Loading...
HomeMy WebLinkAboutSWG2017-00130 - SWG Application / Design - 7/27/2017 415 N 6TH STREET, SHELTON WA 98584 MASON COUNTY SHELTON: 360427-9670, EXT. 400 COMMUNITY SERVICES BELFAIR: 360-275-4467, EXT. 400 ELMA: 360482-5269, EXT. 400 a„acoq.n,mi,q,r„wo��nvi H<wcn,c�mwir H«nn FAX: 360427-7787 July 27, 2017 Apex Septic Design, LLC Lawrence Purdum PO Box 801 Gig Harbor WA 98335 RE: Design for O'CLAIR Case No: SWG2017-00130 Parcel No: 322325054025 Your design for the above referenced parcel has been reviewed and is NOT APPROVED. It does not meet the requirements or needs additional information. 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. `n Sincerely, Alex Paysse Environmental Health Mason County Public Health COMMENTS: I can approve the design after I recieve proof of the recorded certificate of residential use for 3 bedrooms. 7/27/2017 Page 1 of 1 SWG2017-00130 415 N 6TH STREET, SHELTON WA 98584 SHELTON: 360-427-9670, EXT. 400 MASON COUNTY BELFAIR: 360-2754467, EXT. 400 COMMUNITY SERVICES ELMA: 360482-5269, EXT. 400 BuYYhg llamirq,FnMronmenW IkaIIF,<ammmlry MxlM FAX: 360427-7798 May 24, 2017 Apex Septic Design, LLC Lawrence Purdum PO Box 801 Gig Harbor WA 98335 RE: Design for O'CLAIR Case No: SWG2017-00130 Parcel No: 322325054025 Your design for the above referenced parcel has been reviewed and is NOT APPROVED. It does not meet the requirements or needs additional information. 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, Alex Paysse Environmental Health Mason County Public Health 5/24/2017 Page 1 of 2 SWG2017-00130 Mason County Envinronmental Health Review 5/24/2017 Case No.:SWG2017-00130 COMMENTS: Larry, I have completed my review of the O'Clair design. This is considered an upgrade and therefore needs to be conforming. Please address the following concerns. 1. As I stated before, please dig out the test holes to 4ft+ and call me for re-inspection. 2. A portion of the reserve is within the 10ft building setbacks and a waiver is required for this, or maintain loft. 3. Due to the number of buildings and change in rooms designations, we are requiring a certificate of residential use to be recorded on the property. I suggest waiting for us to confirm soils and the designs approval possibility prior to recording, but we will need it to be recorded prior to design approval. I have attached the recording form for you to discuss with the owners. They will need to notarize and then record with Auditor. 4. In order to ensure equal distribution throughout the entire system, we would like the orifice size and spacing to match the existing. Existing Design shows 3/16" orifices 36"oc. You are proposing the new laterals 1/8" orifices 48"oc. Existing laterals were 1.25, you are proposing 1". Keeping it all uniform keeps residual head the same, ensures equal distribution, and it makes for less confusing future maintenance. 5. With all upgrades to existing systems, we need the system up to date on maintenance, so we know we are working with a satisfactory system. Pressure systems require annual maintenance. It appears it is due for maintenance again and we will need an updated O/M report. Let me know when you are ready for re-inspection of the holes. 