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HomeMy WebLinkAboutSWG92-0408 - SWG Application / Design / As-Built - 7/16/1992 MASON COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO. — SITE EVALUATION DESIGN AND INSTA CATION 426 W. CEDAR/P.O. BOX 186/SHELTON, WA 98584 Date I Date <: y • PHONE (206)427-9670 Receipt No. Receipt No. Amount$ is 7,00 Amount$ m f CHECK APPLICABLE ITE �/ 3 7 s40 Z m MAILI DAYTIME PHONE: INSTALLING NEW SYSTEM 0 8elVeA A hTS 19-Oo REPAIRING OLD SYSTEM &'0A I _�» CITY: /�� STATE: ZIP: EXPANDING SYSTEM pV m 98 S-31 SINGLE FAMILY 6 m PROPERTY AL PRESS: /s OTHER 2— c 31 411/GU /o WX ,6SS S SPECIFY: Ee 3 SPECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL m O W !O p!J OFF ,�xrnt 2 0o Ds No PUBLIC SYSTEM m wv t i /� SYSTEM ID NUMBER X405S Gfjp`y/ //f7�tli¢ SYSTEM NAME ro IQ , ftReA fkeess �Pd �L�o� APPLICA o I'" NAME Name of D LO ft,x pZ 06 g. MAILING ADDRESS I Installer N TINbI loa2 G Size: � - TELEPHONE Name of Number o • SIGNATU Designer Bedrooms 3 fN 4 055 X PLOT PLAN O� Draw a dimensional plot pla , foot o TeS' including: ❑Precise location of test �! C holes,showing / R I© measured distances to //�/ �/ property boundaries. (7n/er� lO ElEntry road;other roads, 'Za D D lO driveways. L O NOTE: DO NOT DRAW I I SYSTEM DESIG TsT Flores mr>P PA aTO' 00-1%4� JUL 16 1992 g/ 6ag1J6re FLA6.0; i)vl, 6 (zgWaIWAORL USE ONLY. DO NOT WFINEMM IL LOGS p 32rA 4 a@rtii)� TWA tUAnjf7v � d �av l D c�( Depth from Original lAs l ' 'i t h Grade to Restrictive Layer or Water Table: In. DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS dam Design:❑Level One Level Two Soil �nn), 7 ; 40 Vertical Separation V VV7 Septic Tank Daily Q I�tto Capacity: Gal. Flow: 0 s" GPD Slope ODepth!from Appl. ✓¢ Infilt. /9 Grade to Bottom of Parcel Size _ Rate ✓ GP Area 4nal ,�f�' FT' Absorption In. Distance to Shoreline Total Inspector Date n r c , n150n C MENTS/CONDIT4ONS FOR PPROVAL( f e2 t�r � ild( ?s 2de ite �t�C LC `ar �n r� 6�d x �0Y� fc� rr �`r be raam riot dY3�cf Drtm�r men f P►'ti er Owner/Designer/Installe st m ton site to verity precise syst layout Owner t arrange pre-installation conference with health dept.staff • � z v il❑Winter observations require Extreme c ecung site preparation to ot� eng so r i t Any ch athe spe�rf Y a property b r on a ecting the system ign m his c permet . This Permit expires 3 years from date of issue.Denial of this permit maybe appealed to the Health Officer within 10 days of denial SITE.Q n Required U Not DES] Approv d ❑Not Approved INSTALLATI • Approved 0 Not Appr ved BY: DATE BY �� TE,(�p 9�f BY: DATE: TOP: Health dept. Cop MIDDLE: Designe py O Wplicants Copy - . 04/34/94 PAT"gnwill-be ieweln 3 conies of each of the following items arQ' submitted: 7,• 19ggmpleted design form that has been signed and dated ' - �+ ' S+ ompleted Resource Lands and Critical Areas Checklist attached 1 - -Scaled plot plan, including all applicable items on checklist }�j�yl�-;����--{�{�yy,rr''out sketch, including all applicable items on checklist 4FALTH SE�CfdsO- tion sketch, including all applicable items on checklist 1( PARCEL IDENTIFICATION II U Permit Number Designer's Name J n v Gc j o � I Se h II II {i Applicant's Name RDna�Lr + TYVV�a N'iZOh Prop. Owner's Name II Mailing Address �OK R\Vev 1-lc��Ln R.ol- Mailing Address II {I rev 4ra.l o uY 4531 II i y state Y.3.p Ulty a e i II Assessor's Parcel No. �oZyo1 L( ad OOCOO Subdivision N'.