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HomeMy WebLinkAboutSWG2004-00471 - SWG Application / Design - 8/27/2004 ` PERMIT NO. SWG MASON COUNTY DEPARTMENT OF HEALTH SERVICES ` y a � Date o 426 W.-CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Receipt o. - y PHONE (360) 427-9670 Amount$ Z m PROPERTY OWNER: DATE: CHECK APPLICABLE ITEMS m `m Tracy Ba e t - - NEW SYSTEM X MAILING ADDRESS: DAYTIME PHONE: REPAIR SYSTEM NE 630 Haven Lake Drive 275-6918TABLE6REPAIR m CITY: STATE: ZIP' MAINTENANCE REVIEW m TahuOPER a WA 98588 SINGLE FAMILY X Z PRT ADDRESS: WA ADD ` same as above OTHER: r 3 SPECIFIC DIRECTIONS FOR LOCATING SITE: PRIVATE WELL new X a m COMMUNITY WELLJPUBLIC SYSTEM i Site is located at 630 Haven Lake Drive. Haven SYSTEM WR# l N Lake. BJ' s sign is posted on site. SYSTEM NAME IN APPLICANT NAME same Iw Name of Lot flee attaftlzed ff. MAILING ADDRESS s Installer unknown q Size: na acres TELEPHONE Name of Number o TSIGNATURE Q Bud Jones Designer Bedrooms 2 X k4� OFFICIAL USE ONLY BELOW THIS LINE Q DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTS/CONDITIONS m 0 to x { l C> - ZC� C9rSL I G 0 Iw f� 2 - 7- `t N 3 v --Z<K SOIL TEXTURE CODES: V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely CTION SI T TPERMIT EPIRATION DATE INSPECTOR(print name S 7 cwo//O�f Lag IT •All systems require ongoing Op ation and Maintenance(0&M)as specified in Mas n County On-Site Standards. •All on-site sewage systems must be designed by a Mason County Certified Design r or a Professional Engineer,unless prior approval is granted otherwise •All on-site 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(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 Dermit ex ires 3 yews from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date. D REVIEW RO BY: DATE: INSTALLATION APPROVED BY: DATE: TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM: Applicant's Copy • MASON COUNTY DEPARTMENT OF HEALTH SERVICES .September 15, 2004 PO BOX 1666 SHELTON, WA 98584 SHELTON (360)427-9670 FAX (360)427-779B B ELMA (360)482-5269 Js Septic Designs P.O. BOX 967 BELFAIR (360) 275-4467 SEATTLE (206)464-6968 Seabeck WA 98380 RE: Design for BASSETT Case No: SWG2004-00471 Parcel No: 223305000329 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: 9/15/2004 1 of 1 SWG2004-00471 > ^DESIGN FORM - PAGE ONE I" U E p Revised February 18, 1996 __ A design will be reviewed when 3 copies of each of the following items are$$((���1��(�77((ff11 tea2004 Completed design form that has been signed and dated a Scaled layout sketch,Incl)udingq all applicable Items on checklist Scaled plot plan,Including all applicable Items on checklist s Cross-section sketch,I�I`dlnf�allappllcahle Items on checklist P�IFICI.[QNT;IF1l�T#QN' LEDAn S1 ' Bud Jones Permit Number: G ef Designer's Name: - - Designer's Phone#: Applicant's Name: Tracy Bassett Assessor's ParcelNo.: 22330-50-00329 NE 330 Haven Lake Drive (Twelve-Digit Number) Mailing Address: Haven Lake Tract 329 Tahuya, WA 98588 Subdivision: (Name(Division/Bloek,Ut) City State Zip .... pAR E# S COJ�` ' Treatment Device 7 O Sand Filter O Mound O Sand Lined Drainfield O GlendonBtofilter Tablets ® Aerobic Unit-Make/Model: Norweeo --_ 960-500 ($Disinfection Unit - Make/Model: Drainfield Type O Bed O Drainrock 0 Pressure flCPrench XO Gravelles Chambers ® Gravity Septic Tank/Drainfield Specifications S edule/Class laterals Number of Bedrooms 2- Len p Daily Flow 4�0 god Di am er HEALTH DERQVE!DQr Septic Tank Capacity )JoRW Fi,Q `� Numbe Receiving Soil Type(1-6) Separatio SEP 1 3 200& Receiving Soil Appl.Rate L wo Required Square Footage 'y0D fe AD"ices Designed Square Footage '/00 W Total Number o Orifices Percent Reduction Taken 10 % Diameter Trench/BW Width 3 ft Spacing TrenchANtLength /ai ft Manifold Elevation Measurements Schedule/Class * " % Length ft Original Drainfield Area Slope ° in 1 New Slope if Altered - n Diameter Depth of Excavation from 2. It in Preferred Manifold Configurati Used? ❑Yes No ❑ Original Grade (Up-slope) to in Tra por ipe Designed Vertical Separation (Down-slope) ,,,,..,.