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HomeMy WebLinkAboutSWG94-2035 160 and 170 Beaumont TPN42001-44-00010 - SWG Application / Design / As-Built - 12/14/1994 MASON COUNTY DEPARTMENT OF H6ALTH.SERVICES PERMIT NO. ,S/WG /�— c N Date �0 �Y' 7 y 426 W. CEDAR/P.O. BOX i666/SHELTON, WA 98584 m g PHONE (206) 427-9670 Receipt No. o ' Amount$ 0 0 m PROPERTY UWN z f 3 m CHECK APPLICABLE ITE S ✓ m MAI G ADD S: qq DAYTIME PHONE: !EXPANDING ALLING NEW SYSTEM v b7 d AIRING OLD SYSTEM Q. CITY: TALE: ZIP; SYSTEMLE FAMILYmPROPERTY ADDRESS: ER rnMnC� c Gh SPECIFY: 3 SP IF C DIRECT N$FOR L ATIN SITE• PRIVATE WELL a P , t PUBLIC SYSTEM ` \ SYSTEM ID NUMBER I SYSTEM NAMEIn APP ]CANT Y f Name of NAME \ IQ Installer Lot ` ft.xft. MAI NG DDRESS Size: \ acres q P Name ofLEPHONE Designer Number o S Ur"p o G. Bedrooms X PLOT PLAN I kr- Draw a dimensional plot plan, i ro including: {I-r Precise location of test qe' 3 Lr p holes,showing measured distances to C1 9 , property boundaries. 10 �E VgrrsO d 1 NOTE: DO�tyQ�Tf��RAVVyy I SYSUrAAIAE�I� QQ�Ka�rer��(` � w C'G\0.1 CIfY+�r��R� 5e 0�� ��// ((++6 i . HEAL' 6pp TWFO114�MSONLY. DO NOT WRITE BELOW DOUBLE LINE SOIL LOGS ^t}E4 l -TW k z 9"ff ,� 3 r�^ZZ S'�Q,L�L�Lt)tcw� G - ZS- SA.U0Lcwr+n Z3 rA Cil- ,gr,w 2Zr- 7Z sa mb.Zaeq us� Zs C.? S',a t2,4=L 3- 70 S4AiWC1 rvauc� Z-NtO6 CTy P6 CTi r-) Depth from Original Grade to Restrictive Layer or Water Table: 2 Z In. DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS TindinRl EScorelDesigner Level: ❑One ❑Two Soil Type _5 Z Vertical Separation Io in. /5� Septic Tank Daily Slope 0 % O Capacity: Gal. Flow: GPD APpl. Infilt. Parcel Size ) qc. _ Rate GPD/F F Area Distance to Shoreline A'2 it. )g Total I I r Ins ector Date _v C/-9 y COMMENTS/CONDITIONS FOR APPROVAL LES1G/1E2 nr,Ccsi g)oorcEss: all SET/3aces, PuL1/ice Neairl lvr�Factor �, ourd and Sur•6ac< u.>4Ld¢r'Li`it4l, A6E, de,x(afrviam4aoJ orLLtr1rcd,Ac6&. SCILL depYH. Nn , -FiciPa.t�.� 3'ewc.6eUGl�e.m.e. . eeSCI`I' ar-"t 1 61 AI IOareIAr. I, Ama t,c 'r"J . JOt.lrte. a.f /d/urnec Fic. u.u&tee- oLana( rAsc ACAVLt-/ Prexnl Gn�P �u.f�ve,. (sruu �, -r l0v Gru.01'f'�, zi-ea l O l ad QAJ �roa ns CL'JE2 . E'4rn r� �OILCG Zul1rA ZU/:,ndC t2aQLL,rLEmN nfr Any change from the specified use of the property or any site alteration affecting the system design may invalidat 9 this permit. This Permit expires 3 years from date of site inspection.Denial of this permit may be appealed to the Health Officer within 10 Jays of denial date. SITE;9 Approved Required ❑Not Approved I DESIGN: A Approved CINot Approved INSTALLAT 0 Ap ved ❑Not Approved BY: �yt DATE: _�-r/� gy: DATE:/-3 S 5 BY: DATE' TOP: Health Dept. Copy DLE: Designer's Copy BOTTOM:Appli nt' Copy t r Revised 08/24/94 DI GN FOF2iN1 - i'11nAryn►GE ONE �e41,R[@when 3 copies of each of the following items are ubmitted: Comple gn form that has been signed and dated om ted Resource Lands and Critical Areas Checklist attached DEC 2 J . plot plan, including all applicable items on checklist scaled layout sketch, including all applicable items on checklist Cross-section V sketch, including all applicable items on checklist SERVICE II PARCEL IDENTIFICATION II # II Permit Number Designer's Name G\ \ II I \ � ' Gtn Q.N Prop- owner' s Name li Applicant' s Nam , ill II MAddress, Q Mailing Address Mailing a e ip ice— a e rp y _ qi au.i subdivision _, it Assessor' s Parcel No. we u er ame/ ivision oc YLo�'T"— A-It - DESIGN PARAMETERS I I �— / Design d Vertical II u u YLyJ( U �J u separation , I II Trench + in II II Mound Subsurface Pressure Gravity Bed II I n I Septic Tank/Drainf field Specifi tions I U No. Bedrooms Pressure Distribution? LJ s No II