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HomeMy WebLinkAboutSWG2023-00275 - SWG Application / Design - 6/27/2023 IMASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 s SHELTON:360-427-9670, EXT 400 0. (` • BELFAIR:360-275-4467, EXT 400 t Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00275 APPLICANT Steve Cromwell Phone: Address: 1121 SE Phillips Rd SHELTON, WA 98584 OWNER CROMWELL TIMOTHY MJ & SUMMER R Phone: Address: SEPTIC DESIGNER CINDY WAITE- Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 1121 SE Phillips Rd Primary Parcel Number: 320357500220 Permit Description: New 3bd Pressure trench Permit Submitted Date: 06/27/2023 Permit Issued Date: 07/14/2023 Issued By: David Anderson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/29/2026 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY DATE RECENEO ` - y1 1 — �� (mow/ Q]G� !n D REC ED: RECEIVEDCOMMUNITY SERVICESI0T • Public Health(Community Health/Environmental Health) --- Y0 360 427 9670,ext.400 or 360 275-4467,ext.400 - /` /' 41S N.6th Stteet.Shelton,WA 98584 \Vt/G / /, �2 (O c: J - 2 V O� U V O Z vi ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT m STEVE CROMWELL 509-200-1573 z c MAILING ADDRESS-STREET CITY.STATE ZIP CODE g 1121 SE PHILLIPS RD SHELTON WA 985.8.4 co 73 SITE ADDRESS-STREET.CITY.ZIP CODE SAME lc...) NAME OF DESIGNER FMONL I N CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE v I O TBD PERMIT TYPE.(select one) DRINKING WATER SOURCE - W `ir RESIDENTIAL OSS F COMMUNITY OSS ki COMMERCIAL OSS 6 PRIVATE INDIVIDUAL WELL W.PRIVATE TWO-PARTY WELL Z TYPE OF WORK(select one) PUBLIC WATER SYSTEM t iir NEW CONSTRUCTION I UPGRADES ff REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I �l SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE I�1 DESIGN FORM(REQUIRED) IKSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE CO I C31 O ❑ WAIVER(S)(IF APPLICABLE) _ 3 331'x653' DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.locked gate) C] GO SOUTH ON OLYMPIC HIGHWAY S, TURN LEFT ONTO CRAIG RD, TURN LEFT I o ONTO COLE RD, TURN LEFT ONTO LYNCH ROAD, TURN LEFT ONTO PHILLIPS RD, r GO TO ADDRESS ON THE LEFT. FLAG ON DRIVEWAY, FLAG ON GARDEN POLE, o Iv TURN RIGHT FOLLOW TO END OF GARDEN, SOIL LOGS ON THE RIGHT. I Iv SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I Q — OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITION6o 1 rj E 0 W E.: 4T' 0- S3 \h (-YY\,5 � 33-i- _ JUN 27 2023 i Z - ✓ ' 'SI �A i 311.4- ►"e-5+. - ✓ l r � By -- • oV1 l A T/r- ) RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREME$.Y R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 1(�/VAA b J--11 (Vt I')--(4) THIS FORM MAY BE SCAIgNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON OC.UNTY WEBSITE REVISED 12I72015 • DESIGN FORM—PACE ONE Assessor's Parcel Number: 3 2 0 3 5 — 7 5 — 0 0 2 2 0 A design will be reviewed when 3 conies 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. ''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: I I"X 17'. PARCEL IDENTIFICATION Permit Number: SWG__ _ Designer's Name: CINDY WAITE Applicant's Name: STEVE CROMWELL —_ Designer's Phone Number: 360-701-0205 Mailing Addr . 