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HomeMy WebLinkAboutSWG92-0644 - SWG Application / Design / As-Built - 9/10/1992 MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. —71TES o, y SITE EVALUATION DESI N A n 426 W. CEDAR/P.O. BOX 186/SHELTON, WA 98584 Date DateN o PHONE (206) 427-9670 Receipt No Receipt Nm _� Amount$ Amount$ Z -- 3 T. I 1 oZ CHECK APPLICA m MAILING ADDRESS: DAYTIME PHONE: INSTALLING NEW SYSTEM o REPAIRING OLD SYSTEM to C EXPANDING SYSTEM STATE: aZIP: � m IQ SINGLE FAMILY m PROPERTY ADDRESS: OTHER 17 Z T t=1 SPECIFY: SPECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL m rn 1CY.LEISOK) JCO , mho PUBLIC SYSTEM SYSTEM ID NUMBER SYSTEM NAME n, APPLICANT NAME Name of Lot 'ft.xtft. MAILINGADDRESboss a Installer Size: S•d�J acres [TELWHONE o20(P _ g v Name of um er o SI E y Designer t Bedrooms X PLOT PLAN rrr� Draw a dimensional plan, including: r— N ❑Precise location of t o holes,showing '= measureddistances� property boundaries 71 r �O O Entry road;ether roa ip driveways. N NOTE: DO N, T DR N O SY�EM DE OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. f*W r�"6 SOIL LOGS W�� o—� 16 3tF CfuN,fu(Fo/pra44UF0 6-8 Vvr, Gwf L.ea4Ax 3 ftPBUE+Ly Logn� 3�Zb Tu 18-3� FKn,srt:`rjLoov 26-3� ►hd-to EJiO i of MOVIU4 a_4 43 n 4 Wb ?� 0 3 nu�F 34 sb A C t� Ott Sick Let9 s-3l c�aEua,La" 3r-40 za F� Sh"o epth from Original 40—g5- C&W1(0 i174,,L Grade to Restrictive Iurrres r!a 3f" Layer or Water Table: _ In. DESIGNER DESIGNATION SCORES MINIMUM SYSTEM R OUIREM NTS Design:O Level One Level Two Soil Vertical Separation Septic Tank Daily b r \ Capacity: 12M Gal. Flow: ��� GPD Slope( o) _ Appl. Infilt. ep rom rigina Parcel Size — �r-� r Grade o Bottom of Rate Vc GPD/FTI Area 6v� FTC Abso ion area: / . In. Distance to Shoreline 0 Total I� Inspector Date COMMENTS/CONDITIONS FOR APPROVAL ❑Owner/Designer/Installer must meet on site to verify precise system layout O Owner must arrange pre-installation conferences i dth health dept.staff ❑Winter observations required ❑Extreme care needed during site preparation to pr serve existing topsoil Any change from the specified use of the property or any site alteration affecting the system design may invalida a this permit. This Permlt expires 3 years from date of Issue.Denial of this permit may be appealed to the Health Officer within 0 days of denial date. SITE: Approved Design Required ❑Not Ap�pprovped DESIGN: ❑Approved ❑Not Approved INST LLATION• App ved ❑Not Approved BY: DATE: --[.Q_Z BY: DATE: BY: DATE: TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM: Ap licant's Copy MASON COUNTY DEPARTMENT OF HEALTH•SERVICES POST OFFICE BOX 186 SHELTO , PIA 98584 ( 06) 427-9670 FAX 427-8425 nam ■ To: �p ick yU� ejE.L R A V r (�/ M ■ A8: Design for �L Cal Part:el Ile. 21 gyLi y��ao t� nononarrnarruaaurmrrrrrrrrrrlrrrrr°0°°0°D°0°r0°°°°°°0°°°°°0°nnuununnnnamrrrnunnaruunnnwau annnuannnauai ® Your design for the above referenced parcel has been reviewed and is hereby approved. ® Your design for the above referenced parcel has been reviewed and is hereby conditionally approved. The condition(s) for approval are 0 0 0 Year design for the above referencsd Xparcel has been reviewed and Catm a be anoroved_ The r'eason(s) for sot •FProving the design 0 / r a eC�: yp verleelee L-a eeace eltetaectw tyetr 4elde{taee eve ae dleetl �: eM Juect:les vtca y tdeetl:led :a by :0e nae1Ct