HomeMy WebLinkAboutSWG94-0885 - SWG Application / Design - 7/18/1994 MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT N SWG -+ y
Q y
n N
426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Date y. o
PHONE (206) 427-9670 Receipt No. y
Amount$ Z £
I 3
r16 �� 9 CHECK APPLICABLE ITEMS ✓ 9 m
MAILI G A yESS: DAYTIME
HONE: ro INSTALLING NEW SYSTEM
((pp o
REPAIRING OLD SYSTEM
CITY: gTATE: 71p S EXPANDING SYSTEMCD
w
w SINGLE FAMILY
PFjOPE ADDR SyS: OTHER � Z
l Qr�LI� -10P �PIV',JA SPECIFY: Z 3
SPECIY SDIR,CTION F R LOCATI��SIIT :- i, ghOV VIA }A PRIVATE WELL m
r PUBLIC SYSTEM n
SYSTEM ID NUMBER d
N, Ova - h SYSTEM NAME
-- 1kyc M41 M4 w t�j NS �v Lily (� �(tN $�f(Ju / (n APPLICANT I N
p NAME Av I N
Name of LotTo c��/ ft lz �� M_ YWLA
DDRESS ' -, Ykmc
Installer �7,r o�—ate
Siz'€: a� Cres'�i E a4�
Designer Name of �I �Cr/ers� 1 um ro n A y IV-)
Beddrrooms o� 5
Draw a dimensional lot Ian, Q6 NLL SOLfiA��c
including: P P 1 �� IO
a
0 Precise location of test
holes,showing
measured distances to ALL`���> (� j l r �✓
property boundaries.
❑Entry road;other roads, D ( I F7 I I$a
driveways. R E V E D I V Q 1i ' A J r
NOTE: SDO NOT YSTEM DENN
IN n X S 0 C
2 2 1994
HEALTH. SERVICES
OFFICIAL USE ONLY. DO NOT RITE BELOW DOUBLE LINE. p y T4 Q' 34ltAriUL°�� ,^2 SILL 7M I4/WS F
R5 'blocs
Depth fron i Original
Grade to F estrictive
Layer or ater Table: 3j/11 In.
DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REOUIRE ENTS
Finding Score Designer Level: ❑One *WOSoil Type
Vertical Separation in. Septic Tanis Daily
Capacity: e Gal. Flow: �( GPD
Slope 30 � —
Appl. Infilt.
Parcel Size -IF Ac. Rate GPD/FTT Area
Distance to Shoreline�2?Xtt �_ Total Inspentor Date r
COMMENTS/C7DITIONS FqRAPPROVAL
30 0 �1op� C
S► a� �Ea �21 r�' 'ro ra �� V�5 re
l
Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit.
This Permit expires 3 years from date of site inspection.Denial of this permit may be appealed to the Health Officer within 1 days of denial date.
rved nMLLIEr D p roved ❑NotI v INSTALLATION:O Ap roved 0 Not Approved
B DATE:" BY: DATE:
TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Applicant's Copy
DESIGN FORM — PAGE ONE lam 12/28/93
D 1 ed when 3 copies of each of the following items are submitted: -
• eted design 'form that has been signed and dated LT
NOV 4 Completed Resource Lands and Critical Areas Checklist attached
Scaled plot plan, including all applicable items on checl list
• Scaled layout sketch, including all applicable items on checklist
• *a -section sketch, including all applicable items on checklist
PARCEL IDENTIFICATION
Permit Number 9H'-.D R 85 Designer's Name
Applicant's Name pau�d�Ca' NyL t,Ll2.rrs Prop. Owner's Name Co _ B
Mailing Address (o,;2ll7 Qup. eve Mailing Address
s &A,2, 9xiiS
!i ty Htntca 21p C.f ty 6t.ata Lip
Assessor's Parcel No. Subdivision U -
<xwei..A-o
A AA A. JLWVED�
DESIGN PARAMETERS Initials
J J ✓ J
Designed Vertical
Separation
P
Mound Subsurface Pressure Gravity Bed Trench in
Septic Tank/Drainfield Specifications
No. Bedrooms 2 Pressure Distribution? s ❑ No
Dail Flow .Z J/B 9pd ........................ (If y ........................ yes, proceed. . . ) ................
