HomeMy WebLinkAboutSWG2006-00554 - SWG Application / Design / As-Built - 7/6/2006 as to as �aWiNty� t ,`ay y'. LIr�a•a ., ;•a a
MASON COUNTY DEPARTMENT m
c a
Offil use cia y
OF HEALTH SERVICES l , C�"- l2 J 000
426 W. CEDAR STREET PERMIT NUMBER: SWG C_
PO BOX 1666 DATE RECEIVED: l — -'L- a°
SHELTON,WA 98584 / G
-T 0
iC) (360)427-9670, Ext. 352 RECEIPT NUMBER: � -QUA-
APPL T ' S' DATE '^ CHECK APPLICABLE ITEMS m m
4QL 1140 to W SYSTEM
NG AD RE DAYTIME PH NE O REPAIR SYSTEM ro
/ — _4 O TA '6 REPAIR
CITY l0 STATE ZIP INGLE FAMILY o
O OTHER Please describe
SIT ADDRESS / G(/ i1S v Z
DRINKING WATER SOURCE C
3
NAME OF SIGNER PHONE NUMBER O PRIVATE INDIVIDUAL WELL
- -,{�y9t 4 Tr �.COMMUNI O WO-PARTY WELL v IN T
S83 EM
SYSTEM WFI#: C
NUMBER OF LOT SIZE: C S FT X FT
BEDROOMS S v S SYSTEM NAME:
SPECIFIC DIRECTIONS FOR LOCATING SITE
Hwy 3 from Shelton, right on grapeview Lp. , Right on Thomas . Go
1 mile red & Yellow gate on left & Windemere sign, go through
gate , down hill . 8 mu on April Ave. Lot is on left. w
0
This application is for design approval only.
An installation permit will be required to install the system.
• All systems require ongoing Operation and Maintenance as specified in Mason County Onsite Standards.
• All onsite sewage systems must be designed by a Licensed Onsite Wastewater Designer or Professional Engineer, unless prior
r
approval is granted. O
• A Mason County Certified Installer must install all onsite sewage systems, unless prior approval is granted
• Onsite sewage system design approval does not imply other building site approvals.
• Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit.
• This permit expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of
denial date.
Official use only below this line
SOIL LOGS COMMENTS/CONDITIONS
C - 2Z C62
2-a #- ;
SOIL TEXTURE CODES:
V =very G=gravelly S=sand L—loam Si=silt C=clay E=extremely
ECTOR SIG D DE GN APPROVED BY D j J DESIGN EXPIRATION DATE
13/o� wlL//J /3/i/-,/Sl Jet �J 2C�OQI
Revised 2/23/2005
White Copy—Health Department Yellow Copy—Designer Pink Copy-Applicant
MASON COUNTY
DEPARTMENT OF HEALTH SERVICES -
4
6in{rotanm al Heath Water Qualify P ealrh
PO BOX 1666 SHELTON, WA 584
LOCAL(360)427-9670
Application for Waiver/Appeal BELFAIR(360)275-4467&4468
TOLL FRBB 1-800-562-5628
PAX(360)427-7798
Amount Paid. /SO.O D
Reee/p1Number.
Instructions S (0fc /� f
l� Lo,
r Q
` s�eE�fieApie. .�
t w. tb e�ih:da 3rtmtatortevttsw
PART 1: Applicant/Parcel Identification
Name of Applicant 3"L A vt� C1J: }rO''\ Date 6� o
Mailing Address 2eo2\4 Se ZSZy.al. $F, Telephone i-1 ZS- 4 3Z-0 SOS
Q9.v ems Sla , i L,),Pt ` - '9"7c
Assessor's Parcel Number Z2l Z - s 9-7 — O 19 t
3
Subdivision Name and Lot )-.&r It o. - S P S - 1 C3 91t'- l9 SC- %
lob/S7 S 31 /c'?-
PART 2: Nature of Waiver/Appeal
NC On-Site Sewage Requirements ❑ Food Sanitation Requirements
o Building permlt review polIcies ❑ Solid Waste Requirements
b Location, WAC246-272-09301 0 Group B Water System Requirements
a Holding tank WAC 246-272-12301 0 Water Adequacy Requirements
U On-SUe Standards ❑ Enforcement Timelines
o CenYocation contractor(p ..per. ❑ Departmental Determinations
designer. installer, O&Mspec)requirements O Other
Description of Waiver/Appeal(include justification,additional material may be attached):
A1. c cza.c °-.Ai.r ED' 44k€ '.s. S L vSL ,S v%- "
0.
