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SWG2007-00643 - SWG Application / Design - 9/25/2007
ONSITE.SEWAGE SYSTEM APPLICATION D MASON COUNTY PUBLIC HEALTH Official use only. I / c 426 W. CEDAR STREET PERMIT NUMBER: S G ';),cc�7 - t7©W`YJ a PO BOX 1666 SHELTON,WA 98584 DATE RECEIVED: °Lr a7 AMOUNT RECEIVED:$'>>a' (p O (360)427-9670, Ext. 352 O a 7 � APPLICANT DATE CHECK APPLICABLE ITEMS Z m m NEW SYSTEM ] < �S - u- /�;2 0 REPAIR SYSTEM O O MAILING ADDRESS DAYTIME HONE 0 TABLE 6 REPAIR 0 TANK REPLACEMENT 'Z' 9"Z 0 RV HOLDING TANK ONLY n CITY STATE ZIP (requires waiver) `� m 3 INSTALLATION PERMIT ONLY m H SINGLE FAMILY r SITE ADDRESS 0 OTHER n c 0 fl f✓t 1- A L P 4Hi.f_ _ Please describe: MEOF n., NA DESIGNER PH NE NUMBER Note: m Asbuilts required for all installations. NAME INSTALLER DRINKING WATER SOURCE O M PRIVATE INDIVIDUAL WELL 7 ICA} S l] ti IS ' k(PRIVATE TWO-PARTY WELL NUMBER OF BEDROOMS__ LOT SIZE: ACRES FT X FT 0 COMMUNITY/PUBLIC WATER SYSTEM SYSTEM WFI#: Icy 3 SYSTEM NAME: 'C SPECIFIC DIRECTIONS FOR LOCATING SITE. c fjtL Fq/!�2 - /F(/f y'q jL3. ( ^h f0 H AV2At i K. O(L. Lv ! 1 S CH (- N'F* A eRL �iS � d F/=UM p� GO/. rrsr if-LPL=s f�LFlG(;.�, ye rrou/ 5 ✓ .4r c/rive LJC Ck �.K Ll��i-2�(��5'�'-� ^ IJ Site must be flagged from main road and test holes must be flagged with test hole numbers c la Official use only below this line ti 1W a SOIL LOGS COMMENTS/CONDITIONS Zz- SOIL TEXTURE CODES: V =very G=gravelly S=sand L-loam Si=silt C=clay E=extreme) INSP CTOR SIGNATURE DATE DESIGN EXPIRATION DATE DE ION APPROVED BY DATE l0 3�,71 0,� , 2C)/p ./,k DATE INSTALLATIO FEE PAID INSTALLATION EXPIRATION DATE INSTALLATION A ROVED BY DATE Revised 4/9/2007 MASON COUNTY DEPARTMENT OF HEALTH SERVICES October 04, 2007 Arrow Construction 230 E Warren DR Union WA 98592 RE: Design for SHOOPMAN Case No: SWG2007-00643 Parcel No: 223305000328 Your design for the above referenced parcel has been review and is APPROVED. Please refer to the comments section of this letter for any additional information. Please call me at (360) 427-9670, ext. 279 if you have any questions. Sincerely, Amanda Reynolds Environmental Health Mason County Health Services COMMENTS: 10/4/2007 1 of 1 SWG2007-00643 DESIGN FORM—PAGE ONE A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,including all applicable items on checklist. `'Cross-section sketch,including all applicable items on checklist. Maximum Daper size: I I" X 17" PARCEL IDENTIFICATION Permit Nttmber. SWG �� �` 3 Designer's Name: aT0 t e i= �01F�NS 3G,� 9F- �d.SS Applicant's Name: 1<I PK S H n�M a N Designer's Phone Number. - Mailing Address: o, 60L 747 Designer's Address: �.�(1 �• �{/A k CAN iJ�. 9R354-6747 7l tJtui✓ Wig• 2��9� City _ State Zip City State Zip Assessor's Parcel Number: 33 3 O -- 5 d -- Li 0 3 a DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type: JSrneutq/2Other: 117 Aerobic Unit Make/Model -r-J✓f s 0 e ❑'Disinfection Unit Make/Model 7,�✓ J grainfield Type ❑Gravity epressure rench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals -u Number of Bedrooms 3 Schedu s 4 Daily Flow gpd Length Septic Tank Capacity ,S,ncu..4 R jR T/JT gal Diameter OCT 0 4 2G07 �� to Receiving Soil Type(1-6) '/ Number Receiving Soil Appl.Rate ,(., gpd/fiZ Separation A 0 P ft Required Square Footage 04; fe Orifices Designed Square Footage rr 0 e) ft' Total Number of Orifices 40 Percent Reduction Taken - % Diameter 3/iG in TrenchBed Width 3 ft Spacing L_L— to Trench/Bed Length ;U)13 ft