Septic Tank Capacity IODD gal .. . . •...... . . . - . .. ,..
Receiving Soil Type (1-6) y
Receiving Soil Appl. Rate ,(/&p gpd/ft2 Laterals
Trench/Bed Bottom Area //B Q ftz Schedule/Class
Trench/Bed Width 3 ft Length 81 ft
Diameter X• /�` S� �? /i in
Elevation Measurements Number tQ
Orig. Drainfield Area Slope ?10 % Separation �, ft
Final Drainfield Area Slope / % Orifices
Depth of Bottom of Trench/Bed Total Number of Orifices 5
from Original Grade // in Diameter in
Spacing Ih
7 in Manifold
�--- Schedule/Class
Si IieN
Length ft
Pump Required? Yes No Diameter S.v,ION in
...................: (If yes, proceed. . . ) Transport Pipe
Schedule/Class p
Pump/Siphon Specifications Length ft
Difference in Elevation Between Pump Shutoff Diameter in
and Uppermost Orifice L'J172 ft Dosing and Pump Chamber
# Doses/Day w d A-&
Uppermost Orifice is higher, lower Dose Quantity /,go gal
than Pump Shutoff SL(,10 Chamber Capacity al
Capacity @ Tot. Pres. Head '17. 7S gpm
Calculated Tot. Pres. Head // ft y7'4;,Lf
(Attach Pump Curve) 1/ -re
DESIGN FORM — PAGE TWO n �d 12/28/93
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
r,,�// Reference depth from orig-
E Test hole locations '—' Drainfield orientation final g de:
❑ and ayout
arty lines Septic tank lid and
Trench/bed dimensions and drainfield over depth
Existing and proposed critical distances within
wells within 100 ft layou - Reference depth from orig-
of'property lines inal grade and iestrictive
D-Bo T" "L' locations strata:
Critical distance
measurements to cuts, Septic tank/pump chamber Laterals, t ench/bed
banks, surface water location top and bottom
❑ Location and orientation '—' Observation port location ❑ Curtain drain collector
of curtain drain and all
absorption area ❑ Cleanout location El Sand augmentation
cortyponents D//
^�// '� Manifold placement No external reference needed:
Location and dimension ���
of primary system and D Orifi_ce placement Observation ports and
Fall area cleanouts
'� Lateral placement, with
Buildings di s tes to edge of bed Additional mounc information:
Direction of slope Audible/visual alarm ❑ Upslope and downslope
Vindicator referenced fill width
Wate fines � of drawing shown Settled cap depth at
on scale bar center and Edge of bed
Roads/easements/
driveways/parking Additional Mound Information: Sidewall sl pe
❑ Critical resource lands El Endelope width Up/downslop( bed elevat.
( ' applicable) ❑
Lrl,f��/ overall fill dimensions Completed Resource Lands and
North arrow and scale of Critical Areas Checklist
drawing shown on bar
DESIGN APPROVAL
The undersigned designer does, does not, waive the reqirement to be noti fied by the
installer of the installation and ,given 48 o perform a final inspection prior to
cover. ��56��ea
The undersigned has revi we and app o ed his design on behove and ed his design on beh if Mason Count of Health
Services.