(AaC'. Cco Re ' o- P II II `(Iwe v - i i u me i i it DESIGN PARAMETERS L' $C'. II ✓ ✓ ✓ sol.as p,....p4 i5 Dow Wt ca I u u tJ Sepa on II Mound Sub urface ressure Gravity �ed Trench 24 in {1 it Septic Tank/Drainfield Specifications I I u No. Bedrooms H I Pressure Distribution? Yes IJ No {1 u Daily Flow 4so wfl {Ei.. (If yes, proceed. . .) ...................... :....::: ............ ...... .............. {1 Septic Tarik Capacity 1 00 1 1 II Receiving Soil Type (1-6) W11 7nor +� U Receiving Soil Appl. Rate ) • 1 d ft2 { Laterals / II Trench/Be Bottom Area AN 3 d0 f t 2 I Schedule/Class Lit) ✓ J1 {I Trench/Bed Width -I ft 1 Length 11 Trench/Bed Length ft / it I Diameter in 11 Elevation Measurement& I Number 11 U Orig. Drainfield Area Slope } I Separation a'4 " ft I1 {1 Final Drainfield Area Slope I Orifices / 11 II Depth of Bottom of Trench/Bed I Total Number of Orifices S� ✓ II {1 from original Grade -( in I Diameter {I {I 1 e in i Spacing Manifoldljowns 3 6a C)• C N 1 Schedule/class n i"i I Length " ft 11 Infiltrator Used? IJ Yes No I Diameter - t 11 ; h C { Transport Pipe p Pump Required? �'^ Yes No Schedule/Class ...... (If yes, proceed. . .) Length A ft Diameter a in Pump/siphon Specifications { Dosing and Pump Chamber Difference in Elevation Between �}mp ft Shutoff 4 Doses/Day H and Uppermost Orifice dU = Dose Quantitygal Chamber Capacity DID al Uppermost Orifice As r9higher, lower i D t- r n than Pump Shutoff - � - .` � �heck'/Lbe following � ents'3f d:hey drain Capacity ® Tot. Pres. Head 3 . between doses: '- ice. u Calculated Tot. Pres. Head 2 -5 t - =- (Attach Pump Curve) �� ,2 Laterals { Manifold Transport r �IdW�I FTtY� "IO ZiZ a l lns �AI2�Q�dg.IS ffoizn c OSO-�M (090 ZOS86 oN wwo3 VIV `S�IaI�II�IV-1d o3s►n3a �S Y 3laa a Cad t JJ taCR t S`t j �' t1 T C, c CL cli s_ o `� ` i ►: Ir LIJ rf � c + `\\\ oIl� IL �. cli Qq � X ILIA C) TifQ LL rl- co / C� - 1 \ l i IONO fq - 1 jIf �• 4` �• V �i a � r1 J ;'���'i'�*-..:,.�;.y--'�-� s3s d ' -"�;r i,,,... --x �E' d� .�1^w.*�r`- .3j � t�p,,.,_{ 'i � i •• .�-iiy-..- 3ayy as 00000 G Ake,er "TE ST HOL �r -O 30 60 D d-- 5 7' — ' at —�_ DOLLBL<E iRP,JSFQP E#JCA, be-A N kt" L, ,b K rc\1FN.e ` rJ Mason County Dept. Health Sery ces ExiSTIUG i-tou5E P 5 � APPROVES Initials CA Date _ S'01 l58 GAL Puhp 04AMSER W11A I/LP}jb EOI;AS Pu 4o't 3u� 41 i �/ ho ' r7pV k J 7 1 R.:3 - t )--i _.--Z-i- 5'7 ry.. 7 x 57 DRAINFIEi_D $ELF t/jy00T` p as 5-7 i BED END MANIFOLD(t-R I ') Mason County Dept. Health services 0R\T %[EG 3611 O.G . (19 OKIRCES) Is" �ROK t�A ►�IFoLp APPROVED Initials a �l FROM ELISOW Date ELBOW G" FfOK ENb OF BE6 -_— i SCREW ON CAFE NOTE, 5 DEGREE ELBOW O=OBSERVATION PORTS--TO BE 4" PERF. ;' PVC PIPE FROM BOTTOM OF TRENCH t LATERAL + TO FINISHED GRADE. REMOVABLE t ON END OF CAP SHALL BE INSTALLED - ' 1 t. OBSERVATION PORT PIPE. BED- �Ltl� DETAIL , CLEAN OUT ' TOTAL OF TWO SYSTEM 41NOTE, 7CLEANOUT TO ]BE FROM 0 TO 6 � .T INCHES BELOW FINISHED GRADE. . JMK ENDS,-.WITH REBAR. ;'CLEAN OLiT EEQUIRED AT END OF-EACH "LATERAL. 777777777 'f_."" 1.1 •t---- .._�.. {..