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HomeMy WebLinkAboutSEP1990-00362 BERNT ERICSEN EXCAVATINQas PERMIT W111.EXr,i,'?E a^. ` rro'A ryayp ! , 2281 Hasten VV, OR RENf:ry 5Di1-COUNTY HEALTH DEPARTMENT :zz C'6 --3 ems/.- .` �" Port Townsend, ItA F9t68F / V 802 SHERIDAN AVENUE INSTALL 3E' PORT TOWNSEND,WASHINGTON 9836ERECEIPT NO. to 14 ' . BUILDER NOV 14 1990 (205)385-0722 DATE �"--/ y�9 ro. SEWAGE DISPOSAL PERMIT ..5 .'.. a mss ,v - - /YD ®i HEALTH DEPT: \'A-A�1E-S C.bAi,A-130013/ 6O Po.E., 14-7 - P,i- • 3F5-S-474 N - . Owns/g 1 106-1-10410-f) ii- Address Phone " t- t�Jes-t- ��A� � s _ -MO 1M i Saco t 4 L�ov-kt ta..%.$ S4 . c Directions for locating shej;. . �,u.� cLQ. Sc'.. e. (see, a.? ,.�' Nip 'CP*.bfin INSTALL NEW SYSTEM I9 REPLACE SYSTEM 0 PARTIAL REPAIR 0 TANK/DRAINFIELDQ- .c` ii. z TYPE OF NO. OF SITE tv �1•• BUILDING L0rv1YV\ fU ‘,1,-, and lc BASEMENT SIZE "t Previous site evaluation by SOIL TYPE DESCRIPTION Health Department Yes No ttl hur tnl,lin . l) `' Depth to maximum seasonal water table t., " tip Source of potable water supply 2) Public )( Private • .. Source type: Drilled well 0 64-..IH' •Dug wellz Other 3) ccm i. .1 iii ii EVERY/.APPLICANT HAS THE RIGHT OF Z APPEAL AS PER JEFFERSON COUNTY ORDINANCE 2-77. 4) • - SIGNATURE OF APPLLCANTz ANY REMOVAL OF OR t"AJDR DISTURBANCE OF SOIL IN THE PROPOSED OR APPROVED DRAI NF I ELD ct, c r AREA MY CREATE S i TE GOND I TI ONS THAT ARE WACCEPTABLE FOR THE I NSTALLAT I Ott OF A8 [ SEWING:: DISPOSAL SYSTEM. ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS (INCLUDING PLUMBING STt1BOUT LOCATION) AND/OR LOCATION OF HOUSE OR DRAINFIELD INVALIDATES THIS ..... PERMIT UNLESS PRIOR APPROVAL IS OBTAINED FROM THE HEALTH DEPARTMENT. (Call Eeal th Dept. for final inspection). STUB OUT PLU`IBIN: ABOVE FOUNDATION FOOTING. Drainfield Length ( 50' Trench width 3 Trench depth304 No.lines 3 Tank size Woo E 7 Soil type and application rate used for design �5 GPI?/ftz - , ie r - Cayli iNTs: loc.),rCkb.- Si -c-sQ bGc.\. \slo,„ roaxl -I n5-- C .F.97.4-.. Q ,_.,r'i .,_els deka 2..teJ4_ 11- i L1-e-ta �`' Q Ick S �: C� 301,0 \\-� -90 A) -k 1)- 3d `�a ',1r. e..._ %a 5-24-7/ _ ill j72 AP RO.VED DATE INSPECTED PARTIA 41101111 DATE "C" I certify that this system Was installed in a manner approved by the Health Department r r- 4. 4,, . ( INSTALLER'S SIGNATURE DATE DATE INSTALLED Illb 6 F3 r Jcrl0 ' G.-v-z� /(1,2,-g--e ,--Ai z -3 __ye d c- 4 -. 6=36 36- / 9 t JEFFERSON COUNTY HEALTH DEPARTMENT tirt� ia INDIVIDUAL SEWAGE DISPOSAL INSPECTION FORM Date S-"L-/-`tj • APPROVED YES / NO ENVIRONMENTALIST Cjew it ..,i �‘N Address 1-'i/e, g1 14re.. s,i (s S e-e.#' �Y P.I: Ovn e r �wtite-s 1) 1"-t-10".'"1012,41-9-, Legal Description Ecis-}iAes.,) dwh,,c„j 09.f L't z e S, 7-3aA0r e?a Residence Commercial .$,/ II of Bedrooms System Installer lis.ttEii csw7 (s;ze.) Fc-,e 2q retyie- _n-ci-x System Designer g v`.Q.A4 r Eri cs SEPTIC TANK Commercial Non commercial Measurements: L W WD Construction Material Lig. Cap. DISPOSAL FIELD • Exc. Depth z4-36" Width g �,,t- Total Length t5a-r,999+" Sq. Ft. Rock Type e°,<;;n104.