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HomeMy WebLinkAboutSEP2015-00057 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION 44?I/? PROPERTY OWNER M EGA N 11 R ST / W I L L. I A M 'g E-R 56 hi ?Op- MAILING ADDRESS 172 t-I 1k A DA t,.A AS '(i,'() 'PORT TovvtlsEwm , UJA Q8348 PHONE ( 346 ) 374 - r?4 0 g SYSTEM DESIGNER eri I GS EN DES t f!a N Designer Phone# 34p- 40I -O3 2,4 LEGAL DESCRIPTION: Section G Township_/ION Range 1 W PARCEL# 00 104 O SO/001044. 05 I Subdivision Name Division Block Lot(s) Site address/Directions to site 6O0' WEST be 172 H A A'DA LAA S RU. 9+a J tigqc)41. Lqq 5 SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE Residential X New Tank/s only Private )4 Residential ADU Modification Public Commercial Expansion Community Upgrade SYSTEM TYPE Repair SITE SIZE j2, 900+I_ Partial Repair-(tank) (drainfield) Previous Evaluation Conventional ' Designate Reserve Area Yes# TEGN ASST s T Alternative Redesign No SYSTEM DETAILS Number of Gallons/day 240 Soil type 314 (attach soil eval.) Application Rate . 59 gal./sq.ft./day Drainfield Length 135 ft. Trench Width 3 ft. Trench/Bed Depth 2LI-30 in. Septic Tank size I COO qal. Pump Chamber size -- qal. TYPE of system GRAv1TY CONVENT(ONAL.. 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 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 pe separately judged by the rules and laws in effect at that time. r(AD Property Owner Signaure Date __ FOR OFFICE USE ONLY I /1 /( / � 5PARTIAL I — � ASBUILCJ FINAW ,3! J APPROVED INSP/PUMP TEST PUD IC'I10 ALL HOLD REQ.MET Date I( (V.. Fee . ((� ; J Rec# tC -e?� Check# (( I1L Case*SEP —6 5 H:\WEB\PDFs\Septic\septic_permitapp_2008_DOC JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street•Port Townsend•Washington •98368 www.jeffersoncountypub lichealth.org i-none 3bU-J65-9444 Fax :itiU-.i/9-44ti/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP15-00057 Date Received: 05/11/15 SITE ADDRESS: 254 HAADA LAAS RD Date Issued: 06/26/15 PORT TOWNSEND, WA 98368 Date Expires: 06/26/18 APPLICANT: MEGAN M RUST PHONE: WILLIAM J BERSON 172 HAADA LAAS RD PORT TOWNSEND WA 98368-9237 LEGAL DESCRIPTION: S6 T30 R1W TAX 32(E1/2) PARCEL#: 001062031 Section: 6 Township: 30N Range: 1W DESIGNER: BERNT ERICSEN PHONE: 360-301-0324 293 PINECREST DRIVE PORT TOWNSEND WA 98368 SYSTEM DESCRIPTION: CONVENTIONAL TRENCH No. of Gallons per Day: 240 Type of work: NEW Drainfield Trench Septic Tank Length: 135 feet Width: 3 feet Depth: 24 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. i)#7QA 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.: SEP15-00057 1.) 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. 2.) 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. 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.) 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. 5.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 6.) H - An asbuilt drawing and certification of completion by the Designer is required prior to final approval. 7.) 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. 8.) Setbacks to the EXISTING and proposed wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 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.) 