head (lat.# & ft. Head) balanced pods The laterals/pods were balanced 0 / No 2015 Source/Manufacturer of Drainrock/Gravelless chambers sand from cotton Drainrock Clean? Yes / No If no, what action taken? n/a Mound/Glendon Site Prep yes 2015 Drainfield Length 23 ft Width 23 ft Depth n/a inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary .2.) contaminated material were placed downslope of the reserve and primary areas 3.) rims of both pods are level within tolerance Health Department Inspection issues resolved Yes / No / NA If yes how? Users Manual Provided to Homeowner yes, delivered to homeowner Date 28July15 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 THE INFORMATION PROVIDED ABOVE WAS VERIFIED 'BY INSPECTION, THE SYSTEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY (DATE) OR T}fAT CHANGES HAVE BEEN NOTED AND M+� T}hE SYSTEM IS IN COMPLIANCE win( WAC 246-2 72. �?�. 5100342 ' ` Designer Signature Date License # 5 0 LM g g Suzanne L Martin 'y � .:.itt .ti8@"i NF'= t!,, Em,rFS n„n H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 m =n _I c�3 g ED o ...tl .• a ,G7'0 D N flj. 3� n 3ni�a3 fi!Ltt i ' \X ,(D N O V • 3 CD i ! X N N CD t 1 j ° ; 0 O K 0 N CD m x X r+ •-s m m m 7 3N 0 00 0 , \ < m o. 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Deeney LEGAL DESCRIPTION: Section 13 , Township 30 , Range 2W PARCEL# 940800030 Subdivision Name Cape George Village, V. 4, Long Plats, P. 75 , Division 4 , Block , Lot(s) 30 SITE LOCATION S. on Cape George, rt. on Ridge Dr., Ift on Maple Ln., Btwn. #141 &#191 Maple Ln. Zip Code 98368 SOURCE OF SEWAGE: Residential X Residential ADU Commercial Community TYPE OF WORK: New X Redesign Upgrade Repair Partial (tank) (drainfield) Expansion Designate Reserve Area Conventional Alternative X Drainfield Length n.a. ft. Trench Width n.a. ft. Number of Gallons/day 240 Trench/Bed Depth n.a. in. Number of Lines n.a. Site Size 12,405 sq.ft. Septic Tank size 1,000 gal. Pump Chamber size 1,000 gal. Water Source: private public X Soil type 4 (ATTACH SOIL EVAL.) Previous eval: yes / no SEP Application Rate 0.6 gal./sq.ft./day TYPE OF SYSTEM: Glendon Biofilter 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 it's employees, representatives or agents for the • purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. 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. Owner Sig ur Date / / FOR OFFICE USE ONLY I I Z/! G PARTIAL ASBUILT l '�` FINAL 10/1(14,5/AA APPROVED PRESS/TEST GI 05 PUD 9 C' rtv'T Fire District Planning D ist rict School District Zone Date Date 1q!0 Fee �Tl Rec# 61554— Check# 66 Case#SEP 04-ab 1 mote_ 125 .0,9_ PERMIT APPLICATION.DOC 7/01 SEWAGE DISPOSAL PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 (800) 831-2678 PERMIT #: SEP04-00207 Date Received: 09/03/04 Date Issued: 12/24/04 SITE ADDRESS: 161 MAPLE DR Date Expires: 12/24/07 PORT TOWNSEND, WA 98368 APPLICANT: GREGORY L GETCH PHONE: (360)379-8993 207 CHERRY ST PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 BLOCK: LOT: 30 PARCEL#: 940800030 Section: 13 Township: 30N Range: 02 W DESIGNER: MIKE DEENEY PHONE: (800)395-7296 CREATIVE DESIGN SOLUTIONS PO BOX 2787 PORT ANGELES WA 98362 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. 