-.' _ L � n,. i �VP,CQ` �b5eraa�lon Ort" y" F�er� PJL w',�ti Cap �'inat Grade Nn{ eve S.«dy to-- p; 11 !a F, Nev F.bv c ��IG INAL (��ApE DFAIN I/ RocKL4 L 4 a4„ ay" ASTM C- 5 SAND AQ 6 ME NTATION � i i.0yf-Et EA rJ: n'G wkik:LL �Cc � Mason Count Y Dept, Health Services APpR®yED Initials Data �1J5 P 4�, RPDt_ /¢ 30° -0UTL.p T 1200 gallon ATLAS !laintain t to 1/4w r_ L ;S! ;RMOLAR TAIPZC _ '; S�� QroP Per running ft. , `. S + (aide ♦isv) from house to -tank. Q e i C dot desired dose volume .' select larger Of, or $ above 120.00 gal 2.- Determine .Required Pump/Siphon -Discharge Capacity 33 .41 gal . Required pump discharge = sum of all discharge rates from ga so capacity all laterals in the system n Cnji�ty ept. Ha 3 . Calculate the Total Friction Los,es in the Network �,p O a�thSar`yCaS V�,� A . Transport Pipe = 1 .5tkl8 - Transpoi t pipe is Schedule 40 00}e �� B . Manifold and laterals : 1 .00 4 . Calculate the Total Elevation lift = 20 .00 ft . Total elevation lift. _ [Elev . of uppermost laterall - [Elev . of low water level in the pump chamber] 5 Determine- the Total Dynamic Head . Selected residual pres=_ur 2 .00 ft . Transport pipe fric7-ion lo.�ses , i 1 . 52 ft. . Maniiold acid lateral friction los=;es : + 1on ft . Total elevation lift. : + 20 .00 ft . Total Dynamic- Head : = 24 , 52 ft . 6 _ Required Pump Capacity is 33 .41 gpm Total Dynamic Head is 24 .52 ft . Number of bedrooms 4 The required absorption area is: 400 .00 so, ft The length of the bed i- : 57 . 14 ft The width of the> bed i- 7 .00 ft The length of the tTansport. pipe is 86 .00 ft The diameter of the transport pipe is : 2 .00 in The length of the manifold is : 4 .67 ft The diameter of the manifold is : 2 .00 in The total volume of the laterals is 13 .34 gals The volume of the manifold pipe is 0 .82 gals The volume of the transport pipe is 14 .00 gals Dose vol based on vol/pipe void ratio: 94 . 18 gals Dose volume based on soil type is: 120 .00 gals The required dose volume is 120 .00 gals The total discharge for the laterals is : 33 .41 gals The friction loss in the transport pipe is: 1 .52 ft head The total friction loss for the laterals is 0.27 ft head The total elevation lift is: 20 .00 ft head The total dynamic head is : 24 .52 ft head - Ma s do n 7?0 a�th S�Caun�yeDt. ye - `� 1gitiais 6 ' u Ti on ems Pressure u y oat, LJ 1. Install laterals with contour of the ground. 2. Install trench bottoms level. OR Ri6Ak 3. Install locator tape,,on top of all drainlield laterals. 4. Install observation ports as indicated on the pot plan `(minimum - one per drainfield with bottom ertendin to the drainrock \ native soil interface) . S. Install drainfield during dry weather and soil conditions, any soil smearing must be eliminated by hand raking. G. Install threaded clean-outs at the ends of all laterals (cap must extend to within 6 inches of finished grade and be marked with locator tapera Rr"$^4�L 7. Install audio/visual high water alarm. S. Install 1/8 inch mesh non-corrosive pump screen (min. 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 manif Id with orifices oriented at 6 o'clock. Install lateral to the manifold with the orifices at 12 o'clock, (do not qL after pressure test and Health Dept. approval, turn orill Gown (6 o'clock) and glue laterals to manifold. 