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HomeMy WebLinkAboutSWG94-0530 - SWG Application / Design / As-Built - 5/4/1994 MASON COUN � I�EZ OF HE{� T}{Sit ICES PERMIT NO. SWG — r� D (� l Jh U VJ� C N a m Date < N 426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 9 584 W y Receipt No. PHONE (206) 427-9670 Amount Z —� w m CHECK APPLICABLE ITEMS ✓ 3 < m w TING A DRESS: DAYTIME IM PHONE: INSTALLING NEW SYSTEM (� q REPAIRING OLD SYSTEM t° CITY: STATE: ZIP: EXPANDING SYSTEM so h P.I A SINGLE FAMILY PROPERTY ADDRESS: OTHER Z SPECIFY: 3 SPECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL �y Y _ LIn PUBLIC SYSTEM i SYSTEM ID NUMBER t Elt�llluu> $L. LS r SYSTEM NAME APPLICANT NAME ]J I '- Name of Lot ft.x ft. MAILING ADDRESS Installer n Size: ►-7rj acres TELEPHONE - b Name of um er o URE Designer 2 Bedrooms X r I—� PLOT PLAN Draw a dimensional plot plan, JCR including: l]Precise location of test �n holes,showing 'V U ti r 1 measured distances to property boundaries. ' ()W �t _ ❑Entry road;other roads, ; LLJ driveways. J co NOTE: DO NOT DRAW lias SYSTEM DESIGI�I�,,, Z + „J J 0 OPPIML USE gLY. DO NOT WRITE BELOW DOUBLE LINE. N 21 SOIL LOGS 0—/Z [,a✓� Ce'ajF C I F�1 _� - g GAL (�?� c.l��cL Q•ob �rrrtao. Nero � &j �eo1s tit�lso Nnf c sca��,� �o Depth from Original gt4t<0f:0 IAI Grade to Restrictive " Layer or Water Table: �� In. DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS Findin Score esigner Le )Two i Soil Type �,,,,(( Vertical Separation C/ in. �� Septic T�fnk /I Daily JJ ,� p... Capacity 'I Gal. Flow:c I GPD Slope K V. �/ Appl. Infilt.Parcel Size /•2 fAc. 'e- Rate ( . GPD/FT' Area 3en FT2 Distance to Shoreline W,00tt -ems Total '0 Inspector CC Date y c COMMENTS/CONDITIONS FOR APPROVAL pi 7 Any change from the specified use of the property or any sit, I' n affecting the system design may invalidate this permit. This Permit expires 3 e s from date of site inspection.Denial n' is y be appealed to the Health Officer within 10 days of denial date. SITE:Q Approved Dsig red ONotApprwed DESIGN: ppr ❑Not ADproved INST LATIO Approved ❑Not Approved BY: DATE:Sfj4A BY: DATE G BY: DATE® TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Appl is Copy SUBSURFACE PRESSURE SYSTEM COMPUTATIONS Revision: 05/18/96 Copyright 1993-Guy Grayson ' PERMI # :SWG94-0530J ORIFICE SPACING (Ft. ) 3 LATERAL PIPE LENGTH (Ft. ) 20 . 0 # ORIFICES/LATERAL 7 # LATERALS 3 TOTAL SYSTEM ORIFICES 21 PUMPING SYSTEM (LAT. + MAN. + TRANS . ) x 7 (Gallons) 206 . 00 (LAT. + MAN. ) x 7 (Gallons) 33 . 80 (LAT. + TRANS . ) x 7 (Gallons) 199 . 11 (MAN. + TRANS . ) x 7 (Gallons) 179 . 1 (LATERALS) X 10 (Gallons) 38 .4 LATERAL VOID VOLUME 0 . 064 VOLUME 38 .28 ORIFICE DIAMETER ( ") 0. 1875 LATERAL PIPE DIAMETER ( ") 1 .25 TRANSPORT PIPE DIAMETER ( ") 2 TRANSPORT PIPE LENGTH (Ft . ) 150 #1-FEEDER DIA. ( " ) #5-FEEDER DIA. ( " ) #1-FEEDER LENGTH (Ft. ) #5-FEEDER LENGTH #2-FEEDER DIA. ( ") #6-FEEDER DIA. ( " ) #2-FEEDER LENGTH (Ft. ) #6-FEEDER LENGTH #3-FEEDER DIA. ( " ) #7-FEEDER DIA. ( ") #3-FEEDER LENGTH (Ft. ) #7-FEEDER LENGTH #4-FEEDER DIA. ( " ) #8-FEEDER DIA. ( ") #4-FEEDER LENGTH (Ft. ) #8-FEEDER LENGTH MANIFOLD PIPE DIAMETER ( " ) 2 MANIFOLD PIPE LENGTH (Ft. ) 6 PUMP CHAMBER SIZE (Gals. ) 232 . 73 ORIFICE DISCHARGE RATE SYSTEM PUMP CAPACITY (G.P.M. ) 12 . 34 #1-LATERAL ORIFICES #5-LATE ORIF #2-LATERAL ORIFICES #6-LATERAL ORIFIC #3-LATERAL ORIFICES #7-LATERAL ORIFIC #4-LATERAL ORIFICES #8-LATERAL ORIFIC #1-LATERAL CAPACITY (GPM) 0 . 00 #5 LATERAL CAPACI #2-LATERAL CAPACITY (GPM) 0 . 