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. 11.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 12.) 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. 13.) H - 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 under AFN 591220 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.) 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. SEP15-00057 Page 2 of 2 \\tidemark\data\forms\F_S E P_Perm itmod.rpt 6/26/2015 • CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT INSTALLER 3 t LL Bo N PARCEL # 00 1(76, 2-03 ( Permit Owner tlEeakt\L ST/BIL.L-f5ETSON Permit # £ r P 1t5 - 51 ABSORPTION AREA: DRAINFIELD TRENCH TRENCH „ TANK #OF LENGTH I35 WIDTH 3 DEPTH 1� SIZE /OO 0 BEDRMS d. 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ZoZ S t /+,ZEL EN to 1 n 40* io v- '''' '_,....0194.-• g •.- NZ rn ;r" _ ,..-- zW� o ce) co e. i p to CV giro 00 .� F- u)A 0 MEGAN ROST / vJ I Lt...1 hrl EERSON 00104,2.434 / oat 06.2.031 ! � • SECURED LTD .ti i k 0S. 24 tJ'j tel/ 4) .@ I ACCESS MEER \ V e so ZOfs e/) °ei� J nth 1;1":rpli21P Cm2E=:5....' T 4 al .--e.......u / - = IrOlfall1111 SMARM FLOATAVG MAT - APPROVED EFFILIESIT FI .TER— ^n,���0 .t G A'IC TANK S /0\I"d' / [TYPICAL) P'•91'‘) 0 page Trench Profile ( No Scale ) (See Notes For Details ) Finish Grade Geotextile Filter Fabric Native Backfill Inspection Port ill " "" 4"ASTM 02729"Perp' 1 1 1 Y ';'.!:*.%.,',..."..;',..1';';';V:":" • Y R " Y 1 t y . Y X 1 • End Trench "D" Box Finish Grade 4"ASTM 02729 To Drainfield lil4"ASTM 3034 (Solid) I From Septic Tank._,� O -.' x` n r: 3/4"to 11/2" `: ' Clean Drainrock - `R` �`-- --' 6"Min.Under Pipe of 1 � �. 4$ a�. 5100259 , p BERNT PAUL ERICSEN-• X11 0 CE S1=b bE`I NER sIbwoiregibrimommomilomommincieget EXPi'T 0 111 )i,- 5-0-i'i o�SIGN CEI '�"E( ;-�1 D154o�• StiC �to� ;^,Y t 115 % ` •qe Ntn SVICoyer r `SC'�l Coull�/ ; ,v44;$l/ vca�w ,- la�f N' I ie Megan M Rust / William Berson � a Hey = 1.4 001062030 / 001062031 I# ••- s• �_ 5100259 5 BERNT PAUL ERICSEN•.. Project Description LICEN8tb tle .i ' E �1 Install 2 bedroom conventional trench septic system. EXPIR S ' 1 Septic Tank Install 1000 gallon two compartment septic tank. Install water tight risers to grade on all tank lid openings. Install outlet baffle filter ( Orenco FTiP 0418 — W ) or equivalent. Tank to be set on 6" of "Pea Gravel". Fill with water prior to "Designers" inspection. Transport Lines Install 4" 3034 sewer pipe from building stub out to septic tank @2% minimum grade and from tank to "D" box @ 1% min. Double case any portion of transport line under driveways with 6"ASTM 3034. "D" Box Install 6 hole "D" box on poured in place concrete pad on undisturbed soil with 24" Diameter riser to grade. Install speed-levelers and water level prior to designers "as built" inspection. Drain field Install 3 ( 45' x 3') laterals as shown on plans. Install inspection ports ( inside 6" round valve boxes ) with risers to grade within 5' of each end of lateral when using " Gravel less Chambers ". Install straight tees 10' from beginning and at end of each lateral when using " Gravel Trenches ". If Gravel less Chambers used install Digger's 20 Gauge, Hot dipped galvanized wire mesh with 3/" hexagonal openings over