11. Filter fabric required over drain rock prior to backfilling. If the drain rock extends above natural grade run the filter fabric at least 2 inches down the trench walt. 12. Divert all storm water run-off away from on-site sewage system. 13. No curtain drains allowed within 10 ft. of the up-slope edge of the drainfield and reserve area. 14. No curtain drains allowed within 30 ft. of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped -or inspected every three to five years. 15. Inspect and clean pump screen every 6 - 3.2 -aonths as *needed. 17. Inspect floats and test high eater alars ovary - aonths as needed. is. All materials and workmanship must meet Vounty and Mate regulations. _ 19. ,Deviation from this design without prior <opprovaitsao 4�he Designer and -baton County Eealth Department-4riili-�Mfca i►is �uign null and void. _ s . Af� __`R • i, puzwmi 6 >m mr�zrioss ( 1 ) Screened pump required or screen at outlet of Septic, tank. (2 ) High Level Alarm Required. (3) Redundant off switch required. (4 ) Do not instal if soils are wet;so as to prevent smepring of sidewalls of SSAS trench. (5) Divert all drainspouts from buildings away from drainfield i area . ( 6 ) Instal one-way valve in transport line so manifold and drainfield laterals do not siphon back into pump chamber. f Maw, �untY Deft. yeah � o yes / IPR Date 'r Submersible Effluent Pumps ii • NY v �//�N�..x\/Y.\\\/Y\\N//Y\M// v.v U . Y\Y\\\NNNY\N\ oouoY.v.i\v\v/Nu\moY/ •� O\N\\v \\\/\ 11,01C V. �Y�.�v.vu� �oovou/MMoo.//o.r/muY\N Je••Y v ® N.Y\NNMM\N\\\\/\\.tl�L MNx/ UH O t S.T.E.P. Series* - - - . w ^ .. ; - ._ ..... IP €€ ..................:: ::a::::a: . �- �. i 712 zr pr 1 32�2�� coo o r� ODIC- ,�6erS E G u�/1Q NT� //�3 O�2�I4'Ur4� 7i�I'✓/� 4� Fi'�L Q Im rT2oNI F 9-liSG l &TU.XOen1 4tUSCof C'r¢rOW—/ ® Ausc- GJgxoJT-r-/ /�K -5p,� .&?mg0o f - 1�9 /i,(°w 1200 6i/y-z- (oNGQeTE 7rf�✓� Da ,,a fief 7b New —r l� �0jyj C�a-maqA_ w'f(� IJee 7ro Re�+�-rN G0c/1-W 6�W eXr17716; fi�T�Yee - 6 Sysr n nwsr ,C cek n riv T° or�raGy U./ Lv,�i 51-oNoA20s r7tR R(A)INum oP 3 eOZms -: krf. 4 y and Sale Agreement ser: Ronald & 7 na. Hizon. r: Verne Redman E X H I B I T A A tract of land in Government Lot one. (1) , Section twentyfour (24) , Township twentyfour (24) North, Range three (3) West, W.M. , described as follows: COMMENCING at the Meander Corner common to Sections thirteen (13) and twentyfour (24) , said Township and Range, on the West shore of Hood Canals thence West, along the Section line between said Sections 13 and 14, 103.7 feet; thence South 31033100" West 88 .60 feed thence South;29023' West 31 .9 feet to the most Westerly corner of a tract of land heretofore conveyed to Lester W. Storaasli, • et al, by deed recorded November 29, 1957, Auditor's File No. 171390; thence South 63'10' East, along the Southerly line of said Storaasli,stract, 206.2 feet to the Easterly line of said Government Lot 1; thence South 32053' East 95.1 feet; thence South 25037' West 51. 