HomeMy WebLinkAbout1310 Bent Cedars Way - Engineering
Oct 24 02 OS:25a
EnvHealth
360-417-2313
FAX MEMO
Clallam County Dept. of Community Development
Environmental Health Division
P.O. Box 863, Port Angeles, W A 98362
Phone: 360-417-2258 - Fax: 360-417-2313
: Time: C;:lS- ~-TP-;ges (~cl. Cover): .3 --;
.-----------.------- - ---,
------ -- --1
Vr1 t41 G7 t/; ~ m MJ
'u r-
I
.- '-- ----------,
~ A ' i
IOrganizati?n: Clry 8vIIJL~ ,o#tu:z_____~=~~~~=~__~
I Phone: 417 ~ : Fax: Lf 17,:.,'J1J/.--------j
I Comments: thre- IS a. (o/",/ pi ~~~~;;y~=~
I ~ .s ern G ..5 Y -51e?n ~)/ ~ Il-\. m JR -e",:l (!..~;o".,- s __ ____ J
~~-::r;+: ;jOJ /Y;u;e. tvK7 r;j/u,1?~_~____~
I v11e. a;/- K 2-q- 11ttJ.A1 k-i t.6v, NM.J~_~_____.J
L ~~.I_~~::_=::=~_:~:~ __ . ~
! ,
I --------------.-- --. .-------- ,~- --- ~----.---.--- .--0- - "----- - ----l
~---,_. n_____..________._ --._____m" _ _ __ . _ _",__
1---- -------- _n_____ - - .--. - -
!
-------,-' ---------____.__n__ - ---- - -- - -- _ ---"f
I ----~~__________ __ ._ _ __On _ __ _n_ ___..~
L----~-_ _.____-=~~_:~-=~.... - ===_: u.=_.:--..u~
i
1____--
To:
~ ~ I
-- ------- ----- -----_. _ _ __w__ _
Please call 360-417-2258 if transmission is incomplete.
ro. 1
-
~
~
r
~
t1-,
j
J:
Oct 24 02 09:26a
EnvHealth
360-417-2313
,,"V,,""VI
DIVISION Of ENVIRONMENTAL HEALTH
223 EAlrr FOORTH STREOTJII 0 Box 663
PORT ANGELES, WA S8362
(360) 417 -233~
CLALLAM COUNTY DEPARTMeNT OF COMMUNITY DEVELOPM~NT
DIVISION OF ENVIRONMENTAL HEALTH
SITE REGISTRA TlON
ON-SITE SEW AGE CONSTRUCfION PERMIT
SIRII _
SEPt! Z,OOz,"'()O 3 8' g
APPLICANT INFORMATION (Property Tille Owner).
NAME J & J Key Construction /
FIRST MI LAST
PROJECT INFORMATION
DIRECTIONS TO PROJECT SITE (from Courthouse).
CURRENT
ADDRESS. PO Box 2151
CITY: Port Angeles, WA, 98362
PHONE. 360-452-9063
Demal or approval of an On-Site Sewaga Disposal Permit may be
appealed 10 \he Heal\h Officer wl\hln 15 daye of \he deelelon dale.
Mount Angeles Road to Bent Cedars
Way. Second lot on south side.
Thll construction permit eJ/.plres 3 years from date of Inuanoe.
Repair Permlb are valid for e monlh& only
My change In building or 15ewage dlspoeal plans or location Invalidates
Health DIv/sion and Licensed Designer.
PROJECT ADDRESS : off Bent Cedars Way
I ' RS9
LOT SIZE .36 (A)/SF ZONING t,', tlBEDROOMS 3
I heraby acknowledge thaI I have read \hIs application and state that the
Information supplied IS correct I agree to comply with all County and
State laWl! regulaUng actlvilles ooversd by thiS permit
No refund available after plan review completed.
'Purchaser may also be IIsled here'
DATE
1 0/9/02
WATER SYSTEM P. U, D.
JP~PLIC~NT K~~~ATURE
By lilillln
Name, ~ BS INC.
Address' 221-C South Peabody
Port Angeles W A 98362
PROJECT DESCRIPTiON' single 'family residence
(NEW' X EXPANSION- REPAIR-
360-452-4592
PLOT PLAN
NORTH
Draw a 5C8led or dimenlOioned plot plan of
ll1e propQ<d arIa Include all applicable
Mms listed In Instructions
SCALE 1 =
no critical area shown
N/A ;n c,~ ~I- p,A, .
