HomeMy WebLinkAboutSWG96-0381 - SWG Application / Design / As-Built - 6/6/1996 I"
MASOWCOUNTY DEPARTMENT OF HEALTH SERVICES PERMIT NO//. SW/G — y
426 W. CEDAR/ P.O. BOX 1666/SHELTON, WA 98584 Date_ o
PHONE (360) 427-9670 Receipt No. o y
Amount$ ZDATE F
SDCr CHECK APPLICABLE ITEMS m
MAILING�ID RESS: �1 / DAYTIME PHONE: NEW SYSTEM o
c710 O i"� Imo, W ` •"� $199 REPAIR SYSTEM
CITY TATE: qp ZIP. MAINTENANCE REVIEW w
N W OOD S� 10�� SINGLE FAMILY
PROPERTY ADDRESS: OTHER Z
N Pt SPECIFY: a
SPECIFIC DIRECTIONS FOR OCATII G SIT 1 PRIVATE WELL
v To C WJ+.J �2A(G,- V k COMMUNITY WELLIPUBLIC SYSTEM
SYSTEM WFI# �y
SYSTEM NAME
.ova ^ i. AP NT
y a l+�e� 7 +5 1JR rlCNri \.4 a WS t4 o) NAM
Name of Lot ft.x ft. MAILING DR ►SS 4, kA
Installer
1 �G Size: acres TEL a o
Name of
(t q Number o SI ATU m I�
Designer Bedrooms Ix h ,,
PLOT PLAN Db
Draw a dimensional plot plan, ��
including: j�'\f `• [x4
m
❑Precise location of test
fZ
holes, showing U measured distances toproperty boundaries. j$C Zy T❑Entry road;other roads,`+;ir C-0bi r- Ndriveways. j�� �NOTE: DO NOT DRARAIYa X
SYSTEM DES
Q
OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE.
•y„t/�-' � SOIL LOGS
U Visf�r6,..Q
/z- o-z7Sf,u0rCo4w. p-z6sµuty�a�--
L7 �R' a -/6 54A)L Gkw `� Cl�/ 7-6 -rill
/4- Z6 /ka//��
/37- ' 6-/f 5R u°'y L ou7
Depth from Original
Grade to Restrictive
Layer or Water Table:_ In.
DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS
IFFdal Designer Level: LAOne 0wo
Soil Type --�q . 2
Vertical Separation in. S� Septic Tank Daily
Capacity:/��y Gal. Flow: 3(,0 GPD
Slope Appl Infilt.
Parcel Size Z--t Ac. d Rate I GPD/FTC Area "D FTC
Distance to Shoreline Zq ft. Total Inspec or Date G
COMMENTS/CONDITIONS FOR APPROVAL
•All septic systems must be designed and installed by contractors certified by Mason County Department of Health Services, unless prior approval is
granted by the department,or the design is by a professional engineer.
•Septic permit approval does not imply other building site requirements (i.e. RLC,Water Adequacy) have been met.
•Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit.
This Permit expires 2 years from date of site inspection.Denial of this permit may be appealed to the Health Officer within 10 days of denial date.
SITE REVIEW: DESI REVI Approved -j Not Ap roved INST CATION A roved O Not Approved
BY: DATE: /fr BY: DATE:17d' BY: DATE: .
TOP: Health Dept. Copy IDDLE: Designer's Copy BOTTOM: Appli nt's Copy
DESIGN FORM - PAGE ONE � � ,^�+ �� M � Revised 07/28/95
A design will be reviewed when 3 c (e-3c tWl ng items are submitted:
completed design form t a has been signed an ted
completed Resource Lands and CMJi2a2 Checklist attached
scaled plot plan, including all applies a items on checklist
Scaled layout sketch, including all applicable items on checklist
cross-section sketch, Y 1 fncaems on checklist
PARCEL IDENTIFICATION 1•• l
Permit Numtler yN��� /1 Designer' s Name
`
Applicant 'c Name W ;Rp� me CAEJ4 _ Prop. Owner's Name Ufarn�L
Mailing Address n�Oloo�l low` 31V, WL Mailing Address
'Gate I
y 5�ate city state ZIP II
II Assessor' s Parcel No. r��3S' a3- �1�d.0 Subdivision -
II �we��i u er ame ivision oc
DESIGN PARAMETERS
Designed
r---� � Vertical II
II u u Separatio
nd n
Mou Subsurface Pressure Gravity Bed Trench IZ in
Septic Tank/Drainfield Specifications ) �I
II No. Bedrooms I Pressure Distribution? Yes U No
II Daily Flow d .. (If yes, proceed. . . ) ........................
