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HomeMy WebLinkAboutSWG2001-00185/swg2004-00292 - SWG Application / Design / As-Built - 5/9/2001 ., * a M ` d _ PERMIT NO. SWG rn n MASON COUNTY DEPARTMENT OF HEALTH SERVICES Q N 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Date y: o PHONE (360) 427-9670 Receipt No. Amount$ Z PROPERTY OWNER: DATE: 3 tD 4- S�n7 S C ABLE ITE S �/ `m MAILING ADDRESS: ^ 1' L DAYTI f>'�I -PE PAR MtNtj CITY: 5 �STATE: �3 : MAY 2 TABLE 6 REPAIR m ANCE REVIEW PROPER ADDR S: SINGLE FAMILY Z OTHER: 3 ECIFIC D ECTIONS FOR LOCATING SITE: I E L - m MUNITYWEWPUBLICSYSTE /24- u � SYSTEM WFI# SYSTEM NAME ` APPLICANT cjgf 1� NAME Name of Lot '� x xn, ft. MAI NGADDRESS (� / L Installer _ fllJ Size: 1 / [1-C acres TELEPHONE 5 0 11 Name of Number of SIGNAT o to Designer �(/�(� Bedrooms X OFFICIAL USE ONLY BELOW THIS LINE t!j b IU DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDIT ONS af e,x � � �� e�ty�a� 10 P9' � C\0\8 S} \\ 4wij bitvt� P,bf,.. 0ev 4 a s: SOIL TEXTURE CODES: V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely INSP CTOR(print ame) INSP CTION SIGNATURE DATE PERMIT E PIRATION DATE l�j- I •All systems require ongoing Operation and Maintenance(O&M)as specified in Mason Courtly On-'Site Standards. •All on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise.In such cases a preliminary on-site meeting between health department staff and the homeowner is required. •On-site sewage system design approval does not imply other building site requirements(i.e. RLC,Water Adequacy)have been met. •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 the date of site review.Denial of this permit ma be acceal to the Health Officer within 10 da s of denial date. DESIGN R IEW PPROVAL BY: (� DATE: IN CATION RO BY: (, / IAA VV+� 0 f TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTO . Applicant's Copy C\a 6 6?,P-oven d"dA L�. ' �� MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. SWGco ('0I 2 Date N 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 " o Receipt No. PHONE (360) 427-9670 Amount S m PROPERTY OWNER: DATE: O CHECK APPLICABLE ITEMS m r NEW SYSTEM � MAILING ADDRESS: ! AYTIME PH E: REPAIR SYSTEM � L d 3 ZI TABLE 6 REPAIR CITYTATE: MAINTENANCE REVIEW m PROPERTY ADDRE'Ve SINGLE FAMILY ? OTHER: 3 PRIVATE WELL m SPECIFIC DIRE IONS FOR LOCATING SITE: _ _� COMMUNITY WELUPUBLIC SYSTEM I� M 5 SYSTEM WFI a '+.r T�FFW.u�KI tl�i l( fi,.t2.� Qn7rw�U q40 SYSTEM NAME IN APPLICANT l bQ� NAME Io ; MAILING ADDRESS, o Nameof Lotr• �I(�o 'L n-t—Sam I�$ Installer A bg wl Size: L 1 acres TELEPHONE Nameof um er o 3 SIG E Designer r Bedrooms X f A OFFICIAL USE ONLY BELOW THIS LINE DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITI DNS ° � �0 �{L+ ki. . Su.%'18- 00,2-00 $o A Lod l'1 3�ew of 1g0.9 S }n T +3 t ►� oi,y,✓vr� s-�p}�� �11�, SL O L31 SL 35-51p' wneelleA .o.k�.. 3). 