" € " UD&i' W St S k- 1 l a Ile rnn
Applicant Signature: Date: G D 4
N.•IWDATAURCIIIsc61WAIVERWP Update:April 25.1997
r
r
pART.3: Health Department Evaluation (Staff Use Only)
of Determination Required: I B. Type of On-Site Waiver(if applicable):
IA. Type 0 Class C
O Appeal 1Waivu
O None required ❑Class A class B
2. IdeMiftcaton of Specific Code/Standard/Detertnmation(include date of determination or latest
coddstandard revision):
C2MG —D/2 5O1
3, of Appal: :cc�` tCt& O0 m 2A
n r1aa S uJ I CtrCi & r h O !1
4. Heating Official:
O Bond of Halth O Health Officer
! O Health Services Director
O Follutroa Control Hearing Board Environmental Health Manager
O Certified Contractor Review Board
5 igating Fac
Cnvv'% I
6. /have reviewed this waiver/variance request It is complete, and mitigation required by state and local
policy has be submitted.
Staff: %1 Date: 7 Z7
PART 4: Determination of the Rearing Official
The hearing official has determined that approval of this request will not adversely affect public health and
is hereby granted. This decision is based on die following findings and conditions:
( 1 - t ClDf5
O The hearing official has determined that approval of this request could potentially have an adversely affect
public health and Is hereby denied. This decision is based on the following findings:
Dater
Haring Official c;Th.kJkfrJ L.sQuj
{ ILl WDATAURCI1VEWWAIVER.GP tlpdrtc:April 2$,1997
On-Site Sewage Systems (Chapter 246-272 WAC)
• Request For Waiver From State Regulations
.�!T�7!CONKA7®6Yta'MACi{M Tlo1MGS ofd GeuewT
Name:(1) Local Health Department/Dimict(2)
Address: 6
210214 SE ZSZ-4L �t.
2-14 LA 92osi -?703 t
Telephone: tftST 432-- O lOS
Signature: p••Aar----
property Identification:(3) 22 — — 1 t-F
P*v\ -ir 19 C S 1O11c7 3 AI /St rz, ' t e Z\N Sec, 23
WAC Number.(4) WAC Requirement:(5) W Q aver Sought:(6)
/JT// �aCc eerahtw. Par \fc�cA
246-272 Skan.g�+d Q JS� 0 10 L Q- p' -S'-"- he f LtLc atil-
Sabsectian•
Z1 � rann 7.t(" fn IZt'
Justification(Mitigation measures to be provided):(7)
O Inc V3—%U- ' rQl cJ p , 'e r a gals n."
a re,e r �A At a.011
� sa � --
St3C1I0lIUII ME
[RerAcwQfteda(8)tkCx`�S ri ml s9f1 unuswt' axA-'O✓1 .
Comments/Conditions:(10)
Type ofWa Even(11) DOnsA a Cans C-FequraDOXrcvlavkcraftg Y«— No
Neighbor Notification:(12) tcqukcdl Yes No 4efnee&4 at cvéeaaa caunaaPngpe+6l r Ye{_l'�
sscuoNIY. {C0lrcm &YBFAt=0MCER
1 — '� 1
.mt ptgxm Foe W.lrxhuatS ff
s'Theaerkweckedaapptkd.andtheWMCadoamc.smapeapased.ad/ocsoqulto4,barebocceer.ludedforthew tat.peoceccou.tk.aegualtodigptorldodbydilscSptcWAGApproved/Granted-Subjectto allcomments,eouMoos and requirements U curd UL
0 Dented
Local HealthOffrcer(13) tT % j , Q1t ' Date: rZglDr —
1 KJ
APPENDIX A
CLASS B WAIVER OF ON-SITE SEWAGE REGULATIONS WAC 246-272
AND
WORKSIiEET FOR DETERMINING A REDUCTION IN VERTICAL SEPARATION
This worksheet is used to determine Ifs site qualifies for a reduction in vertical separation under the Class B Waiver. Please fill out
the worksheet In its entirety. Incomplete worksheets are returned to you and will cause delays in your permit application.
