HomeMy WebLinkAboutswg2025-00395 - SWG Application / Design - 9/30/2025 MASON COUNTY 415N6THSTREET,SHELTON,WA98584
SHELTON:360-427-9670,EXT 400
y BELFAIR:360-275-4467,EXT 400
f'+ Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00395
APPLICANT VAN BUSKIRK KENNETH A&PEGGY Phone:
Address: 61 NE DAVIS FARM RD BELFAIR,WA 98528
OWNER VAN BUSKIRK KENNETH A& PEGGY Phone:
Address: 61 NE DAVIS FARM RD BELFAIR,WA 98528
SEPTIC DESIGNER ROD LEFT* Phone: 360-698-8488
Address: PO BOX 2954 SILVERDALE,WA 98383
Site Address: 1080 NE Sand Hill Rd
Primary Parcel Number: 123203300010
Permit Description: Gravity 5BR SFR-3 Main, 2 ADu
Permit Submitted Date: 09/30/2025
Permit Issued Date: 01/05/2026
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/07/2028 (based on date of inspection)
Permit Conditions:
1 Approval of this septic permit does not approve the building location. Building location is
subject to approval from all applicable departments and regulations.
2 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
3 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
4 Drain field installation not to exceed designed upslope and downslope depth specified on
design form.
5 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
7 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
8 ADU permit will be required.
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/health/environmental/onsite/oss-inspection-request.php or call:
360-427-9670,extension 400.
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OFFICIAL USE ONLY
DATE RECEIVED:
Mt ,. ,MASON COUNTY vi 30 - 0 0, N
�}J /i°' AMOUNT RECEIVED RECEIVED BY: W Cl)
� ....---:i Public Health & Human Services 555 c2okab da-Q, 9
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 ^ /�
415 N.6th Street-Shelton,WA 98584 SWG 'J c - oc3/��c Z 2
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ON-SITE SEWAGE SYSTEM APPLICATION
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PHONE APPLICANT � m m
Earl VanBuskirk �-
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE "' i!' E
1080 NE Sand Hill Rd c- ,, i elfair WA 98528 co
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SITE ADDRESS-STREET,CITY,ZIP CODE --. CD a
1080 NE Sand Hill Rd t...2:„._:::-=s ' elfair WA 98528
NAME OF DESIGNER . ,� PHONE
Rod Left .-,"; v, 360-698-8488
NAME OF INSTALLER G::::-;.;''c.**::.,. ›.r PHONE IT
PERMIT TYPE(select one) �q DRINKING INq WATER SOURCE N 10
.CAI RESIDENTIAL OSS COMMUNITY OSS I!.JICOMMERCIAL OSS l%L!PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z IQ
TYPE OF WORK(select one) ®PUBLIC WATER SYSTEM
gifl NEW CONSTRUCTION/UPGRADES EREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
MIp W
1. DESIGN FORM(REQUIRED) I O
AISEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER4/1/2025?3+2=5r
EWAIVER(S)(IF APPLICABLE) 7 O YES ❑ I
NO X I
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) �I
. See map. ID
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. 10
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE 0 COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
1
c An,coci ivt. '5(e Nkt) %, ,
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
I CTOR SIG URE DATE APPLICATION EXPIRATION DATE APP ATION APPROVED/ISSUED BY DATE(4jA•I 0.-1. 5
i0 -1 - 24( . ,
46(1.4 kg9(1-4%T IS FJ' AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 Z— 2 O-- 1O rrV
-- d(21_t,
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. 'd 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"X 17"
PARCEL IDENTIFICATION . _,..:-
Permit Number: SWG 2o(2e5 '0031°! Designer's Name: Rod Left
Applicant's Name: Earl VanBuskirk Designer's Phone Number: 360-698-8488
Mailing Address:
1080 NE Sand Hill Rd Designer's Address: PO Box 2954
Belfair WA 98528 City State Zip Silverdale WA 98383
City State Zip Designer's Email info@acmeseptic.com
- DESIGN PARAMETERS
Treatment Device
O Glendon O Sand Filter O Mound O Sand Lined Drainfield O Recirculating Filter ❑ATU ❑Other
