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HomeMy WebLinkAboutSEP2006-00047 Jefferson County Department of Community Development 621 Sheridan St., Port Townsend WA 98368, (360)379-4450 SEPTIC PERMIT APPLICATION PROPERTY OWNER Richard Tollefson F MAILING ADDRESS PO Box 100 Chimacum,WA 98325 PHONE Area Code(360)732-4080 SYSTEM DESIGNER Ryan Tillman, P.E. LEGAL DESCRIPTION: Section 22 Township 29 Range 1W PARCEL# 901-222-012 Subdivision Name Division Block Lot(s) SITE LOCATION 1132 Van Trojan Road, Chimacum,WA Zip Code 98325 SOURCE OF SEWAGE: Residential x Residential ADU Commercial Community TYPE OF WORK: New_x_ Redesign Upgrade Repair_x Partial (tank) (drainfield) Expansion-APC Designate Reserve Area Conventional Alternative x Drainfield Length - ft. Trench Width ft. Number of Gallons/day 600 Trench/Bed Depth in. Number of Lines Site Size 8.66 AC Septic Tank size 1000 gal. Pump Chamber size 1500 gal. Water Source: private_x public Soil type 4 (ATTACH SOIL EVAL.) 3- 105 Previous eval: yes / no SEP02-00061 4- pplication 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 Ia , in effect at that time. ,,, lam- l4 •ifl •wn- ignature Date FOR OFFICE USE ONLY Re ca rc1 S •o rv5 h k < 5 I fo hooca t.. , , : , •lie ot�i4 de 404Iri. PARTIAL ASBUILT ►be' 'Cr.:, FINA s – /s APP OVED PRESS/TES ,`L�- -e m, �}T ' • P.�,n�i6V\. Ia/isjhy v--j&Ai/7 . . _ " 4l liti Fire District Planni District School District Zone 1e� 07�� Date qilikj-e Fee ", 3 6- Rec # / 5e Check # 1 O Case # SEP 5EPo e, _y 7 P:\Tollefson(06001)\Design\SEPTIC PERMIT APPLICATION 9-4-05.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 #: SEP06-00047 Date Received: 02/14/06 SITE ADDRESS: 1132 VAN TROJAN RD Date Issued: 05/09/06 CHIMACUM, WA 98325 Date Expires: 05/09/09 APPLICANT: RICHARD F TOLLEFSON PHONE: 360-732-4080 PO BOX 100 CHIMACUM WA 983250100 SUBDIVISION: BLOCK: LOT: T 19 PARCEL#: 901222012 Section: 22 Township: 29N Range: 01 W DESIGNER: RYAN TILLMAN, PE PHONE: 379-9661 TILLMAN ENGINEERING INC PO BOX 1375 PORT HADLOCK WA 98339 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�- .t- •-, codified . 5 amended per ordinance no. 08-0921-00. This permit may not be renewed. R MARX, Jefferson County nvironmental 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: 600 Type of work: NEW Drainfield Trench Septic Tank Length: 135 feet Width: 3 feet Depth: 6 inches Size: 1,000 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE CONDITIONS OF APPROVAL- PERMIT NO.: SEP06-00047 1.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 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.) The existing septic tank MUST be: 2 compartment, 900 gal. min., in good condition and have rissers to grade prior to final approval. 4.) Dry season installation required. 5.) H - 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. 6.) 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 AT 6 MONTHS, AT ONE YEAR AND EVERY 3 YEARS THEREAFTER. 7.) Health Dept. required to observe pressure test when system fully installed/complete, 48 hours notice to be provided for scheduling. 8.) Designer must be contacted prior to start of construction and for inspections during installation. 9.) H -An asbuilt drawing and certification of completion by the designer is required prior to final approval. 10.) Curtain Drain required a minimum of 10' upgradient of primary and reserve drainfields. 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.) Contact designer prior to installation for staking of drainfield area. 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.) This onsite sewage system is designed for domestic strength wastewater only. Disposal of any other waste strength is considered a violation of this permit. 