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HomeMy WebLinkAboutSWG2006-00872 - SWG Application / Design / As-Built - 10/18/2006 r� MASON COUNTY DEPARTMENT a Official se only C OF HEALTH SERVICES c 0 PERMIT NUMBER SWG �x 7 O' 0 426 W.CEDAR STREET 00 SHEL 0 (360)427-9670, Ext.352 RECEIPT NUMBER: m O App�QAW DATE /�/ CHECK APPLICABLE ITEMS m m (J .A1J� v l u ocp XNEW SYSTEM Ib MAI ING ADDRE DA4rIME PHONE 0 REPAIR SYSTEM �T , TABLE 6 REPAIR ro CITY) STATE ZIPSINGLE FAMILY O 0 OTHER Please describe m Z SITE ADDR SS c yyI 2 DRINKING WATER SOURCE 3 i �/!/JOnr qr NA DESIGNER PHONE NUMBER 0 PRIVATE INDIVIDUAL WELL 0 10, ,PRIVATE TWO-PARTY WELL v NAM S;ALLER 0 COMMUNITY/PUBLIC WATER Z SYSTEM a WS C/1pV A i SYSTEM WFI#: O IQ NUMBER OF I LOT SIZE: I A RE.yS FT X FT 1✓ BEDROOMS y SYSTEM NAME: _ SPECIFIC DIRECTIONS FOR LOCATING SITE (2->_ 1,� r�,�Q.�- CA/\� This application is for design approval only. la An installation permit will be required to install the system. I• All systems require ongoing Operation and Maintenance as specified in Mason County Onsite Standards. 1 _0 • All onsite sewage systems must be designed by a Licensed Onsite Wastewater Designer or Professional Engineer,unless prior r- approval is granted. 0 • I A Mason County Certified Installer must install all onsite sewage systems, unless poor approval is granted. • Onsite sewage system design approval does not imply other building site approvals. • Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit. • This permit expires 3 years tram the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of 1 denial date. Official use viv below this line SOIL LOGS COMMENTS/CONDITIONS 3� L..0 SOIL TEXTURE CODES: V =very G=gravelly S=sand L-loam Si=silt C=clay E=extremely T R SIG ATURE DATE V]?E�IGAPPROVED BY DATE DESIGN EXPIRATION DATE 012, 3 U Revised 2/23/2005 White Copy-Health Department Yellow Copy-Designer Pink Copy-Applicant rj`j A �S ONSITE SEWAGE SYSTEM APPLICATION MASON COUNTY PUBLIC HEALTH Official use only 426 W.CEDAR STREET PERMIT NUMBER: G OHO - b�g1�— a a PO BOX 1666 ;^^��'�7 �,{� 0 SHELTON,WA 98584 DATE RECEIVED: V /AMOUNT RECEIVED:$� Y�J. rp 0 (360)427-9670, Ext.352 APPLICANT DATE CHECK APPLICABLE ITEMS Z f `_� Q 0 NEW SYSTEM 3 < \lXA1�Y2A.7 S\5 ' u � ©� O REPAIR SYSTEM m m MAILING ADDRESS DAYTIME PHONE O TABLE 6 REPAIR 0 TANK REPLACEMENT U(N(Y JW CITY STATE ZIP 0 RV HOLDING TANK ONLY (requires waiver) m INSTALLATION PERMIT ONLY SITEI ADDR S YV TV r-� O SINGLE FAMILY Z O OTHER c IV`,VI Please describe: 3 Or NAME OF DESIGNER PHONE NUMBER Note: �1_ , �� qv, _U ^ -j Asbuilts required for all installations. G NAME O TALLER v 1 0 DRINKING WATER SOURCE a S w 1 0 PRIVATE INDIVIDUAL WELL 0 �J O PRIVATE TWO-PARTY WELL NUMBER OF BEDROOMS LOT SIZE: ACRES FT X FT L 0 COMMUNITY/PUBLIC WATER SYSTEM r SYSTEM WFI#: SYSTEM NAME: SPECIFIC DIRECTIONS FOR LOCATING SITE. I O n � I Site must be flagged from main road and test holes must be flagged with test hole numbers c Ia Official use only below this line 10 SOIL LOGS COMMENTS/CONDITIONS I IW I SOIL TEXTURE CODES: V =very G=gravelly S=sand L-loam Si=sill C=clay E=extreme) INSPECTOR SIGNATURE DATE' DESIGN EXPIRATION DATE DESIGN APPROVED BY DATE DATE INSTALLATION FEE PAID INSTALLATION EXPIRATION DATE ATI APPROVED BY DATE '' Revised 4 — 07 MASON COUNTY DEPARTMENT OF HEALTH SERVICES October 25, 2006 PO BOX 1666 SHELTON, WA 98584 SHELTON (360)427-9670 FAX (360) 427-7798 Robs Excavating ELMA (360) 482-5269 1871 E John's Prairie Rd BE TTLEFAIR (206) 464-6968 SEATTLE (206) 464-6968 Shelton WA 98584 RE: Design for KANTAS Case No: SWG2006-00872 Parcel No: 321331090013 Your design for the above referenced parcel has been reviewed and is NOT APPROVED. It does not meet the requirements or needs additional information. Please see the comments section of this letter for more information. Please call me at (360) 427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Health Services COMMENTS: Need copy of the recorded O&M document. 