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HomeMy WebLinkAboutBLD Water Adequacy - 4/16/2008 MASON COUNTY DEPARTMENT OF HEALTH SERVICES Environmental Health - Personal Health PO BOX 1666 SHELTON, WA 9858 LOCAL(360)427-967 Application for Determination of Adequacy BEL IR FAAX(60)427-779 Instructions 1. Complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water system utilized. 3. Submit completed application, with attachments to the health department for review. PART 1: Applicant/Parcel Identification Name of Applicant: Mark Anderson Date: 4/16/08 Mailing Address: 13121 441b Ave. Ct. NW Telephone: 253-2255911 Gig Harbor, WA 98332 Assessor's Parcel Number: 120185200025 Type of Water System Check One): Reason for Application Check One): X Public/Community Water System (2 or more X Building permit connection)" ❑ Land use application, if so.. o Individual water source(one connecuont, o Division of land: if so- well #of Parcels? SPL Spring/surface water ❑ Boundary line adjustment ❑ Other(explain) ❑ Other(explain) If you have more than one residence ❑ Replacement(please indicate name of water system connected to this well, check the Public b= below if applicable-no signature required) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated: Public Water System Name of Water System: Island Shores Water Facility Inventory (WFI) Number:3624OR (write "none' for two party) X I am the manager of this water system. The water system has been approved f042 services. There are presently28 connection(s)in use.This will be the 29th connection. ❑ I am the manager of thissystem.This connection will be to up ada or change the use of an existing connection on this system(ie: recreational to full timej.Please indicate on the following line the nature of this change: This water system is able and willing to provide water o this(these)connecticrn(s)without exceeding the limits of the water syste y li i t by state and local regulation. Signature of Water System Manager Date IWWWSERVERDOCUMENrSUfANAGEDVSLAND SHORESIWAL29.DOC Up,iett.April 2006 Individual Water Well ❑ Water well report(attach to application) Depth ft. I_ Well capacity test(attach to application) gpm apd e well driller often performs well capacity tests at the time the well is constructed. Resu from these tests are noted on the water well report. Results from these tests will be accepted. If the water well report cannot be located by the applicant or if the water well report does not have a capacity test, a well caPacitytest, which provides stabilization ofdraw- down and recoverydata must be erformed bV a licensed contractor. u Satisfactory bacteriological test(attach to appllwhon) Individual S rin /Surface Water r WDOE permit (attach to application) Li Method of disinfection ❑ 1 have reason to believe that this water source can provide at least 800 gallons per day and/or provides water at a rate of 2 gallons per minute based on the following observations. AUTHOR OF STATEMENT DATE RELATIONSHIP TO APPLCANT _ IN ADDITION TO PROVIDING THE ABOVE