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HomeMy WebLinkAboutSWG2023-00063 - SWG Application / Design - 3/2/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 ea: Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX: On-Site Sewage System Permit: SWG2023-00063 APPLICANT MCKUNE RONALD SCOTT & GINA Phone: MARIE Address: 4330 LEGACY DR NE OLYMPIA, WA 98516 OWNER MCKUNE RONALD SCOTT &GINA Phone: MARIE Address: 4330 LEGACY DR NE OLYMPIA, WA 98516 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 3200 E Mason Lake Dr W Primary Parcel Number: 221055100078 Permit Description: New SFR -3BR Nuwater w/Local Waiver Permit Submitted Date: 03/02/2023 Permit Issued Date: 07/18/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/10/2026 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/healthlenvironmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. I OFFICIAL USE ONLY—U.„„---- MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 2 ,_ ONSITE SEWAGE SYSTEM APPLICATION AMOUN EI : — RECENE(ft o CO 415 N 6th Street,(Bldg 8) Shelton WA,98584 — (cn n Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 J G� 13 — v�� vv 6 O(n Z 71 APPLICANT PHONE > > RON MCKUNE 360-970-9532 m m MAILING ADDRESS•STREET,CITY,STATE.ZIP CODE r 4330 LEGACY DR NE OLYMPIA WA 98516 S13200TE SESMASON CITY,ZIP cODE co LAKE WEST GRAPEVIEW WA 98546 m NAME OF DESIGNER PHONE I•(V CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE I N TBD g CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE C Et NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY Id PRIVATE INDIVIDUAL WELL (7 I CD ❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL El Z I❑ TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM 01 ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME:❑ UPGRADE TO EXISTING 0 OTHER: I jil BEDROOMS LOT SIZE I ❑ EXISTING FAILURE "Record Drawing required 3 316'X70'X32TX56'X18'X47 to 1 tor en Installations" r I -- DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) 0I GO TOWARDS ALLYN ON ST RT 3, TURN LEFT ONTO MASON LAKE RD, TURN LEFT X I cp ONTO MASON LAKE WEST. PARCEL IS 3.2 MILES ON THE RIGHT SIDE OF THE I I 0 ROAD. LOT IS CLEARED. r 0 10 I —I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I CO OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for repormng purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ['OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS l 0 _ 44 L t t I clot G✓$<< 4-° D 0 - 1� 8 Cll DC' � � MAR 02 2023 2- 4 L - Y L5 k)4V`Ko,'� SOIL CODES: v By 1 V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS ' IN E TOR SIGNATURE DATE APPLICATION EXPIRATION DATE CPLI ATION APPROVED BY DATE G�s �j-6?2, > -e/-2 c ,/. A� 7 1.-1—?-3 THI FO Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBS REVISED 12/7/2015 Am.smorrir' DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 5 — 5 1 — 0 0 0 7 8 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,including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: 11'•,1 17" PARCEL IDENTIFICATION Permit Number: SWG o<(,/.2.. —c96 Uka-5 Designer's Name: CINDY WAITE Applicant's Name: RON MCKUNE Designer's Phone Number: 360-701-0205 Mailing Address: 4330 LEGACY DR NE Designer's Address: 80 E PICKERING LANE OLYMPIA WA 98516 SHELTON WA 98584 City State Zip fitY State Zip DESIGN PARAMETERS Treatment Device ❑Glendon l3iotil►er 0 Sand Filter 0 Mound 0 Sand Lined I)raintield 0 Recirculating Filter.Type: lfAerobic Unit Make/Model BNR500 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity Bf Pressure 0 Trench GiBed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class SCHEDULE 40 Daily Flow:Operating Capacity 270 gpd Length 28.32 ft Daily Flow: Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity 1200 gal Number r 4 Receiving Soil Type(1-6) 3 ei atRt R 0 V 2 ft Receiving Soil Appl. Rate .8 gpd/tt' ii 1I11'''' 7] �(� es Required Primary Area 450 ft- $tal NlUfber1fOflTi'L s 48 Designed Primary Area 450 ft' M',.n a t;,•TY ENVIRONMENTAL HEALI H 3/16 in Designed Reserve Area 450 ft' Spacing JBW 48 in Trench/Bed Width 10 ft ,i'1 Manifold 1 Trench/Bed Length 45 to ft i Sc�(•rule/Class SCHEDULE 40 1 Elevation Measurements Lek,.