2 of 3 11/22/19 I:\F_SEP_Permit.rpt 16.) 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. 3 of 3 11/22/19 I:\F_SEP_Permitspt JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 CONSTRUCTION INSPECTION REPORT For RECORD DRAWING r n Designer A'77/C6- Permit# SEP 0&---(36 ,-4/-7 Installer /`//412rez—K/77/Cs` - z*P'N.D/.ie/e K c 4l, Parcel # "a7 22Z o/ Z Electrician Design Flow Zola Property Owner /?/Cf/4R1> roLLE�SO/ • Site Address / / 3 Z V"A/ 7"120.., '/ A D/ G ff/M/CUM, f4/,V 9E33'2.5— Answer all questions or indicate NA Tanks, Pumps and Controls Date Insp. (manufacturer, moo 64G, Zear-7P. w/a�F«s iov rr r/767 4-z -� Tank manufacturer, size, baffles / 4--- Pump chamber (manufacturer, size)'ZOc U.4L #-Z57-/4- Screen(s)and/or Pump Shroud (type, location) PU/ ' V/104-7— U!/o'/or19T3, P/47-ER -z5-/4- Were Tanks tested onsite for water tightness? Yes Panel Model /70044,0RX Tirr Mo el A4JJ 4143 12X 2-5---/4- Pump 1 — Man./Model GRitrAe0 P4-20123E-el Set /(�•togpm Z5`/4- Pump Location (i.e. garage, treatment unit, basement! Bottom of transducer to bottom of tank Z 4-1S- Float settings (above bottom of tank) / transducer s ings imer Functions: (above bottom of transducer) On/off- 0. �f On - 1 � Veto - Z p, ct it Off- Y-/s�s,•�. �s-gG, Alarm - z,p,q " Veto On - Storage Above High Water Alarm S"z4- gal. Veto Off- f4A-r.A.4. Dose Counter Reading (041 4-t . , !r'74 vdzvps c # gallons/dose 4.Z Elap. Time Meter Reading 513 L : +4 : 30 Pump Throttled? Yes No Dose Drawdown (in inches) 0, / Pump 2 — Man./Model Flow Rate gpm Pump Location (i.e. garage, treatment unit, basement) Bottom of transducer to bottom of tank Float settings (above bottom of tank) / transducer settings Timer Functions: (above bottom of transducer) On/off- On - Veto - Off- Alarm - Veto On - Storage Above High Water Alarm gal. Veto Off- Dose Counter Reading # gallons/dose Elap. Time Meter Reading Pump Throttled? Yes / No Dose Drawdown (in inches) If additional pumps complete this info for each C:\Data\Wpw\County&State Forms\Jefferson\Construction Reports\Alternative sys ASBUILT 2010-2.FRM.wpd 10/29/13 page 1 of 2 * Pre-Treatment Date Insp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No 4 Sandfilter Basin size/location ?a1 Sand Fill met design spec? Yes / No ATU (manufacturer, model) Alarm tested Yes / No Disinfection Unit (manufacturer, type, model) Independent Alarm Yes / No Drainfield • Transport Pipe Size/Sch. / - ' /7' •9' M-d►tifold Size/Sch. 1 SCt4, 41-e, 4 -ZS---/4— Orifice Diameter Lateral Size/Sch. Barrier Material Cover Material/Depth Residual Head (lat.# &ft. Head) Source/Manufacturer of Drainrock/Gravelless chambers Drainrock Clean? Yes / No If no, what action taken? Mound/Glendon Site Prep. Drainfield Length ft Width ft Depth inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Other Aquaworx panel settings: SWarn at , ZBios at 0 S , Autoclear set at Z/ doses min-sec. (134c.KF-7 1-1-E> Pia/Ole 7c' Health Department Inspection issues resolved Yes / No / NA If yes how? Users Manual Provided to Homeowner Wi r/Si Rec 'ei /AI Date 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 (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). To the extent revealed by these periodic inspections, the system complies with all the conditions noted in the permit as approved by Jefferson County S` /—'(P (Permit Approval Date)or that changes have been noted and the system is in compliance with WAC 246-272. 