d (If yes, Proceed. . .) E....................iEEII II Daily Flow _ I:: ::ii:::i:� II Septic Tarik Capacity al I II II Receiving Soil Type (1-6) d ft' I Laterals II Receiving Soil Appl. Rate ft' I Schedule/Glass y Bottom je�V GeS II Tr h/Bed W4 � lae (kh ft I Length ft I t II S1 b, , in II ``��jj Diameter II (�pf�ifeJa ion M urements I Number ft Orig. Dr'aiAfiig1T, ea Slope & I Separation II II Final Draixl'f ieldoPe ' Total Number of OrificesOrifice II ` (I- Depth of original G of Trench/Bed I •n in Diameter II from Original Grade Ps e � Spacing II in I Manifold II o s ope I Schedule/Clans ft II ^ I Length LJ in �No I Diameter Infiltrator Used? Yea I Transport Pipe II II a rJJ Yes u No I Schedule/Clary ft II II Pump Required. Length II II......:: ..:...: :i (If yes, Proceed. . .) ..:... :.:: ::: :i:::i I in II II I Diameter II Pump/Siphon Specifications I Dosing and Pump,Ch , er 1 Difference in Elevation Between p Shutoff I # Doses/Day k�aland Uppermost orifice ft I Dose Quantity II II n r1 I Chamber Capacity II II Uppermost Orifice is U higher, U lower II than Pump Shutoff Check the following components m if they drain II betU n doses: II II Capacity Tot. Prey. Head I II Calculated Tot. Pres. Head ft I Laterals Mr Manifold U Transport II II (Attach Pump Curve) I DESIGN FORM = PAG'E TWO P12visea 08/24/94 jl DESIGN CHECKLISTS �j Scaled Plot Plan j Scaled Layout Sketch j Cross-Section Sk tch Reference depth rom orig- j� Test hole locations j u Drainfield orientation j inal grade: and layout j Property lines j Septic tank id and Trench/bed dimensions and drainfield c ver depth j 21 Existing and proposed j critical distances within �I jj wells within 100 ft j layout Reference depth rom orig- jj of property lines j inal grade and r strictive jj jD-Box/°T"I"L" locations strata: jj LJ Critical distance j j� measurements to cuts, j E/Septic tank/pump chamber j '=' Laterals, tr nch/bed anks, surface water j location top and butt m jj Location and orientation j � Observation port location j '--� Curtain drai collector I jj of curtain drain and all jj absorption area j 2/Cleanout location j U�Sand augment tion jl j jj zomponents j II j Manifold placement j N�ternal refe ence needed: 11 jj Location and dimension j rom/ Observation orts and jj jj of primary system and j i� Orifice placement Reserve area j j cleanouts Lateral placement, with Duildingo ter/distances to edge of bed j Additiplemound inf ormation: 1j D11 irection of slope 2 Audible/visual alarm Uplsn and iownslope 11 vindicator j referenced j fill width 1j 11 - . Waterlines j ,- , Scale of drawing shown Settled cap _e- at jj on scale bar j center and e ge of bed Roads/easements/ j II riveways/parking Additiona Mound Information: Sidewall slope II CI Up/downslope bed elevat. �I Critical resource lands Endsl o width II if applicable) rah II II t� overall fill dimensions Completed Resour a Lands and LJ North arrow and scale of i Critical Areas Check-list drawing shown on bar II r II ,.,,5e1V,Ces DESIGN APPROVAL II (�OpptY U2�+ n The under >A' does, U do s not, waive the reqirement to be notified by the II I� installer of �i all and g 4 hours to perform a final inspection prior to II cover. J II QSte igna ure o ign r a e II The undersigned has revi?ea appro ed this design on behalf of Mason Count), of Health II Services. II ec or a eCAUTION: THIS DESIGN IS D IF STAMPED " PROVED" BY MASON CO. DEPT. OF HEALTH II 230 VOLT ma No so No Em ON ON ON ��.......,�.\ba....• w.a...®.. WIN MIMMMMM No ON No m no 0 No n No w �.w•w mi IN • �w....�� •�- x.. TNSTATTATION MAINTRNANCF. Pressure Distribution Svstems 1 . Instal ''_ laterals with contour of the ground . 