10/25/2006 1 of 1 SWG2006-00872 DESIGN FORM-PAGE ONE A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,including all applicable items on checklist Cross-section sketch,including all applicable items on checklist. Maximum paper size: 11"X 17" Permit Number: SWG 2 66G- 6 n P-7 L Designer's Name: 1, tivt DW I Applicant's Name: —7oou4 YAuTAS Designer's Phone Number: LiZ�u Mailing Address: 3��l 17Jc S`e.t V44) Designer's Address: a \ �- �o�ai Ttc tW 01 turn c isn51. Gli3��2 � lao � e2$ ii{ Ci State Zip City State Q Zi Assessor's Parcel Number. &Iq Treatment Device ❑Glendon Biofilter ❑Sand Fi ter ❑Mo d ❑Sand Lined Dtainfield ❑Recirculating Filter,Type: Aerobic Unit Make/Model All—kwmm.ci , 0 Disinfection Unit--Make/Model Other: Drainfield Type ❑Gravity Pressure XTrench O Bed _ ❑Sub Surface Drip Septic Tank/Drainfield Specifications R Number of Bedrooms _ h E R O WD Daily Flow 8Pd Length NOV 0 3 2006 l� ft Septic Tank Capacity �: aLM gal Diameter in Receiving Soil Type(1-6) _ Number PJ� Receiving Soil Appl.Rate .'Q gpd/tt2 Separation R ft Required Square Footage isoQk-I f - Orifices - DesignedSquareFootage 1pop ft, - Total Number of Orifices Percent Reduction Taken % Diameter 3 in nc ed Width _ ft Spacing. in ed Length ar,�61 ft Manifold ''// Elevation Measurements h Class Y0 Original Diainfield Area Slope "Z % Length _. 2 ft New Slope,If Altered Z,. % Diameter Z _ in Depth of Excavation (Up4lope) i. ) in Preferred manifold configuration used?XYes ❑No from Original Grade (Do�_slope) in Transport Pipe Designed Vertical Separation 1a, in Class y0 Gravelless Chambers Required?TU G1�onal Length -- - - 5'j ft .. Pump Required? Yes ❑No Diam in Pump/Siphon Specifications �`.• Dosing and Pump Cbamber Difference in Elevation Between Pump Shu and Up . ost er of s/day Orifice. - Ft r e /9® gal Uppermost Orifice Higher ❑Lower than p Shu a 1}a .e�+ 1000 - gal. Capacity @ Total Pressure Head t/U, ) L Is: T (or)Elapse Time Meter Circle ifrequired Calculated Total Pressure Head G, Z 8 ;,, „ .,,ddDBf Pump off Comments EXPIRES 08-08-0 DESIGN FORM—PAGE TWO Assessor's Parcel Number 3 1� — 1 ©C) Permit Number: SWG Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Test hole locations Drainfield orientation and layout R erence depth from original grade: Soil logs Trench/bed dimensions and Septic tank Property lines critical distances within layout Drainfield cover Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property Septic tank/pump chamber and restrictive strata: Measurements to cuts,banks,and locationsj. Laterals,tench/bed,top and surface water and critical areas )E] Observation port location bottom Location and orientation of b Clean-out location ❑ Curtain drain collector curtain drain and all absorption `10 Manifold placement ❑ Sand augmentation components p Orifice placement cross-section detail: er Location and dimension of �j Lateral placement with distance � Observation ports/clean-outs primary system and reserve area to edge of bed Other Information Buildings ,M Audible/visual alarm referenced `Yes No Direction of slope indicator Scale of drawing shown on scale © ❑Design staked out Waterlines bar1 ❑Recorded Notices attached 7 Roads,easements,driveways, ❑Waiver(s)attached parking ❑Pump curve attached North arrow and scale drawing ❑ ❑Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑Flow The undersigned de er t b n ed ller at time of installation Yes ❑ No 0 . 