5/24/2017 Page 2 of 2 SWG2017-00130 OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH WiL E ewR ONSITE SEWAGE SYSTEM APPLICATION R EzD DD 415N9h StRNt(N98) ShetonWAsosE< m N shEftft o-e279670W oo a rc r.wayse s Daao SWG — 12 o O A PMIGxi 2 N FqE D D T=My&Shoe Ockk MVuxopLFAM-STREETCITYSUTE lllp. m m r 2839 NW 861h3 9aB1 WABB11] Z artEADoxEae.smEEr.cn,m mce c 252E Wff%a qB Union,WA 98592 W m NRME ..HER A PHONE Lawrence PUNiem/ x S. k Deal 263 50B 89U2 tUME OF IHBiKLER PHONE CXFGNgLLµpLIVBIp BENS DRINRINGW ERE9 RCE Q C) NEWCONSIRUCTION 13 RN HOLDING TANK MY O PRNATEINOwDUALLM L 5 13 REFLACEMENTWSTEM Q INSTALLATIMPERMITONLY 0 PRIVATETWUPApT(WELL 13 TABLEORERNR O SINOLEFAMILY 11 TAN ® COMMUNTYRYIBUC WATER SYSTEM Z I I(HG)ONLY 0 COINMERCIAL SYSTEM NAME: 0 UFGRADETOEASTINO ® OTHER'. Revisions BEDRCCAw 0 E)QSTING FAILURE 'Maepwnpnyp.p LOieIEE m.wn./w.nuv.' B .N ADee DSSCMN T STE-BEE IFICAVDADNBEOTArvY rvEEDEp IrvfORlMnox EoaACCE88<m".Ivyyene O APPrOXImBlelY 200 B.Meet Gi where E.Teoome St.InR,, a with E.KtFIMVY RD.DR the South Sitle of MD Vy qtl. x I I O I 1 I SREWSTIEf{AOG®I/y,{.qppBDNCIT[9TIKKl8 NIM8EI40gEO RRNiE µARBgM -' "-- OFFICIAL USE ONLY BELOW THIS LINE ._ NWRPLEI FMLWEEOYRCE RvnpmFppur�esq • I3VOLUNTARY DMANTENANOE UMPING QBUILDNEMRMIT OHOMESALE QCDB E30THER. INNECTOa80ILLWS MMENib/CONgil01 0- T," 0M feu GSA w 3 ©- LN Co5L ,o ,t FT.` Z(-3 B wo Dw $to ,),SSC 32 " L 5AMf' .L� V-VERY G.pU)pLLY S.EwO L+LMM M.&LT C.QAY E... Y R.PCOTB MBECTORwGHUNRE MTE Pt UL MNMAATI MTE µRIGATpMyyRpyE)BY OPTS TNM MER MYBESCANNED ANDAVAHLABLE MR WBLIO WEN ON THE M WN COUNTY WEBSRE aevmEDivrrzois s DESIGN FORM—PAGE ONE Assessor's Parcel Number 3 2 2 3 2 -- 5 0 -- 6 4 0 2 5 A design wRl be eavlewed when 3 Will of each of the following are submitted: ✓Completed design form that has been signed and dared. ✓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.rA be womted and available for Public vlaw,on the Mason Cou Wab sip.Afnximam paper size: /f"XI]" PARCEL IDENTIFICATION SWG O rv�`2 �, r Designer's Neme: Lawrence Purtlum/Aoax Seale Deftn LL 6N NW San S Uir Designer's Phone Number: (263)508.9922 2639 NW 96N St Designer's Address: POBoxa01 Samtle WA 90117 Olg Harbor WA 963W Ci Some ZipCm State DESIGN PARAMETERS Zr Trea Wren[Device endonNeither ❑Send Fiber O Mound ❑Send Imed Drairdield Cl Rxvadaring Filter,Type: _ ❑Aerobic Unit Maka(Misid ONsinfdion UNt Make/Model Other: Cl GravityDminfleld Type 0 Pressure O Trench O Had ❑Sub Surface Drip Sepik Tank/Dralnfleid Speclfleatlona IJ4rels Numberof Bedrooms 3 Schedule/Class Sp 40 Deily Flow:gPoreijng Capacity 360 grad Leng[h 136 LF exist/etld 65 LF ft Daily Flow:Design Flow 380 gpd Diameter 4 p Septic Tank Capacity 1,OD0 gal Number 2 Receiving Soil Type(1 4 Separation'malatan minimum reoulree names,adeanoarg an,It Receiving Soil Appl.Rote 0.6 �fta Orifices Required Square Footage 6a0 ffe Total Number of Orifices M Designed Square Footage 600 fts Diameter Percent Reduction Taken0 % Spacing 6 nl Trcnch/Bed Width 63 ft Trench/Bed Length Manifold 30836 ft ScheduldClass scrsw Elevatlon Mea6aremenfa Length rn, R Original Drainfield Area Slope is % Diameter s in New Slope,[f. rm % Preferred manifold configuration uud? ❑Yes O Nc Depth of Excavation ve-slope Trans rk Pipe from Original Grade DconArea is m Po P A m SeOgth lMa soh w Designed Vertical Sepmatim zg � Length Grevelless Chambers Required? as ❑Yes 0No 0Optimal Diameter z Pump Required? 