3-7¢ 5100110 Designer Signatu Date License# C:\Data\Wpw\County&State Forms\Jefferson\Construction Reports\Alternative sys ASBUILT 2010-2.FRM.wpd 10/29/13 page 2 of 2 JEFFERSON COUNTY PUBLIC HEALTH, 615 SHERIDAN, PORT TOWNSEND WA 98368 CONSTRUCTION INSPECTION REPORT For RECORD DRAWING Designer t'7,/e-/-1" Permit# SEP e,&—ODO¢7 Installer / " t ,e/J`f/c/t/27 G4A.,1=Y-f.47/Pk XC ' "iA/lo Parcel # °/ z 2 2 e / 2 Electrician Design Flow bow Property Owner /2/ .y"Itl2D Site Address 1/32 V'9/V 7-1›,=1S-A-,/ 12.b,/ C1y//'-isg-CU/`-1/ VS4/I 98.325— Answer all questions or indicate NA Tanks, Pumps and Controls Date Insp. Tank (manufacturer, size, baffles)e>i0e2' 6,4e, 2L,i-4? w/3/fA- Z,&-5 Pump chamber (manufacturer, size) Screen(s)and/or Pump Shroud (type, location) Were Tanks tested onsite for water tightness? Yes / No 5� Panel Model Timer Model Pump 1 — Man./Model Flow Rate _ gpm Pump Location (i.e. garage, treatment unit, basement) Bottom of transducer to bottom of tank Float settings (above bottom of tank) /transducer settings Timer Functions: (above bottom of transducer) On/off- On - Veto - Off- Alarm - Veto On - Storage Above High Water Alarm gal. Veto Off- Dose Counter Reading #gallons/dose Elap. Time Meter Reading Pump Throttled? Yes / No Dose Drawdown (in inches) Pump 2 — Man./Model Flow Rate gpm Pump Location (i.e. garage, treatment unit, basement) Bottom of transducer to bottom of tank Float settings (above bottom of tank) / transducer settings Timer Functions: (above bottom of transducer) On/off- On - Veto - Off- Alarm - Veto On - Storage Above High Water Alarm gal. Veto Off- Dose Counter Reading # gallons/dose Elap. Time Meter Reading Pump Throttled? Yes / No Dose Drawdown (in inches) If additional pumps complete this info for each C:\Data\Wpw\County&State Forms\Jefferson\Construction Reports\Alternative sys ASBUILT 2010-2.FRM.wpd 07/23/14 page 1 of 2 Pre-Treatment Date Insp Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No 49, ,# Sandfilter Basin size/locationOA Sand Fill met design spec? Yes / No ATU (manufacturer, model) Alarm tested Yes / No Disinfection Unit(manufacturer, type, model) Independent Alarm Yes / No Drainfield Transport Pipe Size/Sch. Manifold Size/Sch. Orifice Diameter Lateral Size/Sch. Barrier Material Cover Material/Depth Residual Head (lat.# & ft. Head) Source/Manufacturer of Drainrock/Gravelless chambers Drainrock Clean? Yes / No If no, what action taken? Mound/Glendon Site Prep. Drainfield Length ft Width ft Depth inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Other Aquaworx panel settings: SWarn at , ZBios at , Autoclear set at doses min-sec. * 7- /$ ,E 7—/5 /Vi/ mite,v.1>v/-7. to ?•-2'g .& :p'1l 7° 'i�Ave-D S-3 l¢- Fo2 7N' Pe,l2P's - /e,r " 7",ACo T /923./M-4C)e:IA..<A,r&- 17-- DF ➢7/F I'=› -7c 7-4(A1 S -4>Uii(,, 7W fix/z'I-/ne4 ,2es7.pecveZ' 4--ewsr. e•iit)-yon. © 4 Aye ro reP he Y"1N/ (wieic.y owls areciedmictg'i) ;fit )2 7r-!AiSPcr-ia6- Health Department Inspection issues resolved Yes/No / NA If yes how? Users Manual Provided to Homeowner w/)-H 5-3-/4'�Ee-e='P � .1>2 WlN'o5 Date 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 (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). To the extent revealed by these periodic inspections,the system complies with all the conditions noted in the permit as approved by Jefferson County 5 —9 t ' (Permit Approval Date)or that changes have been noted and the system is in compliance with WAC 246-272. 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A CJ a - O roi , fJJj Cif Li CO / ,,,,,, • 5 . (1107 unreel)-landn�trkexl-Yahoo Mail https://us-ntpdi.n aii.YallOux xntneo/Iawx h?.ranc1=15ghsu4iG i' Tollefson,901222012,Certification of Septic Tarlc Abandonment.pdf 1 of 1 • • r. Ti ?�P •mil`<' 4. 