1121 SE PHILLIPS RD Designer's Address: 80 E PICKERING LANE :.. SHELTON WA 98584 SHELTON WA 98584 yam 'll/ ity State Zip City State Zip '� ` DESIGN PARAMETERS ‘sitD Treatment Device ❑Glenlikia ' er 0 Sand Filter 0 Mound 0 Sand Lined Urainlield 0 Recirculating Filter.Type: •ohic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity llf Pressure RI-French 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of'Bedrooms 3 c/ Schedule/Class SCHEDULE 40 Daily Flow: Operating Capacity 270 ‘1/ Length 25,25,50,50 ft Daily Flow: Design Flow 360 gpd Diameter 1.25 in-' Septic Tank Capacity(working) 1200 gal " Number 4 Receiving Soil Type(1-6) 3 ✓ Separation 5 ft Receiving Soil Appl. Rate .8 gpd/ft Orifices Required Primary Area 450 tt't 7 Total Number of Orifices 40 V Designed Primary Area 450 tt- Diameter 3/16 in iDesigned Reserve Area 450 ft2 / Spa ..0- - 48 in Trench/Bed Width 3 ft `'''-- - (11• Manifold Trench/Bed Length 150 ft Mule �.t. SCHEDULE 40 Elevation Measurements ,r.4s"0 To vt 1-2 ft Original Drainfield Area Slope <1 % r i i / f' mot . 2 in New Slope, If Altered % P�� �. ' A t o x1. ation used? C�Yes 0 No Depth of Excavation tip-slope 8 - 7 �N- 4'of I, Ir �c t„ Transport Pipe from Original Grade Down-slope .....++•+�.+. ��.. .�.�+ 8 tt Egmfdee9class SCHEDULE 40 Designed Vertical Separation 24 in Length 10-15 ft ttu< L,.J V Diameter 2 in Pump Required? Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 AO/ g Diff. in Elevation Between Pump& Uppermost Orifice 6 ft Dose quantity 45 al Drainfield Squirt Height/Selected Residual (head) 2 ft Chamber Capacity(flood) 1200 gal Uppermost Orifice rtf Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity a,Total Pressure Head 23.6 , gpm firfTimer gElapse Meter GfEvent Counter Calculated Total Pressure Head 8.19 ft If 'Timer: Pump on , Pump off Comments CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, CONTROLS TO BE ,e SET AT TIME OF INSTALLATION, KEEP SYSTEM IN TOP 8" OF ORIGINAL GRADE DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 3 5 -- 7 5 -- 0 0 2 2 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lifi Test hole locations7a%r„ l Qj Drainfield orientation and layout bb Reference depth from original grade: Pi Soil logs L ili,K` 0 Trench/bed dimensions and Ei Septic tank Ed Property lines critical distances within layout Q( Drainfield cover 0 Existing and proposed wells Gi D-Box/Valve box locations within 100 ft of property fit? Septic tank/pum cham�ieeto Reference depth from original grade and restrictive strata: Measurements to cuts, banks, and locations f,[„f eArv, lig surface water and critical areas lZ Observation port location Laterals,trench/bed,top and bottom 11tt.L,ocation and orientation of 121 Clean-out location 0 Curtain drain collector curtain drain and all absorption Q( Maniliikl placement 0 Sand augmentation components ili Pi Orifice placement Other cross-section detail: Location and dimension of primary system and reserve area Lateral placement with distance lid Observation ports/clean-outs to edge of'bed B1 Buildings Other Information It Audible/visual alarm referenced Yes No Direction of slope indicator lief Scale of drawing shown on scale It 0 Design staked out 0 Waterlines bar ❑ 0 Recorded Notices attached 0 Roads, easements,driveways. 