2 . Install trench bottoms level and at all times a mini nun of six inches into the native soil . 3 . Install locator tape on top of all drainfield late als . 4 . Install observation ports as indicated on the lot plan ((minimum - two per drainfield with bottom extending to the dra :nrock \ native soil interface) . 5 . Instal ; drainfield during dry weather and soil condi ions , any soil smearing must be eliminated by hand raking . 6 . Instal ' threaded clean-outs at the ends of all lat rats (cap must extend to within 6 inches of finished gr de and be marked with locator tape) . 7 . Install audio/visual high water alarm . 8 . Instal ' !/8 inch mesh non-corrosive pump screen (min. 12 sy . ft . surface area , not to interfere with co trols or floats) . 9 . Install check valve in pump outlet line to prevent s stem 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 g1 e) , after pressure test and Health Dept . approval , turn orifgices down (6 o clock) and glue laterals to manifold . 11 . Filter fabric required over drain rock prior to ba kfilling . If the drain rock extends above natural grade run he 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- lope edge of the drainfield and reserve area. 14 . No curtain drains allowed within 30 ft . of the down- lope 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 is 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 . Install septic tank and pump chambers so that inspec ions lids are within 12 inches of finish grade . If tank to s are set deeper then 12 inches from finish grade , risers will be required . 20 . Deviation from this design without prior approval from the Designer and Mason County Health Department will make this + design null and void . DALE I TAHJA R_S_ ON—SIT . SEWAGE SYSTEM DESIGNS Phone — (206) 426-5940 W 2450 Deegan Rd . W. Shelton, WA 98584 METHOD II . Date : January 9 , 1995 Owner : David C. Bayley Parcel#: 420014400020 Size : 1 . 12 acres (A) The extremely gravelly soil on the property is a Type A . Three test holes were excavated to depths of seen feet , with no signs of ground water . (B) Due to the extremely gravelly soils drainage presently runs vertical and remains on the property. The storm water generated by roofs will be collected , treated and disposed of through dry wells . The storm water generated by paved road and parking surfaces will be conveyed by open ditches then treated and disposed of through a retention pond . (C) The treatment provided by the storm water and on—site sewage systems is adequate to prevent any public health impact . (D) All setbacks from property lines and wells are met or exceeded. (E) The domestic water will be provided by a newly developed public water system meeting all County and State regulations (well referenced below) . (F) The property is generally flat that has recently been logged and cleared of most trees and brush. Attached is a copy of a geology report that was developed during the recent drilling of one neighboring well 230 feet southwest of the projects proposed drainfield and reserve area. (G) The annual rain fall is 60 inches a year with an average temperature of 55 degrees (F) . (H) There is no long range plans for the availability of public sewer in this area. — continued — y. i r xs}rcu`�,rn'a � �,�$•a*m !iry��'?�" %� t a :, :` t e '6 '�t'-a ',�;PV' '`°� �.a z David C. Bayley Method II Page Two (I) The present use of this land is vacant land that has been recently cleared for development . The anticipated use is for multi—family housing which is consistent with the present surrounding high density developments . (J) The growth patterns is from rural to suburban housing in this area . (K) There is a 100% reserve area available on the site for the replacement or addition to the on—site sewage system. (L) The anticipated sewage flow for this 1 . 