00 #6 LATERAL CAPACI #3-LATERAL CAPACITY (GPM) 0. 00 #7 LATERAL CAPACI #4-LATERAL CAPACITY (GPM) 0. 00 #8 LATERAL CAPACI Table #1 - K VALUE (Transport Pipe) 284 .5 Table #1 - K VALUE (Feeder Pipes) 1 TRANSPORT PIPE FRICTION HEAD 0 .45 #1-FEEDER FRICTION HEAD 0 #5-FEEDER FRICTIO #2-FEEDER FRICTION HEAD 0 #6-FEEDER FRICTIO #3-FEEDER FRICTION HEAD 0 #7-FEEDER FRICTIO #4-FEEDER FRICTION HEAD 0 #8-FEEDER FRICTIO ELEV. BET. PUMP/UPPER ORIFICE (Ft. ) 10 RESIDUAL HEAD TOTAL DISCHARGE HEAD 13 . 05 6 MASON COUNTY DEPARTMENT OF HEALTH SERVICES MASON COUNTYBLDC. 111, 426 W. CEDAR ST. P.O. BOX 1666, SHELTON, WA 98584 360-427-9670, FAX. 360-427-8425 DAqT.- ' ss 99/��: a •//� // ` / -(� I�IVI: N N N Guy Grayson - N N PORN V�S�� 74C W,"4 « W 4W: 09/30/96 1) Design lacks designer signature. 2) File placed into "Alpha^ awaiting designer response.--G.G. - —= . .,. .. ..ter.. � ... _. � .. DESIGN FORM - PAGE ONE " :. Xs1"d 07/ki95 A design will be reviewed when 3 coviei,of inch of the following items are submitted: Completed design form that has been signed and dated Completed Resource Lands and Critical Areas Checklist attached Scaled plot plan, including all applicable items on checklist Scaled layout sketch, including all applicable items on checklist Cross-section sketch, including all applicable items on checklist u -Fib R M L-'R o ul I f�R : In K) K A DS n MPARCEL IDBNTIFICATZON II L u II Permit Number -) W G 9 4 -0 5 30 Desig ner's Name Ta�Cc To)+MSon) II Applicant's Name V I R C I Al i P, Q A-R R F Tf Prop. Owner's Name SA• M t II Il Nailing Address 6l • s - Nailing Address Il 7EWmn WArl 985F19 II II UICY State zip II Assessor's Parcel No. II 3a O I Subdivision Mason County Dept. O u N I� mitt la DESIGN PARAMETERS II ✓ Dab ✓ ✓ S =�'� I Vseergn' l i t ,ai onu Mound Subsurface Pressure Gravity Bed + pd in I c u Septic Tank/Drainfield Specifications No. Bedrooms a - I Pressure Distribution? " No q Daily Flow d 40 _a d I3ee9ceEeE2EEBEEE329Ec9E2 (If yes, proceed. .;........................ I II Septic Tank Capacity 1 a 00 cal I II it Receiving Soil Type (1-6) IR I I I1 Receiving Soil Appl. Rate I• -% cDd/ft2 I Laterals II h Trench/Bed Bottom Area 300 ft2 I Schedule/Class yo it II Trench/Bed width 10 ft I Length /G•S ft II II Trench/Bed Length ft 1 II II I Diameter / 85 in it Il Elevation Measurements I Number n II Original Drainfield Area Slope O t I separation to ft u II Drainfield Area Slope if Altered O } I Orifices lI I Total Number of Orifices Depth of Bottom of Trench/Bed lA in I Diameter 3/1L in II n from Original Grade UP op Manifold i Spacing .3 O C . II IILjowns.Lopoin I Schedule/Class '4 0 II II I--I I-1 I Length (o ft II II Infiltrator Used? LJ Yes No I Diameter a in II II r-1 I Transport Pipe 11 II Pump Required? Yes " No I Schedule/Class 10 II 11................. .. (If yes, Proceed. . .) ........................ :I Length 150 ft G ................ ...................: II I Diameter P3, in it it Pump/Siphon Specifications I Dosing and Pump Chamber lI II Difference in Elevation Between Pump Shutoff I # Doses/Day q I1 I1 and Uppermost Orifice 10 ft I Dose Quantity (ou cal II II r__1 I Chamber Capacity ybo cal II II Uppermost Orifice is higher, "lower I Comc-LUTE II II than Pump Shutoff I Check the following components if they drain II II Capacity ® Tot. Pres. Head 2:3 m I between doses: I1 II Calculated Tot. Pres. 3S Head . ft I n II II (Attach Pump Curve) i " Laterals ❑ Manifold ❑ Transport II I ' 'I DESIGN FORM - PAGE TWO II DESIGN CHECKLISTS II I I Scaled Plot Plan I Scaled Layout Sketch I Cross-Section