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SEP2014-00020
NT 7741C tY civ SEP I Now filed to SEP I 00- ,'��# Jefferson County Department of Community Development /, ' • .�,? 'f!° 621 Sheridan St, Port Townsend WA 98368,(360)379-4450 ' 'i'(' SEPTIC PERMIT APPLICATION ii, 0 c2. PROPERTY OWNER 6 J 2 A tit hi C T 1-4 t L , "Q.:BERNT PAUL ERICSEN'.. ft MAILING ADDRESS --PO 13 0X (,902. NV 0 NS' ti'bt= .i. NER'' k PORT T4U.5NI5EICIDi WA. 9S3hg ©( q WI' S0 1/ i-I4-1 Lt PHONE ( 3!`00 ) 643 - :37,96, SYSTEM DESIGNER E`1 i t^S g M DES i O N Designer Phone# 3( 0°- O I -e ,i2-4 LEGAL DESCRIPTION: Section I I Township,3O N Range 11A/ PARCEL# L 0 1 17 i 0 I g Subdivision Name Division Block Lot(s) x„„\ Site address/Directions to site 3g7 A R r AD 1 A Et,. \, 'PORT 0 vO t 1 se t ,,� SOURCE OF SEWAGE/USE TYPE OF WORK WATER SOURCE c-10 Residential X New Tank/s only Private Residential ADU Modification Public A Commercial Expansion Community Upgrade — Repair X SITE SIZE :3.26 4Ct(r.6 SYSTEM TYPE Partial Repair-(tank) (drainfield) X Previous Evaluation Conventional X Designate Reserve Area Yes#SEP R I-65- Alternative Redesign No SYSTEM DETAILS Number of Gallons/day j i O Soil type II (attach soil eval.) Application Rate . 57 galJsq_ft/day Drainfield Length 2 I0 ft Trench Width 3 ft. Trench/Bed Depth 36) in. Septic Tank size CX. i i O qaL Pump Chamber size -- gal. TYPE of system 612AV1 Ty( TiiENLH C t�tpa►r) DFerv941 . By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she requires prior notice. Inspections shall occur during regular business hours. Initial here if you require notification before entry Appeal-A person aggrieved of a decision of the Health Officer may appeal. Appeals shall be submitted to the Health Division in writing within fifteen days after receiving written notice of the decision. DISCLAIMER-This application is for an on-site sewage system that meets the state and county standards in effect on the date of application. This application for an onsite sewage system DOES NOT assure you of any other County approvals. For example, it DOES NOT GUARANTEE that you will later obtain permission to build a permanent residence or other structure on this parcel. Any future a lication will be separately judged by the les and laws in effect at that time. --C-7 )\---."-- -- 7 - //-/ ,,,,,„ _tbftev/ipti ---7,I, ,, ._./._....._. ._e___,(y Property Owner Signature Date FOR OFFICE USE ONLY 3 1/(// PARTIAL ASBUILT (0i 10/1 y FINAL • l APPROVED I INSP/PUMP TEST PUD fl�'pK +I� Dat / / / ALL HOLD REQ.MET r f 8//`I Fee /�7�Rec# /147 . Check# / 7-54-4 Case#SEP III- ZO H:\WEB\PDFs\Septic\septic_permitapp_2008.DOC V r. ti JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street •Port Townsend•Washington •98368 www.jefferson countyp ub ticheafh.o rg I'none :36U-:Stab-9444 Fax :it3U-3/9-4413/ ON-SITE SEWAGE DISPOSAL PERMIT PERMIT#: SEP14-00020 Date Received: 02/18/14 SITE ADDRESS: 387 ARCADIA RD W Date Issued: 03/10/14 PORT TOWNSEND, WA 98368 Date Expires: 06/10/14 APPLICANT: SUZANNE M THILL PHONE: PO BOX 692 PORT TOWNSEND WA 983680692 LEGAL DESCRIPTION: S17 T3ON R1W TAX 32(LS TX 55 &PIN TX 62)W/PTN SNAC CEDAR ST ADJ PARCEL#: 001171012 Section: 17 Township: 30N Range: 01 W DESIGNER: BERNT ERICSEN PHONE: 360-301-0324 293 PINECREST DRIVE PORT TOWNSEND WA 98368 SYSTEM DESCRIPTION: CONVENTIONAL TRENCH No. of Gallons per Day: 360 Type of work: REP Drainfield Trench Septic Tank Length: 210 feet Width: 3 feet Depth: 36 inches Size: 1,150 gallons DISCLAIMER-This approval is for an on-site sewage system that meets the state and county standards in effect on the date of application. This approval for an on-site sewage system DOES NOT assure you of any other County approvals. For example, it DOES NOT GUARANTEE that you will later obtain permission to build a permanent residence or other structure on this parcel. Any future application will be separately judged