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HomeMy WebLinkAboutSWG98-0232 - SWG Application / Design / As-Built - 5/21/1998 MASON COUNTY DEPARTMENT OF HEALTH SERVICES' PERMITLLNO. SWG — 426 W. CEDAR/P.O. BOX 1666/SHELTON,WA 98584 Date c� c� —Q� y: c PHONE (360)427-9670 Receipt No. Amount$ 3 z PROm �WJ>l, — 9 CHECK APPLICABLE ITEMS G A ESS: �f DAYTIME PHONE: NEW SYSTEM 0 10 n' —1 REPAIRSYSTEM CITY�, 11O STATE." MAINTENANCE REVIEW 11 SINGLE FAMILY m PROPEF4 ADDR OTHER c SPECIFY: 3 W 1 PRATE WELL CIFICDI CTIONS FO CATING SITE A%b a COMMUNITY WELL/PUBLIC SYSTEM ol, tS� � lb SYSTEM NAME FNA ANT J 11✓ OT.I �� �o Name of Lotft x 3C7 ft. DDRE Installer Size: • 3� acres NE Name of REO um ero 0 Designer Bedrooms I� PLOT PLAN �I Draw a dimensional plot plan, ^1 I including: 516 w I ^ ❑Precise location� M LD ' holes,showing UL c i \tic �7 IQ measured distances to = I a d property bound�es. W r �gq y>, I > ❑Entry road;qt i r roadam. driveways. -. k I 1 LoT 1 NOTE: DO N N ,y' r SYS+>7 y DEMI N �, sc L OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. 'Gas t Fb►e N I SOIL LOGS 7�>L 3 �2Sr Ibjc B rau jau 0 - 25° c�rtW o °-�1 -yra�e% L6-2a r to s�noc/ finery irre�Wa�ulxar a,�/� low sf ItCvwIcam frvt�- � tlnotrG�vl�. Q,2grc¢s � (.L�plcc/7te+�rs7� 5f� ag 2 r re6W f of »� �+0b?s-a6ov I 0 fxbkQ, DESIGNER DESIGNATI N SCORES MINIMUM SYSTEM REQUIREMENTS Finding Score ]D Designer Level: ❑One Two Soil Type Soil Depth in IT Septic Tank Daily C� "�'� Capacity: �OQ Gal. Flow: 360 GPD Slope LL Appl. / Infilt. Parcel Size I , nc. `7 Rate `Q GPD/FT- Area 6p0 FT' Distance to Shoreline _� Total / In pector Date Z �� May COMMENTS/CONDITIONS FOR APPROVAL 61& dug ur rn�v�g�<A,( •Al on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise •All on-slte sewage systems must be Installed by a Mason County Certified Installer,unless prior approval Is granted otherwise.In such cases a preliminary on-site meeting between health department staff and the homeowner is required. •On-site sewage system design approval does not imply other building site requirements p.e.RLC,Water Adequacy)have been met. •Any charge from the spedfied use of the property or any site alteration affecting the system design may invalidate this permlt. •Thrs permit expires 2 s from the date of sae review.Denial of this lt maybe ed 0 the Health Ofiioer within 1 of denial date. SITE IEW: DE G EVI proved ❑Not Approved IN ALLA ION raved ❑Not Approved BY TE: B DATE.{ I b 0 B DATE: TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Applicants Copy S 16 U7 MASON COUNTY DEPARTMENT OF HEALTH SERVICES May 25, 2001 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. BELFAIR (360) 275-4467 SEATTLE (206)464-6966 Shelton WA 98584 RE: Design for FULLER Case No: SWG98-00232 Parcel No: 321347590144 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any Please call me at (360) 427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Health Services COMMENTS: Permit expires 5/29/01. 06/26/2001 1 of 1 SWG98-00232 MASON COUNTY DEPARTMENT OF HEALTH SERVICES May 16, 2001 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. BELFAIR (360) 275-4467 Shelton WA 98584 SEATTLE (206)464-6968 RE: Design for FULLER Case No: SWG98-00232 Parcel No: 321347590144 Your design for the above referenced parcel has been reviewed and is NOTAPPROVED. 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: Technically this design is approved. We need the recorded O&M before I can release it. This permit expires on 5/29/01. 05/16/2001 1 of 1 SWG98-00232 DESIGN FORM — PAGE ONE Revised February Is,1998 A design will be reviewed when 3 copies of each of the following items are SCea eA b plan9,Including allaipplicable Itentssoondhecklist Scaled reyy.