0 Yes ON. Dosing and Pomp Chamber Pump/Siphon Specifications Number ofdows/day 6 Drifine ce in Elevation Between Pump Shutoff end Uppermost Orifice Done quantity 60 gal 1 ft Chamber Capacity 1260 gal Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Pines.check those required. Capacity @ Total Pressure Head 31.4 Spec OTimer OEIe se Meter Calculated Total Pressure Head 25.4 p Event Count. If Timer: Pump tie exonde pump off 4 hpma Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:_3,2_212 — SjL -- i332S Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations 0 Drainfield orientation and layout Reference depth from original grade'. 0 Soil lags 0 Trenchlbed dimensions and ❑ Septic tank 0 Property lines critical distances within layout 0 Drainfield cover ❑ Existingand proposed wells ❑ D-Box/Valve box locations Pro Po Reference depth from original grade within 100 fit of property 0 Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom 0 Location and orientation of 0 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 0 Manifold placement ❑ Sand augmentation components 0 Orifice placement Other cross-section detail: 0 Location and dimension of 0 Lateral placement with distance ❑ Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 0 Buildings 0 Audible/visual alarm referenced Yes No ❑ Direction of elope indicator 0 Scale of drawing shown on scale Cl 0 Design staked out 0 Waterlines bar ❑ O Recorded Notices attached 0 Roads,easements,driveways, ❑ 0 Waiver(s)attached parking 0 ❑Pump curve attached 0 North arrow and scale drawing ❑ 0 Evaluation of failure shown on scale bar Non-residential Justification ❑ 0 Waste strength ❑ 0 Flow DESIGN APPROVAL The undersigned designer must be notified by{installer at time of installation ❑Yes ❑ No 1.11• IYnM 6n22m7 Signature of Designer Data The undersigned has reviewed this design on half of Mason County Public Health and determined it to be in compliance with state and local n im re ti s: nviro me tat Specialist CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Appmved"by Mason County Public Health ✓ The Owns 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 an the Mason County Web site. Updated Date: 12/72015 I of N i o fv-1� Nod i� I iiii Im Ell D NV 'O SON 00" ;mV yV)� 11 0,mR cc A In vn In oAZN I� v Ililll` 7�N ;ii � IIIIIII CO\mm 20 p null mC D N r 1 p" I 00 < INp iQ 8 Im.m I ® O ® © O 1 ® u 1 u c c m 1 r mQUI OQm AQm FAQm m tiA2 Dm ma1OOo 9 m y n z fTl p O l u N N yN 1 O O c Ox OmOOm m z 0 " N G7 r ?: r .2m s nv �szzi o W' W' 1A" m}A" AO y o> 2o<mo c y z i s 4 rll NNE jai ^'� z--"'4 o zom D Co m<mtim mo O x ~ O 0 'rm 0,rm I-pmm Arm O i=r; ZO Om pO�CK ti O O OOA yOA <mA A<L'iA Z O%>z O m-x npX-OIL m S > may\ Wy\ O\ N y\ O OUIm m I^ --z 0, mZZZ m Z FmP �'mP ZVIQ ImQ A Ati0 O OWiZ ,�;-1Fo ]I AT mm qmm -Imm �Z� ; 00 m04ZNO WO, Qn mmt7 m447 -1 m0 m ON mC H yFD Fy pAy mFD O r0 m om F1mNIW O Zr Zr oOr oZr 2 > m Om F-(\�j \< ZD W0 M ZZa m m ADZ� 2 :ME'm 20 yp-m0�Z x O zn oyrmamm- F, OvN >N r<N x 'm' m m or\ p FA cxr c> gi yDD OD rm 0" Q . Ny D Z mowN � > ;OOD UgFmN mN riE xm o A (JI p m m F m m m r (n� Om ID D AD D \ D ZA O O OxA m N N Z7 000 wo :1 OUI >uom Im/1 oco to C NA > m zA A -� A mp O - r Z mN O O AO O m m0 mF O O I c Z N O ,y O A DO mA