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 systems, codifies 8.15 amended per ordinance no. 08-0921-00. This permit may not be renewed. / R MARX, Jefferson Count 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: 280-GLENDON BIOFILTER No. of Gallons per Day: 240 Type of work: NEW Drainfield Trench Septic Tank Length: feet Width: feet Depth: inches Size: 1,000 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE • • CONDITIONS OF APPROVAL - PERMIT NO.: SEP04-00207 1.) MUST Contact designer prior to installation for staking of drainfield area. 2.) 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. 3.) AS PER WAC 246-272 AND JEFFERSON COUNTY CODE 8.15 ALL SYSTEMS REQUIRE MONITORING. THIS MONITORING IS PROVIDED BY AGREEMENT BETWEEN THE JEFFERSON COUNTY ENVIRONMENTAL HEALTH DIVISION AND THE JEFFERSON COUNTY PUBLIC UTILITY DISTRICT#1. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN ACTIVE MONITORING CONTRACT WITH THE PUD #1 PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM. While the County strongly recommends that the property owner allow inspectors to enter their property to inspect the system in order to insure that the system is functioning correctly, the property owner always has the right under the Fourth Amendment and our State Constitution, to refuse the inspectors access to their property. The property owner never loses the right to refuse access and can do so despite never having refused access before. 4.) 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 EVERY 3 YEARS....AT 6 MONTHS, AT ONE YEAR AND ANNUALLY THEREAFTER. 5.) Health Dept. required to observe pressure test when system fully installed/complete, 48 hours notice to be provided for scheduling. 6.) An asbuilt drawing and certification of completion by the designer is required prior to final approval. 7.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 8.) Dry season installation required. 9.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 10.) 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. 11.) 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. 12.) 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. 2 of 2 I:\F_SEP_Permitspt • 11/22/19 JEFFERSON COUNTY COMMUNITY DEVELOPMENT- 621 SHERIDAN ST, PORT TOWNSEND WA 98368 CONSTRUCTION INSPECTION REPORT County Inspector(to be filled in by County) Date Inspected by County Designer F)e"&/t-"0" ` Permit# SEP 04- 4907-O-7 Installer r3 r-/ cS2,V Parcel # Electrician O ,fie Design Flow Z Il® Property Owner Gk -G 6 tc7/ Site Address l b I r?.4pc,� 142./ row/is-4-0,4/D 4,04, g s.34.F ITEM SIZE/MANUFACTURER/CLASS/SCHEDULE DATE Tank (size, baffles, risers, etc) /Q©O /s4G Z (1,4`,"F`e& 4-/3"-03 Pump chamber(size, baffles, risers, etc) 1040 / 5-! -QS Screen(s)/Pump Shroud Pot-r)=' (<4'W.> 1/EFF Float arrangement A4'0.74AcwSz 7-7e./At, bocce yz 9- I S Second pump -- Emergency Storage Above High Water Alarm (# gallons) 3Zr/ -lr e5 Pump #1 Pte?e` t / Pump#2 9-/3 -m5 Anti-siphon device Sandfilter basin high water alarm shuts down pump to Sandfilter Yes No Dose Counter Reading '2--'7 Elap. Time Meter Reading /%i1 /7 SrG et-21 �S Dose Drawdown (in inches) 0•0 1 2"d Basin #Gallons/dose 1.‘e 2nd Basin Panel ModelfirOm4X Y TPc-is Timer Model ileP 49 ?Y 4- Timer Functions: On time )3 50'G Off time /"7in/ 7-s C q-?/-OS Other Timer functions & settings (e.g override on/o ) 9-Zf-ra S /1t5 R.6-&.. C i t/F4" Transport Pipe I a SGE1. ¢D Manifold 9- c 3-aS Orifice size Y4" Lateral - Qr-t 3-49 S Barrier Material Cover Material/Depth Residual Head (lat.