Treatment Level(check all that apply): O A ❑B O C O BLl O BL2 O BL3 ME O N
Drainfield Type
Gif Gravity O Pressure O Trench O Bed O Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3+2=5 Schedule/Class 30
Daily Flow:Operating Capacity Li S() gpd Length 65 ft
Daily Flow:Design Flow 600 gpd Diameter 4 in
Septic Tank Capacity(working) (x2) 1250 gal Number 4
Receiving Soil Type(1-6) 3 Separation 5 ft
Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices
Required Primary Area 750 ft2 Total Number of Orifices N/A
Designed Primary Area 750 ft2 Diameter N/A in
Designed Reserve Area 750 ft2 Spacing N/A in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 250 ft Schedule/Class N/A
Elevation Measurements Length N/A ft
Original Drainfield Area Slope $—f.Z % Diameter N/A in
New Slope,If Altered S-lj. % Preferred manifold configuration used? O Yes O No
Depth of Excavation Up-slope a(p in Transport Pine
from Original Grade Down-slope g,i in Schedule/Class 3x34
Designed Vertical Separation 36 in Length .-B ft
Gravel-based Drainfield Required? O Yes i21No Diameter 4 in
Pump Required? O Yes iiNo Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day N/A
Diff.in Elevation Between Pump&Uppermost Orifice N/A ft Dose quantity N/A gal
Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) N/A gal
Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head N/A gpm O Timer O Elapse Meter O Event Counter
Calculated Total Pressure Head N/A ft If Timer: Pump on N/A ,Pump off N/A
Comments
_i G ii Revised:4/14/2025
MASON COUNTY ENVIRONMENTAL HEALTH
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:` ? ZC) -- O f-- O O O
Permit Number: SWG g.,¢ 6--00355
5
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
It Test hole locations 627 Drainfield orientation and layout Reference depth from original grade:
Iii Soil logs lid Trench/bed dimensions and lif Septic tank
627 Property lines critical distances within layout 6I Drainfield cover
627 Existing and proposed wells WI D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 627 Septic tank/pump chamber and restrictive strata:
671 Measurements to cuts,banks,and locations R( Laterals,trench bed,top and
surface water and critical areas 627 Observation port location bottom
O Location and orientation of 627 Clean-out location O Curtain drain collector
curtain drain and all absorption O Manifold placement O Sand augmentation
components O Orifice placement Other cross-section detail:
627 Location and dimension of O Lateral placement with distance Gil Observation ports/clean-outs
primary system and reserve area to edge of bed
Other Information
6i7 Buildings
O Audible/visual alarm referenced Yes No
62'5 Direction of slope indicator O Scale of drawing shown on scale O d Design staked out
0 Waterlines bar O Et(Recorded Notices attached
62'i Roads,easements,driveways, p Elevation benchmark and relative O iI Waiver(s)attached
parking elevations of system components O Gtr Pump curve attached
627 North arrow and scale drawing O lI Evaluation of failure
shown on scale bar Non-residential justification
❑ g Waste strength
❑ g Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at ti of installation 64 Yes O No
S. e 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 regulations:
" Li it z� -��
Env •? e tal Health Specialist Date
CAUTION: DESIGN APPR AL 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: /6' "-2 — ,7--5‘
✓ 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 Coun Web site. Revised:4/14/2025
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MASON COUNTY ENVIRONMENTAL HEALTH //
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Mason County WA GIS Web Map Application
Mason County disclaims accuracy,reliability,or timeliness of website info,not liable for losses from reliance on it.https:Mww.masoncountywa.gov/disclaimer.php
• WATER LINE DISCLAIMER: EXISTING TANKS AND DRAINFIELDS TO BE ABANDONED TO CODE NOTE