entire trench bottom under chambers. Trench depth 24". Water Lines Maintain a minimum of 10' separation from septic components. No crossings allowed. Inspections Designer needs to be contacted for a pre - construction meeting prior to construction to discuss details and to set up schedule for inspections. Designer is responsible for submitting "Record" drawing, and must be called prior to back filling system. }Yr /� Eat it General Construction Notes 1. The work described herein consists a 1.4o ' construction of an on-site waste water system. Cay° ; 2. The contractor shall be knowledgeable and experienced in the '. construction of this type of waste water system and shall hold a valid certificate from Jefferson County Division of Environmental Health. "Approved" septic plans must be on site during construction. 3. If during the installation of the system the contractor finds soil conditions that may lead to premature failure of the system, construction shall be terminated immediately and the designer notified. Such soil conditions may include groundwater, fill, clay, highly compacted soil, bedrock or excessively permeable soils. 1. Any inconsistencies, errors, or omissions that, in the opinion of the installer, would compromise the quality of the waste water system shall be reported to the designer prior to construction. 1. Back fill in traffic areas shall be pit run gravel and compacted. All gravity pipe shall conform to ASTM D 3034. All gravity and transport pipe shall be bedded, using native or imported material free of rocks, debris and sharp objects. 2. All exposed soil shall be seeded and mulched prior to the final inspection. Seed shall be spread at an approximate rate of 10 lbs. per 5,000 sq. ft. 3. The installer shall be responsible for constructing the system according to plans and conditions of permit and shall be responsible for its proper operation and function for one year. The owner shall be responsible for operating and maintaining the waste water system in accordance with WAC 246-272A-0270. 4. Any changes, substitutions, or deviation from these plans shall be approved by the designer and by the Jefferson County Environmental Health Department. 5. The installer shall grade to divert all surface water runoff away from tanks and drain field/reserve areas. 6. The bottom of the trench or bed may be inspected by the designer prior to placing drain rock and shall not exceed +1- '/" from level. Place filter fabric over drain rock prior to back filling. 7. Setbacks to all known water lines shall be a minimum of 10'. No crossing of water lines with any septic component shall be allowed, except as included in septic design approved by Jefferson County Health Department. 8. Setback from the house foundation wall shall be 10' minimum to drain field, 5' minimum to tanks and 2' minimum to non-perforated sewer pipes. Water saving appliances, fixtures, and practices are to be used. 9. The septic and pump tanks, drain field and reserve areas are to be protected from vehicular traffic or mechanical disturbance. 10. The designer is to provide the as-built and letter of certification. 