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Home My WebLink AboutSEP2019-00007JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street, Port Townsend WA 98368, (360) 385-9444 SEPTIC PERMIT APPLICATION PROPERTY OWNER MAILING ADDRESS PHONE SYSTEM DESIGNER NATHAN N Cl EAVER Designer Phone LEGALDESCRIPTION: Section 19 Township 27N Range 1E PARCEL#942-300-O55 Subdivision Name CEDARHOLM VILLATRACTS Division _ Block Lot(s) 10$110 Site address/Directions to site 181 SOARING EAGLE ROAD. PORT LUDLOW/ Head South on South Point Road. WATER SOURCEPrivate X Public SYSTEM DETAILS Number of Gallons/day 480 Soiltype 3 (attachsoileval.) RpplicationRate gal./sq.ft./day Drainfield Length 200 ft. Trench Width 3+1 = 4 ft. Trench/Bed Depth .l?.,, in. Septic Tank size 1,250 gal. Pump Chamber size 1.250 gal. TYPE OF SYSTEM PRESSURIZED SAND LINED TRENCHES By signing the application form, the applicanUowner 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 applicanUowner 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. lnspections shall occur during regular business hours. lnitial 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-Th|s 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 lication ged by the rules and laws in effect at that time \)\Lot Propefi Signature SOURCE OF SEWAGE/USE Residential X ResidentialADU _ Commercial Community SYSTEM TYPE Conventional Alternative TYPE OF WORKNew X Modification Expansion Upgrade Partial Repair - (tank) (drainfield)_ Designate Reserve Area _ Redesign Repair SITE SIZE t127.587 SqFt Previous Evaluation Yes # No at,,lffi FOR OFFICE USE ONLY 6 PARTIAL ASBUILT I,FINAL}" 1,zoeo INSP/PUMP TEST '?,oAo Dlx ALL HOLD REO dO APPROVED Fee q Rec #/t Z/b L cnecx* ( Case # SEP JEFFERSON COUNTY PUBLIC HEALTH. 615 SHERIDAN. PORT TOWNSEND WA 98368 ASBUILT INSPECTION REPORT FoT RECORD DRAWING Nrr,rn*r N. u**\rE -Permit # SEP \9 - oooo+Designer lnstaller Electrician Property Owner Site Address Parcer * cl4z- W-O$lv^aaL STqNAET . SrE\Nmr Exca.rnnilq t P=-d, u*"a,"*tr -,Design rrcw Lf@ R.ascr*tL BerrrUnt Answer all questions or indicate NA Tanks. Pumps and Controls Tank (manufacturer, size, baffles) E*rnrsutl -tailt<s , \?5n rt ll^..12 erlr,tf . Pump chamber (manufacturer, size; ?errfssuta latl\eg \ |ZSD r,Allps DATE INSP. t"sEr2ot9 \" s4rzr4 Screen(s)and/or Pump Shroud (type, location) EF'+ TuFF 'nTE ouner E[lra.- Suet stlnouo@, tan?-Tn*lL \rugg|ZOtcl Were Tanks tested onsite for water tightness No Panel Mode r :Aau*t^,areX / Pe-.(A/@ Timer Mode Flow Rate b+ qs#r?bq t?ffu1Pump 1 - Man./Mod Pump Location (i.e. garage,nt unit, basem Pump 2 - Man./Mod al Pum Location i.e.treatment unit basem Other Timer functions & settings (e.9. override on/off) Flow Rate qpm o0m NO\/ 1g 2019 JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH Float/transducer settings lnches from bottom of tank- On/off -2D.1 in Timer Functions: On n sec/min Veto - 3O.T in Off - L sec/min/hr Alarm - 3q,? in Veto On - g- sec/min Storage Above High Water Alarm 9/1 gal Veto Off -Z sec/min/hr Dose Counter Reading OOggD / W \rE59 # gallons/dose @/qO gal Elap. Time Meter ReadingOOgpOrO4lrf min/hrs Pump Throttled? Yes /6D inDose Drawdown 1in inches) l)b Float/transd ucer settings I nches from bottom of tank- On/off -in Timer Functions: On sec/min Veto -sec/min/hroff Alarm -in Veto On -sec/min Storage Above High Water Alarm gal sec/min/hrVeto Off - Dose Counter Reading # gallons/dose gal Elap. Time Meter Reading min/hrs Pump Throttled? Yes / No Dose Drawdown 1in inches)in ll additional pumps- complete the info in this table fot each and attach. H : \WEB\ONS ITE\Asbu ilt_Report_Form d oc 04 I 28 I 1 lpage I of 2 in Pre-Treatment Sandfilter basin high water alarm shuts down pump to Sandfilter Yes / No Date lnsp Sandfilter Basin size/locatio Sand Fill met design spec? Yes / No ATU(manufacturer,model)AlarmtestedYes/No DisinfectionUnit(manufacturer,type,model)-lndependentAlarmYes/No Drainf ield Transport Pipe size, schd, diameter 2'Sctr{D Rb Manifold size/schd 2'SfJttlO R/C Orifice size I Size/schd \" sc\r{o Ne, Barrier Material MCover Material/Depth N*nrp/ (o+" Residual Head (lat.# & ft. Head) The laterals/pods were balanced /No Sou rce/Man ufactu rer of Drain rock/Gravel less cham bers gomlrQ-@l t{rX Drainrock C No lf no, what action taken?_ Mound/Glendon Site Prep Drainfield Length width 6+ \ ft E.l-D ?anrt* Depth 7 inches Caps for measuring residual head stored (location) COMMENTS (inspection notes, changes from design or deficiencies in installation) Attach additional sheet(s) if necessary Health Department lnspection issues resolved Yes / No / NA lf yes how? \SlEgrzoGl t?sEPt zcr'f \asegrzoq \aEEPS2c[1 \" sePraql Users Manual Provided to Homeowner ate /r 1 Tank/component Decommissioning Report Attached Yes / No / NA lnstaller Certification attached/signed Yes / No ATTACH RECORD DRAWING stamped/signed by Designer or Licensed Professional Engineer I CERTIFY TI{E INFORI4ATTON ?ROVIDED ABOVE V)AS VERITIED BY INS?ECTION, TI{E svsrEM wAs rNs7-A LLED AS DESIGNED AND A??ROVED W JETTERSoN cOUNTy 4u{rr" ArE) oR rttAr cttANqES ilAvE BEEN NorED AND TI{E I4?LIANCE WITN V)AC 2+6.272 /</ct t/()62r1 CEIV E,DDesigner Signature D NOv 18 2019 bouHrY FrEAt irH :\WEB\ONSITE\Asbuilt_Report_Form.d oc 041281 I Opage 2 of 2 License # \l PUBLIC PROPERTY LINES BASED ON COUNTY RECORDS: AF#350170'. 512611992; Vol. 13 Pg.2O2 AF#621154. 1211012018; Vol. 38 Pg. 093 CONTOUR LINES SOURCED FROM: Jefferson County Central Services GIS Mapping 304 28C RECORD DRA\ryING z-PA.R,TY I/\IELL SCALE: 1 "= 50' THIS IS NOT A SURVEY e95 t I frro Fl rJ,{o & oH zzD 90n 28s tj soit tog Building Envelope Setback Existing Septic Clean Out Septic Tank Filter Sock Pump Tank Splitter LEGEND # 10' No Build (A) (B) (c) (D) (E) Component Tree roo' wELT,IsETBACK EXISTING IAIELL APPN,OX. VYATER, , APPR,OX. POWEF, METEF, APPR,OX. YA.R,D ITTDR,AN:T CP 22 o'.s8 ()' A1 oR sr A2 21 2'59 7' B 22.6'60 4' c 28 z',63.O' D 2E.8'67.7', E-co 78.O'100.2' 1 59.2'85.O' 2 65.1'89.4' 3 70.9'93.8', 4 78.O'98.2' 5 94 3',89 5' 6 87.6'83.O' 7 80 4',76.2'. 8 74 4',70 4', I I I I MEASURE TABLE NO\/ 18 2019 94?