HomeMy WebLinkAboutSEP2013-00008 - 02 PERMIT JEFFERSON TY PUBLIC HEALTH
61e She,°dan Sheet •Port Townsend*Washington •98368
www,jeffersoncountypubI iichealth.orgg
PTione-361 3B5W94-44 Tax 3b0-"379:448t
ON-SITE SEWAGE DISPOSAL PERMIT
PERMIT #: SEP13-00008 Date Received: 01/25/13
SITE ADDRESS: 1425 CAMP DISCOVERY RD Date Issued: 04/19/13
QUILCENE, WA 98376 Date Expires: 04/19/16
APPLICANT: JOHN W COWDERY TRUSTEE PHONE: 925-937-1542
GLYNNIS E COWDERY TRUSTEE
21 GREENWAY DR
WALNUT CREEK CA 945964264
LEGAL DESCRIPTION: S22 T27 RI W TAX 30-BND TGTH THRU BLA#79181
PARCEL#: 701224005 Section: 22 Township: 27N Range: 01 W
DESIGNER: MIKE DEENEY PHONE: (800)395-7296
CREATIVE DESIGN SOLUTIONS
PO BOX 2787
PORT ANGELES WA 98362
SYSTEM DESCRIPTION: PRESSURIZED TRENCH/REDUCED
No. of Gallons per Day: 360 Type of work: UPG
Drainfield Trench Septic Tank
Length: 120 feet Width: 3 feet • Depth: 18 inches Size: 1,000 gallons
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. 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.
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 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.
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 ADDITIONAL PAGES
CONDITIONS OF APPROVAL - PERMIT NO.: SEP13-00008
1.) This system has been designed using gravelless chambers and a reduced size drainfield.
Gravelless Chambers must be used.
2.) The portion of transport line under a driven way is to be sleeved/cased or equivalent.
3.) H - AS PER WAC 246-272A AND JEFFERSON COUNTY CODE 8.15 ALL ONSITE SEWAGE
SYSTEMS REQUIRE THAT A 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 246-272A AND JEFFERSON COUNTY CODE
8.15 AS ADOPTED OR AMENDED.
A COPY OF THE RECORDED OPERATIONS AND MONITORING AGREEMENT IS REQUIRED
PRIOR TO FINAL APPROVAL 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.) H - Existing tank shall be properly abandoned. It shall be pumped and filled with clean fill.
Documentation to be provided to Health Dept. prior to final.
6.) This system must be constructed by an installer certified by the Jefferson County Public Health
Department per state code WAC246-272A-0250.
7.) 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.
8.) 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.
9.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health
ONE WORKING DAY prior to start.
10.) H -An asbuilt drawing and certification of corhpletion by the designer is required prior to final
approval.
11.) 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.
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/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.
15.) All construction and development activities must comply with all permit conditions, Washington
State and Jefferson County Codes and Recommended Standards and Guidance documents in
effect when the permit,is issued.
16.) 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
17.) Compliance with the conditions of the Site Plan Approval Advance Determination is required.
18.) This system as designed and approved is sized for only one single family residence. It is not sized
for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD.
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19.) 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.
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