HomeMy WebLinkAboutSWG2005-00405 - SWG Application / Design / As-Built - 6/22/2005 MASON COUNTY DEPARTMENT to a
OF HEALTH SERVICES Official use one io
PERMIT NUMBER: SWG Q0C)d— b a a
426 W.CEDAR STREET //1 -- l/ S < a
PO BOX 1666 DATE RECEIVED: l_(J — a Q3 a0
SHELTON,WA 98584 6
(360)427-9670, Ext.352 RECEIPT NUMBER: Z F
Is •
APPLICANT DATE CHECK APPLICABLE rr MS o m
Je,' L to- 17-05- Pl NEW SYSTEM
MAILING ADDRESS DAYTIME PHONE O REPAIR SYSTEM U R
90 Po d5"ci\ A LZE�—Nia/ 14PTC ao�.y�a- 7G OTABLE 6 REPAIR C m
CITY STATE ZIP la'SINGLE FAMILY a
!>i-- A-TTLE 141A q ?117 y O OTHER Please describe C O
SITE ADDRESS c
DRINKING WATER SOURCE3
IT
N OF DESIGNER PHONE NUMBER tl PRIVATE INDIVIDUAL WELL
9D IO'Ja O PRIVATE TWO-PARTY W LL v
O COMMUNITY/PUBLIC W ER
NAME OF INSTALLER < 4„
SYSTEM I`^'
SYSTEM WFI#:
NUMBER OF LOT SIZE: ACRES FT X FT
BEDROOMS 3 �' ,� SYSTEM NAME: �, a
SPECIFIC DIRECTIONS FOR LOCATING SITE
E.A5T ON 1tKZA-bIA Pb -ro Sotr-Tti ol✓ 01NN5 5W14*P-� L,OoP To
McTVAjVAL- G-AAIs To SITE- ON L- Fr R,
o�N e
This application is for design approval only. a
An installation permit will be required to install the sow ''rrTy' ' 1w
+4 . 1 N
• All systems require ongoing Operation and Maintenance as specked in Mason County Onsite Standards.
• All onsite sewage systems must be designed by a Licensed Onsite Wastewater Designer or Professional Eng"r�s;ye r f—
approval is granted. O
• A Mason County Certified Installer must install all onslte sewage systems,unless prior approval is g .. b
• Onsite sewage system design approval does not imply other building site approvals. r�' ASO N COUNTY L , 4
• Any change from the specified use of the property or any site alteration affecting the system design may invalidate this perm' Du
Ilr�
• This permit expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 lays of
denial date.
Official use oniv below this line
SOIL LOGS COMMENTS/CONDITIONS
I Il � aZ
O -Zgri SL
—?qrl M"Pir,L
1a -Y
0-30 " s `--
SOIL TEXTURE CODES:
V =very G=gravelly S=sand L—loam Si=silt C=clay E=extremely
INSPEftOR SIGNATURE DATE/ D G PR ED BY ,,D DESIGN EX/PIRATI N DATE
JUN 2 4. b Revised 2/23/2005
White Copy-Health Department Yellow Copy-Designer 'Pink Copy Applicant
MASON COUNTY DEPARTMENT OF HEALTH SERVICES
426 W. CEDAR ♦ PO BOX 1666 ♦ SHELTON, WA 98584 y
(360)427-9670, Ext. 352 CO)
4?KSYSTEM INSTALLATION CD
❑TANK REPLACEMENT ONLY(Attach Supplemental Tank Replacement Form) N
N
❑CERTIFIED INSTALLER Of icial use onI 0
ErHOMEOWNER PERMIT NO SwG
APPLICANT NAME` / 1Qn '
APPLICANT ADDRESS (j Gr/ ISSUE DATE ( 1
CITY ST E ZIp // RECEIPT NUMBER�aHk v
FINAL INSPECTION
INSTAI,LER NAME 9ND BUSINESS NAM / CALL-IN DATE
MAILING ADDRESS DAYTIME PHQNE INSPECTION APPOINTMENT Z
- 1T66 - '[3A0 DATE/TIME /
CITYQ ( / C Stem ZIp�. U 2 ASBUILT ON SITE? O YES O NO
PROP RTYADDRESS 7 cr
CD
I hereby agree to comply with all requirements of the Mason County Department of Hee Ith I �/
Services Onsite Regulations and Standards. Upon completion of the work, the Health 1
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 time of 10
final inspection. The applicant has the right to appeal decisions of the Health Department.