Manifold Elevation Measurements Schedule/Class Original Drainfield Area Slope _3 % Length /fE A L)k:7- lr' ft New Slope,If Altered % Diameter A :)-7 in Depth of Excavation (Up-slope) (p //(^ in Preferred manifold configuration used?J6 Yes ❑No from Original Grade (Down-slope) 1 ��� in Transport Pipe Designed Vertical Separation in Schedule/Class "F 0 Gravelless Chambers Required? ❑Yes ❑No OLOptional Length ao ft Pump Required? .,PQYes ❑No Diameter I in Pump/Siphon Specifications Dosing and Pump Chamber Difference in Elevation Between Pump Shutoffand Uppermost Number of doses/day G`f Orifice 7,0 Ft Dose quantity / 0 gal Uppermost Orifice❑Higher ❑Lower than Pump Shutoff Chamber Capacity / U 0 0 gal Capacity @ Total Pressure Head 3 co d gpm Pump controls: Timer(or)Elapse Time Meter Circle if required Calculated Total Pressure Head D� ft If Timer: Pump on ,Pump off S 9'/ Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number ,;�3 3 3 0 __ 5O _• O p Ja. Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations ❑ Drainfield orientation and layout Refence depth Soil logs from original grade:❑ Trench/bed dimensions and ❑ Septic tan❑ Property lines critical distances within layout ❑ Drainfie c Drover ❑ Existing and proposed wells ❑ D-Box/Valve box locations within 100 ft of property ❑ Septic tank/pump chamber Reference depth from original grade ❑ Measurements to cuts, banks, and locations and restrictive strata: surface water and critical areas ❑ Observation port location ❑ Laterals,trench bed,top and ❑ Location and orientation of bottom ❑ Clean-out location ❑ Curtain drain collector curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation components ❑ Location and dimension of ❑ Orifice placement Other cross-section detail: primary system and reserve area ❑ Lateral placemen- 'th distance ❑ Observation ports/clean-outs ❑ Buildings to edge of bed Other Information ❑ Direction of slope ❑ Audible/vis indicator renced Yes No ❑ Waterlines ❑ Scale of dr sho scale ❑ design staked out bar � R' ❑Recorded Notices attached parking ❑ Roads, easements,driveways, 'X g., ❑ ❑Waiver(s)attached �k!` B�❑Pump curve attached ❑ North arrow and scale drawing gam,: s1'� ❑ ❑Evaluation of failure shown on scale bar ;E C.dOHNSON �� 128 ES11... •• No justification IC E DESIGNER ❑ Waste strength EXPIRES ❑Flow DESIGN APPROVAL [The undersigned designer must be n tified by installer atAime of installation ❑ gYes CYNo ature Iksl r / 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 cal on-site regulations: lolqlo7 Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Department of Health Services. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: Q'-f. ZO(O ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason Coun!y Department of Health Services. An Installation Permit is required. Revision Date:5/27/06 ../ E FfaVEnl i-hKE_ DR 7Jr. 00. ''pp ;�-f aR"L Q TesT t/oLL s 0ern�J fiLL 400 Q S 0 30" Sc, o A1Ul f /�O' � SCALE i"e tFp' ncpc o a' 40, 90' J;'T 1007 N a.n Se` S TO AOR 3 d Ji2r7 \� 14 s 1d�s / Oa _\o �s� 3, x +�, PCs IILID t ro t M ( 1 ) audio-visual alarm panel with timer & elapsed counter. (2) Clean-out (3) Singulair TNT 500 (4) Singulair UV disinfector ( 5) 1000 gal pump chamber (6) valve control box }PLOT PLAIT :NInJL- rz: i< c K f--F"J_ry 'pclSLS �'✓ i rzaC.JOHIH •� FA e L it .2a -3n -S(Lnr o3 g SEP 2 5 2007 0 DESIGNfP _ o O /CJ EXPIRES 0 1 v si j APB k 0 y t 2007 V G 4Vy i 04 AV A0P I tp 40 ' trenches ( 4809 $ orifices per lat . 