PROPERTY OWNER NOTE:
IF WATER UNE RESIDET 1MTHIN PROPOSED DRAINFIELDS AND/OR Carefully review ALL aspects of this septic PRESCRIPTIVE FLOW CONTROL MEASURES
NEEDS TO BE RELOCATED FOR ANY REASON HOMEOWNER design.ANY costs incurred due to changes to ARE TO BE DESIGNED BY LICENSED INDIVIDUALS-
CONSUMES ALL FINANCIAL RESPONSIBILITY _ this design after submission to the County Health Department
are the sole responsibility of the property owner. IAW WITH APPLICABLE STATE AND COUNTY CODES.N N ....,
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295' 290' 285' 280' 275' 0\\ 5I\
265 260' 250' 245' 240' 235 230' 225' 220'
• 989.48' • 215'
BUILDING ENVELOPE
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,' [TRENCH CONSTRUCTION PROFILE ASpNcoUr � ? G,
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' 1 PERCENT SLOPE IN PRIMARY: 8-12 YNVIRO
TH/S IS NOT A SURVEY_ ALL PROPERTY LINES/B O UNOAR/ES HAVE MAXIMUM TRENCH DEPTH: 21 Inches SOIL LOG#1: SOIL LOG#2: SOIL LOG#3:zga Ev. yFALiy
BEEN OEMONSTRATEL) BY THE CDWAIEF?(S) ANO/OR THE/F2 AGENT(S). (DOWNS1OPE SIDE MEASUREMENTS)
- inasirsat_i_ IR. MUST VERIFY TI--IA -WATER LINE LOCATION AT TIME OF INSTALL MEETS ALL CODES/SETBACKS VERTICAL SEPARATION: 36 Inches SOIL TYPE:3 SOIL TYPE:3 SOIL TYPE 3
-IT IS THE RESPONS1 Ell LITY OF OWNER/REPRESENTING AGE NT TO PROVIDE TO ACME IN WRITING TRENCH WDTH: ' 36 Inches 0"-32":LIGHT BROWN SAND 0"-3611:LIGHT BROWN SAND 01'-36":LIGHT BROWN SAND WI SOME PEBBLES
ANY AND ALL INFORMATION PERTINENT TO THE ED EVELC)PME NT OF SEPTIC FEASIBILITY AND/OR C ES G N INCLUDING ALL GRAY/BLACK WATER STUB OUTS, UTILITY LOCATIONS, PROPERT DM N ONS Y IESI ADDITIONAL COVER REQUIRED: 0 Inches 32.II 62:II GRAY MEDIUM SAND 36.II 72II:GRAY MEDIUM SAND WI SOME PEBBLES 36-52II II+:GRAY MEDIUM SAND
DIMENSIONS, EASEMENTS, BUFFERS AND SETBACKS REQUIRED BY GOVERNING OR REGULATING ENTITIES
• DRY WEATHER INSTALLATION AND SITE FrREP REQUIRED_LEGEND
- PROTECT PRIMARY AND RESERVE GRAINFIELD AREAS FROM ANY VEHICLE TRAFFIC_ DE I N
"' NO FOUNDATION SPOILSORBURNING ON GRAINFIELDAREAS_ cr = SOIL LOG
ACMEDUE TOUNFORESEEN WATER TABLS, A CURTAIN DRAIN MAYBE RQUIRD_ _--_ = NO BUILD ZONE
" DE PE NJ NI UPON FINAL ELEVATIONS, A PUMP MAY BE REQUI REG_ =CLEARING LIMITS • !- C
- DIRECT ALL DOWNSPOUT/SURFACE WATER AWAY FROM CRAINFIELD AREAS_ F-'2 =LOW AREAS DATE- 25 SEPTEMBER 2025 LATERALS OR MODULES ARE DEPICTED, THEY ARE APPROXIMATE AND MAY VARY, "� P.O. BOX 2954
- I F DF
P ROVI DE G THEY REMAIN I NI THE DE LI NEATEG DF AREA_ * = TREES 12" DIA NAME- . \/ANBUSKIRK
- ALL WELLS WITHIN 100 FEET OF FrROP_ BOUNDARIES HAVE BEEN SHOWN (200' FOR CLASS-E3 /\/AI./ER)_ SILVERDALE WA.
- EXCEPT FOR THE DISPERSAL COMPONENT, ALL SEPTIC COMPONENTS MUST BE WATERTIGHT TO SURFACE_ (1) = CLEAN OUT TAX ID- 12320-33-00010 98383
"' WATER LINE MUST BE A MINIMUM OF 1 0' FROM ANY SEPTIC COMPONENT_
- MAINTAIN A MINIMUM 50' s -I-E3.,Ascpc c).::)vvr.i.st_ol= OF I-PITS_ MINIMUM OF 10' SETBACK UPSLOPE OF I-PITS_ ® =1250-GAL SEPTIC TANK TEL. 360-698-8488
- SEEC) ANC) MULCH FINAL ED RAINFIELD COVER IMMEDIATELY UPON COMPLETION_ STREET- 1 080 NE SAND HILL RD
- DEPENDING ON THE TYPE OF ATU USED, ATRASH TRAP MAY BE REC2L.1IRED_ ® =D-Box . . . INF0@ACMESEPTIC.00M
- LATERALS MAY BE NO CLOSER THAN 5' ON cr..... .. ® =EXISTING SEPTIC TANK SCALE: 1"=50' SITE PLAN
- IF WATER AND SEWER LINES CROSS, THEY M U ST,B E CONSTRUCTED IA VV STATE S COUNTY CODE_
•
255' 235' 225'
285' 280' 275' 0' 265' 250' 245' 240' 230' 220'
295' 290' 260' , 215'
2s5'_ / 989.48' —_- __—_
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SH:EXIS G 280' D EXISTING EXISTING ' E� • %. 3
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—255' `r 3-BR.ROUSE
� �� �� TO BR'REMOV•
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991.75' 245 225' 215'
270' 260' 25 260' 265' 260' 255' 250' 240'2352 30,2225'2u
0' 220'
275' ACME DESIGN
265' 255'
DATE 25 SEPTEMBER 2025
P.O.BOX 2954,- -----) ) NAME VANBUSKIRK SILVERDALE,WA.