CAUTION: THIS DESIGN IS ONL VALID IF STAMPED "APPROVED" BY MASON CO. DEPT. OF HEALTH
0 0
Y 6WI-1 M
i— t. ` Z
a-
N
F x n >J s
tN o
LlPki
m
W
41
h
ji
e
a
kA
Izi-
rfT y N b
to
0 1
oIA
�
N a
ISI
e
w � p�
Mason County Dept. iieaith� S 1
"PROVED 1eS
U Y ° c�F• Initials
.t ` ^ 2 w�
Date
R
6
JIv1 Orenco Sy51en,5 Inc Mason County Dept. Health Services
503/ Colonial Road, Roseburg, Oregon 97470 �—PROVED PR� OSI
503/673-0165 � OSI
Initials
Date --
FIBERGLASS LID WITH S.S. ROL FS
PVC RIBBED RISERai 24' IAMETER
S_1-1/4' PVC AIR-RELIEF PIPE
- ST 204 DOSING SIPHON IN
L PVC SCREENED VAULT- 15" DI X 48"
on
Off 4 30" MIN.
2" x 1-114" x 3' DISCHARGE FITTING
64" 1-1/4 CIA. HOLES
TO DRAINFIELD OR SAN FILTER
2' TANK WALL FITTING
2'PVC HOSE WITH QUICK-DISC NNECT
FITTINGS
99"
ST 204 DOSING SIPHON
IN TYPICAL 1000 GAL. SINGLE COMPARTMENT SEPTIC TANK
THE ST 204 DOSING SIPHON HAS BEEN USED THE SIPHON AND VAULT ARE EASILY LIFTED FROA THE
SUCCESSFULLY TO DOSE SANOFILTERS AND SEPTIC TANK TO ALLOW ACCESS FOR PUMPING _HE TANK
DRAINFIELDS FOR SEVEN YEARS. HUNDREDS OR CLEANING THE SCREEN.
ARE IN USE,AND AUDITS HAVE SHOWN THE
THE MORE THAN 12 SQ. FT.OF SCREEN AREA W L
OSI SIPHONS TO BE EXTREMELY RELIABLE.
NORMALLY REQUIRE CLEANING NO MORE FREQUE 4TLY
THE 4"DRAWDOWN WILL YIELD A 90 TO 100 THAN THE SEPTIC TANK REQUIRES PUMPING.
GALLON DISCHARGE PER DOSE FROM A
TYPICAL 1000 GAL. SEPTIC TANK THE 1 1/4"DIA. HOLES AROUND THE PERIMETER OF THE
VAULT ARE LOCATED MIDWAY BETWEEN THE SE TIC
THE DISCHARGE RATE TO A TYPICAL OREGON TANK'S SCUM AND SLUDGE LAYERS. THE EFFLUE NIT FROM
SANDFILTER IS 20 GPM. THE MAXIMUM THE CLEAR ZONE ENTERS THE VAULT THROUG THE 1 114'
AVERAGE DISCHARGE RATE IS 30 GPM DIA.HOLES AND IS THEN FILTERED THROUGH THE im
MESH POLYETHYLENE SCREEN BEFORE BEING DIS HARGED
THROUGH THE SIPHON.
. i •
There are YSIPHONS . . .
and then there are SIPHONS !
OSI Exclusively
makes from OSI . . .
3-,4-,6-, & 2-inch
8-inch siphons in our
model patented
siphons in a screened
range of vault!
drawdowns. See Pages
See Pages 6 and 7.
8-13.
Just how does a siphon work anyway?
Following installation, As the fluid in the activating the siphon.
every dosing siphon tank rises further, the The siphoning action
must have its main pressure on the draws down the fluid
trap and any auxiliary confined air increases in the tank until its
traps filled with until it forces the level is below the
water. Then when the water out of the long bottom of the bell. Air
fluid level in the leg of the trap. As the under the bell "breaks
dosing tank rises air follows the water siphon" and the
above the open end of around the bend of the process begins again.
the snifter tube, it trap, its upward rush
seals air in the bell forces water out of
and long leg of the the short leg into the m
siphon. discharge pipe
OSI 2826 C.oloNel Road • Roseburg,Oregon 97470 5031673-0165
Mason County Dep . Health Services
AP-PR VED
Initials
Orenco SystemST" Date
Ilrai.afield Model
Battery-powerea
Digi al Counter
000ai
4" Threaded Access
yi �ndrical PVC Housing
8 Dia x 15' High
Mercury Switch
Float Watertig t Cord Gri ,
Connect to end of Baffled Floor Pl to
Draintield Manifold
2 x 1 1 /4' PVC Flex Hose.
