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HomeMy WebLinkAboutSWG92-0464 - SWG Application / Design - 7/31/1992 MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. _ sn y SITE EVAj_UATIO11j DESIGN AND INSTALLATION n COD Date Date < N 426 W. CEDAR/P.O. BOX 186/SHELTON, WA 98584 y. Q Receipt No. Receipt No. o H PHONE (206)427-9670 Amount$ 66 Amount$ T Z FIHOPt:HIY OWNER: DATE' m CHECK APPLICABLE ITE S 1/ m m MAILING ADDRESS: DAYTIME PHONE: INSTALLING NEW SYSTEM A� ro -{2G -7/¢3 REPAIRING OLD SYSTEM CITY: STATE: ZIP: EXPANDING SYSTEM m S/yEG.TO-s! �1A.5//. g yC SINGLE FAMILY ✓ CD PROPERTY ADDRESS: OTHER Z S,VA ,e SPECIFY: 3 SPECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL Na,2Tlee ?o eg /�fri5 �O E.�S7� PUBLIC SYSTEM I v SYSTEM ID NUMBER 70 /1l1AE POSTS O FT r $��� �P SYSTEM NAME APPLICANT OR/vEcv/Ri ©/y ,E/(�T�t'tvEST S/OE .eR NAMEgZAW4 C. cNji A. Name of Lot /S0 ft.x 700 ft. MAILING ADDRESS-go Installer,W/KE leO. 3ifl6GTbK k+ lJ Size: 2.40 acres TELEPHONE 6ro Name of um er o SIGN DesignerWIAOE laa0Vw/.�l Bedrooms / X o PLOT PLAN J Draw a dimensional plot plan, I� including: P 00 A o �. ❑Precise location of test 7dc holes,showing �6 OeiuE u q y measured distances to property boundaries. 10 ❑l ® • ❑Entry road;other roads, trA driveways. C/¢00 O 8 r�> I Q NOTE: DO NOT DRAW IN P • — 3 0 SYSTEM DESIGN t) �5 SE Sso�S 7-,-elfs_.7- Q , S•fc TzonF,eZ� � OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. TH $ 1 T `IlA*Q SOIL LOGS TNw3 TNr� 0 3 0-5 argwv:'L M444rkk*l 0-3" Ou S O n .'J_ 5�s f 3a0" siltlowM 3' 0 - Cow�ae v zy- 5-io" gel+loww. � 3o`^.'vyt 6 silt I to-3N ww. a0•a6W�+N.eb 'fill 3e"-HLo peke �b 'l0`-Ca ly ai to,, vrwMe H,4r�v4v� 2O" j'-rnot}lQi ti\1 -;te a., Cov�av, Qpd}S yE ab° Depth frorn Original I-V 4+wwct Grade to F estrictive P.od� S 34� Layer or aterTable: In. DESIGNER DESIGNATION SCORES MINIMUM SY - __ E ENTS Design:❑Level One J evel T a-ia" S; f av Soil Vertical Separation Is Septic Tank Daily ^ Capacity: IOOO Gal. Flow: olr't O GPD Slope O erc' Appl. Infilt. I raDep rom omof Parcel Size Op}5 Rate GPD/FT' Area p� FT2 Grady to Bottom of Abso ' lion area: In. Distance to Shoreline 0 Total Inspe for Date t4� ! 8��f�9a /.!O 7&ST HD�6s COMMENTS/CONDITIONS FOR APPROVAL fds-s i/ At•yo.60 kQ-%p sys h , sl,.gl�oe,� ►��d f�—� ��� O� +-es+ �v � � a a`3 ThsL silt- 104.,\ -(A T}l+3 ftAs Cov, Q� Z+ b,+ a�Az 30 44 jao& rcia4 ❑Owner/Designer/Installer must meet on site to verify precise system layout ❑Qwner must arrange pre-installation conference with health dept.staff ❑Winter observations required a care needed during site preparation toreserve existing topsoil Any change from the specified use of the property or any site aeration affecting the system design may invalidate this permit. This Permit expires 3 years from date of issue.Denial of this permit may be appealed to the Health Officer withinj 10 days of denial date. SREAApproved Design Required ❑Not Approved DESIGN: Approved ❑Not Approved INSTALLATIO • proved ❑Not Approves' Y BY: PL� DATE:q It q BY: DATE: Zquaolk, IBY: DATE:B-J-9 TOP: Health Dept. Copy M D'SLE:teslgner's Copy r9 TTOM: Applicant's Copy MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 FAX 427-8425 APPLICATION FOR VARIANCE/APPEAL Revised 10/25/92 ............ ............ ............... ........................ ............... Directions ......... ............... .............................. ................... ............................................... ........................................................................ ............... 1. Coaplate Part A and submit to the I)Jrwtor of Health 30rvicw, PO B&�� n, Wh 98584. 2. Staff and the director will make a recommindatims to the Health 0 1 r 1�o.P� 3. P. The Health officaO, will make an initial in-house dotoraination iQA V., cant, if umnatiefied with the initial Health Officer deteran 4. The applicant, tied, 7 at a H lth Offi- cer Hearing. The determination of the Health Officer at the fO=Aa 800XIN will Part Z. Findings AM determinations of the Health Officer may be appealed to the HOSOM COMWtY Hoard Of ........... ............................................................ Part As Request for variance ....... .. ................. ............... ............................... • ......................................................... ................... ............... Applicant's Name: 4,—AeZ- • Address: oer'so-gb Ap le--04�z,re 4e7e- V—C,7 ,::Ed�-ZjnAl • Telephone: • Assessor's Parcel Number Subdivision Name and Lot Number • Nature of variance or appeal: Reduce separation between primary/reserve (circle one or both) drain- field area(s) and from feet to feet. ElAppeal findings or conclusions of environmental health staff (please specify) : Other (please specify) ,-- V4 I- Al 42 e a Applicant's Signature • Date MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFIZE BOX 1666 4frjl/` / /-I .m SHELT(;R, WA 98584 (206) 427-9670 FAX 427-8425 APPLICATION FOR VARLkNCE/APPEAL Revised 10/26/92 ............................................................. ............................... Directions .............................. .......................... ............. ........................... ........................... ........ ............... ..............I ... . . ..... .. .........../......... ....... ............... 1. Complete Part A and submit to the Director of Health 30cNiCUS, P40 B n, WA 98584. I. Staff and the director will make a recommendations to the Health 0 1 r in Patti 3. The Health Officer will make an initial in-house determination I?lq unsatisfied 4. The applicant, if unsatisfied with the initial Health Officer stio car Hearing. The determination of the 8malth Officer at the formal Hearing will t a R Ith Offi- cer rt S. Findings and determinations Of the Health Officer MY he &PP"10d W the Mason COUcty Board of ;!!!leak. .................................. .............................. ....... .................................... ......................... *:............................................. PartA: Request for Variance ::.............................. .............................. . .............. ............................. .................................... ..I........... .................... ............................ .............. ............. .............. ..... ........................................................... ............................. • Applicant's Name: d5--V'V,'04 • Address: • Telephone: • Assessor's Parcel Number • Subdivision Name and Lot Number • Nature of variance or appeal: Reduce separation between Primary/reserve (circle one or both) drain field area(s) and from feet to feet. Appeal findings or conclusions of environmental health staff (please specify) : L 0Other (please specify) : • Applicant's signature • Date ............................... ............................................................. ...........::................................ . .................. ............................. ... :H.HHH:................................................ ......................................................... ............................... Ei ............................ Part B- Staff Findings ................ ............................... ................................ .............................. ................................... Applicant owns the affected Well Soil texture provides for trERtMent of swags Applicant does but own affected Well, Soil depth provides for treatmant of samage but owner has been notified Enhanced sewage treatment will be utilized. Parcel cannot be developed without variance Specify type: F1Other: Environmental Health Specialist Date ............................... ....................................................................... .............................. Part C: Director's Recommendation .. ................................... ............... ............................ .. ............. ............................ .. ................ ............. ..................................................................................................... Director recommends approval of the variants OX appeal, based on the following considerations: oc "-c -Tf)Oq-S nh terh-j A.0 Cf'.jC S.4c- I TV Y r,Wil I C' 'JAP4V*f Ljm P re 4A,1Z 1114KOv, ex-A AA'hq�', <�'W il 69 r�U nDirector recommends denial of the variants or appeal, based an the following considerations: Diiectief of Health Services Date .............................. ............................... ............. ................. .................. ............... ............................. ...................................n ................................ Part D* Initial Determination of the Health Officer ... ... ............................... ............................... ............ ............................................ ............. ... ............................................................................................:............ ............... FJThe Health Officer has determined that approval of the request for variants or appeal will act have an adverse effect on public health and the vetiabog or appeal Is hereby granted, This decision is has" 4 a the following findings: ElThe agalth of flomr has determined that approval of the request for variants or appeal has a potential for an ad- verse effect on public health and the variance or appeal in hereby denied. This declaim is basaxi on the follow- ing findingst Mason County Health Officer Date VevIxmd 10/26/92 ........................... ............................................................................................. Part S: Health Officer Hearing (completed if Applicab 6 .......... .............. ............................ .................. ................................................. Evidence Presented Final Determination The Health officer has determined that approval of the request f r vari- ance or appeal will not have an adverse effect on public health and the variance or appeal is hereby granted. This decision is based on the following findings: The Health officer has determined that approval of the request fDr vari- ance or appeal has a potential for an adverse effect on public health and the variance or appeal in hereby denied. This decision is Dased on the following findings: Mason County Health Officer Date Rwi"d 10/26/92 MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 186 SHELTO , WA 98584 (2 ) 427-9670 FAX 427-8425 M Dais: 12'2�I�i2 E M O To: j lc ' �'qtJv\�-v R A (� N mm: D X-T M Rs: Design for LL4(-[ AIJ'Ai(�t,n parcel No. g20C,Lj 1,4 p(p80 Eereby our design for the above referenced parcel has been reviewed and is ageroved. SQ-31 CC C ( _t cJ�- lS�; rpj +0 cL#i t ov�CPv1 Kj V, ahereby Your design for the above referenced parcel has been reviewed and is conditionally approved. The condition(s) for approval are: a o a . aYour design for the above referenced parcel has been reviewed and caaaot be approved. The reason(s) for not approving the design ar : a a a to=' Any veriatlon f:te ears altaehatl" sr r gnidellnee mat be eleerly identified in the design end luatifled -itA teehnieal dau. no adequacy of technical ]ustlfiution Will be aeeee md try the hrltA depetteant WLU4, tAe concert or earrent =Opted design practice, depa ntal policy, and LeVe1 One and :Yo Deelgn Standarda. MASON COUNTY DEPARTMENT of HEALTH SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 1666 Shelton,Washington 98584 (206)427-9670. Belfair:275-4467 Seattle:464-6968• Other: 1-800-562-5628 environmental health personal health water quality December 21, 1992 Carl McMillen E.3080 Pickering Rd. Shelton Wa. 98584 RE: SEWAGE TREATMENT AND DISPOSAL APPLICATION FOR E.3080 PICAERNG RD. Dear