1 CERTIFICATION OF SEPTIC TANK ABAh s 1. a. Company Certifying Abandonment: Landmark Excavating ii Phone: (360)379-6652 Site Address: 1132 Van Trnjen Rd., Chimacum,WA 983; t' Parcel Number: 901222012 I.Y Abandonment as required in SEP06-00047 i I certify that the approximate 1,000 gallon septic tank for the y been abandoned to Washington State and Jefferson Count' attached pumper's receipt. _ . ,....71...1,1;77 C.„.„,,; 1, " ignature ✓ Date i I to l'I rfifG r- :i Print Name 1 • 8127/2014 9:14 AM 1afI r` • i r S Z @'d ZS99 6L£ ' iNNVWtfNU1 WV 6£:80 4i-£Z-d3S ' NVIRO CHECK, L.L.C. .'� 1612 Hastings Ave. W - Port Townsend, WA 94368 360-379-9400 SEPTIC TANK OPERATIONAL REPORT Company Name,___ ,-v v;A c K L C_< Date of Service et g Q� Technicians signature ;= ... _ • Service provided for (__pr,vD Address P.0.1V ct))t 15-7 Kati: Phone W . Job Address... \, Mk►) r S 4 1n{1 P.41• t tt, Last Date Pumped -•.. 0-1...1%C.. ft people in home \.)A 44 nfT` #bedrooms a. • t SEPTIC TANK Size of tank opb Gallons Compartments: Single Double}C is is ' Material: Concrete rti Polyethylene Metat Other(specify) _ • Conditions of septic tank Good ) Poor Was ground water observed leaking into tank?Yes No k If yes,where was water observed? Effluent running back into tank from drainfield? Yes No )4.-- Ricer to grade on inlet You >- No Riser to grade on outlet: Yes , No { If no risers,were risers installed? Yes No k I; . • Solids in Tank: 1st compartment Scum(top layer) � _. .__in. sludge(bottom layer) ^__—•_in. 2nd compartment scum(top layer) D in. sludge(bottom layer) in. BAFFLES Condition of inlet baffle: Good le_ Needs Repair Repaired _ Material Condition of Center baffle: Good X Needs Repair,.____ Repaired____,__ Material ca N Condition of outlet baffle: -Good X Needs Repair Repaired Material V_ Type of outlet baffle: linscrecncd j�, Screened Filtered Material • Cleaned outlet baffle and/or screen: Yes No SC • PUMP Does the system include a pump? Yes No .__ If Yes,complete the following : Size of Tank Gallons Riser to grade: Yes_ No If no,was riser-installed: Yes No Material: Concrete 4PoIYethxlef1 Metal Other(specify) Was ground water obse ..i ng..into tank 7 Yes No • If yes, wa - observed? H Depth of accumu ted s •ge in pump tank inches Was the tank pu •? Yes No _ Radom -•• d additional information Gond"". of Pump: Working Not Working Needs repair____ C. i'tion of Alarm: Working Not Working Needs repair Pump cycle drawdown: _ Inches "rime for pump cycle minutes/sec. Comments: {i i. • • • I • { . j . T0-d ZS99 6L£ ' i>INVWQNtl1 WU LS:80 bT—£Z—d3S JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMp\I.._____ 621 SHERIDAN ST., PORT TOWNSEND ,WA 98368, (360) 379-44:64:` -- 7 SOIL EVALUATION ,, PROPERTY OWNER /�/Cl/1XL) C.C.0-Fry 0,0 - ' mAR 2 9 2002 SYSTEM DESIGNER S—FP/ZC 55P-t5 1 LEGAL DESCRIPTION: Section Township Range Parcel # Subdivision Name Division Block Lot(s) / Date Logged: ...p.2/ /7 �' 7/22- Logged By: 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 /A/es /-y s af- SOIL LOG #2 F�'.) (J to 33 in.i ' -1n SL //e Siowrn_i/ `I 0 to c-S in..5`L 4) R .S4///Y4rf 11 to in. q (On 0 Zoni7/1 f.L w �u/4-/4 .n'--- to in. /�v arya yaz to in. l,, -LL to in. to in. y. ,. 1 to in. at � i Anticipated water table 5,j in. L� i"1 �- Anticipated water table3j in. l Roots to 13 inches 1 Roots to gp inches Health Dept. Comments Health Dept. Comments �ef GJV/Q e..Te l(J�' Q�c_ a-62 ‘Yei/a4e-e-, 4'-/ SOIL LOG #3 ieL2i SOIL LOG #4 PaA- a,ege/ace ' - c� f (-) to 81 in. j7_ U tom in. SZ / mac , /(3/�c /fir 3i to in./ 12z- to in..i p...z to in. to in. to in. to in. Anticipated water table3/ in. Anticipated water table �in. Roots to 3(] inches Roots to 2 ) inches Health Dept. Comments 0. c;�I He lth Dept. Comments Ill 410& z SOIL LOG #5 ?AiW 'N/\ SOIL LOG #6 44wrul ,o/ge. 0 too,U in. 5-4 U to 7 in. 7CL ..2-() to.24 in.hto/SC to in. ,:2 4. to 3,! in.canyl6.Gi‘///y ref to in. to in. + to in.ivA Anticipated water table in. a?