Loading...
HomeMy WebLinkAboutSWG92-0204 141 NE Sides Way - SWG Application / Design / As-Built - 6/15/1998 MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. c y SITE EVALUATION DE113IGN AND INSTP LLATION g y 426 W. 63DAR/P.O. BOX 186/SHELTON, WA 98584 Receipt No. J/�'d Receipt No. y o ' PHONE (206)427-9670 Amount$ PROPERTYOWNER: DATE: 3 f U L CoML� — S — Z CHECK APPLICABLE ITEMS m PROPER ADDRESS: PHONE: INSTALLING NEW SYSTEM o �`/ /�97-/34S REPAIRING OLD SYSTEM CITY: STATE: ZIP: EXPANDING SYSTEM v SINGLE FAMILY p N Z /�• �•�'1• OTHER m SPECIFIC DIRECTIONS FOR LOCATING SITE: SPECIFY: C PRIVATE WELL 3 SEE CAE S116E7T PUBLIC SYSTEM SYSTEM ID NUMBER SYSTEM NAME APPLICANT NAME 1M OZ_e �- O Name of Lot ft.x ft. MAILINGPF Installer Size: L, acres LYNumber SI NATU Name of y Designer ,J oBedroomsX 5 PLOT PLAN S ry tom'' -d' f�� Draw a dimensional plot plan, including: 0o m O'Precise IooationMsffhgna D N measured dista D arias. t ntry road;other roads,driypyay�. 5 W98 �Ci C0{ �� 0 1 0 NOTE: DO NOT DRAW INJJ VV nn Co143l o SYSTEM DESIGN ' HEALTH SERVICES OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. �r SOIL LOGS MINIMUM SYSTEM REOU IREMENTS i i 1 't;p/ 0_/Q V SL Design:O Level One ❑Level wo la�a-9 I �,S )2 do-rs a � a9 ���jjjj 9 Septic Tank Depth fr m Original- 60 0 S'AA).O Capacity:,QQ2Gal. Grade to Bottom of Absorption area: In. Ty©6 �ORPSP D Daily p� Appl. / Infilt. '/ 6 ��O ( AAsg 9q•q '41 POCxgTS 0-F Flow �p 6 GP Rate /. � GPD/ Area 70Q FTC yMr3c). _",to 4— p dd(� ,KErS O`P . OfyMY SaNO Vertical In ector Date fto-TS 3S') Separation (� . go Ty#/3 COMMENTS/CONDITIONS FOR APPROVAL: .S ;m:I lap, ho -rtt-*-z ❑Owner/Designer/Installer must meet on site to verify precise system layout U Owner must arrange pre-installation corrferenc with health dept.staff ❑Winter observations required care needed during site preparation to preserve existing topsoil Any change from the specified use of the property or any site al Brat n affecting the system design may invali ate this permit. This Permit expires 3 ears from date of Issue.Denial of this permit may be appealed to the Hea@h Officer with) 10 days of denial date. SITE: Approved ❑Not Approved DESI Approv ❑Not Approved I INSTALLA proved ❑Not Approved 17 BY: DATE: ATE: �p DATE: TOP: Health Dept. Copy OTTOM:Applicant's Copy v2' MAS014 COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 186 SHELTO , WA 98584 (2 ) 427-9670 FIX 427-8425 M . DATE: E O To: .0 U D R A D U M RE: Design for //O�C±dmr3 Parcel Eo,2,-6Z1-,;�L0&,60 uuuautttnunuuatuuutt:uuuuututnuutunttuuuut:nuauuuttnuuuunuuuttuunuuuunnuuuuuuuuuuuutuutu uumuunuuntaut aYour design for the above referenced parcel has been reviewed and is hereby approved. FolYour design for the above referenced parcel has been reviewed and is hereby conditionally approved. The condition(:) for approval are a a a Your design for the above referenced parcel has been reviewed ands' cannot be approved. The ) not approving reason a for a ;4e:( the design a a a NOTE: Any variation Cr® state altettutive system guidelines moat be clearly identified in they design and Justified with technical data. The adequacy of technical Justification will be as"ased by the health department within the contest Of currant accepted design Practices, departmentall policy, and Gavel One and TWO Design Standards. i s..i... cumin rum 1%6E PARCEL IDENTIFICATION• Applicant'. Name _ �i14 Prop. Owner's Nam. wJ Nailing Address /aia v� CLov Yak — io/ Prop. Street Address S.C✓ .e ,a � � h3<S3 oirr �c�c� aaa awry �r�r� ■y Assessor'. Parcel No. 292//- 7/� �k ,,', .n subdivision z ' a+.. v�-oivlr wu.wwr/ Mew o v waw � w Yr DESIGN PARAMETERS No. Bedrooms 4' _ Daily Plow 4,'�U sad Depth from original Grade to Bottom of Boil Type BfnwJ 6,e4 ye"Y .'