HomeMy WebLinkAboutSWG98-00514 - SWG Application / Design - 10/16/1998 PERMIT NO. SWG cn >
MASON COUNTY DEPARTMENT OF HEALTH SERVICES �.
(,- `1 Date 046 ' � O ' a N
426 W. CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Receipt o. / c. y
PHONE (360) 427-9670, o -1
Amount$ z
' PROPERTY OWNER: DATE: co
ic CHECK APPLICABLE ITEMS P. <
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Ter r a vA Dor c. Vele rnr II I on I 0115 198' cp NEW SYSTEM V P
I MAILING ADDRESS: DAYTIME PHONE: 0
t 10 37 KI IAr Oki di SE REPAIR SYSTEM
t. CITY: STATE: ZIP: MAINTENANCE REVIEW a,
ADD SAi
S: WA-. 98'5i3 _ 7 .,51 SINGLE FAMILY ✓ a
E; PROPERTY D SS: OTHER z
I{w y I p(o SPECIFY: 3
�' SPECIFIC DIRE T O S FOR LOCATING SITE: f RV M U{Ji b!U Ovl Flwy/ob PRIVATE WELL �� a
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-f'h vP 1 S o n Water L,.a t er e +r e P 14enl 4.6v o� It trot' COMMUNITY WELL/PUBLIC SYSTEM X
IVe t -I-il 83_`L�, next" GoEtJewa�y obi Rt y ht -141k12krb SYSTEM WFI# I�,,
W t+k v, - % W i k ttp tii11 , tt a IJ 1-efi in SYSTEM NAME II-)'� IH k �l � `'Y Pc rr+�11,un
, Vv ht u a W z115 - u Ilvw 13thlc v,bbu,.s oN -ivuet-er APPLICANT
s fir' 1�,L., or 4-„ (4) ho es NAME Joy t e 3Qhr son IN)
Name of 1 Lot /- /D o I ft.) /s OS ft MAILING ADDRESS gO&) E St; etict,
' Installer is,01Ou, W A arig59 x- 0 I""
Size: I -Sp acres TELEPHONE ( O ) R g-V...2.5�
Name of Number of / SIGNATU - / o
Designer JU l� C.e SO I►1 s OY1 Bedrooms 3 b r rri . X ?e..¢�f� 6 12.pry
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I't PLOT PLAN
`: Draw a dimensional plot plan, \� ti It
F; including: ,yt,✓N 10 w
t Li Precise location of test
!'� _ 0 S
holes,showing I
measured distances to .r i`� � C
property boundaries. t\S. X fl 3 t y° •
V i 't-----'t----- I ,�a5) I t S ppf I C)
p Entry road;other roads, bI . x X��1 "" E Cj
driveways. ?j
NOTE: DO NOT DRAW IN \�
SYSTEM DESIGN y�r \O
P 1-IP�
OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE.
,' a T� #I� SOIL LOGS -�t1�►Z et ''
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�.. DESIGNER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS
;. .
Finding Score Designer Level: 0 One )(No
- Soil Type 3 3fl1
Soil Depth `iS in. 10(A3 Septic Tank Daily
Capacity: In
n, Gal. • Flow: 3 60 GPD
Slope 13 % `'(ofAs Appl. Infilt.
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. Parcel Size D Ac. -SQ 1 Rate 16 GPO/FT2 Area L S.o FT2
Distance to Shoreline 1uo ft. 8�, Total 2y Inspector/�� Date
P.A,_ n . _1 _ I- - , A„
' DESIGN FORM - PAGE ONE Revised February 18.