(k_ Depth Under Over Engineer Design Yes Type ' Engineer Aoproral Letter Yes Well 50 feet from tank 100 feet from leach field Well installed at time of septic system inspection Yes No Public Water Comments: i a • _..._.... ig. �`qej h r '10+ oma° �� Sn 6=, 1 VM 1 • 4- Q1 41/14r1 1113 rIO t 14":74' - P • • i ..,4 O.\ rm .,,. ! _''-\„. , . • 1,t)ay L A(c,,,..vi Si—r.4.e_4- i _ l t, • • , , ... ,, , JOB 1:4,41416e4-5 e-t-' , R E C E IvFr l , , SHEET NO. OF NOV 14 1990 CALCULATED BY 154- DATE II 0 jEFF„ COUNTY CHECKED BY DATE HEALTH DFPT. , ts SCALE I, ."'"'24, 01, --.4-- --. .. ‘,4 ul Cr1 b tb lb fi b lb . ., 'Xi ...„,, ck: -ti va! -4Irt 1 a - r - CI Ifs IIIN rs- , 0 I, ..3 •, 3 . ...1 tiM3 -.....11. a I 1 I I 1 Lir^,47 4'4 I ol ... , .....' I 1 Cil _ cA i . -rui —-,g ,_ _ .mi -4 ' " 5 1 0 .. .." .,1 a , ...3 )e. 0 , -444 0 •.•.• L ftS 0-- • 2. h St' -...,:i. III T . . Rn S NOV 141 r 990 (sr) \, Q.) n r\ Ef° r.. COO 8 Y k V- G Lii rEALTH DEPT. f�' 0 �� J / /71..,_ 41) k 0 //-\ xi / x % 0 .2' 3- ? \ ,r • Z d 3 V d' a \ V) 9 x © 1 .!-1(1 if- 0 d N I p i� I r w N lir X - --- , i — 1 vi ro j N 12, . 5 �, Lk 4 0 ' J le i ,1 3 �3 ' Q r�i L 0X 1•- Z X 1 1 sss J el V 4 � 1 I a .yJ Q (V)C. x_....-—.=(\i_______y„ _x,_,...,..._y\:___.... _,_._.__+._. c___\__4 i y I I ; .3 I I —.I I , NAME j t✓Y1 6 1Grt�Jl P� • NOV 14 1990 LEGAL DESCRIPTION ea_fd �� + �rid� 7P11,01- Lo JEFF. COUNTY 111 COMENTS: HEALTH DEPT. 1. Performance monitoring contract required with PUD *J. Contract required for fina: approval of sewage disposal permit. Contact PUD *1 at 385-5800 for information. X 2. Recommend installation of low water use fixtures. ",4 3. Divert all sources of surface runoff from drainfield (foundation drains downspouts, etc.) . > 4. Install drainfield in exact area of soil logs. 5. Remain 100 feet from all wells and all surface waters (including seasona: drainages) . 6. Do not disturb reserve drainfield area; do not build on, drive on , or pave. 7. Drainlines should be installed along natural contours. Y} 8. Drainlines should.be installed cross slope. 9. Bottoms of trenches/bed must be level. 10. Drainlines must be level. A 11. Distribution boxes must be set on concrete pads and water leveled. A 12. End caps required on distribution lines. 13. Curtain drain required per instructions. 14. Inspection ports required in absorption bed/downslope portion of fill. 15. Dry season installation required (summer/fall). • 16. The septic tank/pump chamber/closing siphon shall be watertight to prevent groundwater intrusion. 17. Minimum pump chamber size . gallons. 18. Maximum flow per cycle gallons. 19. Owner to provide adequate size pump with audiovisual alarm. 20. Pump to be set on foundation a minimum of 6" above chamber floor. 21. Risers to grade required for septic tank/pump tank. 22. Trenches to be installed no deeper than 12" into native soil; 18" of partial fit: (sandy loam) required for cover. 23. Alternating drainfields required. 24. Sand lined trench required. 25. Recommend against the use of garbage disposal units (will severely shorter drainfield life) . A. 26. Drainfield should be seeded soon after installation to aid in evapotrarispiratior of effluent. 