by the rules and laws in effect at that time. All construction and development activities must comply with all permit conditions, state and local codes,and Recommended Standards and Guidance documents in effect when the permit is issued. The property owner is responsible for the accurate location of all property lines.Any removal of or major disturbance of soil in the primary or reserve drainfield area may create site conditions that are unacceptable for the installation of a sewage disposal system. Any change in drainfield or tank location may invalidate this permit unless prior approval is obtained from the Jefferson County Environmental Health Division. If during excavation or development of the site an area of potential archeological significance is uncovered, all activity in the immediate area shall be halted, and the UDC Administrator shall be notified at once. Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN JEFFERSON COUNTY, WASHINGTON This permit is issued for a period of three years (unless otherwise stated above) in accordance with Jefferson County Rules and Regulations for On-Site Sewage Systems, codified in JCC 8.15 as amended. This permit may not be renewed. Jefferson County Enynmental Health Specialist This permit with conditions must be onsite during all phases of construction HEALTH DEPARTMENT MUST BE CONTACTED FOR FINAL INSPECTION. SPECIAL CONDITIONS APPLY - SEE ADDITIONAL PAGES CONDITIONS OF APPROVAL - PERMIT NO.: SEP14-00020 1.) This permit was issued to correct a violation of WAC 246-272A for a failed drainfield. The permit must be completed within 90 days of the date of issuance. 2.) Re grade the drainfield area so that the trench bottom is no deeper than 36 inches. This is required due to the depth of the existing septic tank and its transport pipe. Do not cause surface water to be collected in this re graded area, allow for drainage out of graded area. 3.) MAXIMUM TRENCH DEPTH 36 INCHES 4.) Designer must be contacted prior to start of construction and for inspections during installation. DESIGNER IS REQUIRED TO DO A PRECOVER INSPECTION ON ALL TYPES OF SYSTEMS. 5.) Notification of the start of construction shall be faxed or emailed to Jefferson County Public Health ONE WORKING DAY prior to start. 6.) H -An asbuilt drawing and certification of completion by the Designer is required prior to final approval. 7.) Before final approval is given, the designer shall provide an operations and maintenance manual to the property owner and the Health Department. The manual must instruct the owner of the on site sewage system on the ways to properly operate and maintain all components of the system. 8.) Risers are required to grade with secured lids over both compartments and over the outlet of the septic tank for inspection and maintenance/monitoring. Minimum 20" riser over inlet. 9.) Distribution box shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 10.) Approval/issuance of a sewage disposal permit does not guarantee the approval of other development or a building permit on this site. Compliance with other Jefferson County and Washington State Codes is required. 11.) All construction and development activities must comply with all permit conditions, Washington State and Jefferson County Codes and Recommended Standards and Guidance documents in effect when the permit is issued. 12.) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Unified Development Code for other/future development on the site. 13.) This system as designed and approved is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD. 14.