3/16" dia . . .60" O.c. 1•J5`r-EFooz j 1st orifice5p" from beg . UaC r, � / trench and last 30' from end of trench . TRANS Igo, / SCRSw ON ca DRAINFIELD TOP VIEW 1 NOTE Ow O=OBSERVATION PORTS--TO BE 4 " 45 DEGREE ELE PVC PIPE FROM BOTTOM OF TRENCH LATER EL TO FINISHED GRADE, REMOVABLE °� -1 CAP SHALL BE INSTALLED ON OBSERVATION PORT PIPE. GLUED ON iD OF STALL TEE AT BOTTOM. LTC r CLEAN 14 U 6 MINIMUM OF TO IVL IN SYSTEM. $E FROM CLEANOUT TOSSED GRAE OUT J;OT 6ELOw FIREBAR% LATERAL^ tY I�R ENDSA I" OF. P.]ICH �PoeeO�.$p.l- n�A� GRADE UIRED p� �rypiN Wit"CAt ,- 1 r v , u�A�� 6" ` PrAkA Gp, SEP 2 5 2007 .. :8 �U MiS,GNER PAGE6kF PAGES — DRAINFIELD END VIEW EXPIRES DETERMINE THE TOTAL DYNAMIC I LEAD Selected residual pressure: 2.00 ft. 'd , ft. Transport pipe friction losses: ot0 ft. Line#1 ft............................. /5 ft. Line 42�r� ft............................. __ ' ft. Line#3 (] ft............................. —, _ ft. Line#4�_ft............................. ;l S ft. Line #5_4 ft............................. 8 ft. Line#6 ft............................. ft. Line#7 ft............................. ft. Line#8 ft............................. Line#9 ft............................. ft• ) , ® 4 7n Line#10 ft............................. ft. u07 Line#11 ft............................. ft. !C . s Line#12 ft............................. ft. 11 , Total Elevation Lift........................... l U ft. TOTAL DYNAMIC HEAD................ Io ,a5 FT. SECURED LID WITH GASTIGHT SEAL THREADED UNION 24'DIAMETER ACCESS RISER SERVICE FINISH GRADE VALVE 3011 FROM SEPTIC —+TO DRAINFIELD TANK t EMERGENCY STORAGE ANTI SIPHON VALVE HIGH WATER ALARM LEVEL — WORKING VOLUME INDEPENDENT NORMAL TIMER OFF LEVEL FLOAT STEM _ _ _ FOR FLOAT ' MOUNTING CHECK VALVE SEDIMENTS , SUBMERSIBLE CENTRIFUGAL ,1� Pump 4 6V PUMP CHAMBER from bottom of (TYPICAL) ump chamber CEP 2 5 2007 + 129 „ „ LVN JOHNS 9y C N ED ESIGM ON tR Sump/Effluent • i Details Pump Characteristics Performance Data P /Motor Uelt SrdnnersiWe 12 40 Automatic Models SW/SD/VS33A1 Horsepower 1/3 30 Fell load Amps 10.0 8 Motor Type Shaded Pale(4 e) 20 / R.P.M. 1550 NF Phase 0 1 4 Voltage 115 10 Hertz 60 ration latemittent 0 0 lopody,US GPM 0 10 20 30 40 50 60 Temperature 120'F Ambient lnrs/samd 0.0 1.0 2.0 3.0 HFMA Design A IoselaHo i Chose A to maers/hr 0 2 4 6 8 10 12 Discharge She 1.1/2'MPi am 1/2 Dimensional Data Solids Han unit Weight 30 Ills. -ale' <-rzs�re�,� f` '1J='Nfa •ac t Power Cord 18/3,SJTW,10'std. (20'optional) 3,a' 01 j ® 4 SW33• 3.1? to Materials of Construction _ I Haade Steel Lubricating Oil Diellrt*09 °""rz1P VS33 la-,re' 0', Motor Final Cast Iron °IscXAeGE .EIGHT Shall Steel MP �O}P Madwnkal Seal Fan:Carbon/Ceramic Shalt Sal Seat Body:Anodized Steel _... Spriag:Stainless Steel Bellows:Bona-H ' re SD33 PUOMP Il-1/J' Impeller Thearseephistic DISCHARGE lo-re X .EIGHT Uppa Berefing Brass Iran Sleeve L 3' PUMP Lower Bearring Single Raw Bell 11111(iffillif °i Strainer/Base Plastic All dimensions in inches.Metric for international use.Component dimensions may vary z 118 inch. Dimensional data not for construction purpose unless certified.Dimensions and weights are approximate. Fasteners Stainless Steel On/Off level adjustable.We reserve the right to make revisions to our product and their specifications without notice. Your AuthorizedlttalDiseibubr- HYDROMATIq@ O YA W Pentair Pump Group YA USA CANADA I BAD Baney Road Ashland,Ohio AA805 www.hydromatic.com 269 Trillium Drive Kitchener,Ontario,Canada