# &ft. Head) >4F-7- - 13-oS Sand Fill (met ASTM?) Sandfilter Basin Mound Site Prep Drainfield Length ft Width ft Depth inches COMMENTS (inspection notes, changes from design or deficiencies in installation)Attach additional sheet(s) if necessary �e1Tr �-r off- D✓j 4'f puCCO ,pct-G. ZS If■ &'o v- Fe ' —z e'p y. . .. fm ze._ 4 S : Ti/ r Fl 7m<<i '/ Z ESP d 5 6 c,C L�/ ./0 Pe,Gt 0? , !LG 6 ➢`-1,r-a E. P-ic, , Users Manual Provided to Homeowner Date S-24-e5 ATTACH RECORD DRAWING signed by Designer or stamped/signed by Licensed Professional Engineer I certify the information provided above was verified by inspection (with exceptions as noted, if any). I also certify that this on-site system was installed in accordance with the approved design and verified through periodic observations of construction such as site plowing for mounds, pressure testing with all system components exposed (no backfill, except over transport pipes), and final inspection of the completed system (with exceptions as noted, if any). 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Z .�3�� R �bOO v �m 0 rrl Ili b y , � 2 rn O s 00 �� p 2c, nr---- cp20 cn , mo o NI o(nn�� 2 a = 2���m (� OxZ�n Z ?�a oo m v_ -I v v 45, Oz. cn D C C z cn 0 ®� ', o iv O • z -o cn m cn W A °' cncDCD O c.n X cn D 3m r w mod`° dr `� m - -i - m p c ° O 3 - co m e n y 0 m > m > CO, w =' , m� -1 Cl) v H z V O co _ cn K K m p m. -i�� �///y Co°e a P am m; m m a, cn^)n x�n n w� n, o n = �� a � )sTFA►%y, �� -nom 0 0 H _• c � 0 0 z a km r o m ,t;/// o/ C71 -I co rri ro LD L1) m y 0' m ' 0 = O n O s 3 Z r-, -0 c �. c > y iii co n pe I 7r -I o _ r� 0 bI> n c, g OO c, Z Z CO ONSITE SEWAGE DISPOSAL p46 E ! of SYSTEM DESIGN Date 7-2 Property Owner 6'i2 EI'c,471 System Designer /'7 .S, 1"-> e�� Legal Description: Section / 3 Township 3o Range 24.) Subdivision Name e,9- v«i1. Division ¢ Block Lot(s) PARCEL yip ga, o�O I. CALCULATIONS If for residential use: Number of Bedrooms: 'Z x 120 G.P.D. = 24o total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. Soil texture waste water application rate e'.. G.P.D./ft. squared (see page 214 of the EPA Design Manual) DEAIZIFTELD SIZING: Go 1- e-A-E£ '.e y3 (CJ/ z r4r,2 Absorption area: 2°' square feet (total G.P.D. G.P.D./ft. squared) Trench or bed width '/-i4, feet Trench or bed length A-64-, lineal feet (sq. ft. -:trench or bed width) II. APPURTENANCES n p Septic Tank Size /67°d gallons Pump Requirements (If Necessary) J FBSUN CCUN�Y DEPT OF GOts! UNITY OEVELOPtJtENT Elevation difference in feet Fj Friction loss ��` ��L-' GP I Pump capacity should be G.P.M. at T.D.H Number of doses per day Dosing volume gallons Pump chamber size gallons at'l ''.sue r.. slooll0 H:\home\pincntr\infohlth\sewdsn LICENSED DESIGNER EXPIRES 03/18/05 p.,4GE z of z ITS. DRAINFIELD CROSS SECTION p ,ecE� �4C �d / D ////FIL(///L a- °Olin ■Kk NATIVE SOIL A f j E C IMPERMEABLE MATERIAL/ SEASONAL SATURATION A. Trench Depth A"/ - inches B. N-,1- inches of drainrock below pipe C. > 1 Z inches of vertical separation from trench bottom to impermeable material/seasonal saturation D. inches of fill (if needed) E. Trench width N-4 - inches NOTES: tAt S 6 V (4 1 JEFFERSON COUNT`( , ATTACH DETAILED DESIGN OF SYSTEM DEPT OF COMMUNITY DEVELOPMENT • GREG GETCH Page 1 13( 30-2W) , Parcel #940800030 Date: 08/23/2004 ORIFICE DISCHARGE Design Criteria: . 2500 Inch Orifice Diameter 4. 