1� ob Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Department of Health Services and determined it to be in compliance with state an d l cal on-site regul •o u: Environmen th pecialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Department of Health Servicps. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 07 ✓ Drainfield site conditions have not been altered to adversely affect con •lions of design approval. Please Note: The system must be ed by a ce ed ins4,7 prior authorization is obtained from Mason County Department of He Services. t is r aired. Revision Date:527/06 ,NL ;N R ERT GO O0 m� IiCENSED ODWlN•. DESIGNER•" —J 'loon 1 A;:Cks j �, 33 • to-�i�C3 � F APPROV D MC HEALTH CI ` PT V 0 3 2006 4 NO s � t Ot WA :.T Q- J� GAL gER 017y DESI�ryER�" EXPIRc'g 08`0 a�a' gc�cDI3 <bstAYATICI:1 oaSs 9 a' � ��+�'al� . �,�eaa -oar• � `, A� • Eqt�, � �.�.�aL � O /r� I I� HER°�� C Rv� n t 3 2006 PT PJO sy, CGIf-lo outs PIRE3.0 C6_ Ib - I(.0 - ou 6017y m .� NSELi'C�OODW�N '� DESIGNcR�" XP 'g 08-08_ h APPROV. MC HEALTH DEPT NOV 0 3 2006 3 ia'' r 1 � a A13.•Y� � rl A ' . FFY� V 1� +g • F r Ii . ..I .O'a• ��I I'�II�iU�I��i�IY. �.. ����' •� . -t"VJa�`yy Nr71. tY rR 1'�•t ` F a,•. `. , all r . }` IIS I r •, • 1 1 I' � t.yY • If.l.�'� N S I r'. tii S'4r t. y�y ��I A •14, .�'r .. U I . f �� r �R�,�•e,t�c�-u� 1v1PNfo��: • TODRAINFIELD AAp VAKKS to PRESSURE LATERALS } yNCXIA.IaSL I..A 1'CK•�1�S - AO VA�J�s APPROVED gKF�o� �alv�s MC HEALTH DEPT NOV 0 3 2006 LONG SWEEP y� ■ �O 9 ELBOW E TRANSPORT PIPE FROM PUMPCHAMSER DRAINFIELD CONTROL BOX (SLOPING GROUND' MANIFOLD BELOW LATERALS) SE SKHD150 SP40 SP50 MAX. SOLIDS 3/4"SPHERE MAX.SOLIDS 1-1/4"SPHERE MAX. SOLIDS1-1/2"SPHER 1-1/2 HP 4/10 HP 1/2 HP 3450 RPM 1750 RPM 1750 RPM APPROVED MC HEALTH DEPT NOV 0 3 2006 NO r C� • Dual shaft seals standard Seal ` ' • Available in automatic and manual • Available in automatic and manual failure sensor capability available,'. • Oil-filled ball bearing motor • oil-filled, heavy-duty ball bearing (to be wired to an alarm device] ! incorporates automatic reset motor • 1-1/2 HP,oil-filled motor thermal overload • Enclosed,two-vane cast iron • Rugged cast iron construction • Non-clog, two-vane thermoplastic sewage-type impeller • 1-1/2" NPT discharge sewage-type impeller • Automatics feature oil-isolated • Spring loaded mechanical sea]. • Automatics feature reliable level control diaphragm switch in with carbon and ceramic faces diaphragm switch with piggyback cast iron housing • Non-ciogging semi-open plug-in • Rugged cast iron construction thermoplastic impeller „ • 2" NPT discharge • Mechanical shaft sea]with carbon • Pump-out vanes on rear shroud of ` • Rugged cast iron construction and ceramic faces impeller • Stainless steel shaft • 2" NPT discharge(3"flange • For high head septic tank effluent • Completely field serviceable optional) applications • Residential sewage ejector or high • Completely field serviceable • 1-1/2 HP, 10 230V and 30 200V, capacity sump pump • All bronze model (SP50AB1) in 230V,460V or 575V • 4/10 HP, 10 115V or 230V automatic, to 115V • 1/2 HP, 1 o 115V, 200V, 230V