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. SEP14-00020 Page 2 of 2 \\tidemark\data\forms\F SEP_Permitmod.rpt 3/10/2014 CONVENTIONAL SYSTEM ASBUILT INSPECTION REPORT q- Zit INSTALLER 15ex E tGSe.n PARCEL# OO 117 10 (A. Permit Owner s U-2. Q.h n P Th t 11 Permit # S e6) 14 — 0�0 ABSORPTION AREA: DRAINFIELD TRENCH TRENCH , TANK #OF #GAL/ LENGTH 02.10 WIDTH 3 DEPTH 36 SIZE ex i I So BEDRMS 3 DAY 3 GO Tank Shroud/ IF PUMP AND PUMP CHAMBER REQUIRED: Size — Screen — Float Arrangement High water float—distance to top of tank/emergency storage — Dose drawdown (#of inches) #Gallons/Dose — Timer/Dose Counter info Pump Size/Manufacturer I CERTIFY THIS ONSITE SEWAGE SYSTEM S INSTALLED AS DESIGNED, PER PLAN APPROVED 3- 10 - /4- B G - -l1 DATE APPROVED INSTALLER SIGNATURE DATE 4 See_ CZ-N'Gtchec2. `IZezort 1)rau�1`ri le 2Q/i /FILE NAME 0 MN 20' SUZANNE THILL.TRV Ell — SCALE DATE DRAWN BY MI — \, 20 Ft/In 6-16-2014 Bemt Ericsen Inspection \ JOB REVISION SHEET 1\ Ports P \ X001171012 1/1 1/1 J 0N ��` \ This map drawn with TRAVERSE PC,Software n ` q Q\` \� 8 `\ 6- 12"removed to ‘\ ��` 8' \ { attain 36" maximum trench depth Ai;gyp .` .` �`� \�� �° olo `i� < o \ ' J `` New Drain Field S/L 3 w ° O SEP14 - 20`J 944" i J ` . \ \ 5100259 ` r BERN' PAUL ERIC EN'. /�� . .` �` \. .i �.�.. .'t . .. ` .` `` \ 31• -t --1j 1 \` . . \ 6- 16.-itf- S/L 7 L M• Existing K `V \ JUN 1 6 2014 d „ Sep91 -65 ` / C `. \ 1 c,c re'l 1)(a U1� `. 'O,`. c) \ F ® / k, S/L 1 Parking/Driveway C .�E 9 Risers installed on Septic 54" D Tank and"D"Box + / "C"equals connecting X7 oo--J point from existing pipe H �O \ G (SEP91 -65)to new pipe Ar (SEP14-20) /-- � -._ 1 g / \ C.O Ex.Deck /Car '/ Port g` / Garage / / -- Existing 3 Bedroom Home Measurements: AtoC=40'6" BtoC=28'9" AtoD=45' BtoD=31' A to E=53' B to E=38' Existing Deck ,s AtoF=59' BtoF=46' •s A to G =24'4" B to G =7'6" o AtoH=24'4" BtoH = 10'9" o AtoJ =24'9" BtoJ = 13' q AtoK=61'3" BtoK=56' AtoL=68'9" BtoL=62' AtoM=76'4" BtoM=69' AtoN =93' BtoN = 104' Ato0=98' Bto0= 107'8" AtoP= 105' BtoP= 113' C ` .P0707T o o CO m r Vol rn z 30.00' o ' mCD > 0 N 0°01'43"E I 2 N 7 m m v — a -1 m o mN —. y < g. < N —I s F N m Z Z " &ly o i®< Z m pm cn o n _cam') fA W 0 o m mZ cn cn f7 m m -< ,L.-----7--------- c 0,J o 0-- , on v / co �O / ' M m < / r / ,'cp x.9 CO rn x w / , ,, . / 02 -• OD /�.. „. 9 co -6` \r/ ■ 7..' ,- ,-' - cn m (D a) i--- 0 o c'1 3- a), ,......r ,OO VOL =•O • i c m �• a � a -/ Ilq � � m s �- z a a \ ®` - CD m ,a ' • .*%� N reet o o a (.1'5> � �, `ig `' IS�,CSAL • J , o I kt. • .. 1o.�-` AGED f Co .gr' _..'! •AP l ..•. —". •ate , • 0 I 306.46' / cn o d S0°01'43"W TI °o O 0 @ 3 w . O_ I- 0 0 —1 "I co j o c w @ @ 11 \ \ 0 m 7 0 ¥ > § © / K o. _ ® o 2 m * < 1) \ \ /////////' k \ ' ` 0 < m k S_ \ 2 0 O o m ] $ / -I m $ a . 7 $ ci,o I ƒ 1:1(4) @ 7c % §r a . co \ / ® m "0 / 0I -.7 < 2 \/ $ K �3 O. U / ƒ 02 ° @% « ©�� « . E / / � co o \ CD 0 \ )&� ��..e \� M / \»Y *�� $� ' 2 00 y ? « z\• 0,, A y « a 2 m y ' ��§'�$0��' � CO 03 o / \_ 7- .. ■ �� « q a a '\ �,�� � \., k ƒ x 0 Al. * �'�� « ^@ \ ƒ 2 7 2 `\ , �z� x R : ) kk � » } � 017 3 . d ' 2 © 0) O \ G \� � \ = O c \ x ® � / @ f , � \ 2 § k /k q & E / w % EE \ 5 \%0 . E Qf O5.kn t5#O Sc�G �q •■ %�� • S . P� to l -m �% i\P� p. A % Date - k %fj . : _�0ƒ - ' �� : _I�c ..$ �0k2 :« $ z■% ^ . ` ^ R/ , / 0" 4 � . _di neSIGt s DISPO5P 5 uctOn ;' � ''! Aoprosiea f0 I .4 I • Suzanne Thill t 5100259 s •ate ,r, - 3ERNT PAUL ERICSEN• 1 001171012 5 U .loommaxwm• EXPIRES 02/11 Project Description a _` -` Replace failed drainfield ( SEP 91 — 65 ), install risers to grade over existing septic tank. Install C. O. Septic Tank Existing 1150 gallon two compartment septic tank appears to be sound, and may remain. Install water tight risers to grade on all tank lid openings. Install outlet baffle filter ( Orenco FTiPW 0418 — W ) or equivalent. Install 4" C. O. between septic tank and house and provide riser to grade ( if none exists ) Transport Line Because of depth of sewer stub out ( under footing ) and consequently the depth of tank and outlet pipe, it is imperative that minimum grades are used for effuent line to "D" Box and to drainlines. Extend existing 4" 3034 sewer pipe from septic tank (approximately 