HomeMy WebLinkAboutSEP1975-00430r
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LTA DISTRICT Permit No.
Caroline OLYMPIC HEALTH
Port t -- _ - -
geles APPLYCATIQE___—
An ales SEWAGE DISPOSAL
g
Submit in Duplicate Builder_
Cour House '
Porti Townsend a�20a 7
��ate
.elm® _Lfly st !. ��s-�3�a-�s $•
ADDRESS PHONE
DI CTIONS FOR LOCATING SITE � 4 D S' 19 Ci&` Ti "7t-_ D 1,J L.�'
Y PIZ6C'q-&-p f h% 5- t9 cj %:
AP LICATION IS HTBY MADE TO: INSTALL N34 SYSTEM )c'REPAIR EXISTING SYSTEM
fy,
E OF BUILDING
N0, OF BEDROOMS
BASEMENT
SITE
NAME OF INSTALLER_Z-Na
DRA INFIELD LENGTH! ►IDTH - DEPTH LINES to SE TIC TANK SIZE
�'RA11 A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE5 �N.
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PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT.
DAT OF INSTALLATION SIGNATURE • OF . APPLICANTS'
APPROVED
DATE NSPECTED BY. � � DATE
SANITARIAN'S COMMENTS:
I CERTIFY THAT THIS SYSTEM ?IAS INSTILLED IN THE MANNER APPROVED BY THE
HEALTH DEP.PRTNtIMT "• ��
INSTALLERS NAME
L` .�,, Gc S P � �
4L4L 611 UC4ldl LIIIClI (.
.,, ... .. .. ...y tceceipt N0.1.
802 Sheridan Ave,
u 3-C8-�i
�endss�s : _ LIAR 1.5 1991 Fee,o
6-38:5-722 .
r ;:. - JEFF. COUNTYDate:
HEALTH DEPT.
BVAT�ATTQ�T �' IIrIDIV=Z Mf= DISP06M Sn= li V/M W= =3 LY
Information Requested Individual Sewage Disposal System
Water Supply public Private
Applicants Name ar,,a L 1 .mar•, (. vin Mail Completed Report To:
Owners Nam a -) 1 n C1 ,n A l `.l A([ C r ; ce- LI_ , N : uv\ Ct 4\A t. 1 Nc, CQ C Sro
hid '�11.rs217.$ rr ii �� ;�-i f( "'�� �/ cX�i 'rc� �1 � : • Yf � i2'v � C'.?1.�
hone: 3_9_ Cy3`j Number of bedrooms ,3
Previous Owner (if Known) �"S* 7 9 1 4W ) j Year Installed
Legal Description: Section _ Tawship Rarge IW L;,,m ,
Street Address
Directions to property (_� �; O- ��.0-� v►r, c `S* �`(1 a'� 1 �rr�[ 11 ! e't
Permitted system ,/ yes no
Installed prior to permit requirement yes ✓ no
Sewkgp noted on ground at time of inspection*yes -;""no
'^ House is unoccupied therefore an evaluation of drainfield performance is
not passible at this time.
A review of our records indicate that this system eras designed to
service a bedroom residence. This system is not considered
adequate for a bedroom residence unless it is sized per current
regulations.
Septic tank should be pumped if not done within past.3 - 5 years.
WATF.Et UPPLY
Well casing 12" above ground yes no
Sanitary seal in place yes no
Well 100' from drainfield yes no
Water sample talon yes no
Sample results
t�nent�:
A)- 47-"Lle- o Th e- � •� �e c fi �s�-i � 'ft?e- >esJC_5rZ s y s�" e re�,-,� -% %e 4-,nd;an 1 z j
Date Time Z: ,q S ps i �► K�d-.s h
Environmental Health Specialist
* This
the syst
summary t
EESFORM l
abrt does not constitute a guarantee, either written or implied, that
will continue to function properly. This report, constitutes a
f3ndrxls only.