11. This system has been designed in accordance with WAC 246-272-A- 0270 and the most current Department of Health "Recommended Standards and Guidelines for Pressure Distribution Systems," and has been approved by the Jefferson County Health Department. Nevertheless, negligence or improper action on the part of the users could result in the premature failure or malfunction of the system or its components. ‘1 ' ` 4;• sQ r , a,4, ONSITE SEWAGE DISPOSAL SYSTEM DESIGN 001 06.2 030 /00106 r Date ?– 1 67,` � p ('Q �''eh Property Owner MEGAN M RvST / J1LLJAN 15ERsct. 04 , System Designer GRAN b ES lCSN yeat" Legal Description: Section (o Township Range Subdivision Name Division Block Lot(s) I. CALCULATIONS If for residential use: Number of Bedrooms: A. x 120 G.P.D. = ,24.0 total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. Soil texture waste water application rate .5q G.P.D./ft. squared (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: Absorption area: q41 ' square feet (total G.P.D. _ G.P.D./ft. squared) Trench or bed width 3 feet Trench or bed length / 35 lineal feet (sq. ft. 4. trench or bed width) II. APPURTENANCES Septic Tank Size 1600 gallons Pump Requirements (If Necessary) Elevation difference in feet Friction loss Pump capacity should be — G.P.M. at '" T.D.H. Number of doses per day —" Dosing volume — gallons di1 Pump chamber size gallons j>•: . k'At if or ASI, PA: g7 BERNT iP+AUL ERICSEN•.. Ii:'.home\pInc ntr\infohlth\sewdsn 0It I $Ir�OE ( NEK • EXPI' S 0 11 t• III. DRAINFIELD CROSS SECTION VA/LW NATI/E SOIL A B T L C J.AFEF1`Ea3L..E `.ATER._-__/ SEASCN?L Sr'y RATIC A. Trench Depth ,24-30 inches B. G inches of drainrock below pipe C. 7 3G' inches of vertical separation from trench bottom to impermeable material/seasonal saturation D. — inches of fill (if needed) E. Trench width 36 inches NOTES: ATTACH DET ILED 'DESIGN OF SYSTEM 1pq�IQ a / Zp p$� 4,,,..!1 w� r ;4,1 6S Zr8 LE-021 4Q ,t` 3.LS,IZ.ZN � � g �, r , 641 'd SA3AbfIS 1p/1 b3dE1S8NI21N38 CM y� � t li k0� =VII— `; Qp �' 1 w' 1y �m5- O yZN cf. Ol 0� ro� th�e� NanOJN Zi • p Co,/. J O!OfJ f�ti N 111 W RI r �yn� M a�p��i«Z W� _ y J1 C1 > a ` ,2ari.,g?of cra o • o a aid Lso• x acaaaa>a tna 1.ce a0 -• WC�UU OCU Qm WI 0 ¢WQQNF TN F Q W UVQQ O!Q Ls771.�j N d J >mm y i LI U Qraaal.A U C1 La U ma pW' Y W N OC F ti G 3 gmm m i}jC W blf� 4 M Y\!m1\fr al Z J W I '� I 0000= a SSSI 00- o•eci9B1 3 $ II S Z LL 14 yyOypAL a a )•vols in.0 Qras ..1oty-a5 o g" 5'W c-. u n d y�J os-I�y gas m• 41 O's 13 LI 2 W 0•1 i a z °11-1 o 60 I 'd SA3ANflS 11 8 '1OA o Z z a IN z W02id Q3W(1SSH Cu • ;, g o I �. t°u n rxi s h - r-n d N CS o; 4. 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U JN'Se $ ~F c i e t ! FFERSON COUNTY DEPARTMENT OF COMMUNITY D ELOPMENT 621 SHERIDAN ST. PORT TOWNSEND WA 98368 360 379-4450 - . _ -- SOIL EVALUATION PROPERTY OWNER 0107 Nt �R�S��-- ',v I M 5O I ,� •, SYSTEM DESIGNER E LEGAL DESCRIPTION: Section 6, Townsfii Subdivision Name p 30 AiRange chi Parcel # C3 1 c`3��tU 00 06 i Division Block Lot's) Date Logged: � Logged B Include soli textural characteristics and the depths at which significant changes where mottling or impermeable layers occur. occur. Be sure to include depth SOIL LOG #1 R SOIL LOG #2 4 to6 to 1 in. 1 Lra. \ (v to t tt_in. LG l2 to •3rd in. �11�' M Eb 5 N/D 43t? to 70 in. t i�1 l-IS1 = Ivl ED SAID +�ftO-- —in. G�ji 11 V C tz Ft�i -CSS SIUt� o,' 1 to in. Anticipated water table�_in_ ,i"; 11 1/ Anticipated water table Roots to (�, inches 01' ", . . > in. ita •r��" Health Dept. Comments � =t + Roots toy inches �!