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HomeMy WebLinkAboutSWG Application / Design - 10/14/1991 It i e $E'WAGEVi"STEPA PE T,APP!1CIiT1.�IV H � • . Pertnii �xls , � f MASON COUNTY DEPARTMENT OF GENERAL SERVICES FOR DEPARTMENT USE ONLY ENVIRONMENTAL HEALTH A!L$ribst -is Arv€ORT *wT 426 W.CEDAR/P.O. BOX 186/SHELTON,WA 98584 \/ PHONE(206)427.9670 " APPLICA SITE Approved ! i Not Approved_ CAJ ADDRES PHONf BY:•„' .+` J +GAw.+_• CITY I �� c� `f��' Z (v I v i DEIGN SYSTEM REOUIPIE GI �:i o, PROPERTY O jjgST4L.tATI6N- O Approved 0 Not Approved 8Y, ADDRESS PHONE 'P c c--/ - - J - DEPTH TO NIATER TABLE CITY ZIP _2 +IL'^ SEWAGE SEWAGE SOIL TYPE:, � A, CONTRACTOR DESIGNER -IS y'Leaw I�, rY lad LEGAL DESCRIPTION, v'3 l cE 00030 l,E L _ �/ l r3. 6bdces ' IRI U»z4"' t TYPE OF f L1� ,-NO. OF •� LOT L � BUILDING_ ' BEDROOMS -J SIZE 1CX SINGLE RESIDENCE E PUBLIC WATER WATER SYSTEM U SYSTEM NAME b°PPT(C TANK (Si GAL, PUMP Rfd; COMMERCIAL ONLY FT LIQUID WASTE G.P.D. DISTREWIJTION TILE TOTAL DIRECTIONS TO SITE: FILTRATION'AREA TOTAL -SfOUARE FEET d ( FINAL, IIIISI'ECTION REQUIRED BEFME.OACKFlatNO E L hfd 5 �' - S�BACKPik4= 1 4W, C&A1 k,. TISTRA"mrop RAPETt l ;-C OVER THE PIPE SIZE L t fi C- 'J /V I ,,.,�,.��$TONE UNDER TILE SITE PLAN AND SPECIAL STIPULATIONS(INDICATE DIRECTION DIRECTION OF DRAINAGE) CROSS,ai TIOy Of TWWH L I� A=l.-.F 4 A r WHITE-OFFICE COPY;YELLOW-INSTALLERS COPY;PINK-PROPERTY OWNER'S COPY;GREEN-BUILDING DEPT.COPY WN MASON COUNTY DEPARTMENT OF GENERAL SERVICES �OR DEPARTMENT USE ONLY ENVIRONMENTAL HEALTH 426 W.CEDAR/P.O.BOX 186/SHELTON,WA 98584 PHONE(206)427-9670 AMI - S-10 FS LWAP ADD �7�47y- 7 4 CITY©/ civ fjk4 ZIP PIA PROPERTY OW ADDRESS I PHONE CITY ZIP SEWAGE SEWAGE CONTRACTOR DESIGNER III DESCRIPTION? e '00030 AR _3y_j/ I. "..........k-- TYPE OF NO. OF ..p LOT DROOMS SIZE BUJILDINGe�� 13 10 kiko SINGLE RESIDENCE PUBLIC WATER 0 WATER SYSTEM SYSTEM NAME- z COMMERCIAL ONLY LIQUID WASTE G.P.D. DIRECTIONS TO SITE: my W RR t 6FA--r 01) 29AS'") < 4L ICE L*fA)k 70'b ap OR 22), '4!A7 r ts L'?iRl Da G &lt: All SITE PLAN AND SPECIAL STIPULATIONS (INDICATE DIRECTION OF DRAINAGE) ft W Ar— - k- i'z A6:pcf -y c v *A x WHITE OFFICE COPY:YELLOW INSTALLERS COPY:PINK PROPERTY OWNER'S COPY;GREEN BUILDING DEPT.COPY MASON COUNTY DEPARTMENT of GENERAL SERVICES Bldg 3 426 West Cedar P.O. Box 186 Shelcon, Washington 98584 (206) 427.9670 from Belfair: 275-4467 from Seattle : 464-6968 or 1-800-562-5628 building environmental health maintenance landfill parks 8 recreation fwnconvention center planning sewer 8 water Date: // - i,3 -e1�l TO : >2 1 AJ6 A RE : The above�Y referenced lot was inspected on /C -cll-)j — / The inspection revealed the following features of your lot : refer to soil logs found on the attached sewage system permit application The Mason County Sanitary Code provides for special systems to be designed for sites which have less than five feet, but not less than two feet of permeable soil. Special systems may be designed by a Professional Engineer, REgistered Sanitarina, or designer licensed by Mason County. The forms are enclosed to expedite further consideration. This letter is not a guarantee that the lot will receive approval to install a system. It is notification only that the features noted during the site inspection would require a special