15' ) to new "D" box @ 1%. Tightline from "D" box to drainlines to be 1%. "D" Box Install 4 hole "D" box on poured in place concrete pad on undisturbed soil with riser to grade. Install speed-levelers and water level prior to designers "as built" inspection. Drainfield Removal of 6 — 12" of soil will be required from drainfield area to achieve the maximum allowable trench depth and cover requirements. Install 3 ( 70' x 3') laterals as shown on plans. Install inspection ports ( inside 6" round valve boxes ) with risers to grade within 5' of each end of lateral ( Gravelless Chambers ) Install straight tees 10' from beginning and at end of each lateral ( Gravel Trenches ) If Gravelless Chambers used install Digger's 20 Gauge, Hot dipped galvanized wire mesh with %" hexagonal openings over entire trench bottom under chambers. Trench depth 36". Water Lines Maintain a minimum of 10' separation from septic components. Inspections Designer needs to be contacted for a pre-construction meeting prior to • j construction to discuss details and to set up schedule for inspections. Designer is responsible for submitting "Record" drawing, and must be called prior to backfilling system. A , General Construction Notes 1. The work described herein consists of ��� construction of an on-site wastewater system. - 2. The contractor shall be knowledgeable and experienced in the construction of this type of wastewater system and shall hold a valid certificate from Jefferson County Division of Environmental Health. "Approved" septic plans must be on site during construction. 3. If during the installation of the system the contractor finds soil conditions that may lead to premature failure of the system, construction shall be terminated immediately and the designer notified. Such soil conditions may include groundwater, fill, clay, highly compacted soil, bedrock or excessively permeable soils. 1. Any inconsistencies, errors, or omissions that, in the opinion of the installer, would compromise the quality of the wastewater system shall be reported to the designer prior to construction. 1. Backfill in traffic areas shall be pitrun gravel and compacted. All gravity pipe shall conform to ASTM D 3034. All gravity and transport pipe shall be bedded, using native or imported material free of rocks, debris and sharp objects. 2. All exposed soil shall be seeded and mulched prior to the final inspection. Seed shalt be spread at an approximate rate of 10 lbs. per 5,000 sq. ft. 3. The installer shall be responsible for constructing the system according to plans and conditions of permit and shall be responsible for its proper operation and function for one year. The owner shall be responsible for operating and maintaining the wastewater system in accordance with WAC 246-272A-0270. 4. Any changes, substitutions, or deviation from these plans shall be approved by the designer and by the Jefferson County Environmental Health Department. 5. The installer shall grade to divert all surface water runoff away from tanks and drainfield/reserve areas. 6. The bottom of the trench or bed may be inspected by the designer prior to placing drain rock and shall not exceed +/- %" from level. Place filter fabric over drain rock prior to backfilling. 7. Setbacks to all known water lines shall be a minimum of 10'. No crossing of water lines with any septic component shall be allowed, except as included in septic design approved by Jefferson County Health Department. 8. Setback from the house foundation wall shall be 10' minimum to drainfield, 5' minimum to tanks and 2' minimum to non-perforated sewer pipes. Water saving appliances, fixtures, and practices are to be used. • construction to discuss details and to set up schedule for inspections. Designer is responsible for submitting "Record" drawing, and must be called prior to backfilling system. General Construction Notes 1. The work described herein consists of construction of an on-site wastewater system. 