Fan!:Applicant Information
Name of Applicant JMW4 Ufl (A) Ci t Date: 7/° 6/ eo
Site Address:
Mailing Address: Z Ca Z( CF ZSLso S#
City Vev%S c9 .'L State: W,,A _Zip: 9 0 S/ —M7OS
Assessoes Parcel 6: ZZI Z3 -7S- 4O I e1 3 SWGN
Part 2: Checklist
1) Soft Series 3) Check the soil structure.
`�7rEsoil codes must be Aideiarood Hash nc Sttiidute must lresinglegrdinedarwoafu
Shelton.or Smda rOray..... dy Loam
Check the soil series at the site as indicated in the
l nrvcy M.... rrr Wa a orf USDA,,
Single Grained or Weak ........................
well structured ............................... ❑ Ll` i
Aldcrwood Gravelly Sand Loam ..................* r4i.
Other ❑ a
I{atstr°e(havelly Sa°d 1'o°m ••••••••••••••••••• ❑ 4) Check percent slope o[the primary/rexrve dralafictd
Hoodspoct Gravelly Sand Loam.................. ❑ 0j3 area.
crselly ra
Shelton Sand Loam .................... ❑
sinclair Gravelly Sand Loam .................... ❑ Ci: f, Sn tt tr6M`' 3 6 ms
........ > -- m.
y
2) Check the soil type: Lcss than 3% ................................ ❑ ❑—
3aY.-I$�/i ...................................
1694-3094 ..........••..•................... ❑
G3rcatcr than 30% ............................. ❑
iQ 5) Check the up-dope vertical separation. '..'
Loam ...................................... ❑ i„i
❑ au& P
$fad ................................. � ' �3
Beady1Afm .................................g 119tyR , � tji ,,
Pcrcci t Oravci by Volume:
f�..LY
I=thanes, to . fi F
. Less than I2' ................................ ❑ �
Orestalhm60%......................... ❑ «
Greats than I8« ............................. ❑ ' ::_.
Ddamlaod by: `'
Depth to Hndpsn .........................S
Depth to Motteling ........................ ❑ =i
Both ....................................
6) Check the drainage of the sop. loo) Check Horizontal Atteaaation Zone.
_ p
Is there less than 50 feet between the down gradient side of
Well Drained ........ $ �� ��_€ the proposed primary arid reserve draintield arras and the
........................
= property boundary?
Moderately Well Drained ....................... ❑ `:-
Yes ........................................ ❑
Other ......... ❑ Q
No.........................................
7s)Check water table level
If yes,the applicant will need to provide a recorded
If water table exists ebovo 36 then a covenant or casement prior to final acceptance of the on
curtaIn required. Water tables shallower a a site sewage application.
Ali than ?ale tallowed. a Psi?c sxe x e ew: :xaa2;xa O
106) Record 50 foot zone on deed.
Is the water table:
Above 36" .................................. ❑ s
Above 24" .................................. C
Abovcl2" ........... ❑
vehlSat rt)m d}uze
oi
7b) is a curtain drain proposed up slope of the primary v i
drainfield area? t7 .I Is the owner aware and in agreement with these terms?
Yes ........................ ❑ Q b (home owner initial
Yes ........................................
No ......................................... B
8) Is the property on marine shoreline? .�.'
Is the 50 zone recorded on the dad?
Sin v.thln 200 teat of marina shorelines must y
.conqIy with sfandard Yes ........................................
tregdhemerits ,.
Yes ........................................ ❑ I1) Check proximity to wells.
No......................................... i$ herztt t
,
if yes.Indicate the distance from the shoreline to primary tba +- us d
drainfieldatcas6Oa+ feet. tl 3...
9) Am them any fresh water bodies within,or adjacent to,
:ifiy
fhe ro rty 600ndarles? . Indicate the smallest distance from existing or proposed wells to the
primary or reserve drainfield arras. SM: n+ feet
^AG0 nbcitartz , f'W- in S�tTttst mti8!tat
fbetentheahorY••s. 3? :n r'o.E�$u .`e._'...:.tyo�3.<.n.4...OM:.
Yes ........................................ ❑ .