Sketch II I I I Reference depth from orig- II Test hole locations l u Drainfield orientation I inal grade: II II ra I and layout I rr II i II u Property lines l I Septic tank lid and II II ry I L.J Trench/bed dimensions and 1 drainfield cover depth II II u Existing and proposed 1 critical distances within wells within 100 ft l layout I Reference depth from orig- II II of property lines l n l inal grade and restrictive II II l u D-Box/"T"/"L" locations l strata: II II u Critical distance I I ra II II measurements to cuts, I Septic tank/pump chamber l u Laterals, trench/bed II banks, surface water l location I top and bottom II u Location and orientation I Observation port location 1 u Curtain drain collector II II of curtain drain and all II absorption area I U Cleanout location I U Sand augmentation _ , II II components I r9( I II i II l U Manifold placement l No external reference needed: ll II Location and dimension I r9( I: II II of primary system and l orifice placement l* L ohs ervati hi ports and II II reserve area cleanouts 11 II I u Lateral placement, with I - II II Buildings 1 distances to edge of bed I Additional mound informational) 11, II r-, i r,X i r� II II �/Direction of slope l u Audible/visual alarm l u Upslope and downslope 11 II indicator l referenced i fill width 11 I I r, II waterlines l U Scale of drawing shown i u Settled cap depth at II II n 1 on scale bar 1 center and edge of bed 11 II t-fRoads/easements/ I I r-i II II driveways/parking I Additional Mound Information: l U Sidewall slope ll II r� n I rr I r-i II II Critical resource lands 1 u Endslope width l u Up/downslope bed elevat. 11 11 (if applicable) Overall fill dimensions I Completed Resource Lands and II II u North arrow and scale of I l critical Areas Checklist 1l II drawing shown on bar i l II Il DESIGN APPROVAL II n II 11 The undersigned designer ^does, u does not, waive the regirement to be notified by the II II installer of the installati d given 48 hours to perform a final inspection prior to II cover. e ? II II II The undersigned has review and ap a this design on behalf of Mason County of Health II } II services. 8 �„g6 n o II i CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITIONS: II ✓ THE DESIGN IS STAMPED 'APPROVED" BY MASON COUNTY DEPTARTMENT OF HEALTH SERVICES II ✓ THE ON-SITE SEWAGE PERMIT HAS NOT EXPIRED; EXPIRATION OF SAID PERMIT IS BASED ON ll p THE DATE OF INITIAL SITE INSPECTION, NOT ON TIM DATE OF DESIGN APPROVAL THE S 11 ✓ YSTEM IS INSTALLED BY A CERTIFIED INSTALLER, UBLESS PRIOR AUTHORIZATION IS II IL OBTAINED FROM MASON COUNTY DEPARTMENT OF HEALTH SERVICES II I /'� Q COMMcUuI WELL PLOT PLk J SCALE 1"- 40' O w ti ER: — V 12 C.I NI R _QAA N UTT_ PF}2CLL t4--3ag34p75ooloc i TEST ROLES / L J I .. l.Z$ " L4A. } . O I T I a0 GED AND MAM FCC 6aHC") W Gr't �; ces 3(c " O.(_ . (�1 Or cc (c 4rcm 401a (o cw P;;)-P— Eyd- C, --SCREW ON CAP — ��� C�'t N1ani�old (o" t �cw ��,d c C}ec1 45 DEGREE ELBOW LATERAL END OF DI .0 bq DETAIL CLEAN OUT NOTE, CLEANOUT TO BE FROM 0 TO 6 INCHES BELOW FINISHED GRADE. MARK ENDS WITH REBAR. CLEAN OUT REQUIRED AT END OF EACH LATERAL. NOTE, O=OBSERVATION PORTS--TO BE 4" PERF. PVC PIPE FROM BOTTOM OF TRENCH TO FINISHED GRADE. REMOVABLE CAP SHALL BE INSTALLED ON OBSERVATION PORT PIPE. TOTAL OF SYSTEM c�� PIe Ptxs= blurt �-P • ;r,.t G.a ri NO.;orw.l F.t}er �lGr;c-31 3�,. .• 3G: 2l.� u Beckbo1 . 4 4` A STM G-33 $A t1 D AU G r'�FSST lot +b ,-,- o�- SH V Jle y� `. 