This permit is valid for one year from the issue date or the1
expiration date of the septic design, which ever occurs first. I 1(�
SIGNATURE OF ERTIFIED INSTALLER OR HOMEOWNER INSTALLER DATE I W
Official use only below this line 1
FINAL INSPECTION COMMENTS
I
4t4 (7 acic t
INSTALN APPROVED BY DATE
14 Z 0.6
Revisi n Date:6/2/2005
White Copy—Health Department Yellow Copy—Installer Pink Copy—Applicant 6/2/2005
DESIGN FORM- PAGE ONE l�2cLjVr4D Rev19ed1aWay4.19W
A design will be reviewed when 3 copies of each of the following items are sut> 4��51tomon=
Completed daidw form Ural has been alpned and dated scaled layout sketd4 k e�q
0& Sa"d plot pWt.ktokdln0 an applicable Roman dm*W . CmsNacuon sketch. a Ty on
Permit Number: SWG3 f10r- O U 4/UT _ Designer's Name:
Designer's Phone#: _31 a
Applicant's Name: 1 el--e l L An/ D O A4 Assessor's Parcel No.: O D
Rwdr'Dio N
Mailing Address: WO/0 R S d 69a d1 Ar C1
S cA-Ty I Wlh 9BU7' /Yb r Subdivision:
City - Stan Zip
u s
( �tr V)-� C41 Treatment Device
(3 Glendon Biofiiter O Sand Filter lfJ Mound (3 Sand Lined Id
O Aerobic Unit-Make/ModeL — O Disinfection Unit - Make/ModeL
Drainfield Type D�
dorock
(3 Gravity 01 ench OgjT=xcHMChambcm E Z FL W CVAANWLs
Septic Tank/Drainfield Specifications Laterals
� Schedule/Class �
Number of Bedrooms Length
Daily Flow -;too trod Diameter
Septic Tank Capacity I a o O sal Number
Receiving Soil Type(1-6) io end/ft= Separation
Receiving Soil Appl.Rate
Required Square Footage O OrWiCeS
Designed Square Footage "�a Total Number of Orff, ifices o
Perot Reduction Taken _ Diameter m
TrenchBed Width q ft Spacing
Trench/Bed Length ` ft
Elevation Measurements Ma Old
Schedule/Class
original Drainfield Area Slope % Length (v33; i v `
New Slope if Altered % DiameterJUL
Depth of Excavation from Preferred Manifold Configuration Ural? Yes ❑No
Original Grade (t/r Transport npis
in 0
(Downslopc) Schedule/Class
Length 90
Designed Vertical Separation 31, in Diameter
Graveness Chambers Required? ❑Yes C No L�Optional Dosing and Pump Oham r
lJ Yes ❑No Number of Doses(Day.
PAP Required? Dose Quantity
Pump/Siphon Specifications Chamber Capacity ov 1
Difference in Elevation Between Pump Shutoff and Uppermost ft PumP GIs: l`g '°`r Elapse Time M (drde Hregahad)
Orifice: �/ I� if Thew. PUMPOn i u n36y°c Pump. ff hPur
Uppermost Offim is o Higha. 0 Lower than Pump Shutoff CbaY tiro following components if they between doses:
!rapacity®Tolai Preswre ❑Laterals
tSiwlated Total Pressure Head /D .37 ftWTI
r
(Attach Pump Curve)
DESIGN FORM-PAGE TWO Irerind AprI124.I99a
smsffis���Nano
F .