-300-O54 M C) EF F]atr) 1L RECE,I VED ENVIRONMENTAL PUBLIC HEALTH COUNTY 4 BDR,M SFF, B -__l IOO% R,ESEF,VE AREA 5,eo0 SQFT /8 o -.2.9eO 1OO% PB,IMAN,YAXAA (4) LATEnAIE; 6'O.C. LOT 109 942"-.]00-O55 88 E I SHED LOT r10 226 LF SAND],INED TF,ENCHES ALIGNID f O COI\I'IOIIR S Nothan Cleaver Septic Design, Inc. Phone: (360) 598-6546, Fax: 360-598-6548 262 NWThompson Road, Poulsbo, WA98370 E-mail : nathan @ nathancleaver. com RANDALL BEI.ITLEY 942-30G055 181 SOARING EAGLE ROAD PORT LUDLOW, WA 98365 ICS, DAH NATHAN N. CLEAVER 1 3 NOV 201 8, REV: 8 JAN 201 9 CUSTOMER: TAX ID #: LOCATION: DRAWN BY: DESIGN BY: DATE: 265 M C) FF E] m Fl Fl E1 F bo <ou G o IOO'WELL SETBACK ?OWEF, TRANSFOR,MER, & TELEPHONE NOTE: I .tN I \-_ '-.-- l I I I !260 ' EXISTING -aso ---250 ----_.- ......\- \ 265. 9Rq I. AIL WATER LINES MAINTATN >10' SETBACK TO AIL SEPTIC COMPONENTS I ?6r I Y A.1 T ( lr\ll gS\ L)Nw. Public l{eollh JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH 615 Sheridan St. Port Townsend, WA 98368 'arulu jeffersoncountypubirchea,th. org Phone 360-385-9444 Fax 360-379-21487 PERMIT #: SITE ADDRESS: ON-SITE SEWAGE DISPOSAL PERMIT SEpl9-00007 Dare Received: 01t22t19 1gl soARrNG EAGLE RD Date lssued: 02111119 poRT LUDL9W, WA 98365 Date Expires: 02111122 APPLICANT:RANDALL & BENTLEY 12826 WILSON RANCH RD PHELAN CA92371-4241 LEGAL DESCRIPTION: CEDARHOLM VILLA 109 & ll0 PARCEL #:942300055 PHoNE: 253-508-7138 Section: 19 Township: 27N Range: 1E DESIGNER:NATHAN CLEAVER NATHAN CLEAVER SEPTIC DESIGN 262 NW THOMPSON RD POULSBO WA 98370 PHONE: 360-598-6546 SYSTEM DESCRIPTION: No. of Gallons per Day. 480 Drainfield- Length: 200 feet SAND LINED TRENCH Type of work: ---Trench ------Septic Tank----- Size: 1,250 gallonsWidth: 4 feet Depth: 32 inches 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 wil! 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. lf 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 MODIFYAN !NDIVIDUAL 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. ^ R&,K'r "r$O"r.on 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 REVERSE & ADDITIONAL PAGES CONDITIONS OF APPROVAL - PERMIT NO.: SEP19-00007 1.) TRENCH TO BE EXCAVATED TO 32'' DEPTH AND THEN BACKFILLED WITH ASTM 33 TYPE SAND TO 24" AND UP SIDE WALLS AS PER DESIGN. 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.) H - AS PER WAC 246-272AAND JEFFERSON COUNTY CODE 8.15 ALL ONSTTE SEWAGE SYSTEMS P.EQUIRE THATA 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 246-272AAND JEFFERSON COUNTY CODE 8.1 5 AS ADOPTED OR AMENDED. A COPY OF THE RECORDED OPERATIONS AND MONITORING AGREEMENT IS REQUIRED PRIOR TO FINALAPPROVAL OF THE SEWAGE DISPOSAL PERMIT 4.) Health Dept. required to observe pressure test with system designer when system fully installed/complete, 48 hours notice to be provided for scheduling. 5.) This system must be constructed by an installer certified by the Jefferson County Public Health Department per Jefferson County Code 8.15.120 (9) and state code WAC246-2724-0250. 