....................
II Septic Tank Capacity 13C3 gal
1 Receiving Soil Type (1-6) II
II Receiving Soil Appl. Rate d ft' I Laterals
11 renc Bed Bottom Area U00 ft' Schedu /Class
11 Trench Bed Width 3 ft I Length _ la I ft II
II T II
renc /Bed Length ft
�.UC> I +�
II Diameter ) in II
II Elevation Measurements ,� I Number
Q II
II Original Drainfield Area Slope Separation iC^i ft
II Drainfield Area Slope if Alterg8,s n Orifices II
58f�` I Total Number of Orifices
1 Depth of Bottom of �J;�nL40B' 6' in Diameter in
11 from Original @ge' �4 psi 0 I Spacing
11 ^as0 �� �`4 owns open I Manifold i1Q II
9` I chedul Class "I
II �MC�a� �Z� l I Length o £t II
Infiltrator Used? .�,.-��Yes No Diameter in II
1 Qa\e n I Transport Pipe LL//^^ 1
II Pump Required? Yes I__I No I chedule Class �L II
(If yes, proceed. . . ) ::::c::.. ::::::i:::: Length ft II
Diameter in 11
Pump/Siphon Specifications I Dosing and Pump Chamber a 11
II Difference in Elevation Between Pump Shutoff # Doses/Day
11 and Uppermost Orifice 9 ft I Dose Quantity �) ! al II
II rl Chamber capacity ,Iyne, oal
11 Uppermost Orifice is Y higher, L_Ilower
II than Pump Shutoff 1.9 q�� I Check the following components if they drain II
II Capacity O Tot. Pres. Headcnp I between doses: 1
Calculated Tot. Pres. Head II. UJ, ft I 7_1 n 11
(Attach Pump Curve) S��� I Laterals Manifold u Transport II
IL 'i
l
DESIGN' DORM — PAGE TWO Revi.ed 07/28/95
DESIGN CHECKLISTS
Scaled Plot Plan I Scaled Laveut Sketch Cross-Section Sketch II
LE
depth from orig-
Test hole locations U Drainfi<_id orientation I }pal grade:
\yam and layout 11V_,I C
J Property lines I U Septic tank lid and
LJ Trench/bed dimensions and drainfield cover depth II
—� Existing and proposed I critical distances within
i! wells within 100 ft I layout I Reference depth from orig-
° of property lines I inal grade and restrictive
D-Box/"T"/"L" locations I strata:
critical distance
!! measurements to cuts, I u Septic tank/pump chamber Laterals, trench/bed
banks, surface water I location I top and bottom
II L- I II
II
u Location and orientation Observation port location I Curtain drain collector I
of curtain drain and all III
absorption area I u Cleanout location I Sand augmentation
II components I r I I
LJ Manifold placement I o external reference needed: ll
u Location and dimension I11
of primary system and I U Orifice placement U Observation ports and II
I) reserve area I cleanouts II
U Lateral placement, with I II
U Buildings I distances to edge of bed I Additional mound information: ll
II r I II
II U Direction of slope I u Audible/visual alarm I Upslope and downslope11
indicator I referenced fill width II
I U Waterlines I U Scale of drawing shown I Settled cap depth at I
II I
on scale bar I center and edge of bed
u Roads/easements/ I I
driveways/parking I Additional Mound Information: Sidewall slope
II I
Critical resource lands I Endslope width Up/downslope bed elevat. II
\ (if applicable) I I II
Overall fill dimensions I Completed Resource Lands and
u North arrow and scale of I I Critical Areas Checklist
drawing shown on bar I I II
I !