Scaled Plot Plan Scaled Layout Sketch 79rSc0c
-Section ketch
Gr Test hole locations Or Drainfield orientation and layout ed depth f m original grade:
Property lines Q�Trenchf cd dimensions and critical tank lid as drainfield cover
I�Existing and proposed wells within distances within layout depth
100 ft of property lines Rr D-Boxrr/"L"locations
O Critical distance measurements to cuts Septic tank/pump chamber location Reference depth fro original grade
banks,and surface water fr Observation port location and restrictive strata:
O Location and orientation of curtain VY'Clean-out location GLaterals top and bottom
drain and all absorption components G`Manifold placement O Curtain dram toll ctor
ie Location and dimension of primary 0' Orifice placement O Sand augmentatio
system and reserve area OLate al placement,with distances to
Aor Buildings edge of bed Other cro noetail:
Pr Direction of slope indicator 0�'AudibWvisual alarm referenced Observation poets d clean-arts
o1 Waterlines Scale of drawing shown on scale bar
to
Roads/easements/driveways/
Pam° ..
g "Catiairt 'or,�miartrirl::" in
O Critical resource lands if applicable)
1
North arrow and scale of drawing
shown on scale bar _
r7(=sTtgcttld
Additional Information
Design staked out
O Operation and MaintenanceNotice
Attached
O Waiver(s)Attach
,.; MA
The undersigned designer does, O does not,waive the requirement to be notified by the installer of the install nion and given 48
hours to perform a final inspection prior to cover. 7
,eignature of DesigrfKr Date
The undersigned has reviewed this design on behalf ofMason County Department of Health Services and determi rLed it to be in
compliance with state and local on-site regulati 7,-L
Environmet !Health Specialist Date
Caution; DESIGN APPROVAL IS VAUD ONLY CINDER THE FOLLOWING CONDMON:
✓ The design is stamped"Approved-by Mason County Department of Health Services.
✓ The On-ske Sewage Permit has not expired,the Permit Expkatkm Date Is: a
top
✓ The system is installed by a certified installer,unless prior authorization is obtained fro n Mason County
Department of Health Services.
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval
' \JIM HENRY DESIGN SERVICES, INC.
/
MASON COUNTY DEPARTMENT OF HEALTH SERVICES
ON-SITE WASTEWATER DISPOSAL SYSTEM
DATE: June 16, 2005
APPLICANT: JEFF GLANDON
8010 25TH AVE NW APT C
SEATTLE,WA 98117
LEGAL: LOT 2 OF SURVEY#22/23 ''�
s�ooc,n
PARCELM 320267800020 stool
PROJECT M
DESCRIPTION: NEW CONSTRUCTION
PROJECT DETAILS:
NUMBER OF BEDROOMS 3
GALLONS PER DAY(GPD) FLOW 360
APPLICATION RATE 0.60
DRAINFIELD
-Absorption Area Required 600 SQ.FT
-Absorption Area Designed 764 SQ.FT
-Trench/Bed Length 40 FT
-Trench/Bed Width 9 FT
DRAINFIELD CROSS SECTION
- Bed Depth 12 INCHES
- EZ Flow Channels 12 INCHES
-Vertical Separation 36 INCHES
-Fill Depth 12 INCHES
SEPTIC TANK
-Size &Composition 1125 GAL CONCRET { �
- New/Existing New 11-
JUN 2 r 2O05 �' '
�\JIM HENRY DESIGN SERVICES, INC.
