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HomeMy WebLinkAboutSWG2005-00491 - SWG Application / Design / As-Built - 7/18/2005 MASON COUNTY DEPARTMENT Official use only C OF HEALTH SERVICES r� a ro V PERMIT NUMBER: SWG lJ y� 426 W.CEDAR STREET jj(n� <_ PO BOX 1666 DATE RECEIVED: � �1.`x__Cs p SHELTON,WA 98584 ds 1 z (360)427-9670, Ext.352 RECEIPT NUMBER: S�Z��� �-eL Z E m • APPLICANT DATE CHECK APPLICABLE IT S m o CAM P fSELL PROP or— QLYAhA 10 - 1p'cS O JEW SYSTEM 0 MAILING ADDRESS DAYTIME PHONE 0 REPAIR SYSTEM 11 c�L 11 -7 ram- A lt`E WE- 34,0 -3 57 -W 5_3 O TABLE 6 REPAIR (A � CITY STATE ZIP M-ANGLE FAMILY C n © 1-4/vIPI } 1,✓A C1850(0 0 OTHER Please describe Pm SITE ADDRESS Z DRINKING WATER SOURCE C /� 3 N OF DESIGNER PHONE NUMBER e"PRIVATE INDIVIDUAL WE L m O PRIVATE TWO-PARTY W ILL E M F}FN� 3�� g 5(O-�a�� 0 COMMUNITY/PUBLIC WA ER NAME OF INSTALLER SYSTEM t r SYSTEM WFI#: NUMBER OF - LOT SIZE: ACRES FT X FT BEDROOMS 3 1 SYSTEM NAME: _ SPECIFIC DIRECTIONS FOR LOCATING SITE FR0 �1 $ E—ror✓/ GTa E�tST ©/v hFWy 3 TO LIFT o n/ L-AVR,VbeIZ LN T �' Iw RI (t1FT o/✓ WELL-oK/ BLUE✓ LAI '3oo ' To SITE oN A+6EktLC �fi to T! A This application is for design a ' PP 9 approval only. I �� An installation permit will be required to install the system. -L • All systems require ongoing Operation and Maintenance as specified in Mason County Onsite Standards. " • All ons#e sewage systems must be designed by a Licensed Onsite Wastewater Designer or Professional Engineer,09ss pd~ approval is granted. m 0 0 • A Mason County Certified Installer must install all onstte sewage systems,unless prior approval is granted. .. Id • Onsite sewage system design approval does not imply other building site approvals. C OJ 1,30 • Any change from the specified use of the property or any site alteration affecting the system design may invalidate limit. • This pemdt expires 3 years from th alth e date of site review.Denial of this permit may appealed to the He Officer in 10 ay of 10 denial date. a Official use only below this line SOIL LW )�L COMMENTS/CONDITIONS azt SOIL TEXTURE CODES: V =very G=gravelly S=sand L-loam Si=silt C=clay E=extremely IN.SPECTOR S NATURE DATE IG APPR VED BY DATE DESIGN EXPIRATIO DATE 7 Revised 2/23/2005 White Copy-Health Department Yellow Copy-Designer Pink Copy Applicant C MASON COUNTY DEPARTMENT OF HEALTH SERVICES 426 W. CEDAR ♦ PO BOX 1666 ♦ SHELTON, WA 98584 D (360)427-9670, Ext. 352 VD ,o1rSYSTEM INSTALLATION N ❑TANK REPLACEMENT ONLY(Attach Supplemental Tank Replacement Form) CD N CERTIFIED INSTALLER N ❑ HOMEOWNER Official use only 1 AP ICANT NAME PERMIT NO SWG � at 1.lc�r 6g PLICANTADDRESS ISSUE DATE QLP _1116 ks►i uE' J_arvE CI TATE RECEIPT NUMBER �Q �Oftj V-4 qpfp/ FINAL INSPECTION IN LLER NAME AND BUSINE �NAME CALL-IN DATE cc • F.�acceuc. MAILING ADDRESS DAYTIME PHONE INSPECTION APPOINTMENT Z W es r ecZ . 