� 7 Anticipated water table in. Roots to �� inches 4'19 E Roots to inches J Ajl/V\1 '4A Health Dept. Comments Health Dept. Comments ' vy�l,' %,#7 r\ / /L S' /L�/�� CSC �'"" (4, i G>� H:\INFOHLTH\SOIL.FRM1,00 S � � y 0-7,2_ SL ( o--/fl Lsi,nc�y,e /�i- �x,,t/A�'cew. tC �v-vo AD/se. '� /2/7 'tof%Ore sC c\!\ /r.zz7ose re, 4,e1 Vo / / /,, .d Zz l� ws z'"6G i2 60 u/G.GG .2y wa., Gze /9-‹ Goa-kc,i-A-Gz, /¢ t i 1 GENERAL NOTES: FED, 1 4 2t) PROJECT CONTACTS: A. Owner: Richard Tollefson Van Trojan Road Chimacum,WA 98325 Phone (360)732-4080 B. Engineer: Tillman Engineering,Inc. PO Box 1375 Port Hadlock,WA 98339 Ryan Tillman,P.E. (360)379-9661 C. Jefferson County PUD No. 1: Jim Parker,Manager Jerry Govia,Contracts (360)385-5800 D. Jefferson County Health Department 615 Sheridan Street Port Townsend,WA 98368 (360)385-9444 E. Glendon Specifications: Glendon Biofilter Technologies,Inc. 25448 Port Gamble Rd. Poulsbo,WA 98370 (360)297-7066 LEGAL DESCRIPTION: Section 22,Township 29N,Range 01W,W.M.,Parcel Number: 901-222-012 SPECIFICATIONS: All work shall be in accordance with the Washington State Department of Health publications "On-Site System Regulations" and "Glendon BioFilters", all applicable rules and regulations set forth by Jefferson County and its Health Department, and the plans. All materials, workmanship, design, and construction of the septic tank shall conform to the drawings, specifications,and the current Uniform Building Code. Work shall be performed in a professional, workmanlike manner by persons skilled in the construction of alternative on-site sewage disposal systems. The contractor shall be responsible for all safety precautions and the methods, techniques, sequences, or procedures required to perform his work including shoring for excavations,etc.. The contractor shall notify the Engineer immediately of discrepancies, errors, and omissions in the plans. Construction shall not continue until any problem is resolved. GLENDON SYSTEM NOTES: A. The biofilter modules are to be constructed using the standard 6' x 10' x 5'-deep basin manufactured by Fred Hill,Inc. Also to be used is the `Glendon Kit', including the internal piping for the M31 biofilter,the splitter,and the control panel. Richard Tollefson Glendon biofilter design APN 901-222-012 February 10,2006 Page 1 2 B. The site is to be prepared and the system installed during dry weather and soil conditions. The installer shall not exceed the specified plow depth unless approved in writing by the County and the Engineer. C. If during the course of system construction, soil conditions are found that may lead to premature failure of the system, construction shall be suspended immediately and the installer shall notify the engineer. Such soil conditions include ground water, fill, soil with high clay content, bedrock, or excessively permeable gravel. D. The excavation for the biofilter basin is to be no larger than six inches wider than the basin on all sides. E. The biofilter shall be installed from the up-slope side. The thirty foot downslope protection area shall be protected from vehicular traffic and all other sources of disturbance. F. The biofilter rim shall be inspected by the Engineer and shall not exceed'h"+/-from level. G. All exposed soil and filter media shall be seeded with grass and covered with jute mat, then