HomeMy WebLinkAboutSWG2023-00507 - SWG Application / Design - 12/1/2023 MASONCOUNTY 415N6TH 7-967 ,EXT 400
STREET.
SHELTON,
TON,WA EXT SHELTON-
BELFAIR:360-275-4467,EXT 400
v ,3 Public Health & Human Services ELMA:360-482-5269.EXT 400
�: -.. _y FAX: 360-427-7787
On-Site Sewage System Permit: SWG2023-00507
APPLICANT DAVIS RONALD L Phone: 253-350-1903
Address: 91 W HUCKLEBERRY CT ELMA,WA 98541
OWNER DAVIS RONALD L Phone: 253-350-1903
Address: 91 W HUCKLEBERRY CT ELMA, WA 98541
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 301 W Buck Prairie Rd
Primary Parcel Number: 619025000049
Permit Description: 4-bedroom pressure system with sand lined bed
Permit Submitted Date: 12/01/2023
Permit Issued Date: 12/27/2023
Issued By: David Anderson
Current Permit Fees Paid: $780.00 (aaamonanees may be required upon Installation of system).
Permit Expiration Date: 12/12/2026 based on dale 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 Drain field 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
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COMMUNITY SERVICESD o N
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ON-SITE SEWAGE SYSTEM APPLICATION 3 p
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mPLCRNr H.'NI-
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RON DAVIS 253-350-1903 z
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/ W HUCKLEBERRY CT ELMA WA 98541 A
DOE ADDRESS SYREFY rnv.ZIP coEF
301 W BUCK PRAIRIE RD ELMA WA 98541 °'
NAME DI OF SIGNER ,:,N_ I ,
CINDY WAITE 360-701-0205
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TBD
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M"RESIDENTIAL OSS rT COMMUNITY OSS n COMMERCIAL OS 1P PRI i A'C INUIVIGU4LVJELL bPRIVATE TWO-PART Y '+. Z N
2 PUL '.NA EH SYsFE'I
PT NEW CONSTRUCTION UPGRADES I-I REPAIR RF°LACEMENI- ' w , ❑ TABLE I% REPAIR I Ui
0 uEMTTa - URE ❑ SE :I:LII.I CO
UkTPrING SEWAGE ❑ExlsuN FAIT
4 DESIGN FORM I REQUIRED 91 SEPTIC DESIGN RIO'IIRED •:.P a :c r � �
1 WAIVER'S.,IF APPLICABLE' 4 419'x 249'x10.3'x573' n '
_L— _ _ _ _ _ ___ —_—_.. x I 0
GO TOWARDS MATLOCK ON SHELTON MATLOCK ROAD, TURN LEFT ONTO I 0
MATLOCK BRADY ROAD, TURN LEFT ONTO FORD LOOP RD, TURN LEFT ONTO FISH o I o
HATCHERY RD, TURN LEFT ONTO BUCK PRAIRIE RD, LOT IS ON LEFT SIDE, NEW -2
ROAD AND CLEARING. GO THRO THE GATE, HOLES ARE ON THE TOP OF THE HILL I .p
OrE MUST SE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED MIN TEST HOLE NUMBERS. I
CID
CI VIA LINTARY ❑MAINTENANCE PUMPING ❑BUILDING PERMIT ❑H'1ML co aE 0 DI'iPIAINT no” EH
TH1 0 9" 16Com5 Type ' - I
To bottom of hale
7Mz:o- ZL` G(-)(045 7yilel
To bofrovn of Irole-
TM3:0-9BII EC, 645 `yiit /
.7(19Porri 0 hot
SOIL CODES
e. ,.G4FVE:L SEDC _ M SI_i L-CLAY e--Ei r ,i.. 1 IJPITJI o LI., , a
N, YCY YR S YNATURF Z L ���:,� . s. �_ r;
e- 11.V1n3 (2l2a /9 fiZG , /2003
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE ._I
r -r
DESIGN FORM—PAGE ON . DEC / 1 )0231sse sor s Parcel Number: 6 1 9 0 2 — 5 0 — 0 0 0. 4 9
A design will be reviewed when Co m't adi t f the fill mring are submitted
Complete 'desigalorm that has LaPVEDd " Scaled layout sketch. including all applicable items On checklist
Scaled plot plan. including all applicable items on thee- is- v 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. Mai/mum paper via,: I I' 1 I"'
PARCEL IDENTIFICATION
Permit Number: SWG .20-7./-00 S07 Designer's Nana: CINDY WAITE
RON DAVIS 360-701-0205
Applicant's Name: Designer's Phone Sum her.
