HomeMy WebLinkAboutSEP2012-00020 - 02 PERMIT SEWAGE DISPOSAL PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450
PERMIT#: SEP12-00020 Date Received: 02/28/12
SITE ADDRESS: 410 N BEACH DR Date Issued: 04/06/12
PORT LUDLOW, WA 98365 Date Expires: 07/06/12
APPLICANT: J WILLIAM DEDERER PHONE:
ELINE C DEDERER
410 N BEACH DR
PORT LUDLOW WA 983659272
LEGAL DESCRIPTION: BRIDGEHAVEN DIV.2 LOTS 2&3
PARCEL#: 934200003 Section: 9 Township: 27N Range: 01 E
DESIGNER: MIKE DEENEY PHONE: (800)395-7296
CREATIVE DESIGN SOLUTIONS
PO BOX 2787
PORT ANGELES WA 98362
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.
Permit issued to CONSTRUCT,ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN
JEFFERSON COUNTY,WASHINGTON
Thls 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 8.15 amended per ordinance no.
06-0719-07. This permit may not be renewed.
Jefferson County Environmental Health Specialist
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.
HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION.
SYSTEM DESCRIPTION: 160-SAND LINED BED
No. of Gallons per Day: 240 Type of work: REP
Drainfield Trench Septic Tank
Length: 24 feet Width: 10feet Depth: 50 inches Size: 1,000 gallons
SPECIAL CONDITIONS APPLY - SEE REVERSE
CONDITIONS OF APPROVAL - PERMIT NO.: SEP12-00020
1.) PRIOR TO CONSTRUCTION the Installer must verrify the existing water line location
and mainatin a 10' minimum setback to any septic component
2.) This permit was issued to correct a violation of WAC 246-272A. The permit must be
completed within 90 days of the date of issuance.
3.) This system must be constructed by an installer certified by the Jefferson County Public
Health Department per state code WAC246-272A-0250.
4.) 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.
5.) 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
6.) Bed TO BE EXCAVATED TO 48" DEPTH AND THEN BACKFILLED WITH ASTM 33
TYPE SAND TO 24"AND UP SIDE WALLS AS PER DESIGN.
7.) Health Dept. required to observe pressure test with system designer when system fully
installed/complete, 48 hours notice to be provided for scheduling.
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 completion 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.) Setback to surface waters- 100' required from drainfield and reserve areas. 50' required
from tanks.
13.) Contact designer prior to installation for staking of 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.
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16.) Divert all sources of drainage, including roof drains away from septic tank and drainfield
area.
17.) Low use water fixtures recommendred, 1.6 gal. flush toilets and 2.5 gpm shower heads.
18.) 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.
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.
20.) The project proponent shall adhere to all conditions in the shoreline exemption permit
issued for installation of the septic system under MLA12-00054.
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