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HomeMy WebLinkAboutSEP2015-00078 14 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 (/(/z ' SEPTIC PERMIT APPLICATION 0 PROPERTY OWNER ZL. I 16 I e,-G-k ,(4 MAILING ADDRESS VVc ox f 71'. l (,. i i <i'e ..)-6, JEFFERSON COUNTY PUBLIC HEALTH :r idan S Port Townsend, WA 98368 www.jeffersoncountypublichealth.org Public Health Phone 360-385-9444 Fax 360-379-4487 ON-SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP15-00078 Date Received: 07/07/15 Date Issued: 01/29/16 SITE ADDRESS: 282332 HWY 101 Date Expires: 01/29/19 PORT TOWNSEND, WA 98368 APPLICANT: THE LOCAL 101 LLC PHONE: PO BOX 1784 PORT TOWNSEND WA 98368-0199 LEGAL DESCRIPTION: S23 T29 R2W TAX 31 PARCEL#: 902234007 Section: 23 Township: 29N Range: 2W DESIGNER: NATHAN CLEAVER PHONE: 360-598-6546 NATHAN CLEAVER SEPTIC DESIGN 262 NW THOMPSON RD POULSBO WA 98370 SYSTEM DESCRIPTION: RECIRC/PRESSURE TRENCH No. of Gallons per Day: 1,000 Type of work: NEW Drainfield Trench Septic Tank Length: 420 feet Width: 3 feet Depth: 24 inches Size: 2,000 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. /711/1 ( >� ,fr / 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 REVERSE & ADDITIONAL PAGES CONDITIONS OF APPROVAL - PERMIT NO.: SEP15-00078 1.) H - The entire transport line must be pressure tested and proven not to leak during a 24hr period. 2.) 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. 3.) Waste Strength (BOD, TSS, Grease and oils) is to be monitored quarterly for the first year of operation and annually thereafter. Responsibility is that of the owner. Results are to be submitted to the Jefferson County Health Dept. 4.) Exceeding the permitted design flow of 1000gal. per peak day shall constitute a violation of this permit. Water usage monitoring shall be conducted daily for the first two months & weekly thereafter. These monitoring results shall be submitted to the Jefferson County Health Dept. no less than quarterly. 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.) Setbacks to all AND EXISTING wells- 100' required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. 12.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 13.) Approval of this permit does not assure the existing septic system has capacity for all uses allowed by current code. 14.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 15.) H - Recorded easement required for primary and reserve drainfields. Easement recorded with the Jefferson County Auditors office under AFN596904. 16.) Contact designer prior to installation for staking of drainfield area. 17.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent. SEP15-00078 Page 2 of 3 \\tidemark\data\forms\F_SEP_Permitmod.rpt 1/29/2016 18.) 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. 19.) This approval is valid only with a connection to an approved public water supply. 20.) 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. 21.) This approval is for a setpic system permit only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 22.) The site plan as submitted with the septic permit application on July 7, 2015 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the approved site plan shall be resubmitted for review and approval by Jefferson County Department of Community Development. 