covered with two inches or more of hay prior to final inspection. H. The installation procedure shall be as outlined in the Design and Installation Manual for Glendon Biofilters,published by Glendon Biofilter Technologies,Inc. MATERIALS AND SUBMITTALS: Materials shall conform to the following specifications. All submittals are to be made to the Engineer seven days prior to beginning construction. A. Building Sewer: ASTM D3034 PVC B. Transport Lines: PVC ASTM D2241, Sch 40 or Cl 200 IPS. Minimum burial depth for transport lines shall be 18 inches. C. Filter Media: As specified by Glendon Biofilter Technologies,Inc. D. Septic Tank: The existing septic tank is to refitted and is to be re-used for this project. 1)Check proper function and/or replace inlet and outlet baffles mAsid---- in the tank and add Zabel A1800 (or equivalent) outlet effluent screen. itievrivv1/4.45(... Provide riser to grade over screen to access for maintenance and inspections. Tanks as it exists is situated near the surface of the ground under an existing deck. If deemed necessary, an access cover shall be mounted to the tank to prevent vapors from excaping the tank lid. All tanks shall be free of leaks and leak tested if deemed necessary. E. Pump Tank: ASTM C478 precast concrete tank, with a minimum capacity as shown on the plan, and configured to accept pumps and related equipment. Tank shall be of monopour construction. Asphaltic emulsion coating is not required. Tanks shall not be installed greater than 12"below native grade without prior approval by Engineer. Tanks shall be placed on a minimum of 4" of sand bedding. All tanks shall be free of leaks and leak tested if deemed necessary. i i F. Sewage Pump: Beckett or Myers pump as specified by Glendon Biofilter Technologies. Richard Tollefson Glendon biofilter design FEB 1 4 2006 I APN 901-222-012 February 10,2006 Page 2 3 G. Electrical Controls: Verify electrical requirements for splicing, ventilation, etc. with local electrical inspector prior to ordering parts and installation. Components shall be mounted in a NEMA 4X rated weather tight enclosure that meets NEC code standards and the requirements of the Washington State Department of Labor and Industries (L&I), and be listed by Underwriters Laboratories. The panel is to be as specified by Glendon Biofilter Technologies, Inc. and shall contain the following features: 1. Dose counter and pump run time meter. 2. Audible and visual high water alarm. Alarm circuit shall be wired separately from the pump circuit. Discharge assembly shall contain check and ball valves and union to facilitate removal of the pump unit from the pump tank. Flexible coupling shall be required where recommended by the manufacturer to negate torque effects. Location of the pump controls shall be as approved by the owner. I. Septic Tank Riser: Concrete riser rings or leveling brick together with locking ring and cover or fiberglass lid may be an acceptable alternate (Engineer approval required)to the'Orenco'riser and bolt down lid. Provide 24" diameter access risers to grade over the inlet and outlet of septic tank. Water and gas tight seals are required. J. Pump Tank Riser: Concrete riser rings or leveling brick together with locking ring and cover or fiberglass lid may be an acceptable alternate (Engineer approval required) to the 'Orenco' riser and bolt down lid specified in the details. Riser lids shall be 24" diameter and vented to prevent buildup of explosive gases in the pumping chamber. Splice box suitable to the L&I shall be attached firmly to the riser for connection of the pumps and control leads. OTHER UTILITIES: In