tetmucel dau. �e .eegeety et :eteelcu raetl=cattee �Ul be dePe�.fellc vtCeta Cee :1--t of cetlret Accepted d..1 pelicry, and �wt one M 94 Pteetlre., Oepet�tecai end :bo oeelga tteeeerde. FFiQM �II «� QUICKWUNQ ttvv� /l�Wl�befl �kf � DATE: �-�LTH SERVICES ATTENTION: TO 1�Q5�g+'� hWMW+t I SU$JEOT fP,a, 13a>c 1 TP 3Z csvt ; r v i ✓n �'� iw44Af 17` ✓� U e k.; I CL Lv� 41W Ofi}t� 4 , ire S M +tN4e WOVI 1 ✓%ems W c $ In�or r S A 2 n ve J Q i VlQ o G Jr s ✓ f)h rf E �� ( J 2 evl 1. ✓e( oad / 1 Byj4x etri'' � e 'e v ( l Jv �,,I• '� fie t`Q v`e i'T ` NOT c`�n Cl%1 l a i ,� i s v�csfl s� eh�r Fo rah w h wou d b 61A� 41 vp us c e �4il 8tztd �crtd b 11 wi c'd vt✓ee ilt C SIGNED MASON CCWNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1866 SHELTON, WA 98584 2 6) 427-9670 M ■ tu►Ts: ���la �L 0 S d1ti o ■ To: R A I" ■ ttROM: D U ' M ■ RE: Design for �� / Parcel No. nuutnuuuuuuuaumuunuuuunuuwnunnnuuuuuuuunuuunnuuunuuuuwnuunnuuuuuuuuuuuuuuouuatnauuuuuuuuuu Your design for the above referenced parcel has been reviewed and is hereby approved. Your design for the above referenced parcel has been reviewed and is hereby conditionally approved. The condition(s) for approval are _ a a 0 Your design for the above referenced parcel has been reviewed and cannot be approved. The reason(s) for not approving the design . a a a NOM Amy variatim ftoa stmtm altarmative eyetm gnidalinen .sat be clearly iden ifild in the design .ed Justified with tmeholeal data. The adagoamy of tm. j,..: Jastlflmtlm will b& within the ccatmt of eurtant acwpted denlgn praeeless, sad departmental policy. Asvised 02/01/92 L9V,KL TWO DESIGN FORM - PAGE ONE Awl"d 04n21" PARCEL IDENTIFICATION Applicant's Name Prop. owner's Name G ?� P.0. Box 162 rd Mailing Address ftmpla.WA 99507. Prop. Street Address 2AS eft) 1�3 I� Qiay aa.a. ale QLaY ale.. ily 32) �o� 6 (ZwCe✓� ot > NP V/ol 7- Assessor's Parcel No. ' '7S- ObbbO Subdivision (Sv.l v.-e Lola ay.w.r) (n..../eLvl.len/a eeM ea SEP 10 1992 DE I ARAIBTERS I No. Bedrooms g Daily Flow 3(oo gpd Soil Type Sam Loa Septic Tank Capacity 11l-5 gallons Native Soil Application Rats ` gpd/ft' Site Character: El Level Sloping Trench/Bed Bottom Area ('00 ft2 System Type J J J u � Mound Subsurface Pressure Gravity Bed Trench Transport Pipe Manifold Laterals Schedule/Class Zoo Schedule/Class Z. Co Schedule/Class zoo Length ZZO ft Length ZI ft Length 3"his ft Diameter Vh- in Diameter Z in Diameter 1. 2S in Number 3 Separation ft Pump/Siphon and Chamber Capacity at Total Pressure Head A&r5M qpm orifices Calculated Total Pressure Bead 16, 091 ft 11 Q.3 Number of Doses per Day Z Numbs Later air Dose Quantity IBo gal Diameter 3 in j Chamber Capacity 3Ca gal Spacing 3(a in (Attach Pump Curve) _ �� •_ +' _ orb, _l� .l, aJ,J i ry,�;rC LEVEL TWO DESIGN,,FORM — PAGE TWO s..a..a oaixasx PLOT PLAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . �� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DESIGNER PLOT PLAN CHECKLIST Scaled plot plan if lot is under 3 acres Location and dimensions of reserve area Existing and proposed wells, including uildings, roadways, easements, parking wells within 100 ft of property lines L✓J( roperty lines, building stub-out Topographical features, cuts, banks, percent and direction of slope Mound horizontal gradients, endelope and upslope/downslope widths overall EJ/Location and orientation of curtain fill length and width, depth of mound drain & all absorption area components cap at center and edges of b d LEVEL TWO DESIGN FORM - PAGE THREE, ss«a main DRAIN101M D LAYOUT DETAIL . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DRAINPIRLD LAYOUT DE�T�AAIIL CRECELIST manifold placement G Lateral cleanout locations El"��orifice placement (staggered) a Observation port locations Lateral placement within bed Mound dimensions (if applic ble) LEVEL TWO DESIGN ,FORM — PAGE FOUR ftwi"d 04/22/92 SYSTEM CROSS SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . � �0. . . . . . . . . . �. .1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ELIMTIONS All Systems • Depth from Finished Grade to Top of Septic Tank inches • Depth from Finished Grade to Top of Pump Chamber ------------------ Z hes —4ach as • Elevation Difference Between Building Sewer Stub-Out and Fixed Reference Po t �— — li, • Building Sewer Stubout is ONig1her Lower than Fixed Reference Point • Reference Point Location: So�lh Si c\ (8:: rZ �Q • Elevation Difference Between Shutoff Level of Effluent / in Pump Chamber and Uppermost Orifice --=-=---------------- A/1 feet • Uppermost Orifice is 618`igher Lower than Shutoff Level of Effluent in Pump Chamber Subsurface Systems • Depth from Original Grade to Bottom of Absorption Area at Downslope Edge ---- inches • Depth from Original Grade to Bottom of Absorption Area at Upslope Edge ------ /3 inches • Depth of Cover Over Absorption Area at Completion --------------------------- O-/L-inches Mound Systems • Depth of Fill Beneath Upalope Edge of Bed ---------------------------------- inches LEVEL-TWO DESIGM'FORM - PAGE FIVE swised 04/22/92 DSSIGNSR COMMIMS AND CONDITIONS CONDITIONS AND ONDSMSTANDINGS i The undersigned agree not to hold Mason county Department of Health responsible the event the system installed in accordance with this design fails to operate as required by Mason county Health Code. v Lan-aur- et •VOLLa-na aLOn-aur- st -Lan-r Designer waives requirement to be notified of inst ti n a given 48 hours to inspect the prior to final cover: Yee No L v e -bur el --LOn-r 01 The undersigned has reviewed and approved The undersigned certifies the system has this design on behalf of Mason County been installed in full accordance with this of Health Services. design. n-.ten Sn-e-Dees In.a.il-r PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE # : PARCEL # : 32134-75-00060 DATE SUBMITTED : 09/09/92 LEGAL /LOT # : LOT 6 CATFISH LAKE SUBMITTED BY : DICK YUNKER APPLICANT: NICK WILEY ADDRESS : 218 S .W. 143RD ST SEATTLE , WA 98166 I . CALCULATIONS NUMBER OF BEDROOMS = 2 + 1 RESIDENTIAL GPO FLOW = 360 IF NON-RESIDENTIAL - GPD FLOW WILL BE AS FOLLOWS : GPD= APPLICATION RATE _ . 6 GPD/FT2 DRAINFIELD SIZING ABSORPTION AREA = 603 FT2 TRENCH LENGTH OR BED CONFIG . = 201 FT VOLUME OF DRAINROCK = 23 YDS VOLUME OF MEDIUM SAND = N/A II . SEPTIC TANK COMPOSITION AND SIZE = 1125 GAL - CONCRETE NEW OR EXISTING = NEW WATERPROOFED? ( YES/NO) = NO III . DRAINFIELD CROSS SECTION DEPTH IN NATIVE MATERIAL = 0 ' - 9" ROCK DEPTH BELOW PIPE = 0 ' - 6" SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAL /SEASONAL SATURATION = >I ' - 0" FILL DEPTH = 1 ' - 0" TRENCH WIDTH = 3 ' - 0" IV. PUMP REQUIREMENT DOSING VOLUME IN GALLONS = 180 NUMBER OF DOSES PER DAY = 2 V. PRESSURE CALCULATIONS ( FOLLOWING PAGES) PAGE 2 APPLICANT : NICK WILEV PARCEL # 32134-75-00060 SITE # V. PRESSURE CALCULATIONS USING PIPE CLASS 200 ORIFICE 3/16 LATERAL #1 = (NOTE ( 1 ) : TOTAL PRESSURE HEAD = (MANIFOLD FRICTION LOSS) + (RESIDUAL PRESSURE HEAD) +(ELEVATION DIFFERENCE ) TOTAL PRESSURE HEAD = 2 + . 