Quick DisconnectEacn End
FSURE-FIRE
drainfield is dosed, the liquid level
he cylinder and lifts the float switc ,
ivates the battery-powered digital
MEANS OF MONITORING SINGLE 0
TING SIPHONS !
Orenco caster , lro 2826 Colorual Road Roseburg, OR 97470 503/67; 0165
SIPHON S 0 TTOMWO
M
The SIPHON SITTER"' is an econo ical
means to monitor automatic dosing siphon
function. A periodical check of the number
of dosing cycles recorded keeps you apprised
of the siphon's operating status.
00025
No. Operations
Mason County Dept. Health Services
"PROVED
TERMINALS Initials
BLACK WIRE Date
WHITE WIRE
CORD FROM FLOAT SWITCH
FLOAT CORD
COUNTER FLOAT SWITCH
ON 1 }} SIPHON
DRAW DOWN SCREEN
OFF i
{ I '
DOSING SIPHON ASSEMBLY
0 ' 0
2826COLONIAL ROAD ROSEBURG, OR 97470 ( 503 673-0165
Attachment A INSTALLATION / MAINTENANCE
Pressure Distribution Systems Mason County De t. Health Services
1. Install laterals with contour of the ground. -AP-PROVED
Initials
2. Install trench bottoms level.
Date
3. Install locator tape or rebarontop of all drainfield laterals.
4. Install observation ports as indicated on the plot plan (minimum two per drainfield w th
bottom extending to the drainrock / native soil interface.
5. Install drainfield during dry weather and soil conditions, any soil smearing must be
eliminated-by hand raking.
6. Install threaded clean-outs at the ends of all laterals (cap must extend to within 6 ind es of
finished grade and be marked with locator tape).
7. Install audio/visual high water alarm.
8. Install 1/8 inch mesh non-corrosive pump screen(min.12 sq.ft.surface area,not to intei f ere
with controls or floats or effluent filter with access port).
9. Install check valve in pump outlet line to prevent system from draining back into the PL mp
chamber.
�5j71r"l�S
1 the fold with the orifices at 12 o'clock.
NA11. Filter fabric required over drain rock prior to backfilling. If the drain rock extends ab ve
natural grade, run the filter fabric at least 2 inches down the trench wall.
12. Divert all storm water run-off away from on-site sewage system.
13. No curtain drains allowed within 10 ft. of the up-slope edge of the drainfield area.
14. No curtain drains allowed within 30 ft. of the the down-slope edge of the drainfield nd
reserve area.
15. Have the septic tank and pump chamber pumped or inspected every three to five ye
16. Inspect and clean pump screen every 6-12 months as needed.
17. Inspect floats and test high water alarm every 6- 12 months as needed.
18. All materials and workmanship must meet County and State regulations.
19. Deviation from this desgn without prior approval from the Designer and Mason Coun
Health Department will make this design null and void.
20. Pump chamber will require access port.
21 . Installer to be certified by Mason County Health Department.
22. Ball valves to be installed in laterals.
I
* I I 1
� r
/ I
/
CD
to
m
j I
pe ,fid
,.
I I �
r. I
L ;
n; p
p G Mason County Dept. Health S rvices
APPROVED
IC u Initials
I w Date ----
U r{
4
/ r
F goo �
n ;
eP$�2t; o
'AMY
r�
P
M \
�'10 e
1
eo I m
e ? o
i � 0
o � �
3 �
i
-VN?J�2 �71