N2G 4W5 89 2 9-281-4087 ISO 9001 Registered Quality System SEP Tel: 519-896-2163 Fax:519-896-6337 Pa)o2 romatic' Ashland,Ohio. All Rights Reserved. Item#:W-02-6390 5/02 SM . | Q k f § � aCA— |j R ! , z f § . . _ ILL! 7m § � \ 4 $ k ONb M G | \ f ® \ \�� � r�< a § | --- . % i t T ® ® Z0, ! ` � • � ° , § t ) | • : ! , ! Q -------» � -�� t ------ /-- �o§/& 7e2 § mr •5/lvau,Rlp UV` CDISINFECTIO.N`UNIT IREMOVAeI-E CAP . DISINFECTION SUB-ASSEMBLY . FJ FCTRI(qL UUNCTION . BOX WITH IN�ICALUKS ' 12 AND ALARM CONTACTS HANDLE GROUND'LEVEL REMOVAL ;. : 25 SUPPORT FRAME , AND GASKET TREATMENT... PLANT EFFLUENT DISINFECTED EFFLUENT UV LAMP / QUARTZ TUBE 30 TEFLON.COVER SECTION A-A -- A ,Y . mr .! C A A oCT 0 4 zoo? D UV LAMP QUARTZ TUBE TEFLON COVER SUPPORT FRAME AND GASKET NULL NOl All DIMP 310M IU SCAlf SEP 2 5 2007 � , 7 f0 ��III I! Ui .!pl) IN 'll � � IIII 11144.i_It 111 'rhll'lll '�i.0 .i ill i..' �1 1'.iii il.i SIKICULAiR • L V Disinfection Unit Junction Box; connection for 120VAC or 12 VDC line and external alarm �_ -� 9 . 3/4 NPT nipple 37 .(Adjustable at 19 --� installation) 30 3" Pipe connector IIOT[:Npl Aµ pIM(NSIGV -4" Pipe S!O SCALE 'connector SEP 2 5 2007 ro it of �efe'� iu�zu a i-uw��it ui_vriruiA(A) PAPI uu � 3 ,. 0 4 ?C07 O O O O i i O 0 Fr E p O m V 7 O V M i o ti j C 1 u O E E z z o U ' m N 0 N N � I��tl Ln U O O O O O U QI 5 n Q ) � O x 0 O U G O O O O U m .PO O m 2 k n I SEP 2 5 2001 C vww Septic loeyigm Singulair Pretreatment with Singulair UV Light Disinfection INSTALLATION & MAINTENANCE Pressure Distribution Systems 1. Install Laterals with contour of the ground. 2. Install trench bottoms level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the drainrock/native soil interface. Glue "T" to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 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 end of all laterals(cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. Redundant off switch not required. 8. Install check valve in pump outlet line to prevent system from draining back into the pump chamber: 9. 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 Environmental Health Dept. approval, turn orifices down (6 o'clock) and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 10. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade, run the filter fabric at least 2 inches down the trench wall. 11. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 12. Divert all storm water runoff away from on-site sewage system. 13. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 14.No vehicular traffic over drainfield area. 15. Singulair Guidance Manual has been provided for the owner. 16. Inspect floats and UV Light,clean filters, and test high water level alarm every 6-12 months as needed. 17. All materials and workmanship must meet County and State regulations. 18. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 19. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 20. All pressure systems with a pump chamber outlet higher than the drainfield must have a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. 21. All transport lines under driveways or parking areas must be encased to prevent crushing. 22. Homeowner is responsible for all property lines. 23. Please Note: When you move into your-new house, it is a MUST that you immediately call KURT'S PRECAST @ 360-275-1996 and sign a Contract and he will bring out the motor for the pretreatment tank and the Singulair UV Li lit. SEP 15 2907 A)