A design will be reviewed when 3 copies of each of the following items are submitted:
Completed design form that has been signed and dated % Scaled layout sketch,Including all applicable Items on checklist
Scaled plot plan,Including ail applicable items on checklist % Cross-section sketch,Including all applicable items on checklist
Permit Number: Or�' - C Z./�. Designer's Name: `1C t 1 C r.i f A; -.:---)C. N
,1 Designer's Phone f#: I --zt� ',• - ? C- 9,q.'S-S
1u -1"I (16)4-Yl ow• /eYt ,(1,n ssessor's Parcel No.:‘1; = =1 C O C C C
® , , ddres • • r . ,-r i 4 :')I' - (Twelve-Digit Number)
• p21 (1 m �1 rt. 'L+J/a •• `! i•1-.:1 c I Subdivision:
ol ` (Name/Division/Block/Lot)
City n State Zip
;fit ��� V QE�I �"�RS
OAVa Treatment Device
0 Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield
0 Aerobic Unit-Make/Model: — 0 Disinfection Unit - Make/ModelaSGf County Dept. Heailh Set
Drainfield Type APP VED
Pressure ❑Bed 0 Drainrock
Initials f—.
❑ Gravity 0 Trench , Gravelles Chambers Date it- Li,=`
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms ' Schedule/Class 40
Daily Flower 4 gpd Length .5 v
Septic Tank Capacity /A gal Diameter /... 5
Receiving Soil Type(1-6) ;' Number
Receiving Soil AppL Rate ..R zpd/ft Separation
Required Square Footage fl
Designed Square Footage ft2 Orifices
Percent Reduction Taken % Total Number of Orifices .. / ' S J
Trench/Bed Width .3 ft Diameter f '-o tic Vi c e.-'3rjZ_
Trench/Bed Length iL - ft Spacing ,7
.Elevation Measurements Manifold
Original Drainfieid Area Slope 3 ,,° Schedule/Class 4 '-R- 461
s_.
New Slope if Altered % Length Diameter .. i
Depth of Excavation from / in Original Grade (Up-slope) Preferred Manifold Configuration Used? Q Yes 0
N
Designed Vertical Separation /3 in Transport Pipe
(Down-slope) Schedule/Class `'!U
f 174 in Length q 3 r i
Diameter .9, is
Gravelless Chambers Required? 2rYes 0 No 0Optional Pump Required? laYes 0 No Dosing and Pump Chamber _
Pump/Siphon Specifications Number of Doses/Day
Dose Quantity 7 /Sr. Qa
Difference in Elevation Between Pump Shutoff and Uppermost Chamber Capacity S(2,C, ga
Orifice: //- ft Pump Controls: Timer(or) Elapse Time Meter(circle if required
,,,f If Timer. Pump On , Pump Off
Uppermost Orifice is l� Higher, 0 Lower than Pump Shutoff
Capacity @ Total Pressure Head: 3 d -4115- — ' eptrt Check the following components if they drain between doses:
Calculated Total Pressure Head: A5- _/- • 1Se- ft a-Laterals l7Manifold ❑ Transport
(Attach Pum_p fie)
P50 DS! I5Hiir -5- 57-A
or: c:;u,J ,..-LIUI
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DESIGN FORM— PAGE TWO .
. Revised February IL
>::: DESIGN CHECK S S
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
C Test hole locations la' D.rainfield orientation and layout -..• Referenced depth from original grade:
0,-Property lines C2rTrench/bed dimensions and critical Dptic tank lid and drainfield cover
'Existing and proposed wells within distances within layout depth
100 ft of property lines 0 D-Box/"T"/"L"locations / ,
Pr-Critical distance measurements to cuts, Er-Septic tank/pump chamber location Reference depth from original grade
-banks,and surface water C Observation port location and restrictive strata:
i r. ...... 0 Location and orientation of curtain • I'Clean-out location `- ' LYCaterals,trench/bed top and hottom
and all absorption components 0-"Manifold placement 1 Cl Curtain drain collector
O Location and dimension of primary 2-- O • placement ' 0 Sand augmentation
system and reserve area Lateral placement,with distances to
gr-Buildings edge of bed Other cross-section detail: =1 '
ErDirection of slope indicator Er ,udible/visual alarm referenced 02/Observation ports and clean-outs 1
�“. O''Waterlines ...Scale of drawing shown on scale bar .... -.j
ErRoads/easements/driveways/ . ... •
g Layout information t'or moundsystem $y 4
b Critical resource lands(if applicable) o Overall fill dimensions Y o Settled ca db t ceatte'and-ed`._`ot
forth arrow and scale of drawing : 4
P ge
shown on scale bar
Cl Up-slope,downslope,andendslopc gybed K
fll;width_> :.:.i....,:,. ....;. Cl Stdewallslo a.....:
A
M son-Coil �e :. i:ea"'� 'e•��ICeS - _ • • • • Cl Up=slope:and dowiislope bed elevation
APPROVE
Additional Information
Initials 0 Design staked out
Date •
O Operation and Maintenance Notice
Attached
O Waiver(s)Attached
r
The undersigned designer Ci does, ❑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.