0 Mini mum Residual Head ( ft. ) Orifice discharge " q" = 12. 38 X ( square of the orifice diameter d' in inches) X ( square root of the residual spray height or " head" i n feet) 2 1/2 = 12. 38( . 2500 i n. ) ( 4. 00 ft. ) = 1. 5475 gpm/orifice Number Total Orifice of Discharge Or i f i ces ( gpm) 20 2 3. 10 Total = 3. 1 Add 15 X. and use: 3. 6 NOTE: Use 3. 6 gpm for the pump specifications and use 3. 1 gpm for the TDH calculations. The TDH will have 15 Y. added at the conclusion of those calculations. ECEAVE 7.0) rr.hA SEP - 3 LUU1+ JEFFERSON COUNn DEPT.OF COMMUNITY DEVELOPMENT • GREG GETCH Page 3 13( 30-2W) , Parcel #940800030 Date: 08/23/2004 PRESSURE PIPING SYSTEM AND RELATED HEAD LOSS 1. Required Pump Capacity = 3. 1 gpm ( from previous calculations) 2. Pump Chamber Type of pipe = Sch, 40 PVC ( C = 150) Diameter of p i pe = 1. 25 inches ( I, D. = 1. 380 i nches) List of Pipe Elements Length of pipe = 12ft. 3 90 degree ells at 4 ft. equiv. length = 12ft. 1 PVC Valve at 20 ft, equivalent length = 20ft. 1 PVC Swing Chk, Valve at 9 ft. equiv. length = 9ft. Sum ( L) = 53ft. Head Loss Formula ( Hazen-Williams) : 1. 85 1. 85 4, 87 Head Loss = 10. 45( L) ( Q) /( C) ( D) = . 2 ft. 3. Transport Pipes a) Main Transport Pipe Type of pipe = Sch. 40 PVC ( C = 150) D i ameter of p i pe = 1. 25 i nches ( I. D, = 1. 380 inches) List of Pipe Elements Length of pipe = 160ft. 4 90 degree ells at 4 ft, equiv. length = 16ft. 2 45 degree ells at 2 ft. equiv. length = 4ft. Sum ( L) = 180ft. Head Loss = . 6 ft. b) Secondary Transport P i pe ( Sch. 40 req' d be low roadways, etc. ) Type of pipe = Sch. 40 PVC ( C = 150) D i ameter of p i pe = N. A. i nches ( I. D. = n. a. inches) List of Pipe Elements Length of p i pe = n. a. ft. n. a. 90 degree e l is at n. a, ft. equ i v, length = n. a, ft. n. a. 45 degree el is at n. a. ft. equ i v. length = n. a. ft. .....) Sum ( L) = n. a. ft, D E C E '-'j --' \''\ 5EP - 3 204 JEFFERSON COUNN OEpT.OF COMMUNITY UcvtLOPMENT • GREG GETCH ' Page 4 13( 30-2W) , Parcel #940800030 Date: 08/23/2004 4. Drainfield Distribution System Type of' Pipe = Class PVC ( C = 150) Head loss for smaller systems is typically considered to be 1. 0 foot. 5. Static Head = orifice elevation - pump inlet elevation in pump chamber = 111. 0 ft. - 100, 0 ft. = 11, 0 ft. more or less ( depends upon final location and elevation of pump chamber) 6. Total Dynamic Head for Pump Sizing Pump Chamber = . 2 ft. Main Transport Pipe = . 6 ft. Secondary Transport Pipe = n, a. ft. Distribution Network = 1. 0 ft. Static Head = 11. 0 ft. Desired Residual Head = 4. 0 ft. Summation = 16. 8 ft. Add 15% and use 19. 3 ft. 7. Pump Selection; Use pump curves for the final pump selection based on 5. 3 gpm at 19. 3 ft. TDH and which meets UGH Guidelines criteria. 11111140@ 1111111` k 111 ,. � 11111= 5100110 V- `111 MICHAEL S. DEENEY �$ LICENSED DESIGNER O� EXPIRES 06/18/0 tits \\/7",„ ";J(�*q° O OO es F SOIL HOLE LOGS Page / of Z Designer r, /KC L> -8N&y Date 12—/ 7 412-2-off Health Dept. Official Parcel# `?4-0 aco c 30 Backhoe Operator l/,`�� 5 &Z zgKc �-'1` '6 Job# 'j7 ©mi l Others Present Sec(Twp-Rng), s J , (3(' -Z4,. Property Owner/Dev. GfzE-lo ' ' ptc6.{ Project lie S".D P'�i9-C_ SE F>7--/r"' HOLE NO. w O 2 z F= TYPE w O ui L OF DEPTH z ? F_ m w — TEXTURE APPL. zz SYSTEM (Inches) 7.3 U co < o t RATE O DATE O c W i- c (gpd/sq.ft.) J OBSERVED c ~ < a. v O F- O CC Z Q ' 1 `a S )g SL o,& rS 1)-P SL 0,6,Z4 1� /mac 8t?