and 3o 2001 230V, 460V or 575V 160, 32 r 32 W 6 2/ T a 24 6720 a 'f* . f 80. �16 � 71 — t� �76 I f-•- ---~--y "- --rr�T — G c J i T 8 00 10 20 30 40 50 BO 1 0 20 40 60 80 100 120 0 32 64 96 128 160 iE CAPACrrY.U.S.G.P.M. ...... .;' CAPACITY-U.S.G.P.M. CAPACITY-U.S.G.P.M. F 1871 E Johns Prairie Road Shelton, WA 98584 360-426-6697 3:"+Fay 4 {#• # iy7 UM E'� r� r t t . a � r u �+ta ., a F'}i GENERAL NOTES 1. Rob's Excavating has designed this system in accordance with all-current state and county Health Department requirements and assumes no responsibility for its use or longevity. The owner therefore agrees to maintain and make all necessary repairs to the system at no cost to Rob's Excavating. 2. The contractor shall be certified and approved by the county to install septic systems. 3. The contractor shall field verify all contours, stub out elevators, and trench depths in drainfield areas before construction. 4 All construction materials and installation shall conform to all applicable state and county Health Department requirements. 5 It ShaU',be the installer's responsibility to have a copy of this design onsite at all times'during construction. b, It shall be the owner's and/or installer's responsibility to notify Rob's Excavating and the county Health Department for the required inspections before backfilling. 7. All required tests shall be successfully run before calling Rob's Excavating for final inspection. All components, including all tank access lids must be accessible for inspection. 8. Rob's Excavating and the County Health Department shall first approve any variations to this design. 9. Owner/Installer shall not remove any topsoil in drainfield area. Removal of topsoil could render the Site unusable. 10. Existing utilities shown on the plans have been plotted from the best information available to the designer. Accuracy and completeness are not guaranteed. r t'F a5 N . . . . . . . . . . . . . . . . . 17VPAi 7X t 7 3 FS o 7+d,i,.� r.t,:i1,�, ROB'S EXCAVATING 1871 E JOHNS PRAIRIE RD ,SHELTON, WA 98584 (360-426-6697) INSTALLATION?MAINTENANCE PRBSSURE DISTRIBUTION SYSTEMS 1. Install laterals with contour of the ground. 2. Install trench bottoms level and at all times a minimum of six inches into the native soil. 3. Install locator tape on top of all drainfield laterals. 4. Install observation ports as indicated on the plot plan(minimum two per drainfield with bottom extending to the drain rock/native soil interface). 5. Install drainfield during dry weather and soil conditions, and soil smearing must be eliminated by hand raking. 6. 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 tape). 7. Install audio/visual high water alarm. 8. 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. 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 wall. 11. Divert all storm water run-off away on-site sewage system. 12. No curtain drains allowed within 10 ft. or the up-slope edge of the drainfield and reserve area. 13. No curtain drains allowed within 30 ft. of the down-slope edge of the drainfield and reserve area. 14. Have the septic tank and pump chamber pumped or inspected every three to five years. 15. Inspect floats, clean pump screen and test water alarm every 6 — 12 months as needed. 16. All materials and workmanship must meet County and State regulations. 17. Septic tank risers to be at or above finish grade. 18. Deviation from this design without prior approval from the Designer and Mason County Health Department will make this design null and void. 19. Pump chamber lid to be above finish grade. 