TAX I D 12320-33-00010 98383 ., .�
STREET- 1080 NE SAND HILL RD TEL-360-698-8488 �I�` tiV
INF0@ACMESEPTIC.00M -. �1 i All,U v ha
SCALE: 1"=80' SITE PLAN X*
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O �� MENTAL REALTY
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EXPIRES 121151 50
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GRAVITY DISTRIBUTION TRENCH CROSS SECTION I RECOMMEND GRAVEL AND PIPE TRENCHES
NO MORE THAN 24°OF COVER CLEANOUT AND MONITORING PORT DETAIL
TOP OF DRAIN FIELD RISER IMTH LI1
OBSERVATION PORT
(4"MIN DIAMETER
FINISHED GRADE
8-12% 0-BOX
OVER MATERIAL AS REQUIRE
10"MIN CO
O 4'PIP
TRENCH WITH �� NA VE SOIL
•,...74 j Ti-1EADED.CAF � .` .
GRAVELLESS CHAMBER SURFACE
GRAVELLESS CHAMBER GRAVELLESS CHAMBER
(GRAVELS TT PI PIPE MAY D, BE (GRAVEL 8 PIPE MAY BE
B SUBSTITUTED)
VERTICAL SEPARATION
IN NATIVE SOIL • •
0 0
O O -
RESTRICTIVE LAYER, - _. 0 0
s:�`.
� COMPACT LENS OR - • p A, . ,
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1 MASON CO 2c� • A°
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I!Cct:%.,(. DES c ER
. 2' `"'"' """ CONSTRUCTION NOTES
�JiL^IRE'S 2/15/ 30 GENERAL CONSTRUCTION NOTES:
(�,�J 1.ACME DESIGN CO.HAS ATTEMPTED TO SHOW ALL EXISTING UNDERGROUND UTILITIES.
SEPTIC SYSTEMS,AND SUBSTRUCTURES. APPEARANCE ON THESE PLANS,HOWEVER, SEPTIC SYSTEM CONSTRUCTION NOTES:
DOES NOT GUARANTEE THE ACCURACY AND/OR COMPLETENESS OF THE LOCATION OR
EXISTENCE OF THESE UTILITIES OR SUBSTRUCTURES. THE INSTALLER IS REQUIRED TO 1.NO HOUSE FOUNDATION SPOILS ARE TO BE PLACED ON THE DRAINFIELD AREAS.
1,250-GALLON CONCRETE SEPTIC TANK CROSS-SECTION TAKE ALL PRECAUTIONARY STEPS NECESSARY TO LOCATE AND PROTECT ALL EXISTING
UTILITIES AND SUBSTRUCTURES,WHETHER SHOWN OR NOT,PRIOR TO EXCAVATION IN ANY AREA 2.NO VEHICULAR TRAFFIC IS ALLOWED ON THE DRAINFIELD AREAS AT ANY TIME.
2.THE ATTACHED SEPTIC DESIGN DOES NOT REPRESENT A SURVEY,NOR DOES
25.00 GALLONS PER INCH
IT PURPORT TO SHOW ALL EASEMENTS OR ENCROACHMENTS,IF ANY. ACME 3.NO BURNING ON ANY DRAINFIELD AREA,
SP INSPECTION INECTION PRIOR TO SYSTEM IA STALATION.ALL PROPERTY LINES HAVE BEEN WI
N DEMONSTRATED 4.NO CUTS GREATER THAN 4'FEET IN HEIGHT ARE ALLOWED THIN 50 FEET DOWN SLOPE OF ANY DRAINFIELD.