Nm A < DOT. D m lmnm N J mO < �0> m 4 'ro+ -0 AZ I Z O m0 Z y O �c om O m m O A ZO z O m > D D D FmyD!m w om V. 0 > 0 0 o m < Oo m O Km mmO aom O m ^ o m r r m r OO > m RI mo vl A m 0 0 F z 00 ® S o In o' m r- 0 u 0 z$ d 'oo A II Z u ? oco m a W r :8S U O r a 0 i'�s� TA a11 H , 6 S >< as y�N eecat •esg e�....m sa'gasa ga:8 v g z€ €€€€ c€€€ct€ �• € € ter€ t cc ; € i ; m w I y ima oraamm Head,TDH(Flat) ^ r - - - �^ F A I 29 0 3 az �T r —I - - -I I I I < m I z> My A "luau, v`�o O o sc VIMm 3 um „"S y H '!a. oA if m m l m Z 4 $ z m .ZJ ;,, Lte- r^ Qar .l . O m aztc om��+im ?F g xR F 9 1:. n oo oizmm[n[�so � `'�� ...., .;,vNt% m � I 4a- usi66SCs9y(119mL m N9m v J:K.:vV:}'v ( ND fnv ti O5 v o ug H' _:; :`•rr:`•"+i rn n zu 66 omm c v z m•. O O> fn �G ?lxR tti S"�•:a i mmm n 00 aYy D D N m < 1 pvm ..ux 'AP.. :x..:YSg gQ �� rc it \" -r"i- o .J V lm/1 Z O u -i z T o]o Syy = D C NA D �m -ccmmv A'J' v n cm ocm $ A O -t O x9;95'm c? sut O z m mN O O ov". it D v� _ o nowt 0 V tnD (]I Z 3�-a=yrS m 500 l7ti G C� NO O �_ sling xz �Dny ��� g� n +Aim .. .. � g O IAT1 nmCm mH ME SmmfrTl mgti m< O k m m =1 m o N zc o• O to u $p ® — Z o fs O � im r D V) u CJ A �z al A^ m o� !O d V OI fli A G N p 4 N P m OVIm N- Dtim <W>=, NA'i 'iD �D rmmmA-� ClMQw➢ Z mOarm SmN 0Alm+l 0 O9Om0 mw zmA y<rf� "I SA NF mm'-omm _xr"m M M Zm- �D1AO_ A Am- mN O O Nr Om m K1�1y 000 rAr D+1m - nm �A—m (>D AAIN Smx<C Z CU KCmI �O NAm A�WD ->MZOMIZW D D,mOZ OAn .XI, aDN MODmmOm Mm OZl) m. 2-Pz . 05 I z yC p'.DOp V1Z'x� >N>�mG)�� Z mrDO'DO � 0 M- mom~ 0 Z— -M >�O \yZ-a lozm �-� D O-�Ko�m ZX,,nO W Orr Zym 'mm< n00 M>M 02 nCr1� ?lA�I �Or SyZN-/1 O�D jr-� 29 A,�;MMOE>OT WW MzDO CI�yAj lA+ly ZOrmn OZO ~\p �FZ9F m0 �D FZmm ND� pNm y� 00 S�ZDODpO GZ Cm_yfr Z DO»S m�m m,Z O.mZ ymmAm ON ZA mn�mc MOZ Zmi m➢ D3Armr0 Cxy NO!�S m fn\C tiKrmm ti NZrCXC�F~ Om0 mrA mXm ZZZDI yW wom Z- OmN OFm+ - rX- O yA mCmO� z mmVmox � N mOmAZ ~0< �O 6FAX NmOrO C--ii =N mzz M mmm m mD ZAZZCWO rmpCOD O mm OFD rN ZD Z\IA OK 2 mONFUI DWO S O Dm,' Zm0 N Ay~ CM 0D0�m mMm mZ In, �X>m -i0 iF A2>A2 r,D F DC OZ>FNN2 mC<ME AmtiyO A O mm OOO r>Fp Z� Om cmrm0 Km; AN C�mmm O �0m W, <A nmm ADZ MO nD DZCNi lr+l-ZOm �m Dyy ZZAmZ lmn;Z m ;O Dyx Am A� l2�I(m/ly Z' m mC Omy Nmy Zrrr HOA AC y2 mZ OJC mm2Z0 ZoIa, II�C M zp m>-MVO ,S!CZA NmCAVO Km OKN oz2 ny N09 .m MlA+IN CN m2 +Z,,Wz OD O DI0m KOO O'ZM- NON �Z omo �0!2D z- Vm AO+G11mmow , >." om mmmODm 2OMO>O 0, -0m OZ m�y Om Mx �Cm mA m OO Om ZCOKAm zC 2jw m ID Z?OCZVI Z>SM000nz ➢ yA NUyf� (ZjT VI AmW N-ZI ---ii;ZN ZD N-ly _�IS�I� mym O y�rr -CIF AmGm NC OymZ-1= Z ti mm KRZIym X< 0m� I z RIDKN N Zy 05 OOImq. mZZmQwymy oMO CZOD Im�llml OS Om Z�mm N0 yo 0,M ZNN A CO AOZO<O AODOmC mrmm mImo SZ mm O�ICOZ < 9p Zy . m 4g m z DD Ommmzo OOD- ONO m- zw <Ny0 O OE r0DO nD 'm KS ANO f O Mo-MWmm uI S^rn Qz Nr tiz DOSy ti D0 ZyOC a OA mm 1mz XN yDAn2A r m y a_ m m m S -O my m D y a ON 0 >r m O Om O - Z MC Z -m Vlz rm 2 rOD O N r A - O m F m OF Dpy mD X2mO yNy OZ � ZO nm py 2= y<D m -a-ImCO<Z py�A N--I mm 'mn m�W, S my mUImD ZO 2 OO m< A OxA�mO AA_� aC Am =C �R~100 m mA �m ON r+l m m(N mmm O Zti00.'my mmiy O Fp DS n_ 2Z O On Atim nD H 9< Om N ZOOA OZm ~y Fr F=' OZm < C� 500 Z D N� A D O D m r O D m O AZw yK A Om Z 0 Z my0y AS mm mo-' O -�2 -10w -� OC O 2 K m NrD� =m m0 EVI OZKX N Omm O Om m r DA O «_r m mz my zoo m " 0 1 m M'I< Nm > r 0 N D m_ m0 KO ZA m n f/1 K ti m m v J r � m T� N /C l J O )O Oo .