Mr. McMillen, On December 7,1992 a design for your property was submitted to our office by Dick Yunker from Hunter Campbell and Associates. The design was accurate and 11 the calculations were correct. On December 21, 1992 an inspection was done of new test holes to verify soil type and depth. The design was for an area that had not previously inspected. The new holes that were inspected had a structured silt loam ( type 5 )from 19 to 24 inches in depth before mottles were seen. A shallow pressure system requires 12 whes of vertical separation for standard conditions. Vertical separation is the depth of s it that exists between the bottom of the trench and the restrictive layer. Ifthe trenches wer 6-10 inches deep the required vertical separation would exist. For type 5 soil 267 sq. eet of absorption area is required for each bedroom. Perhaps a designer could de 'gn a shallow pressure system that can fit in this area. If not, than the mound system th i was designed will need to be installed as designed. Ifyou chose to have a designer redesign a system, using the new soil logs than I would be happy to review it. If you have any questions regarding this, please contact me between 8:00 and 9:30 Monday through Friday. Sincerely Pam Denton Environmental Health Specialist cc. Hunter Campbell &Associates A77N.•Dick Yunker P.O. Box 162 Olympia Wa. 98507 0 Recycled MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 186 SHELTON WA 98584 (20 ) 427-9670 FAX 427-8425 E ■ Dais: 4C M �( R ■ TO d_/ ' (—� \v1l��Qll� A D ■ Px� Q'4t� V1�1i��Ov� U M ■ Ns: Design for f_iaJ'' {Mctinlllp n. Parcel No. 00 SQ mntuunuuwuntumuwtumuuuautnuuwumruuwumuutuuwuumttmuuuwuummuuuuDmtnmuntuumuuu Nuuuunumuntt Your design for the above referenced parcel has been reviewed and Ls hereby Mroved. �t� �tgu� tn,v� c'1��1Ud�2d; t2`a�\g2 aYour design for the above referenced parcel has been reviewed and is hereby conditionally approved. The conditions) for approval are: a . aYour design for the above referenced parcel has been reviewed and cannot be approved. The reason(s) for not approving the design are: a a a NCB: any variation fro. scan altarnatl" syst geldsllnes oust he clearly identified in the design and ]ueeltled rich technical cau. :he adequacy at technical lost ticatlon will D. awes by the health department rithln the Contest of Current accepted design practices, departmental policy, and level One and :Lo Design standards. AI`TERNATIVE-SYSTEM DESIGN FORM - PAGE ONE R. iaed 09/01/92 PARCEL IDENTIFICATION Applicant's Name C' r \\\P� Prop. owner's Name \ \�a Mailing Address C)( � Prop. Street Address TTT �essorIa 1= 1 No.��t��1� 16��7XJ Subdivision LL..++�`....'' (1w�lV�—OSQ1C Nvanb�i) (N�m�/Divl�len/S OX/LOC) r IviJ:V'I m o APPROVED < w DESIGN PARAMETERS No. Bedrooms Daily Flow � Soil Type Septic Tank Capacity \ &cn rn gallons Native Soil Application RateD16 d/ft' Site Character: Level '" ' Sloping Trench/Bed Bottom Area ft1 3 System Type J J J Mound Subsurface Pressure Gravity Bed Trench Transport Pipe Manifold Laterals Schedule/Oust 110 Schedule/fie L4o schedule/etase )A Length ft Length ft Length �j ft Diameter Diameter in Diameter in Number Separation ft 7Capacity ump/Siphon and Chamber al Pressure Bead mEDiameter i£ic s l Pressure Head per Day Pair Dose Quantity al in Chamber Capacity al (Attach Pump Curve) S-9 ALTERNATIVE SYSTEM DESIGN FORM - PAGE FOUR PAVIAW 09/01/92 SYSTEM CROSS SECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ _ . _ . _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . _ _ _ . . _ _ _ _ _ . . _ . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AT\) V ir iy(}��y)RO Initials ELEVATIONS Date All Systema • Depth from Finished Grade to Top of Septic Tank --------------------------- inches • Depth from Finished Grade to Top of Pump Chamber -------------------------- inches • Elevation Difference Between Building Sewer Stub-Out and Fixed Reference Point ------------------------------- inches • Building Sewer Stubout is ®Higher Lower than Fixed Reference Point • Reference Point Location: b av • Elevation Difference Between Shutoff Level of Effluent in Pump Chamber and Uppermost orifice -------------------- - feet tt orifice is Higher Lower than Shutoff Level of Effluent in Pump Chamber e Systems rom Original Grade to Bottom of Absorption Area at Downslope Edge -- - b inches rom original Grade to Bottom of Absorption Area at Upslope Edge ---- = inches f Cover over Absorption Area at Completion ---------------------- -- inches tems r JJf Fill Beneath Upslope Edge of Bed -----------—____________________ inches ALTERNATIVE SYSTEM DESIGN FORM - PAGE FIVE ""tea° 09/01/9= DESIGNER COMMENTS AND CONDITIONS �5r• a dust Gr {<< \8 F o . e�3 \�. � \G5� 6f\cr�c2 b�1 TroM ends APPROVED Initials Date CONDITIONS AND UNDERSTANDINGS The undersigned designer agrees to hold Mason Counth Department of health h 73hey event the system installed in accordance with this design fails to operate aMason County Health Code.In addition, the undersigned designer dose, does not, waive the regir notified by the installer of the installation and given 48 hours to perform inspection prior to co The undersigned has reviewed and approved The undersigned certifies th system has this design on behalf of Mason County been installed in full actor ante with this of H lth Services. design. n-<- A.pP INSTALLATION MAINTENANCE �rj }} �.; Pressure Distribution Systems 111kals {te r Oahe 1. Install laterals with contour of the ground. 2. Install trench bottoms level. 3 . Install locator tape on top of all drainfield laterals 4 . Install observation ports as indicated on the plot plan (minimum - one per drainfield with bottom extending to the drainrock \ native soil interface) . 5. Install drainfield during dry weather and soil conditions, any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the ends of all lateral (cap must extend to within 6 inches of finished grade and be marked with locator tape) . 7. Install audio/visual high water alarm. 8. Install 1/8 inch mesh non-corrosive pump screen (mi . 12 sq. ft. surface area, not to interfere with controls or floats) . 9. Install check valve in pump outlet line to prevent system 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 t the manifold with the orifices at 12 o'clock, (do not glue) , after pressure test and Health Dept. approval, turn orifices down (6 o'clock) and glue laterals to manifold. 11. Filter fabric required over drain rock prior to backfi ling. If the drain rock extends above natural grade, run the 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-slop4E edge of the drainfield and reserve area. 14. No curtain drains allowed within 30 ft. of the down-slopt 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 as 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. Deviation from this design without prior approval from the Designer and Mason County Health Department will make this design null and void. • 0SI (E) EFFLUENTPUMFS .4­�­�...... ........ P3 ........... 1/4Hp to 4110 HP. 35- SINGLE PHASE, 6C HZ Nov. ....... VOLT 1990 . ........... ..... ......... ;:T:1 115/230 _.7 .......... ... .... 30- - .......... '.. ... _ ..l... .........i . ­­...... 4... ................. .. .... .... ...... ............ 17 LLI ...... w ... ... . ... ...... r LL 25' i .......... .. ...... .......... ... ................... ....... ... w ... ..... E E. 20 *.'.*...... ... _7. ... z f. 15 .......... ­WE03M 0 ..... ... Ir— ...... .. . ... ..... ..... ............. ....... .... ... ..... 3001 ........... OSS 10- x r .4...L.1 ...... ...... 4_4.. ... 4 ... t ............. .......... ...... ..�_ S25 : ......... EF 0 411 ........... ... .. ... :J 7.7 ..........L_;.. ... .......... .. ...... 0 10 20 30 40 50 60 NET DISCHARGE, GPM;-_, i f. APPROVED Initials-- 5031673-0165 2826 Colonial Road Roseburg OR 97470 Date