20. The on-site septic system owner is responsible for properly operating and maintaining the OSS and shall: a) Determine the level of solids and scum in the septic tank once every three years. b) Employ an approved pumper to remove the septage from the tank when the level of solids and scrum indicates that removal is necessary. c) Protect the OSS area and the reserve area from: 1. Cover by structures or impervious material 2. Surface drainage 3. Soil compaction by vehicular traffic or livestock 4. Damage by soil removal and grade alteration d) Keep the flow of sewage to the OSS at or below the approved design both in quantity and waste strength. 21. High strength waste will increase the depth of the biomat in a drainfield, causing a decreased flow through the biomat and possible ponding or flooding of the drainfield. High strength waste in a residence is usually related to the `lifestyle" or habits of the home, generally resulting from one or more of the following: a) Excessive use of a garbage disposal b) Consecutive loads of laundry done all on one day c) Excessive bleach or detergents with added whiteners d) Dishwashing, showering, and laundering all at the same time e) Medications — antibiotics can kill or impair the biological process in the septic tank. f) Leaky plumbing (hydraulic overloading) MASON COUNTY DEPARTMENT OF HEALTH SERVICES November 03, 2006 PO BOX 1666 5HELTON, WA 98584 5HELTON (360)427-9670 FAX (360)427-7798 Robs Excavating ELMA (360) 482-5269 1871 E John's Prairie Rd BELFAIR (360) 275-4467 SEATTLE (206) 464-6968 Shelton WA 98584 RE: Design for KANTAS Case No: SWG2006-00872 Parcel No: 321331090013 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. 547 if you have any questions. Sin7y, Penny Ortz Environmental Health Mason County Health Services COMMENTS: Installation permit required prior to installation 11/3/2006 1 of 1 SWG2006-00872 CHECKLIST ❑ Drainfield& manifold orientation &layout ❑ Trench/bed dimensions and critical distances within layout ❑ Septic/pump tank placement ❑ Location of buildings ❑ Observation port& clean-out location ❑ Location of wells& $ U roads ❑ Undisturbed native soil between trenches ❑ North arrow J� o� \ 9L) CAUTION:Minor adjustments to septic tank location and drainfield orientation made in the field by the installer are Qenerally acceptable to both the department and the designer, but could in certain cases comyromue the viability o(the 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 the system viability. Any deviations from the approved design must be shown above. �Ys^ Installer: Check a box from Row"A"and`B", sign and dCepe certification A. ❑ I certify that I installed the system without any I certify that all deviations from the design stamped deviation from the design stamped"APPROVED"by APPROVED"by MCPH are shown above. -XIB. C�(I certify that I contacted the designer and left the ❑ I did not contact the designer prior to final cover because the V \system open for inspection up to 48 Ins prior to cover. designer w ' the notification requirement. I further certify that all information contained on this form is accurate. I unders d th 'f the ' ormation contained herein is not accurate,there will be just cause for immediate suspension of my installer cerufi t n. Signature of Installer Date The undersigned approves this installation on behalf of Mason County Public Health. Si nature of anitarian Date Revised January 2007