X88. r
.. JEFFERSON COUNTY HEALTH DEPARTMENT,,"'; r
802 SHERIDAN AVENUE
INSTALLER PORT TOWNSEND, WASHINGTON 98368 RECE1'Pi NO I
(206) 3e"722
BUILDER DATE
SEWAGE DISPOSAL PERMIT 2
i JEFF.
COUNTY r�r �'� 48 -
jco
Owner Address H E A L11M W Phone
< r
Directions for locating site Q ~ �' O
zd
I M ~ -i
INSTALL NEW SYSTEM REPLACE SYSTEMS PARTIAL REPAIR 11 TANKIDRAINFIELOO-
_
TYPE OF ��, SITE
No. OF
BEDROOMS BASEMENT ..SIZE `
y' pTevious; 'site evaluation by SOIL TYPE DESCRIPTION X� !'
-Health Department O
No
19 �n
`Depth,tm maxiahiseasonal
i Mater tale j,
Source of potable water supply
2) �
,a x
fi Public Private
Source: t e: Drilled well
i °i
A Dug well
� P F Other
EVE12T_ APPIICAIQT.�'S THE RIGHT OFRS01 `�
€�i;ALs AS PER JEFFEkSON; COUNTY 01
fN1�iTJG;E `2-77'.r 4)
z
SIGNATURE OF P � O
ANSI RQ!p OF OR t1alOR DISTUZBANCE OF SOIL I _ PROFO$ED..QR. APPROVED D#tAINF1ELD o
AREA MAY'G!tFATE SITE CON THAT' AR -THE, U�IACCEF�TABLE�'FOR T INSTALtATIO� OFA O
SEhAGE DISPOSAL
SYSTW. 'ANY CHANGE IN BUILDING OR WIAGE!
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JEFFERSON COUNTY HEALTH DEPARTMENT.
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
Date: Z Zqe) Designer: a; D
Legal Description: Section Township .--3�6) Range / `Iil_/
Subdivision Division
Block Lot 1
Owner - d
Address; Z
9
I. CALCULATIONS
If for residential use:
Number of bedrooms:x 120 G.P.D. Total G.P.D.
If for non-residential use, attach calculations used to determine G.P.D.
Soil texture.waste water application rate D. G.P.D./ft- squared
(see page 214 of the EPA Design Manual)
DRAINFIELD SIZING:
Absorption area: <Z66 square feet (Total -GPD GPD/ft squared)
Trench or bed width feet
Trench or bed length b 7 lineal feet (sq. ft. -- trench or bed width)
II. APPURTENANCES
Septic Tank Size /66d gallons
Pump Requirements (If Necessary)
Elevation differance in feet
Friction loss
Pump capacity should bea.
gpm at TDH
Number of dosesper day S
Dosing volume gallons rc��
Pump chamber size gallons a
p
III. DRAINFIELD CROSS SECTION
E
C
Impermeable material/
Seasonal saturation
A. Trench Depth- inches
B. (P inches of drainrock below pipe
C. Z L/ inches of vertical separation from trench bottom to
impermeable material/seasonal saturation
D. 4 inches of fill (if needed)
E. Trench width 3 6 inches
Notes:
Attach detailed design of system
SOIL INFORMATION
Owner: -T;un l h u. Ct
Legal Description: Section Township_aco Range
Subdivision C-, 5- P- 5 5 /-4-7-
Division Block Lot
Date Logged:
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
S L
0
to in.
_I
to -2-din.
to in.
Ar
Anticipated water
to in.
f22fl
Anticipated
water table(P'01 in.
Roots
to
inches
Soil Log #3
to Co" in. !r 4 -
to
to 7(' in. ds*f %Vb 4 -CV
3(c to �'in. !� M07 -1 --
to in.
Anticipated water table C in.
Roots to 4 � inches
Soil Log #5
to in.
to in.
to in.
to in.
Anticipated water table in.
Roots to inches
Soil Log #2
®
to tf9 in.
S L
A
to in.�°
to in.
to in.
Anticipated water
tabled in.
Roots
to -fI
inches
Soil Log #4
_ to 1-5 in.
to in.
to I -?—in. -rA( 14077
to in.