0 0 Waiver(s)attached parking ❑ ❑ Pump curve attached WI North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notifie by insta er at time of installation It Yes 0 No ea,di q 2-4/202 , Signature( I Designer Da The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be inD compliance with state and local on-si e ilations: ?�j y JUL 1 4 2023 En '•onmental Elealth Specialist ate TY ENVIRONMENTAL HEALTH DJA CAUTION: DESIGN APPROVAL 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: _✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. /A�n V 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 County Web site. Updated Date: 12/7/2015 r m • . m • I:•o y.. • ,,..... -_ . 400„..;;-:.., • i1,,,,4'• I J' N .a cn m' 11_ w p� VC JUL 14 2023 SON COUN �ED�A NMENTAL HEALTH co 1.J W y -. J -4 Ff 3 N i Y lisaLtheat: , I,,;:R.zi I______ - J OF i Or e 1 IV i e/ ..9 . IA\,, 0i1 r _. 0411 004 8 .''#,1 (• O CINDY E WAITE G r0 LICENSED DESIGNER 4 :. Xr _ `� F �'• EXPFRE: ) 10 `\`�, . a. fD H G00. fo p ' <. 7 ,O ,mn u O �' JUL 14 2023 Southeast Ashley Road COUNn,EN ,RONMENTAIVET HEALT H 1 b,. Mg ,a,n ,.4 4 Ot 14,0 6 ci;: C4 ' ,, k r..° R,ersJt ,M• N o Q ki P w (_:.9 12t- �t • ed• e p w r ro t,„ 1 0 PIA At r ..e.j ��,, .Lc.1 •.... • �d ur. At Me � � 0 �-vo am.► �� -nail a `-1 111 14. 3 -b C �A © ec4r<<a9 "' Ly N N. :4 *0U c Q /�o� ,..thealuulpsR,y 4 3�C ►Z4._______wev.comei.*•40001 v---- eJ ex �fL�a/ AO . 00418 +k / )� , °�+ s \\1/ cf CI j LI '�9 0ESIGNE '8 `JA EXPIRES °S/tt), - i eipti 0...if It-erei te..1 Z1.401. 4... -/-. O l-.k_ T4,, is 'b\ Gie4dr0II/ vr.tocx,0 4ta,,..,,, n.... $tsl. .,`j APPROVED 1 l`�,� z JUL 1 4 2023 r• N COUNTY ENVIRONMENTAL HEALTH Eg. DJA is, I, i i ni. 4 D fixtrL)/te I 2 i lic 1,4. La ya trt L-64 49) /a' ' i 20' i -70 • l C "::: /0 62-\,9 oh het_ Va�re.l /deg 4 G, - pi)aidb- IG2 1/a 102 C ,4 eD? it ' 49/4i Daft. - &4141-44 ilen, 2fi1-A4ellyC *frc as 4v ?Am vG^44 f'�{•� t•J �-c. back P.t, yid l.vw� s,-3 ve a— 22 L.. lkf{�/ v .e.,40/1.c,wcolf v c 14-. Fili-... At Ad I Lj kt4"31 ti ora. i,� 4/ - C 4 K.!G • a a'„ f�� / .oZ' ,tc Il A/ 14414 ,! �� 24 Id43tiy' �� N(4 -1-0 s--tile 51004 ,' O ND E "' 1 ,, LIC DESIGN - n.` E.WWI'. 05.10, 1 • Lateral# Length Length Orifice # Distance from Distance from end Length# # (Feet) (Inches) Spacing" Orifices feeder line of end of lateral 1 50 600 48 13 1 1 50 2 50 600 Y8 13 1 1 50 3 25 300 4?" 7 0.5 0.5 25 4 25 300 tie 7 0.5 0.5 25 Total 150 40 150 TRANS LENGTH 20 A pp GPM 23.6 "O V K (2" SCHEDULEN 40) 284.5 JUL �® FRICTION LOSS Q; sj 24- NsoN„O� , 4 ?0?3 Squirt 2 N Tl'FNv/RON Elevation difference 6 TDH 8.199924 Djq �FNTq(H Cry' tt V I1 V Nr-/IV tY 4e V 7A; ,r - ,r tie' dv 2 t Lai 1a � 7 . i •, £. /. i L. 3 ,•J 41 ORt eeiCivI ill Allr #1 k..