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HomeMy WebLinkAboutSWG97-0355 - SWG Application / Design / As-Built - 6/11/1997 l ;BOUNTY QEPARTMENT OF HEALTH SERVECES PERMIT NO. SWG c CECIAR/P.O. Bt 166%/SHELTON, WA 98584 Date PHONE 60) 427-9670 Amount$ O�S f Le ,%6 � CHECK APPLICABLE ITEMS tG ADDRESS: DAYTIME PHONE: 744EW SYSTEM b 66X a(0 e2 -006/ REPAIRSYSTEM ": STATE: ZIP: MAINTENANCE REVIEW m SINGLE FAMILY ,OPER ADDRESS: OTHER Z £, SPECIFY: 3 E IC DIRECTIONS FORCATING SITE: PRIVATE WELL m COMMUNITY WELIJPUBLIC SYSTEM q� SYSTEM WFI N I.Q �2N L Y SYSTEM NAME I� APPLICANT Name of �� r 1_2, Lot ' ft.x ft. NAME /ylq r— ZO&O Installer h o .MAILINGADDRESS Q B 8S Gq Name of Size: acres TELEPHONE O 26 -104061 Desi ner um er o SI RE o g Be a X o PLOT PLAN Draw a dime lot plan, including: r "—J w m O lO❑Precise loof test U x holes,sho�uG�� QD Qo measuret�Cfcktc 5 td� ItJ property !tpri � Leto f 0 0 � la I� ❑Entry rower rota, U) LLLJJJ i driveway IN a, O NOTE: D T D 1111PvjL MDESIGN ��I �1�.1 miKKft RE ttt LLLQJJJ OFFICAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. SOIL LOGS A' 4CY .A/fO��TN?� yv - Gocli4N15��jw 1 /Y/41 DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS To h� esfkbLs�f Finding S Designer Level: ❑One cwo by ",des r5`.- Soil Type Soil Depth Z in. L Septic Tank Daily Capacity: Gal. Flow: GPD ` Slope V% 1J Appl. Infitt. Parcel Size Ac. Rate GPD/M Area 47- FT' Distance to Shoreline fL Total Inspector b--,., Date COMMENTS/CONDITIONS FOR APPROVAL •All on-s@e sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer. •All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted for a homeowner installation of a gravity system. 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 she requirements(i.e.RLC,Water Adequacy)have been met. •Any chargge from the specified use of the property or any site alteration affecting the system design may invalidate this permit. •This permft expires 2 years from the date of site review.Denial of this permit may be appealed to the HeaRh Officer within 10 days of denial date. SITE REVIEW: DESIG EVI prov d Not Appov INSTALLATION:pApproved ❑Not Approved BY: DATE: ATE: BY: DATE: TOP: Health Dept. Copy MIDDLE: De ner's Copy BOTTOM:Applicant's Copy t s GARY YANDO, DIRECTOR 3yQ DEPARTMENT OF COMMUNITY DEVELOPMENT PLANNING - SOLID WASTE - UTILITIES GBLDG. I • 411 N. 51 ST. e P.O. BOX 578 SHELTON, WA 98584 • (360) 427-9670 DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERNHTS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County s willingness to proceed with processing of applications which might be affected by that Order, the undersigned properly owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Meson County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter "pemtitwig actions'), which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. Date (Parcel No. or Legal cacti to ) DR , ,^ Property owner's signature(Notarized) lV �` (or the County may accept the signature of the owner's authorized agent upon proper proof of authorization) S ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) ��� STATE OF 1 t ~035 ,S COUNTY OF On this _day of , in the year _, before me Notary Public, personally appeared personally known to me to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. WITNESS my hand and official seal. - For County use only - Reviewed by applicant on Notary's signature (Date) My Commission Expires: Staff Initial: MASON COUNTY DEPARTMENT of HEALTH SERVICES ti