PIU:SENT ON SITE
I,UCHAEL BOARDMAN
BOB PASTORE
JANINE REED
J 0H:NlE KEY
P.-.RCEL H 06-30.14-509010
. JACOBS. INC.
. JACOBS, INC
. CLALL.A.M COUNTY HNVlRONMENTAL HEALTH
TEST DATE 0).\3.2002
TEsr PIT HI
0.9 INCHES DARK BMUWN SANDY LOMl ?
9-22 INCHES BROWN SANDY LOAM
22. DIS11NCl'L Y MOTIlED SANDY LOAM I
TrSTPIH1 )' I ~ I
0.10 INCHES DARK BROWN .ANDY LOMl
jl}.19 INCHES BROWN SANDY LOAM
Ii>-'- DISTINCTLY MOTTLED Si\NDY LOAM
TEST PIT HJ
0.9 INCHES DARK BROWN Si\NDY LOAM
9.17 INCHES BROWN SANDY LOAM .
17T DlSTlNCTL Y MOTTLED SANDY LOMl
SYSTEM TYPE Glendon Biofllter
COMMUNITY
SYSTEM NAME N/A
I;LEVATlONS'
NUMBER OF
CONNECTIONS: N/A
SYST USE. SFR
360 '
0.6
Tank 51Le 1 000 /1000
(3 pods)
Length 19' (3x)
Width 15' (3x)
Depth 24" above native soil
TollllFoes $550.00
Oatil Received la, '11 02-
Racal 1# q Ck # z.., c... 2..P/
. Lf
10 - s - ot..
GaVDay.
. I
App Rtlte
Dralnflald
t7
HN~BY DAm
L!~ INSPECTED L/~ ASBUll..T
~
~
'"I
n
I!.
=f:*:
o
0>
I
W
o
I
-"
~
I
CJl
o
m
o
~
0/
p.2
CIJ
c:
g:
~
"0
0>
-
^
CD
'<
CIJ
-
-0
_..
< v.)
Q.. -
~
l\.)
CD ~
-a ~
0> ~
to
CD
W
0>
. t:
~
r
0
.-+
-"
OJ
~
o
c;:'
Oct 24 02 08:26a
EnvHealth
360-417-2313
p.3
~~
c€ut:l;.s
WAV
-r
-I
----...
3,'
1
\
""
1"-:: 20'
o
Ie.
;.'.0
~OP~~
3 - 6lrbRool.....
~OME
c.c;loJm~
PAN€l.
';t
<;j
--9
---
->-1 ClOO G<>.U.oI'\l
P\JMP .,....lJl(
;!2
I}...
lr)
......
1000 GALLDJ-----'"
;SEPTIC-TANK
~~ pof!.1'
\"-ri<~IJ'
\[1
t'
I--
I w -l
I ~ ~ I
I (r j
1-- I
I iii l
I" I
I 2 & i
1- I
I w I
I ~~, I
I ~ I
L _ __I
NOTES'
THE CONSTRUCTION OFlHIS SEPTIC SYSTEM
SHALL CONFORM TO WAC 24&-2727 UNLESS
, OTHERWise SPECIFIED
TIiE CONTRACTOR SHALL BE LICENSED, BONDED
AND CERTIFIED 01' THo CI.ALIA'J COUNTY
DEPARTMENT OF ENVIRONMENTAL HEAL TIi
: GLENDON BIOFIL TER TECHNOLOGIES SHALL
. : ALSO CER11fY THE CONTRACTOR
THE CONTRACTOR SHALL GIVE THE DESIGNER
FORTY.EI~KT 14a\ HOURS ADVANCED NOn(;E
OF INSTALLATION FAILURE TO NOTIFY TI1E
DESIGNER MAY RESULT IN DELAYS IN INSPECTION
THE INSTALLER SHALL BE RESPONSIBLE FOR THE
PERFORMANCE OF THIS SYSTEM fOR A PERIOD OF
TWO 12\ YEARS AFTER THE COMPLETION OF THE
SYSTEM.
CLALLAM COUNTY ANO THE DESIGNER MUST
,lPPROVE AtlY CHANGES FROM THE PLANS
'[}IE BIOrtLTER BASIN SHALL BE A PRHAST
CONCRI'TE ENr.A~EMENT ANO BE APPROVED
BY GLENDON BIOFILTER TECHNOLOGIES ANO
HAVE A 10 MIL PVC LINER
I-lylJRo """-1T1"ER--
loJ "Pl',z e,,,,>,-
~
-.II
0-
'!.:
r I?'
