HomeMy WebLinkAboutSEP2021-00166 - 02 PERMIT^"\ll e9.-r
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Public l'leolth
JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH
6'15 Sheridan St.
Port Townsend, WA 98368
www jefferso ncou ntypu bl ichea lth. o rg
Phone 360-385-9444 Fax 360-379-4487
ON.SITE SEWAGE DISPOSAL PERMIT
pERMIT #: SEp202i-00166 Date Received: 09t22121
sTTEADDRESS: 3g EDGEWATER cr Date lssued: 11118121
poRT HADL'CK, wA 98339 Date Expires: 11118124
APPLICANT: BARI D BOOKOUT PHONE: 206-972-3226
4702 S ALASKA ST
SEATTLE WA98118-1849
LEGAL DESCRIPTION: VILLAS BY THE SEA LOT I9(REVISED)
PARCEL#: 997900019 Section: 1 Township: 29N Ranqe: 1W
DESIGNER CHRISTOPHE MORTON
4091 BLUE MOUNTAIN RD
PORT ANGELES WA 98362
PHONE: 360-860-2326
SYSTEM DESCRIPTION:
No. of Gallons per Day: 240
Drainfield-
Length: feet
SEPTIC TANK TO COM SYS
Type of work:NEW
-Qa ptic Tank--------
width 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 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 tttODlFY 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 Envi Ith 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.: SEP2021-00166
1.) At the time of installation, the community drainfield system owner, Bob or Lisa Wise, must be
notified at 360-385-6368 by the Designer when tank(s) are installed.
2.) Any portion of transport line under a driven way is to be sleeved/cased or equivalent.
3.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent
transport line and tanks.
4.) 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.
5.) 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.
6.) This system must be constructed by an installer certified by the Jefferson County Public Health
Department per Jefferson County Code 8.1 5.120 (9) and state code WAC246-272A-0250. for
setback to surface water
7.) 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.
8.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health
ONE WORKING DAY prior to start.
9.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area.
10.) 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.
11 ) The project shall adhere to the Best Management Practices (BMPs) for the control of 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.
12 ) H - An asbuilt drawing and certification of completion by the Designer is required prior to final
approval.
13.) 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 SHALLASSURE THAT MONITORING IS PROVIDED BYAN APPROVED ENTITYAT
THE FREQUENCY DEFINED PER STATE WAC 246-272AAND JEFFERSON COUNTY CODE
8.15 AS ADOPTED ORAMENDED.
A COPY OF THE RECORDED OPERATIONS AND MONITORING AGREEMENT IS REQUIRED
PRIOR TO FINALAPPROVAL OF THE SEWAGE DISPOSAL PERMIT
sEP2021-00166
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