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HomeMy WebLinkAboutSWG2015-00205 - SWG Application / Design - 9/16/2015 � ,soN C ou Public Health Mor Always working for a saferO healthier Mason County September 16, 2015 Peninsula Septic Design/O&M 2380 W Highland Road Shelton WA 98584 RE: Design for PARENT Case No: SWG2015-00205 Parcel No: 220055500001 Your on-site sewage system design for the above referenced parcel has been reviewed and is APPROVED. The system must be installed by a Mason County Certified Installer. A list of installers is available on the Mason County Public Health WEB page at www.HealthyMasonCounty.org Select Environmental Health, then On-site Sewage Systems. In some cases, homeowners may be allowed to install their own system. Prior approval by Mason County Public Health is required. Please refer to the comments section of this letter for any additional information. Please call me at (360) 427-9670, ext. 353 if you have any questions. Sincerely, Z)� Cindy Waite Environmental Health Mason County Public Health COMMENTS: 9/16/2015 Page 1 of 1 SWG2015-00205 F � t OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: ONSITE SEWAGE SYSTEM APPLICATION AMOU R EIVED: RECEIVED BY y PO Box 1666,415 N 6th Street,(Bldg 8) Shelton WA,98584 �—o < y Shelton:360-427-9670 ext B If i• 7 400 a ar.360-275-446 ext400 La o A Z N APPLICANT PHONE D D m+ 4o mDL P MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r I c- W, tckA-9- i3J06( - ek-TI-. L—d g �SJ� Z SITE ADDR`ESSS--STREET,CITY,ZIP CODE W TM I NAME OF DESIGNER PHONE ?"I-al,) SJIA sc Of AA '3(oo tD - 0& 1 IN NAME OF INSTALLER PHONE CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE l NEW CONSTRUCTION ❑ ❑RV HOLDING TANK ONLY PRIVATE INDIVIDUAL WELL < I A All l1 ❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY PRIVATE TWO-PARTY WELL 2 ❑ TABLE 9 REPAIR �' SINGLE FAMILY ❑ COMMUNITY/PUBLIC WATER SYSTEM I(i ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: I 1 ❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOTSIZE IV) ❑ EXISTING FAILURE "Record Dmwing installadwslratl �J Zzot�( ' 1t — I(�• /coa lnarelbdona^ L " 1 DIRECWNS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex,locked gate) O 1 71GIctlKl;;,I/ r4 Pt%. SQ'c�-C4-%- Lx. �p R��b6+ 7 O C 1.'pS Uc- 7C IO fM�Atn1 oxs W:lcln�z l'31��r — =allow +0 -rap OF WILL '0 o �Q SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I© OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) O VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS � L� AUG 2 5 SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTyR.gIGNATURE ` DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE 7 �/ q1I- !1 ` S I � / 1 (o le THIS FORM M BE SCANNED AND AVAILABLE FOR PUBLIC VI ON THE MASON COUNTY WESSITE REVISED 3/2/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number:Z Z O O S— -- ) o d O 1 A design will be reviewed when 3 conies 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,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web site.Maximum paper size: Il"X 17" BE3TDENTIFTCATIbN' Permit Number: SWG 20/J_ G b ZO C Designer's Name: ?e3YJ! (A }*t A ©fM Applicant's Name: A rL1I%WZ 4-DAtim+a �fl RrNT Designer's Phone Number: 3bo p b t Mailing Address: I ql if- LIJ-(CAA M V 114 Designer's Address: zsw W. (ty 1A l]~0j b[Z..A 5hLs LT Dr1 , UlA. ri8ski 'f�kOWOo U WA. 9-s S-y Ci State Zi Ci State Zi Y ' RA 1ERS' _ Treatment Device ❑Glendon Biofilter ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other: Drainfield Type ❑ Gravity 4r;7'Pressure IRITrench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms Z chedule/ s U Daily Flow: Operating Capacity I to gpd Length f ( Is r ft Daily Flow:Design Flow z40 gpd Diameter I • 2 S in Septic Tank Capacity IZCi-C> gal Number 4 Receiving Soil Type(1-6) 4 Separation to ' OC ft Receiving Soil Appl.Rate -- -, ( -gpd/if----- Orifices --- Required Square Footage L tXp if Total Number of Orifices 3(o Designed Square Footage gcrD f 2 Diameter 3 1 G in Percent Reduction Taken 12�r % Spacing ({fi~ cc in Trench/Bed Width 'J ft Manifold Trench/Bed Length 135 ft chedule/ ass 40 Elevation Measurements Length Fi- fl t t�tlas (1 I to t ft Original Drainfield Area Slope 3 % Diameter ( •Z.