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HomeMy WebLinkAboutSEP2015-00002 !y' r r Jefferson County Department of Community Development JAN 1 2 621 Sheridan St,Port Townsend WA 98368,(360)379-4450 4015 SEPTIC PERMIT APPLICATION PROPERTY OWNER -JO4' YD--i C 1t ,'L_ �e u.� MAILING ADDRESS a21 -,\, ) WA 9831 PHONE ( 3 ..0 ) I °-'c).-2, -7 SYSTEM DESIGNER 4 f/ a i'vI iir Designer Phone# (- 2) 1-217 B LEGAL DESCRIPTION: Section Township Range PARCEL# -70( 11-700 Z,. Subdivision Name Division Block Lot(s) Site address/Directions t o site '/ 1 2c CcrQ , SOURCE OF SEWAGE/USE TYPE OF WORK _ Residential New k/' Tank/s only WATER SRCE Residential ADU Modification Private OU Comercial Expansion Public m Community Upgrade SYSTEM TYPE - Repair SITE SIZE 99,9'A Conventional Partial Repair-(tank) (drainfield) Previous Evaluation Conventional X Designate Reserve Area Yes# Redesign No X SYSTEM DETAILS Number of Gallons/day t.ar7 Soil type )� 'Lj (attach soil eval.) Application Rate , LoC) al./ ft/da � s9- Y Drainfield Length '1CZ9 ft. Trench Width ft. Trench/Bed Depth (5 in. Septic Tank size I I 15 gal. Pump Chamber size t 17,5 gal. TYPE of system flzern Q.e- 1::)1, --t-tusyrketi 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. Staff's 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 rey,uire� 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. ,d1----,-, 11/4-.....„-e w • Property Owner Signature / / /tom FOR OFFICE USE ONLY��� /ZICJIf 1/,II�J 9,1 PARTIAL /7/1C,97$: AssuiLf! 1 ,rt�A�� t I l h/5` A oVED i'4} • S.J INSP/PUMP TEST b12� L D p-a ► q 'k- \ - C' . ALL HOLD REQ.MET Date 12-11 S Fee (.,Q Da Rey# 154 I-0 U Z Check# 7002 Case#SEP l 5--0 b 2-, 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 Nhone 3b0-3bb-9444 i-ax 3b0-3/9-448/ ON-SITE SEWAGE DISPOSAL PERMIT Date Received: 01/12/15 PERMIT #: SEP15-00002 Date Issued: 04/17/15 SITE ADDRESS: 4429 COYLE RD Date Expires: 04/17/18 APPLICANT: PEN AIR LLC PHONE: PO BOX 130 QUILCENE WA 98376-0130 LEGAL DESCRIPTION: S14 T27 R1W SW NW,NW SW,N1/2 SW SW PARCEL* 701142002 Section: 14 Township: 27N Range: 1W DESIGNER: BRADFORD SMITH PHONE: 253-851-2178 PO BOX 1444 GIG HARBOR WA 98335 SYSTEM DESCRIPTION: PRESSURIZED TRENCH No. of Gallons per Day: 360 Type of work: NEW Drainfield Trench Septic Tank Length: 200 feet Width: 3 feet Depth: 14 inches Size: 1,125 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 En ronmental 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.: SEP15-00002 1.) Approval of this permit does not assure the septic system has capacity for all uses allowed by county, state and federal codes. This septic system was not designed or approved for a commercial kitchen, or processing plant material into other forms. 2.) MAXIMUM TRENCH DEPTH 14 INCHES ON THE DOWN SLOPE SIDE 3.) This onsite sewage system is designed for domestic strength wastewater only. Disposal of any other waste strength is considered a violation of this permit. 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.) 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. 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.) 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 246-272AAND 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 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.