HomeMy WebLinkAboutSEP2021-00060 - 02 PERMITPERMIT #:
SITE ADDRESS
APPLICANT
ON.SITE SEWAGE DISPOSAL PERMIT
SEp2021-00060 Date Received: 04t07t21
2370 HASTTNGS AVE W Date lssued: O7lO7l21
poRT TSWNSEND, WA 98368 Date Expires: 07107124
CHARLES M HANSON PHONE: 360-301-9638
7635 MILLS RD
MONTEREY CA 93940-7319
LEGAL DESCRIPTION: 55 T3O RI W TX 14
PARCEL #:001 05401 7 Section: 5 Township: 30N Range: 1W
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JEFFERSON COUNTY ENV!RONMENTAL PUBLIC HEALTH
615 Sheridan St
Porl Townsend, WA 98368
www.jeffersoncountypublichealth org
Phone 360-385-9444 Fax 360-379-4487
DESIGNER:JESS GODSALVE
P O BOX 179
PORT HADLOCK WA 98339
PHoNE: 360-551-9973
SYSTEM DESCRIPTION:
No. of Gallons per Day: 600
Drainfield--
Length: 350 feet
CONVENTIONAL TRENCH
Type of work.NEW
------Trench --------Septic Tank------
Size: 1,500 gallonsWidth: 3 feet Depth: 24 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 Iaws 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.
SPECIAL CONDITIONS APPLY . SEE REVERSE & ADDITIONAL PAGES
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. ,a //.rrlL 6, p*rd,/. kna.r*
Jefferson County =nr,ronr#, *"*n a*"*,
This permit with conditions must be onsite during al! phases of construction
HEALTH DEPARTMENT ]I'IUST BE CONTACTED FOR FINAL INSPECTION.
CONDITIONS OF APPROVAL - PERMIT NO.: SEP2021-00060
1.) H - Prior to final of this permit, demo of the existing building under BLD2O21-00379 must be
complete and in final status.
2.) 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.
3.) 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.
4.) 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.
5.) 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.
Setback to surface waters- 100' required from drainfield and reserve areas. 50' required from
tanks.
All components of the septic system are to be completely protected from vehicular traffic or
mechanical disturbance.
Divert all sources of drainage, including roof drains away from septic tank and drainfield area.
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.
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sEP2021 -00060
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