STATEWNT,THE APPLICANT WILLNEED TO ARRANGE AN OPYSITE INSPECTION BY THE HI LTH DEPARTMENT PRIOR TO DETERMINATION OF ADEQUACY. Departmental use only. Do not write below this line. PART 3: Health Department Evaluation (Staff Use Only) ❑ SATISFACTORY DETERMINATION: Applicant's water supply appears adequate to meet the needs of its intended use. This determination does not address adequacy of the distribution system,guarantee an adequate supply of waterindehnitely into the future,orguarantee compliance with all applicable WDOE water resource regulations. f UNSATISFACTORY DETERMINATION: Applicant's water supply does not appear adequate to meet the needs of its intended use for the following reason (s): REVIEWER'S SIGNATURE DATE IWWWSERVERDOCUMDMS MAGE SL4NDSHORES1WAL29.L CUpdam:Apnt 20% MASON COUNTY DEPARTMENT OF HEALTH SERVICES May 01, 2008 PO BOX 1666 Shelton WA 98584 Shelton (360)427-9670 Fax (360)427-8442 MARKANDERSON Elma (360)482-5269 13121 44TH AVE T NW GIG HARBOR WA 98332 Belfair (360)275-4467 Case No.: BLD2008-00469 Parcel No.: 120185200025 Dear Applicant: Your building permit cannot be approved by Mason County Environmental Health until the following are completed and turned in: Please see comments at the end of this letter. Please call me at(360)427-9670, ext. 554 if you have any questions. Sincerely, Trish Woolett tw@co.mason.wa.us Environmental Health Mason County Health Services Comments: Connecting to community drainfield located at 12018-21-00000. Need current Operation and Maintence Report septic system. tw 51112008 1 of 1 BLD2008-00469 3-wit \ y/C> . A rE� LINE SERJIce Fms. LT` ICA Gi CH Lor) STALL VALVE BOK DN INDIVIDUM. LOTS. i [SEE SHEET Z OF 4pT z� o(" � ` 3 eDR m5 =Lc158.c si ��', Res O4 8 FLCr AM* w.N fui L \ I _ / £ OT z I I L�wey,'�1sCH 40 �If YERAMANENrST AT J�O 21 1 • 1 J R l I l qq��C Ml FPrH ' (rmW 1VIbl 1 M1,1/•( Gwa^C UNDEkDITCH LINE INSTALL tT DUTSIbacF p INSTALL IV' VIJ RNo r DWeLesL-&J /a - 1 SIDE OF ANV I,11ATE>' LINE y .� SEiTIL TpgJl(„�(•�'At? C2o551Nt�5. 'l CHA7f1E.ER-A. I44{• P'1G A1.1Y sEUIER LINE WITH" / CL:CD 1'OFlE.M INTO VALVE 20k SEE SHEET ID' OF h worM LIWE SHALL 3 OF TO RE CCOFORM TO STATE OF INSTALLED AS 'EACH WYF I11?,C,Tou DEF'L OF Ecct.ovy LDT IS DEJELDFED. cRl•IT_RIA F--r- 6tWA6E wotvs CTI'PIcAL EActl ZVILDIUD 1 L (REVl5t0 CCT 1�65� 5I?E.) vm unl[•t r a.w a[nwNnt.[I (� Ix+[ IW. enwly wu 1W. .\.11 M Itl{\Ax } M wpa Iwa d yn[IN . uemtlss J u lun }r 11 luln 1[Mn[de hurt .f W wtrt NH[N w«m a u. .n.,deuna roaaleG. i.U{ Ga[wl GYtu.0 (NgMlnln) [. tnuvu aeu a l0all [eb{. a[ulneG{ru � n Ilw .Id {ua1N 1[n IIM.[auWa. u lart Ma 110) [ut w .ad .IN .1.( W li ASS OGIQt PiS [ AF SWILL EE NARSED OR TH FMAL MSFEGTkJN AN 45_ qLT RAWINS � A B oKE.N�E uIJTP�IJL /a5SEM8LV- SEE. TAAIIL DETAIL-SfIGET pF 11A0 c I ppELZJ+TO"TVPE DmE clMmgEP—u)ITH' DUi Xo os( 2.1* \ In SIPHOF�-Typ, EHU4//OED- SEE TMJIL'DETAIL-SHEET OF IYV WC. SCFI 40 F'oRtf M,III �^ ryPiC CLZGD MWIFOLD-TyP.EP-Jf BED t MONITOR-(PORT-00 ENDOFIdACHf+Ec zn A8j I i AMA W �I ~3"WC CL 2W FGRCEN,RIN- T•. E>~cH PJ=D I / D hIDTE� MkP..k_ LL. T.eFINFEI�b SED p A c co ,= IT1} PER+ti+ANerrT Izcu Focrs, ,41 e �C � I CHECKVALV 6LVED FjJb4AP EAW VAUF COFF V}J71L t10CK,yP� Vt Ml_ rfpOtLl.P VALVF- tsox DET741 L MI t�U Ig^ AIM HUNTER 4 Assocrlotes EHILL 5E CH R-ED PCR THE FINAL PI5PECTI N ? . 