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HomeMy WebLinkAboutSWG94-0891 - SWG Design - 9/17/1996 • DESIGN FORM - PAGE ONE A design will be 3 reviewed when coniae of each of the following items are submitted: completed design form that has been signed and dated Completed Resource Lands and Critic �( Scaled plot plan, including all all , t2�Sl9iG'6 at scaled layout sketch, includinng all including all icable items on ch ist Cross-section akStch, 4 AUG 2 I II9 PARCEL IDENT'ITICATION III III Y�Q ISrOVUK- II UUq I Deaignet'S Name Permit Number t n Applicant's Name _____ __ __ prop. Owner's Name r PL i „w BZ Mailing Address /SOdGaY. A.4 )P Mailing Address Y —'s — SOzSF moA.�, svnry¢are S Assessor'S Parcel No. aa' u_ Subdivision II i DESIGN PARAMETERS II —JI l Separate Vertical II u iXi U Separation in-- II I Mound S Trench ubsurface Pressure Gravity Bed II septic Tank/Drainfield Specific bone U No Pressure Distribution? Yes .'... No. Bedrooms St k D cod .:::::^:::: . (If yes, proceed. . .) :... •....• ... I Daily Flaw _j ft DO cal Septic Tank Capacity 3 Receiving Soil Type (1-6) & avd/ft• Laterals 66 m70 V Receiving Soil Appl. Rate Trench/Bed Bottom Area d V it!. Schedule/Class Q y y. ft ft Trench/Bed Width Length Iu Trench/Bed Length Diameter II Elevation Reaauremeate Nuts g ft III�_ Orifices Orig. Drainfield Area Slope �� 4 %9 a• separation G II II Final Drainfield Area Slope 'Total Number4 c Orifices s I L in Depth of Bottom of .Trench/Bed 7 in Diameter 9 Ceu > ,. — �.I from Original Grade —1U a Spacing A e,/ in I vT� q II uownsieY� Schedule/Class ` Y'p..b o o Length /hides/s ///��� Infiltrator Used? ❑ Yae © 'NO Diameter TDs�'nepga,J GLc��O ❑ No Schedule/Class (i Pump Required? Yes :::: ..............'.. Length 1n (If yes, proceed. . .l II Diameter cemin8 Elevn Specifications I Dosing and Pump chamber Difference in Elevation Between Pump Shutoff Dose . Quantity / AO sal II and Uppermost Orifice Chamber Capacity n Uppermost orifice is �I higher, ❑lower II than Pump Shutoff `6`b 11 Check the following components if they drain $ DomIu Capacity ® Tot. Pres. Head between doses: ft u II Calculated Tot. Pump. u Laterals Manifold Transport (Attach Pump Curve) ❑Curve g f0 O DESIGN FORM - PAGE TWO fr - DESIGN CHECKLISTS — —1 9 l d P1 t Plan e l d LA C 9ke tch I C=naB-section Sketch 111 Reference depth from orig- T.! Drainfield orientation final grade: '-N Test hole locations and layout NtN1' I ' Septic tank lid and �'Y property linen ri trench/bed dimensions and I drainfield cover depth u Existing and proposed critical distances within Reference depth from orig- I wells within 100 ft layout final grade and restrictive o£ property lines I —i 4JD-Boz/"T"/"L" locations strata: IIL2J Critical distance I r— chamber Laterals, trench/bed II measurements to cuts, I septic tank/pgym,p top and bottom II banks, surface water location ^ II .t' In I Curtain drain collector ri$ Location and orientation Lp: Observation port location r� II of curtain drain and all I pl a sand augmentation area L?6 Cleanout location components I Y No external reference needed: Manifold placement IY Location and dimension nv F' Observation ports and system and I LIJ Orifice placement I Observation of primary I ncleafloUts II t reserve area I .e' with Lb Lys Lateral placement, lF� Buildings