CeCV�Ces DESIGN APPROVAL
II r
II The undei�#�nene' ,u does, Xdoes not, waive the regirement to be notified by the I
II inst�416 inst latio and giv 48 hours to perform a final inspection prior to II
II cc*�r I
II ��ii�a�a j� i ure signer _aue
II The undersigned has reviewed and appr ed this design on behalf of Mason County of Health
II Services.11
II ea Inspeceor a e I
II 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 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 II
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SKHD150 SP40 SP50
MAX. SOLIDS 3/4"SPHERE MAX. SOLIDS 1-1/4"SPHERE MAX.SOLIDS1-1/2"SPHE;
1 -1 /2 HP 4/10 HP 1 /2 HP
3450 RPM 1750 RPM 1750 RPM
t.
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\ • Dual shaft seals standard. Seal • Available in automatic and manual • Available in automatic and manu
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 seal • Automatics feature reliable level control diaphragm switch in
with carbon 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 carbo
• 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 3o 200V, capacity sump pump • All bronze model (SP50AB1) in
230V, 460V or 575V • 4/10 HP, to 115V or 230V automatic, 10 115V
• 1/2 HP, 10 115V, 200V, 230V an
3o 200V, 230V, 460V or 575V
160 32 32
6120r __'
02d�I — 024r
g ig Nn . __.._. apoh
j f 86—___..
Q 48 -__ _. -- 8
0
0 10 20 30 G.P.M. 60 50 60 0 0
CAAPACITY-U.S. P. 0 20 40 60 80 100 120 0 32 6l 96 128 1CAPACITY-U.S.G.P.M. CAPACITY.U.S.G.P.M.
i (SIAI.L4VTL(h`! . /...SiAIr[TI \c1CiC ;
pressure s : ributioa: systems
1 , Install laterals with contoLr of the gr,,00 . )
2 . 1gstaII trench bottoms level and at all time , minimun ufsi :.
inches Into the native soil .
3 . Install locator tape on top of all rain; ! ci " laterals .
d , Ins taII observation ports as indicated on the plot Plan
((minimum - two per drainfield with bottom extendine to th.,
<lrainrock \ native soil interface) .
5 , Install drainfield during dry weather a& snit ccrdi "Ous , any
soil smearing must be eliminated by hand raking .
6 • Install threaded clean-outs at the ends of ail , laterals
( ca must extend to within 6 inches of tinisbea ride and be
marved with locator tape) .
7 . Install audio/visual high water alarm .
b . Install 1/6 inch mesh non-corrosive oump screen (min , l2
so ft . surface area , not to interfere with controls or
floats) ,
install check valve in pump nutlet line to rrevent system from
drainins back into the pump chamber .
10 , Tee to Tee constructioi between laterals and manifold with
orifices oriented at t) o ' clock . Install laterals to the
manifold with the orifices at 12 o ' clock , (do not, clue) , after
prclock) tesand t and
illalth Deptt. appr v:,manifo11 , turn orifices dott'n (6
it . Filter fabric required o•:er drain rack oriar to backfilling .
If the drain rock extends above natural Gracie , run the fitter
fabric at least 2 inches down the trench wall .
l3 . Divert all storm water run-off at'+a:: :roan on-site scxaYe
system.
1 ? , No curtain drains allowed within 10 ft . at the up-slope VS.—!
of the drainfield and reserve area .
14 . No curtain drains allowed within 30 A - of the down-slope edge
of the drainfield and reserve area .
15 , have the septic tank and pump chamber puteped or inspected
every three to five years .
t6 :aspect and clean pump screen every b - l2 months as needed .
l7l inspect floats and test high water alarm ever: 6 - 12 months
as needed .
• t & . rti�.gulattiona,ts on;d workmanship must 11ee : Coun;y and State:
so t` at insuentioul IIClS
l ? . Install septic tank tank ions are set
are within t ) incites rat' ri ;:isnFgrac.. • ; ' e risers Till ``
deeper then 12 inches from in1sh grad
required .
tt' i thous ::r : i :- 'L�i 1)r".':al trpin tll t'.
