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HomeMy WebLinkAboutSWG93-0699 - SWG Application / Design - 6/1/1993 MASON COUNTY D PERMIT NO. DEPARTMENT OF HEALTH SERVICES U) y SITE EV L A bESIGN AT-LAWNDate Date �426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 NPHONE (206) 427-9670 Receipt No Receipt NAmount$ Amount$PHUPLH FY OWNER: DATE: z Fd r i 5 u.v I -93 CHECK APPLICABLE ITE S m m` MAILING ADDRESS: DAYTIME PHONE: INSTALLING NEW SYSTEM Q P•0• �OX Q213 a47S-80Srr REPAIRING OLD SYSTEM CITY: STATE: ZIP: EXPANDING SYSTEM m Q IY 52 SINGLE FAMILY (r PROPERTY ADDRESS: OTHER z (06 0 E/� nda a SPECIFY: SPECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL ✓ m 60 � r 11,roek _ 2 PUBLIC SYSTEM SYSTEM ID NUMBER I3 r k o n 4o E l SYSTEM NAME APPLICANT 1 '/s e S NAME (.l.c O V/J W Name of Lot ft. x ft. MAILING ADDRESS �0 Installer 1 \ Size: S. V, acres TELEPHONE 24L 2,75'-sQ 0 Name of PC Designer 19 Number o SIGNATURE L'.5 P<rc +Y -5) J Bedrooms X PLOT PLAN CK:s Draw a nal lot plan i t ccyy includin ® p PIV 19s��ti/r oD ❑Precis��tion of test holes fiowing meas istatsto > ,a Y prope�ounds. CC Cyr y 141,H Imo. ) N ❑Ent oth oads,C/ drivew . z NOTE:�p NO-4RAW� Q w C J its sa CZ*TEM DESIGQ (� D �da4 "3 Lu OFP�IAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. CL-bt SOIL LOGS Ir st3 ©- 30" Vewy GRAu • 4vA-mI SAM.D C�-II " I�au�li 10" ) I ^ .l pii Roca l a0 30" 39" Gxrnr,r»elyjcoa,esr� d Grir�ue S oAGoo '"� 5pfyo0 w/ PeKTs o-1'(3RA,,3berc y0t S�rn)at#Q6— a8 _ " ) R°off M p r �/CO c-xrRc�ns J CoR2st- �S A✓JD i S CG APSE 'iC,-n p+ I'"AT `Clbo ny S'An/p v FA CrRAU �/ pe:ti- oP al�ncar 11 ' ORA06T, a��wV CSMeI IS EK6 NO S y0,4-SiwwD,t„� 391"t 0r'A1- 0 W& IUA-r�� PcM \ Depth fro Original C�Ita uEl A��) Grade to F estrictive J Layer or"ater Table:v2 Z 3 In. DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS Finding Score Designer Level: ❑One Two Soil Type 1_ Septic Tank Daily Vertical Separation /6; Capacity: /oZOC1 Gal. Flow: GPD Slope 3 Appl. G Infilt. Parcel Size 15, Rate I O GPD/FT' Area ''ISO IT2 Distance to Shoreline7aMC Total L Inspector Date SyA//pcv /°Rv55vR� SLlsm;rr) COMMENTS/CONDITION FOR APPROVAL SC7 i'T>3 BI(� FC�R 7�f S PflRC°t�l i�OGDS 473 Any change from the specified use of the property or any site alteration affecting the system design may invalid ate this permit. `'his Permit expires 3 years from date of site inspection.Denial of this permit may be appealed to the Health Officer within 0 days of denial date. p Design Required ❑Not ed DESIGN: Approved ❑Not Approved INSTA Ap roved El Not Approved DATE: (p BY(_ DATE: �///aJ93 BY: DATE TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Applica is Copy E9!,W. FORM - PAGE ONE I a ised 05/21/93 A design will be reviewed when 3 copies of each of the following items are submitted: • Completed design form that has been signed and dated • Scaled plot plan, including all applicable items on checklist Scaled layout sketch, including all applicable items on hecklist • Cross-section sketch, including all applicable items on checklist A h = PARCEL IDENTIFI TION SiJE 93 O6 99 g Permit Number Designer's Name 5aSaN .0 Applicant's Name Cti , `5 D Prop. Owner's Name 1r Mailing Address Prop. Street Address D �� Y�L CUN C Yvy Scats ZYD GYty SSav� E1D Assessor's Parcel No. _2 a 76 BD IBQ Subdivision (ivrly�-D191t Numbaa) ..( / � � DESIGN PARAMETERS LJ U Designed Vertical Separation Mound Subsurface Pressure Gravity Bed Trench /Q in Septic Tank/Drainfield Specifications �g5 No. Bedrooms 3 Pressure Distribution. es -� No ........................ �.. Daily Flow 36 4Pd ..................... (If yes, u$,x+,A ?.�Q_ ........................v Septic Tank Capacity /�,BQ gal ;3y0 O l Receiving Soil Type (1-6) 3 �aSJn V Receiving Soil Appl. Rate R O gpd/ft= al Trench/Bed Bottom Area L/ SZ9 ft= Schedule Clas Trench/Bed Width - 3 £t Length to ft Lineal Footage J .SD ft - Diameter / in Number Elevation Measurements Separation ft Orig. Drainfield Area Slope 3 S Orifices Final Drainfield Area Slope S % Number/Lateral Pair Depth of Downslope Edge of n Diameter in Trench/Bed from Orig. Grade X' Q in Spacing 3 Manifold Pump Required? D/Yes ❑ No Schedule Clas .Z B o (If yes, proceed. . . ) .......................... Length ft ......................... ...................... ........ ................. .......................... Diameter in Pump/Siphon Specifications Transport Pipe Difference in Elevation Between Pump Shutoff Schedule Clas AO and Uppermost Orifice 3 ft Length ft Diameter Z in Uppermost Orifice is higher, lower Dosing and Pump Chan er than Pump shutoff # Doses/Day Capacity @ Tot. Pres. Head 3Q, Q ( Dose Quantity gal Calculated Tot. Pres. Head ft Chamber Capacity p p slal (Attach Pumo Curve) DESIGN,>'ORNT — PAGE TWO R sed 04/21/93 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch� Depth from original grade .of. Test hole locations 1 Drainfield orientation follo ing syste components: and layout ��v�'/q �P operty lines '--' Building st boutEI/ .. Trench/bed dimensions and - Existing and proposed critical distances within Septic tank lid - -- - -.- wells, including layout ��// adjacent properties' ❑ Laterals ❑ D-Box/"T"/"L" location Critical distance T "nch/Bed bottom measurements to cuts, '_' Septic tank/pump chamber ram. banks, surface water ��— /1Qcation '�—' TT nch/Bed op .. Location and orientation u O servation port location '_' D inrock depth of curtain drain and all //t_y absorption area '� Cleanout location Cover depth - ompon$nts E—,�// � Manifold-placement Restrictive layer LOcatiQ'n and dimension —// El of primary system and 0 'fice placement C tain drain eserve area Lateral placement, with Observation ports and .12/" . . Wuildings stances to edge of bed cleanouts oaads/easements dible/visual alarm 1:1Sand augmentation Wflveways/parking orth arrow Additional MoundInformation ,rower/gas/waterlines Scale of drawing shown ❑ upslope and downslope _ on scale bar fill width ference point location Lr-vf,/ Additional Mound Information 0 Settled cap depth at pl6rth arrow ❑ center and edge of bed. Endslope width �"/ ❑ Scale of drawing shown Sidewall slope on scale bar 1:1Overall fill dimensions evat. za j_-j kv un U U FR �a DESIGN APPROVAL J U L 0 7 19 3 The undersigned designer Eg/does, ❑does not, waive the regir TkL (bib no ' fi-ed by the installer of the installation and given ou to perform a final inspection prior to cover. ♦ v 7 I g3 Mason Wool)q Wert. Neal'6 Ai lices The undersigned has reviewed and appr is design on beh"PR40VCoEj of Health Services. Initials CAUTION: THIS DESIGN IS ONLY VALID IF STAMPED "APPROVED" BY MASON CO. DEPT. OF HEALTH 06srYua�;oE� �• ,. i it �T aver L Oe-71 abs�, M n u a � 12 HqN Ar -0 kk q�n 5 C IAN 51 Cfk �^ U A l x G 2 Ic { 4\�Q J U L 0 1993 o -. rF -.