-iEy - � Adsorption Area inches Native Soil Application Rate sad/ft' Trench/Red Bottom Area SZ^ ft, Site Characters Level loping Septic Tank Capacity //ZS sal { Syaem type J J J Mound Subsurface Pressure Gravity Bled Tr nch Transport Pipe Manifold Lateral Schedule/Class 0A Schedule/Class P Schedule/Class �00 Length ft Length ft Length /u7 ft Diameter in Diameter in Diameter in Number PugP/Blphon and Chamber Separation ft Capacity at Total Pressure Head A 4; spm Orifices) Number of Doses per Day ON VOLVmf- Does Quantity �_gal Number/Lateral Pair l� Chamber Capacity �s�al Diameter in (Attach Pump Curve) spacing SYSTEK SCHEMATIC WWWW o21&1, A_C Soil_ 12 " 41 41 Rio i� �:v ?oC . . .��" 'vexr�c.�iL 'sF.pA.r.�tr�onJ• Minri�-i�� ZVEE Two ]JAINIGH FORK E TWO as.w oL07192 PLOT PLMM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DESIGNER PLOT PLAN CHBOMIST Scaled plot plan if lot is under ; acres 13'-Location and dimensions of reserve area Er uLating and proposed wells, including 1--Buildings, roadways, easementer parking �wells within 100 ft of property lines CpII�P�opsrty lines, building at -out Topographical lectures, cuts, banks, lrJ�/ percent and direction of slope Mound horisontal gradients, ndelops �'' 111 and upslope/downslope widths overall Location and orientation of curtain fill length and width, depth of mound drain i all adsorption area components cap at center and edges of bed GN FORK - PAGE THREE sa>Sasd OU07/92 ffszoism ampa=sssza, yV� . . . . . . . . . . . . . . . . . . . . . . a - cantor at aeildi.p stw aut Dips ftilding . . . . . . . . . . . . . . . . . . . . . a - ylaisted arnd. a.pcla Tact . . . . . . . . . . . . . . . ... . . . . C - Top of Npt40 Teat A r Dad D - yiniebsd Orada D ainfield - Mausd R - Sbp of Draiersot Hound. -___--- syetan p- - Caesar a[ Round &at WAa . . • • . • • . . . . . . . . . . . . . s• - Dottas of Mara OW . . . . . . . . septic .-...p�...Ie. . D- - Sop of Daderpaund alasoet • . . . . . . . . Tank a- T- - CLttar O[ Drab Lataral . �-J luWurace O- - Batt= or WWarp RAW tiou Aran, ayetO ■ - UnItiep Low . . . . . . . . . . . . . . . . . . . . . I - Original Ora6 is ain[leld Area . . . . . . . . . . . . --___ ---------- R - FIXOd DlavatUQ IWIZOW0000 Do1ot DistanoOe - All /toter DSstmc.e - subsurrar Systems Only DLtano s - Mound a yateas Only D -> s . [.5�� a' -> a a[�L e t a' '► D N p ( and) DESIGNER COIODWS SFa AT Au42EL) 0-o,,1S-rzuc--r)ot�) doTeS CONDITIONS AND DNDERSTANDING1 The undersigned agree not to hold Mason County DepartDient of Health responsible in the went the system installed in accordance with this design fails 'to o rate as required by Mason County Health Code. i el tore eL >.VL+Aloent ele tune eL eeLeeer The undersigned has reviewed and approved The undersigned certifies the sy tso has this design on behalf of Mason County been installed in full accordancd with this of Health Services design. i i a sne eter !� ineaaller - . . .«,�.«...yam,�; .nw».w...-.<.....-..-ww.._..:.._,...,_.,,_...�....,..q. ,��.w.n+..'+n+.n+.