2. The contractor shall be knowledgeable and experienced in the construction of this type of wastewater system and shall hold a valid certificate from Jefferson County Division of Environmental Health. "Approved" septic plans must be on site during construction. 3. If during the installation of the system the contractor finds soil conditions that may lead to premature failure of the system, construction shall be terminated immediately and the designer notified. Such soil conditions may include groundwater, fill, clay, highly compacted soil, bedrock or excessively permeable soils. 1. Any inconsistencies, errors, or omissions that, in the opinion of the installer, would compromise the quality of the wastewater system shall be reported to the designer prior to construction. 1. Backfill in traffic areas shall be pitrun gravel and compacted. All gravity pipe shall conform to ASTM D 3034. All gravity and transport pipe shall be bedded, using native or imported material free of rocks, debris and sharp objects. 2. All exposed soil shall be seeded and mulched prior to the final inspection. Seed shall be spread at an approximate rate of 10 lbs. per 5,000 sq. ft. 3. The installer shall be responsible for constructing the system according to plans and conditions of permit and shall be responsible for its proper operation and function for one year. The owner shall be responsible for operating and maintaining the wastewater system in accordance with WAC 246-272A-0270. 4. Any changes, substitutions, or deviation from these plans shall be approved by the designer and by the Jefferson County Environmental Health Department. 5. The installer shall grade to divert all surface water runoff away from tanks and drainfield/reserve areas. 6. The bottom of the trench or bed may be inspected by the designer prior to placing drain rock and shall not exceed +1- 1/2" from level. Place filter fabric over drain rock prior to backfilling. 7. Setbacks to all known water lines shall be a minimum of 10'. No crossing of water lines with any septic component shall be allowed, except as included in septic design approved by Jefferson County Health Department. 8. Setback from the house foundation wall shall be 10' minimum to drainfield, 5' minimum to tanks and 2' minimum to non-perforated sewer pipes. Water saving appliances, fixtures, and practices are to be used. Suzanne Thill Repair ( 001171012 ) 02 — 13 — 2014 The routine pumping of the septic tank ( SEP 91 — 65 )by Goodman Sanitation revealed an elevated level in the septic tank and a backflow from the drainfield. Upon further investigation it was discovered that the drainfield had been surfacing periodically. Water records from 05 — 01 — 2013 thru 01 — 10 — 2014 reveal an average of 240 GPD with a peak of 300 GPD for last 2 months. Owner revealed that a fixture on a bathtub had been leaking which could have contributed to the higher water usage, ( leak has been fixed ) also previous use of home as rental, age of system and finer textured sands may have contributed to the "failure". I spoke with owner about ways to reduce water usage to 75% of peak or 270 GPD. Respectfully, x4 Bernt Ericsen ( Ericsen Design ) • o' • fig. IA%H _ f )1. /1" �, BERNT PAU PAUL EXPI• 0 11 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT At` 621 SHERIDAN ST.,PORT TOWNSEND ,WA 98368, (360) 379-4450 - . _---c<9 SOIL EVALUATION �^ _ 4 PROPERTY OWNER .,7 U Z A N W E TH ILL SYSTEM DESIGNER ER 1 CS t N 'b S I G N LEGAL DESCRIPTION: Section 17 Township 310N Range ` \J Parcel # Q( 1 r7 I 0 I- Subdivision Name Division Block Lot(s) Date Logged: 02 — 7 °' 14 Logged By: ER N T ER I C S C I J Include soli textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #1 3 to SOIL LOG #2 t a (o in ��F F � 0 to ol in. b U F F (v too24. in. L. FM, SN'D T,4 to I1 in. b. Ft SOD T. 4 4-1.0 to 54 in. V. FN. S ND 16 to 4g in. 