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HomeMy WebLinkAboutSEP2015-00032 - 02 PERMITG� JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street • Port Townsend • Washington • 98368 www .jeffersoncountypublicheafth.org one MU-66b-9444 ax 36U-3/9-448 ON -SITE SEWAGE DISPOSAL PERMIT PERMIT #: SEP15 -00032 Date Received: SITE ADDRESS: 7991 CENTER RD Date Issued: QUILCENE, WA 98376 Date Expires: APPLICANT: DANIEL B THACKER PHONE: PO BOX 1374 PORT HADLOCK WA 98339 -1374 LEGAL DESCRIPTION: THACKER - SCHLIEF SHORT PLAT LOT 2 SUBREASE PARCEL #: 801201009 DESIGNER: SUZANNE L MARTIN PO BOX 125 CHIMACUM WA 98325 Section: 20 Township: 28N Range: 1W SYSTEM DESCRIPTION: GLENDON BIOFILTER -M31 No. of Gallons per Day: 240 -------- - - - - -- D ra i n f i e l d------- - - - - -- Type of work: NEW 03/18/15 05/07/15 05/07/18 PHONE: 360- 554 -0224 Trench------------ - - - - -- ----- - - - - -- Septic Tank--- - - - - -- Length: 19 feet Width: 15 feet Depth: 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.: SEP15 -00032 1.) 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. 2.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 3.) H - AS PER WAC 246 - 272AAND 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- 272AAND 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.) 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. 6.) 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. 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.) Dry season installation required. 11.) 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. 12.) 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. 13.) 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. SEP15 -00032 Page 2 of 2 \\tidem ark \data \forms \F_SEP_Perm itm od. rpt 5/7/2015