� Oi m A W N m A G N O twz I �x M, M mD Om m r O n m m� 2 0 �� � po� � KK z .ZO7 m� 0 �13 fTl MQm D K� Mz D 0� ;� O f O H A n_ C N f ON m N� -I LD m Cm AZ O AO�1Z ZC Z N Z 0 Z OC m m OI 2 OL, - ND " mti A NOA p K <O OZ 0 m O A 0 .Dms O ; mm j VIZ AO r -1y KO C mm m01 A C O j 0 OM C 0 �T� (nN Z vpfn OA N rNnm m2 Z mm �Z m N Z A DZZ OOy y 1/ nI N -O O [OD ZZ C �� ,C) m m m 0m "gyp * A A D O mn Z O V C NA D �m x - �m m -'umi > uZi ;M mC m > j y pvl N p O v_ '� mmN m 6D S m0 O9O 'm m r m DD O Z N nN N o�N� k K� Z O� H O N2 TO m m m ~ 0 mf A m O m A N z M>p ; X < > oo 0 D C m �0 mo y m a3 oz O Cy y m �O Am C � Z S Z� m N L O CIO O DF N O mm mr Z O m A Op A GI mi mm 1�10 m x mm0 CA 0m m D y2 O m WW y m C m D PZ D 9 C F M, O W 50 D m � O Z AO Z m m 0 Cm Z ?m D Z m y 'I m0 O N f 0r ti Zy O ; r m -0 2 O FA m y KrC O �Z K D m O ZA O pm O N m m S �� m m p � D > N y m Z mm m� m O m to a +Zi Z S 0 0 D ZD 0 Z Z O ti m m m A 0 tiA A v p m Z O ® Z N m ➢D_ m D K D O O ti A r O O y 0 A- O -I Z O ; D m m A O ��rl m !n gN O Z G fA A O r Z D M O A O H O N m q m A O D O < i e y a m Z p m z m p y D m to m e o m m O 4 m O O Z D > 1/i bm K A A u c z z m N ? ^ ➢ A O M C er D m N p mA O ti D of OFFICIAL USE ONLY aNEMceWa �O N �j MASON COUIM PUBLIC HEALTH MEMO ONSTfE SEWAGE SYSTEM APPLICATION - s o �l 0 o A lMO-0070ML40N hW%027%SH SWIG �— 2 N sti[ImNxan-0fimmRro eMnr.xo-ns++ETauao y/FI ,.NE m m rrxlum Me 2267098 r Tammy A Slece O'CMtr C MMLINGAGGRE888(RFFT GT'.BP.IE.IIPOJOE /J � WA 9911T L/ p ��NW BM08 E�rr.nPmoE flTEILOREK-31N �Ir -\ 02 E MGRee RO Un on WA98592 gp1E 5 11M/EOFGESGNER 2fiS SOB-BB22 I`v LeWlenGe PUFtlum I x b pe61 n P E I^ , NAMEOf INSTKLER Q (�' ORINWNG VFREABWRCE flu,) cxKKALL APFLIV81EIlE1J13 PMVATEINOIMOJ `- O Iry/IOLOIWTANKOILY 11. z `v ❑ NEWOOOT10N E7 INSTOLtATfON RMIT ONLY 0 PPoVATENOPARTr WELL I Q REPLACEMEMENTNTSYSTEM C PE ®13 �MMOW NAM WMTER SYSTEM 1 SINGIE FAMILY SYSTEM NMAE I'1UL�Y CI TpwcB.REMIR 11 GOMMERGIAL LMSGE p TIIK(S)My OTNER.�—' EEp+wMs - I0 ® UIOR ETOE STING MvarCwMMF^WM B KAa 0 [] E%IGTING FNLIIRE prJRMMlMbM' TION WRACGERe1n.Wa]YOI T` •V • pR2ilON8T09TE.EE[PE<IFIGINGMA9E OF E.TacomR S ANYNm St IJORMR 1fllBfeRG18 wRh E.NCReevy RE.ontM I APPM-Amdey 2UO ft.WMM of wllsre . K O Id IN My5TKF4GON N%lMYla! I �� 9Rl NUSFB[FUOG®fROE1 MAIN ROFDANO FEET XOLlB _ OFFICIAL USE ONLY BELOW T115 LINE ---' 1 T �HOME64E PLAINT 13OTYER'.�—�-- VPGRME/FMLWE KVRGEtlT�RaW'EOugcMO F— OVOLUNTARI OMNMENANOERUMPING OBULOING PERM) �W1Exie/LONplIp18 �� I aPEcroReon Loos `r�FS �{�� IN 2 Al CA S-14 to S g.3lo IZ4 I.OM� MwRMkt Re cYS ry,E,[.{' r�uiffA+I' l 0 p GATE 91Li Gs(,IAY EvFMRMw RvRWIE MTE L [JIL[OGE& L=LOAM 4v AP%KI.Tl1HANROV�LBY U 1 v y91Y G=6R LY 8v 8WG ICMgN EKNpAnON E /L IN GT Idl N E F` •F 11p 1.1 1 /V• 0.EMBFD1MR015 ZD TXIgF MMAY ESCAXNEOONGAVAILAELE FOR PUBLILN N TXE M,A50N CAUNTY WEo81R Assessor's Parcel Nunbar'. a 2 z 3 2 -- s o •- s 4 0 2 5 DESIGN FORM-PAGE ONE applicable items on chceld"o A dealgn"I be ravlewed when"eaotes^f each of d following caalead submitted: [I including ell applicable +Cws,,cefion sketch,including all epPlieeble items w checklist. +Completed deaigo form that haz been signed end dated Weh a, "mono, - erase: JI X1� +Scaled