13 acre parcel is 960 gallons per day. This equates to 857 gallons per acre per day . According to State WAC 348-96-090 . the minimum land area required under these soil and site conditions equates to 900 gallons per acre per day . (M) This development complies with all existing county regulations . (N) An alternative on—site sewage system utilizing sand lined trenches and pressure distribution is the proposed method of treatment and disposal . This type alternative system produces effluent that meets Treatment Standard Two , which is a requirement according to the Mason County Department of Health Services ' Design and Construction Standards for Sewage Disposal Systems (Revised 1/3/95) . (0) The proposed development meets and exceeds the Sate and County Minimum Land Area Requirements and On—site Sewage System Design criteria. This proposal is also consistant with other county ' s policies on minimum land area requirements in extrememly aquifer sensative areas (Thurston County — Garry Duvall 786-5455) . T, n4S�Y,`S+ AWE s{ �Ncicf-ALVA C)Cl( Na \ 1 - O CO Acc in 0 ® J 1p !` r a \\ 1 "rt s i � e { / _ + y D 0- If Y 0 rr 14 M1 � Vx 1 -, • 1 l_,� p So rG (r6 J e p F o 41 \ /G/ F' X r��\ Y i Ot J��o( - o t� • J t1�\G11 • T ON-SITE SEWAGE INSTALLATION FINAL INSPECTION DATE CALLED IN: S •0 7 TIME: c INSTALLER: Cu .�► Jt(�o�' C APPLICANT/OWNER: r�, , ol.I CALLER: OLr4L 14 PHONE # OF CALLER: #Y0801 Nea6 . 7�3 SWG #: PARCEL NUMBER: noun '4apol - L4L1 - I U SUBDIVISION- DIVISION: LOT: SYSTEM TYPE (CHECK ONE) : GRAVITY ". INSPECTION SCHEDULE (CHECK ONE) : f I APPIMENT PLUG IN AS-BUILT ON-SITE? (CHECK ONE) : J�J U YES NO ....................... .... STAFF INITIALS: h:caUin.0 Revis 02/01/95 T ON-SITE SEWAGE INSTALLATION + STAFF INSPECTION REPORT STAFF CSRCKLIST 1 1 1 I CONPIRN.ED HY INSPECTOR? I I I. SEPTIC TANK xes No Ca®eata A) >5 it from foundation? = e) Bldg stubout to septic tank: cleawut if not 1-2%? c) Baffles intact and clean?, D) Dividing wall intact? xx. D-aox Leveled with water or speed leveler, (circle one)? III. DRKINFX LD I I A) >10 it from foundation and >5 it from property lines? E) Laterals level to x1 inch.& end caps present if not looped? c) System•dimensions the same as shown on the design? )_ D) Gravel clean, properly sized, and proper depth? E) PRBBSME SYSTEM I z) Sand quality ASTXC-33? _ x) Head height uniform,and >_24 inches? 1 I) Cleanouts and observation ports present? _ 4) Mound: side slope 3:1? _ 5) Owner informed electrical connections must be made by owner or licensed electrician and inspected by DLL? •� r0. PorABLE maxim LINES A) >10ft from drainfield, transport line, and septic tank? I a) Wells >100ft from drainfield? .L— ' V. Pta@ VA A) S 'lter (circle one) installed? = a) Riser--fnscaC�ed or ae ass c) Alarm installed? - L I VI. As SDII.T REQVIRBD? I vzI. OTEM COMMEEms I I I I I I I i I I I The undersigned has reviewed this installation and verifies th a findings on behalf of Mason County of Health Services. i 1 � 1 1 pec a e�J ! i77 h:callin.w Revised 02/01/95 AS-BUILT FORM - PAGE ONE Ae i"ed 12/14 94 PARCEL IDENTIFICATION II II Applicant's Name Dauf 11 0. �C .�Fal 7(,� SE 0 'ICES II Permit Number SWG9 `{ - dt, 03 > Subdivision OV T A 1L�0 C,.. N-Lll.� II allo 7;s d c©0DLO II Installer's Name Cl. `) h� Seat( Assessor's Parcel No. II II Designer's Name IIAIr I CL kg u II k II INSTALLER CHECKLIST II I I II N/A Yes Prior to II I) I. SEPTIC TANK Completion II II A) >5 ft from foundation? II II B) Bldg stubout to septic tank: cleanout if not 1.