APPLICANT: JEFF GLANDON
DATE: June 16, 2005
PARCEL #: 320267800020 PRESSURE SYSTEM - 3 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 117 feet
Orifice Spacing 2 feet Number Orifices Lateral 1 20
Number Orifices Lateral 2 20
Number Laterals 3 Number Orifices Lateral 3 20
Lateral 1 Length 39 feet Total Discharge Rate 37.2 gpm
Lateral 2 Length 39 feet
Lateral 3 Length 39 feet Friction Loss
Pipe Class 200 Tightline Friction Loss 1.54 feet
Lateral Line Size 1.5 inches Manifold Friction Loss 0.34 feet
Lateral Elevation 97.5 feet Lateral Friction Loss 0.29 feet
Friction Loss through System 2.17 feet
Manifold Length 6 feet
Manifold Size 1.5 inches Dynamic Head
Risidual Head at Last Orifice 2 feet
Elevation Difference 6 feet Add-on Friction Loss 0.2 feet
Elevation Difference 6 feet
Tightline Length 80 feet Total Dynamic Head Loss 10.37 feet
Tightline Size 2 inches
Total Discharge Rate 37.2 gpm
Add-on Friction Loss 0.2 feet Total Dynamic Head 10.37 feet
.t
Performance 1 `�` ,� �
Data oeaed laxrary2001
RPM 1750 Otulwga 1.1</2• Soldc 6/13'
12 40
9 tz 30
W
a/� W
=F6 20
a OSP33 /
s 3010
0
Capacity-U.S.G.P.61.
0 10 20 30 40 50 -60 10
rda0mad 0 1 2 3 4
The coves reflect maximum performance characteristics without exceeding full bad(Nameplate)horsepower. All pt mps have a
service factor of 1.2 Operation is recommended in the bounded area with operational point within the curve Ihnl. P 1formanre
curves are based on actual tests with dear water at 70`F.and 1280 feet site elevation-
Conditions of Service:
GPM: 37,x TOR 10. -5
SEALED RISERS TO SURFACE
MM1oYN P'lrNC -
ro ALARM aPOWER �
C...takcK ra.tiv / wart sec '.
.wwwvrw (n0 (1A�L DOSES
TIMEA_ 2EavraZt 1J �
9
If3�'
,�1 JIM HENRY DESIGN SERVICES, INC.
APPLICANT: JEFF GLANDON DATE: 6/16/ 5
PARCEL #: 320267800020 MOUND SYSTEM SLOPING SITE
Mound Parameters Constants Calculated Fields
Upslope Depth 1 Ft Gradient 3.00 Ft Bed Length 40 t
Slope/100 ft 2 % Bed Depth 1.00 Ft Downslope Depth 1.18 t
Application Rate/Soil 0.6 Bed Center 1.50 Ft Downslope Width 10.11 t
Number of Bedrooms 3 Bed Edge 1.00 Ft Endslope Width 10.77 t
GPDBedroom 120 DownSlopeCorrection 1.06 Ft Upslope Width 8.46 Ft
Bed Width 9 Ft UpslopeCorrection 0.94 Ft Fill Width 27.57 =t
Fill Length 61.54 7t
Mound Sizing Calculations
Sand Under Bed Depth
Depth of sand under upslope edge of bed 1 Ft
Depth of sand under downslope edge of bed
Upslope Depth+(Slope/100 ft x Bed Width)= 1.18 Ft
Sand Upslope of the Bed
(Upslope Depth+Bed Depth+Bed Edge)x Slope/100 ft x Gradient= 8.46 Ft
Sand Downslope of the Bed
(Downslope Depth+Bed Depth+Bed Edge)x Slope/100 ft x Gradient= 10.11 Ft
Total Mound Width
Downslope Width+Upslope Width+Bed Width= 27.57 Ft
Sand Endslope from Bed
((Upslope Depth+Downslope Depth)2)+Bed Depth+Bed Center)z )''t E* 2
Gradient= 10.77 Ft
Total Mound Length
(Endslope Width x 2)+Bed Length= 61.54 Ft
Basal Area Required 600 Ft 2
Basal Area Available-Level Site NA
Basal Area Available-Sloping Site
Bed Length'(Bed Width+Downslope Width)= 764 Ft 2
Is basal area satisfactory for a level site? Yes
Is basal area satisfactory for a sloping site? Yes fi
JU14 2 2005 `
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-KASON COUNTY
DEPARTMENT OF HEALTH SERVICES
July 06, 2005 PO BOX 1666 SHELTON,W 98584
SHELTON (360)4 7-9670
FAX (360)4 7-7798
Jim Henry ELMA (360)4 2-5269
PO Box 14531 BELFAIR (360) 2 5-4467
Tumwater WA 98511 SEATTLE (206)4 4-6968
RE: Design for GLANDON
Case No: SWG2005-00405
Parcel No: 320267800020
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,
I I "
Cindy Waite
Environmental Health
Mason County Health Services
COMMENTS:
7/6/2005 1 of 1 SWG200 -00405
Applicant Assessor's
Pa red# 3z Z 7 f n C ®w
PemlitNumber SWG2cn5--- oogv T-- (�
installer Skore— Con S-\r"gk&^Subdivision Lo-+Z ZZ T c,Ty,-.