Plot Pion,including all applicable items on checklist. _ Taw form ma III mdand avalWble brpARCELIDE.NTIFICATON O nLL �2� �Le P�DeaW, SWr - � Designer'sName: � L" permit Number: Deaignei aPbone Numbac Applicant's Name:::: Tammy 6SmC0O� G Merba Designer's Address: PO goa 9nt 263g NWNW so St WA 93335 Mailing Address' WA 98117 CI Stets Zi Sce Ci State DESIGN PARAMETERS Treatment I— ❑SwdllmdDeerdield ❑Recircubeft Filter,Type:--�-'�� ❑GleMon Biofilter Cl Sand Filter O piaiN'ecdm Urdt MakeMlodal Cl Aerobic Uoh Make/blodzl -- DMIn8eld Type ❑Sob Surface Drip ❑Trench ❑Bed ❑Grevity 0 Pressure Laterab Septic TmklDrainfleld Specilketluas sCN 40 Schadula/Class �� Number of Bedrooms edroos 3 Length 135 LF135 LF eal� R Opa n Daily Flow:Operating Capacity3w Spa It Daily Flow:Design Flow 3w __ E4 Number Trial, septicTrial, eaity Cep t� a seen mwR Seperelion•melraan mlMmtm required Receiving Soil Type(1-6) �4 gpd/Rv 017111l 01 Receiving Soil ApPi'Rate b� Ra Total Number of Orifices f n Required Squero Fcotsga ew -- Diameter in Designed Square Footege a00 % i Spacing percent Reduction Taken Manifold 3 R Trmeb/Bed Width —�-'�� R SchedulelCleas asp 30835 R TrencNBed LenBth Length Elevation Measarcho" t� in IHamemr Original Dminfield Are+Slope i� o preferred manifold wnfiguretio^uaed? 13 YO l]No Naw Slope,If Altered -� Transport Me 16 Depth oigi fion Up-Nape in ScheduldClum N� It Rom Origiit G nl Grads pmva.aIepe ee inLB"gth in Designed Varticel Separetlw a trial Diameter ❑Yea ❑No 0014 Chamber Gmvellea.Chamber-Required? Doslog and pump Required? 0 Ye- O No pamP� Number of doseslday g--, --� gel p®P/Slphon SpeeRkadoas pump Shutoff wd Uppermost Done 9uwtity SolDitFttencemElevetien Belwea^ P R Chamber Capacity n� Orifice pump controls:Pieaaa elaI those required. Pum Shutoff OTimm OBI Pac Meta, 0 Event Counter Uppermost Orifice❑Higher ❑Lower then P Capacity @ Total pre-arre Heed 31 4 gpm 4aacro, Pump off= — Calculated T.W Pressure Head 25.4 R If Timer: Pump on Comments DESIGN FORM-PAGE TWO Assessor's Parcel Number:11282 -- 3-�- -- S-'A-2-2 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plen Scaled Layout Sketch Craea-Section Sketch 0 Test hole locations 0 Dcainfield orientation and layom Reference depth from original gads: 0 Soil logs 0 Trench bed durnensions and ❑ Septic tank critical distances within layout la lhainfield rover 0 Property lines ❑ D-Box/Valve box locations ❑ Existing and proposed wells Reference depth from original guide 0 Septic tank/pump chamber and restrictive strata: within 100 ft of property locations 0 Laterals,trench/bed,top and 0 Measurements to cuts,banks,and surface water arid critical areas 0 Observation port location bottom ❑ Curtain drain collector 0 Location and orientation of 0 Clean-out location ❑ Send augnentation curtain drain and all absorption 0 Manifold Placement Other cross-section detail: components 0 Orifice placement ❑ Obs t1onpnns/cleauout8 0 Location and dimension of 0 Lateral Placement with distance primary system and reserve area to edge of bed Other Inrorntation 0 Buildings 0 Audible/visual alarm referenced Yes No Pe 0 Scale of drawing shown on scale ❑ 0 Daaa dugo staked out ❑ Direction of slope indicator 0 Waterlmes bar ❑ O Recorded Notices attached ❑ 0 Waiver(s)attached 0 Roads,essentials,driveways, 0 ❑pump ct