6.) Designer must be contacted prior to start of construction and for inspections during installation. DESIGNER IS REQUIRED TO DO A PRECOVER INSPECT]ON ON ALL TYPES OF SYSTEMS. 7.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 8.) H - An asbuilt drawing and certification of completion by the designer is required prior to final approval. 9.) 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. 10 ) Setbacks to allwells- 100'required from drainfield and reserve areas. 50'required from tanks and effluent transport lines. 11 .) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 12.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 13.) H - Permanent barriers are required along/around primary and reserve drainfield areas to protect from parking, driving, and other land disturbing activities prior to final. 14.) Risers are required to grade with secured lids over both compartments and over the outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20" riser over inlet. 15.) 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. 16.) The application was reviewed by Jefferson County staff, via a GIS map review, for the presence of CriticalAreas as described in the UDC and has concluded that the property DOES NOT contain CriticalAreas. Future proposals will be subject to a new review and conditions may be added if CriticalAreas are found on the property. sEP19-00007 \\tidemark\data\forms\F_SEP_Perm itmod. rpt Page 2 of 3 2t11t2019 17") The project shall adhere to the Best llanagement Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the desigri and operation of stormwater and drainage contrcl systems. sEPl 9-00007 \\tidemark\data\forms\F_SEP_Permitmod. rpt Page 3 of 3 2t1112019 'SPECIFICATION SHEET Pressure Sand Lined Trench PreTreatment Level: E Operating Capacity: 360 GPD Design/Surge Capacity: 480 GPD Construction Notes: ( 1 ) Dry Weather lnstallation Required (2) Trench Bottom Must Be Level (3) lnstaller must contact Nathan Cleaver Septic Design, lnc. (360-598-6546) a minimum of 1S-days prior to installation to schedule inspections and Record Drawing creation (additional fees will apply). (4) All tanks to be installed on a level, compact base of sand or pea gravel. (5) Control Panels to be mounted on the exterior of buildings or treated post in line of sight to all tanks. Sand Lined Trench Profile (Not to scate),,***SEE DETAIL SHEET ATTACHED** 2 Compartment Septic Tank Details (Not Drawn To Scale)1 ,250 Gal. Pump Tank Detai! (Not to scale) System lnformation and Specifications (e)(6) (10)\(7) Septic Tank: 1,250 gal. w/ risers Pump tank: 1,250 gal. w/ risers All Tanks must be placed on a leveled, compact base of pea gravel or sand. ORENCO FILTER SOCK ERS TO SURFACE High Level Alarm FROM HOUSE 17" 2" x2" x 1" "T" (5) I cy reserve (24 g/inch) (4) 1" BallValve f A {t) 6, (1) 18" tall 18" diameter pump shroud (2) Pump (3) 1/8" Hole (4) 2' PVC Check Valve (5) 2" PVC Union (6) 2" PVC Ball Valve (7) 2" PVC Transport Line (8) Aquaworx Transducer (9) Splice Box (water tight) ( 1 0) Antisiphon (when pumping down hill) Note: Place Bottom of Transducer 2" above top of pump