23.) 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. 24.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 25.) The application was reviewed by the Jefferson County staff for the potential presence of Critical Areas under the provisions of the Unified Development Code (UDC). After al Geographic Information Systems mapping review the following Critical Areas were confirmed to be present on the subject property: non fish bearing stream, seismic hazard, slight landslide hazard, intermediate shoreline slope stability, susceptible aquifer recharge area, high risk seawater intrusion protection zone. 26.) A Geotechnical Report was submitted in conjunction with this application by EnviroSound Consulting Inc dated September 23, 2015. The report addressed the stability of the geologic hazard area and states that the placement of the drainfield in its proposed location will not significantly impact the overall stability of the subject properties slopes due to the relatively moderat slopes and mapped glacial till on the subject parcel. SEP15-00078 Page 3 of 3 \\tidemark\data\forms\F_SE P_Perm itmod.rpt 1/29/2016 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT For RECORD DRAWING Designer Suzanne Martin Permit # SEP 15-00078 Installer Toby Killam/Ericsen Excavating Parcel # 902 234 007 Electrician Madison Design Flow 1000 gpd Property Owner The Local 101 LLC Site Address 282332 Highway 101-port townsend, WA 98368 Answer all questions or indicate NA DATE Tanks, Pumps and Controls INSP. Tank (manufacturer, size, baffles) 2000 gal recirc tank (Peninsula) 2/23/16 Pump chamber (manufacturer, size) two 2000 gallon Peninsula, risers installed, 2/23/16 2000 gallon grease trap; 2000 gallon septic tank 3/4/17 Screen(s)and/or Pump Shroud (type, location) shroud in pump chamber& 2/23/16 shroud in the recirc tank Were Tanks tested onsite for water tightness? es / No May 2017 all tank settings upgraded due installation of grease trap and septic tank at structure 22 May 2017 pump chamber at structure/tore -ON 2 Minutes; OFF 68 minutes; Veto ON 2 minutes; Veto OFF 46 minutes; -32 gallon dose; drawdown +/-1.5" -System set up for 666 gallons per day with veto set up for an additional 334 gallons per day for total 1000 gallons per day; autoclear 61 seconds -Start is set for 0.5"; alarm set for 32.1"; veto set for 32.3"; Z bias 07; -dose counter=2191 dose/15 veto dose; etm=61:36:50 hours; 376 events; -Aquaworx control panel (SEP Tank settings for pump chamber to the recirculating gravel filter_(Pump A-dual panel) 24 May 2017 (tank inspection 3/23/2016) -ON 14 seconds; OFF 43 minutes; Veto ON 14 seconds; Veto OFF 29 minutes; -20 gallon dose; drawdown +/- 0.5";-System is set up for 666 gallons per day with veto set up for an additional 334 gallons per day for a total of 1000 gal/day; Autoclear 1 dose -Start is set for 0.9"; alarm set for 9" Veto set for 9.2"; ZB-08 Received -dose counter=17331; 31 veto doses; etm=273:26:29 hours; -Aquaworx control panel; Liberty LEH100 pump JUN 05 2017 Tank settings for pump to disposal field (Pump B-dual panel) 24 May 2017 (tank inspection 3/23/2016) ESV IRONMBNTaL HER1.Ty -ON 1:12 minutes; OFF 120 minutes; Veto ON 1:12; Veto OFF 90 minutes; -62 gallon dose; drawdown +/- 0.75"; -System is set up for 742 gallons per day with veto set up for