No......................................... 0
If yes,indicatedistma from shoreline to primary&
reserve areas fat
Designer Comments:
e.,' 1113�i 4W�J, f i�'I �I r ,li i .• t� i '�
Part 3: Certification and Approval
Applicant Certification:
I certify,to the best of my knowledge,that the above information is true and correct. I acknowledge that I am solely responsible for maintaining the
integrity of the primary and reserve drainfield areas;and that destruction or damage to the drainfield area may result in immediate rescinding of the
k'a
Date
A Oil 62 unii/ Tf0
Date
Applicant
Health Department Review:
Preliminary Review For Design Submission: U Approved ❑Denied
Environmental Health Sanitarian Date
Waiver is❑Approved ❑Denied
Environmental Health Sanitarian Date
Comments:
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aft 5 l 3rr � �., � m it t,��� k 'h •*i� i9'�
nfi ai � .:$ . lam. :
a.'f to [Y, 711777-,,te fi::- r, }4 ! ✓'rr v ..,fp < t^` 6 s
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MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
July 31, 2006 PO BOX 1666 SHELTON, WA 98584
SHELTON (360)427-9670
FAX (360)427-7798
Arrow Construction ELMA (360)482-5269
230 E Warren DR BELFAIR (360) 275-4467
SEATTLE (206)464-6968
Union WA 98592
RE: Design for WILSON AND SONS
Case No: SWG2006-00554
Parcel No: 221237590162
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:
7/31/2006 1 of I SWG2006-00554
' 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. Scaled layout sketch, including all applicable items on checklist
Scaled plot plan, including all applicable items on checklist. Cross-section sketch,includin all a licable items on checklist.
I'crmitNumber. SWG —rJO55i} Designer's Name: Joycelyn Johnson
Applicant's Name: Designer's Phone Number: 360-898-2255
Mailing Address: G. /s"J2S 4≤.R jzt Designer's Address: 230 E Warren Dr
_____ Union, Wa. 98592
ity State i Zip City State Zip
Assessor's Parcel Number: -- -- 9Q/F
Treatment Device 1J�'�vti.�vtQ, ,LQ
❑Glendon Biofilter ❑Sand Filter ❑ Mound O Sand Lined Drainficld O Recirculating Filter,'[ype:
IlAembic Unit Make/Model ❑Disinfection Unit Makc/Model Other:
Drainfield Type
❑Gravity SPressure ,'Trench O Bed O Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 4o
Daily Flow .(O gpd Length � (___ ft
Septic Tank Capacity (too gal Diame►{ y.., 13i \, LS
,4/�+►�
Receiving Soil Type(1-6) t{ Num G � -t 1O ,
Receiving Soil Appl. Rate , (o gpd/f(2 Separation SO ( Q Ii
Required Square Footage (0C>O ft2 101 Orifices
Designed Square Footage ( co fti Total Number of Orifices /-f Z
Percent Reduction Taken o Diameter
3/ IL' in
Trench/Bed Width 3 ft Spacing
Co in
Trench/Bed Length ZOO ft Manifold
Elevation Measurements Schedule/Class '4 O
Original Drainfield Area Slope q ^/o Length I�.er It
New Slope,If Altered _________ % Diameter (
in
Depth of Excavation (Up-slope) ( 0 in Preferred manifold configuration used? ® Yes O No
from Original Grade (Down_slope)
in Transport Pipe
Designed Vertical Separation ( Z} in Schedule/Class IEO
Gravelless Chambers Required? ❑Yes 1a No O Optional Length (So ft
Pump Required? )'Yes O No Diameter Z. in
Pump/Siphon Specifications Dosing and Pump Chamber
Difference in Elevation Between Pump Shutoff and Uppermost Number of doses/day q
Orifice 15 Ft Dose quantity
O gal
Uppermost Orifice'S Higher ❑Lower than Pump Shutoff Chamber Capacity ( O O gal
Capacity Q Total Pressure Head Z-k, '1 ' gpm Pump controls: Timer(or)Else Time Meter Circle if required
Calculated Total Pressure Head 2� Or1 It If Timer: Pump on , Pump off
Comments
JUL 07 2005
l) SI(.N FORM — I'A(d TWO Assessor's Parcel Number: `�A2 7s2 1. I9-
Permit Number: SWG
DESIGN CHECKLISTS, :'
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
35 Test hole locations Drainficld orientation and layout Reference depth from original grade:
Soil logs S Trench/bed dimensions and q5 Septic tank
S Property lines critical distances within layout ,q ,Drainfield cover