addition to utilities shown on the plans, other utilities may exist on site. Contractor shall be responsible for any damage to utilities,whether shown or not. Call before you dig 1-800-424-5555. INSPECTIONS: The contractor shall notify the Owner and Engineer two days prior to the following required inspections. Notify Jefferson County Health Department two days prior to pump test. 1. Following basin placement and surface plow. 2. For pressure test. 3. For final inspection at project completion. Quality control is the responsibility of the contractor. Inspections by the Engineer or the Health Department do not relieve the contractor from ensuring conformity to the plans and their intent. OPERATION AND MAINTENANCE: FEB 1 4 2006 Richard Tollefson Glendon biofilter design APN 901-222-012 February 10,2006 Page 3 4 The operation and maintenance of the system will be an ongoing function of the owner. System principals and maintenance procedures are outlined in the "Users Manual" provided with the project. It is the contractor's responsibility to leave concise operating instructions for the individual system for the owner, including but not limited to the following on all equipment: 1. Warranties 2. Specification Sheets. 3. Installation instructions and deviations therefrom with justifications for such deviations. 4. Operations and Maintenance manuals. The system is not designed to be used with a garbage disposal. Add no septic tank additives to the system. MONITORING: Alternative on site sewage disposal systems are required to be monitored during their lifetimes for the Washington State Department of Health. Jefferson County PUD No. 1 is the designated monitoring entity. The owner will be required to enter a monitoring agreement with the PUD prior to final approval of septic system. FEB 4 t--j- Richard Tollefson Glendon biofilter design APN 901-222-012 February 10,2006 Page 4 2/14/06 RICHARD TOLLEFSON;901-222-012 Page 1 GLENDON BIOFILTER SYSTEM SIZING: PROPOSED NUMBER OF BEDROOMS 5 BDRMS DESIGN FLOW PER BEDROOM 120 GPD DAILY DESIGN FLOW 600 GPD NATIVE SOIL TYPE 4 NATIVE SOIL APPLICATION RATE 0.6 GPD/SF MODULE BASIN CONFIGURATION NUMBER OF MODULES 5 INTERIOR MODULE BASIN WIDTH(INTERIOR DIMENSION) 5.5 FT INTERIORMODULE BASIN LENGTH(INTERIOR DIMENSION) 9.5 FT INTERIOR MODULE BASIN DEPTH(INTERIOR DIMENSION) 5.5 FT MODULE BASIN CAPACITY PROVIDED 287.0 CF CHECK MINIMUM MODULE BASIN CAPACITY(2.2 CF FOR EACH 1 GPD) 264.0 CF MODULE RIM LENGTH PROVIDED(INTERIOR DIMENSIONS) 30.0 FT CHECK MINIMUM MODULE RIM LENGTH(1 FT FOR EACH 4 GPD) 30.0 FT MODULE ABSORPTION AREA CONFIGURATION (MEASUREMENTS ARE BASED ON GLENDON DESIGN GUIDELINES) NATIVE SLOPE 3.0 PERCENT UPSLOPE ABSORPTION AREA WIDTH(CONTROLLED BY 1.5:1 FILL SLOPE) 3.0 FT DOWNSLOPE ABSORPTION AREA WIDTH(CONTROLLED BY INFILTRATIVE AREA) 9.0 FT OVERALL ABSORPTION AREA WIDTH 18.0 FT SIDESLOPE ABSORPTION AREA LENGTH(CONTROLLED BY INFILTRATIVE AREA) 5.0 FT OVERALL ABSORPTION AREA LENGTH 20.0 FT MODULE ABSORPTION AREA PROVIDED(ALLOWING FOR 6"BASIN OVEREXCAVATION) 201.5 SF MODULE ABSORPTION AREA REQUIRED 200.0 SF ACTUAL SOIL APPLICATION RATE 0.60 GPD/SF MODULE DOWNSLOPE RESERVE AREA CONFIGURATION RESERVE AREA LENGTH 20.0 FT RESERVE AREA WIDTH 10.0 FT RESERVE AREA PROVIDED 200.0 SF RESERVE ABSORPTION AREA REQUIRED 200.0 SF FEB 1 4 Tillman Engineering, Inc. / y C V. a d. a ■ A 3/183S38 3/183S38 A"--- m RI •�ddwidd .�ddwldd N d. a � ON 0 / 3/12:13S38 . 3/1 d3S3d 3/1 d3S3d � ' •cddwldd Addwvdd •cddwidd lahl, Hi w El © Z Is Q 6 x 8 m o c, 71...___,,,,„,...- 0 0 .... 0 Z� ° om Cr - O2114 / o a N o Co R . 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