'Mn ' O fib° �o4v, U 30' - �OVM V1 C7,7 1tL W 1 10-34 vvo�tted Loa o t 3 - LOB SOIL TEXTURE CODES: `11-so V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely INSPECTOR(print name) INSPECTION SIGNATURE DATE PERMIT EXPIRATION DATE •All systems require ongoing Operation and Maintenance(O&M)as specified in Mason Coun y n-Site Standards. •All on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise. In such rases a preliminary on-site meeting between health department staff and the homeowner is required. •On-site sewage system design approval does not imply other building site requirements(i.e.RLC,Water Adequacy)have been met. •Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit. •This permit expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date. DESIGN REVIEW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE: TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM: Applicant's Cop MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. SWGC c v m a N 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Date y: o PHONE (360) 427-9670 Receipt No. y Amount$PROPERTY OWNLH: DATE: Z w $ �ctg CHECK APPLICABLE IT S �/ m m MAILING ADDRESS: 54 DAYTIME PHONE: NEW SYSTEM q 03 _ 2 REPAIR SYSTEM CITY: STATE: ZIP: MAINTENANCE REVIEW L SINGLE FAMILY r m PROPERTY ADpQES OTHER aS Z (_6 J SPECIFY: 't 3 PECIFIjSS DIRECTIONS FOR LOCATING SITE e a/ / PRIVATE WELLCD 2m bF_1 k11Z 5 � 30o )0 /�} a COMMUNITY WELUPUBLIC SYST M ��I N SYSTEM WFI# �c SYSTEM NAME I N APPLICANT NAME A D EM r D I� Warne of I Lot ens+ roo �b MAILING ADDRESS O. I Installer f} SEMI 8a^x !b°� ff.xEs�+r3rSff. Size: cres TELEPHONE fc6 5S o Name of um er o SI vi 10 Designer 14 , ��H 1 EiQO Bedrooms �j X 'A � PLOT PLAN I j I y Draw a dimensional plot plan,Q W including: y I o) 50 1 ° �b ❑Precise location of test 2 W < holes,showing (I to measured distances to q Nd o. property boundaries. M _o st f p Entry road;other roads, st driveways. g p+ • NOTE: DO NOT DRAW IN w I� SYSTEM DESIGN OFFICIAL US NLY. DO NOT WRITE BELOW DOUBLE LINE. � SOIL LOGS _ I D-•b N�fI o-V3" Lim, f, o-3SN LAM,T( - l�[D-'13 N cA4Y�, -U 4 LA4,A �ny � Soh � � e+9w y C , y 'A,JD' AeitIQ 36-jy � Asa ,; " M.�Ivro �, C:Rk1W �MI s91 os cast Ant sue► �S �, 3 r �6 IDS Ze 3v N dab tv Lea DESIGNER DESIGNATION SCORES MINIMUM SYS EM REQUIRE E TS Finding Score Designer Level" ❑One Two Soil Type Soil Depth in. Septic Tan Daily -- c Capacity: Gal. Flow: \3� GPD Slope t/ �'�Z % Appl. Infik. Parcel Size L .OAc. �y� Rate Qom,�/��.(GPPD/FT' Area 6� FT' Distance to Shoreline>1 k. -p Total C Inspector -f Date CP MMENTS/ NDITII/ONS FOR APPROVAL ' -cP .7e1 SirSi° ryugt l qr' IL�C ✓BPS A^ Gijsv—D%n J17£ J�� •All on-she sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted herwise •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise.In such cases a reliminary on-site meeting between health department staff and the homeowner is required. •On-ske sewage system Ign approval does not imply other building site requirements(i.e.RLC,Water Adequacy)have been met. •Any change from the use of the property or any site alteration affecting the esign may invalidate this permit. •Thrs perms expires 2 the date of site review.Denial of this permit may a ap to the Health Officer within 10 days of denial date. SITE REVIEW: VAV I I DESIGN REVIEW: Apr ❑Not proved INSTALLATION:p proved Li Not proved BY: 4(1 DATE:S�ltP q BY: DATE BY: DATE: TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Applicant's Copy 9 $32� 2 DOef - d -- �- - - - Pco - - - - K - - , _- -- _ ene - -� MASOW COUNTY DEPARTMENT OF HEALTH SERVICES PO BOX 1666 SHELTON, WA 98584 June 04, 2001 SHELTON (360)427 9670 FAX (360)427 7798 Belfair Services ELMA (360)482 5269 BELFAIR (360) 275 4467 PO BOX 176 SEATTLE (206)464 6968 Belfair WA 98528 RE: Design for REISINGER Case No: SWG2001-00185 Parcel No: 223305000297 