design. When a special design is submitted and approved , the application will be approved and the system may be installed as designed and in accordance with the Sanitary Code. If you have questions or comments , please contact this office weekday mornings between 8 and 9 :30 AM. JniL' �U SS�C C Environmental Bealth Saecialist /no Enclosures I,EVEi ONE DESIGN FORM - PAGE ONE Revised 01/1I/92 PARCEL IDENTIFICATION Applicant's Name ST V s4vE4A,'11,1eji5'A/ Prop. owner's Name 5-AM� Mailing Address /809 /.f/ gTYi ,4vt-- Prop. Street Address �aGY wAsN 98 s�Z c1cY ecaaa L1D C1cY acac. Lln Assessor's Parcel No. Subdivision {r...iva—n sa sc wumcar) {r,a,,.a/niviaso../aro=></zoc) W4 40 C�l r ' DESIGN PARAMETERS No. Bedrooms ' Daily Flow 0--/�gpd Depth from Original Grade to Bottom of 7/ Adsorption Area Septic Tank Capacity /ZOd� "L gallons /,p !"Ay inches Soil Type 54"Z)y L--2A1 /I Site Character: � Level El Sloping Application Rate to gpd/ft1 8 Trench/Bed Bottom Area ft7 SYSTE04 CROSS-SECTION VERTICAL DISTANCES LABELS Installer Info A • Center of Building Stub-out Pipe . . . . . . . . . . . . . . . . . A -> A • /��Z B • Finished Grade above Septic Tank House . . . . . . . . . . . . . . . C -> R • �' C • Top of Septic Tank A . . . . R D -> A • 9q 7•v D • Invert of D-Box Inlet -----B....... . . . . . . . . . . E -> A 99/ lo" E • Invert of D-Box Outlet . . . . . . . . . . A I -> •, i � F Finished Grade above Dra In Ciald . . Septic 0❑ . •••••F•••-•G•• J -> A • 9g, G • Original Grade in Drainfleld Area . Tank E H_.. Smith Dept Info B • Top of Drainrock UID-Hox F B -> C • I • Invert of Orainfield Lateral . . . . . . . . . . . . . J F -> B • J • Bottom of Adsorption Bed/Trench . . . . . . . . . . . . . . . Drainfleld F -> J • B • Limiting Layer A---------, B -> I • R • Fixed Elevation Reference Point, . . . . . . . . . . . . ���������������• I -> J • Located at 7b0C>ol=� JFoeTi t/a LEVEL ONE DESIGN FORM - PAGE TWO Me is-d 01/11/9� PLOT PLAN D.jC ' Scor i Tb . .!/ . . . . i i F".L: s, - . �av ~PYL" ConlG. �cb`ry _ . TxA�rs. ®_ - - . . . - - - - - . . . . . . . . . . . . . . .l� . . . . . . . . . . . . . . . ./ . . . - - - - - - �,4GG. i�..47' -4G� •dn/.1� . _ -spa C� 30 - Ercca ./�.tl5.�y: 'ST�JTzC. CT�C,Gi�C'l.S�S •• DESIGNER PLOT PLANK CHEMIST Scaled plot plan if lot is under ; acres Y Location and dimensions of reserve area Existing and proposed wells, including R Buildings, roadways, easements, parking wells within 100 ft of property lines Property lines Topographical features, cuts, banks rfj � Direction and percent of elope /CJ Location and orientation of curtain i LEVEL ONE DESIGN FORM - PAGE THREE Fe i.ed 01/17/9: I DESIGNER COMMENTS AND CONDITIONS CONDITIONS AND UNDERSTANDINGS The undersigned agree not to hold Mason County Department of Health responsible in the event the system installed in accordance with this design fails to operate as required by Mason County Health Code. s Sgn�sur� oz Nanitc�nc •1gn.c..r� oz D��1p.+�r Designer waives requirement to be notified of installation and iven 48 hour t ins ct the prior to final cover: El Yes 2f No /lgn�evr� er D��1gn�r The undersigned has reviewed and approved The undersigned certifies the system has this design on behalf of Mason County boon installed in full accordance with this of Health Services. design. a z