1 '„ PVCCLASPE S 2W '3i6 �E5 END GAP 1 �45 �iE ANWTS 2EGu�RI-9 cN ALL LATE2A.-L EMS. eo I ' 6 " 4- 6 ,-0 ' PVC PERF PFE H/SWEEP CLEANOUT DETAIL NO SCALE GENERAL CONSTRUCT ION NOTES 6ED D IMENS IONS - /OFT .r 7S FT EACH BED BED DEPTH - /'-o' BELOW 0.6. GRAVEL - E3 YDS OF 1/2" - 2 1/2"WASHED ROCK TOTAL 5ACKFILL: - APFROVED EXCAVATED MATERIAL SEPTIC TANK - NE6Y 1,125 6AL., WATER TIGHT TANK 7O5F Rtl?=FP CHAMBER - IZOO 6AL..NATERT&HT PUMP MODEL - OSI 214 DOSING SIPHON SET TO PUMP AT 35DEAL. INTERVALS. CHECK VALVE AND '46; /,n,;u. HIGH LEVEI ALA M REQUIRED. NOTE: PLACE ORIFICE AT /2 O'CLOCK, U5E I>-- T" TO "T' TYPE CONSTRUCTION, z 1 , •'j' I I I FILL r� PLTER FAERIG 1' 0 — r /y' Pvc'reRF.Pr+e 4- TYPICAL EEC SECTION ' IO 5r Y?•TI= NO SOALE P1 DESIGNER - DICK YUNKER SHEET 2 OF= y P.O. SOX 162 OLY, NA 98501 4ci3-2484 r) n 5EFT16 SYSTEM DESIGN LOT 21, 24, 25, 27 s 50 FOR MARK ANDERa-ON 15LAND 5HORE5 #1 4 y r Tw1 TP# 120152100000 SITE# (god Omnco SYslems Inc. 7 l/ 2626 Colonial Road, Roseburg, Oregon 97470 /Qµ 5031673-0106 APRIL�gBi< p © OSI William Russell Y HIGHLAND EXCAVATION E. 200 Arellem Road Union, WA 98592 PH. (206) 898-3773 IN LE. =2130 ' 36.. °" 15ACKFI Gg`4 .' 46 R AF-1O0VD •off ..; Ti4NK ORtt co FWu E ::\ —► .. coNTR.oI- k'SSEM ELV - " ••- "-- 46S M PLY oWF(ce F_ `�2i: —� 5ET TANkcN .... ....... . . .. . . . . i; 021GINAL GP.DOND \' qT-LEAST"' cNnMs z p ly i.0 F -Aeov . ..VRgiNFI�LD OSI 200 SERIES DOSING SIPHON PIPE FJ.EvAT7 IN TYPICAL 1200 GAL.. 0A)9 COMPARTMENT Do5a TANK THE 200 SERIES DOSING SIPHONS WERE DEVELOPED • IFTHE TANK SHOWN ABOVE WAS bi K92-ANDA MODEL PRIMARILY FOR USE WHERE STATES OR DISTRICTS OSI ZIfSIPHON WAS USEDTHE VOLUME OF EFFLUENT OR A SEPARATE DOSING TANK .. STILL REWIRE TWO COMPARTMENT SEPTIC TANKS USED. THE PER DOSE WOULD DE 6 3 X 42- X Ff X T' .3C.GALLONS ITaB MODELNUMSER 208 210 212 214 DRAWDOWN 9 B. 10" - 12" 14" OFF tEVELTO 60TTOMOF E IB" . 20" IQ- 21, ASSEMBLY DISCHARGERATE (GPMI 32 34 3q- 40 U / 201 � Z / o0000 p�TfjlL OF L 1/VE FOP, 46T5 zy -Zs- z� Sc n yo I DRAINFIELp 3" STEEL CASINC, IS LINOE:F- IN 5G H ,D E 7R6 N°WA7E R NAIN 55, f µ' Dc P ff El�� OJ �T 6fT H R� I1 ,ckl / IS ABO14T 3 FT over, SEy�1 Glt- V� II�RcK ToPa,vvaer. DEEP ys' ^LIArER-;P�U �lis'a LE v�ArE2 H --a,-I 13' ' tK-- 7r 4 A- _ I_- - 17K SE NiE iZ CoNNEcrioHS perA« OF IME A7 - CHO O F -ROA p vP z� o v oe 3 � p�.J�Z�$fi1.JER - - - I Am" -TRENCH AREA ro cgsl vcv I I5 ��/�GifTG P-,5T 11, T� cgsi,�y j FNruR2 }} SEwp 2 i Co REcria, i IL �a, m kN` - 4{ 10 p; A rq .' t .�^Ma a�_ o¢� l�j-Y�a r a.a.�,ayj"t �� -r..'�*z"SQ ✓ ki •3 r 8x I Ii r �rrt,4—s,i� x?77 '*. r � z a r t .72 ,��i'y."7f• '��.n xS'e�pau ����i y� - # 4�*,� x � x .s. tic k'4' p�vya,}N'ykj}y do...�y �"ARI+n-^y1;1�'" .7 Iy{ .{`�& -I #.' W y W f IUi1K"Y{'h'E� ' ! ??