shroud. Manifold/Splitter Detail (TY?ICAL- Not To Scale) '1" PVC Lateral 2" Transport Line From Pump Tank Pump: LIBERTY 2go-SERIES or equivalent Controllert 1 Ea. Aquaworx IPC-S01 Controller Drainfield sizing: ZOgal/bedroom x # bedrooms / soil app. rate=sf 20 gal/bdrm x 4bdrm /0.89/day/sf = 600sf 600sf/3'wide trenches : 200' min. total trench Pump Sizing lnformation Lateral, Manifold and Transport lnformation Total Lateral Pipe Length: 200' Minimum Lateral Length: 40' Maximum Lateral Length: 70' Lateral Line Diameter: '1" Lateral Spacing: 6' O.C. Lateral Line Type: SCH 40 Transport Line Type: SCH 40 Transport Line Length: 20' Transport Line Diameter: 2" ll \ ?'.r"r,' . dl#r#Pump lnformation: Residual Head (squirt height) Pump Capacity GPM: Dynamic Head TDH: Dosing lnformation: Orifice Spacing: Total Orifices: Orifice Diameter: Dose Volume (operating capacity) Number of Doses per day Maximum Trench Depth: Trench Width: Trench Width lncluding Sand Lining: Maximum Cover Material: Minimum Cover Material: Lateral Spacing O.C.: r:{)):' ' G{'^r\' o q 5', 47 20' T;{KCover Material: Soil Type 3 or Courser with 2" Topsoil Cap Nothan Cleaver Septic Design, Inc. Phone: (360) 598-6546, Fax: 360-598-6548 262 NW Thompson Road, Poulsbo, WA 98370 E-mail : nathan @ nathancleaver.com CUSTOMER: RANDALL BENTLEY TAX lD #: 942-300-055 LOCATION: 181 SOARING EAGLE ROAD PORT LUDLOW, WA 98365 DRAWN BY: ICS, DAH DESIGN BY: NATHAN N. CLEAVER DATE: 1 3 NOV 201 I, REV: 8 JAN 201 9 24" 100 1/8" 3Ogal. 12 RE,CE,IVED Pump Capacity: Orifice discharge rate x # orifices 0.41 x 103 (including test orifices) - 47 Total Dynamic Head = Elevation Gain + Residual Head + Friction Loss 0+5+15=20 Friction Loss: f=L[(Q/K)^1.85] Trans. Line: f=20[(47/284.5)^1.85] - 5 Misc Fittings: - 10 JAN 2 2 2019 JEFFfnSON COUNTY ENVIRONMENTAL PUBLIC HEALTH (8 (1 Note 1 20" 480 gal. INLET ) / 1 ,r4 IN LET :?, @ 36" 49" 24" 6tt 6' 18" ,l SAND LINED TRENCH DETAIL lruottoscare) Top View bo Port 6" lnspection Port To C-33 Sand lnterface & l" Clean Out Ports in 6" Valve Box Box & Cover 1" Threaded Cap on 1" Clean Out Side View '/ 4" PVC lnspection Port to the bottom of the C-33; perforated in the sand layer only. Wrap with filter fabric at sand layer. Anchor with rebar or by running 1" PVC lateral through the 4" lnspection Port. 718"-1.5" Washed Drain Rock " lnspection Port to bottom of the C-33 Sand RE,CE,IVE,D JAN 2 2 2019 JEFFEF$ON COUNTY of Sand Lining around the 3' trench to prevent effluent from short circuiting into type 1 soilsFabric Separating Gravel from Cover Material 6" PVC lnspection Port to bottom of gravel. Anchor with rebar 90 deg. fitting a a a a a a a a a a a Nathon Cleaver Septic Design, Inc. Phone: (360) 598-6546, Fax: 360-598-6548 262 NW Thompson Fload, Poulsbo, WA 98370 E-mail : nathan @ nathancleaver.com CUSTOMER: RANDALL BENTLEY TAX lD #: 942-300-055 LOCATION: 181 SOARING EAGLE ROAD PORT LUDLOW, WA 98365 DRAWN BY: ICS DESIGN BY: NATHAN N. CLEAVER DATE: 1 3 NOV 201 8, REV: 8 JAN 201 9 by running 1" PVC lateral through 6" lnspection Port.1" PVC Lateral with 