�, 1 ft Original Drainfield Area Slope <1 0• , o, '�t-ty9>'y 01 0 2 in New Slope, If Altered %aPy ' % rc,:►tjy nifold co figuration used? ❑ Yes lie No Depth of Excavation tip-slope 18 inn �`��1 �j from Original Grade IcaCt st t F 10,0 " Transport Pipe tki��n-slope 18 d incENs fiE6E 'i is It SCHEDULE 40 s, Designed Vertical Separation 24 mokir� `►� ��� VW+ N* ���' ' ' 40 ft XPIRES •, I Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in Pump Required? El Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 45 gal \V Orifice to ft Chamber Capacity 1200 gal Uppermost Orifice lif Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 28.32 gpm lifTimer LifElapse Meter Gif Event Counter Calculated Total Pressure Head 12.42 ft If Tinier: Pump on ,Pump off Comments GRAVEL BASED DRAINFIELD REQUIRED, CONCRETE TANKS REQUIRED, FOUNDATION DRAIN MUST BE 30' FROM DRAINFIELD. DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 0 5 -- 5 1 -- 0 0 0 7 8 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ii Test hole locations RI Drainlield orientation and layout Reference depth from original grade: Bj Soil logs g "French/bed dimensions and 21 Septic tank g Property lines critical distances within layout g Drainfield cover g Existing and proposed wells g D-Box/Valvc box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks, and locations Q( Laterals,trench/bed, top and surface water and critical areas lig Observation port location bottom ❑ Location and orientation of g Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement g Sand augmentation components lig Orifice placement Other cross-section detail: g Location and dimension of primary system and reserve area g Lateral placement with distance gObservation ports/clean-outs to edge of bed lid Buildings Other Information g Audible/visual alarm referenced Yes No 0 Direction of slope indicator g Scale of drawing shown on scale d 0 Design staked out 0 Waterlines bar 0 0 Recorded Notices attached g Roads,easements,driveways. g 0 Waiver(s)attached parking lig 0 Pump curve attached l;?1 North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ 0 Flow DESIGN APPROVAL The undersigned designer must be notif y inst Iler at timeof installation gYes 0 No Signatur f Designer Date The undersigned has reviewed this ign on behalf of Mason County Public Health and determined it to be in compliance with state and local i-site regular• Hi a(11,1--- --.... —7—/(0":23 Env'•or m n I Health Specialist Date CAUTION: DESIGN APPR VAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped "Approved" by Mason County Public I lealth. ,-2A` 1 ✓ The Onsite Sewage Permit has not expired.the Permit Expiration Date is: ✓ 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 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: 12/7/20 15 .. d r "o a 1 a o I , o - W N p CO G0 V d) C.J1 -A W N -1 cCti OoUN -I ZD 'U z p z lonm _inIDOmmxmxoo0zo7070 0 z 0.1 0 0 cn0 � o2 �m2 0r- 0O -�,•• IA O m -1i cn D O O � C rn O cn * 0) _ z m z z z D x m XJ < mcmZDWWm '- m r-- - 1� • -m{ � � K � mDC7Forr- .. z > , Z zD71 m � � � z p 0 O m • 0. • • Sr ._ • , •----. ' ----- ---------------------- -- .- -- • ------------------.....y ...__--l. -...._......... --...'.. ..-...........--....---., 1. AI .----------- ' . 0 �- °W. -. c 'ao I, , . ' .................;. .....................,......... I .4 • �,+, el i U e ,,,,04.44'i vill,„:"7-ki bojr3 .. (I til pvi p CINOY E WAITE z �' k P P R cr . 4,8 r. UGENSED DESIGNER[ „ 0 \O\ \\ ♦ \\ ♦ \\�\ • i 0 o EXPIRES 05/t0i JUL 1 7 2023 C> MASO COUNTY ENVIRONMENTAL HEALTH JBW 1 • ,414-4) Ley 6p .1 I 2 ® cr�Qwa�.J) • 39 I v, 6 b s Po' i . 6_ XZ valve 8•- Ii 'Q ‘/S i S.4e4/e y0 1 IQ' t ?..d I @ 74'' t, r / "_ /Dr 1 GIB-ems k va 1 v e Jj I A) {darn, T4M1. -- F Ai .c/ c a, e., .).i c, :1 ; d - O21 q � _---____._--- I C�Z ASS' St-lobe V .2Y" 2y ., I vs :4. � - �1` r '° Scale IA \/3 y4.