�:4= Frr � Health Dept. Comments SOIL LOG #3 1 �ip' .BERNT PAUL ERICSEN*•`ll� SOIL LOG #4 .�. . •LICENSEtj Vit: f NLR:�� LF to�in ExPi-r s o t t j toin. to iF in.�-1 CRS Sal,RS 5 N�� 41 to _in. 4 Fl}-C-Rs T I L#- to Cog in. } Cl- . S. �tJb T. Anticipated water table? ' to �n m. Anticipated water tablez � in, Roots to_ (�. inches Roots to __inches Health Dept. Comments Health Dept. Comments SOIL LOG #5 SOIL LOG #6 0 to 4F $Al Ls. .2-1 to *0 in. C���1 t=1J - ME to in. .IJ :�i1�`t� to in. .AQ.2. 0...frat_in•_..V.,__UNLEN 'CRS CI1/4)J7 T- i _ to in. 60 to to in. Anticipated water tableZgzin_ Anticipated water table in. Roots to 6 inches Roots to inches Health Dept. Comments Health Dept. Comments H:IINFOHLTHiSOIL.FRM1100 • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST., PORT TOWNSEND,WA 98368, (360) 379-4450 - SOIL EVALUATION PROPERTY OWNER ( N Ivy Sri fU SYSTEM DESIGNER LEGAL DESCRIPTION: Section (a Township JON Range Subdivision Name S _! Parcel # 4 p ! t ®0` D 0 ! Division Block Lottsl Date Logged: 5-2)-1,7.5 Lo ed B •_ 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 SOIL LOG #. I 13 d to a in. P*1\1 L5 f g_ to in. _ to /6 in. D, 5A1� Up to �to .1 in. l N i=N -Nl IIb in. t tU - I SAM to in. to in. to in. Anticipated water table 76 I in. Anticipated water table>6 g in. Roots to 4-g inches Roots to 4 inches Health Dept. Comments Health Dept. Comments SOIL LOG # SOIL LOG # 7 0 to (, 4 to_ j(e in_ 44 ` NO to (v in. C'RtS 'rN !`1 J -SAY)) ___110_JO �`; in. u, Ftil=l'1Eb to in. to in. di to in. Anticipated water tableAkin. /1# Anticipated water table wa,5 in. Roots to :t inches • Health Dept. Comments ,;� + Roots tom g inches � s d :_`��""�' .6).� Health Dept. Comments SOIL LOG #5 � 1 - t0 in. % ,10259. � SOIL LOG #6 iQ. BERNT PAUL ERICSEN'.. off • CNS DDE IGNEA 1 -to----- to in. a�u�0e�� ..��►`�a•�, EXPIRESS 0 0 11/11/ to in. to in. - 5-2-!ti - to in. to in. to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments H:UNFOHLTHISOIL.FRM 1/00 01-46—, ) I 5 &Lo /-4 Date 13—4 — / Additional Information Routing SheetU(_, ' �w��s°", coy Requested by JC Staff From: ER S C1) 1,1=.S 1610 Phone �jb0 ,50( '0 3.2. �S/1H O C N& Check included? $ '36/. /Wily Regarding: Parcel Number ®0 ( 0!0,20 30 /O(') i 0(001 05 I 1 Z®j5 Address fl)46T PiE.Y OW) 17.4 1-RADA- LAS i 1) Case Number SEP Case Number BLD Other Case Number/s This is being submitted for the following reason Submitted for the following Application/s or Case MUST check all that apply MUST check all that apply #of Copies Redesign/Revision Septic Case(SEP) 3 Technical Assistance(1 copy) Building permit(BLD) 7* Record Drawing/asbuilt(1 copy) SPAAD 4* Monitoring Inspection Site Plan (1 copy). Subdivision(includes BLA) 7* Renewal Other case type- 7* Other(provide detail) *If Submittal is larger than 11"X 17"submit 4 copies of those sheets Comment: 1 ��� EFFERSON C•UNTV DEPARTMENT OF OMMUNITY DEVELOPMENT •21 SHERIDAN ST., PORT TOWNSEND,WA 98368, (360) 379-4450 Tl/Q9-C.) `a SOIL EVALU `L�\ ATlON ®Ok � PROPERTY OWNER M E( A N i"1 R J 5 T / W i .t.1{} ii , •T E i so i j SYSTEM DESIGNER Ell I CS 4 N .b E S t e,N LEGAL DESCRIPTION: Section (o Township O IQ Range i kkj Parcel # O Q i G(p.26 30 J CO i Q 62 ®�I Subdivision Name Division Block Lot(s) r Date Logged: 5-3-1 s Logged By: pp ix 11+ �rtc.sen 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 4 SOIL LOG #: 113 a to j a in. .131.?N 1.5 4 to Ili in. IN tee, 1g_ to '.