Anticipated water tablellc-� in.
Roots to ?t® inches
Soil Log #6
to in.
to in. _
to in.
to in. r
Anticipated water tab' in.
D
Roots to inch
1�
t
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
SSL.
- 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
�� A
Slm
Garcon Evil Loos
S4,
T90, :R1W'' Lot 1yy
Februa ty 20 , 1990
E
Pirme'
rve Dralaflold Site
(:td
acicommodate expaas oa of t%r home)
.
1.
0-21" Sandy l oam t:
21-32" Watt loamy' nd
E
32--53" Saturated. silty . mottled
:bots to 51", standliv star ,at b�tta�rt of'10
2.
0-17" Mottlod Irate' �'
�
C =
,
3664" I4ottled, vel compact, elt. lo ►
i
Roots to -`31"
4fi
3.
0-10" Sandy loan
10-22" Wet,. _mott3*d, loamy.;*mss
W
22-66" Mottled, stinky, din* sa�tds
4.
0--14 ° sonny loan s
f
14-32" Wetr--sands a Ora
i
-T2" Mottled, silt ,loam
Roots to 41"
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_
_
4fferson County Health .Department
lvironmental Health Section
Port Townsend, WA 98368
Application for evaluation of:
Applicant name M1 l u d 4
Owner's name (if different)
Property Address 210ty
TAgal descripti ,n P% % MYz Sakq
Direction to property __ft"TS
irq
• a
ReceigX No.
{i �
Fee ,00
Gj Date
Sewage Disposal System '
Sewage Disposal System and
Water System
JAS
Sec...._..=L.__ Twn•_5oN Rge._—LM2M
* If there.is no record.of permit at health department, uncover total top of septic
tank. If there ijs� a record, uncover outlet 1 of septic tank only. /-
Mail to: ehy Aw47l 'S - 7�1oy / 0404,v
-A
w1h, be -
Do ihot farite below this 1 i ie
Nater a^uprl•y
Well casing 12" above ground
Sanitary seal in place
Well 100' from drainfield
Water sample taken
When sampled:
Sample results
Sewage Disposal Svstem
Type of System
Yes Nu
Date Time
Yes No
Permitted System X,
Installed prior to permit requirements VC
Sewage noted on ground at time of inspection* X
4pv
Comments: S`/STEw► AppEnas ZM de !'A#jrTSGNrr•P #0A0R4Se%.Y oN oArF Oa XH-4#0r—CrJO#4
7 OTfi. 4-2 -6'7 - .l�pT1c. T.oNe w Af Qvl''►�LP EO
Inspected by: Date: -/Y-f7 Time 3, 30
*This report does not constitute a guarantee, either written or implied, that the system
will continue to function properly. This report constitutes a summary of findings only.
PLAT MAN
DIRECTIONS AND MAP TO SUBJECT PROPERTY
Ste- mvc--,t-�
** LL M:S MUST RF. CONFINED ON DATE OF SURVEY
JEFFERSON COUNTY HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL INSPECTION FORM
ti
Permit 0
Date
APPROVED YES NO ENVIRONMENTALISTS%y,;�
Address ZL47-LTd%i Owner 37t; t L4-,clg
Legal Description Oig/', Skyf 191-,f Lof' f 1 30NV.
Residence ,p/ Commercial # of Bedrooms System InstallerVEAk
System Designer
gFPTTC TAWV
Commercial Non commercial Measurements: L W WD
Construction Material Cecvrel-f- Lig. Cap.
DISPOSAL FIELD
e�a..t �ndrec� ems,)
Exc. Depth Width Total Length -617,Pfe& Sq. Ft.
Rock Type . Depth Under Over
Engineer Design Yes Type
Well 50 feet from tank
Engineer ADpro:•al Letter Yes
100 feet from leach field
Well installed at time of septic system inspection Yes No Public Water_._
Comments:
_
-6-4--
-aa-
�h "
V
COMMUNICABLE PUBLIC HEALTH VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING STATISTICS HEALTH EDUCATION
-00
�Pt =3W
JEFFERSON COUNTY HEAL TH DEPARTMENT
802 SHERIDAN PORT TOWNSEND, WASH. 98368
N.