$ D-liox/Valve box locations
ahxisling and proposed wells Reference depth Irum original grade
within 100 ft of property S Septic tank/pumpchamber and restrictive strata:
❑ Measurements to cuts, banks,and locations EI ha(prals, trench/bed, top and
surfaace water and critical areas 1b Observation port location lxttom
❑ Location and orientation of 5 Clem-out location . 0 Curtain drain collector
curtain drain and all absorption 19 Manifold placement 0 Sand augmentation
components 19 Orifice placement Other cross-section detail:
I& Location and diorcnsil,,, ,:f pd' Lateral placement with distance 0 Ohcervatinn ports/clean-outs
primary system and reserve area to edge of hed Other Information -
Ck Buildings i Audihle/visualfafann referenced Yes No
$ Direction ol'slope indicator -C Scale of dr in non scale 0 Design staked out
Waterlines bar v^r• Q 0 Recorded Notices attached
$ Roads, casements,driveways, 1' " 0 0 Waivcr(s)attached
parking ,' , • 0 Pump curve attached
❑ Evaluation of failure
.Q North arrow and scale drawing I-r, '' t c 1
+.a:
shown oil scale bar '- a ;[ � Non-residential justification
Ill ti ❑ 63 Waste strength
D?`n • - *sue 0 plow.
DESIGN APP VAL -
The undersigned designer l3 Joes, 0 does not, waive the requirement to be notified by the installer at time of
installation.
& 6/�
v Signal of Designer Date
The undersigned has reviewed this design on behalf of Mason County Department of I lealth Services and determined
it to be in compliance with state an al on-site regulations:
7�3/A
Isnvironmcntal I lealth S11,cialist Dale
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER TIIE FOLLOWING CONDITION:
The design is stamped"Approved"by Mason County Department of I health Services.
The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1 ? 'f
of design approval.
not been altered to
o adversely affect conditions b PP
� Drainfield site conditions have
Please Note: The system must he installed by a certified installer, unless prior authorisation is obtained
from Mason County Department of I lealth Services. An Installation Permit is required.
Revision Date:2/23/06
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p = ^t /RO/t' '3 /it?
CAP S=T'
MEP DIAN:
P
4 - r ��Sr
.sc- , :. ai" = 100'
0 !
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2006 i a- S .
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(7 28'• .1- Cparn. C�-(o-ctlr:�l
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g •
4 cCSc s Y� �J.... .......
�,` o ccn a 2Z�t3 7� 90 i S 3 C=. SED SIGNER
'iR�.5
67.0
Valve Control Box with 1.25 Ball Valves
Typical Clernloul
9 Typical Observation Port
2' Transport Line
tmos 6'
1.25 Lateral
12
60
'7" Detailed Drain field Layout
Scale 1 - 10•
Typical Observation Port : '
_�
Final Grade 0 10 20'
fi to 12'
Sandy Loam Filter Fabric
Cover / Fill Origywl Grade
3/4' to
2-I/2 O. 1.25 Lateral o (3) 67 1 .25"" Sched. 40 Laterals
Drain I
711 Rock B• ( 14) 3/ 16" Orifices @ 60•• O.C.
7 Per Lateral. 1st & Last Orifice
36 12 • From End of Trench
II
Restrktive Lay�� ����•,
Drainfield Cross-Section View JUL 072006
Not To Scale
by �{
Screw-On Cap
45 Degree Elbow
Lateral
End of Ditch --
Q- Cetai - Clean Out
♦� Note: Geanout to be from 0 to 6 inc lea below
Note: 0 - Observation Port 4•• •4 Finished Grade. Mark ends with Rebar. Clem Out
t
To Be 4 PVC Ppe from Bottom of Trench f Required at the End of Eact Lateral.
To Finished Grade. Removable Cap shall be r _ ttp
Installed on Observation Port Ppe. Anchor �,'p
On Bottom with Glued-On Tee. • (:EIYN Arrow Septic Designs
Afn'mxen of 3 Total Required in System •$. �tS�t,'►CR ( 360) 898- 2255
gck0L1 $
s■CYR■O w IIrrH,GAS now fl At TNREAOCO UNION
!r OIANETR
ACC!!!ROPER SERVICE
VALVE
EIINSU GNAor
tilt
ro oNAlNnno
!ROM nHrc
,nIR
ANTI SIPHON
IEEG[NCr ETORAG■ VALVE•
NIDN MATER ALARM LSVSL INO€EENOENT
MOONING VOLUME MOAT 5T[M
VON MOAT
M011.ALTIrfllenlMl — r MOUNTING
CHECK VALVE!