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 12.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required and must comply with code at the time of application for use. 13.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 14.) 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. 15.) 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. SEP15-00002 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 4/17/2015 16.) A Stormwater Management Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 17.) Reviewed under the State Environmental Policy Act (SEPA) by Jefferson County acting as lead agency. Determination of Non-Significance (DNS) issued on March 2, 2015 (MLA14-00101). SEP15-00002 Page 3 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 4/17/2015 ,L , JEFFERSON COUNTY PUBLIC HEALTH. 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING Designer 'I . NAI \ Permit # SEP L 5— 02-. Installer aJ� /� (-)4,,/6,- (PA Parcel # � 01 \ -2- Electrician ""/ _ � � ��°)�° Design Flow 3 ,,�,.� Property Owner o 4. el 1,„„1-)1 (11kJA L.., :. SV, Site Address t Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) co-1T 17--61441_,I Ix./ ilcX ►L_/ 2_.Cv 8; 15 Pump chamber (manufacturer, size) C01-11 r-_"_WI M i�L /1122Pf/ / rt / )5 Screen(s)and/or Pump Shroud (type, location) —1-u Ti")"E, 'rte--fz.., � ,,3 z11/'J., 1 t.S1141 11CA \cva OJT L-0- Z 4 Fft Of .,' ' / . 1,-- Were Tanks tested onsite for water tightness? Yes / No Panel Model .. 0Nl�0e-� Timer Model �C' , WI* Pump 1 - Man./Model 1.- 2 e IC) -„ Flow Rate . ,2, gpm n m Pump Location (i.e. garage, treatment unit, basement) pls"✓VcJ)144 . W)f\ r'avd., Float/transducer settin.! I ches Timer from bottom of tank- =1.- off-f\ie .3 s in Functions: On ec min - .f". --,"le in. Off- -2, sec/min(K) Alarm - '2423,5) ,,,),>1,-- Veto On - sec/min Storage Above High Water Alarm t~) gal. Veto Off- sec/min/hr Dose Counter Reading S # gallons/dose :3��n ,Z5gal. Elap. Time Meter Reading 0°,10 min/hrs Pump Throttled? Yes / o Dose Drawdown (in incnes)(g0�' -9*, in.l 375j- `` Pump 2 - Man./Model PA , Flow Rate t, i"4 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 2pch. Other Timer functions & settings (e.g. override on/off) 1,° 1 r H:I WEBIONSITE\Asbuilt_Report_Form.doc 04/28/10page 1 oft Pre-Treatment Date Insp Sandfitter basin high water alarm shuts down pump to andfilter Yes/ No Sandfilter Basin size/location N „� Sand Fill met design spec? Yes / No ...„).Z,. ATU (manufacturer, model) //1i Alarm tested Yes / No Disinfection Unit (manufacturer, type, model) 1° / Independent Alarm Yes I No Drainfield • Transport Pipe size, schd, diameter -2-4 °‘.40 Manifold size/schd - ".c -N 1 Orifice size -J / t Lateral Size/schd tk,A.--4�'" ) Barrier Material 0,/,,,- Cover.Material/Depth (e .. '‘ 0 /5 Residual Head (lat.# & ft. Head) L,.4i di : I` f , ,, „°, (,, "-' 4,41-411.-74 /izli The laterals/pods were balanced Y No4mA Source/Manufacturer of Drainrock/Gravelless chambers 6.141-6-S 0, (Aej .-) Drainrock Clean? Yes / No If no, what action taken? 1J Mound/Glendon Site Prep IQ/4 Drainfield Length 2-- Y-) ft Width - ft Depth 1'' inches Caps for measuring residual head stored (location) f LLI j-) �--v 0 Of A )j 1- L TeL14'LL COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary ` J(4) U' L J - Pc E-4 "& r -r 110 I F Wes— i'4asr- 1/1-3-- ..