I distances to edge of bed I Additional mound information'Inn I II Audible/visual alarm I ❑ Upslope and dowaslope II Direction of elope II indicator referenced fill width II❑ Settled cap depth at II waterlines Scale of drawing shown center and edge of bed II on scale bar I Roads/easements/ I additional Hound Information: I L— Sidewall slope drivewa a/parking y ❑ Endalope width LJ Up/downslope bed elevat. ❑ critical resource lands AJa II Sag 1 ted Resource Lands and (if applicable) I ❑ overall fill dimensions 4 Lffi3A 1,�— III fI fA`A North arrow and scale of sl ye3/ drawing shown on bar nitea/s /v/yes DESIa; APPROVAL € 7p III III The undersigned designer ❑does, ❑does not, waive the reqirement to be notified by the III installer of the installation and given a re t perform a final inspection prior to III II cover. QS II It The undersigned has reviewed and F' roved this design on behalf of Mason County of Health II III services. 1 e �rjl a� III VALID I8 HTANp6D •APPROV " BY HASON CO. DEPT. O8 HEALTH II II CAOTION: THIS DESIGN IS Q 7�11�. ® II !R he I- re, '- �SOGM1 tv — ia1 GJ JO/ n GUr�'ainotrain r. I aea}}, w11 v = jo s T,t�. 1 ' h t �I0 cw4 Hp s J k S t C rlainL7vdty. (±/TS) N 5lorrt n flT m 2 pe 1 I A pR initials. ��D -es -t o � � - r -- c i -tl p M u u o o > N N W Y b N W Y N > O n k WI.' IJ On c p m O C, m 3 c. U o 7 m.c amaadu o�9Y 4 > U ❑ N � aam ^ a Nm WCu '0 I- m in b N m Masan Coon, � GN;r Ph g`1c�aU�.Ser, 'nmwi ® YEih Date U N m N N O C d Ip Y > pN O U o aY N N0M Noro f+ UY nA I - cf W F (v �l ro � � y V W C anon Co'ac Leo. 1iea,'th Sen'ees APB OVED W 0, y_ initials__ 0 -- V Date G � P N • B'1�•y ➢on(206)42642Z1 s2nft Seed, Coosnvcrion 2oscl CuY iN.l7MI — - -// ' - - ne qhbors Droinf%e%/ We!( e curtain drain 7c he fib hElined�4s,L drain{ie/ - ,e Mc 100' lake RnR� well /inc {'rnm P.T Pink ® m• i �' passible" veto Itau! Y heme sJEe }X S.T. ) cabiN! ��ffSON [AkE MASON COUNTY DEPARTMENT of HEALTH SERVICES Shelton,WcshinglOf 98584 (206)427-9670• 6elfclr:2754467 _ _ —. — WATER QUALITY PERSONAL HEALTH P.O.BOX 1666 ENVIRONMENTAL HEALTH 303 N. FOURTH P.O. BOX 1666 January 11, 1995 Robert Thaden 1006 Corona Dr, Fircreht, We- 98466 Re: sewage permit for parcel # 2223 5 3-511-00046, Maddings Sunny Shore Add. 5, Dear Mr. Thaden, The above mentioned property was inspected July 26, 1994. During the initial inspection the restrictive layer was found at 60" below original grade. The soil type was found to be a loamy sand and a level 2 designer was required. One of the most critical aspects of a test hole inspection is determining the restrictive layer. The restrictive layer can be a water table or a compacted zone which prevents water from moving downward. When evaluating test holes ls mottling. during n months, the inspector looks for evidence of the water table, s Mottling is a blotchy discoloration of the soil, typically orange or grey in color, which indicates a seasonal water table, or poor drainage. Mottling can be difficult to see in sandy soils. There was no apparent mottling at the time of the original inspection and no other evidence indicating a high water table. Our department received a report that the teat holes had standing water in them. On January 10, 1995. Our department did a reinepection and standing water was Seen in each o£ the