PORT PORT BY THE PROPERTY OWNER/AGENT.ACME DESIGN CO.IS NOT RESPONSIBLE FOR
RISER ERRORS ARISING FROM MEASUREMENTS THAT ARE TAKEN FROM PROPERTY 5.NO FOOTING DRAINS ARE ALLOWED W W AI ITHIN 30 FEET DONSLOPE OF ANY DRAINFIELD AREA.
RISER AI
LINES OR CORNERS THAT ARE INACCURATE.
6.ALL DOWNSPOUTS/SURFACE WATER MUST BE DIRECTED AWAY FROM DRNFIELDS.
I-. �- - 3.ALL WORKMANSHIP AND MATERIALS USED FOR THE INSTALLATION OF THIS SEPTIC SYSTEM
_ _ _ _ _ _ _ MUST MEET WASHINGTON STATE DEPARTMENT OF HEALTH AND COUNTY HEALTH 7.DUE TO UNFORSEEN WATER TABLES,A CURTAIN DRAIN MAY BE REQUIRED TO PROTECT THE DRAINFIELD AREAS.
- - - - _ _ - _ _ _ _ _ _ _ DEPARTMENT CODE.
_ _ _ _ _ _ _ _ _ _ 4.A PRECONSTRUCTION MEETING SHALL BE HELD WITH THE DESIGNER PRIOR TO THE START OF e.USE CAUTION TO NOT REMOVE SOILS WHEN CLEARING DRAINFIELD I AREA IT IS STRONGLY
_ _ _ _ _ _ _ _ _ _ _ _ _ _ THE SYSTEM INSTALLATION. RECOMMENDED THAT THE DRAT NFIELD AREA BE CLEARED BY THE INSTALLER.
INLET FROM - - - - - - - - - - - - - 9.GRAVEL-AND PIPE ARE RECOMMENDED FOR THE DISPERSAL COMPONENT.THE
_ 5.FINAL SYSTEM INSPECTION IS REQUIRED TO BE PERFORMED BY ACME DESIGN CO.PRIOR TO THE FINAL USE OF GRAVELLESS CHAMBERS IS ACCEPTABLE.RECOMMEND GRAVEL 1.5".MUST BE CLEANED ROCK
HOUSE - - - - - - - - SYSTEM COVER.ACME DESIGN CO.IS RESPONSIBLE FOR THE AS-BUILT DRAWING AT THIS INSPECTION.
•
10.SEED AND MULCH THE INSTALLED DRAINFIELD IMMEDIATELY UPON COMPLETION.
6.A SMALUCRITICAL LOT INSPECTION AND LETTER OF APPROVAL ARE REQUIRED FOR LOTS SMALLER THAN 11.DEPENDING ON THE FINAL HOUSE ELEVATIONS,A PUMP MAY BE REQUIRED FOR
12,500500 SQ SQ FT IN SIZE,OR ANY LOTS WHERE RESTRICTIVE SITE CONDITIONS DICTATE. THE SMALUCRITICAL THE SEPTIC SYSTEM.
LOT INSPECTION WILL BE REQUIRED AT THE TIME OF FOUNDATION STAKING OR CONSTRUCTION.
7.ACME DESIGN CO.SHALL BE NOTIFIED PRIOR TO DRAINFIELD INSTALLATION BETWEEN THE MONTHS OF 12.EXCEPT FOR THE DISPERSAL COMPONENT,ALL COMPONENTS OF THE SEPTIC
•
OCTOBER AND APRIL FOR WET WEATHER INSTALLATION APPROVAL SYSTEM MUST BE WATERTIGHT TO THE SURFACE.
S.THE DESIGNER SHALL BE NOTIFIED A MINIMUM OF 5 BUSINESS DAYS IN ADVANCE OF ANY REQUIRED INSPECTIONS 13.ALL WATER LINES MUST BE A MINIMUM OF 10 FEET AWAY FROM THE INSTALLED GRAINFIELD.
OF THE SYSTEM,SOME EXCEPTIONS MAY APPLY. PLEASE CONTACT ACME DESIGN CO.AT
360.698.8488 TO SCHEDULE ALL MEETINGS AND INSPECTIONS. 14.WATER AND SEWAGE TRANSPORT UNE CROSSINGS MUST BE CONSTRUCTED IN ACCORDANCE WITH
ALL CURRENT STATE AND COUNTY DEPARTMENT OF HEALTH CODES,REGULATIONS,AND POUCIES.