3,4 ygo 7-067 DATE/TIME C t- '� 14IiO ATE ZIP JI•l.E►�'j W 9gs ASBUILT ON SITE? OYES ONO P OPE Y'ADDRESS a• O t�lL10%AJ ((,tQ CD I hereby agree to comply with all requirements of the Mason County Department of Health IW Services Onsite Regulations and Standards. Upon completion of the work, the Health I N Department and the Designer shall be notified. All work shall be left open and uncovered until inspected. A completed asbuilt from the installer or designer must be provided at the tim of I— final inspection. The applicant has the right to appeal decisions of the Health Department. I IN This permit is valid for one year from the issue date or theI expiration date of the septic design, which ever occurs first. I.r SIG TURE OF CERTIFIED INS R OR H MEOWNER INSTALLER DATE E�-1-^ -- ;�, ._ Official use only below this line MASON OUiNTY Id FINAL INSPECTION COMMENTS - INSTALLATIO ROVED DATE 2l Dk Revision Date: 6/2/2005 White Copy—Health Department Yellow Copy—Installer Pink Copy—Applicant 6/2/2005 MASON COUNTY DEPARTMENT OF HEALTH SERVICES August 01, 2005 PO BOX 1666 SHELTON, W 98584 SHELTON (360)42 7-9670 FAX (360)42 7-7798 Jim Henry ELMA (360)4E 2-5269 PO Box 14531 BELFAIR (360) 2 5-4467 Tumwater WA 98511 SEATTLE (206)4 4-6968 RE: Design for CAMPBELL PROPERTIES OF OLYMPIA Case No: SWG2005-00491 Parcel No: 321367500080 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any additional information. Please call me at (360) 427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Health Services COMMENTS: 8/1/2005 1 of 1 SWG20 5-00491 DESIGN FORM-PAGE ONE isouny•.1999 A design wlli be reviewed when 8 copies of each of the following items are submitted: CoalI leddq�Ipntornthat�asbeenaipnedenddated. % Seaieal+ritask�i•R�WdM+oatiapplbableltems ehwNW Sealed pbtpian.M�oNrdQ+O ee ePPticabM Itame on ehe°kpd Croasaeotio�'e�° � ° bO items dacgld aa� GU�/4� er'aName PermitNumtier: �S'G �� •�_ paigier's Phone#: — - r„ pQoP�—RTtFS Assessor's ParcelNo.: - O O O Applicmt s Name: C,�PB= (rwavo.Digin umb«) Mailing Address: Subdivision: (N>mKIDi , l oddLoO .-- r.7 ^? store Zip ORION J U I 1 2 ',05 Treatment Device O Glendon BioSlter O Sand Filter O Mound O Sand Lined Id o*qA6tL"w"V 1 CES _ O Dismfoction Unit - Makc/ModeL• Drainfield Type _ O Gravity itre �,hneh 0 Gravelles(umbers � Septic TankfDrainfield Speeffications Curator's Schedule/Class O Numberof Bedrooms too Rod Length ft Daily Flow Diameter SVw Unk(7apac / X O O eat Number Receiving Soil Type(1-6 / Separation Receiving Soil Appl.Rate Requited Square Footage -, � Orifices Designed Square Footage `-�'O Total Number of Odfww Percent Reduction Taken % Diameter Trendi/Bed Width Spacing a Trench/Bed Length t a 1 S ft Elevation Measurements Manifold StiieduldClass � e o NNewslope ifAl ed S'°p� ti �o ��APPROVED Preferred�Gl$ififdilrC°Ltrgieaa Ied? O''Yes ❑No Diameter Depth of Excavation from �`� Original Grade a Np sin ) frt Pipe (Down-dope) Sclie ule/ClassLen CEW too Designed Vertical Separation o1'{ in Diameter Gravelless Chambers Roquired? C]Yes 0 No 0 Optional Dosing and Pump Chaml er [�Yes ❑No Number of Doses/DAY. o Pump Required? pose Quantity Pump/SiphonSpecifications ChamberCepacity Pump Controls: , tape Difference in Elevation Betv{een Pump Shutoff and Uppermost �'Elapse Time M (okcle a required) i •S ft if'1•mier. Pump On J&, X ec Pump. ff (]a kous5 Ckifrce: U ost Orifice is YHigha, ❑Lower than Pump Shutoff C ho do the following components if they dram between doses: Capacity®Tots!Preswte Head LH •5(10 tarn ."Ldcrab (3 Manifold Calculated Tool Prassuro Head: LO•(�O ft (Attach Pump Care) DESIGN FORM- PAGE TWO 'mod Apill 24.1993 Scaled Plot Plan Scaled Layout Sketch Cross-Section ketch e( Test bole locations Drainfield orientation and layout Referenced depth frois original grade: Property lines Trench/bed dimensions and critical ,Septic tank lid an drainfield cover tr Existing and proposed wells within distances within layout depth 100 ft of property lines � D-Box/ r/-I:l locations rY Critical distance measurements to cuts, Septic tank/pump chamber location Reference depth tro original grade J banks,and surface water Observation port location and restrictive strata O Location and orientation of curtain Ckao-out location B'Laterals, top and bottom drain and all absorption components Manifold placement O Curtain drain toll r 1f Location and dimension of primary Orifice placement O Sand augmentatio system and reserve area Id Lateral placement with distances to 0(Buildings edge ofbed Other cross-section d tail: or Direction of slope indicator 21 Audtbleh isual alarm referenced S" Observation ports 1111d clean-outs Pr Waterlines Scale of drawing shown on scale bar lY Roads/easements/driveways/ 3 parking _ 4filbtQ.•..:biK1 : O Critical resource lands(if applicable) mtiifsr _ .tea J ;. )a North arrow and scale of drawing shown On scale bar Additional Information W Design staked out O Operation and Ma nteriance Notice Attached O Waiver(s)Attache d ���>`€v a sue£ "� ���x:•o�r.�-�` r� The undersigned designer Q does, ❑does not,waive the requirement to be notified by the installer of the install on and given 48 hours to perform a final inspection prior to cover. Si aturc of Designer Date The undersigned has reviewed this design on behalf of Mason County Department of Health Services and determ ied it to be in compliance with state and local on-site regurEnviurmo4mmia, c 0 9 o S, LHealth Specialist Date Caution: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDMON: ,/ The design is damped-Approme by Mason County Department of Health Services. ,/ The On-site Sewage Permit has not expired,the Permit Expiration Date Is: a 08 J The system is installed by a certified installer,unless prior authorization is obtained Mason County Department of Health Services. ,/ Drainfield site conditions have not been altered to adversely affect conditions of desigr approval t JIM HENRY DESIGN SERVICES, INC. MASON COUNTY DEPARTMENT OF HEALTH SERVICES ON-SITE WASTEWATER DISPOSAL SYSTEM DATE: June 8, 2005 APPLICANT: CAMPBELL PROPERTIES OF OLYMPIA 211 73RD AVE NE OLYMPIA,WA 98506 LEGAL: LOT 8 OF SURVEY VOL 2 PG 49 PARCEL#: 321367500080F, PROJECT#: 5 51000121 o? !IM HENRY ' DESCRIPTION: NEW CONSTRUCTION L.1 ENSEDIA""l- EXPIRES: 08/11/ 05 PROJECT DETAILS: NUMBER OF BEDROOMS 3 GALLONS PER DAY(GPD) FLOW 360 APPLICATION RATE 0.80 DRAINFIELD -Absorption Area Required 450 SQ.FT -Absorption Area Designed 450 SQ.FT -Trench/Bed Length 45 FT -Trench/Bed Width 10 FT DRAINFIELD CROSS SECTION - Bed Depth 24 INCHES APPROV D - Rock Depth Below Pipe 6 INCHES MC HEALTH D PT -Vertical Separation 24 INCHES AUG 1 - 200 - Fill Depth 14 INCHES CEW SEPTIC TANK -Size&Composition 1125 GAL CONCRETE - New/Existing