*. T'A FTA \\V r� 51ia. 8 c ,`,1 rY_ / o ,IN. AITE , LIC . ED DESIGNER \r\\ \ \'\\ ,I ar AM \\M EXPIRES 05.,y J7RON° 14?3 MASON COUNTMENTAL HEAL r DJA THREADED CAP OR PLUG p1L v&u('- 6.. PVC 11 LAST ORIFICE; WITH ORIFICE SHIELDS IF ORIFICE ORIENTATION IS BACKFILLj I UPWARD MATERIALof \/\/, t O .jo 0000o O °O00 1 PRESSURE LATERAL \\\ ,00.o o;o02o o AS SPECIFIED PVC HOSE OR /\\•o f o C LONG SWEEP \/ °"° *• °O°o ELBOW \\ /\ DRAIN ROCK; 6" MIN. �\/� \\\,\ \ /\/ BELOW PIPE UNDISTURBED SOIL 6" PVC WITH DRAIN HOLES; EXTEND TO BOTTOM OF GRAVEL TO MONITOR PONDING INFILTRATIVE SURFACE 1MONITORING/CLEANOUT PORT(EXAMPLE) e NDY10 E 1 118 ET1 ?i LICENSE �E'SS� NN R i ExPikES 05,t0: • 1 APPROV JUL 1 4 2023 MASON COUNTY ENVIRONMF.N;�L k`ALT�' DA TO DRAINFIELD RISER WITH LOCKING LID PRESSURE LATERALS A A .irm, mit _ FLOW CONTROL VALVE SLOTS AS II REQUIRED Ili or / LONG SWEEP90 \/ •0� •f0*•��.p. .Ivo, •0 •/%\ DEGREE ELBOWIii ..___ _ ,//\ Oo•0•`gyp �.. 0� \i,//\,. , ,.// //\, ,//\,//,//,/ SECTION A-A WASHED ROCK _ DRAIN SUMP Ao ' PO IPE FROM HAMBEID DESIGNESA ` EXPIRES 0510 16\\EI Dlire_j COA,ht•/ 3bit_ , q a p'�y f !1"44A,,; .41 G ar r tY(/ bcrrc.. (s.l:/_' . Ot - • I reel q It.rvel SECURED LID WITH GAS TIGHT SEAL ��ic,,,.., / 24"DIAMETER \ J � ACCESS RISER \ U� MMIllmmomi aii M 1 4 ?023 FIN19Tf 6RAIDE --_--- , ���JUNTYEN�� G(<2' -' o J�NM NTA HEALT mil �' y - -_y TO PUMP FROM SEWAGE j �: ILL CHAMBER SOURCE FLOATING MAT APPROVED EFFLUENT FILTER _____ SEDIMENTS SEPTIC TANK (TYPICAL) SECURED)ID WITH GAS TIGHT SEAL THREADED UNION 24"DIAMETER ACCESS RISER _FINISH GRADE SERVICE -� VALVE* FROM SEPTIC 6e//Z �` �` �'; TANK r ' ill �� Iti __ ,i j�me TO GRAINFIELD . EMERGENCY STORAGE , HIGH WATER ALARM LEVEL 11 * ANTI SIPHON �J/ ,� VALVE / i1`, WORKING VOLUME INDEPENDENT NORMAL TIMER OFF LEVEL r FLOAT STEM /��� e FOR FLOAT ar�,of hnsa�`1I DIML•S SHROUP * --� / MOUNTING ti ,i i z� �/ /� I CHECK VALVE* i 51(� , 1, I�.E%IMENTS 18 Irao`er IN 1111Ar1�c CENTRIFUGAL . �-fill SUBMERSIBLE LIC ED DESIGNER f PUMP / owtitls ,,snoAV) (TYPICAL) I F" '1. *AS NEEDED 0 Arcee Jr / ,C . . Lbfr Pumps A Family and Employee Owned Company Pump Specification fl APPR® FL30- Series ��� L 1/3 HP Submersible Effluent Pumps MASON JUL 42023 OUNTy,�D jq NMENTAL H;i: 0E,,a4 `� • -r LITERS PER MINUTE ' 0 50 100 150 200 `_ 'I �� I` 25 Fes_ 20 il ih,... II II 6 1 III 15 to rr F w w I— w w LL z 4z 4 0 1� W = \ Of VnSy2 yA�i J J k474,1' �/ //V/w1 ro 10 o �4, .9 = A. 5100 O� INDY 4^ ITE �Q a LIC DESIGNE{{�� LTtCTt LA'11<L. Uj IIi 'UI VI kij 0 10 20 30 40 50 60 GALLONS PER MINUTE Copyright ro Liberty Pumps,Inc.2019 All rights reserved Specifications subject to change without notice FL30-Series Pi R9/27/2019 7000 Apple Tree Avenue Bergen NY 14416 • Phone 800-543-25.50 • Fax 585-494-1839 • Email Ltberty@GhertyPurnps.corn I Web www.LibertyPuntps.com Installation Not �P� es rx 0 V Pressure Distribution System: Mqs L 14 2023 32035-75-00220 1121 SE Phillipa Rd ONC�UN"FHA/Ro 1. The prepared site plan is not a survey. It's the owner's responsibility to verify propertyyNrgC HEq(ty lines, utility lines (water, sewer, ower, phone and gas) p prior to installation. 2. Gravel base drainfield reequired 3. Extreme care to be taken when clearing, remove no top soil. 4. Concrete tanks required 5. Pump controls to be set at time of installation. 