2 + 0 . 00 = 2 . 20 (NOTE ( 2 ) : ORIFICE DISCHARGE RATE = ( 11 . 79 ) X (ORIFICE DIAME ER ) SQ2 X SQ ROOT OF (TOTAL PRESSURE HEAD ) ORIFICE DISCHARGE RATE = 0 . 61479 LATERAL LENGTH IN FEET = 67 . 00 ORIFICE SPACING = 3 ' 0" DISTANCE FROM END CAP = 2 ' 0" NUMBER OF HOLES = 22 LATERAL DISCHARGE RATE = 13 . 525 LATERAL #2 = TOTAL PRESSURE HEAD = 2 + . 2 + 0 . 00 = 2 . 20 ORIFICE DISCHARGE RATE = 0 . 61479 LATERAL LENGTH IN FEET = 67 . 00 ORIFICE SPACING = 3 ' 0" DISTANCE FROM END CAP - 2 ' 0" NUMBER OF HOLES = 22 LATERAL DISCHARGE RATE = 13 . 525 LATERAL #3 = TOTAL PRESSURE HEAD = 2 + . 2 + 0 . 00 = 2 . 20 ORIFICE DISCHARGE RATE = 0 . 61479 LATERAL LENGTH IN FEET = 67 . 00 ORIFICE SPACING = 3 ' 0" DISTANCE FROM END CAP = 2 ' 0" NUMBER OF HOLES = 22 LATERAL DISCHARGE RATE = 13 . 525 LENGTH DIAMETER FLOW FRICTION LOSS SECTION ( FT) (IN ) (GPM) ( F ) AB 220 . 00 2 . 50 40 . 576 . 9590 BC 4 . 50 2 . 00 27 . 051 4 . 0479 CD 12 . 00 2 . 00 13 . 525 . 0354 DE -33 . 50 1 . 25 6 . 763 . 1567 TOTAL = . 1991 • Y PAGE 3 APPLICANT: NICK WILEY PARCEL # 32134-75-00060 SITE # ** TOTAL HEAD LOSS ** 1 ) FRICTION LOSS THROUGH SYSTEM 2 . 1991 2 ) ELEVATION DIFFERENCE = 14 . 5000 3) RESIDUAL 2 . 0000 TOTAL = 1 . 6991 PUMP PERFORMANCE 'S HYDROMRTIC SPSQ - MRK SOLIDS 1 1/e' SPHERE -'ITSD RPM s eY FUl L L 100 RM S f T I 1 3 n -le Q e Rv .S w w � FIN LLAo LL Fin B I 1 8 0 a eV z u 9p ■. 46 V Q fa O It ' J H ram- B 4 0 Q es 4 SQ SR IB0 IED 148 160 U. 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DATE CALLED IN: TIME: INSTALLER: APPLICANT/OWNER: � f >> Ir/'1(y�I ( ✓� CALLER: PHONE # OF CALLLLER: Ln , ,�,�V�� PARCEL NUMBER:�2 113A50�LCO�-'�/l.�/ SUBDIVISION: DIVISION: LOT: SYSTEM TYPE (CHECK ONE) : a a u A•, PRESS GRAVITY INSPECTION SCHEDULE (CHECK ONE) : (—1 u APPOI NT PLUG IN STAFF INITIALS: h:callin.0 Revised 08/24/94 ON-SITE SEWAGE INSTALLATION STAFF INSPECTION REPORT ................. .............. ....... ................. ........ STAFF CHECKLIST CONFIRMED BY INSPECTOR? I. SEPTIC TANK Yea No C..ts A) >5 ft from foundation? B) Bldg stubout to septic tank; cteanout if not 1-2%? c) Baffles intact and clean? D) Dividing watt intact? IL. D-Box Leveled with water or speed leveler (circle one)? 111. DRAINFIRLD A) >10 ft from foundation and >5 ft from property lines? B) Laterals level to tl inch & end caps present if not tooped?_1 c) System dimensions the saw as shown on the design? D) Gravel clean, property sized, and proper depth? E) PRESSURE SYSTEM 1) Sand quality ASTM C-33? 2) Head height Uniform and ?:24 inches? 3) CLeanouts and observation ports present? 4) Mound: Side slope 3:1? 5) Owner informed electrical connections must be made by licensed electrician? IV. POTABLE WATER LINES A) >10f t from drainf ieLd, transport tine, and septic tank? z) Watts >100ft from drainfietd? V. PUMP TANK A) Scree et r effluent filter (circle one) installed? B) Riser instaVvd for access? C) Alarm instal lUk VI. AS BUILT RBa;AWj' vxI. oTuxa. COMMENTS The undersigned has reviewed this installation and verifies these findings on behalf of Mason County of Health Services. tat He7jVnSpe� h:cattin.w Revised 08/24/94 LUILT FORM — PAGE ONE a ism 07/12/93 PARCEL IDENTIFICATION Permit Number SWG9 - O 4;4/�� Subdivision / 1 / (N�ma/Division/8 ook/Lot) Installer's Name /./ /: f-/ia /�.