1/8" Orifices every 2' ENVIRONMENTAL PUBLIC HEALTH -sIo tl &# ffi AJ Soil Log - Building Envelope Setback Existing Septic Clean Out Septic Tank Filter Sock Pump Tank Splitter LEGEND # 10' No Build (A) (B) (c) (D) (E) Component Tree EXISTING 2-PAN,TY WELL WATEN, LINES TO \IATNTAIN >10'SETBACK TO AIL SEPTIC COMPONENTS SEPTIC AND PIIMP TANK LOCATTON CAN BE CHANGED / AITEF,ED AS LONG AS AIL OF IIITIE APPLICABLE SETBACKS AX,E MATNTAINED. *BE SIIR,E TO CHECK VNTH THE DESIGNEB, FOR APPR,OVAI PruOR, TO A}TY & AIL CIIANGES TO ENSI]F,E PE,OPEF, OPER,ATION & FI]NCTIONAIITY IS A,ETAJNED. rFl \[rEN TrrE TRANSPOnT LrNE CROSSES Tr{E DB^rVEIIAY, BED TtrE PIPE IN SAND ON, SLEEVE IN SCH4O PVC AT TIIT CR,OSSING. SCALE: 1 ": 50' THIS IS NOTASURVEY 29b # IrlcriF (, & nH zzD 90^ 285 G PO\I\TER TRANSFOR,MER, & TELEPHONE 365IOO'WELL SETBACK260 9Rq I I I I I I NOTES: t /t. x,r 2. TI{E ,4 26C . EXISTING 255 ,qn 60D 260 lOO'\^IELL SETBACK PF,OPOSED IAIATER, LINE 94e-300-054 .99 RE.CE.IVE.D JAN 2 2 ?019 ENVIHONMENTAL PUBLIC HEALTH JEFFFn€ON COUNTy Mz E< oIl) M() tr Er E] a) ,oe o E( A ! .$ S(; PF,OPOSED BAX,N PH,OPOSED DR,MEWAY LOT I IO 28C N88 '37" I SI{ED kc\-",{* ?.'? Qr''n"'1 AtL 3"u:alt,l,q TOTAI REQIIIF,ED: eOO LF LOT 109 \-r",c UvvzrSi| Le t--2.920 x 80'= 5,2OO SQIT lOO% PRIMAR,YAX,EA (5) 6?' LATERAI,S; 6' o.C. PF,OPOSED HOR,SE PADDOCK i ?tsirr< Qrt+s 942-300-O55 lOO% NESER,\IE AX,EA SANDLINED TN,ENCHES AIIGN TO COI\],TOIIE,S Nothan Cleaver Septic Design, Inc. Phone: (360) 598-6546, Fax: 360-598-6548 262 NW Thompson Road, Poulsbo, WA 98370 E-mail : nathan @ nathancleaver. com CUSTOMER: RANDALL BENTLEY TAX lD #: 942-300-055 LOCATION: 181 SOARING EAGLE ROAD PORT LUDLOW, WA 98365 DRAWN BY: ICS, DAH DESIGN BY: NATHAN N. CLEAVER DATE: 13 NOV 2018, REV:8 JAN 2019 a PROPERTY LINES BASED ON COUNTY RECORDS: AF#350170 . 512611992', Vol. 13 Pg. 202 AF#621154. 1211012018, Vol. 38 Pg. 093 CONTOUR LINES SOURCED FROM: Jefferson County Central Services GIS Mapping \ I I I I I SL4 -< 8L1A a e-ll-,1 Date "t"*o$ E'o ?^ Nathan Cleaver Septic Design Inc. Contractor Registration#: NATHACS94}O2 Soil Logs Re: RANDALLBENTLEY Parcel #: 942-300-055 Sec: 19, Township: 27N, Range: lE Soil Logging done on l0 OCT 2018 by Nathan N. Cleaver Soil Log #1 l- sq Rf, -@r --Jo/ 1 Rx t.J{ 3'L t{O'18 lvF'\ i 1 I 4-s1":, 52" DUFF EXTREMELY GRAVELLY MEDIUM TO COARSE SAND COMPACTION NO WATER Soit Log #2 2-58" 58" Soil Log #3 2" .) t-/'- 54" 0 2 5 EXTREMELY GRAVELLY MEDIUM TO COARSE SAND COMPACTION NO WATER DUFF EXTREMELY GRAVELLY MEDIUM TO COARSE SAND COMPACTION NO WATER DUFF EXTREMELY GRAVELLY MEDIUM TO COARSE SAND COMPACTION NO WATER 4 lRE,cEIVE,[."' Soil Log #4 0-2" 2-54" 54" JAN 2 2 2019 JEFFEfiSON COUNTY ENVIRONMENTAL PUBLIC HEAL Tt. Please feel free to call with any questions Thank you, Nathan N. Cleaver Licensed Onsite Wastewater Treatment System Designer.51NATHAN Address: Telephone: 360-598 -6546 262 NwThompson Road Fax: 360-598-6548 Poulsbo, WA 98370 Email: nathan@nathancleaver.com Please call ahead to make an appointment if you would like to meet with me Ot B DUFF