<</ !(O 4-7 SG 41 Zen/9 " G (3,3 sEL P3 SL/ I//7"•7v P77A i /2-17-03 /g, 2 lv & > /o St F,tc .0., 14 2- P 14 SL a-G 1 f p l4c,ter y -36, S L o_ 3 36 6,2''Y G 5-1P NAcrt'� ,TAI 1 1 7- /7-03 /-4t„ 3 1 1 > -7 SL F/LG ? o.(o 15 D—[ ' /C s co,e,,, z1 i' /17C-G 31 5 L o. 3 31 P, 4' 7A y c, s�4.-p @ H ' " ' 12 . / �-1 /- a3 4 10 cl >10 s1- F/QL ? o.� IC, D- P - L � D. 30 F fatf5 /`- 4® 40 444 I(' C SEeP G L 2 C 2---1 7-e,3 !la `j 7 -/ > 7 SL o. 6, 12 D-p Sc o. & 3 , P �,l4c 13 3 4 �� 0,Z ---p 74- (<44y C s 2 `& N4,C�c> p,./AS 1 2 -/7-O 3 .44/19d I- SOIL HOLE LOGS Date f 2- 1 -7 -62 3 -.12-2- t Parcel# cl 4 goo o3c� Page Z of Z- Job# a,ie r-G 030 6 t�0.ly to w.7-chi HOLE NO. w O Z �- TYPE w O a c OF DEPTH O cK H m w ., TEXTURE APPL. OZ SYSTEM (Inches) H O H o L RATE ~ H D 2 r w ° (gpd/sq.ft.) 9 DATE 0 Q a ui OBSERVED u) H U O CC O I Z Q . (0 5 /0 > g 5 z-- o,4, /G r---D, l& s� Z¢ p sr_ 0,z 12-- 3d G 4114 5iFic 15j/frl r/ ,2 e ZI /2-/7-0'3 7 0' /O SC a.4, /0 r ! � SL o,l� 30 P l-T ciG re�PB SL m,Z-� 31 !o'?'g y G 3 5I 1 i/, p.pp#,A/- • /2- /7-03 • 6 -D SL O.& z3" P r-i c, t3 r0;'0 SL o'Z-P /2 -/ -7.-a3 y, 7 it > ) 3 sL 4,6 13 F -s 1 o.6 I$ a moo-6 15 12,2 s/ ,z -0,3 74 b/ZA 4' G 1flt� 9tA/ I Z-Z-o¢ C:\Data\Wpw\Soils\SOIL HOLE LOGS.wpd Iv I 7 1,..i-A7 I, CREATIVE DESIGN SOLUTIONS, INC. POST OFFICE BOX 2787,PORT ANGELES,WA 98362 Sithair Site/Soils Evaluations&Feasibility Reports •Sanitary Surveys Septic System Designs•Construction Inspections&Certifications CDS (360)457-6353 (800)395-7296 FAX(360)457-6687 Email:mike @cds4you.com December 7, 2004 Randy Marx Jefferson County Health Department 615 Sheridan Street Port Townsend, WA 98368 Subject: Revised Site Plan for Parcel Number 940800030, Greg Getch, Cape George Village Dear Randy; Attached is the revised site plan for Greg Getch along with the additional soil hole you requested between the existing garage and soil holes 6 and 7. It appears this additional soil hole (#9) is similar in nature to the soils used for the initial and reserve absorption areas for the proposed two bedroom Glendon Biofilter. Thank you for your consideration of this matter. Sincerely, CREATIVE DESIGN SOLUTIONS, INC. ,`'1�+�i�`x -1/)l �s S. Deeney Professional On Site Wastewater 1���,�MICHAEL1 S.DEENEY� Treatment System Designer s LICENSED DESIGNER License No. 5100110 """�EXPIRES 06/18/ C:\Data\Wpw\LTR\County\Getch,Greg,Parcel#940800030 to Randy Marx#2 wpd M CCCddfl On-Site (Chapter 246-272 Systems Sewage S Cha g Y � P \') Request for Waiver From State Regulatii 1', SEP - 3 2004 Section I. (completed by applicant) - Name: (1) Local Health Department/District (2) __ _ !°RE4, 4.i -c-6e- (see instructions) Address: Z o-7 CN 4g,e, .57": ENVIRONMENTAL HEALTH Reizr "7:124.P.AIS".EWI)i 4)1,51. 615 1 ER.IDAN g8'3az PORT TOWNSEND,WA 98368-2439 360-385-9444 Telephone: (3140) 3'79- N-77 3 Signature: r z 4- 4__ ._. "ove l .04 S. Dl."itti l' -47/7 G. BG G rlrr% Property Identification: (3) Lm r- go,. pit! ¢l c"Pc. GE'o,GL L'• - C/7"liE V, 4- Le/te6, PLA-P-S ) -7s-, PA,2C,r4. ,P-940 rocs o a, Section H. l (completed by applicant) WAC Number: (4) WAC Requirement: (5) Waiver Sought: (6) 246-272—Zo Sp / Mii►1. L._iNk k1-.41_.49.4,. .__..._ __ ► G - 7-p I2�s e0C, ._,cr2 ww r-I/ I z, 4-�S Fr-2 Subsection: e2 xd /`%rE)`s4"o15 ......i� C CIS___._._.__ Justification(mitigation measures to be provided): (7)6E XI S t-/,,,,(o E➢75'oD 27-i¢/t.