Jim and Linda Carson
2420 ivy Street
Port Townsend, WA 98368
Dear Mr. & Mrs. Carson:
(206) 385.0722
February 211, :990
Our department wiii sign off on your building permit for the
expansion of your home. It was not feasible to enlarge your
existing drainfield, however Ralph Wilson has proposed a sewage
disposal design and located a replacement drainfield area when
repair becomes necessary. The proposed design is in the file
with the existing sewage disposal permi*.
There are some concerns with the present septic system. The
existing drainfield is undersized for a 3 bedroom home. We would
caution you on reducing household water use and strongly
recommend installation of water saving devices if these would be
Dart of the building plans. Also, we would advise the septic
tank be regularly pumped. It is recommended the tank be pumped
every 3 to 5 years or depending on how heavily the system is
used. And as an annual inspection, you should check the
drainfield area for odors or wet snots.
I am enclosing a brochure on general maintenance for on-site
sewage disposal systems for additional information. If you have
any additional questions, please feel free to call at 385-0722.
Sincerely,
Celia Kadushin, R.S.
Environmental Health Specialist
CK/ra
Enclosure
March 12, 1991
To whom it may concern:
In June of 1979, with Judith Van Auken, I purchased the
house and five acres at 2420 Ivy Street from Robert Allen.
At the time of purchase the house had three bedroom, and
as far as I know it always had three bedrooms, as Mr. Allen
was sharing the house with a woman and her two children.
Also, when I short platted the five acres in 1987, the
county health department not only approved the proposed
drain field for the part to be split off from the house,
but inspected the existing drain field and a proposed back
up drain field for the existing house. There was certainly
no secret at that time the house was being used as three
bedroom. Subsequently I refinanced the house and one requirement
was to get the septic system cleaned, which I did. The
cleaner reported the system was working fine. That's all
I can tell you about the septic system.
�a
Michael N. Beers
Z
P
Celia- I have an all day Master Gardener class today so I
may not be able to catch.you this morning.
I apologize for misunderstanding and forgetting exactly
what the problem was. After talking with you I did remember
that the major part of the problem was with the original
number of bedrooms. Last year I tried to find the orginal
building permit and plans because the house was the same
when we bought it as it was when it was built - with.three
bedrooms. Since records aren't kept that far back, I was
unable to find anything.
This is a letter from Mike Beers who bought the house from
Allen in 1979 - with three bedrooms
I also talked with Pete Schoeneman who helped Bob Allen
build the house. 'He said the he will write a letter if I
need one indicting that the house was built with three bed-
rooms.
I understand the concern with the drainfield size and as
you know we had the back up system designed in case it is
ever needed. However the existing system has worked for every-
one in the past and for us since we have lived here — with
three bedrooms.
The tank was pumped before we purchased the house in 1987
and we had it pumped a few days ago.
The bank only wants something that says the septic tank
is in good condition and functioning properly. If you can
inspect It and find that it is then just a note indicating
that is all that K need for the bank.
This appears to be the last thing I need for closing the
loan and the tank is uncovered at this time since it was
just pumped.
I will try to call you this afternoon before 5:00.
Screen' 01
Parcel # 000001043032
Geo Cd 300104301191
THE BEERS' SHORT PLAT
LOT 1
* Taxpayer Cd CARS 0900 CARSON, JAMES A
* Title Owner
Tax Code 0100 Status Tx TAXABLE
Affidavit 55272 Vol/Page /
Leda l Doc SWD 9/18/87 $75, 000-WOP
Taxpayer
CARS0900
Search Ke
JAMES A CARSON
LINDA J CARSON
2420 IVY ST
PORT TOWNSEND
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Nbad Cd 6100
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11/10/1987
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Chg
Usr
SR
Land Use 1.100
C/U Code
Amount
RES -SINGLE
S/C Cd