Shelton.Woshington 98584 (206)427-9670• Belfoir 275-4467 JNMENTAL HEALTH PERSONAL HEALTH WATER QUALITY .OX 1666 303 N. FOURTH P.O. BOX 1666 MEMORANDUM DATE: 1O lfa hi TO: t3o6 Luy- FROM: �ra A -6ej Fie-IQ RE: Design for aVC nAeLbe J Parcel Woo ROM aYour design for the above referenced parcel has been reviewed and is APPROVED. Your design for the above referenced lot is NOT APPROVED. It does not meet FNI the requirements or needs additional information. o be iie Se r-ye ar-ea Ao0 toij f n rntt r,in, 4412K AO � e «se R Pd ✓ �IPn cP i(nclydF' � � SY � l c' a�.'o 4C P 6+ Prn n 'OO�io Ps Xrr o :,L i O 100� Se7-b4 C` K;1 pm Welk o vt IQ 114 p la n Pressure i r. u r face- � .Q. t 0 f ` a U 51a ✓� f ce n r-ec>_ 'Fnr <,a kJ 'Ip bvit l rencboy 0FP ; Meg Se Corn fJtie 4e flP�n ApcK '1ST . Lux Design SE 341 Brewer Rd. Shelton, WA 98584 Tel: (360) 426-0820 FAX 427-6445 Mason County Health Dent. Atten: Laura About the sizing of the DF relating to its use as a commercial warehouse, in consultation with Mr. Mabey it was decided to merely figure it for a 3 BR house since the DF was going to be small anyway(because of the high application rate)and so the savings would be negligible(mostly only 4 employees). Sorry it slipped past that the orifice spacing should be 2'. BOB LUX DESIGN FORM - PAGE ONE 4D) /am R.vi.w 09/17/95 A design will be reviewed when 3 comes of each of the followi@�R�„�a� gubmitted: Completed design form that has been signed and dated nnAAl/ • Scaled plot plan, including all applicable items on chd4p t Scaled layout sketch, including all applicable i% on ch Q1� Cross-section sketch, including all applicable itA16W/�D checkli� �SSIST_A�ri ec___ II PARCEL IDENTIFICATION I 11 Permit Number SW6 9'l-Mb3s-s- Designer's Name Loy Oarf6eF II Applicant's Name M A Prop. Owner's Name II II Mailing Address F12/ M�r,X,�l ..t Mailing Address II II II Ll y ,/ t w 5 ate city a e zip II u Assessor's Parcel No. Z 3�_ 6 60 Subdivision II I e - rgi er ivi ion oc I II DESIGN PARAMETERS II !I ✓ ✓ ✓ ✓ II Designed II vertical II II u u u Se vion II I) Mound Subsurface Pressure Gravity Bed Trench rn� II Septic Tank/Drainfield Specifications I 1—i II No. Bedrooms 511eD tea. 9 I Pressure Distribution? w+ Yes U No �I Daily Flow 3t o and IEEEEEEEiEEEEEEEcEEEEEEE2 (If yes, proceed. . .) ......................E:II ...................... Septic Tank Capacity oo gal I $erg ces II Receiving Soil Type (1-6) RReceiving I 0 \ih II Trench/Bed SBottomoil pAreal. ate (300 Schedula�int)� ® � Trench/Bed Width 3 ft I Length � � '1 S� ft II Trench/Bed Length ft I A II Diameter lotia�s I qQ in II Elevation Measurements ((' I Number original Drainfield Area Slope I separation pate / ft Drainfield Area Slope if Altered t I orifices II Total Number of Orifices S Z. Depth of Bottom of Trench/Bed op in I Diameter 3� in II II from Original Grade Ps op I spacing _m'�— II in I Manifold I! o ope I Schedule/Class li n �y I Length ft II Infiltrator Used? u Yes No I Diameter 3 in II n Transport Pipe L II Pump Required? Yes.....,..U..No.. I Schedule/Class (If yes, proceed. . .) ^^ ^^ ^ ^^ :I Length G_r ft II :::: ' I Diameter in II h Pump/Siphon Specifications I Dosing and Pump Chamber II Difference in Elevation Between Pump Shutoff I # Doses/Day !Zf_`�-. II and Uppermost Orifice (i= ft I Dose Quantity 2 1 gal II 1--1 tsvE4 1 -1 I Chamber Capacity gal II Uppermost Orifice is U higher, 1--llower I I� than Pump Shutoff I Check the following components if they drain II Capacity 0 Tot. Pres. Head 'S0. Lg gom I