+.j• in. erl?V. 1=-MED. 6 W i6, to 4.; in. 1 Ii? FM - VIED 5t > Dt 4 to 41 in. TM l=M-M Eb -5 Nb 1 ICS to in. s to in. S l J to in. Anticipated water table 761 in. Anticipated water table".65 in. Roots to L-g inches ;n Roots to,� 4g inches Health Dept. Comments . 1 Health Dept. Commen SOIL LOG # 4, SOIL LOG # `] 0 to (o in. .5-KK) L.5. Q to It, in. G to je in. (6, to (,i; in. ''1W, FAi- i'1Ei) SiJ`7. 1(' to Ee(o in. C R 0. FIT' M el.) S Nlj 15 �I✓1GY1 to in. 0-1 5" r✓5 to in. X to In. Anticipated water table 746 in. I 3G1 �A--G 6 i� Anticipated water table N }in. `%fix L- 1 r Roots to I-2 inches 5 Roots to g inches ealth Dept. Commen itotAit_SL Health Dept. Comments r-t ---rifica 1 S1 LLOG #5 SOIL LOG #6 to in. _ to in. to in. to in. to in. toD:4 in. to in. to in. Anticipated water table in. C� ,Anticipated water table in. Roots to inches I `cL, Roots to �,,,A,',� ���������JJ inches Health Dept. Comments / st"'"v\ Q`"4lealth Dept. Comments I 2/3 l l I NFOHLTHIISS0I_L..FR\M1 MO • ' ' /C. OA l j, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT liju, U 621 SHERIDAN ST.,PORT TOWNSEND ,WA 98368. 1360)379-4450 l 5 SOIL EVALUATION 44)/ PROPERTY OWNER M 666- N1 Tio g S /T "1/V ILL I A t 3 .B ER Soo ®�?0/5 SYSTEM DESIGNER E-Fi I LG no Di.".-;. .i LEGAL DESCRIPTION: Section & Township Range-4W. Parcel # 00 166;kb30/00 i 06 Q 3 I Subdivision Name Division Block Lot(s) Date Logged: 7 -a- i 5 Logged By:_Zuc n 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 SOIL LOG #2 5 to 4 in. r I- 0 to (., in. D 0 Fc q to 4 in. T IJ/BR Ni LS. (, to iq. in. (,r;. iii to 30 in. C�RV F�' MEb SN'01)51;;19'272-1 , N. to 4g in. 67?1? V. GRU'. noo--C-RS Stm �1 36 to 70 in. Tib- FN--- MEI) SN- / -" + t� % e�,,� to in. Anticipated water tabled?i? in. �''!� Anticipated water table in. IQ -ri I Roots to (a0 inches Roots to 0 inches Health Dept. Comments ealth Dept. Comments 4,,, ,,,,) SOIL LOG #3 SOIL LOG #4 Q to 4. in. 1S F 1= 0 to /a in. - y N LS 4. to IL in. t LS Up to 44 in. CRS 4a in. CrR1) F1J-CRS Ship�'RV. '1.5 RS 6 klb 4 to in. J. 6-k in. Fk tj-c{- to lob �'C.RS SiU 'T ! V, DRi{ rN--CRS, S ► i-:1. to _ in. Anticipated water table ng in. Anticipated water table .4(, in. Roots to 54. inches Roots to_ lj inches Health Dept. Comments Health Dept. Comments SOIL LOG #5 SOIL LOG #6 3 tod.i BINin. l Lsto in. • I to '�-Q In._ _C-t1 FP) VIED SNS to in. i+0 to _in. V. 612‘) FM--c-Rs Sk). T. I - 6 t3 to go in. TN F tJ S fJ b to in. to in. Anticipated water table47,j in. Anticipated water table in. Roots to ((o inches Roots to inches Health Dept. Comments Health Dept. Comments H:VNFOHLTHISOIL.FRM 1/00 ��� � Dc8El AI�. os-xyo MI rl H Z ' ' f`'1 A....3..q Y V) vim, '!" 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