IURrENSIRI1
sEOIY■NTS • CENINNUOAL
MIup
• PUMP CNAMNEJ< Pump inflow to be
• EnncAs 4" from bottom of
chamber.
5500550 LID WITH GAS TIGHT SEA
sr ourrrn
maintain 1 /8-1 /411 Aee■ssRneR ®�
/IMIlN GRAD[ i�
drop per � t� ��
PT
running t. — — — i — �pL
tankout L 31
VtC
tank D
� seuRe■ MOAnHe rAr
} U Bio-tube or
eqiivalent
SEDIMENTS effluent filter
• SEPTIC TANK
• (TYEIGLI
DETERMINE THE TOTAL DYNAMIC HEAD
Selected residual pressure : 2.00 ft .
( 5'o Transport pipe friction lossess : IJiff ft.
Line #1 (II ft. . . . . . . . . . . . . . . . . .'11 ft.
Line #2i9 ft. . . . . . . . . . . . . . . . . . $I ft.
Line #3 ft. . . . . . . . . . . . . . . . . .`11 ft.
Line #4 ft. . . . . . . . . . . . . . . . . ft.
Line #5 ft. . . . . . . . . . . . . . . . . ft.
Line #6 ft. . . . . . . . . . . . . . . . . ft.
Total elevation lift. . . . . . . . . . . . S ft.
TOTAL DYNAMIC HEAD. . . . . . . . . . . . . . jL ,07 ft.
SCF SO
U JUL 0 7 2006
PAGE IOF ' PAGES
• 0 0 0
'V
ata
Pump Characteristics 30
Paap/Meter 11alf s.iwwsihle :. : . :
MewSMe4aIs(SO) MI M2 M3 M4 MS
Aeremotk Merida Al A2 - 25 80 ,r ,
Her+Meww 1/2 � 7e I I s r
Fell led Asps 15.0 7.6/7.1 3.2/3.1 1.6 1.2 2 60 -
Meter type Capedmr Start 30 E . . . .I . -,,
R.P.M. 3450 AI5 s ° I I I. I , : 1/2hp , : r ,
Mnoo 10 30 = ao
Village 115 'ti-ne 'ti—I 460 57S
l : :
Maned Model(100) M2 M3 M4 MS 10 30 x .
Aalosletk Models Al 20 _ t...: _
HNiepiwef 1 5 ..:, ,. ,r , t ,
Fri Led Asps u.e/n.r e.e/s4 2.0 j 1.9 10 �,.
Mete.Type Capedter Stmt 30 0 0
RPM 3450 Capacity,US GPM o 10 20 30 40 50 60 70 80 90
Phase to 3 0 Iltera/second o 1 2 3 4 5 6 Vdlap me-:m 2w-2m 160 575
Math 60 cu meterslhr o 5 10 15 20
Tespmetwe 140°F Max Flak Temp.
NF1H1 Deslglt L 1 Ted Nccd(100) 17 25 40 • so 60 65 70 60 93
lesahtllen Gass, GPM 1/210 69 63 SO 10 0 — — —
Diwhwge She 2"NPT Sid. i HP 90 90 AO 72 63 57 50 35 0
7/4"
�"6` Ac
Urd1 weigh S0 ks.(50) 65&5.(1001 • : [ ' ./
Dimensional Data A "` rPT
Power Card I ISV,14/3,SHW-A;23OV,10. ®MC
16/3 STW-A;30,16/4,S1W-A, S11e
Al aids 20'std.with 30'api. r1.All dimensions in inches.
2.Component dimensions may vary+/-1/8 inch.
3.Not for construction purposes unless certified.
Materials of Construction 4.Dimensions and weights are approximate.
5.We reserve the right to make revisions to our products and their
Haadle Stdsless Stool specifications without notice.
Ces k
LahrkaNag 6.Float switch(automatic models only). . � ^^ - x 8
^H,
Mow Hawing Ca s,va .- ... um---
Cmtleoo __ ---sx-w--. ."