OUTLET TEE
9.LOCATIONS OF EXISTING UTILITIES SHOWN ON THE SITE PLAN ARE AS ACCURATE AS POSSIBLE.-
HOWEVER,THE INSTALLER IS FULLY RESPONSIBLE FOR THE LOCATION AND PROTECTION OF 15.DRAINFIELD LATERALS MAY BE NO CLOSER THAN 5'ON CENTER.
- ALL EXISTING UTILITIES. THE INSTALLER SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO
INLET TEE SYSTEM INSTALLATION BY CALLING THE UNDERGROUND UTILITY LOCATE LINE-811. 16.PROPERTY OWNER IS RESPONSIBLE FOR SOIL LOGS TO BE FILLED UPON COMPLETION
VISIT HTTPJNWJW.CALL811.COM FOR MORE INFORMATION.
17.INSTALLER MAY FIND TREE REMOVAL NECESSARY
10.EROSION CONTROL MEASURES SHALL BE TAKEN BY THE INSTALLER DURING CONSTRUCTION
TO PREVENT INFILTRATION OF EXISTING AND PROPOSED STORMWATER DRAINAGE FACILITIES
AND ROADWAYS. ACME
11.IT SHALL BE THE RESPONSIBILITY OF THE INSTALLER TO HAVE A COPY OF THIS APPROVED TE DURING WORK HOURS.
12.ANYI CHANGESC DESIGN OTO THISN THE CSEPTC DESIGN UCTION SHALL BE REVIEWED AND APPROVED BY ACME DESIGNDESIGN
CO.AND THE COUNTY HEALTH DEPARTMENT.
1ST COMPARTMENT 2ND COMPARTMENT 13.PRIOR TO BACKFILL.ALL SEPTIC COMPONENTS SHALL BE INSPECTED AND APPROVED BY ACME T
DESIGN CO.BEFORE ANY HEALTH DEPARTMENT INSPECTIONS TAKE PLACE. DA 1 E- 25 S MBEPTEER 2025
APPROVAL SHALL NOT RELIEVE THE INSTALLER OF THE RESPONSIBILITY TO I V I LJ �J P.0. BOX 2954
CORRECT ANY DEFICIENCIES AND/OR FAILURES AS DETERMINED BY SUBSEQUENT TESTING AND
INSPECTIONS. IT SHALL BE THE INSTALLER'S RESPONSIBILITY TO NOTIFY ACME DESIGN CO. NAME- VAN B U S KI RK SILVERDALE, WA.
AND THE HEALTH DEPARTMENT FOR ALL REQUIRED INSPECTIONS.
14.IF THE INSTALLER ENCOUNTERS ANY DISCREPANCIES BETWEEN THE DESIGN,CALCULATIONS, 9083 SPECIFICATIONS,AND/OR EXISTING CONDITIONS ENCOUNTERED,THE INSTALLER SHALL IMMEDIATELY •
NOTIFY ACME SEPTIC DESIGN AT 360,698.8488.
- 12320-3 -00010
PRESCRIPTIVE 'D ARE -FAX ID 3
15.W WITH IP PL BOW T MEASURES IF ES. AR DESIGNED I-PITS T BY LICENSED INDIVIDUALS ICDESIGN
CONTROL ( )
IAW WITH APPLICABLE STATE AND COUNTY CODES.THE DEPICTION OF ON THIS SEPTIC DESIGN
IS FOR ILLUSTRATIVE PURPOSES ONLY,AND SHALL NOT BE CONSTRUED AS A FINAL SOLUTION 1080 N E SAND HILL R D TEL. 360-698-8488
FOR STORMWATER MANAGEMENT FOR THIS PARCEL. STREET-
'NOTE' 16.THE INSTALLER SHALL NOTIFY THE DESIGNER IMMEDIATELY FOLLOWING INSTALLATION FOR FINAL INSPECTION.THE INSTALLER JNF0 a(�I CMESEPTIC.C0M
SEPTIC TANK SETUP IS TYPICAL, IS RESPONSIBLE FOR TESTING AND PROVIDING THE COMPLETED ACME READY REQUEST FORM 3 REDONE DRAWING TO THE DESIGNER.ADDITIONAL
AND MAY VARY DEPENDING INSPECTIONS DUE TO IIAPROPER INSTALLATION WILL BE CHARGED TO THE INSTALLER.ALL CHARGES MUST BE PAID PRIOR TO
ON SITE REQUIREMENTS AND MANUFACTURER _