between doses: I� Calculated Tot. Pres. Head 2.6S, ft I ❑ Manifold Transport I� (Attach Pump Curve) "-'+ Laterals DESIGN FORM - PAGE TWO Revised 06i17/. Ir DESIGN CHECKLISTS II Scaled Plot Plan I Scaled Layout Sketch I Cross-Section Sketch j Reference depth from orig- j IITest hole locations I XDrainfield orientation I inal grade: ry I and layout I j II, •Property lines I I Septic tank lid and II I Trench/bed dimensions and I drainfield cover depth II Existing and proposed I critical distances within II wells within 100 ft I layout I Reference depth from orig- II of property lines I I inal grade and restrictive i I4WrD-13ox/"T"/"L" locations I strata: j LI Critical distance I n I II measurements to cuts, I Septic tank/pump chamber I Laterals, trench/bed II banks, surface water I location I top and bottom II I J� I r, II � Location and orientation I Observation port location I u Curtain drain collector II of curtain drain and all I I II absorption area I Cleanout location I � Sand augmentation II components I I I#We anifold placement I No external reference needed: II �r1 ocation and dimension I ri I II of primary system and I .�Oe Orifice placement 114 Observation ports and II reserve area I I cleanouts II �y 14e Lateral placement, with I II ;i Buildings I distances to edge of bed I Additional mound information: ' II r, r, I r i Direction of slope I u Audible/visual alarm I u Upslope and downslope II indicator I referenced I fill width II I I r, II4KWaterlines I Scale of drawing shown u Settled cap depth at II r, I on scale bar center and edge of bed II Roads/easements/ I I ri II driveways/parking I Additional Mound Information: I I Sidewall slope II r, I r, I r i II u Critical resource lands I U Endslope width I u Up/downslope bed elevat. II (if applicable) I r1 I II r I U Overall fill dimensions I Completed Resource Lands and II �+ North arrow and scale of I I Critical Areas Checklist II drawing shown on bar I I P II DESIGN APPROVAL II r� t �eallh Service II The undersigned designer LI oes not, waive the reqirement to ,�$pEs1f'��'"D�t�k '�Tl II installer of the installat' an g' 48 hours to perform a final insp c iqn jilt II cover. IIIIII • � pitl s 17.7 g7 II The undersigned has reviewedAnd- approved this design n behalf of Mason County of Health II Services. IIDate II II CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITIONS: .• H ✓ THE DESIGN IS STAMPED "APPROVED- BY MASON COUNTY DEPTARTMENT OF HEALTH SERVICES ✓ THE ON-SITE SEWAGE PERMIT HAS NOT EXPIRED; EXPIRATION OF SAID PERMIT IS BASED ON II THE DATE OF INITIAL SITE INSPECTION, NOT ON THE DATE OF DESIGN APPROVAL ✓ THE SYSTEM IS INSTALLED BY A CERTIFIED INSTALLER, UNLESS PRIOR AUTHORIZATION IS II OBTAINED FROM MASON COUNTY DEPARTMENT OF HEALTH SERVICES �r c1p lam' n c� x MtK��'S .,h Services 3Qfl Mason Coun`y 'je �y D ✓J AppR�4.J1 vv Initials � 9.J Date d Ll-;,. : DESIGIgI 6NSITE SEPTIC SISTEMS ScilE � h APPROVED BY: DRAW 1 a^ W B Lv DATE�O PAO#" C= lL( titi�cK�u-Fftp S((���6 I`� AsorE L4 97_ p3 Ss� DRAWING NUMBER GP.aDF 3O II �152G�1�Z SwM� 2�u Orr ��Lr ASS �'¢) 9°p - Aar SN-rr/c 'ice K Qu Mrs ►c IZ�AL 2Cmt�P. 11Sro 'j'W 6 CoHP4KT, 3� �1 � t � CountY pe;;t. riealth Services L X Za 01� $nff�M Mason VWlTl 90It A'�3��® JJ �pitials ' � KeTss : Date � a '_ It PttF- PU So "rVAr -UTU9Cn 70 19u4 L.a act. plb 90T- Get Ovm smiG Ti4t�KS 2 , 'Pu4 1MK SAFyF a L �c Oft I«t L3G,o 734m74fz 3 , GaWcACTC Asms Ficbk L-A;c Toftl f., ( f . S lPn eF' rAAKX MlA LUX DESIGN ON SITE,SEPTICSFSTE,2,,S