¢L f�5!S APA7a cl�,s BY .3&AA-e2soA../ covA1PV F0.12 CCfPE G4Fo,ezyE cotv.%sS' "r l-m /cr^' 0'97- e "z. , Section III. ] (completed by health officer) Review Criteria: (8) - `� Mitigation Measures(in addition to those proposed): (9)• 1Z(5G0 /Z(CIn5x c 9,� SF/2- k ,, ', - . Comments/Conditions: (10) Type of Waiver: (11) ]Class A ]Class B ] t —Request DOH review before granting? Yes 0 Neighbor Notification: 12) Required? Yes 0 If needed, are agreements, easements, etc.properly filed? Yes No Section IV. (completed by health officer) This Request For Waiver From State Regulations has been reviewed according to the provisions of Chapter 246-272 WAC On-Site Sewage Systems. The review criteria applied,and the mitigation measures proposed and/or required,have been evaluated for their ability to provide public health protection at least equal to that provided by this chapter WAC. ] Denied i'proved/ ranted—Subject to all comments,conditions and requirements noted in Sections II and III. Local Healt : . . ' (13) L tC 'd( ` ,, Date: 1 Z—:)(1' : -c-x .4„, . ® CREATIVE DESIGN SOLUTIONS, INC. POST OFFICE BOX 2787,PORT ANGELES,WA 98362 1 Site/Soils Evaluations&Feasibility Reports •Sanitary Surveys e Septic System Designs•Construction Inspections&Certifications CDS (360)457-6353 (800)395-7296 FAX(360)457-6687 Email:mike @cds4you.com p_g_c___,L,„.0 August 24, 2004 Li 1.1 SEP - 3 2004 Randy Marx Jefferson County Health JEFFE COUNTY 615 Sheridan Street DEPT. OF COMMUNITY DEVELOPMENT Port Townsend, WA 98368 Subject: Septic System Design for Parcel Number 940800030 Dear Randy; The attached septic system design utilizing Glendon Biofilters for a two bedroom residence reflects one corner of an existing garage encroaching 2.8 feet into the 30 foot downslope setback from the Glendon Biofilter absorption areas. Based on conversations with your office after review of three preliminary design options submitted by CDS, this 2.8 foot encroachment (Option 1) was considered the best option due to higher water table and poorer soils closer to Maple Drive. Please feel free to call if you have any questions. Sincerely, CREATIVE DESIGN SOLUTIONS, INC. a System t 13' I'� -O4 13 � "Michael S. Deeney ` r s Professional On-Site Wastewater ' �,°M � Treatment Designer `% MICHAEL S. LICENSED DESIGNER ■ License No. 5100110 iii iiiiiiiiiiiaiiiiiiiiiiiiaiiii/` EXPIRES 06/18f05— C:\Data\Wpw\LTR\County\Getch,Greg,Parcel#940800030 to Randy Marx for Design.wpd • Stormwater Calculations P. c.E *0 EVO 0 30 IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) sq/ft Structures(all roof area) sq/ft Driveway sq/ft Driveway sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft Other sq/ft Other sq/ft Total New sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* _ ________ sq/ft *This amount will be used to check total lot coverage Please also indicate the amount of land disturbing activity, in addition to the creation of impervious surface,that will take place: LAND DISTURBING ACTIVITY Drainfield area cleared _I 2 'M_ _sq/ft Well,Structures,Utilities,etc. sq/ft Driveway sq/ft Other sq/ft Total Land Disturbance /7_4;20 sq/ft RELuILEiv , \ SEP - 3 "u u JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT N v CI 1::' ovz -1 = 0 0 N N Z c �o oo 0-‹ r1,--74 ��° 2rye1-,-„io��-eo 2° -ro- on rn n2 2,D22,;,-, -� r. . 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