three teat holes at 29 ,19" and 23" below original grade. (See attached permit application) The standing water can indicate poor drainage of the soil or a high water table. At this point we have no alterative but to call this the new restrictive layer. Due to this new information a level two designer will now be required. The designer can use the restrictive layer that has now been determined to be l9" . Another option would be to contact a designer, have observation ports installed, possibly a curtain drain and apply for winter observations. The winter observation process began January 1, 1995. If you wish to do winter observations than the application should be in as soon as possible. Keep in mind that if our county does not receives the normal precipitation during the winter observation months, than the results may not be valid. (see winter observation application) . Our department will work with you and your designer regarding this matter. Our goal is to have a septic system that treats and disposes the effluent and hopefully last the lifetime of the residence. Fs!Rvcva?d If you have any questions please feel free to contact me at (360) 427-9670 ext. Monday through Friday- The best time to reach me is between 8:00 and 9:30. Pam Denton, R.S. environmental Health Specialist °i ON-SITE SEW LATION SPEm ................................................ e:ee•.• .:CE:: IN: 1 ^e DATE CALLED l•' TIME: - INSTAL ^ ' APPLICANT/O CALLER: 1I^L/ �7 rUZZI PHONE # OF CALLER' SWG it ( TCEL NUMBER: Z2- ,• I (, •-J'-('lo pot Ue1NH ,SWc�c SUBDIVISION: t/OT: DIVISION: S - .............. ...........'......:::::•.:...... U SYSTEN TYPE (CHECK ONEI : GRAVITY PRESSURE INSPECTION SCHEDULE (CHECK ONE) : C' PLUG IN APPO Ag-BUILT GN-SITE4 (CHSCE ONE) ' C NO ........ ] ........................................ .........ST ALS AFF INITI /t ReVISS 04/09/96 ON-SITE SEWAGE INSTALLATION STAFF INSPECTION REPORT SeaeesR I cmamo ,v n,Pscvo*? evitc tat r _ I a.l >5 ft free t to sfeitic e1 Bldg etDintt to septic tank: clesMui If wt 1-2%t c) DUf ividing call intact? at- n-Aws" Leveled with water or speed leveler (circle me)? I Ill. Dumnm Han and >5 ft free property lines? — �) '10 ft free tacos ent if Mt looped? !t' ,) iett d level to a1 Inch & eM upc prss DISystem dl,enSt" the l 5B ede rd Pr apetudepth?w? — 1 DI Gravel clean, probe Y ° 1_ e) 1) S evseee L� I a) send gxlity asio c-33? a) Need height mifor, and t24 Inches? I a) CL ens its and ehwrvatim ports present? Side elope 3ed j s) q)Mv fMorned electrical cmMctipM * t De °B-°Dtl? electrician and "PactM M — 1 (ry owrer or liceMed lo. ecowa tavn r.tae rt line, srd septic tank? — 1 a, ,loft fro, drsinfield. trsMpo a) ysllc alooft fro,draiMleldl v. rev 'rem �t tilt lcircle me) inetallad? �- V. - - :; sdrsan ysket or eft eiessa'- 3( I e) Ricer imtalled for C) Lbr, iMtelledt , s — ti vt u spa' aW»mmt ou. oxmt ouamreS I I I I I i I I the I r4.r,iW d has revs this fMtalletim end verif ie M e } 1Me m et c�e)tY of K tth Seces.rvi I I I r ° 1 a M M1:callin.w eevised 04/09/96 p�-BUILT FORM PAGE ONE II PARCEL IDENTIPIGTION II K.: JJ ' S sse . k(JII Applicant's Name Subdivision —(dam ry ra ow SWG9 _ Z / 00 eI III permit Number Assessors parcel No. ¢_ T teller's Name 8 �roo/�� D g N III INSTALLER CyECgl,I6T II N/A Yee Prior to Completion II IN 1, SEPTIC TAMF foundation? if not Y2k? III A) >5 ft from four tic tank: cleanout g) Bldg ea Intl to sap clean? II C) Baffles intact and ✓ II II D) Dividing wall intact' speed leveler (circle)? a II. D-e0X Leveled with water and/or P II ___ >5 ft from propertY lines? II DGtenals level end caps present if not looped? _ .