��s w cIt. I II . II I PARCEL, IQENTIFICATION Permit Number: SWG �� -Oa Designer's Name: ` Designer's Phone#: I y� l Applicant's Name: t. 1 _, U u1 l Assessor's Parcel No.: I Mailing Address: RY. I I (Twelve-Digit Number) SCAYNV_ tJ S � Subdivision: city State zip (Name/Division/Block/Lot) DESIGN PARAMETERS 1 Treatment Device O Glendon Bioffllteer O Sand Filter 17 Mound 17 Sand Lined Drainfield Aerobic Unit-Ivfake/Mod`el: _--- _ O Disinfection Unit - Make/Model: Drainfield Type Pressure ed )(Dminrock Gravity XTrench O Gmvelles Chambers Septic Tank/Drainfield Specifications Laterals Number of Bedrooms c u Class Daily Flow 01D W Length Septic Tank Capacity Diameter In Receiving Soil Type(1-6) 14 Pz Number ft Receiving Soil Appl.Rate , Separation Required Square Footage ncn Orifices Designed Square Footage Total Number of Orifices in Percent Reduction Taken a Diameter Trench/Bed Width `.,�ft Trench/Bed Length 6LOU f/ ft Spacing Elevation Measurements Manifold a Schad Class Original Drainfield Area Slope ength ft New Slope if Altered a Diameter V4. in Depth of Excavation from in Original Grade (Up-slope) Preferred Manifold C0.onfi used? Yes ❑No Designed Vertical Separation �� In PP • � �rt pipe 1^ (Down-slope) Sc in e gth C N�p Opt Diameter Gravelless Chambers Required? ❑Yes PNo ❑Optional G�{1� Pump Required? Yes ❑No Dosi Pump Chamber of Pump/Siphon Specifications Number Dose Quantity s/Day Difference in Elevation Between Pump Shutoff and Uppermost Chamber Capacity Orifice: � ft Pump Controls: Timer(or) Elapse Time Meter(circle if required) If Timer: Pump On , Pump Off Uppermost Orifice ism Higher, ❑Lower than Pump Shuto Capacity @ Total Pressure Head: hgclythe following components if they drain between doses: Calculated Total Pressure Head: f�'j Laterals ❑ Manifold ❑Transport (Attach Pump Curve) DESIGN FORM - PAGE TWO Rwind Pebramy IS.191 DESIGN CHECKLISTS ........... . Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Test hole locations )9 Drainfield orientation and layout Referenced depth from original grade: Property lines M Trench/bed dimensions and critical Septic tank lid and drainfield cover Existing and proposed wells within distances within layout depth 100 ft of property lines Cl D-BoxP`T"/"L"locations L�J Critical distance measurements to cuts, )9 Septic tank/pump chamber location Reference depth from original grade banks,and surface water 6 Observation port location and restrictive strata: )9 Location and orientation of curtain �I Clean-out location Laterals,trench/bed top and bottom drain and all absorption components �O Manifold placement O Curtain drain collector Location and dimension of primary �M Orifice placement O Sand augmentation system and reserve area Lb Lateral placement,with distances to Buildings edge of bed Other cross-section detail: Direction of slope indicator Audible/visual alarm referenced Observation ports and clean-outs Waterlines O Scale of drawing shown on scale bar Roads/easements/driveways/ _ Crtlss-Swtion inrorma4W 1&0.m�1. ping Layout information for mound system: system: O Critical resource lands(if applicable) O Overall fill dimensions Q Settled cap depth at eentoratld odge t#E North arrow and scale of drawing p Up-slope.downslopo,and andslopo bed shown on scale bar fill width f3 Sidtswallslopo 0 Up-slope and downsto iretleittttdinti Additional Information Design staked out O Operation and Maintenance Notice Attached O Waiver(s)Attached DESIGN APPROVAL: The undersigned designer❑does, doa, aivee re uirement to be notified by the installer of the installation and given 48 hours to perform a final inspection prior t 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 and local on-site regulatio lwl. S� Ib�0/ Environm ntal Health Specialist Da Caution: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Department of Health Service ., ✓ The On-site Sewage Permit has not expired,the Permit Expiration Date is: ✓ The system is installed by a certified installer,unless prior authorization is obt_ained troin Mason County Department of Health Services. ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval VoNAL -7 (- 9019q 1 r°- 0 i i � I M Mp`l 16 2p0 W �, : �bs�rivArt,ua 'Pods - 10 - 01 �,►stAl\ Q,1e�a -ohs �� �Ac�neR,a>_ t.�!� S�►1t. 1'�= )b' FiY ra f � I ! � I 0 � I i Sect �� µ�a EA/L, ,Nc� PRE o pc MAV Clem-ot� At �.A�`e�,.�(. Ea } K1 e el, FvIIe)k 3a ►3y - `?