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter fora y Please call me at (360) 427-9670, ext. 554 if you have any questions Sincerely, Pam Denton Environmental Health Mason County Health Services COMMENTS: 06/04/2001 1 of 1 SWG20 1-00185 MASON COUNTY DEPARTMENT OF HEALTH SERVICES MASON COUNTY BLDG. lll, 426 W. CEDAR P.O. BOX 1666, SHELTON, WA 98584 (360) 427-9670, FAX. (360) 427-lWe p DATE. , TO: a 5 ;Q 0 K FROM: Guy Grayson - N N FOR: 2 iS i PARCEL: 2_ - sl - vD Z�� �- 4Y �AcUL A�d�lL �4rL ucC Q.�4(+�G 6eefc ze�teu�ed akal G�r¢�Zd��P�O'1/E'D. 7lce zeada�c<m� ane; -� 05/29/98 1) Test hole #5 area has only 261, of usable soil depth. You have a trench centered on this hole which only provides 14" of vertical separation. As you are aware you need 20 of vertical separation. 2) No slope indicated on Plot Plan. 3) No scale indicated on Layout Sketch. 4) You are using an outdated Design Form, please use the current one dated 'V February 18, 1998, for future submissions. 5) Orifice number on Page #1 of Design Form indicates 9 per lateral, yet Layo Sketch shows 8 per Lateral.--GG H..6 00/70/04 ,SIG14 FORM A d �� rev awed wbafo3 c that ehas been signed and of each of tj,* l dated owing items a • sub tted� . . Ced design 'V ed Resource Lands and all applicablesitemskonschecklistd 1' ycaled pA,10'llan, including all alp ScaTp ( °Jtitit sketch, including all applicable items on checklist �3rgss ection sketch, including all applicable items on checklist d PARCEL IDENTIFICATION G Designer's Name a :Emit Number Prop. Owner's Name Z-iL .�Ci n L�— �plicant's Name Pifl� °101C QS — Mailing Address n ailing Address _ II Lo-f Q C sD- a9 Subdivision a33p- - ssesaor's Parcel No. p_ DESIGN PARAMETERS � � II �--� r��t�y De6ighe `vertical n U 4�l Separat on >�u� U J % n ound Subsurface Pressure Gravit Bed TrenchdFfpt lI y CBE ❑ NoSeptic Tank/Drainfield Spacifieatioas pressure Diada:aburJ ""�dpe ................. .::::u o. Bedrooms d CIf 9id4}!es �' jtY/�es:c ::::::.....11 wily Flow al I O \� II eptie Tank Capacity eceiving Soil Type (1-6), �t,tral■ eceiving Soil Apll. Rate 66 d ft- i Schedulefudass \� 'rench/Bed Bottom Area I Length q rench/Bed Width aDf] ft I ��� n N 'rench/Bed Length I Diameter Elevation Meaeuraments Number t Q t I rig. Drainfield Area Slope Separation orifices� t I � N inal Drainfield Area Slope I Total Number of orifices n -epth of Bottom of Trench/Bed /7 Diameter rom original Grade — �� I Spacing ,. 7 in -i Hanifold 'I Schedule/Class ft II I Length u ❑ Yes No I Diameter p nfiltrator Used? Transport Pipe N ,ump Required? Yes ❑ No I Schedule/Class - ............:I Length b Q (If yes, proceed. . .) Diameter q Dosing and Pump sr Pump/Siphon eon Between p Shutoff M Doeea may ifference in Elevation Between Pump, ft Dose puantity nd Uppermost Orifice Chamber Capacity i2 )ppermost Orifice is ❑higher, ❑lower / drain h hen Pump Shutoff Check the following components ifW11 'apacity • Tot. Pres. Head a m I between doses: orl &W /e:ed •9r I� 'alculated Tot. Pres. Head Laterals ❑ Manifold ❑ Transport II (Attach Pump Curve) ❑ r T !!'