attached parking ❑ 0 Evahnation of failure 0 North arrow and scale drawing Non-resldentiel JmtIlkItbn shown on scale bar ❑ 0 Waste strength ❑ 0 Flow DESIGN APPROVAL The undersigned designer most benotifiedby ,taller at time of installation ❑Yes ❑ No a I aeaosr Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it m be in aompliance with state and local onan"regulations: Environmental Health Specialist Dee CAUTION: DESIGN APPROVAL IS VAUDONLY UNDER THE FOLLOWING CONDITION. V The design is stamped"Approved"by Mason COuMy pubho Be " The Onsite Sewage Permit has rnol expired,the Permit Expiration hate is:_�—� J Dranuield site conditions have not been altered to adversely affect conditions of design aP[eoval. 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 re uired. This form may be scanned and available for public view on the Mason County Web site. Dace. 12r72015 9mH =m Ii; imi oo .¢m K MiA WeW y9"0 D Ny9 I �C iiln Oy ym12 i iii ,ii� uk• �g+bb5 nm DO I iiilu'iii k qm <m�9m9 mN_ 11I ' S 4 ,;i, m I" spy I� v P Oil s- I =r T' I O O " r I ' i g -,o „ A 'uA ' mA I j Ap t yF � Ny b AO I I ®O ® ® O 1 tl e 1 4 40yAo\pOAI ;y440y.9\r <ry4Nm02\NA0f ND-rN<yQ0y.�l\r°AI 0m2� OO A O 4A" A+- , •• TAO 11, 00 mA�<Zm Z. O z O O m mI�x y A :z y'MN 2ti0mmDZ ;Z - p; ;: m AO,CO m 5 X C mOy VZ�mKti1O OL<ZmN O0-OAZ- ytim ;tiFO z Fwp °'mA imA imP N08 m000NVCO cog 02D pm9D D y FNiWm mNOLm-pni OA m f*I plA\ 1/I\N DN F > p -cmDiMNL ryNSW.~VmMN-O Ny (7 O lz:l y D Z ZD < Z OZOyOZ y N� Fj" w X DNv •• y 0; Fmcm> S Nm1 OmmCvI mXUmVO ' TCy'. A ( \OWN 6 m 10 ; cO< \ Cm0 Ur P� MT ODmn C< p . OD D Ol 2_ Z O� 0K�A m m DA A OHOA D NO OO O AK no A A km KUT Z r O00Om O A ZF �NO mm Z <D N N f m0 A y Dy y { Z Z 0 Z °'-'r m O m0 .11 m m D O ;'O m NO mC D V O A A O A 20 Z O OlNn m D D n D yZ F y my N O O O O- m O O A 0 AN y 0 O< O O 0 m 0 0 m m r r m r 00 y m c,+ 0 (A m mO N 0 m x 0 F Z O ® u S �g'em o m 3 r T.S. D V1 O m Ww Iwv 2 tw L-1 cs D u r D �.. O Q O � >I � ec „sE:`aC e�e-�� e�N . aBvu^ �vaN �gaeB v I �� I n I I N -1 1 1 IT a r TaYl Oymmla lN,E.Tdlleeml % r — — — a^y Z 9 g s o m I 1 9 y N � Q m AS 3 0 - OOI r -1 - - 1 I I I < �I c`" a la;I 1 OR 1 C 8 RI t n*�v ern mz h q. R m� NS < m �c s xf A `cam ml ! I c>i I Z N oa f->o >z ro u3 m >: In m SA�"p9A w N90 FA M?z < I NY y01 N > l' •N:l l:: c tap _ m- I $mom'm _ >Im•1 '.'SC,� a :A(�:yI::.L _A L L N n19.1z 0�9 AGmr NyZ _Yt'fr .- A3:' :;' :'!",.:'N,..: fTl zw >@@ Cv o $ o y. ` c?ti;R:'.� v mcx yx z o0 D W Z o�z pub >mE . f.J.'f: �' = c D N f*1 < am t1` ON .Z1 N o i >iin N �° w ✓% ::. O G ncm m 'J^.a f O ND O m �..t zy cfo r I•M x � p NNm 8 r (n Z ppN -p 'p. 5 = D fnY O fO D E O r N m Op O < S O(P f�1 xavmmn cm oc 9 A NA D �ccmm D p y O xii.�cm 9a >c� mz < mN O rO �o_yyAy s�s� I�i o - N9yy9 ]IN � Ny �� .-L. D ��F22C~ Z * 92 f/lyy O.ZI n Tf1 •.. .