HomeMy WebLinkAboutSEP2019-00049 - 02 PERMIT/D-.&)M
Public Heollh
JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH
615 Sheridan St.
Port Townsend, WA 98368
wrnu. jeffe rsoncou ntypu bl i chea lth. org
Phone 360-385-9444 Fax 360-379-4487
PERMIT #:
SITE ADDRESS
ON.SITE SEWAGE DISPOSAL PERMIT
SEp19-00049 Date Received: 03/06/19
CAM' TALBOT RD Date lssued. 06/19/19
Date Expires: 06119122
APPLICANT:RICHARD & FOX
19009 148TH AVE SE
RENTON WA 98058-9304
LEGAL DESCRIPTION: SNOW CREEK RANCH LOT 37 (REVISED)
PARCEL #:995400036
PHONE: 206-271-2435
Section: 11 Township: 28N Ranqe: 2W
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:
CONVENTIONAL TRENCH
360 Type of work:NEW
Drainfie -----Trench ------Septic Tan k-----
Size: 1,250 gallonsLength: 200 feet Width: 3 feet Depth: 12 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 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. 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 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
This permit may not be renewed.
e codified in JCC 8.15 as amended
(A
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Jefferson 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.: SEP19-00049
1.) 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.
2.) H - AS pER WAC 246-272AAND JEFFERSON COUNTY CODE 8.15 ALL ONSTTE SEWAGE
SYSTEMS REQUIRE 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
8.15 AS ADOPTED OR AMENDED.
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A COPY OF THE RECORDED OPERATIONS AND MONITORING AGREEMENT IS REQUIRED
PRIOR TO FINALAPPROVAL OF THE SEWAGE DISPOSAL PERMIT
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.
Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health
ONE WORKING DAY prior to start.
H - An asbuilt drawing and certification of completion by the Designer is required prior to final
approval.
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.
Approval of this permit does not assure the existing septic system has capacity for all uses allowed
by current code.
10' separation required between a Water line and all portions of the onsite sewage system; effluent
transport line, tanks, treatment and disposal components.
All components of the septic system are to be completely protected from vehicular traffic or
mechanical disturbance.
Drainlines are to be installed along the natural contours.
Any portion of transport line under a driven way is to be sleeved/cased or equivalent.
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.
Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a
secured lid, adequately sized to allow visible inspection of the liquid level in the box.
H - This permit is granted based on the recorded RESTRICTIVE COVENANT combining lots 35,
37, 39 of Snow Creek Ranch to meet the minimum land area required under WAC 246-2724 Onsite
Sewage Code. COVENANT recorded AFN622680.
Jefferson County Department of Community Development reviewed the application and the county
GIS mapping system for the presence of critical areas and concluded that the property DOES NOT
contain critical areas. However, future proposals will be subject to a new critical area review and
conditions may be added if critical areas are found on the property.
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sEP19-00049
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