!'GN. FORM - PAGE TW& DESIGN C7 MT.STH ) k t h a led La out Sketch oee- • 6ca1•d P� pl ut Reference depthfrom oriq- a inal grade: Test hole locations � Drainfield orientation ,�./ e and layout 9 Septic tank lid and Property lines dzaiaLiel cover depth p � Trench/bed dimensions and rp Existing and proposed critical distances within Reference depth from oriq- ells within 100 ft Taal grade an e l/k i layout restrictive � ' w of property lines D_Box/'T'/-L' locations I strata: l Critical distance Septic tank/pump chamber � Laterals, trench/bed location top and bottom measurements to cuts, banks, surface water Observation port location U Curtain drain collector Location and orientation u of curtain drain and all i cleanout location ^^ Sand augmentation absorption area components No extarnel reference aeede . I � }tanifold placement Location and dimension " Orifice placement Observation ports and A of primary system and cleanout reserve area Lateral placement, with distances to edge of bed Additional mound information: Buildings MdSp ' U ppslope And downslOpe ' Direction of slope Audible/visuak.al Cqunjy0 fill width referenced indicator A p I rb4 /f� dap depth at )Qj Scale o drawing s ttle n/r/a/� �r d edge V of bed waterlines on scalee bar s ) t1� ,p �dt ►��, dewal slope Roads/easements/ i Additional Mound Info driveways/parking ' dU En width �U /down lope bed elevat.U Critical resource lands ) (if applicable) U Overall fill dimensions o fated R source Lands and � Critical Ar, as Checklist North arrow and scale of drawing shown on bar w DESIGN APPROVT ;.' t„_.. .4 irement to notified by the C doestand does not, waive the& 4 A The undersigned designern �S ure o perform a final inspection prior to installer of the inacall 5 _C f 0 cover. ✓— �Lto d The undersigned has reviv s design on be if Of Mason ounty of Health Services . ' CAUTION, THIS DESIGN IS ONLY VALID IF STA`SPED 'APPROVED'Services - BY IIA.aOH CO. DEPT. -OF HEALTH r.r .. PRESSURE DISTRIBUTION REQUIREMENTS l. Install trench bottoms level without any slope 2.when trenches are being used on different elevatSwu , check valves are to be used between laterals manifold to keep manifold primed at all times . 3 . Install trenches with the contour of the ground. 4 .Install . locator tape to surface to locate laterals if ever needed •S.Install observation ports within 24" of ends of all trenches. 6.Install trenches during dry conditions. if smearing occurs, contact designer or the health dept. official who signed the design. This is a must or designer is not responsible for failure caused by smearing of the trench walls. 9.Install a check valve in the transport line within the pump chamber. 8. Install either a pump chamber screen or an effluent filter to protect the pump and the drainfield from contaminating solid matter. 9.Install high level water alarm system to warn owners of pump failure. 10.Install lateral cleanouts , screw fittings forty five up to finish grade. ll.Risers are to be installed at the pump tank to the finish grade level for ease in pump removal. if baffle type filter is being used risers must also be brought to the surface. 12.Install filter fabric over trenches completely over trenches. 13.Divert all home and storm drains away from the drainfield. 14 .3eptic system is to be inspected, and or serviced every three to four years. tank should be pumped at a minimum of every five years. 15.Any deviation from this design without prior approval with Designer or Health Dept. official will make this design void, as well as the responsibility of the Designer. 