S`t! of Des' r D e
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 regulations:
I ! ' ... -HC--[........:,,,„, ,
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.
1 / 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 obtained from Mason County
Department of Health Services. .:-.. .... .
/ Drainfield site conditions have not been altered to adversely affect conditions of design approval
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+ 0 ��� s Joycelyn Johnson
�; _ ,�oC Certified Designer
V Septic Systems
7 Qa;r 1obo /12
O=OBSERVATION PORTS. . 4" Perf with cap to surface
( 2) per lateral—within 10 feet of the ends . .pipe
to be anchored so it cannot be removed.
50 ' Trench
1 .25 inch laterals in each trench . ,
Orifices 36" .O.C. ( 17 per lat. ) 3Y, a
12" from end and 6" fro or_ _Lea-n-out- & bow 6" from end o]
ditch.
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an nitials O�Et
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boxe control DRAINFIELD. .TOP VIEW at
box with (3 )
1. 25" valves . .one for —SCREW ON CAP
each lateral.
i / / oo- 45 DEGREE ELBOW OR
0' 'li 1/ , LATERAL S WEEP I N41 C
END OF
�� � _-- ad/- DITCH � 1
1 `� • � b LI DETAIL
CLEAN OUT
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q� �� NOTE, CLEANOUT TO BE FROM 0 TC
INCHES BELOW FINISHED GRADE.
MARK ENDS WITH REBAR. CLEAN C
DETERMINE THE TOTAL Dynamic Head. REQUIRED AT END OF EACH LATERP.
Selected residual pressure 2 .00 ft.
Transport pipe friction losses: 6 .74 ft.
Lateral #1 loss .73 ft.
Lateral #2 loss .88 ft.
Lateral #3 loss 1 .03 ft.
Az4fal / -/ /o5S
TOTAL elevation 1i t: 112 00 ft.
TOT L DYNAMIC HEAD 123 .38 ft. •
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END VIEW OF DRAINFIELD DITCH
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O Q (360) 426-a:aa ( CO)a 455-0812 •\ 1:1:11111
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SECURED UD WITH GAS TIGHT SEAL THREADED UNION
24"DIAMETERNNI
ACCESS RISERr
SERVICE
FINISH GRADE VALVE'
FROM SEPTICr- 4 „ _ —+TO DRAINFlELD
TANK \ _ 7 Li
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EMERGENCY STORAGE ANTI SIPHON
VALVE'
HIGH WATER ALARM LEVEL • `"
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INDEPENDENT
WORKING VOLUME FLOAT STEM
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NORMAL TIMER OFF LEVEL — — — _ T FOR FLOAT
— `'� MOUNTING
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SEDIMENTS
CENTRIFUGAL
PUMP
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'� 24' DIAMETER
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FROM SEWAGE
SOURCE FLOATING MATT u
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SEDIMENTS
SEPTIC TANK
(TYPICAL) '
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Installation/Maintenance
Pressure Distribution Systems/zm
1. Install laterals with contour of the ground.
2. Install trench bottoms level.
3. InstalI locator tape or rebar on top of all drainfield laterals.
4. Install observation ports as indicated on the plot plan (minimum-2 per L R r iR
drainfield with bottom extending to the drainrock/native soil interface).
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 ends 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.
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 on ed at
O'clock. Install laterals to the manifold with orifices at 12 O'clock •
, lea;,�a
pU �;
P 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. Encase all water lines within 10' of drainfield area.
13. Divert all storm water run-off 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 drainfield 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 Iids and access, sampling, or inspection ports must have locking covers.
21. All pressure systems with pump chamber higher than drainfield must have a 1/3" hole
drilled in the discharge pipe above the pump to prevent siphoning.