6. Install system during dry weather with acceptable soil conditions. 7. Keep system in top 8" of original soil 8. The tanks may be moved as necessary to accommodate building requirements. Septic tank location must meet all required setbacks. 9. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only, 10. All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. Ensure the final grade slopes away from these areas and water doesn't collect on or around them. Use swales. berms, catch basin and tight lines, curtain drains, etc. to divert all waters. 11. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 12. Exposed restrictive layers, cuts, banks. etc. can be no closer than 50' downhill from the drainfield. 13. Install access risers on the septic tanks. valve box and ends of laterals. 14. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 15. Lids must form a water and gas tight seal with the access risers. 16. Install effluent filter specified in this design at the septic tank outlet. 17. This system must be installed by a Mason County Certified installer. 18. Self-install systems must meet Mason County procedures. 19. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 20. This design was sized per Washington Administrative CodeWAC246-272A-0230. The operating capacity is based on 45 gallons per day per capita with two persons per bedroom. The minimum design flow per bedroom per day is the operating capacity of ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety gallons per bedroom per day. 21. Install laterals with contour of the ground 22. Install trench bottoms level and always ain 'n a minimum of six inches into native soil. 23. Install locator tape on top of all drainfi lat / 24. Install threaded clean outs at the en .fF Lj Is (cap must extend to within six \ inches of finish grade and be in a 4-e:0_ A s n o is r e 25. Install audio/visual alarm. � Z s ,1 �\ 5100 8 'F o C DYE E I3 yJ LICE SED E NER 4 LxPIRLS 05/10/ 26. Filter fabric required over drain rock prior to backfilling. If the drain rock extends above the original grade, run the filter fabric at least 2 inches down the trench wall. System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank and pump tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed annually. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owners shall not at any time change or alter settings in the control box. 6. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 7. Keep the flow of sewage at or below the approved design operating capacity. 8. Keep waste strength at residential waste strength parameters. 9. Spread loads of laundry through the week. 10. Do not use excessive bleach or detergents with added whiteners. 11. Do not shower, do laundry and dishwasher at the same time 12. Antibiotics can kill or impair the biological process in the septic tank. 13. Leaky plumbing can hydraulic overload your on-site septic sy�t .P �� BONE® J U L 1 4 2023 MASON COUNTY ENVIRONMENTAL HEALTH DJA f`Yi \(1(\\(17 ASy i 5 41 O I E W ITE ))1. LIC SED DESIGNER ExPipLS 05,10,