� II A) >10 ft from foundation and it to ±1 inch & s shown on the design? II B) Lathe same a r depth?C) System dimensioroperly sized, and grope ✓ ` D) Gravel clean, P _ III g) PRESSURE SYSTEM ASTM C 33? II 1) He dd height quality .24 inches? _ IpIA 2) ht uniform and ports present? 3) CleanouSi and ope 3:1? p made by / II II a 3.1. ections must be 4) Mond: Side slop ected by DL1? 5) Owner informed electrical co insp Dy,Tlei oI licensed electrician and II N. POTAHLE WATER LINES II A) >loft from drain£ dr. field? 1/ B) Wells >i00ft from drain V, p6&/PUMP CHANSSRused� or a eta attached for agar;¢stalled?p? ed circle one) A) ¢ uent lte H) tree- bas ale or access? I C) Riser installed? N N D) Alarm I CERTIFIGTION OF INSTALLATION II .e , sign and date the certification. z From ' ' check box EromROW II Ina taller: Check Uo Row A• U I certify that all deviations from'nNS are )I system the des ig- stamped .A PPRD VED� by A C I certify that I installed the des ig- reverse aide of this form. Q deviation from the ehoWn on the without PROVED• by MCDNS. rior Stamps ❑ 1 did not contact the designs° P III I contacted the to final cover because the deS14 n for otif(cation requirement. H I certifyand left the system oto waived the n deeigneY to 4E hrs prior to cover. 1 understand U inspection up on this form is accurate cause for that all information contaior this, th re ill be Bust I further certify tion contairyed h refs Ci that if the informs ins a e cer immediate Suspension of my a of Health II g 1f of SO� County Department II b The undersigned approves this instal aei II services. o Q Redltl Revile 11/14/ 1 I PAGE TWO IFIGTION AS BUILT FORM PABCBL IDFNT h 1 M . 1 fl sA//I 5.yfl e d Per it Nu Su Na — 099 .. Z233s'9O°" I III Number SW09 s Parcel No Permit Assessor' II t 11 II 1 's Name H ne 1 u Design N AS-BDILT DBAW ING fl I II Y- - - -a.srrla oro;n _ _ _T LtJII of ,nK Is a Nff a o Re fl i I III �I "I t' II ,r; F, II r 9Y I� f G�f z7 II It 'cc' 1 II 1� M4S0/a LA' me fnecal3ez are gsnera33y ec IN de /n Ne Held by 3c as rfn u,e vleDilitY of �° ayecm locetfm aM drafnfi cetCale eacfon tviae or the designer before it hs a" and the daafgaer, buc teald in Reaealm d.Parr✓°e" .elms ebefor tAgtlpy, Mlnet edlua depa[ta�c^C 'Belt tank c el cL f tM cpyed dealyn moat >K caPuble co MN the c0 eeta >• Prior vilttm apQteva yfYta ciena true A^ a� I loacallera reaPsaale111ty stiles Mtn YSaplllry devlacfana emu ree aeatgo Wt %C%LIsT I AB-BUILT CB station ❑ Undisturbe d native soil I port 1 between trenches II ❑ Observation P ❑ Drainfield orientation ❑ Cleanout location ❑ North arrow and layout Shown and rl lacement ❑ Scale oe drawing tJ Trench/bed dimensions �.l Manifold p on scale bar critical distances within lu layout C Orifice placement d Information I U Lateral placement, with Additional Move ❑ " location n of bed ❑ BndsloPe width O Box/ T / distances to edge chamber dimensions ❑ Septic tank/pump roads n location ❑ Location of wells. U overall £ill M ❑ Location of buildings