(NameADivlslo dalaokltatl
Designer
-------------
W/A Yes rtor to Oorirpietion
1. BEPTICTANK
A) >5&.Frumfoaadaflm?.............:...........................
B) . >50 S frem wells and eutfaoe water? .......................
g to taolcck=-*dffnot12%? .............. ... �G
D) Ba8lesintactand deaat ..........................:...........
B) Diyk gwall Mid?.......................................... _
F) Risers InsMed for'acoas? ................
0) Tank Sine: i Z 00 gaL;Mam&ct=
11. D-BOX
A) Lerdedwi&water? ..........
....
B) Speed kvekrwed?
Ill. DM MELD
!) >lO 8 from foandatiea aad>5 8 from property limes? ...............
B) >100S from wells and saafacewaW .......................•...... 7
C >10 8fiampotabk water lines? ................................ ✓
D) Laterds kvdto±1 tw h ds end ups present if not looped? ...........
B) GeaWllesschambers utilized? .................................. ✓
F) SyStem dk=L* s the same as shown on the design?................
G) Orard dean,properly zh4 and proper depth? ...................... ✓ —
M PRESSUMSYSTM
1) Sand quality AMU C-33? �............. . . —
2) 1leadb*U uniform and a24ladha4t Aetodhead-hdght�_... —
3) (fin-oats and gbsavatioa Pomptesent? ,., ........
4 Mamd Side Slope 3.17 ...... ....., . —
5) Ownw�iof'a_nne-d'clacctrri�ea�ll.c�onoedinos must-be
�made.by ,
Owner or licensed electrician and inspected by L'&17 ............• 'ram
IV. PUMP/PUMP CHAMBER
A) Pump make_A146m4,k : pampmodei oSP33 —
B) Chamber Sim aCO gal; Mamafadarle —
C) Height ofpump off bottom of pump dumber (o .inches —
D) Pump chamber draw-down cATOW ZS . gallons per inch
pump capacity , /43 , 7s, . gallons per Minute
F) Pump controls or)Mspsed 1-me Meta (circle if installed) —
ifti�mer l Fame On 1.�L Pamp OD 4 hr
(� Screen basket or sent filter one)installed? —
11) Mer installed for ?� ........... .
I) Alarm installed? ........:..................................... �_
O Ih�inSeld&manifold — D 05
t�eaWtion der layout
ThadUbed dimensions �g
and critical distanow
fwid&layout
of sap gpump mnk
CS Lotxtionofba0d'mgs•
1a ()b wvmion port QG ckffi- I
outlocatiom Y V 0.�
Vi/. I0cation of was do
roo�addsyy������}}__�` y
flit 1JlRI{3{y bod nadve soil sn .
—/betwom.awMlq, 1
C� Nac9i snow
l
CAUTION:lamcaQ�eatrbaepaoarkbcatfoaaslkatrfiddodattnpawaeY SWUbydwi�tkkF b►olido{
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cyatem open for iaspectim up to 48 hrs pcioc to. . dcalper waived me o
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I firmer certify that ill iafottnafion contained on bus fam is aewrate..I if the hrfomration herein is not
accurate,&exe will 6e justawse for immediate saspeasIon of my lnstallor..
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Tho undersigned approves this roster Won on bd"of Mason oouaty r of ces;
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