Mailing Address: 91 W HUCKLEBERRY CT I)csi_grace's Address: 80 E PICKERING LANE
_
ELMA WA 98541 SHELTON WA 98584
City State Lip city State Lip
DESIGN PARAMETERS
Treatment Device
❑Glendon Hlotilter 0 Sand Filter 0 Mound ❑ Sand Lined Drnint cld 0 Rechuulutin Later. I vpa:
❑ Aerobic Unit Make/Model 0 Uislntcction ( nit Nlakc-Atdd Other: SAND AUGMENTED
I7 rainlield Type
D Gravity Li Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule'Class SCHEDULE 40
Daily Flow:Operating Capacity 360 gpd I.cnetli 48.5 it
Daily Flow: Design Plow 480 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1500 gal Gusher 4
Receiving Soil Type(1-6) 1 Supar I - 2 it
Receiving Soil Appl. Rate 1. gpd/I'Ic Orifices
Required Primary Area 480 it' u1145 Of Orifices 90
P F q
Designed Primary Area 485 1t' esi-
pti‘ 0,9 3/16 in
Designed Reserve Area 480 It) v 'p ^a �vv' 30 i❑
\-d
ltench/Bed Width 10 ft • 151 a e m Manifold CII sT DEFST 3
""
Trench/Bed Length 48.5 t t tipAA SCHEDULE 40
Elevation Measurements = vmra u. 1-2 li
Original Drainfield Area Slope Cl ,o Diameter 2 in
New Slope.If Altered o/ Preferred manitoId configuration used? pf Yes 0 No
Depth of Excavation Up-slope 45 BOTTOM OF SAND in Transport Pipe
front Original Grade p„r,,,+lov. SAME in Schedule(lass SCHEDULE 40
Designed Vertical Separation 24 in I.eugth 20 It
Gravelless Chambers Required? ❑ Yes 0 No 0 Optional Diameter 2 in
Pump Required? ❑ Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Numberr of doses clue 4
Diff. in Elevation Between Pump& Uppermost Orifice 8 IT Dose quaiitt 90 sal
I)rainfield Squirt height'Selected Residual (head) 2 ft Chamber(rapacity (flood) 1500 gal
Uppermost Orifice g I ligher 0 Lower than Pump Shutoff Pump controls: Please check those :Nutted.
Capacity(i Total Pressure I lead 47.2 gpni Eff rimer fifblap,se Meter RrI-vent C minter
Calculated dotal Pressure Head 10.72 ft If I inter: Pump on _ . frump Off
Comments
CONCRETE TANKS REQUIRED, CONTROLS TO BE SET AT TIME OF INSTALLATION, INSTALL 30
MIL LINER 6" INTO SAND LAYER ON ALL SIDES OF BED.