�yy,,0 l'z - rxld�lt v_ 41:q�' f e -q »'w ual.K. atnrtwxrr'+ � �T�i����:�/+Je J -y5i.. >�t�,i�•A)S M1�L e w1s!�+nn ' 1'.r ..t '�iYF1erC',;xut?A '. .. ' r.7 y: r I 4t AN' 81" Jf fw` I ISO 119mE',y�4ef c �12 ELI! ,Li.Li I Rl K 4"a"'WA; -A 7 1�04#v. I'l Ao ! ORENCO SYSTEMSTM I (` DOSING SIPHONNAULT ASSEMBLY INSTALLATION INSTRUCTIONS MODELS OSI-208, OSI-230, OSI-212, AND OSI-214 important. 3"diameter pipe should be used from the dosing tank to the drainfield, mound; sandfilter, etc. and must slope continuously downward to prevent air—entrapment problems that can cause greatly reduced flow andlor pressure. Test and operate siphon before backfilling transport pipe trench to be sure air—entrapment problems have not occurred. STEP I In a new tank, install the discharge fitting (provided) in the end or side of the septic tank, 36 inches down from the top of the tank. DETAIL 2, opposite, illustrates installation of the fitting in a concrete septic tank. Cut a 4-inch diameter hole in the tank wall and firmly pack grout ("Waterplug" by Thoro, or equal) around the tank fitting. Note: "Waterplug"sets up in as little as 3 minutes,so you must work swiftly, DETAIL 3, opposite, illustrates installation of the tank fitting in a fiberglass or polyethylene tank. Drill a 2 7/8-inch diameter hole with a hole saw and insert the 2-inch neoprene grommet, which is provided on request. Lubricate 2-inch schedule 80 nipple with gasket lube, silicone or Vaselihe and insert it through the grommet. StTEP 2 Connect the end of the hose having a PVC female adapter to the 2-inch PVC fitting inside the septic tank wall. Connect the other end of the flex hose which has a pin lug connector to the 2" MIPT X FIPT 902 ell at the bottom of the vault. Tighten firmly by hand. It is essential that these two connections are made carefully. If they leak, the siphon will not work. STEP 3: The OSI Dosing Siphon is to be suspended in the septic tank and supported on top of the tank by the two support pipes provided. Install the support pipes in the slots in the top of the siphon's PVC vault as shown in the', photograph accompanying the support pipes. STEP 4 Lower the dosing siphon/vault assembly into the empty septic tank. STEP 5 Pour about I gallon of water into each vertical pipe at the top of the dosing siphon assembly. If the traps are not filled at this time, the system will,not operate. In addition, be sure the flexible discharge hose is completely filled with water. Any air trapped in the discharge hose will cause erratic behavior. Place an 8" concrete block or similarly weighted object on top of the vault to prevent floating. STEP 6 Connect the 2" x 3" x 1" air-relief fitting to the tank fitting protruding from the outside of the dosing tank, then connect file 1" air-relief piping, venting it into the manhole riser - _ Unless it is vented in this manner, the siphon will not work. STEP 7 Run water into the septic tank until the siphon discharges. While the tank is filling, check to be sure that the 2" PVC flex hose is not floating. Air trapped