�� C7 (7 S-FFC1 wF • . momcz1 ^'� ^30 oSz m� '},�,`•'„': '1•+i��:i':':•ii 'S z .z m n o v 8 A ® Z w : r E m AO r u D j N � VI Hp ei U_ W r S m T V N / Apt 6e N �O W V U U A G N LJ �l�11 (� A +1-OVIa 41- KK yy m AS ODO DOO "m Om, Dm Ati0 tit 0,0 =;rI�MM�*1pt� Ulm MM Nr mAmOACm -m Ulpm4w ;D ypC Hmr >_la Tm FOOOH 0� Om0 EX<D Natal ZUl(�1O �O U.'OInA��D MPZGm r >OSO.l-1 2a0 y� �Oz A~�yIO.I mpm 1plr OmZ V2- xz OOn ^z Mx AD MX AOmOn U1�n�K9 O mDm Z py0 mZD a-D cpZoo Nm >-Z j�S0 bzlz^ Ky *> ONUKv�M ZOmOCmO y r Oa0 T m m- Zmax OfD N9al Xlz/Im la+l�mzJpC z2 Z2� r mm NtU.'IN UfA') Z a-m UU v mD O A W. Nm T m TA rC- Na ZC �;, Zzly O UO OOO m m2< mm IA• a v r- O O >'-'l2X tiOx WO S- mO�<SUm COS>NN n _ m m Z U-rr ZA r n U)S mcz UaW ��, Tzz Z;OO�y ym Ai nOy>Vy-1 VIOL rZ OD UAOZyO-_al NOmlo- O aay Olm� Oz0 ti\0 W,ZCF mO :1 DZNrZ OZ. 5: 00 S�ZHAD0 aZy mpr Z OWMOASTO U�Z �CZ OaC Ommaw OZ Z mK' AC mOm m Z y3aOy-l�m Om�SCO O ajcrr, Amx m�2 V1Xm OH><M Um Om +>SU~ p'l0 �� �� X.D M-1S'c� a' Mo.> y momAO -iOD arm wm Z">6 Ac mb Ormmy r2m 0 DIA McRo:M"z"v MAWO-W mmzaD ZOa ZZy rw ?zz UZ�womom yO U> 0 -ram rKv y MW n;?DzZm " >>am Om OTO AAO 02 I" > ID T Zr -=, U roc I > OZar41 NZ ,c Mm m r ra o xrax -+ c D?1m2O ONO lyy 00 -zFn -ar0 Z2 Dann ;mmMo 1K M-MKZ m Am Atynzam00 Smms�n� mwmmw M>Z 1.11r- y02 DCOZ mm Z>Ox Mz OZ ya; 2 KO mlm OOma AwU o>O Km OUm Sy1N 0~ WZD aVlla�l ly/1 vy a2 Z OZ O � yA y,lma>0A 2{Om0 ODO O_ 410 UZ m>r2 a> A Ow OOFm2 U O 0ti >5:�,MO,.m 0 =a2 D* - 0 (D/10y A? BZm Ovm-- Om O- ;cmTU MM 2Otn S 2m mm Oooz ZIlKZ* afy 0 mmm m2 OU Zmy a US ->_IZmoy OOm mZ >Ncmxy OOUaO> m> Oz MO-zx� Om tOOm f/lm2m 00 O'" Ov-am ?fC/1 2 ry lzl2Z. zUm> Mn' ,,ym DA1A VylO O+ m AU Ny 02 my;ZN FD yU =tiy2� Nnm O r�- Tr.T>I'a?C Omm mOz_ Z- OF mD ' Am Kmya 2< ODOm M, rrrz Ral>N yml Zy OnmM. aZzm2N OU<CVi aim ys mZ ymOmOO CD K, �cp> ym0 0 p0 ;N mTK aOyUNz CZO> mma Uti Im ZKmm NO ya 01_y�DT 0XD< Z 0Z aZOOZZ wx"M MOZ.a 1Um y0 xmZ MO �O,M0 a m0 D<OU Nmb A coT Mom <O Apr'taa 00>- ONO mF zw :2w/�cou O 0Z �0>0 9> A �2 -m-b�l1 l��l� DOv mnpmNm OmIO Ow -UlZ D(Z� VOm9 y _0 myOc O< YN KON mU DrmnOA rcyl<�1 OO r� mD XZmO U >Z � aOm On Oy Zti ND a ymCEmc O yL'a N lrlm an lM` m M my OolAyy Z S O m< ~ OX'm mmsv >O EO zi SC '�NZa M DC �aOf/1 r� m 1plm mm p ZNOOAc O Dmy my �� 1 S Ozm D O c~=10 aZU D K D 0 y a z N >00 a ti lA-iDy ym lml0 EN 41pry taf 0 m2 C00 y O p0; O 2 < m W-y; S C OzKX U r T m r > y O «m> m mz m zoy m 0 r m yl'K W, O O z p rm< a0 ~ I N �O Oa m 0 A Z r m ( y m m r v m T� N C C7 _---A O A 4 N b •m V O. U P 4 N y m �' U• -1+ P CO SC O D Z Z z mZ z a NL ND r ZI mm mD mI O O O y WX m Om a0 O _yZ A fK�1 r yO m m < O O O m < 2 A DW �� Z m< > K, a0 Z 0> Mc C F Oy N Z Sn N W, D bN m Nj ti >a> m ;m -Z v az z� z N z O z pC m m O f 0N .TI ND '• ay m CO OO DO 00 T a 0 ;1 0 >S T K Z M' NZ a0 r ya j0 C ma mo= O 0 !'l> 0 oa C O rr77��r NN Z 1p O /<ilT m fmim UI? O mm 20 m N S m > Z.ya O N I NQ O tOD ZZ C F>viO cm I ba 4p z U U � < OTI -1 y V m NN 70 mf•1 AS 0 Am z m 2>a 2m D -ail m Z m mp Z fy j f*iN O O z 2. Z}.� OM > XI C D A; OM I Dpm D f O m m F N Z mT z Oo m o yZ '-l0 m m m V mle m ra m m A \ N �D C SO r .M Dm 0Ob ; f Z A 00 y y D Z:' x� ; mm a �v >f > c y m CZ o m u3 mz O cz MO mm c -bi z 0 ai m .l7 aU I M. z r Dy >z A m W y 0m a V Ct nO o D1 b 0 m2 lmlr p A OO S y mm MO > x mm OT z A m m ZD M R1 UU y 0 C m O lr�A_ O p y r yz O D a Z v >z "l C r AT O a O m W OU Z AO Z m C- Z O Zm > 0 a D .^ m0 O U E Or y H < m ; m M Oa S D I m O> 2 (N 00 'a N m C v m2 m D pZ, Zm m vAm m p M a S yT m m 0 to ti T mCmT z a ma Z m 0yaM O y z O K Z OO D I UI.1 m p OI ? j> m > o D 0 yO 0 w o E Vm>I a b 3 v z !2 b a o m z > o m A 0 A a 0 N O N a a S A y r x g y O >_ -1 z O A D z m 0 y m m A > m e 0 a m K y 0 0 o a m m T E m 0 v O D > b a a m - < D O a z D Z ? a m D T w r D z S o T c $ 0 a r D