-lass ft 1 Z in Length n .,� Diameter Gravelless Chambers Required? L"J Yes ❑No ❑Optional ❑Yes Flo D ing and Pump Chain er PumpRequired? Number of Dose ay PumplSiphon Specifications Dose Quantity Difference i vation Between Pump Shutoff and ermost Chamber Ca city Orifice: ft Pump Con Is: Timer(or) Elapse Time Meter(circ if required) If Ti r: Pump On ,Pump Off Uppermost Orifice is 0 Hi wer than Pump Shutoff Chec the following components if they drain between dos Capacity @ Total Pre a Head: eom Calculated To ressure Head: Laterals ❑ Manifold ❑ Transport (Attach Pump Curve) DESIGN FORM - PAGE TWO Revised Febmary IS. 1998 SJJcaled Plot Plan Scaled Layout Sketch Cross -Section Sketch O/ Test hole locations C�Drainfield orientation and la out O/ Property lines y Referenced depth from original grade: C3 Existing and proposed wells within distan /bed dimensions and critical C3 Septic tank lid and drainfield cover distances within layout depth / 100 ft of property lines D-Box/"T'P'L" locations C7 Critical distance measurements to cuts, Septic tank/pump chamber location banks,and surface water Reference depth from original grade ;C1 Observation port location and restrictive strata:Location and orientation of curtain Clean-out locationdrain and all absorption components Manifold placement d Laterals,trench bed top and bottom O Location and dimension of primary d/ Curtain drain collector P ry C�, Orifice placement Q Sand augmentation Q system and reserve area O Lateral placement, with distances to Buildings / edge of bed ' CT Direction of slope indicator O edge of bed al alarm referenced Other cross-section detail: Waterlines / frl Observation ports and clean-outs / CT Scale of drawing shown on scale bar C7 Roads/easements/driveways/ parking Layqut Jn#arme an tpr mnand system s stem ect[on Jnfozmatlon for mannd C;{ Critical resource lands(if applicable) Y North arrow and scale of drawing d OVerali:fiTl drrttettsions 5eated'gag depf t lit center and edge of shown on scale bar i1P sJgpe,doWnslgpe artd ettdslppq iced fill ivfil[N ' 3ldewallslgpe i TJp•sinpeanct dowrislnpe bed .elevation AA ditional Information d Design staked out CY Operation and Maintenance Notice /Attached c Waiver(s)Attached DESIGN APPROVAL The undersigned designer LI does, 0 does not,waive the requirement to be notified by the installer of the Installation and given 48 hours to perform a final inspection prior to cover: BJ'S SEPTIC DESIGNS AND 0&M P.0.BOX 967 Signature Designer Date SEABECK,WA 98380.0967 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 regulation / /� 9!!5 oy Environmental HealtIltSpecialist Date Caution: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Department of Health Servic s. ✓ 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 obtains from m Mason County Department of Health Services. ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval low � , o Lo'%£F I'•'1, � o I F/ Os Ov y 4 V .09•OEE/ 65 oEE� 2 e LC, s ri l v .r/%FF 14t •oF J6'OFF o I� N ti �yOFF P`0 ! yy OFF /f1.Y0/f/ �. l'ud1'i o0 ZZ.d Pa,34:ei, h \; n NZ�46.yj "+1 t v 3�9� ti + W Qs M � N M Z9l I%k .�.... 4g, etA4 * A pretreatment system is required that,,,.- J meets o'r exceeds treatment standard two. Disinfection is required. * Recommend the Norweco, Model 960-500 . * There are no known wells within 100 ' of the proposed drain field sites. * Operation and Maintenance is require . * REMOVE NO TOPSOILS. �A SEPTIC SYSTEM DESIGN ONLY1 C THIS B.SA.SUBJECT TO OTHER AGENCY'S APPROVAU Z THIS IS NOT A SURVEYI r 9 a REMOVE NO TOPSOIL DURING SITE PREP. C OWNER TO PLANT GRASS OVER SYSTEM > AND MAINTAIN GROWTH. s�'I 06 P All SANDY COVER-MINIMUM 5 MIN/IN RATING. ® a NO VEHICULAR TRAFFIC ON SEPTIC SYSTEM. „ 5R70 REQUIRED AT THIS TIME. :URTAIN DRAIN L—� rp CONTOUR OF SLOPE. 8 s' MAINTAIN A MINIMUM OF�Z VERTICAL SEPARATION DISTANCE. , y, MAINFrAIN 1 00'FROM WELLS&SURFACE WATER. Soil Logs 1 thru 4 = DIMENSIONS ARE CRITICAL. 27-32" brown gravely sandy loam. DO NOT DEVIATE FROM DESIGN. USE EXTREME CARE IN SITE PREP. APPROVED IIAC HEALTH DEPT SEE ALL ATTACHED CONSTRUCTION NOTES. G INSTALL TRENCHES NO DEEPER THAN_L • hLl SEP 13 2004 m INSTALL SYSTEM ONLY WHEN SOILS ea OAA ARE PROPERLY DRY. S/AE 9D` ADR 0 n)oRu*CO QCo0-5o0 m D-anx—, O �• This septic system is EG•,.,_ d cLEa,�_o�f designed for a peak E[./o flow Of,7gD gals. per day. r F,frU 16W 10 The existing trailers and add-on' s will be 3sv removed once the new NnMAf- home is started. v° Y)UY + J I d a 1 I 00 r L' IS.U.6D�. cl �1 Z ( LICENSED DESI DESIGRNE...R WIRES L• 1 � I . i W yAVGAJ ° Edo© ryOgyyq�K Wg4TEWPTER EOWGMENT COMVPNV S ' I R " r ULN 010mKINETIC" WASTEWATER TREATMENT SYSTEM ' - i - Automatically reduces all NSE domestic wastewater to a clear, odorless liquid In just 24 hours. 4 j c r�^ iv lr, ® Single tank design i * Automatic operation U Enhances property ® Low initial cost value while Precast concrete tank protecting the environment Equipment fully guaranteed i 1 BATS Septic Designs and O&M P.O. BOX 967 SEABECK,WA. 983 80-0967 360-830-5056 CONSTRUCTION NOTES,AND DISCLAIlURS 1. The attached drawing does not represent a survey nor does it purport to show all easements or encroachments,if any. 2. Check the moisture content of the soil at 7-8"deep. If it is to wet, smearing and compacting will result,thus reducing the infiltration capacity of the soil. Soil moisture can be determined by rolling a soil sample between the hands. If it crumbles,site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries out. 3. Use extreme care in site prep. Remove"no"top soils. Use care in tree and stump removal. Leave root systems intact. Cut off larger trees at the surface when possible. 