6 feet; thence North 56022 ' West 83.0 feet to the Northeasterly corner of a tract of land heretofore conveyed to Harold G. Dowker and Martha M. Bowker, husband and wife, by deed recorded March 22, 1960 , Auditor' s File No. 233112; thence North 62045' West, along the Northerly line of said Bowker tract, 199.2• feet, more or less, to the most Northerly corner of said Bowker tract; thence North 29023' East 99. 1 feet, more or less, to the. point of beginning, excepting_ road rights-of-way. ALSO, all tidelands of the second-class, formerly owned by the State of Washington, situate in front of, adjacent to, or abutting upon the the above described upland, and lying above mean low tide. TOGETHER PITH h 1/50 interest in a community beach and easement in the unrecorded plat of Hidden Cove Resort, Government Lot (1) , Section (24) , Township (24) North, Range (3) West, W.M. , as described in instrument recorded November 29, 1957, Auditor's File No. 171398 . Parcel No. 32424 22 00000. • ON-SITE SEWAGE INSTALLATION FINAL INSPECTION .......................................................................... . .................................. _ _ ..........................:: ::............................... J r�� DATE CALLED IN: TIME: INSTALLER: �llV l JV ;:�,-LC L APPLICANT/OWNER: Y C o A)n LLJ,�:) M z6 CALLER: . . PHONE # OF CALLER: SWc #: PARCEL NUMBER: i I SUBDIVISION: DIVISION• LOT: ...................................................................................................................................................... ::............................. SYSTEM TYPE (CHECK ONE) : U -"-P SSURE- - GRAVITY INSPECTION SCHEDULE (CHECK ONE) : APP INT6IENNT L� AS-BUILT ON-SITE? (CHECK ONE) : r—1 U VSNO STAFF INITIALS: h:caLLin.0 Revised 02/01/95 i i r ON-SITE SEWAGE INSTALLATION STAFF INSPECTION REPORT I cE E9e....................... STAPP CHECKLIST I r I I I I CONFIRMED BY INSPECTOR? I I. SEPTIC TANK Yu No cammeata I A) >5 ft from foundation? �— a) Bldg stubout to septic tank: clearx t if not 1-2%7 — I c) Baffles intact and clean? B) Dividing wall intact? xx. a-eox Leveled with water or speed leveler (circle one)? III. DRAnrrzz dI i - I - A) >10 ft from foundation and >5 ft from property lines? Y — I a) Laterals level to x1 inch d end caps present if not looped? — I c) System dimensions the same as shown on the design? I D) Gravel clean, properly sized, and proper depth? — I E) PRESSURE SYSTEM I) Sand quality ASTN C-337 ` — I 2) Head height uniform and 2:24 inches? — I 3) Cleanouts and observation ports present? I •) Hand: Side slope 3:17 — — I s) owner informed electrical connections must be made I by owner or licensed electrician and inspected by DLI? — — Iv. POTABLE WLMM I.IMHa i A) >10ft from drainfield, transport line, and septic tank? a) Wells >100ft from drainfield? — — �-- V. PWO TAW. Af,Screen basket or effluent filter (circle one) installed? 11 _ B) Riser installed for access? c) Alarm installed? — —Y I vx. As Brra.T RsaozBSD? — — i I vrx. OTHER COMMENTS I I I I I I I I I I I i The undersigned has reviewed this installation and verifies these findings on behalf of Mason County of Health Services. I y I i / J� I ea Ins or a e h:callin_w Revised 02/01/95 AS-BUILT FORM - PAGE ONE Rev ..a 12/14/94 { PARCEL IDENTIFICATION Applicant's Name Permit Number SWG9 2- - ©YV 6 Subdivision Sd(L( -� _ ame z.vls l.on oc o Installer's Name cJ$'A3�T3506p Assessor's Parcel No. �) Designer's Name E,yCc-, e e i i u r II li INSTALLER CHECKLIST I N/A Yes Prior to I. SEPTIC TANK Completion A) >5 ft from foundation? B) Bldg stubout to septic tank: cleanout if not 1-2%? 