� 90 ►y�/ T,A99 3„ R� ;SAL RADe, E y ' �•' • . r�ri' ■. I N'IV� TODRAINFIELD Abvp qAIVzS IJ PRESSURE LATERALS } 1 yNCIl.ldaSe.. I,..A1 Gc..d LS I apl� yAIJLS '�p„K��oJ Jf11V1S LONG SWEEP 00 DEGREE ELBOW 4-- T�O�nl TRANSPORT PIPE FROM PUMP CHAMBER �u�� r'A. Mc P'� 161 M G,,wwff DRAINFIELD CONTROL BOX Low- (SLOPING GROUND* MANIFOLD BELOW LATERALSI I SI S KH D 150 SP40 SP50 . '. MAX.SOLIDS 3/4"SPHERE MAX.SOLIDS 1.1/4"SPHERE MAX.SOUDS I-1/2"SPH 1-1/2 HP 4/10 HP 1/2 HP 3450 RPM 1750 RPM 1750 RPM � mow• t ,y i .0��l yLAY, ) �H •* K0; .µ'r`�yB/�. l.. •.11j y �� 1 , • Dual shaft seals standard. Seal • Available in automatic and manual • Available in automatic and me failure sensor capability available • Oil-filled ball bearing motor • Oil-filled, heavy-duty ball bear (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-isolatec • Spring loaded mechanical seal • Automatics feature reliable level control diaphragm switch with'carboo and ceramic faces diaphragm switch with piggyback cast iron housing • Non-clogging semi-open plug-in • Rugged cast iron construction thermoplastic impeller • 2"NPT discharge • Mechanical shaft seal with cat • Pump-out vanes on rear shroud of • Rugged cast iron construction �y1 d ceramic faces • impeller • Stainless steel shaft `G WZ�f'NPT discharge(3"flange For high head septic tank effluent • Completely field service 0���alional) applications • Residential sewage eRi �7(N Completely field serviceable • 1.1/2 HP, 1e 230V and 3e 200V, capacity sump pump�l�'��. H�PNN II bronze model(SP50A81)it 230V.460V or 575V • 4/10 HP, 1a 115V ot1830V 1 6 Z��automatic, I 115V MP� • 1/2 HP, 1a 115V,20OV,230V 3e 200V, 230V.460V or 575V i+ r 100 u az 110 614 6:4 Elf W Elf z _ _l F - F O CAPAW'.U.B.e.►.M. 40 B G►Adry.o e.o 100 120 00 >Z M M In 100 CAFApry.u.t 0.►.K 1871 E Johns Prairie Road Shelton, WA 98584 360-426-6697 Rob's Excavating GENERAL NOTES ' l. 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 shall be the installer's responsibility to have a copy of this design onsite at all times during construction. 6. 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 t formation available to the designer. Accuracy and completenes ArAO led. Mc MA,�161oa� cell . . . . . . . . . . . . . . . . . . . . . . . . . Have a goof Day! ROB'S EXCAVATING 1871 E JOHNS PRAIRIE RD SHELTON, WA 98584 (360-426-6697) INSTALLATION/MAINTENANCE PRESSURE 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 thr years. 12p r ' " 1.TN pEP c NEp 15. Inspect floats, clean pump screen and test water alarm every 6— 12 m"Xs �i�d. C0 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) ApIpVAS ROH®®? M SAY 16 20a1 GO 4 PI f ON-SITE SEWAGE INSTALLATION FINAL INSPECTION DATE CALL$D IN: INSTALLER: �s APPLICAN IOWNER: /-a Ls� PRONE#OF CALLER: SWG#: PARCEL NUMBER: SUBDIVISION: Div: Lot SYSTEM TYPE(CHECK ONE): PRESSURE GRAVITY INSPECTION SCHEDULE(CHECK ONE): APPOINTMENT PLUG IN AS-BUILT ON-SITE(CHECK ONE): Ili cl YES NO STAFF INTIAIS: .w APPOINPMENT DATE: TQ.IE: COMMEM: g ON-SITE SEWAGE INSTALLATION STAFF INSPECTION REPORT L SErrre TANK Yes No A) >5 R from foundation? B) >50 ft from wells and surface water? C) Bldg stub-out to septic tank:cleanout if not 1-20/oT ) Baffles w and clean? E) Dividing wall intact? F) Risers installed for access? IL D-Box Leveled with water and/or speed leveler(circle)? M DRAumnma A) >Io ft from foundation and>5 ft from perceived property lines? B) >100 ft from wells and surface water? C) >10 ft from potable water lines? D) Laterals level to±1 inch&end caps present ifnot looped? E) Gravelleas chambers utilized? F) System dimensions the same as shown on the design? G) Gravel clean,properly sized,and proper depth? 1i) PRESSURE SYSTEMS 1) Sand qualityASTMC-33? 2) Head height uniform and z24 inches? 3) Clean-outs and observation ports present? 4) Mound: Side Slope 3:I? 5) Owner informed electrical connections must be made by owner or licensed electrician and inspected by L&17 IV. punM/PraW CM&MER A) Screen basket or effluent filter(circle one)installed? _ B) Riser installed for access? C) Alarm installed? --� D) Pump On timer or demand(circle)? V. As-BUILTREQtm m? VL OTBER COMMENTS/OnSERVATTONS tl lnJ , The undersigned has reviewed this installation and verifies these findings on behalf of n t of Health Services. sanitarian Date C1aSyFdalGaaldwdr.,,,d - aevlseds�ss9'f ' BUILT FORM Revised Fekmy 18,1998 Applicant Assessor's ` -�<� Parcel# mot PennitNutnber SWGIR �c� (Twelve Digit Number) 1 Installer S �7 C J _ Subdivision (Name1D1vis1on1BlooWLoQ Designers 4 INSTALLEI2GHECKLIST �F, , � � ��: NIA Yes Prior to Completion I. SEPTIC TANK A) >5ft From foundation? . . . .... . . . . . . . ..... . . . . . . . . . . . . . . . . .... — B) >50 it from wells and surface water? — C) Bldg stub-out to septic tank.clean-out if not 1-2%? D) Baffles intact and clean? .