27. Certified "as-built" drawing required by installer/designer. 28. Final inspection required by Health Department OTHER: • 12/8/88 .X D . RECEivr L SOIL INFORMATION NOV l 1990 JEFF. 111 Owner: 1 c�+.,4,� HEALTH Legal Description: Section 15 Township -3 . Range__LAj Subdivision - -f-- l - Division Block Lot Date Logged: 1�-�� - y . Include soil textural characteristics and the depths at which significant changes occur . Be sure to include depth where mottling or im erme layers occur. P able Soil Log #1 172/3 Soil Log #2 "E -2.- ..../L_ .L-./L- t o _id_ i n. 21% w l; a% 6 to - n. to in. ! - L =)40 to -3 in. to in. - e r to in. 3;L to Gy in. mu �tcfl Anticipated water to — in. table - in. Anticipated water table Roots to _ _ inches � in. • I -1-Roots to � inches Soil Log #3 1: 213 --Cl- to _60_ in. Soil Log #4 -`3 to in. to in. -- to in. ?L to in. to in. „ in. to in. Anticipated water table :7 Roots to —' -- Anticipated water table �- 1: inches Roots to - -1—ln. inches Soil Log #5 Soil Log 06 to in. to in. to — in . to in. to in. to in. — to in. to — Anticipated water table in. to in. Anticipated water table inches _ ________in . Roots to inches • .1 USEFUL ABBREVIATIONS FOR SOIL CLASSIFICATION • DK. - DARK SND. - SAND FN. - FINE BR. - BROWN LS. - LOAMY SAND MED. - MEDIUM TN. - TAN SL. - SANDY LOAM CRS. - COARSE OR. - ORANGE SIL. - SILT LOAM GRV. - GRAVELLY GRY. - GRAY SCL. - SANDY CLAY LOAM COB. - COBBLY YL. - YELLOW SICL. - SILTY CLAY LOAM RK. - ROCKY BL. - BLUE CL. - CLAY LOAM CPT'D. - COMPACTED . C. - CLAY CMT'D. - CEMENTED V. - VERY X. - EXTREMELY MOT. - MOTTLES RT. - ROOT DEPTH FNT. - FAINTLY DIST. - DISTINCTLY PROM. - PROMINATELY • • • III , RAINFIELD CROSS SECTION • zid P D Mgr _"SUtAtd Rouc Native soil 8 C ?mperrneable s: Seasonal sat' • • A. Trench Depth _. c� inches R. Inches of dralnrock below pipe C. 36 inches impermeable of vertical separation from trench bottom to able material/seasonal sr,turation D. inches of fill (1f needed) L . Trench width 3 Inches Notes : Attr►r.h detslled design of system • i,. Cel n g1 , r. JEFFERSON COUNTY HEALTH DEPART+ 14 ,990 ON-SITE SEWAGE DISPOSAL SYSTEM DEESIGN Date : l 1 - 10 _�Jt� � H ALTH DEPT. Designer: ner e•(Je Sep Legal Description: Section 15" Township 349k) Range ; Subdivision Eczsfii .1 - lea , ` lu Division • Block Lot ,. Address : P Q - 147 LJ cam: i a 3 6 E I . CALCULATIONS If for residential use:" Number of "emreley.e_es 214 x 15 `+ G.P.D. _ '346 Total G.F.1 If for non-residential use, attach calculations used to determine G. Soil texture waste water application rate • g G.F.D./ft. squares (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: Absorption area: 'f b square feet (Total GPD : GPD/ft squall") Trench or bed width 'a feet Trench or bed length ij lineal feet (sq. ' ft. = trench or bed II . APPURTENANCES Septic Tank Site jWb gallons Pump Rer7uirelAents (If Necessary) E3evAt inn di f feranr..- in feet Frirtion logic Pump capacity should he gpm at T Dai Number of doses per day Doting volume _ gallons Pump chamber sire _ gallons