� in New Slope,If Altered % Preferred manifold configuration used?/wYes ❑No Depth of Excavation Up-slope in Transport Pipe from Original Grade Down-slope 61, Yi in Schedule/ pROVP ^ 4 D Designed Vertical Separation 2-4 in Length MC PUBLIC HEALTH b 0 1 4- — ft Gravelless Chambers Required? ❑Yes ❑N�00ptional Diameter S E P 16 2015 2 in Pump Required? Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doseOEW q Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity lat) gal Orifice Co ft Chamber Capacity (ODO gal Uppermost Orifice ArHigher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity Q Total Pressure Head ZZ . Z- gpm V Imer 1$ lapse Meter went Counter Calculated Total Pressure Head I ft If Timer: Pump on c9•76- Mrn1 Pump off Le hlLS Comments F-UL AJ8 T 77D `tZ&_yLkoUS T�)P Sit ( LJkI LC <--Ie--A(atniG �e K) F�,&-La A a-9-14 R)Jc- 4-D ska sc, I `�-Pth . I DESIGN FORM-PAGE TWO Assessor's Parcel Number: Z Z O O -- -- O?O�1 Permit Number: SWG " DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch JZ Test hole locations Er Drainfield orientation and layout Reference depth from original grade: & Soil logs 1a Trenchibed dimensions and 'Septic tank Property lines critical dis within layout Drainfield cover � 9 Existing and proposed wells W D-Bo alve b ocations Reference depth from original grade within 100 ft of property P Septic tank/pump chamber and restrictive strata: Measurements to cuts,banks, and locations Laterals,trench/bed,top and urface water and critical areas Iff Observation port location bottom Location and orientation of a Clean-out location ❑ Curtai�� (lector curtain drain and all absorption & Manifold placement ❑ Sand au e ion components 153 Orifice placement Other cross-section detail: l$,�Location and dimension of Lateral placement with distance $'Observation ports/clean-outs primary system and reserve area to edge of bed Other Information tl'�Buildings A' Audible/vi u referenced Yes No Direction of slope indicator I!r Scale of own on scale 2E�' ❑ Design staked out ff�Waterlines bar ❑ ❑ Recorded Notices attached (� Roads,easements,driveways, �`, y.° y0. ❑ ❑ Waiver(s)attached arking �° ° #'•sn� .4- ❑Pump curve attached North arrow and scale drawing 9•' stpppptas ❑ ❑Evaluation of failure :'DREG J_•1NALTERICK shown on scale bar S DESIGNER Non-reside stifi hoitb ❑ ❑ W e gth - - __ — --- - ---- —._ ❑ low ---- 1 APPROVAL ' The undersigned designer must be notified by installer at time of installation Yes ❑ No i of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site ''�lations: n L 9 /c it Environmenjal Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ya/ ly ✓ Drainfield site conditions have not been altered to adversely affect conditions o�approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Updated Date: 12/12/2014 i s f Jkh kA M in r, C F P/) Oj 06 � F- x w ` jM t1{ n r 1 ti "..Pryu bCD m � Y 1 J II w ti d a r i APPTOVED MC P+ iRLIC HEALTH SEP1 6 2015 _c:{ CEW I I SECURED LID WITH GAS TIGHT SEAL 24"DIAMETER 1 ACCESS RISER FINISH GRADE '34c,cp�t� — — — — — TO PUMP CHAMBER FROM SEWAGE SOURCE FLOATING MAT APPROVED EFFLUENT FILTER SEDIMENTS SEPTIC TANK (TYPICAL) SECURED LID WITH GAS TIGHT SEAL THREADED UNION 24"DIAMETER ACCESS RISER SERVICE FINISH GRADE VALVE FROM SEPTIC —iTO DRAINFIELD TANK EMERGENCYSTORAGE ANTI SIPHON VALVE' HIGH WATER ALARM LEVEL INDEPENDENT WORKING VOLUME FLOAT STEM NORMAL TIMER OFF LEVEL _ _ FOR FLOAT ENCLOSED PUMP MOUNTING SEDIMENT SHROUD' CHECK VALVE" ff 7�r)ca aN 1s SEDIMENTS 'di0�.