2'-) , Je`:13iinn f :'gin on del An Vti Ale `hl 'i
ie51;SnP. 0 a[lii �,taii0nl rtiVll';' .{d.9l tit �Jif::1r ::nP.•, ..
design null and
�in �O Pt Ave. F,N,t� �2Ni1L
LAI
OPERATION & MAINTENANCE AGREEMENT
This agreement is entered into between Biomax of Washington, Inc.,hereinafter, referred to as
Operator, and �io MAX hereinafter referred to as Owner, on the 10 day of
1996 and will be recorded against the property which the Biomax unit is installed.
Property Address
Tax parcel I.D. #: 3R 13� - a3- 9WQ0
Legal description:__
hereafter"the Property".
The dwelling unit(s)on the Property utilize(s)an alternative method of sewage treatment, a
Biomax aerobic treatment system. The Biomax unit is required to be monitored and maintained in
accordance with regulations as stated in WAC 246-272-15501. Removal, replacement or
alteration to this system must be in compliance with all applicable current Mason County Health
District and Department of Health regulations governing on-site sewage.
The owner(s)of the Property are responsible for all costs associated with monitoring and
maintaining the BIOMAX. the agency responsible for maintaining and monitoring the BIOMAX
in Mason County is:
Biomax of Washington, Inc.
P.O. Box 1646
Port Orchard,WA 98366
Phone: 1-800-762-5067
The purpose of this agreement is to outline the responsibilities of OWNER(S) and OPERATOR
regarding the monitoring and maintenance of a Biomax wastewater treatment system. A
OPERATION AND MAINTENANCE MANUAL HAS BEEN PRESENTED TO THE
OWNER. The owner acknowledges receipt and understanding of the text of that agreement.
initials
Warranty
All Biomax units Operation & Maintenance manuals include a warranty on all parts included in the
unit, a copy of which has been given to the OWNER. initials__
Additional services not covered by the warranty are as follows:
1) All service call charges and costs of any replacement parts due to the OWNER(S)
neglect and/or any other party(s)neglect and/or abuse of the Biomax unit. The minimum
service call charge will be$_45_; for every additional hour,the OWNER(S)will be
charged $_45_an hour. This may vary and be subject to change upon notice from
OPERATOR.
2) All labor charges for providing aeration to the Biomax if the electricity is shut off.
Lnbor charges for this will be the same as a service charge.
3) The costs of chlorinating supplies made available from OPERATOR will be the
responsibility of the OWNER(S).
4) The costs of pumping the Biomax tank is the responsibility of the OWNER(S). The
frequency of pumping will be determined by the OPERATOR during routine maintenance
visits.
5) Service charges are subject to reasonable increase upon written notice to
OWNER(S).
The :OWNER(S)are responsible for;
1) Complying with the instructions of the Operation & Maintenance manual.
2) Notifying the OPERATOR or the OPERATOR'S designated agent IMMEDIATELY
of any problems with the Biomax. Particular attention must be given to any failure of the
aeration pump.
3) Keeping the sampling ports free of all obstructions and the manhole covers on the
Biomax at all times.
4)Granting OPERATOR and Health District Personnel access to the OWNER(S)
property to service or inspect the Biomax at ANY time.
5) Notifying OPERATOR when residence is sold or rented to new tenants.
Biomas of Wash. Inc. - Operator Owner
When the Property is sold, the new OWNER(S) must be advised and assume the OWNER(S)
responsibility under this agreement. This agreement will be effective immediately after installation
and continue for 3 years at a rate of$150 per year, payable in advance annually by OWNER. The
agreement year will commence on the first of the month following the month of installation. This
agreement will automatically renew each three(3)years, unless replaced by another Maintenance
Agreement approved by the Local Health Department and the State Health Department, from an
OPERATOR certified to operate the Biomax unit, by Biomax of Washington, Inc. If this
agreement is canceled the operator will notify the Local Health Department within 10 days of said
cancellation.