in the hose will cause it to float. This air must be removed from the hose or the siphon will not operate. The siphon will discharge when the water reaches the level appropriate for the model you're installing: OSI 208 3 inches over the top of the bell OSI 210 6 3/4 inches over the top of the bell OSI 212 6 3/4 inches over the top of the bell OSI 214 10 1/2 inches over the top of the bell Observe the siphon through several cycles. Erratic behavior usually indicates trapped air, either in the flex hose or in the transport pipe. THE SIPHON IS NOW OPERATIONAL&WILL FUNCTION AUTOMATICALLY. INSTALLATION IN ALREADY OPERATIONAL SEPTIC TANK CAUTION: The atmosphere in an operational septic tank may be poisonous! G It is not necessary nor is it recommended that a person enter the tank. Only licensed septic tank installers should be employed to perform the work. Installation is the same as for a new tank with these exceptions: A. The tank must be uncovered to provide working mom to install the vault and to cut the discharge hole. B. The tank's contents must be pumped to bring the liquid level below the discharge hole. C. After the hole is cut into the septic tank,securely fasten one end of the tank fitting(connected 2- inch nude adapters) to the female adapter on one end of the 2-inch flex hose. The hose is$tiff enough that the end with the discharge fitting can be lowered through the vault hole and pushed out through the discharge hole in the end or side of the septic tank."Waterplug'by Thoro or a similar compound can then be used to grout the discharge fitting in place. Seal off any other discharge pipe in the tank with an expandable dollar plug or cap. '.. MAINTENANCE We recommend that a visual inspection be made periodically (perhaps twice annually) to ensure the system is operating. Care should be taken when removing the manhole lid so that leaves or other debris do not fall into the vault thus by- passing the screen and creating a potential for blockage. If the siphon is not dosing, but merely trickling, it can be restarted by lifting the siphon/vault assembly about 12 inches to recharge the bell with air then setting it back in place. Whenever the dosing tank is pumped, the vault and screen should be removed and both should be flushed with a hose. To remove the screen and siphon from the vault, rem0e the © support pipes and unscrew the 3/4" plug. The siphon and screen will now lift)out. Nare : L-ars z-I i za ARE TO ar_ COW1f31Nf-D . LOTS Z9 d 30 AP£T-0 bp- CZmP-jpED PJUI+rOF WAY NOTE t RIGF4T- OF WA4 Zh,XR AUMWJ-r FF=RMI-F REnuPoo Mom A'IPf.DN CewNTy, © NOTE'. APPRoxIVAM1-£ LOCNnoo sNowm Fop- mow wnyEp LIU�. INDIVIpugL Lo-r STUB LoCMnous kierr 5mowNi. VnuSt gE WMTcr+eb Forz. Iw . 0 m o LO \ A scz 4ULhW£MENf a ago M s.r�r z of � s Q �Ca rfD SEwE2 LING To o INSTALL � p�E ANGLE iRLf I TP (LO(B-ZI-00000 /L 753- / ,2-7-6 r-A)c 0 DESIGNER - DIC,K YUNKER SHEET 7 OF 4 P.O. BOX 162 OLY, WA 18501 SEPTIC, 5Y5TEM DE516N LOT 21, 24, 25, 2-7 a 30 FOR MARK ANDERSON ISLAND SHORES #3 TP# 120152100000 51TE# JI HHUNTE