additional 250 gallons per day for a total of 992 gallons per day; Autoclear 2 doses -Start is set for 0.90; alarm set for 10"; Veto set for 10.1"; ZB-08 -dose counter: 01074; 037 veto doses; etm=00:22:49:56 hours; -Aquaworx control panel; Liberty LEH150 pump Pre-Treatment Date Ins') gravel filter basin high water alarm shuts down pump to gravel filter (Yes) No gravel filter Basin size/location gravity out of filter back pump chamber 3/23/16 Sand Fill met design spec? n/a 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 3/4/16 Orifice size 1/8" Lateral Size/schd 1.25"pvc sch 40 3/4/16 Barrier Material filter fabric Cover Material/Depth 0 3/4/16 Residual Head (lat.# & ft. Head) +/-7 w/caps on filter/5'with tubes on drainfield 3/23/16 The laterals/pods were balanced 0 / No Source/Manufacturer of Drainrock/Gravelless chambers cotton Drainrock Clean? Ye / No If no, what action taken? Mound/Glendon Site Prep n/a Drainfield Length 420 ft Width 3 ft Depth 24 inches Caps for measuring residual head stored (location) valve riser COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary .System construction has conformed with Conditions of Approval, Washington State Code, regulations,R recommended standards and guidance. Construction has also conformed to jefferson county requiremen4 !ed The original design was by Nathan Cleaver. This system was installed as per design. JUN 0 5 2017 Health Department Inspection issues resolved Yes / No / N29 If yes how? ENVIRoNM, N7gL HEALTH Users Manual Provided to Homeowner delivered 26 May 2017 Date Tank/component Decommissioning Report Attached Yes / No /0 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 DESICINED AND APPROVED by JEFFERSON COUNTY (DATE) 02 T1- AY CHANGES HAVE BEEN NOTED AND THE SYSTEM I IN COMPLIANCE WIT}f WAC 246-272. }�-' �a�; 31 May 2017 5100342 � 't si 9 9 %' v Designer i nature Date License # 4' Suzanne L Martin N., I, Lmrsob r N " /,, - E>PIPES ill/1] H:\WEB\ONSITE\Asbuilt_Report_Form.doc 04/28/10page 2 of 2 System Owner: The Local 101 LLC SEP15-00078; Parcel #902 234 007 Site Address: 282332 HWY 101-port townsend , . N,64% Pump Tank Detail ,,,V.,,, a" r 5 3/8"from top of riser 19.25"Installed Riser �tit/7,20/74, 47 '' � V f demonstrative; I L F not on this side of tank 1 0.8 _J_. ±19.3"storage above high Inlet water;below inlet;±1600 gal; additional 1000 gallon above ±54.125"tram ducer the inlet Veto set 10.1"from the bottom of the bell 31.6"from tank bottom alarm set for 9 9"from 65" bottom of the bell 750 gal working volume =with override for 1000gal 51" on set 0.9"from bottom 2.5"between shroud&bell of the bell T/ / 21.5"from bottom Tf / of tank to the T Pipe connection between bottom of the bell tanks;boot poured by 1.5✓ — 1 / Peninsula Tank 6.75 connection is bedded in sand; Press seal gasket 24 hour water test conducted no leak / �ii 0 l s. :.Aii i '.. ii a k 44 i' • of w�►.cii,N�:0i41 Of • i • ii AL e ,. 5100342ilMARTJ It ..c i Ti..-- 21Ile\ The local 10111c; Parcel #902 234 007 2000 gallon grease trap detail 40e) r - 4.792 5.333 Ji;or i s. •1l1 Q• • .•,� • �,. r t I� :' 11 OP 51'' 1 51SUZAN�N+E LEAS I' • S 2 11/ < 00 O co 4 s�A � N coco •� Q E. co t0 CD a o o `) °a co D Os N5 ' ii, \ # NN Ins! 