All notices required under this Agreement are to be in writing, and transmitted by U.S. Mail,
express courier service, fax or hand-delivery. Written notices shall be deemed to be given upon
dispatch
Notices and other communications to the Health Dept. shall be transmitted to:
Mason County Health Department
PO Box 186
Shelton,WA 98584
Phone (206) 427-9670
Notices and other communications to the OWNER shall be transmitted to:
Will,Ar.) Olt, Q44{ L1
ao(o0a (eT 'ill
1."a wooer W a,1, 910%0
Phon : —M - 27911
Notices and other communications to the OPERATOR shall be transmitted to:
Biomax of Washington, Inc.
PO BOX 1646
Port Orchard, WA 98366
Phone: 1-800-762-5067
Operator's Duties
* OPERATOR will conduct the initial inspection at the time of installation and another
inspection at 3 months to ensure adequate treatment is being achieved.
* If applicable-chlorinating tablets will be checked no less than monthly, or to meet
State/County minimum standard
* Routine maintenance and monitoring will continue every 6 months by the OPERATOR.
* If Treatment Standard 1 treatment is required, fecal coliform/chlorine residual will
be tested every 3 months or to meet State/County requirements.
* Inspections of the system will comply with the attached Operation &maintenance
schedule. The OPERATOR will generate a performance report and deliver a
copy of this report to the OWNER, Local County Health Department and the
appropriate State representative, and keep a copy on fill at OPERATOR'S main
office.
ON-SITE SEWAGE INSTALLATION
PRE-INSPECTION ' V r✓
DATE CALLED IN: 111 1�
i
TIME:
INSTALLER:
APPLICANT/OWNER:
CALLER:
PHONE # OF CALLER:
SWG #:
PARCEL NUMBER: �Z I 7 E `
SUBDIVISION:
DIVISION: LOT:
................................................................................................................................................................................................
SYSTEM TYPE (CHECK ONE) :
u u
PRESSURE GRAVITY
Y
INSPECTION SCHEDULE (CHECK ONE) :
u u
APPOINTMENT PLUG IN
AS-BUILT ON-SITE? (CHECK ONE) :
u
YES NO
......................:.........................................................................................................................................................................
..................................................................................................................................................................................................
STAFF INITIALS: /
h:callin.w
Revised 04/09/96
. .
V
ON-SITE SEWAGE INSTALLATION
STAFF INSPECTION REPORT
HTAPP CBZCxLxsT
COReIRI® BY xmaPRCTOR?
I I. SZP=C TARS you Bo comamto
A) >5 ft from foundation? V
B) Bldg stubout to septic tank: cleanout if not 1-2%?
C) Beffles inntect and clean?
a) Dividing wall intact? V _
xx. ])-Box Leveled with water or speed leveler (circle one)? A _
I I
I xxx. naAxnsxao I
A) >10 it from foundation and >5 it from property lines? NJ _
s) Laterals level to tl inch & end caps present if not looped? V
C) System dimensions the sane as shown on the design? '* _
B) Gravel clean, properly sized, and proper depth?
I R) PRRBBBAR SYs= I
I x) Send quality ASTH C-33? > _ I
z) Head height uniform and z24 inches? Y _
I) Cleanouts and observation ports present? _
4) Hand: Side slope 3:1?
s) Owner informed electrical connections must be made
by aver or licensed electrician and inspected by DLI? _
I xv. POTABLB IOTRR Ln= I
I A) >10ft from drainfield, transport line, and septic tank?
I B) Hells >100ft from drainfield?