P I x
eep Casing n ]�IS I Shaft StandessSted �-- I-. ,.,. ,�Mr.,„„
].nrn 04C„^
Medrwrkal Seal Faces:(Mae/CeramicI_ A°"`""
Shah Sod Seal Iodp:tress _..
Spdnx stddoss Stool N
..it n I n
/clews:tan-N N rn
FngMecred Therapphrstk
0
upper Bearing It"Ild 1emle _ r� .���� " .-
M, nu
lower leering Slegle Row 1101 Inrdg a
10How Plete Polyester Cnted Sted
Fasteners Stainless Sled i I 0
Legs FngieeeredThermoldastk SHEF50 SHEF100 ;
IL
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e
AURORA/HYDROMATIC Pumps, Inc. JUL 07 2006
PAGE(V0FI PAGES 1840 Baney Road, Ashland, Ohio 44805 (419)289-3042
Installation/Maintenance
Pressure Distribution Systems
I. Install laterals with contour of the ground.
2. Install bed bottom level.
3. Install locator tape or rebar on top of all drain field laterals.
4. Install observation ports as indicated on the plot plan(minimum-2 per drain field
with bottom extending to bottom of drain rock.
5. Install drain field
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 6
inches of finished grade and be marked with locator tape or rebar.)
7. Install audio/visual high water alarm. Redundant off switch required.
8. Install 1/8 inch mesh non-corrosive pump screen(min 12 sq. ft surface area,not to
interfere with controls or floats.) Or Pump screen may be substituted with Bio-
tube in septic tank. Pull Bio-Tube& flush back into the tank at least once a year.
9. Install check valve in pump outlet line to prevent system from draining back into
the chamber.
10. Tee to Tee construction between laterals and manifold with orifices orientated at 6
O'clock. Install laterals to the manifold with orifices at 12 O'clock. (Do not
glue). After pressure test and the Health Dept. approval, turn orifices down(6
O'clock) and glue laterals to manifold.
11. 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.
12. Encase all water lines within 10' of drain field area.
13. Divert all storm water run-offs away from on-site sewage system.
14. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-
slope edge of the drain field and reserve area.
15. Have the septic tank and pump chamber pumped or inspected every 3 to 5 years.
16. Inspect and clean pump screen every 6-12 months as needed.
17. Inspect floats and test high water alarm every 6-12 months as needed.
18. All materials and workmanship must meet County and State regulations.
19. Deviation from this design without prior approval from the Designer and Mason
County Health Department will make this design null and void.
20. All manhole lids and access,sampling,or inspection ports must have locking
covers.
21. All pressure systems with pump chamber higher than drain field must have a 1/8"
hole drilled in the discharge pipe above the pump to prevent siphoning.
22. All transport lines under driveways must be encased to prevent crushing.
23. OWNER RESPONSIBLE FOR ALL PROPERTY LINES.
PAGE1OFI PAGES JUL 0 7 2Uuti
saaag , ONSITE SEWAnflS**IS*ttA SIT' '. : 1
MASON COUNTY DEPARTMENT OF HEALTH SERVICES
426 W. CEDAR ♦ PO BOX 1666 ♦ SHELTON, WA 98584
(360)427-9670, Ext. 352 N
SYSTEM INSTALLATION CD
❑TANK REPLACEMENT ONLY(Attach Supplemental Tank Replacement Form) N
Cl)
0 CERTIFIED INSTALLER Official use onl 1 0
HOMEOWNER I S b ��y
A LI T NAME ^ .v n c PERMIT NO SWG + CS I Ci)
APPLICANT A D ESCS 1+ ,"\^ ' ISSUE DATE ! ! X07_CJ ( , /
a1 Jt �� RECEIPT NUMBER C�Co- C 4 3 N
ST Tl ZIP O< Q
h FINAL INSPECTION �a
4LF�R N AND BUSINE NAME CALL-IN DATE
l` S QaV A\io —
M411,JNQ
1 AD ES )D(� DA�"�Ir,,x•r P�IQt DATE/TIME_______INSPECTION APPOINTMENT /
CI TATE( ASBUILT ON SITE? YES Cl NO 3
PROPERTY ADDRESS
tq �l CD
I hereby agree to comply with all requirements of the Mason County Department of Health i U
Services Onsite Regulations and Standards. Upon completion tHealth
Department and the Designer shall be notified. All work shall hl� andjDi overed until Vl
inspected. A completed asbuilt from the installer or designer musts çcviçjØ at the time of i—