-1.4.-/-- .- .7h,6.....-- s sT (q w^ 09,s - eJe_... (Aai .., tp,.3 A , , , Health Department Inspection issues resolved Yes / Noi,�NA yes how? Users Manual Provided to Homeowner i TYk w a Date Tank/component Decommissioning Report Attached Yes / No I NA Installer Certification attached/signed Yes / No ( A- ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY THE INFORMATION PROVIDED ABOVE WAS VERIFIED 13Y INSPECTION, THE d S STEM WAS INSTALLED AS DESIGNED AND APPROVED by JEFFERSON COUNTY v l2-if 5(DATE) OR THAT CHANGES HAVE BEEN NOTED AND THE SYSTEM IS IN-COMPLIANCE– LIANCE WIT W/AC 246-Z 72. \ ;..,,, nr �ianat�ire r + Date License # r'.. � w o/f y. °r� ` . � 41,4: � z' /,�`s ' ,J 4 ...S'(1 ,�q: Gao ? BRI DrOr=r)r S'J�r r .,°.\ H:1WE6\ONSITE1Asbuilt_Report_Form.doc 04/28/10page 2 of 2 i ECEfvSs .7 Vr, �� ';}, Y�'�t ♦ BSc Expire - )-?�1 6 . • \ ,„---s / ,, ,r-. '"X- ' •. t- 200' . , 60' . lill q. . - I zo /..F--- 2./15.4..H.--1,o 4 • 5rm-, , . . > -...,,c") ' rill Pui,e1P4,44Je, . . -. ' ' . CP cf) i Ct )› - 1-- cl k. --n o " -') , 1A- , 0 . • _ .‘ . . . - .. )--,..\-4 60' 5 .... 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C to 0 z > 0 --S, A' .,-..,illocz g ,.• CO (41, c, 0 , ,, C 4 01 .3 Z gl I-I .3 03 ,t,0 1.4 tra= z .03 >0 0 > .r., pc 6.4)•ti,•••.4 .50, *,, ,'3 . 0 NI, (...) > : 0 '9 ■.1., g -4 .._t. t-. : 0 ,c, po , z z . 0 .5- I"W■ 11 1.7-3.3 5' li :Pt--:-.."-..‘ ' Wr t° Pg.:,,,m), III" " t; v, . g ,, w. •• .< 0 ki t.1 • 4 r s g 1-4 , 01 \") C Z r if at 2 g to 0 • tv . . ,. • J 4 LqN IPeo Peninsula Septic Designs P.O.Box 1444 Gig Harbor,Washington 98335 (253)851-2178 FAX(253)851-2178 December 15th 2014 Jefferson County Environmental Health 615 Sheridan Street Port Townsend, WA 98368 re: Justification Letter, Change of Usage for: Commercial Site Location @ 4429 Coyle Road Parcel number: 701142002 To Whom it May Concern, This letter is written to accompany the attached proposed septic design at the above mentioned address. It's purpose is to justify the flows and waste strength generated for the proposed commercial on-site septic system. The business proposed is a cannabis growing operation consisting of growing, harvesting, drying, and packaging only. There will be no other types of processing this product proposed. There will be up to fifteen(15) staff at the facility with a small break room and restroom facility. There will be no commercial kitchen, nor food production. We are utilizing the EPA Design Manual pg. 61, table 4 - 7 school day student with cafeteria only @ 16gpd per person as a design criteria. 15 staff @ = 240 gpd tuialat.,3 3= 120 gpd (�cQ �? ■ �' Q °�� c - 0 20� Total =360 gpd P//1 /6 The daily wastewater flows should be typical of residential flows and waste strength. Please contact us if you have any questions in this matter at our office, or on our mobile phone (253) 549-3721. Sincerer, _ w... ..._.