16 . Install audio and visual alarm in pump chambpkbs.ft Uryt IT 6,v,)Id P°"(' vuod . 3`b8s weo$la . � P Y Dept ►��� 8wIC®r Initials V �O -vlQ� Date r- milk 4004 z Rc;S;h�<n �- r'4 ASc tyo3 ifr6 - �uwr�« .vP. CI8.390 o k5 30 Pslnnnrk�; �{�S cgs pressor� \S1 T16AOn aZ00L, W o oDGD Q°IV- 5PI4I gtP°a N;on "&SGn 04 ex(oEnl. Li C047t {LS�rJc p2CA 160aL qow-A 1 0/ ria/S r4'B$ p I at9 ' , Ask 1. IJO 315 ' 2E AD l' �J C .J s � ,k e 1 fl,4zue is (`oa r , a 6 � Stop SIoP� (j� 4 Cto��s' - ,,zs 0 pgon�J� O - � � 4- ,� C1.cE ra lJ4 aW µ«, j' i �SP • � 4PPj�,�kNf * ,% i.o��„�� °are is S � . 79,4i ( K-QJ� �-tu�211, � 8LZ J CY OI— N u W L 1-- w J Z Q.lL LLI i r J v E .��0 —LL a V N i T L q N U 1. N L � p N W 0 i U E 0 0 D U 0 T n N a J O uJ N 7 W u _ Of m J i U N O 0 7 I � 0. Z m i O <C -0 WF Nc cy- CD 0 LL U a J J `0rn 0 am c F Ln 0- u � c a_ �w Ul N L N 01 0- z � .--N W(LL. c `om ou to u j n u 1 ` NN y 0 T �f v j U 1n AWS N C v Ogre ®9 i 71 V J L J N 0 L O > N17 N T 0 0 N 0 +� OI W 0 C c-0 0 0 � C N� N z m 0 U J — Z L L 0. O th N � N •n �v t£Y 7 F< N N z < O _p C v 0- u Ncr m E < Y L E d 0 L E d - :n Om-0 s J ro m c O J -U _o o p J = W a0 . i Q] 3l C N N N �n L L 7 1 —G L ✓ CL 0 — L a N u a i . . n N N � — — U L t c L I- �n Y W i w 1— L< u� u> I nJ n� r� 9b1C- 1 Y wC: Qurves "� 30 t00L I I I i I ' I SILF'N%SOLI05 sGPra I . .�.-.- RPALVARIES 3__I " "Fr Us 20 F I - i i i - - - 4 -t • -t-=- - -60 _J 47 - i OF 10 I 1 20 0 Oo 20 40 60 Bo 100 120 q'UUq y 1 U.S.GPM s �FLOW care Date Z46 ® MPS.mr- MetEFLS FEET 120 -L —_ ___ I 1 --- — SSEM 110 30 100 %Y r — sFr 90 _ 1 20 , 15 50 - -- 1 O 40 10 30 _ ' r 20 40 .SO 60 70 80 90 100 110 120 U 3 GPM 0 00 10 20 30 � 0 10 20 30 m'fh •• CAPACITY EIArc.WPJ:Y.tY17 /RIwTEO IN U3� a Im Mow,hnws Ina SPECIFICAnOMS ARE SUBJECT 70 t7w+OE wRwottr MOTs ALC1B tSrSO PRESSURE DIST9A.BUTION DESIGN WORKSHEET AJ /OR CHECKLIS Computed by: BELFAIR SERVICES , P.O. Box 175 Belfair, WA 99528 (206) 275-6155 Designed for: REISINGER Street address: SITE CONDITIONS: # of Bedrooms - 3 Soil Type - 4 I . DESIGN THE DISTRIBUTION NETWORK 1. Make Preliminary Determination of Trench/Bed Configuration. A. Daily design flow 360 .00 gals. Daily flow = (# bedrooms) X (flow/bedrooms) B. Application rate based on soil type = 0 . 60 gp /ft2 C. Required absorption area = 600.00 ft Required absorption area (ft2) _ [Daily design flow (gpd) ]/[Application rate (gpd/ft2) ] D. Selected trench or bed width = 3.00 1 n ft E. Total trench or bed length = 200 .00 li ft Trench or bed length (ft) _ [Required area (ft2) ]/[Selected width ('ft,) , 2 . Select a Primary Network Configuration A. Lateral length 24.50 ft Lat length ft = [Total trench/bed length (ft) - 0 .5 ft]/[# of laterals] B. Lateral spacing = 9 .00 f C. Transport pipe length = 40.00 £ D. Transport pipe diameter = 2 .00 i r. E. Manifold length = 20 .00 f F. Select an orifice spacing for this lateral 3.00 f G. Calculate the number of orifices in this lateral 9 .00 # of orifices in this lateral= [Length of lateral (ft) ]/[Selected orifice spacing (ft) ] (ROUND UP TO THE NEXT WHOLE NUMBER) L. Class of pipe for ;.kterals is Class 200 3 .. Design the remainder of the laterals . Lat Elev Dif Orifice Lateral # Orifices Orifice Lat Lit # + 2ft Hd Discharge Discharge Per Lateral Spacing Diam L ngth ---- -------- --------- --------- ----------- --- 1 2 . 00 0 . 59 5 .28 9 3 .00 1 .00 24 .5 2 2 .00 0.59 5.28 9 3 .00 1 .00 24 .5 3 2 .00 0. 