�. SUBMERSIBLE CENTRIFUGAL PUM^ PUMP CHAMM ROVED mu-PI IRI_IG HEAIaf o,,,Al - -AS NEEDED SEP 1 6 2015 FIGURE 2 CEW Pure Performance The OSI Eliotube"Effluent filter is the most advanced in the industry, engineered to provide maximum protection for your septic system. Features and Benefits • Improves effluent quality. Average Total Suspended Solids 1TSS1 is less than 30 PPM,nearly 2-1/2 times lower tnan a non- screened system! • Allows for smaller diameter drainfield pipe. Lowers drainfield material costs • Superior patented design. Extends drainfield life. Reliabie. corrosion-proof construction. • Easy installation. Installs in minutes in new or existing tanks. • Simple, hassle-free / +� maintenance. • Available alarm. Indicates when maintenance is needed. • Ideal for variable-grade sewers Allows reduction of the transpor line size and associated cost$ • Custom sizes. Call for a FIRROVED Ptl LIC HEALTH SEP 16 2015 CEW InISTol-L.L P.T per--F L- BF _ N r S3a O � ) n� �Ay J r M - J J kA ut Ci CI Z n J d l 4 I` J W a �j P 1 m Q I J Q M P OVE LIC HEALT S P 16 2015 CEW N --t.�Pt•G-M � l��lvb C_C�"•T1�-OL IL I NOS chaLK. VAI V!S 40 7.L�Vl n�T a�'$wGK F�sW {O Lp..u6rt 4nfDnna..S O p!PE: RISER WITH LOCKWO UD TO DRAWS" PRESSURE LATERALS PLOW CONTROL VALVE i MnU1RED ,2 ' If " iLONCBWEEI B WOW 1 / SECTION A-A WASNEDRAWD fU ROCK _J W x 9w. 40 L TRANSPORT M►EPROM PUMP CHAMBER QRAINPIELD GONTRQL BMX ioi QPINO f3ROUND- MAA IFQL�ATERALS] 1 APPROVED MC PUBLIC HEALTH SEP 16 2015 CEW ti t c J 6 tl� ipD MP P IRII II H E j ? S P162015 CEW `._ 09ENCO SYSTEMS® 99[F CONTROL PANEL NEWS ORENCO SYSTEMS*SSF Control Panels offer fine quality compo- nents for reliable automatic pump operation. Standard functions include circuit breakers,manual,off and automatic motor control operation,plus an widici isual high-water alarm circuit with audio silence and automatic reset upon correction of the high-water condition. A selection of optional features offers flexibility for a variety of pumping applications. ORENCO SYSTEMS*SSF control panels are specifically engineered for controlling pumping operations of pumps in both the septic tank,and the sand filter. The design includes a automatic shutoff of the septic tank pump,should a high water alarm condition occur in the sand filter pump basin. This prevents an overflow of the sand filter. ORENCO SYSTEMS*control panels are designed for use with mer- cury float switches or arty standard dry-contact switching method. STANDARD FEATURES: • Listing: UL Underwriters Laboratories,UL 508 Listed UL-Canada Listing available. • Rating: Model SSF-1 rated at 115 VAC,1 Hp,16 A,Single Phase,60 Hz. Model SSF-2 rated at 230 VAC,3 Hp,16 A.Single Phase,60 Hz. • Motor-Start Contactor: Rated for 24 FLA.Single Phase,60 Hr. • Current Limiting Cu=ft Breakers 20 amp,OFF/ON switch,DIN rail mounting with thermal magnetic tripping characteristics. (Single Pole/115 V, Double Pole/220 V) • Toggle Switch - A SPOT HOA switch with a 20 amp motor rating. • Fuse Disconnect: 5 amp(10,000 AIC)fuse with DIN rail mount • Audible Alarm: Panel mount with a minimum of 80 db sound pressure at 24 inches,warble tone sound • Visual Alarm: NEMA 4-rated,7/8-inch diameter,red lens,oil-tight with push-to-silence feature for each pump. • Audio-Alarm Silence Relay: 115 VAC,automatic reset with DIN rail mount socket base. • Septic Tank Override: Overrides and shuts off the septic tank pump if a high water alarm occur:in the sand filter basin • Alarm