-2%;? II II C) Baffles intact and clean? II II D) Dividing wall intact? II II II. D-BO% Leveled with water and/or speed leveler (circle)? �( u II III. DRAINFIELD II A) >10 ft from foundation and >5 ft from property lines? II II B) Laterals level to tl inch & end caps present if not looped? II II C) system dimensions the same as shown on the design? ALII II D) Gravel clean, properly sized, and proper depth? II II E) PRESSURE SYSTEM - II II 1) Sand quality ASTM C-33? II II 2) Head height uniform and z24 inches? II II 3) CleanoutS and observation ports present? h II 4) Mound: Side slope 3:1? DL u II 5) Owner informed electrical connections must be made by U II owner or licensed electrician and inspected by DLI? II IV. POTABLE WATER LINES II II A) >10ft from drainfield? II II B) Wells >100ft from drainfield? II II V. POMP/PUMP CHAMBER II II A) Designed pump used, or specs attached for equivalent pump? I) II B) Screen basket or effluent filter (circle one) installed? u II C) Riser installed for access? II II D) Alarm installed? II CERTIFICATION OF INSTALLATION II Installer: Check box from Row "A," check box from Row "B," sign and date the certification. II n a A. EIJ I certify that I installed the system I certify that all deviati .from without any deviation from the design the design stamped uAPPROV= " by MCDES are H h stamped "APPROVED" by MCDHS. shown on the reverse side of this form. II II II II B. 2 Z certify that i contacted the u I did not contact the designer prior U p designer and left the system open for to final cover because the esigner N II inspection up to 48 hrs prior to cover. waived the notification regLirement. U II I further certify that all information contained on this form is accurate. 3 understand II II that if the information contained<herein, is not accurate, there will be just-:cause for-- u II immediate suspension of my installer certification. S K�c or s� r II II Si t'Ri''� E€ II The undersigned approves t is inst ion of behalf of Mason County Department of Health II II services. �I+I II AS-BUILT FORM - PAGE TWO sad 12/14/94 II n ,PARCEL IDENTIFICATION II Applicant's Name DCL JI t 1]O 4 le-� II Permit Number SWG9 K - �� iJ�— Subdivision �S'e"T . Le'r LAKE II ame aw/ision o/c o II Installer's Name f.w.Ston. SC �I h C Assessor's Parcel No. II Designer's Name nPrLE 1:6: NJ-A we ve igi u er M AS-BUILT DRAWING - II Future duplex wens art I u I �l S ' awa7 II I I, u N l a CT c II s- II S IC � 3 � 9 ft, II to 8o f 31 ft, long s U II t —10 t- pticcade 17ft, rOM proper y kine ft GlerXaV1 1paar adjwtamte to agtle tank locatim and drainflald erleatatim made in the field by the Jasta ler are 9merallY ae- ,. aeptable to both the departamt and the dealgner, but could In certain eases ocapacmise the viability of be system. It is the inetallar's responsibility to obtain Prior writtm approval from either the health department or the d"19n Pr before making any deviations fret the design that affect system viability. Any deviatima from the approved design must be sho 0 above. II AS-BUILT CHECKLIST u I—I II � Drainfield orientation � Observation port location OtUndisturbed native soil II and layout n between tr nches N 19 Cleanout location II Trench/bed dimensions and North arrowII critical distances within E Manifold placement rl II II layout 4� Scale of drawing shown B Orifice placement on scale bar II U n D-Box/"T"/"L" location II 10 Lateral placement, with Additional Mound Information II II Septic tank/pump chamber distances to edge of bed �y ' II II location C'7i RN Endslope width II II n � Location of wells, roads II 4�' Location of buildings overall fill dimensions II