SCAlE:1i�O C /I q Z/ APPROVED BY: DRa I , DAZE: ` ^{• �'"�7� 1 0- 4- ip 1 REVISED Ir 121 �111t14fwwf o-e & RQ, Q& (»A�41f . ►� • �Vt�IsoM ttN 97, of ss VMS I �K ���L DRawINGN�ER 'h1 C Z V W ? J L 3 V Q C C � O e � Y J 1i IL �U J d •L O U� W 4 A � � � u u O 7 Sz VJ on P ` Y u- 0 N T ' n � H mbarK1L SEAL 70? OFEFH puT 1°C1 r R 6 s s�w+Nt 3 " o y A6t -TFC PUC On'Euos FOEF 14 o.t 4louss- A�S (ore USG Flmr-c N ( NPR' REVO� rrm�K� s600loVir bur Per I_ ,UIX DESIGN ON SITE SEPTIC SISTEUS SCALE: A/Oi/sf APPROVE?BY: DATE IS��l7 O Rw LV RE'v15E7 SEPTIC- TAgK � 9Pu'r' A-NO OLrrPL�T- FITnUe.5 �RA'NING NUMBER G � aG�QO GD z 7 SD c � tA b Vj _ x z a. N h;-](A D r � N -e---- � O N A A 0 1 � � � �aSoo ��0 �'S✓ ;v I lolk" E da i p 1 � �U6M ILEo� )v6yL `U V p — — — Lc �v G p rrINAk►..f1ZtcK Apo IX v1ror-_v_ F O _ o All ! �. S4^4P CAS-Fm 3'3 r k _ S •l 3�n �/rguC4 co 197 LUX DESIGl'+I ���777�///• - - - ©N SITE SEPTIC SY ms 2Sr.f OAT SCAIE:O APPROVED RY: DRA REVISED �xows �c ��� hl�AsoNc UK g7.o2Sso DRAWING 2. V 3� ti r Pkt 3 tt MaKtFn� r' Pipes TO c Ar�Fxg 7-siM+(ex YA LVC Acc9w ?a'zr VAt.Vs- LUX, DESIGN ON SITE SEPTIC S ' Ts, SCALE: %W APPROVED BY: DATE: I•� REVISED pRA W ING NUMBER c b.C X7 40 cA 1' 0 Va\ F—. lY W '. f ,1/„���, ,H ,' .01 J /'� r� l r •yam` o `a✓ m CS, tA c , :� M■+1 0 1 (r 1. 11 • ') `/i/ y � vvi 0 y Q c I J P w � 0 U � t i 1 i r l r ENtwat Pmpa 7rti to 4h0 N/ 32 - MEOW ! r g4roh Phafit Rp tz 1 T i Iral.2m�velt 1 ' ! ' Canepdb t i 1 I I - I , • - I f i i f ' r S ? i � ' i - PWE W L • f t • i l ! 1 I [ r � T-7 1 1 1 ¢ f 1 1 i 4 i 2 1 i Refer to Pries Page 7 — 1 - I i •Available in 1191 7d6► l ; 0 0 10 30 30 40 Net Oischat0a, GPM {FvKP Se-LcT-r � - FVP 0*11 `OOLOS G PM 30. 6$ TDN 'Q4i te%l. VA `j �CoKTtt� Fe.b+!'� ?ETF/C13 Fob- 3 r� N' rt*-77 09 „ kiW AL*Ok Fg ebW 316 Po Ato �( 24 " i!votP oFF 21 x �� tply AMOO 1 >ft Pnt[�p�+t LVX DESIGN C'V� ON SITE SEPTIC SYSTEMS K•�' IyoMr APPROVED AT n,. G Iz 41rr1tW Rq. f%3 Go �� Situ P ORAWMC NVA1dER Our Press= Aerated Distribution System We have incorporated a feature into the design of your drainfield that we call our "Pressure Aeration System". The effect of this feature is to force a circulation of air into the drainrock at the start of each pump cycle. This is accomplished by allowing almost all the effluent to drain out of the pipes between doses with the space inside the pipes replaced by air which is then forced out into the drainrock as the new batch of effluent enters the system at the beginning of the next cycle. You will note that the construction of the cleanout/ventilation ports at the end of each lateral have caps that are slotted so as to allow air to enter. Thus, there is a gentle circulation of oxygen entering the system as needed. The main cause of drainfield failure is a build-up of an impermeable biomat at the trench bottom. Bacteria that is a natural component in soil can act to eat this biomat but this action is greatly increased by the presence of oxygen. An active circulation of air in the drainrock is of great benefit. Lux Design SE 341 Brewer Rd. Shelton, WA 98584 Tel: (360) 426-0820 FAX 427-6445 Pressure Testing Drainfield Laterals Before Cover Mason County Health Dept. requires that the pressure distribution system be inspected and dynamically tested before cover. To accomplish this, the following steps should be taken: (1) The inner and outer ends of each lateral should be left unglued and turned so that the orifices face upward and then merely pushed together temporarily. (2)The