„� u' l,, lp 1/1 ,5\ P P RO"VE O7 CINDYE4WAITE �, i LICENSED DESIGNER �b JUL 17 2023 ��x%% %N.Vaiimoimb. Ilk lo•``'koli:•� MASON COUNTY ENVIRONMENTAL HEALTH LxpiREs 0500‘ JBW r Lateral # Length Length Orifice # Distance from Distance from end Length # # (Feet) (Inches) Spacing " Orifices feeder line of end of lateral 1 45 540 48 12 0.5 0.5 45 2 45 540 48 12 0.5 0.5 45 3 45 540 48 12 0.5 0.5 45 4 45 540 48 12 0.5 0.5 45 Total 180 48 180 TRANS LENGTH 30 GPM 28.32 K (2" SCHEDULEN 40) 284.5 FRICTION LOSS 0.420186 Squirt 2 Elevation difference 10 TDH 12.420186 L ,I )1,-4 V N' V 1 V ✓ Y i I i r< w' L. �' / '� /G ' 4. /.. 13 (7)4 1 ~'J_J 2 ' ‘6\ lv 4r L il l3 00418 `er CINDY E WAITE , LICENSED DESIGNER ��V O ' ,, EXPIRES OS/tO, -:"A P P R ® 1 E JUL 17 2023 MASON COUNTY ENVIRONMENTAL HEALTH J Bw r • [ o al a g x ci 1 I. li r 7:3) v n. -8,..F0:?:1..._ A --I `ii N TI 0 4-\ 0) < p A 03 ---1.. Fo--- Fri * ,, O f n N 0 N 0 -A D 2° op 1-PPROVEo 1 0) oi JUL 17 2023 lif 0 pO PASON COUNTY ENVIRONMENTAL HEALTH z I s 4. 111, -,, I (0\rij -0 civyilo�� ,) - 'fik. oo. r CINDY E ..1 r LICENSED i , ta EXPIRES n D N N -+ I D o r- N a H . J1 1- H rn liwfi ----f-- ! < 0 U - -a VI I Ti 0 :b.CA >< p P rn x 2 I 1 1 CA) —/► .10.— N 0 O --10 `_ —.r Imo— p_ 0 " O 8 CD L rnrn Cr) j� -- rn ` ��� 1.1 �_ �1 s iiriQ �� IIP Tr ��,ei. Alre NC' C) ‘ \71,0 v Fs Or‘,.. ;_c /_ "Z. . \ at�\ 0418 `P APPROVE tii." ...._ -j d CINDY E WAITE ''i,, sr LICENSED DESIGNER �k " `�., .wt. . ..��!. JUL 172023 EXPIRES 05,,,, MASON COUNTY ENVIRONMENTAL HEALTH JBW y — — • WATERTIGHT --., LID VENT(typ) ---\ DUAL PORT AERATOR ` RISERS(TYP) \ tf 41 I r—illil 36"MAX. rPVC(TYP) g/2-1 17-1=jd 1!2"PVCI MASTIC �— l T t �( • AIRLINE / 1. 11 2'COUPLING _. 1 T S &REDUCER e• 1.—�. I ___.__._L__.___._._.„,,,_rJ,f_..._4._ .. ____. ...._._.__.____...\:____ s _,‘ 2"TEE __._ 1. 12" 1"PVC SLUDGE RETURN LINE r y • 2"PVC -� J ,[ , TRASH CHAMBER DIGESTER CHAMBER CLARIFIER i OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS 65" 58. FLOOD:191 GAL. 54" f 50' 53" ° o 0 36" ° ° o F� r TEE1n- ° ° ° l (nqy� DIFFUSER BARS(21 12' '�( PARALEL TO TANK WALL T I \ \ } -j 4" -\ \ SLUDGE RETURN \ \ j//// 1.5'TAPER ` SIDE VIEW r�1'an' STONE-FREE NATIVE SOIL OR COMPACTED SAND INSTALLATION INSTRUCTIONS OVER STONY SOIL 1)Excavate tank hole with vertical walls to 1 foot -r than - tank on all sides. iseq- op 2)If bottom of hole is stony,install 3"of comp.fsan.�� level — 9•.2- -- — out with screed. orA 3)Install tank in center of hole,keeping 1 ft A"•spat . ( all sides. 0 , ?I'HLOWER 4)As tank is filling with water,fill in void -� r : 9 / 2a"RISERSI(tYP) I �1P' ' ��l///��"' III OUSING CAS granular(sandy)soil free of large clump cl 4- a i �4 I I I •N TOP OFLI• 5)Install rest of system,&affix risers gasp 1 �� ` I waterproof adhesive. s 4, ` ,t I 6)Perform watertightness test in fi-111.0ls re 4 . I, 1 ! I I I I q'i" jurisdiction. O E LICENSED DESIG I I I 7)Upon approval to backfill,car. I .. I 12"RISER I I soils over top of tank. ���`� ��M�A�� ' Wig•+ ' . Ex:'IRES OSl10 I. �•-� DIGESTER 1 ItR u1 �F�ea1 8)Final grade the surface to avoid chanelling surface water toward tank. �� -. JUL-� MASON COUNTY ENVIRONMENTAL HEALTH IOP VI C�A'J 1w 0B ,,, l .., . R a AEROBIC TREATMENT TANK DETAIL FOR �, ��. Nu WA TER BNR-500 TREATMENT UNIT; 1,1 -".j'17'' ENVIRO-FLO, INC. REVISED: `' 1 Wastewater Treatment Technologies 3/01/12 " ""'`" :c P.O. BOX 321161, Flowood, MS 39232 - (877)836-8476 (601) 845-4716 fax SCALF_ 1" = 1.4 r 1. www.enviro-flo.net AN N I h r - ( O a ka LC) Q U 00 o a s 3 o 0 0 in CL LC) co in co w__ --J -LT . vue .", 4. , ,,„ , .. i ------1 H--'7r- fie j1) .1,,, --A.43- }:P 410 tr> ApIr(4, oT---,,,r,fi, 4,44 1/1 &\ \\/3 air C';‘ ''''' ,.'1.' C2i CV L ? dr,,,,- ., .4 0 A.,f/,,, r ti,C II 1 i i i 41 �� 51 418 �' 111 or \�` 4� or G CI EWAG PPROVE LICENSED DESIGN hY, AD NOS EXPIRES 05'10. JUL 17 2023 MASON COUNTY ENVIRONMENTAL HEALTH JBW vF "1 co Q cc • F- w Q (./ J Q z m et cc ~ a O N 0 3 a. U