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Contractor Registration#: NATHACS94002 I✓ ot 17 k Soil Logs ✓el w Re: CASEY GRIBBLE [THE LOCAL 101 LLC] i., `. , ( 7 Parcel#: 902-234-013 &902-234-007 '''?1,/,,, ,.?L., tf-- ?6Section: 23,Township: 29N, Range: 2W `'' A,I Soil Logging done on 21St MAY 2015 by Nathan N. Cleaver s_23 21'I[ '""t_C.1`5 5' 11�^� 3_ _GrsC Soil Log#1 Soil Log#8 w llua V`{ �"ie- 0 - 2" DUFF 0 - 2" DUFF Z 2-25" GRAVELLY MEDIUM SAND ��2- 56" GRAVELLY MEDI SAiNu -crie4t142r4 NO COMPACTION 4 I 09,6)e)( NO COMPACTION O 's3 Soil Log#2 Soil Log#9 grQ514104(f) 0 - 2" DUFF N 0 - 2" DUFF -- 2- 18" GRAVELLY MEDIUM SAND=13 2- 50" GRAVELLY FINE SAND ^, (;,-� 18-47" BROWN FINE SAND—C NO COMPACTION 6� 57) li 61-142;w4" 1 20 37 _ A,514 47-51" CEMENTED MEDIUM SAND 7,6 �� � 7 �9 5 47" ROOTS TO �t �-Q Soil Log#10 L 0 - 2" DUFF 1- QASoil Log#3 c���e 2- 52" GRAVELLY MEDIUM SAND � ''' - L 1fA14 0 - 2" DUFF NO COMPACTION rr-lifr 4 4 X54 1`, t _1�- i 2-44" GRAVELLY MEDIUM SAND 44-57" CEMENTED MEDIUM SAND Soil Log#11 ' 1�� 44" ROOTS TO 0 2" DUFF V ` �`V 2-57" GRAVELLY MEDIUM SAND .1.1.40---' l ,?37 ''0 Soil Log#4 NO COMPACTION fs�' ��" ° (, 1 :; 0 - 2" DUFF �� '1` "" 1 1) ' ...K.4, 4"" , ©3 ` 2 - 50" GRAVELLY MEDIUM SAND Soil Log#12 -7 C(55 � F NO COMPACTION �, . � 0 - 2" DUFF 5)' 'V " S *. — #5 \�a :k 2--73 2 IAI 2-58" GRAVELLY MEDIUM SAND 4 a-6 (LOA-44_4 ' Soil Log L. (4 W/POCKETS OF COARSE SAND cull 0 - 2" DUFF 36 `' NO COMPACTION 2 - 52" GRAVELLY MEDIUM SAND ' NO COMPACTION Soil Log#13 `\la/t� SL- y .�S�' 0 - 2" DUFF N d5---5(-1 . • i„1, �y,atp Soil Log#6 0-4V c 2-60" GRAVELLY MEDIUM SAND \-$4.1•S ,/ 0 - 2" DUFF oQ-�A , - W/POCKETS OF COARSE SAND ��""1 2-56" GRAVELLY MEDIUM SAND NO COMPACTION NO COMPACTION 1,,,, Soil Log#7 %.. ', 5144 0 - 2" DUFF /(L ./(L . 2 -52" GRAVELLY MEDIUM SAND ,1/��� A NO COMPACTION4 4. `A Please feel free to call with any questions. ‘ya� ,,,,r,ry��t�ay.. C , } Thank you, is v , 4, ovA-1 ExPiaEs Nathan N.Cleaver 9.1 iLl Licensed Onsite Wastewater Treatment System Designer. Address: Telephone: 360-598-6546 ©—�� 262 NW Thompson Road Fax: 360-598-6548 f a/Uu -3O Afiet�C�' 46 4 l Poulsbo, WA 98370 Email: nathan@nathancleaver.com • <c Please call ahead to make an appointment if you would like to meet with .me ilfl X0" .6 1.i l Recirculating Ball Vttal �� Data Sheet oreceWenn° Incorporated ' 1-800-348-9843 Applications General Orenco Recirculating Ball Valves provide flow diversion for recircu- Orenco Recirculating Ball Valves are constructed of PVC and rub- lation purposes in onsite septic systems. ber components for corrosion resistance. The valve redirects 100%of the incoming flow to the recirculation tank during periods inspection port in which the ball is not seated,and 0%when the ball is seated. An r---A inspection port is provided for routine maintenance. tee or cross from filter (model dependent) A / to final disposal Standard Models i baffle plate MM2,MM3,MM4,MM6 PVC pipe(stinger) Nomenclature (not included) MM0 TDisctargebaftlesize:2"3"4"6" Recirculatingbaltvalve buoy buoy cage Specifications Madel MM2 MM3 MM4 MM6 (A)Tee width(in) 5-1/2 8 9 12 Stinger pipe diameter (in) 2 3 3 4 Cage height(in) 19-1/4 19-1/4 19-1/4 24-1/4 Cage diameter(in) 12 12 12 15 Buoy Dia.(in) 11-1/2 11-1/2 11-1/2 14-1/2 Materials of Construction: All Pipe&Fitting& PVC Sch.40 per ASTM specification Buoy Rubber , NSU-SF-MM-1 Rev.3.1.0 W99