1200 gallon Maintain 1/8 to 1/4-1 REGULAR TANK Sit drop per running ft . �� ;��0 33" � � ( side view) from house to tank. volume of laterals manifold trans .line C. For desired dose volume, select larger of A or B above 60 .00 gal . 2 . Determine Required Pump/Siphon Discharge Capacity 12 . 31 gal . Required pump discharge = Sum of all discharge rates from capacity all laterals in the system 3 . Calculate the Total Friction Losses in the Network A. Transport Pipe: 0 .45 - Transport pipe is Schedule 40 B . Manifold and laterals : 1 . 00 4 . Calculate the Total Elevation lift = 10 . 00 ft . Total elevation lift = [Elev. of uppermost lateral] - [Elev. of low water level in the pump chamber] 5 . Determine the Total Dynamic Head. Selected residual pressure : 2 . 00 ft . Transport pipe friction losses : + 0 .45 ft . Manifold and lateral friction losses : + 1 . 00 ft . Total elevation lift : + 10 .00 ft . Total Dynamic Head: = 13 .45 ft . 6 . Required Pump Capacity is 12 .31 gpm Total Dynamic Head is 13 .45 ft . Number of bedrooms 2 The required absorption area is : 200 . 00 sq ft The length of the bed is : 20 . 00 ft The width of the bed is : 10 . 00 ft The length of the transport pipe is : 150 . 00 ft The diameter of the transport pipe is : 2 . 00 in The length of the manifold is : 6 .00 ft The diameter of the manifold is : 2 . 00 in The total volume of the laterals is 4 .56 gals The volume of the manifold pipe is 1 . 05 gals The volume of the transport pipe is 26 .25 gals Dose vol based on vol/pipe void ratio: 32 .99 gals Dose volume based on soil type is : 60 . 00 gals The required dose volume is 60 . 00 gals The total discharge for the laterals is : 12 . 31 gals The friction loss in the transport pipe is : 0 .45 ft head The total friction loss for the laterals is 0 . 08 ft head The total elevation lift is : 10 . 00 ft head The total dynamic head is : 13 .45 ft head OSI c ...... .. EFFLUENT PUMPS P4 70 1/3 Hp. - 1/2 Hp. .... ... . ...... ...... .... SINGLE PHASE, 60 HZ Jan. ........ .............. ....... ...... .... 115/230 VOLT 1990 ...... . ...... . ........... ..... .. ..... .......... . ..... .: 60 N .. .. .. ...._. ...__.. ..... :... :EFFLUENT..... .... ... 50 w , w .... . LL : - _ . . .... . ...... w ....._.. .. .. . . ....... .......... ..:. . ....... . ... .. U40 .._ .. a z .. .. ..... 0 .............................: . a . .. ....... .... . .. ....................................:... . .. I— 30 O . ...... .... ......, ...:... ...; 20 ._ ... ... ..... ..: ............. ... ....... ...... ..........N........ ..... WEO5HH WE05H ...SPRINT II 0 20 40 60 80 100 120 NET DISCHARGE, GPM 2826 Colonial Road Roseburg ,OR 97470 5031673-0165 INSTALLATION/MAINTENANCE Pressure Distribution Systems 1. Install laterals -with contour of the ground. 2 . Install trench bottoms level. 3. ' Install locator tape or rebar 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 laterals (cap must extend to within 6 inches of finished grade and be marked with locator tape or rebar) . 7 . Install audio/visual high water alarm. Redundant off switch required. 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 chamber. 10. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock.. Install laterals to 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 backfilling. If the drain rock extends above natural grade, run the filter fabric at least 2 inches down the trench wall. 12 . Encase all water lines within 10 ' of drainfield area. 13. Divert all storm water run-off away from on-site sewage system. 14. No curtain drains allowed within 10 ' of the up-slope edge or 30 ' of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every 3 to 5 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. 