—..,.... SITE DIRECTIONS: ! ----------------------- --------------------- From the old Belfair Hwy take the Bear Creek/Dewatto Road towards Dewatto. Turn left onto the Effendahl Pass Road, go 1 . 1 miles to a gravel road that turns left, turn left, go 1 / 0 of a mile to site on left with floresent ribbons marking sit 1 SOIL LOG INFORMATION! ! ----------------------------- --------------------------- SOIL LOG #1 0-72" Brown gravelly med. sand mixture .92 SOIL LOG #2 0-72" Brown gravelly med. sand mixture .92 SOIL LOG #3 0-72" Brown gravelly med. sand mixture . 92 CONSTRUCTION NOTES11 ------------------------ 1 . Check the moisture content of the soil at 7"-8" deep. If Lt is too wet, smearing and compacting will result, thus red c- ing the infiltration capacity of the soil. Soil moisture an be determined by rolling a soil sample between the hands. If it rolls into a ribbon, the site is too wet to prepare. I it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries out. 2. Use extreme care in site preparation. Remove no top soils Use care in tree removal and stump removal. 3. Do not deviate from this design with-out the permission o the designer. 4. Drainfield sites are to be roped off prior to and duringcon- struction of home to protect the soils and/or system from any kind of traffic. Soils can be damaged easily. 5. A certified professional installer is required to install this system. This person must be certified by the County Health Dept. to install septic system. All others do not qualify. 6. The curtain drain ( if required by designer) is to be install- ed a minimum of 8" into compaction and tight-lined, meeting all county codes. See attached sheet for design of a curtain drain if required. 7. Maintain a minimum of 100' from any standing water unless other wise ok"ed by the designer and County Health Dept. . , If you cannot maintain the 100' then stop work and notify ', the designer at once. B. Maintain a minimum of 10 ' from any and all water lines thait are under pressure. 9. Wheels and tracks of equipment are not to come in contact with infiltrative surfaces. 10. The bottom and sidewalls of the excavation should be left with a rough open surface. 11 . Pump system is required! 12. All measurements are as close as possible. Some deviation in site locations are allowable. ° MASbN COUNTY lies/9� Z 'a� _ DEPARTMENT of HEALTH SERVICES Mcson County alag. III 426 W.Coact P.O. Box 186 Shelton,Womirwon 98584 (206)427-9670• Beftir:275-4467 Sectne:464-6968 •Other: 1-8M-562.5628 nvironmental health permnal health A-V water quality mid a Final In,,,,,ection Septic System � G- �/ + coinHEW !7. tS ,G rJ L)Al CD 77R Date: 1 I q em I`Li lsiN1 /c 77me: _ '.. � �5A(!-H -rR0NCfl N �� Installer: - n. ���. �ihlG` 81 App&wWOwner: `'� M Qq pip b lot Date of Permit:_ Legal Description: TI A n Vu rl 01 I I 0 Parcel Number: r7l4- W I P- Subdivision Name: Div:.. �� II �-- Block Lot: �6lSi.X� b �2)b- qooLo Staff Initials: —Po rr f — S P&eO )-6�U 61 .l MASON COUNTY DEPARTMENT of HEALTH SERVICES Mason County BICg.m 426 W.Ceccr � 0 \P.O. Box 186 Shelton,Washington 9m C206)a27.9670 • Bencir:275-4467 \" Secure:464-69M •Other. t-WO.562•S629 environmental health personal health water quality Final Insp Septic System - ialQlw Date: ti^es� TFme: Installer: Applicmrt/Owner:— J/1 mit ,_ ry Date of Per �0— a II Legal Description: Parcel Number: 3 2 VC(-oU a w� Subdivision Name: Div: Block Lot. Ci� c� i Staff Initials: I