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . E) Dividing wall intact?...... . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . .... . . — F) Risers' for access? . . . . . .. . . . . . . . . . . — G) Tank S�_gal.;Manufacdue S II. Box A) J/ A) Leveled with water? . . . . . . .. . . . . . . . . . . .... . . . . . . . . . . . . .. . . . . . . B) Speed leveler used? . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . — III. DRAINFIELD A) >10 ft from foundation and>5 ft from property lines? . . . . . . . . . . . ... . �L B) >100 ft from wells and surface water? .... . . . . . . . . . . . . . . . . . . . . .. . . C) >10 ft from potable water lines? . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . , D) Laterals level to±I inch&end caps present if not looped? . . . . ..... . . —— E) Gravelless chambers utilized? .. . . . . . . . ...... . . . . .. . . . . . . ... . . . . F) System dimensions the same as shown on the design? . . . . . . . . . . . . . . .. G) Gravel clean,properly sized,and proper depth? . . . . . . . . .. . . . . . . . .. . H PRESSURE SYSTEMS 1) Sand quality ASTM C-33? . . . . . . . . . ... . . . . . . . . . . . ... ... . . .. 2) Head height uniform and 2!24 inches? Actual head height — 3) Clean-outs and observation ports present? ... . . ... . . . . ........ . — 4) Mound: Side Slope3:1? . ........ . .. . . . . .. . . . . . .. .. . . . . . . . �- 5) Owner informed electrical connections must be made by owner or licensed electrician and inspected by L&I? .. . . . . . . . ... . — IV. PUMPIPUMP C AMBER / A) Pump make ; Pump model J T m qD —1- B) Chamber size \-LVQ gal; Manufacturo 1 ✓ C) Height of pump off bottom of pump chamber inches — D) Pump chamber draw-down 1-a- gallons per inch E) Pump capacity ) xzz gallons per minute F) Pump controls:Timer(or)Elapsed Time Meter (circle if installed) If timer is used:Pump On Pump Off — G Screen et r effluent filter(circle one)installed? H) m fed for access? . . ... . . . . .. . . . . . . . . . . . . . . . . . . . .... . . . . I) Alarm installed? . .. . . . . . . ... . . . . ... .. . . . . . . . . . . . . . . . . . . .. . . . . t Ara-8uiLTDRAYWING CHECKLIST Drainfield&manifold orientation &layout ❑ Trench/bed dimensions and critical distances within layout ❑ Septic/pump tank placement. ❑ Location of buildings. ❑ Observation port&clean- �S out location. I "'llll ❑ Location of wells& � ��r roads. ❑ Undisturbed native soil between trenches. ❑ Noah arrow CAUTION:Minor adjustments to septic tank location and drainfield orientation made in the field by the installer are generally acceptable to both the deeMmeot and the designer,but could in certain cases compromise the viability of the system. It Is the installer's responsibility to obtain prior written approval from either the health depamnent or the designer before making arty deviations from the design that affect the system viability. Any deviations from the approved design must be shown above. CEftT1FI0A7YQN 131?INSTAUATlOTI Int�a11 r Check a box from Row"A"and"B",sign and date the certification A. U��( 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 MCDHS are shown above. ^ , MCDHS B. J(1 I certify that I contacted the designer and left the ❑ I did not contact the des th igner prior to final cover because e ✓✓✓ ��\ system open for inspection up to 48 hrs prior to desi er waived the notification requirement. cover. I further certify that all information contained on this form is accura . I unders d th if the information contained herein is not accurate,there will be just cause for immediate suspension of my ins lie ion attre o nsta er ) ate�� The undersigned approves this installation on behalf of Mason County p nt of ices. Sanitarian Dbite