11 I . . ) - t ,
DESIGN FORM —PAGE TWO Assessor's Parcel Number:6 1 9 0 2 - 5 0 -- 0 0 0 4 9
Permit Number: SW(1
` DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations RI Drainfield orientation and layout kclercnce depth from ( rnnina1 grade:
61 Soil logs g Trench/bed dimensions and
Septic tank
O Property lines critical distance. within lac out
p lY 21 Diuiuheld cover
❑ Existing and proposed wells g D-Bo/Aale box locations Reference depth liana original grade
within 100 ft of property ¢1 Septic tank/pump c ham her and restricliw e male:
❑ Measurements to cuts, banks, and locations fy7 Laterals. tiench4sd, top and
surface water and critical areas g Observation port location !sot tom
❑ Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Maiyilbld placement g Sand augmentation
components
0 Orifice placement Other cross-section detail:
g Location and dimension of g Observation ntrslclrm-outs
g Lateral placement ycith distance
primary system and reserve area to edge of bed
66 Buildings Other Information
rif Audible/visual alarm rclernmed Yes No
liff Direction of slope indicator
lg Scale of drawing shown on scale i 0 Design staked out
g Waterlines bar 0 0 Recorded Notices attached
g Roads, casements.driveways. 0 0 Waiyells) attached
parking 0 0 Pump curse attached
g North an'ow and scale drawing 0 ❑ P.y aluail n of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
O 0 Fluty
DESIGN APPROVAL
The undersigned designer must be no . - d by in aller at time of installation It Yes ❑ No
d. (JG,,I, /21 /yJ 20Ja
Signalof Designer / Date gar
The undersigned has reviewed this design on behalf of Macau Count) Public I Ic Ith and deter'FPP4 yip
compliance with state and local on site rot Dhotis: e R Lli 1 -
1i (Z71202j ore 2) 2023
Environmental Ilealth Specialist Uate
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER 'FIll FOLLOWING CONDITION -'''A( °
✓ The design is stamped-Approved'. by Mason County Public I Icaltlt 7
/ The ensile Sewage Permit has not expired.the Permit I-xpiratiou Date is^. I 1 / f7. /zo C
✓ Drainfield site Conditions have not kcen altered to adversely a fled Conditions of design approval.
Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public I Iealth.
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site.
undmad Date: I:P72015
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1. Proposed residence
2. Existing garages/shops
measure . 1015q ` 3. 1500 gallon septic tank
l4. 1500 gallons
pump tank
5. 2" schedule 40 transport line
6 5 6. Valve box
7. Clean out
1S % � ` 8. Audio/visual alarm
9. Proposed primary drainfield\Nr.noro
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\, 10. Reserve drainfield
11. Water line
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U (Feet) (Inches) Spacing " Orifices feeder line of end of lateral
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2 48.5 582 30 20 0.5 0.5 48.5
3 48.5 582 30 20 0.5 0.5 48.5
4 48.5 582 30 20 0.5 U.S 485
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TRANS LENGTH 20
GPM 47.2
K (2" SCHEDULEN 40) 284.5
FRICTION LOSS 0.7207265
Squirt 2
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TDH 10.720727
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awe 4 Installation Notes �Ec z 7 Z�c3'::::Sand Augmented Pressure Distribution System '' g `
61902-50-00049 301W Buck Prairie Rd
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. C-ee sand require or course sand required
3. Concrete tanks required
4. Pump controls to be set at time of installation .
5. Install system during dry weather with acceptable soil conditions
6. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
7. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
8. 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.
9. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
10. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
11. Install access risers on the septic tanks, valve box and ends of laterals.
12. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
13. Lids must form a water and gas tight seal with the access risers
14. Install effluent filter specified in this design at the septic tank outlet.
15. This system must be installed by a Mason County Certified installer.
16. Self-install systems must meet Mason County procedures.
17. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
18. 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.
19. Install laterals with contour of the ground
20. Install trench bottoms level and always maintain a minimum of six inches into native soil
21. Install locator tape on top of all drainfield laterals
22. Install threaded clean outs at the ends of all la (caps must extend to within six
inches of finish grade and be in a valve box ho on diagram.
23. Install audio/visual alarm P,ir ym
24. Filter fabric required over drain rock prior lie the drain rock extends above
the original grade, run the filter fabric at ~ F
i es n he trench wall.
tio
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L'CEND DESIGN 162-3 i b 1I
A d
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�lascv� DEC2 ? 2023
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System Owner Responsibilities: OJ u4Irh'A
''
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 system.
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