20 . All manhole lids and access , sampling, or inspection ports must have locking covers . 21 . All pressure systems with pump chamber higher than drainfield'! ----- -- - -must have a 1/8" -hole drilled in--the discharge- pipe above the pump -to prevent siphoning. ON-SITE SEWAGE INSTALLATION 2' INSPECTION DATE CALLED IN: � �� TIME: INSTALLER 1 +I , �c� l APPLICANT/OWNED{ I l CALLER: Ll . PHONE # OF CALLER: �L,l 3WG #: 6U-o5 30 PARCEL NUMBER: ��LO ��_ ✓ — I o SUBDIVISION: DIVISION: LOT: 1 .... . .......................................................................... ... .............................. ................................................ ........ SYSTEM TYPE (CHECK ONE) : r-1 PRESSURE GRAVITY INSPECTION SCHEDULE (CHECK ONE) : APPOINTMENT PLUG PLUG IN AS-BUILT ON-SITE? (CHECK ONE) : a YES NO �i E. .............N pMi�iiiH��ii�����: ::iiiiiiiiN��N:iiiN�.ii..................ii.�N.i�iiiiiiii.ii.ii..:....:�.iiii.iiiiiiiiiiiiiiii.ii.:..�..ii..i.iiii�iti�Mi�ii ..............................................................................................»....1... ...............................f..^..................a.r....... STAFF INITIALS: �I/lJ i h:eallin.w Revised 04/09/96 e ON-SITE SEWAGE INSTALLATION STAFF INSPECTION REPORT STAFF CBBCxLIST I CONFIRIM BY IxSPNCIOR? I. 92FTIC TANK Yu No came to A) >5 ft from foundation? s) Otdg stubout to septic tank: cleanout if not 1-2%? _ c) Baffles intact and cleats V— _ D) Dividing wall intact? mi. D-sox Leveled with water or speed leveler (circle one)? _ III. DNAIAFxxLD A) >10 ft from foundation and >5 ft from property lines? �l _ a) Laterals level to st inch & end caps present if not looped? _ C) System dimensions the same as shown on the design? �l _ D) Gravel clean, properly sized, and proper depth? _ x) PNNeaDRN SYSTEK 1) Sand quality ASTM C-33 1) Head height uniform and >_24 inches? 1) Cleanouts and observation ports present? = 4) Hound: Side slope 3:17 s) Owner informed electrical connections must be made by owner or licensed electrician and inspected by DL)? IV. Ponavo NATxR Lxx= A) >10ft from drainfield, transport line, and septic tank? _ N) Wells >100ft from drainfield? O. PUS! TAR A) Screen basket or luent n (circle one) installed? _ e) Riser installed for— L _ c) Alarm installed? _ 1 viz. ormom caamrrs I I I The undersigned has reviewed this installation and verifies these findings on behalf of Mason County of Health Services. • ea nspec r ate h:callin.w Revised 04/09/96 AS-BLTMT FORM - PAGE ONE R"vy""d 12/14/94 II PARCEL IDENTIFICATION �I Applicant's Name ✓. hQ�n iO... 13Arr 'Yr II Permit Number SWG9 - O$ .30 Subdivision e'10 II amei iv7Ls:o /nioc. c II Installer's Name A W a,(CAVAti/Ub Assessor's Parcel No.,U/..34_25- GO/00 ! II Designer's Name _�Tjbjq_ge a`TU k 14 5 0 , umoer, I II INSTALLER CHECKLIST I' N/A Yes Prior to j II I. SEPTIC TANK Comnleticr. Ii II A) >5 ft from foundation? ✓ it II B) Bldg stubout to se?tic tank: cleanout if not 1-2t? / it C) Baffles intact and clean? ✓ II D) Dividing wall intact? it II II. D-BOX Leveled with water and/or speed leveler (circle) ? II III. DRAINFIELD II A) >10 ft from foundation and >5 ft from property lines? ✓ II B) Laterals level to ±1 inch & end cans present if not loomed? ✓ jI II C) System dimensions the same as shown on the design? j II D) Gravel clean, properly sized, and proper depth? II II E) PRESSURE SYSTEbf II 1) Sand cuality ASTM C-33? v I, 2) Head height uniform and a24 inches? 