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HomeMy WebLinkAboutSEP2002-00048 Jefferson County Department of Community Develo•is_• O ^ 621 Sheridan St., Port Townsend WA 98368, (361 -Et5e v SEPTIC PERMIT APPLICATION [MAR 2 0 2002 i0 PROPERTY OWNER _134 TTZ tele /-ioiv77-Ae `, o MAILING ADDRESS /4'3Ito e.,9e-"fe ! G,ANE. �„�,_,,,�. , �4,Y - i•, ENT o t 09 7we- DEP . ' ' - ,mss QGoi Z. PHONE Area Code ( ) SYSTEM DESIGNER .. P. Si/z/2-4"' fit& "-( PE_ LEGAL DESCRIPTION: Section 7b Township 2E Range /E PARCEL # 87 I 2 GS co ea Subdivision Name LJK/re* esoc, eo'at- Division Block Lot(s) S SITE LOCATION 26rzo/s/ 013 44 I'I / J befre J2oe., 404 AsC_ Zip Code SOURCE OF SEWAGE: Residential X Residential ADU Commercial Community TYPE OF WORK: New >< Redesign Upgrade Repair Partial (tank) (drainfield) Expansion Designate Reserve Area Conventional Alternative X Drainfield Length ft. Trench Width ft. Number of Gallons/day -340 Trench/Bed Depth in. Number of Lines Site Size S, 44 Septic Tank size /ePoe) gal. Pump Chamber size /doe' gal. Water Source: private public X Soil type 4- (ATTACH SOIL EVAL.) Previous eval: yes / no SEP Application Rate 0.6' gal./sq.ft./day TYPE OF SYSTEM G4-0NLars/u 353toF/L7Z,Z 4.07.hED[xGII`-Lo-+4 j signing the application form, the appli:ant/owner attests that the information provided herein 's -rue and o : __ the best of knowledge. Any material falsehood or any omission of a material `act made by _ applicant/owner with respect to this application packet may result in this permit being null and void. 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 :_..sequence of the granting of this permit. : further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents __= the purpose of application review and any required later inspections. Access and right of entry to :he 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 ilea_:_: 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 an. laws in effect at that time. / !� i ! ._ . 45t - -- l / Owner Signature ate FOR OFFICE USE ONLY 1 ^ I oz PARTIAL 1 ASBUILT L Aioloz. FINAL O • £ •PR.VE. ? PRESS/TEST I 1 ��Q2�p- PUD (l(7/03 PQ, eatal�/7 N t Fire District Planning District School District Zone Date-1(2 frt._ Fee 6.0 Rec # 6,10 4. Check # �� j Case # SE — g SEWAGE DISPOSAL PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 (800) 831-2678 PERMIT #: SEP02-00048 Date Received: 03/20/02 Date Issued: 04/16/02 SITE ADDRESS: 83 WHITE ROCK LN Date Expires: 04/16/05 PORT LUDLOW, WA 98365 APPLICANT: PATRICK J MONTANINO PHONE: MONIQUE MONTANINO / 14316 S CAENEN LN ✓ OLATHE KS 66062-9433 SUBDIVISION: WHITE ROCK COVE TRACTS BLOCK: LOT: T 5 PARCEL#: 821265005 Section: 26 Township: 28N Range: 01 E DESIGNER: JERRY NEWLIN, PE PHONE: 452-8491 NORTHWEST TERRITORIES 717 S PEABODY PORT ANGELES WA 98362 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 ThIs permit is issued for a period of thre: -. rs (unless other stated above) in accordance with Jefferson County Rules and regulations for on-si - - 'age systems, c• d 8.1 .mended per ordinance no. 08-0921-00. This permit may not be renewed. r •41 e - son ounty nvi •nmenta 'ea peciallst 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: 360 Type of work: NEW Drainfield Trench Septic Tank Length: feet Width: feet Depth: inches Size: 1,000 gallons SPECIAL CONDITIONS APPLY - SEE REVERSE CONDITIONS OF APPROVAL - PERMIT NO.: SEP02-00048 1.) 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. 2.) AS PER WAC 246-272 ALL ALTERNATIVE 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. 3.) Performance monitoring schedule for treatment systems followed by reduced sized drainfield/infiltrative area shall be :1) Two times per year(once every six months)during the first and second year following installation. 2)One time per year beginning with the third year following installation. 3) In response to complaints or problems. Observation ports to the bottom of the trench are to be installed in at least two places on each drainfield line: One within 10 feet of the end of each line. 4.) Health Dept. required to observe pressure test when system fully installed/complete, 48 hours notice to be provided for scheduling. 5.) An asbuilt drawing and certification of completion by the designer is required prior to final approval. 6.) If on site well is proposed setbacks to wells- 100'required from drainfield and reserve areas. 50' required from tanks and effluent transport lines. If community water supply required, setbacks of 10' must be maintained for all portions of drainfield or meet criteria for Department of Ecology Sewage Works Design. 7.) Setback to surface waters- 100'required from drainfield and reserve areas. 50'required from tanks. 8.) Dry season installation required. 9.) When/if designated reserve area is utilized an alternative system providing an additional level of treatment may be required. 10.) Curtain Drain required a minimum of 10' upgradient of primary and reserve drainfields. 11.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 12.) Permanent barriers are required along/around primary and reserve drainfield areas to protect from parking, driving, and other land disturbing activities prior to final. 