Circuit: Wired separately from the pump circuit so that if the pump's internal overload switch or current-limiting circuit breaker is tripped the alarm system remains functional. • Enclosure: NEMA 4X-rated,fiberglass with hinged cover. Noncorroding. Dimensions: 10 High X 12•Wide X 6.3/8•Deep. E)temsl mounting ears. • Padlockable Latch: Constructed of noncorroding stainless steel. APPROVED OPTIONAL FEATURES: MC PI IRI IC HEALTH • Elapsed Time Meter. SEP 1 6 2015^ 115 VAC,7-digit,nonresettable. • Counter: 115 VAC,6-digit,nonresettable,horizontal base mount • Programmable Timor. CEW 5 amp,110 VAC,DPDT relay output,repeatable cycle from 10 sec.to 10 hours with four time ranges. Separate variable controls for ON and OFF time. • Intrinsically Safe Control Relay: Intrinsically Safe Panels are UL 913 Listed. The secondary circuit limits the current to 2.3 mA at 11 VAC. Other custom features can be provided. ORENCO SYSTEMS, INC. 814 Airway Avenue Sutherlin,OR 97479 541/459-440 i1�1111111111111111111111111111 °,: , " 111���1111111111111111111111111 ' I�111�`►�I'111111111111111111111 .•,� , , �' , C11111��11111111111111111111 ``►�IIIIIIr1��111111111111111111 III���IIIt111��1111111111111111 , : , . 1111111��111111111111111111111 . .; ::: .: �0�11�1f�1111111►`�111111111111 . .. . . , l�!!!111=�1'1��111111�11111111111 logo loll 6111►111 ills m111111111 �■1111/b111111`►�11111`►�1111111 �1111111'111��11�11111��111111 -, : .: . .: , . �I '`��'IIf111111111111111`►►11111 � �®�.:1�1111�.�1111�.1►11111►11 loll f,0u111111111111N111111►1 ::::�A�IIIIIIIIIIC�111111\1111 loll I1E1 fill 111111111111 SIR 11I . . 111►/I1�11'IIIIIIICIII11111►`I\11 II►1 MEN loll loll ilia'Rill 111111 pi1111N1 Rill 11NO11111611111111 111111o1 loll loll 11111111111111 ' 111111�111111111111111111111111 1111111•III'11111111111�111111111 PENINSULA 45EPT-1C —OESL�, /Otnj 2380 W. Highland Rd. Shelton, WA. 98584 1. Install laterals with contour of the ground- 2 Install trench bottoms level and at all times a minimum of six inches into the native soil. 3. Install locator tape on top of all drainfield laterals. 4. Install tomebse�>�g toport indi the cated on ftve lloitnplan(minimum-two per drainfield with 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 ends of all laterals(cap must extend to within 6 inches of finished grade and be marked with locator tape). 7. Install audiovisual high water alarm. 8. Install 1i6 inch mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats). oe bio-W56 crPi ow-T Fit-Ta'/t 9. Install check valve in pump outlet line to prevent system from draining back into the pomp chamber. 10. 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'cloc (do not glue), after pressure test and Health Dept. approval,turn orifices down(6 o'clock and glue laterals to manifold. 11. Filter fabric required over drain rock prior to backfilling. If the drain rock extends above natural grade, run the filter fabric at least 2 inches down the trench wall. 12. Divert all storm water run-off away from on-site sewage system. 13. No curtain drains allowed within 10 ft. of the up-slope edge of the drainfield and reserve arcs. 14. No curtain drains allowed within 30 ft. of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every three to five 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. Install septic tank and pump chambers so that inspection lids are at finished grade. If tank tops are set deeper than finished grade,risers wilt be required. 20. Deviation from this design withoutpruor approval from the Designer and Mason County Health Department will make this design a l and void. 2I. ATjDMtOIJAt, FEE of �150' wt d be= �J.R ��i�f��p HH LTFi tit-StgN �s+spi=cTio�► k A SEuitT DRawtrtG AS a 1 6 2015 CEW