`�s �d C,^ I Assessor's Parcel No. 7 O O O ('Lwalva—D gYt N.an.b ai) Designer's Name INSTALLER CHECKLIST I. SEPTIC TANK s No N/A� A) >5 ft from foundation? —/ B) Building stubout to septic tank: cleanout provided if not 1-28 — C) Baffles intact and clean? — D) Dividing wall intact? — II. a A) W A) Water leveled? — B) Speed levelers used? — III. DRAINFIELD A) >10 ft from foundation and >5 £t from property lines? — B) Laterals level to 31 inch? C) End caps present if not looped? D) System dimensions the same as shown on the design? E) Gravel clean, properly sized, and proper depth? — F) PRESSURE SYSTEM 1) Sand quality ASTM C-33? 2) Head height uniform and >-24 inches? 3) Cleanouts and observation ports present? 4) Mound: Side slope 3:1? — IV. POTABLE WATER LINES A) >10ft from field or double sleeved? — B) Wells >100ft from drainfield?V. PUMP TANK .. A) Screen basket or effluent filter (circle one) installed? B) Riser ins a ed for access? — C) Alarm installed? — CERTIFICATION OF INSTALLATION Installer: Check box from Row "A," check box from Row "B," sign and date the certification. A. El I certify that I installed the system certify that all deviations from without any deviation from the design the design stamped "APPROVED" by MCDHS are stamped "APPROVED" by MCDHS. shown on the reverse side of this form. B. [Z I certify that I contacted the I did not contact the designs prior designer and left the system open for to final cover because the de igner inspection up to 48 hrs prior to cover. waived the notification requi ement. I further certify that all information contained on this form is accurate. I inderstand that if the information contained herein is not accurate, there will be just c use for immediate suspension of my i stalle cer ation. -41 91 c r aCallaz iaata� Y The undersigned approves this installation of behalf of Mason County Department of Health Services. /9 H lth inapaotor Onta AS-BUILT FORM - PAGE TWO Nevised 07/12/93 PARCEL IDENTIFICATION Permit Number SWG9 - (��, y� Subdivision s GD ) I (Name/DivlYiort/ 1oo]c/LOt) Installer's Name )41if Assessor's Parcel NoA / Tvo vY�D igit Numbaz) Designer's Name A/„�;Ia.✓ AS-BUILT DRAWING cAUTION: Minor adjustments to septic tank location and dralnfleld orientation made in the field by the installer are generally ac- ceptable to both the department and the designer, but could in certain cases compromise the viability of the 83 stem. It is the in- staller's responsibility to obtain prior written approval from either the health department or the designer bel ore making any devi- ations from the design that affect system viability. Any deviations from the approved design must be shown above. AS-BDILT CBECRLIST EDrainfield orientation El Observation port location Undisturbed native soil and layout r,{'/ b'tween tre ches r,,1/ u C anout location —�i/ '�' Trench/bed dimensions and North arrow critical distances within �ifold placement —� �(/ layout �i /fin u Scale of drawing shown �y O 'fice placement on scale bar E] D-Box/"T"/"L" location Lateral placement, with Additional Mound Information Septic tank/pump chamber distances to edge of bed location IAJIA � slope width ���yy,,,�" ocation of wells, roads 2 '�' LLocation of buildings Overall fill dimensions