New ' 1 JIM HENRY DESIGN SERVICES, INC. APPLICANT: CAMPBELL PROPERTIES OF OLYMPIA DATE: June 8, 2005 PARCEL #: 321367500080 PRESSURE SYSTEM - 8 LATERALS System Parameters Pressure Calculations Orifice Size 3116 inches Minimum Orifice Discharge Rate 0.62 gpm Residual Head at Last Orifice 2 feet Total Lateral Length 176 feet Orifice Spacing 2 feet Number Orifices Lateral 1 11 Number Orifices Lateral 2 11 Number Laterals 8 Number Orifices Lateral 3 11 Lateral 1 Length 22 feet Number Orifices Lateral 4 11 Lateral 2 Length 22 feet Number Orifices Lateral 5 11 Lateral 3 Length 22 feet Number Orifices Lateral 6 11 Lateral 4 Length 22 feet Number Orifices Lateral 7 11 Lateral 5 Length 22 feet Number Orifices Lateral 8 11 Lateral 6 Length 22 feet Total Discharge Rate 54.56 gpm Lateral 7 Length 22 feet Lateral 8 Length 22 feet Friction Loss Pipe Class 40 Tightline Friction Loss 4.71 feet Lateral Line Size 1 inches Manifold Friction Loss 1.59 feet Lateral Elevation 97.5 feet Lateral Friction Loss 0.60 feet Friction Lass through System 6.90 feet Manifold Length 10 feet Manifold Size 1.5 inches Dynamic Head Risidual Head at Last Orifice 2 feet Elevation Difference 1.5 feet Add-on Friction Loss 0.2 feet Elevation Difference 1.5 feet Tightline Length 100 feet Total Dynamic Head Loss 10.60 feet Tightline Size 2 inches Total Discharge Rate 54.56 gpm Add-on Friction Loss 0.2 feet Total Dynamic Head 10.60 feet APPROVED MC HEALT111 DEPT AUG 1 - 2005 CEMF Wholesale Products Pages 6280-1 performance 1 , •Per(anwnce Data Data Da"b"'ary 21101 RPM: 2750 Oiutrargr.2" so": l-1/4" 9 30 t SP511 S SOA6 r.6 0 20 o x :a SP40 3 '10 0 0 (aid*-111 GYX 0 20 40 60 30 100 120 140 l0as/Setald 0 2 4 8 The curves reflect maximum performance characteristics without exceeding full load(Nameplate)horsepowe. All pumps have a service factor of 1.2. Operation is recommended in the bounded area with operational point within the curve imit. Performance curves are based on actual tests with clear water at 70"F.and 1280 feet site elevation. 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Cno e-4a Assessor's 3 Z 13 i'o7 50Ca0 Q Parcel# PermitNwnber SWG3Z�- LO (TWehra-DigltN&mber) Installer 46eok 1;x c&w,% ,wr, Subdivision Lod' `fS 6 � Vat- (NamalDlWAWIN oWLoq Designer -- IIAA A-el'.1M N/A Yes Prio to Completion I. SEPTIC TANK A) >5 ft From foundation? .................... .... .. .............. .. ❑ !Bo ❑ B) >50 ft ftom wells and surface water? ......... .. ... ............. .. .. ❑ CK ❑ C) Bldg stub-out to septic tank:clean-out if not 1-2%? .... .... .... ... ..... ❑ Qr ❑ D) Bath intact and clean? .. . ....... ... .. .... ...... .........I. . .. .. ❑ V ❑ E) Dividing wall intact?. .. . ... .. . . ..'. . .. ...... .. .. .. .... . . .... . . .. .. ❑ 1/ ❑ F) Risen installed for access? ...... ................ . . . . . . ..... ... .. ❑ ❑ ❑ G) Tank Size: I Z O o gal.;Manufacture K.. +s P-t c.-S II. 0-Box A) Leveled with water? .. ......... ...... .......... . ... . . . ..... . . .. .. Iff-' ❑ ❑ B) Speed leveler used? .... . ...... ........ ... . ..... . .... ........ .... ter' ❑ ❑ III. GRAINFIELD A) >10 ft ftom foundation and>5 ft from property lines? .. .. . ... ........ .. ❑ � ❑ B) >100 ft ftom wells and surface water? ........... .... . . .. .. ....... . .. ❑ ®' ❑ C) >10 ft from potable water lines? . ........ ............ . . .. .......... ❑ IV ❑ D) Laterals level to 11 inch&end caps present if not looped? .. ............ El ❑ ❑ V El E) Gravelless chambers utilized? ..................... .. .. .......... .. F) System dimensions the same as shown on the design?..... . . ... ........ .. 0_ le ❑ »,... G)..Grayplclean,properly sized,and proper depth? . ...... . ... . . .. ........ ❑ ❑ H) PRESSURE SYSTEMS. . 1) wand quality ASTM C-33? ..... ......... ............ ........ .. 2) Mead height uniform and x24 inches? Actual head height Z....... ❑ ❑ 3) Clean-outs and observation ports present? ........ ... . .. .......... ❑ ❑ 4) Mound: Side Slope 3:1? ........... ...: ......... . .. . ....... .. ❑ ❑ 5) Owner informed electrical connections must be made J by owner or licensed electrician and inspected by L&I? . . .. . ....... .. ❑ H ❑ IV. PUMPJPUMP CHAM�f,@.� A) Screen basket oq_e81u�"en—t+ft�lte�(circle one)installed? . .. .... .... .. .. .... ❑ 1� ❑ B) Riser installed for access . .... ..... ... ❑ C) Alarm installed? .. . .... . ..... .. .... .. .. . . .. ... . .. ...... .. . ❑ ❑ D) Pump make / Pump model 50 Q E) Chamber size gal; gallinch; Chamber Manufacture P.wc F) Pump chamber dmw-down _inches per minute; Height of pump off bottom of pump chamber inches G) Pump controls timer r)Elapsed Time Meter (circle if Installed); If timer is used:Pump OnI 0 0 a. p Off Ei a �i$ >a'�f :.ti'i:.k ,°•ro; .Z.�,.t� 4 .�., ..:.::Y.�Y.:.: J. �...b. �;%'�' `.:f�f`J 'O. � ',a;'�' , r�:fa ❑ Dtainfield&manifold �n orientation &layout o ell' � n� ❑ n chlbed dimensions K'' e o and critical distances ?0'PQ within layout ❑ Septictpump tank placement. ❑ Location of buildings. �4 ❑ Observation port&clean- out location. ❑ Location of wells& roads. t\ ❑ Undisturbed native soil Y between trenches. ❑ North arrow W'llety Iscl� Z Z.S • �•�«,.2ur qe' ���at y a�e��y ���gner,but a tank compromise the vubil eof orientation ssyskm It is the installer's the responsibility ility ro obtain prior wtfthm both the tv �depatlment or deli melting any deviatio from the design that affect the system viability. Any deviations from the ap roved design must be SIRu.o. '., ., . <:...:. . e: ,4 :_y$yt (h,2} 3• a/Pb GS�L'T> f.S:z.:f. Installer Check a box from Row"A"and"B",sign and date the certification'A. eEr I certify that I installed the system without any ❑ I certify that ail deviations from the design tamped deviation from the design stamped"APPROVED"by "APPROVED"by MCDHS are shown above. MCDHS B. ❑ I certify that I contacted the designer and left the —�l did not contact the designer prior to final cover because the system open for inspection up to 48 hrs prior to designer waived the notification requirem cover. I further certify that all information contained on this form is accurate. I understand that if th information contain ed herein is not accurate,there will be just cause for immediate suspension of my in er certification. ' Co signature ot Installer at The undersigned approves this installation on behalf of Mason County D e t of�ealthervices. anitan a