__.. C1T- 14110 01 of • IS Sr/1(44p AGE DISPOSAL DESIGN Bradford E. Smith �y��i • `d f•C Co t►�1( n certified designer ;I Date O; GiC 2229 BRADFORD E.SN TH••. ,► i�CEN ED ,= siGNER Z0 J ✓q4, 8 Peninsula Septic Designs 6, P.O.Box 1444 Gig Harbor,Washington 98335 (253)851-2178 FAX(253)851-2178 SOIL LOGS: Recorded by Brad Smith,licensed designer on 12/10/2014 For: 4429 Coyle Rd, parcel#701142002 TH#1 M / IA-/ 1 0" - 32"BR. LOAMY GRAY. SAND 9-S '' WTR. @ 32" 334 7,31A C \:7 TH#2 V f 0" -6" BL. LOAMY SANDS,i\d ' 3 6" - 16"FINE BR. GRAV. SAND S _ i6"-47"FINE GR. GRAV. SAND �' �/� n �_ , • WTR. @ 47" 3 -7 --)- G Al Ce�""U"' b TH#3 *2Q— 13 ",�� . 3 0" -6" FILL 6" -24"BR. LOAMY GRAY. SAND \ , ,i 7`1 24"-48"FINE GR. GRAVSAN�D 3/y ��j @ WTR. 8" TH#4 C ' Yo '-W k29– V'''/\, 0" -41"BR. La MY GRAY. S N " c--1,0 WTR. �,41" ,111 ok ,-----2_,------' c.,..____ J4tet %` •''4. f A.. 650Q229 o :BRADFORD E.SMITH% t ori LICENM7D DESIGNER .) 1p • JAN/ 220 Northern Canal Investments LLC 4/5 Northern Canal Investments LLC has been granted by the Washington State Liquor Control Board a Tier III Producer/ Processer 1502 Cannabis Grower license. Our business location is 4429 Coyle Rd. We plan on employing from 6 to 8 people. Our Processing will consist of drying, trimming and packaging for sale to license retail stores at this location. Sincerftly, David Ward Northern Canal Investments LLC •,—.. GIG ETABOR,..WA 98335 (253)85 14178 DA'TE: 1 -1-.- -7 JOB# i r i RE SITE: t ' i e e' , PRESSURE DLSTRIBUTION DESIGN:Worksheet for sites where laterals will be at different elevations. t ea--e:- "1-riq40 1.DESIGN DISTRIBUTION NETWORK: t -IMPe eF f;ditil Oa A.DAILY DESIGN FLOW= ...— (-,(1 .. --__..gPd. B. APPLICATION RATE,based on soil type= ',- C.REQUIRED_ABso&BazoN-AREA 7-- (,,103 ft Cl.B.1.)TRENCH OR BED WIDTH= 3ft. . 1..r......- E:2 TAL BED OR TRENCH LENGTH= . '2/a7 ft. .:.;:ti:-7---'-'-' -; ' 1 CRIPTION OF PROPOSED DRAWFIELD CONFIGURATION: _ ,',•.,.;.-.F.:72'..j7c. T. .....,..,..._ 4.114PIPL-r::."7"!--'- • - ,EM/1.62E2L12.41,=, _ c .•- • I -. .‘ ..- #. 2.NETWORK CONFIGURATION: a"-v. — •'5.,e ... I ....(‘'f ro'0,• 01"484.,..1-, • B.LATERAL SPACING= 1_, ,1",,,-,&*• 40 . • ii•-• 6100221 400 01 .`BRADFORD ti- C. TRANSPORT PIPE LENGTH= l< ft. LICENSED Le AND DIAMETER= - 2" Expires: _1) -7-- --1 L D.MANIFOLD LENGTH= 2ft. • LATERAL RESIDUAL ORIFICE LATERAL 40 t .,..CES ORIFICE NUMBERS PRESSURE DIS. DIS. - '':-.'ar ,AVACING = (FT) (GP/VI) (GPM) LA ,' ' (FT-) 5 . ''',- '...-...._ _: ,' ''''' 1!:., '''' P''=::'..1..-;`----j::, o Page 2 I. SELCECT THE MANIFOLD DIAMETER,USE APPENDIX 4:' 2" I. WITH INFILTRATOR?REMITS, ORIFICES TO BE FACING UP: 1. RECOMMENDED DOSING FREQUENCY/DAY= DOSES/DAY 2. RECOMMENDED DOSE VOLUE= _ GAL- 3. REQUIRED PUMP CAPACITY= - -P't 4— TOTAL GAL. (sum of all discharge rates from all laterals) 3.TOTAL FRICTION LOSSES IN THE NETWORK A.. TRANSPORT PIPE LOSS= 1 FT. PIPE PIPE FLOW FRICTION LOSS PER MATERIAL DIAMETER (GPM) 100 FT.OF PIPE r PIPE FRICTION LOSS .,.� �� - -FNGTH MT PPE B=CALCULATE-'IRE TOTAL-ELEVATION LIFI'= I t ( J 4.DETERNIIN THE TOTAL DYNAMIC HEAD: e fib •) SELECTED RESIDUAL PRESSURE + Z FT. r ,� \'iI • TRANSPORT PIPE FRICTION LOSSES '1 1 FT 0,coloo" rj44:j?Ak+ ,,*"op›+i MANIFOLD ASSY LOSSES p2( 4 ; %'.,MANIFOLD AND LATERAL FRICTION LOSSES + 6100229 1.0 i rRADFORD E .;P �. ucErvfiEn cFS� TOTAL ELEVATION + w 1 _ I'11TAT....____e ____:___ = . � > 7i5 j S.SELECT A PUMP: REQUIRED CAPACITY GPM TOTAL DYNAMIC HEAD FT. USE PUMP OR EQUIVALENT �)�I m y - k e,, lj,F0. t D o ti- .