final inspection. The applicant has the right to appeal decisions ofThb HdalffPtepartment. i U
MASON COn This permit is valid for one year from the issued &�Y IVJ
or the
iration date of the septic design, which ever occurs first. 'Li
SI R F CE IFI INSTALLER OR HOMEOWNER INSTALLER DATE I(J"
Official use only below this line
FINAL INSPECTION COMMENTS
INST TION APP VE DATE
if 3 O6
Revision Date:6/2/2005
White Copy—Health Department Yellow Copy—Installer Pink Copy—Applicant 6/2/2005
AS-BUILT FORM Revised y.ter,1sss
Applicant _ �AYIA tJ2�4sh� e�
Assessor's1# cB3 IOlfm
Permit Number SWG ��� (Twelve-cieiNumeer)
I �+
Installer 4OS CftJ Subdivision
•—cam \ \ (NamelDiWSIorJBlooaaoq
Designer —SJy1C9a J�lv1 �N
NIA Yes Prior to Cogtpletlon
I. SEPTIC TANK
A) >5 ft.From foundation?....................................... "•.
B) >50 ft 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 installed for access? ..................Vt.._,l/ .......... —
G) Tank Sim: �c1&L gal.;Manufacture �n�_i1 S
II. D-Box
A) Lev
A) Leveled with water? .......................................... � —
B) Speed leveler used? .......................................... —
III. DaoINnEw
A) >10 ft from foundation and>5 ft from property lines? .... .......... __L
B) >100 ft fom wells and surface water? ...... ..................... — t�
C) >10 ft Rom potable water limes? ................................ —
D) Laterals level to±1 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 - .. . ..
I) Sand quality ASTM C-337
2) Head height uniform and≥24 inches? Actual head height ... —
• 3) Clean-outs and observation ports present? .
4) Mound: Side Slope 3:l? ..................................
5) Owner informed electrical connections must be made by
owner or licensed electrician and inspected byL&I? ............-
IV. PUMPIPUMP CHAMBER
A) Pump make me Pump model ES So
B) Chamber size d gal; Manufacture_______________
C) Height of pump off bottom of pump chamber (0 inches
D) Pump chamber draw-down gallons pa inch
B) Pump capacity a.4 TIX gallons per minute
F) Pump controls:Tmrer(or)Elapsed Time Meta (circle if Installed)
If timer is On Pump Off_____
G) Screen bask efthtent le one)installed? ................
H) Riser installed for .............. .................
I) Alarm installed? .............................................
pp����x ✓z; # Yom,,, x...:s tt �aE �+.
A
❑ Dreinfield&manifold
orientation &layout
❑ Trench/beddimensions ��____
and critical distances
within layout
❑ Septir/pump tank �\
placement \'----
❑ Location of buildings. I
❑ Observation port&clean-
out location.
❑ Location of wells&
roads.O Undistur l bed native soi 1`r
between trenches.
O North arrow
CAUTION:Minor adjustments to septic tank location and drainfield orientation made In the field by the Installer are yy m both due
and gas ddeserkI�,but could In flu der compom6n are vrabuhy of the ayarem. It Is the handler's respnnsibE m obtain written,r' 4 fig elNa the
t
health depamnaa or the designer behne making say deviations ham the design that afeet the Stein viability. Any deviations humtiae approved design must be
shoom above.
°fa
Installer Check a box from Row"A"and"B",sign and date p cyttifiation:
A. ❑ I certify that that I installed the system without any '1 I certify that all deviations from the design stamped
deviation from the design stamped"APPROVED"by APPROVED"by MCDHS are shown above.
MCDHS
B. I certify that I contacted the designer and left the ldidnotcontactthedesignerpiiortófinaicoverbecausethe
system open for inspection up to 48 bra prior to ' er waived the notification requirement.
cover.
I further certify that all information contained on this form is . I d if the information contained herein is not
accurate,there will be just cause for immediate suspension of my' Ila c ti on.
lure o er b 13010
The undersigned approves this installation on behalf of Mason County D t of H lth ices. /
Ir6aG
anitarmn Date