a J o �, rr� N co �/ F n per' EE� �v\44/, ':a w h. ` V a. [ I .....1 ----f: Q \ U V N LC) APPROVE '' • \ °\ IL. I; JUL 11 7 202 3 o MASON COUNTY ENVIRONMENTAL HEALTH JBW tt: IibJJj!uinps ft-L__-- ,c) - Pump Specifications !JUNO250-Series Submersible \ Sump / Effluent Pump iii '"", LITERS PER MINUTE 0 20 40 60 80 100 120 140 160 180 25 i 4 I I I I i I I I 7 l_ I — 1 20 1 6 5 I 15 - y W LL 17, a o o x x J _ J o o • Q- A — ; •';41 PPROVE - , °° '� ��� 17 ?023 y\ — mryC-)" yENVIRONMENT p� C INDYO .WAIT _ _ j C �B w AL HEALTH LICENSE DESI E 1 t 1 ZR�C 1ZZ yA VI IRES OS/10, 0 10 20 0 30 40 \\\ 1�j, 50 GALLONS PER MINUTE 250 PI RU I7i2018 IX opyrtght 2018 I.1heny Pumps Inc All nghts reserved Spm:Ilk:eons subject to change without nott+ INA Pumps Installation Note Pretreated Pressure Distribution System: 22105-51-00078 3200 E MASON LAKE DR W 1. The prepared site plan is not a survey. It's the owner's responsibility to verify property lines, utility lines (water. sewer, power, phone and gas) prior tcP installation. 2. Install system during dry weather with acceptable soil conditions 3. The tanks may be moved as necessary to accommodate building requirements. Septic tank location must meet all required setbacks. 4. BNR 500 must be installed in concrete tank 5. Pump tank and trash tank must be concrete 6. Gravel based drainfield required. 7. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only. 8. All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. Ensure the final grade slopes away from these areas and water doesn't collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains, etc. to divert all waters. 9. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 10. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 11. Install access risers on the septic tanks, valve box and ends of laterals. 12. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 13. Lids must form a water and gas tight seal with the access risers 14. This system must be installed by a Mason County Certified installer or 15. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 16. This design was sized per Washington Administrative CodeWAC246-272A-0230. The operating capacity is based on 45 gallons per day per capita with two persons per bedroom. The minimum design flow per bedroom per day is the operating capacity of ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety gallons per bedroom per day. 17. Install bed with contour of the ground 18. Install trench bottoms level and always maintain a minimum of initpRnilive soil 19. Install locator tape on top of all drainfield laterals. JU t V� 20. Install threaded clean outs at the ends of all laterals ( ,is rr�i`�I::�rt®nd to v it# ie( iks inches of finish grade and be in a valve box as sho i o 1•iagr.m. —"YFNV/RC r 21. Install audio/visual alarm $ j Jew nMfNTq( 22. Filter fabric required over drain rock prior to bac �rig. If e�idrain rock eends above A�TN the original grade, run the filter fabric at least 2 F .,. AIi4e tr ch wall.lt: i�P z � \10 O IND5 E W• TE I(� '/ LIC D DESIGNED �� EX;'utts 05.10 System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank and pump tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed annually. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owners shall not at any time change or alter settings in the control box. 6. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health, 7. Keep the flow of sewage at or below the approved design operating capacity. 8. Keep waste strength at residential waste strength parameters. 9. Spread loads of laundry through the week. 10. Do not use excessive bleach or detergents with added whiteners. 11. Do not shower, do laundry and dishwasher at the same time 12. Antibiotics can kill or impair the biological process in the septic tnk. 13. Leaky plumbing can hydraulic overload your on-site septic system. PP A Jut RA EDMQNCOoiryE 1 ,?023 �a 11I Je��MENt4L IiEA L? 1 H ' 1 s 'A \ �2 5100418 p INDY WAI E or LICE 0 DESI NER 1/ EXPIRES 0500/