4. Trench bottoms must be level. Follow the contours of the slopes. 5. The location of this drain field is based upon the owner,or owner's agent, locating the property lines and comers. If those locations are not accurate,the designer is not liable for mistakes that may occur in the location of the drain fields,home, or any component relating to this septic design. 6. Brush piles and debris are not to be burned on top of the proposed drainfieeled sites. 7. Do not use the drain field areas for storage of excavated dirt,parking, packages,or anything else that will disturb or destroy the areas. 8. For protection of the drain field sites,they are to be roped off prior to and during any construction. No traffic of any type is allowed on top of the proposed drain field areas. 9. Removable effluent screens are to be used. Installation and use of this septic system without effluent screens may cancel any warranty, expressed or implied 10. Topography,benchmark, stub-out and invert elevations are based upon assumed data and may not be absolutely correct in all cases. Elevations shown are approximate. 11. Encroachment of house and/or driveway into drain field areas may render this design and site unusable. 12. All roof drains and downspouts shall be directed into a gutter infiltration system,or away from the drain field sites. 13. Do not install this drain field in depressed areas where surface water can collect. The grading over the drain field sites must provide for proper surface water run-off. 14. This system is not designed for the use of a garbage disposal and may cause a system failure. 15. This system requires a proper degree of maintenance. Certification of the design and installation does not insure trouble free service. 16. If a curtain drain system is required,it is to be installed per local health department codes. 17. If a D-box is used in this application, speed levelers must be used. 18. If soil depths are lost during site prep,or during any step of installation,this design and site may be rendered useless. (over) 19. If the drain field consists of shallow trenches,once installed and inspected for cover-up,place a minimum of 12-18"of a good off site sandy cover over the entire drain field site. The system owner is then to plant grass over the drain field and maintain its growth. 20. A pump may be required if the stub-out is lower than the invert of the laterals. If gravity feed is proposed, watch final elevations of home, placement of septic tank, and drain field to assure a gravity feed system. Otherwise a pump may become necessary. 21. If this design does not require a curtain drain system the option must remain open if unforeseen problems occur in the future. 22. The installer must adhere to all the health department regulations. 23. All system tanks must have risers to the surface of the ground. 24. If unforeseen surface water shows up for any unexpected reason and is with-in the required set-back to the drain field sites,the designer cannot be held liable for this occurrence. 25. THE OWNER OF THIS SITE IS RESPONSIBLE TO FILL SOIL LOGS AS SOON AS THE COUNTY INSPECTION IS COMPLETE UNLESS OTHERWISE CONTRACTED WITH B.J.'S SEPTIC DESIGNS AND O&M. 26. Prepare site and install drain field system during dry conditions. 27. Operation and Maintenance is required,this system is to be set up for future O&M access following all minimum requirements as set forth by the health department. 28. If infiltrators are used in this application,they are to be installed per the manufacturers specs. 29. Observation ports are required and must be installed per county codes. Minimum is one at the beginning of the trench and one at the distal end. 30. Pressurized water lines with in 10' of any septic component are to be sleeved. 31. All sewage lines that are driven over must be sleeved to protect from crushing. 32. Maintain a minimum of 100' from any surface water unless approval has been granted from the health department. 33. Maintain a minimum of 100' from all wells unless approval has been granted from the health department. 34. A clean out is required between the foundation and the septic/pretreatment tank. 35. If a pump to gravity feed drain field is to be installed, it is highly"recommended"that a timer and counter be used to help regulate the daily water usage.