3) Cleanouts and observation ports present? ✓ �I 4) Mound: Side slope 3 :1? 5) Owner informed electrical connections must be made by II II owner or licensed electrician and inspected by DLI? I IV. POTABLE WATER LINES II A) >10ft from drainfield? B) Wells >100ft from drainfield? ✓ jj II V. PUMP/PUMP =-nMnER II A) Designed pump used, or specs attached for equivalent pump? v B) Screen basket or effluent filter (circle one) installed? II C) Riser installed for access? v II II D) Alarm installed? II CERTIFICATION OF INSTALLATION II i II nstalle : Check box from Row "A, " check box Pram Row "B, " sign and date the certification. II r—i I II A. ' I certify that I installed the system u I certify that all deviations from II II without any deviation from the design the design stamped "APPROVED" by MCDHS are II II stamped "APPROVED" by MCDHS. Tj4/V1<S shown on the reverse side of this form. II II 1—i �1 iI II B. U I certify that I contacted the u I did not contact the designer prior II II designer and left the system open for to final cover because the designer II inspecticr. up to 48 hrs or'-or to cover. waived the notification requirement. II II I further certify that all information contained on this form is accurate. I understand II II that if the information contained herein is not acc=rate, there will be just cause for II II immediate suspension of my i tiller certify ati II II I II II at' -e s ler a II II The undersigned approve thi insta at, n of behalf o Mason County Department of Health II Services . G_11 —s G z c..or —Dam II AS-BUILT FORA - PAGE TWO R.ei..a 08/24/94 it PARCEL IDENTIFICATION I� II Applicant's Name 'i ' r e II II Permit Number _swG9 h4 - O Subdivision' II amei ivis�on II Installer's Name AICU C �.d t X C A VA tml t Assessor's Parcel No. 3.2/.3(a '13 c0/©O II II Designer's Name _,r" r 0 .Td h�»Sn� TIC €-mz3,.,. ) II I� I II 1� AS B=LT DRAWING II -f- 1 II Iilill liil . ; IjI � I � ' Iii it i � lll III II II , i �_r-- I _ I .� il � lll I11n �� i I ' IIIIII � I II II I I i t I I4 S' II 1 1 1 u ° WAY ' illlll 1 R��.` h. l i j j ji III ' I ; 1 I !II i� i I I jl �i IiI ll � f I i � i" i III II i11, i III lllllill 'I ' °^� I ' ll I II I I I �r I I I II II Ali II ! Ij it I111 I � ii I ii I II .. jlil � I I C ; I I _ i . I II II I II I Izo � I I1' I I I I II II Iilj ioI 1 � I III , � '�� I ; � Iiill�� III IIIII I - I '- ill I I � II Illil I i III II II ! Ilin� I 1 IIIIII IIIIII I I 1 I li III ( � II II I r Z II rar, IjI ( IIIIIII IIIII " ; III I 1 I I I I I II 1 I cAu=om.- minor adjusmeocs Cc Septic tank location and drainfield 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 system. it is the in- staller's responsibility to obtain prior wriccan approval from either the health department or the designer before making any devi- ations from the design chat affect system viability. Any deviations from the approved design muac be shown above. II AS-B=LT CXECXLIST I� I I II r- � II II � Drainfield orientation � Observation port location ru Undisturbed native soil I II and layout between trenches II II a Cleanout location 17 '1 II II u Trench/bed dimensions and u North arrow II jl critical distances within u Manifold placement II II layout u u Scale of drawing shown I II Orifice placement on scale bar I II � D-Box/"T"/"L" location r II II 1- L= Lateral placement, with Additional Mound Information II 12 Septic tank/pump chamber distances to edge of bed n II ✓ location u -- Endslope width jl II n Location of wells, roads II u Location of buildings --I overall fill dimensions II I I