I 1
I V. PIDR TANK I
A) Screen basket or effluent filter (circle one) installed? _ I
B) Riser installed for access? _
C) Alarm installed? V _
I I
I vx. As BvxLr RRQvxn®a
1
VII. oTmat CCIa0Q1T8 I
I I
I I
i I
I I
I I
I I
I I
The undersigned has reviewed this installation and verifies these findings on behalf of Meson Canty of Health Services. I
I I
IHeatrt7pemr Date I
h:callin.w
Revised 04/09/96
AS-BUILT FORM - PAGE ONE R-Ii.a 12/14/94
I� PARCEL IDENTIFICATION
I r I
II Applicant's Name p II
Permit Number SWG9 - Q t0 ) Subdivision II
I ame ivlslon oc O o II
Installer's Name u xCi - Assessor's Parcel No. ��R
II Designer's Name '1v�:.�_ T'i�
INSTALLER CHECKLIST
N/A Yes Prior to
I. SEPTIC TANK - Completion II
A) >5 ft from foundation? II
II B) Bldg stubout to septic tank: cleanout if not 1-2t? II
II C) Baffles intact and clean?
II D) Dividing wall intact? II
II. D-BOX Leveled with water and/or speed leveler (circle) ? 7LII
II III. DRA=IELD
A) >10 ft from foundation and >5 ft from property lines? II
II B) Laterals level to tl inch & end caps present if not looped? _ II
I) C) System dimensions the same as shown on the design? II
D) Gravel clean, properly sized, and proper depth? II
E) PRESSURE SYSTEM / II
1) Sand quality ASTM C-33?
II 2) Head height uniform and a24 inches? II
3) Cleanouts and observation ports present? II
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? II
IV. POTABLE WATER LINES II
I� A) >10ft from drainfield? II
H B) Wells >100ft from drainfield?
V. II
PUMP/PUMP CHAMBER II
II A) Designed pump used, or specs attached for equivalent pump? II
B) Screen basket or effluent filter (circle one) installed? U
II C) Riser installed for access? 0
II D) Alarm installed?
i
d CERTIFICATION OF 3XS'TALLA=ON G
p
h
Eastaller:. Check box From Row -A,- check box Row •B,• sign and data the certification. Y
II
A. u I certify that I installed the system I certify that all deviations from
N without any deviation from the design the design stamped •APPROVED• by MCDHs are
II stamped -APPROVED- by MCDHS. shown on the reverse side of this form.
II T-1
II B. ' I certify that I contacted the I did not contact the designer prior II
II designer and left the system open for to final cover because the designer II
II inspection up to 48 hrs prior to cover. waived the notification requirement.
II I further certify that all information contained on this form is accurate. I understand II
II that if the informatio _ fined:here' Is not accurate, there will ire just_cause 'for. II
II immediate suspensio of .my aller c ification.
II e o s r e II
II The undersigned approves this inst 1 tion of behalf of Mason County Department of Health II
II Services. lr� II
I Z - ec o e
�cK_ Z
AS—BUILT FORM — PAGE TWO Revised 12/14/94
PARCEL IDENTIFICATION
c's Name L I�
c Number swcq l0 - Q�01 Subdivision �I
- --��- ame lvisloa oc,c qo
=nscailer's Name ICJ Assessor's Parcel No. *13v�—
�e I'we e- lglvumoerj
jeS'gner's Name
�j AS-BIIILT DRAWING
;; II
I�
II
II
I II
n
n II
u
n
C1p=W.- Biaor adjustments to septic Caek looar4M and drainfleld 02r1de""m made In the field by the lmataller are gmes+llY ac- .
eeptahle to both the depertaeet and the designer, but could In •per•aln rMses 0oept0M1se the vlabl2lty of the sYateac Zt is the
lmul2eres --mpoaibility to obtain prior writeee approval froo elther the health department or the deaigaer before aekiag aaY
deviations from the design that affect sYstm viability. Any deviscioos frog, the approved design av:t be aholM above.
II AS-BUILT C88CKLIST
Drainfield orientation I— II u Observation port location tJ Undisturbed native soil
u and layout n between trenches II
II n U Cleanout location rl II
tJ Trench/bed dimensions and rj L_i North arrow II
II critical distances within U Manifold placement rl �I
II layout r i U Scale of drawing shown II
II Uu Orifice placement on scale bar
D-Box/"T"/"L" location II
�I n -
II u U Lateral placement, with Additional Mound Information
II Septic tank/pump chamber distances to edge of bed n II
II location n LI Eadslope width II
II u u Location of wells, roads n
Location of buildings u Overall fill dimensions II
J