4! C) Baffles intact and clean? '! D) Dividing wall intact? w II II. D-SOS Leveled with water and/or speed leveler (circle) ? ✓ — — III. DRAINFIELD A) >10 ft from foundation and >5 ft from property lines? y B) Laterals level to tl 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) .PRESSURE SYSTEM 1) Sand quality ASTM C-33? L_ 2) Head height uniform and x24 inches? 3) Cleanouts and observation ports present? ✓ �� I� 4) Mound: Side slope 3:1? V 5) Owner informed electrical connections must be made by owner or licensed electrician and inspected by DLI? �I IV. POTABLE WATER LINES A) >10ft from drainfield? ✓ �� B) Wells >100ft from drainfield? y II V. PUMP/PUMP CHAMBER u used, or specs attached for equivalent pump? Screen bas or effluent filter (circle one) installed? _✓ _ C) Riser installed for access? II D) Alarm installed? II CERTIFICATION OF INSTALLATION I� Installer: Check box from Row "A,• check box from Row "B,^ sign and date the certification. ry I—I A. M I certify that I installed the system " I certify that all deviation 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. " I certify that I contacted the I did not contact the designer prior designer and left the system open for to final cover because the designer inspection up to 48 hrs prior to cover. waived the notification requirement. I further certify that all information contained on this form is accurate. I understand that if the information contained herein is not accurate, there will be just cause 'for �r immediate suspension of my to er cer 'fic on. sign The undersigned approves thi inst 1 t'on of behalf of IIII i Mason Count Department of Health services. a ns r a •AS-BUILT FORM - PAGE TWO Re iaed 12/14/94 II • PARCEL IDENTIFICATION II II Applicant's Name ` � II Permit Number SWG9 2- - O D�. Subdivision 13� C484 ame >,vasi oc o j II Installer's Name (�- ar11NeJ� Assessor's Parcel No. eZ II Designer's Name it AS-BIIILT DRAWING l g � 2�viS15 II II curriox. Minor adjustments to septic tank location and drainfield orientation made in the field by the inst.Aler are generally ac- ceptable to both the department and the designer, but could in certain cases compromise the viability of Oe system. It is the installer's responsibility to obtain prior written approval from either the health department or the designer before making any deviations from the design that affect system viability. Any deviations from the approved design must be enoRn above. II AS-BIIILT CHECKLIST II t�Drainfield orientation L9Observation port location U Undisturbed native soil II and layout Q/ between trenches II u Cleanout location Trench/bed dimensions and u1 North arrow II II critical distances within u Manifold placement II II layout scale of drawing shown II II uOrifice placement on scale bar D-Box/aT" ocation D Lateral placement, with Additional MoAd Information II II Septic tank/pump chamber distances to edge of bed 11 II location r�� U En VMdth II ' t '/ 12_1 Location of wells, roads ,n II LV Location of buildings U 0 erall fill dimensions II