pump switch in the control panel has three positions, automatic, off, and manual. You will fill the pump tank final compartment with enough water to run the pump. (1)Turn the pump switch to the "manual' position and measure the height of the 'squirt" at both ends of the laterals. Each lateral should have approximately the same height. If there is a significant difference between the first and last orifice's squirt height, the system can be balanced with the "trimmer valves" that are part of the system. (4)Please remember that this must be demonstrated to the inspector before cover. (5) After inspection, return the laterals to the position with the orifices squirting downward and glue. NOTE The trimmer valves have two purposes. The first is as described above. The second is to assist in maintenance of the system to help clean the orifices. Periodically(about every three years)you should flush the system of debris that has accumulated in the piping. You will note that there is a clean-out system at the distal end of each lateral. This consists of a vertical pipe with a plug and another horizontal stub with another plug. To clean the system the trimmer valves are closed and each opened in turn with the appropriate vertical plug removed. The pump is turned on to flush that lateral and then repeated for each lateral in turn. The horizontal stub is to accommodate scouring out the insides of the laterals with a special brush. Since this will be necessary maybe once in the lifetime of the system, no provision has been made for convenient access and each horizontal plug must be dug up to be used. AS-BUILT FORM Renvibned AppUcam's We= Assessees pa ccl ux 32 f S 3 f permit Number - Su6divisinn hutAIWO Name Designer's Name ON :wan11, A Yes Pnor to Completion L SIMC Z W JD >5 ft.From foundation? >30 ft from wells and surface water?Bldg dttvb-cut to tank clan-out' not I-z%? bellies intact and clean?Dividing waII intact! — Risars inslalledfor access? — M D-Dox Leveled with water and/or speed 1 weler{cimleg -- — M. DR&RUMLD JA >10 ft from foundation and>5 ft from Baas? H >100 ft from wells and surface water? — C >10 ft from potable water Una? — D Laterals level to+1 inch&end caps if not looped? — E Gravelless chambers utilized? — — System dimensions the same as shown a a the design? — GGriaavel�stDtsZSSYSTIMMys depth?4 and is — — — I Sand qqurtanl7t�ty A3TM C-33? 2 Arad 5ei uniform and 224 Actual head height — 3 Ckau outs and obaetvatiaa present? — 4 Momtd Side 3.17 -- — Owneriafwmedactions must� e by -- owner or liernsed elect ieian — — IV �1ptadp CHOOM B p UXW 3�tbb&skmtar cent cirmake -c�ko )' — C Riser inatakled for access? — D Alarm installed? — PUMP Jim minute Pump as timer air fj — 1 If timer.Timer on T Off —— — e"w°,. �Lx .,. gs Y CHECKLIST aT1leNrp 0 Ikamfield a maoiPotd adeah4aa t<Lyau[ r1T it�esr er "W oam;" i n tramrol,LWsrtl�rasgowdty able AD qy+'Hr a� lg,,laxo�6ern,,rya�.WaMAgc 1° prtor �°`°gr .vai s Ithe fromthe deaign stamped am shown above. *91ceatactedthedesigngtaodle the Ididmtcontacttheopen inspection up to 48 hra prior to eo . Q desk ved tha aoCSmgMi%ttoua�er��becam krwm just cam�immedd suapeo o my ins4Ua I understand that if the infnmv on contained herein is not accurate,these lbatmdcrMVAdappsnves ibis installation oabehalf Coady DeparimatoHealthServices. i z" V 1 z ' LUX DESIGN DESIGN ONl ITE SEMC SYSTEMS rcA` -lo :1c' APPROVED AY_ D 941 U" DArO_i - AEY17tD Viow foam IN mall - --#� f4als •W Lftg !moo=sr AI i� Pe 4)'#Ic. D*AWING NVMOU