59 5.28 9 3 .00 1 .00 24 .5 4 2 .00 0. 59 5.28 9 3.00 1 .00 24. 5 5 2 .00 0.59 5.28 9 3 .00 1 .00 24 .5 6 2 .00 0.59 5.28 9 3 .00 1 .00 24.5 7 2 .00 0 . 59 5 .28 9 3 .00 1.00 24.5 8 2.00 0.59 5 .28 9 3 .00 1 .00 24 .5 4. Select the Manifold Diameter. A. Calculate the total lateral discharge rate 42 .24 gp B. Select adequate manifold diameter (from table) 2 .00 in (Center manifold using Class 200 pipe) II . DESIGN OF THE PRESSURIZATION SYSTEM 1. Determine the Dose Volume A. Dose volume based on soil type 1. Recommended dosing frequency/day = 6 .00 doses/day 2 . Recommended dose volume = 60.00 ga lons Dose volume (gal)=Design flow (gpd) / Recommended nosOxiq freq/day B. Dose volume based on dose volume/pipe vniA LVX' c 1 . If entire network remains full beta doa,� = 0 gal. 2. If just laterals drain between doses = 0 .00 gal. Required dose volume = (7) X (Interior volume of laterals) 3 . If entire system drains between doses = 0 .00 gel . Required dose (7) X (Interior volume) + volume + volume volume of laterals manifold trans. line C. For desired dose volume, select larger 60 .00 g ;. of A or B above 2 . Determine Required Pump/Siphon Discharge Capacity 42.24 g l .�. Required pump discharge = Sum of all discharge rates from capacity all laterals in the system 3. Calculate the Total Friction Losses in the Network A. Transport Pipe: 0 .97 - Transport pipe is Class 200 .5 . Determine the Total Dzmic Head. Selected residual pressure: 2 .00 ft. Transport pipe friction losses: + 0 .97 ft. Manifold and lateral friction losses: + 1 . 00 ft. Total elevation lift: + 15 .00 ft. Total Dynamic Head: = 18.97 ft 6. Required Pump Capacity is 42 . 24 gp Total Dynamic Head is 18 .97 ft Number of bedrooms 3 The required absorption area is: 600.00 sq ft The length of the trench is: 200.00 ft The width of the trench is: 3 .00 ft The length of the transport pipe is: 40 .00 ft The diameter of the transport pipe is: 2 .00 in The length of the manifold is: 20.00 ft The diameter of the manifold is: 2.00 in The total Volume of the laterals is 11 . 37 gals The volume of the manifold pipe is 3 .78 gals The volume of the transport pipe is 7 . 56 gals Dose vol based on vol/pipe void ratio: 0.00 gals Dose volume based on soil type is: 60 .006gals gals The required dose volume is The total discharge for the laterals is: 42.24 gals The friction loss in the transport pipe is: 0.97 ft head Manifold and lateral friction losses: 1 .00 The total elevation lift is: 15 .00 f*+ IYENad The total dynamic head is: 18. 9.7 it bead AS-BUILT FORM JWWr4.1999 Applicant , Assessor's 03 d Pttrcei# 3 3 a-s o O o�9L PermitNumber SWt3W�_;�2 0 (7Welve-0IgnWn Aber) Installer ��°��ST . , ©t1s Subdivision Namerotwaronta Designer �G t/t ril (in idrl . ROMMEMEMEEMEEM NIA Yes=Prior to Completion I. SEPTIC TANK . A) >5 I From foundation?.......................................... ❑ ❑ tr - B) >50 ft from wells and surface water? ... ............................ ❑ G-- 13 C) Bldg stub-out to septic tank:clean-out if not 1-2%? ... ................. ❑ ❑ 13— 1)) Baffles intact and clean? .... ...... ......... ......... . ............ ❑ 00 E) Dividing wall intact?. ... . ... . .. ............. ......... . .......... .. ❑ ❑ F) Risers installed for access? . ..... ........ ... ......... . .......... .. ❑ 14 " ❑ O) Tank Size: c- g81.;Manufacture /' CJ 11. D-Box A) Leveled with water? .... .. ........... ...... .... .... . ....... ...... [9� 0 B) Speed leveler used? .. .. . ... ............... .... .... .......... .... III. DRAINFIELD A) >10 ft from foundation and>5 ft from property lines? ................ .. ❑ �' ❑ B) >100 ft from wells and surface water? .............. .... . ...... .. .... ❑ �� ❑ C) >10 ft from potable water lines? ....................... ............ ❑ ❑ - - ❑ D) Laterals level to±1 inch&end caps present if not looped? .............. C+� O ❑ E) Oravelless chambers utilized? F) System dimensions the same as shown on the design?...... ............. ❑ w... G) .GravAt clean,properly sized,and proper depth? . ...................... ❑ H) PRESSURE SYSTEMS 1)-46and quality ASTM C-337 .................................... $� ❑ ❑ 2) dead height uniform and x24 inches? Actual head height...... ❑ Cl--^ ❑ 3) Clean-outs and observation ports present? .. .. .................... ❑ l-- ❑ 4) Mound: Side Slope 3:1? ........ ....... ................. . .... ❑ E t-- ❑ 5) Owner informed electrical connections must be made by owner or licensed electrician and inspected by L&I? .... ........ .. ❑ ft— ❑ IV. PUMPIPUMPCHA cq"Mco A) Screen basket or ffiuent filter circle one)installed? ! c Q .�a C...... ❑ ❑--- 13 B) Riser installed for access? . . .. ........ . ............................. ❑ L3 — ❑ C) Alarm installed? .�...f. .. .. . . .. .... ........ . ... ..... . ......... .... ❑ ❑� Eg— D) Pump make `-�`���,/A(rDt�Lt a C Pump model S� ft E) Chamber size 1� gal+r)LS gal/inch; Chamber Manufacture J"f-s /Y F) Pump chamber draw-down c;( inches per minute; Height of pump off bottom of pump chamb r j inches Q) Pump controls:Timer(or)Elapsed Time Meter (circle If installed); If timer is used:Pump J41A t Pump Olf c sr gA UVAI✓�� ❑ Drainfleld&manifold orientation &layout g ❑ Trmchlboddimensions >0), F L` and critical distances within layout cl ❑ Selficipump tank place4mt. ❑ Location of buildings. ❑ Observation port&clean- otitlocation. ❑ Location of wells& roads. ❑ undisturbed native soil pcxts Q l//�N d1 between trenches. �I a�o S d9L- ❑ North arrow c �l� l� ` L( CAUTION:haw adjushnenb to aepac tank location and dminfreld orientation made in the Bald by the installm are aeaaalty soaobbla bWb aw daoafo>� lea could artetn ass oomptomise the viability of the system. It is du installer's cesponslbaity to obtain p r wriaea 8� iNm aw 6�a1t6 m the designer belb�e making any deviedona from aw design But affect tlw system vlebBity. Ana'deviations Boer the design must 6e ahorvtt Installer-Chock a boxfrom Row"A"and"B";sign and date the certification - — -A. I certify that I installed the system without any O I certify that all deviations from the design pad 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 IQ�JI did not contact the designer prior to final over because the system open for inspection up to 48 hrs prior to /�"' designer waived the notification requireme t. cover. I fitrther certify that all information contained on this form is accurate. I understand that if the information contail ied herein is not accurate,there will be just cause for immediate suspension of my installer certifrcato 0 2� ignature ot installer Vale The undersigned approves this installation on behalf of Mason County Dep ant of Heahh ervicos. ��olD(v s Uwe anitarian