13.) Contact designer prior to installation for staking of drainfield area. 14.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 15.) Any portion of transport line under a driven way is to be double cased or equivalent. Verify with home owners association regarding maintinance agreements and any additional reqquirements related to crossing White Rock Lane.. 2 of 3 11/22/99 is\F_SEP_Permit.rpt 16.) 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. 17.) Dose counters are required in the control panel for all drainfield components. 18.) Risers are required to grade with secured lids over the inlet and outlet of the septic tank. Minimum 24" riser over inlet. 19.) Low use water fixtures required, 1.6 gal. flush toilets and 2.5 gpm shower heads. 20.) 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. 21.) 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 11/22/99 is\F_SEP_Permit.rpt JEFFERSON COUNTY COMMUNITY DEVELOPMENT- 621 SHERIDAN ST. PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT County Inspector (to be filled in by County) Date Inspected by County Designer /T/C/`//9 Permit # SEP O Z- 0044¢7? Installer 81,9,eE act"oe,t> Parcel # 82 / 24' 5- ©05 Electrician /2/c//0P . 1/ACS -S .cES�r" � L Design Flow Property Owner 772-1 cK /-?a,V '74 v Site Address. ,. 83 c✓h`/7`E ,2ociL 4.9NE, p4,,e7 zoz:)4O4J, LJ4 8365 ITEM SIZE/MANUFACTURER/CLASS/SCHEDULE DATE Tank (size, baffles, risers, etc) /004, 6,4-4, ew-4r? l� C E (1 W (Z L5 q-ZS oZ Pump chamber(size, baffles, risers, etc) /000 &AIL. _ p._V y-25-0Z Screen(s)/Pump Shroud &IOru86- F-/GTEk Float arrangement /25 t�vNit:= 4/vr OF A- D-EC 1 6 2002 //-2-6,-oZ Second pump -- Emergency Storage Above High Water Alarm (# gallons) 3 30 C/-26-co Pump #1 /?YES I Pump#2 �: , . . �:Y NT I'- Anti-siphon device DUI @f COMMUNITY DEVELOPI.IE Sandfilter basin high water alarm shuts down pump to Sandfilter Yes No Dose Counter Reading Elap. Time Meter Reading /H2 /9r+mow S5.1.1C //-2 'Z. Dose Drawdown (in inches) 0. / 2"d Basin #Gallons/dose Z. 2nd Basin Panel Model I Pc-2.S Timer Model 4-ZS-OZ Timer Functions: On time !4 sic • Off time q44--, 4 /3-cc Other Timer functions & settings (e.g. override on/off) Transport Pipe 1.25" S CH,¢a11 Manifold / 4O y-zj--oa Orifice size 74" Lateral -ZS-o2 Barrier Material Cover Material/Depth Residual Head (lat.# & ft. Head) 'Z" 21&°k !/'Zlo-oZ Sand Fill (met ASTM?) Sandfilter Basin Mound Site Prep ENE E • 1- mrz"roa tot )°'C®AF Drainfield Length ' ft Width* ft Depth* inches COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary S�� Y-7,4 iY�� �vPP�F"/EST Dm - 2 9, Zt' , TT,¢c/i`L ;,--9-E et p,2o c."/ ,ye, Ant- -D .)U G F 22, 2Oo 2 `64-.F.4po/4 B(opec- 2 Po P.5 (3) Users Manual Provided to Homeowner 0 S (r° 4"'"4"5 PCP% KUNt`EQ :)ate 3 -//-oZ ATTACH ASBUILT DRAWING signed by Designer or stamped/signed by 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 throuih\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 4 /o -0Z (Permit Approval Date) or that changes have been noted and the system is in compliance with WAC 246-272. Designer Signature Date License # G:\Gen\Mike\WPW\County Forms\Jefferson\Alternative sys ASBUILT.FRM.wpd , . CREATIVE DESIGN SOLUTIONS 0 0,1 i i kill 118 WEST 11TH STREET,PORT ANGELES,WA 98362 1 ® Site/Soils Evaluations&Feasibility Reports •Sanitary Surveys - Septic System Designs•Construction Inspections&Certifications CDS (360)457-6353 (800)395-7296 FAX(360)457-6353 Email:mdeeney @olympus.net Supplemental Attachment to Asbuilt Inspection Report for Parcel #001195138, Lot 5 September 29, 2002 Comments: • The originally specified concrete tanks for each Glendon Biofilter unit were replaced with polyethylene/resin tanks. After installation, it was determined that each of these boxes exhibited excessive outward "bowing" of the sides (most likely due to placing of interior and exterior fill in an unequal manner). Subsequently the installer has replaced all three boxes in a manner to avoid this bowing. • All piping (other than the feeder pipes at the Glendon units) along with the septic tank and pump chamber were backfilled prior to inspection. Therefore, tank sizing, pipe sizing, pipe specifications, and pipe encasement below the roadway was not inspected by the designer. • During the first pressure test the pressure effluent transport pipe was broken as evidenced by surfacing water approximately 80 feet North from beginning of driveway. IF D EC 1ME DEC , 6 2002 L j DEPT. OFJCOMMj;IVITY DEVELOPMENT C:\Data\Wpw\Memo\Olympic Ridge 1.wpd Glendon BioFilter Technologies,Inc. www.glendon.com 22 July 2002 JUL 2 2 2002 Blake Underwood s.J.: erson Cc unri Jefferson County Dear Blake It has come to our attention that the installation with the plastic basins were not installed correctly. It appears that they were not backfilled evenly so they are out of shape and the rim is not level. It is your responsibility to satisfy the engineer and health department, so they are assured that the basin is not damaged and it is installed so that it will function in the long term. Please let me know what you plan to do to correct the matter. 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