'v, FM.L S(i'1j 64 to 86 in, TN, FN. $lf) " `tg to 1(, in. TAI. FN. S t i> Anticipated water table,4, in. 0—L( L5 Anticipated water table>76 in. Roots to (00 inches 2 tYVt � -y1 , Roots to 4,© inches C d -- Health Dept Comments i Health Dept. Comments 0--3 v P il L F5 SOIL LOG #3 - SOIL LOG #4 P v T ' V` 1 � 0 to 4 in. v F F v to 02 in. SL l c.S 4 to 1(e in. L. FM. S N 1). 1-04 ,:;,1 to 1,2. in. /..,, RI. S N D 174 Ito to q® in. -Fla FIJ. .stOb ., �'�1I1 1l to +2 in. V. F N_$1U1") to in. ,. '.,. 11 44 to Sg in. TO, F I. Sal) 4 Anticipated water table 7 p in. i"� 1' q g.' .Y WA fr, It` Anticipated water table>g$in. Roots to 4g inches 0 y' _ . '. ;l,rr ' Roots to *g inche 4, i Health Dept. Comments �\ ' ��1 Health Dept. Comments A - r o'2''BERNT PAUL ERIC�SEN'•` 11 SOIL LOG #5 '� IC tot* I ND( 14 SOIL LOG #6 i�a.►����a►�.tea�.w�a�w■■�■ , •I•r ;. 11/ 1., O to Li in. -SL/LS a-i't-i' (2) to 4 in. b U F F • to 1t in. t , Fii. ✓ii1Ib 7f 4 SC 4 to if in. L. F . SNb . 1 IS to '� in. 1"Al. F(q< S ,� id i g to 1 in. 'TN. F N. S N b " to in. 1 D 1�� to in. Anticipated water table"79,2 in. \ Anticipated water table 7,in. v Roots to /a inches Roots to (,�(o inches M Health Dept. Comments Health Dept. Comments 2/11434 k H:UNFOHLTHISO(L-FRM1/00 Pinliti i. — s` JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SHERIDAN ST.,PORT TOWNSEND ,WA 98368, (3601 379-4450 - ".,, SOIL EVALUATION '& PROPERTY OWNER 5 tj Z A N 6 TI-11 LL SYSTEM DESIGNER ER ( G S E N `1:)E.S I el LEGAL DESCRIPTION: Section i 7 Township Range I MI Parcel # CO I III Cl a, Subdivision Name Division Bfock Lot(s) ,�1 1 Date Logged: t4/- 7�, 14 Logged BY: B E R N T E. k' I CS E 1 • Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG # 7 SOIL LOG #2 6 to 3 in. k F to in. 3 to 3& in. (,. FN. SIR) T 4 to in. .Yo. to 14 in. TM FN. 5 - to in. to in. to in. Anticipated water table77q. in. e.;, Anticipated water table in. Roots to (d Q inches "� +11 Roots to inches Health Dept. Comments 1 _ �rr ,�`�� Health Dept. Comments jt, ' SOIL LOG #3 :y z A .•. jo SOIL LOG #4 L,;; 1, . to in. i co• --5100 •• 11 to in. to in. Af f BERNT PAUL ERICSEN'.. to smm►b.� "�ma .....w0, to in. to in. E .-1: S • 1 (s, to in. to in. .4°lit-ly to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments SOIL LOG #5 SOIL LOG #6 to in. to in. to in. to in. to in. to in. to in. to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments H_1INFOHLTHXSOILFHM1/00 ONSITE SEWAGE DISPOSAL SYSTEM DESIGN 00 I i 7 1 0 L2. Date a2 — I I— I44• Property Owner 674 NNE 7 I4 1 L L. *` System Designer E l ICS E N 'DES i IQ Legal Description: Section (1 Township ,36,0 Range ( VJ Subdivision Name Division Block Lot(s) I. CALCULATIONS If for residential use: Number of Bedrooms: 3 x 120 G.P.D. = 360 total G.P.D. If for non-residential use, attach calculations used to determine G.P.D. Soil texture waste water application rate ,h7 G.P.D./ft. squared (see page 214 of the EPA Design Manual) DRAINFIELD SIZING: Absorption area: 6 30 square feet (total G.P.D. .;- G.P.D./ft. squared) Trench or bed width 3 feet Trench or bed length al ( lineal feet (sq. ft. _ trench or bed widt ��1• II. APPURTENANCES �' �� i" • • Septic Tank Size EX, 1 150 gallons Oq SOY WA1f�� �'�� ill �t'1 Pump Requirements (If Necessary) se 1I i Elevation difference in feet �"' rp BERNTAU ERICSEN C .. •twefa•• i Friction loss -' a►ws �o►bs�� , osommo.EXP T3.,0 9 Pump capacity should be _ G.P.M. at — T.D.H. Number of doses per day Dosing volume gallons Pump chamber size gallons H:'.home\pincntr\in fo hlth\sewd sn DRAINFIELD CROSS SECTION / D 7/71-/L i a" Dr. Rack NATTIE SOIL A A. Trench Depth IN, inches B. : 6 r -_ inches of drainrock below pipe C 7k inches of vertical separation from trench bottom to impermeable L` ma ' ' I/seasonal saturation D.- t r- 'inc'laes of fill (if needed) `E: Trench width t6, inches NOTES: ATTACH DETAILED DESIGN OF SYSTEM