-U1f-S;o'+ ~
SYSTEM INFORMAnON f. :\
MSIN ~FEET WIOE....k..-FEET DEEP .J..Q...JEET LONG (3 X)
RIM LENGTH ....1&.FEET l3.JO
ABSORPTION AREA' 7..00 SQUARE FEET (~..i)
RESERVE AREA' 5QUAL TO PRIMARY AREA
SEPTIC TAN K J.Q2Q..GALLON MONOCAST CONCRETE WITH RISERS
PUMP TANK I COD GALLON MONOCAST CONCRETE WITH RISERS
EFfLUENT SCREEN. RATEO FOR Goo GPM
GRAVITY PIPE: 4' DIAMETER ASTM 3034 PVC ,
PUMP' SUBMERSIBLE EF,LUENT PUMP RATED AT~GPM AT2-TOH
CONTROL PANEL: USE AOUAWORX ING IFC 1 RATEO FOR 115 VOLTS,
1 (ONE) HP DR eOUAL USE NeMA 4)( IF EXPOSED TO WEATHER
THE AlARM SHALL HAVE A SEPARATE CIRCUIT FROM 1l1E PUMP
CONTROLS
BUILOIN(,IS) APPROXIMATE size AND LOCATION
ORAINAGe PITS OR TRENCHES 30' MIN FROM ass
DRIVEWAY .:1Q...' LONG X ~'WIOE WITH &iAvELSURFACE
UTILITIES POWER, PHONE, CABLE 10' MIN FROM ass
WATER LINE 10' MIN FROM OSS
WELL 100' MIN FROM DRAlNFIELD
WELL 50' MIN FROM SEPTIC TANK
'15.001
This sepbc ,yslemls OBSlgned fOfl)'plCai restd,nba waste wale< .\rl!nith
. (1II1s Is ."",plod at th.lank out4e\ baft'/l)
: NORMAL USAGE WILL MEET THE FOU-OWiNG CRITERIA
. (Bloch,rnlc.1 Oxygen D'm.n~)
TSS:
: FOG:
: DO.
. PH
TEMP:
~10~J5G
44-15S
10.20
0-1.0
5:$07.2
4i-70.F
(WIth rnlcroJoaplo III. form. pr..onl.)
lilshor w.ot. 'InnlJlh. will r..u~ I~ pram"u", tal lure of the teptic .ysl,m.
" .
'.'GIL
~lGIL
MOIL
MOl\:
JAcOBSINCo
221-C South Peabody
Port Angeles, W A 98362
(360) 452-4592
CALL IlEFORE YOU DIG
1-800-424-5555
FOR UNDERGROUND
UTILITY LOCA lION SERVICE
CUSTO.MER NO.:
CUSTOMER NAME:
DATE:
"ZOL30\
~e:y
10-9-02-
,'.
PUBILle WORKS & R/W PERMIT
--I Attached Notes
OWNER/APPLICANT
JOHN IE KEY
POBOX 2151
Port Angeles, WA 98362
000/604-2963
PROJECT INFO
Work is
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
5/13/2002
Permit No
Work Order'
1272
o
PROPERTY LOCATION-
1310 BENT CEDARS WAY
i Lot: 1
Subdivision
Parcel No
Block.
KEY SP VOL. 28, PG 36
063014509010000 0 Long Legal
-- ~ -
Value Work.
$000
Start Date
I I
Finish Date.
206/000-0000
I I
Amount:
$000
PROJECT NOTES- --
instal/12" culvert pipe
[l Install ! -l Sanitary Sewer
I_I Repair 11 Storm Drain
LJ Watermain [J Underground Tele/Elec
o Misc
culvert
FEES ASSESSMEN~ -.--- - -~-----
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2 ) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000
4 ) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $000 20 ) Catch Basin per ea $000
7 ) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000
9) Res Water Servo $000 23 ) R/W Use Perm $000
10) Comm Water Servo $000 24 ) Admin Cost (D R.A) $000
11 ) Other Water Service $000 25 ) D R.A. $000
12 )Water System Dev' $000 26 ) Misc' $000
13 ) San Sewer SFR. $000 TOTAL FEE $45.00
14) San Sewer MFR. $000
add unit 0 Amount Paid $45 00
Receipt No
Inspection Fee $000 Balance Due $000