• ,,ffi .:::. � ROVEDAE / 00 l �Sln,d� r Initials Date H-E2 i1 'vi ii ET- 'r3 e • M I C 1. PUMPS 26 i 24 F, S y33� w.20 LL Z 16 i t2 J a O SUBMERSIBLE -p 5:� - 10 ts- .20 25 30 3 -4Q,- :-45 U.S.GALLONS PER MINUTE Head-Capacity: SV25 and SV33 Submersible Sump Pumps SUMP Max. Solids 3/4" Sphere;4 Pole, 60 Hz PUMPS 28 1 - - 24 Sp � 11 33 Mason �p1ill.j Ve,t, heal", „YIYiDQS w- 20 l APPROVED o 16 p .J Initials = 12 Date b- 3 4 L U.S 50 60� p 10 30 U.S.GALLONS PER MINUTE - d Y �� Head-Capacity: SP33 and SP25 Submersible Sum Pumps Max.Solids SP33,3/4" &SP25, 1/4"Spheres;115 Volts,60 HZ., 175O RPM 140 120 HIGH H HEAD ='°° S�yrso 1 H o 60 EFFLUENT a 40 SP,DOH S ~ zo SPSOH� _ 0 20 40 60 60 100 120 140 \ 1993 U.S. GALLONS PER MINUTE JUL O 7 Head-Capacity: SP50H, SP100H and SKH150 High Head ffluent Pumps Max.Solids SP50H,SPIDOH&SKH150,3/4" Sp eres; 115 Volts,60 Hz.,3450 RPM CA m^ 1 INSTALLATION MAINTENANCE Pressure Distri ution Systems 1. Install laterals with contour of the ground. 2 . Install trench bottoms level. 3 . Install locator tape on top of all drainfield laterals 4 . Install observation ports as indicated on the plot plan (minimum - one per drainfield with bottom extending o 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 lateral (cap must extend to within 6 inches of finished grade and be marked with locator tape) . 7: Install audio/visual high water alarm. S. Install 1/8 inch mesh non-corrosive pump screen (min. 12 sq. ft. surface area, not to interfere with controls or floats) . 9: Install check valve in pump outlet line to prevent syste i from§ draining back into the pump chamber. 10. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue) , after pressure test and Health Dept. approval, turn orifices down (6 o'clock) and glue laterals to manifold. 11. Filter fabric required over drain rock prior to backfi ling. I£ the drain rock extends above 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 £t. of the up-slope edge of the drainfield and reserve area. 14 . No curtain drains allowed within 30 ft. of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every three to five years. 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 design without prior approval from the Designer and Mason County Health �ep�r ake this design null and void. .;815 11= Masun 4ouit.y L,e.•L heath ew,oas sUl L`�JUL t00 7 1993 APPROVED Date �ia MASON COUNTY DEPARTMENT of HEALTH SERVICES Mason County Bldg.III 426 W.Cedar P.O. Box 186 Shelton.Washington 98584 (206)427-9670 • Beltar.275-4467 Searle: 46e-6968 • Other. 1-800-562.5628 environmental health personal health water quality �/3/9 3 c1c v€�- Final Insl-nection At?ptzc System sN STA 0-6 ��- C �� Date: Tfine: Installer: Applicant/Owner �� ��1� �Q Date of Permit: uAL C'�J Legal Description: (L) SI-A 4 jlz,3� Parcel Number: . Subdivision Name: _Div: Block: Lot: G�C Staff Initials: p c-'W n AS-,Bv.ghs �' 6 6 FINAL INSPECTION SEPTIC SYSTEM CHECK LIST YES NO COMMENTS I) SYSTEM TYPE A) CONVENTIONAL: (TRENCH FIELD) B) ALTERNATIVE: (MO IIRFA II) SEPTIC TANK A) > Five Ft. from Foundation B) Foundation-Tank Line Slope: Cleanout provided if not 1-2k / C) Baffles Intact / Clean D) Dividing Wall Sealed III) D-BOX A) Water Leveled _ B) Speed Levelers Used IV) FIELD A) > Ten Ft. from Foundation B) > Five Ft. from Property Lines ✓ _ C) Laterals Level to ± 1 inches D) End Caps Present If Not Looped E) Square Footage Adequate _ F) Gravel Depth Adequate 77" _ G) Gravel Clean 7�'7 H) PRESSURE SYSTEM 1) Sand Quality ASTM C-33 _ 2) MOUND: Sand Slope 3 to 1 3) Head Height > 24 inches 4) Cleanouts Present 5) Observation Ports Present _ V) POTABLE WATER LINES A) > Ten Feet From Field Components or Sleeved B) WELL > 100 Ft. from Field VI) PUMP TANK A) S nstalled 1) asket Effluent Filter —_ B) Riser For Access Present C) Alarm Installed VII) AS BUILT REQUIRED COMMEIF NT J / br wws >/o Signat a Of Sanitarian -�, Date Revised: 10/20/92