HomeMy WebLinkAboutSEP2021-00055 - 02 PERMIT#",M
JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH
615 Sheridan St.
Port Townsend. WA 98368
www. jeffe rsoncou ntypu bl i chea lth. o rg
Phone 360-385-9444 Fax 360-379-4487
ON-SITE SEWAGE DISPOSAL PERMIT
PERMIT #:
SITE ADDRESS:
APPLICANT:
sEP2021-00055
116 SUNSET MEADOWS LN
PORT HADLOCK, WA 98339
STO LLC
842 WASHINGTON ST STE 104
PORT TOWNSEND WA 98368-5774
Date Received:
Date lssued:
Date Expires:
04t06t21
06t15t21
06t15t24
PHoNE: 360-531-4131
LEGAL DESCRIPTION: THE MEADOWS NO. I CONDO LoT IO SUBJ To CC&R AF#629482
PARCEL #:971 90001 0 Section. 2 Township: 29N Ranqe: 1W
DESIGNER:MARK STONE
2358 BROWN RD
FERDALE WA 98248
PHONE: 360-228-5788
SYSTEM DESCR!PTION
No. of Gallons per Day:
Drainfie
Length
SEPTIC TANK TO COM SYS
Type of work:
-----Trench
feet Width: feet Depth.inches
240 NEW
-------Septic Tank------
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 wil! 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.
PeTmit 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-Site Sewage Systems, codified in JCC 8.15 as amended.
This permit may not be renewed. ,/ ,/( h hna, r7/a-x
Jefferson County =nr,ronffi,
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.: SEP2021-00055
1.) At the time of installation, the PUD must be notified by the Designer when tank(s) are installed.
2.) A screen shall be provided at the outlet of the septic tank
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.) lnstaller will verify with the system manager, the Jefferson County PUD #1, and the designer for
specification requirements and inspections required by either party.
5.) 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.
6.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health
ONE WORKING DAY prior to start.
7.) H - An asbuilt drawing and certification of completion by the designer is required prior to final
approval.
8.) 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.
9.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent
transport line, tanks, treatment and disposal components.
10 ) Divert all sources of drainage, including roof drains away from septic tank and drainfield area.
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.) This system as designed and approved is sized for only one single family residence. lt is not sized
for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD.
13.) This approval is valid only with a connection to an approved public water supply.
14.) 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.
15.) Before final approval is given, the designer shall provide an operations and maintenance manualto
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.
16.) H - AS pER WAC 246-272AAND JEFFERSON COUNTY CODE 8.15 ALL ONSITE 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 OR AMENDED.
A COPY OF THE RECORDED OPERATIONS AND MONITORING AGREEMENT IS REQUIRED
PRIOR TO FINALAPPROVAL OF THE SEWAGE DISPOSAL PERMIT
17.) 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.
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