HomeMy WebLinkAboutSWG2024-00099 - SWG Application / Design - 3/12/2024 MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 98584
SHELTON:360-427-9679670 EXT 400
In BELFAIR:360-275-4467,EXT 400
01P Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00099
APPLICANT MARTINSON JEFFREY J & DIANE K Phone: 206-714-4569
Address: 21436 4TH PL S DES MOINES, WA 98198
OWNER MARTINSON JEFFREY J & DIANE K Phone: 206-714-4569
Address: 21436 4TH PL S DES MOINES, WA 98198
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
Site Address: 1640 E Benson Lake Dr
Primary Parcel Number: 221035100020
Permit Description: New SFR-3BR Pressure
Permit Submitted Date: 03/12/2024
Permit Issued Date: 03/25/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $805.00 (additional tees may be required upon installation of system).
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Permit Expiration Date: 03/13/2027 (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 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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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- OFFICIAL USE ONLY
3 DATE RECEIVED: _z
MASON COUNTY ' c 000MMUNITY SERVICES AMOU `�ENED REC E
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE
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Diane & Jeffery Martinson (360) 490-0162 c
00 MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE (D E
21436 4th Place S. Des Moines WA 98198 0
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SITE ADDRESS-STREET,CITY,ZIP CODE
1640 E. Benson Lake Dr. Grapeview WA 98546 1 I I"
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NAME OF DESIGNER PHONE f� I N
Dale L. Tahja (360) 426-5940
NAME OF INSTALLER PHONE a I —
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Manke Excavating LLC _ (360) 426-0834
DRINKING WATER SOURCE - O
PERMIT TYPE(select one) Q
KRESIDENTIAL OSS ECOMMUNITY OSS p�7;;COMMERCIAL OSS UtL1 PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z I W
TYPE OF WORK(select one) F,�r PUBLIC WATER SYSTEM ` t
VINEW CONSTRUCTION I UPGRADES ffi REPAIR/REPLACEMENT OTHER DETAILS(Select 8II that apply) 0 TABLE IX REPAIR I N I UT
SUBMITTALS tt�� 0 SURFACING SEWAGE 0 EXISTING FAILURE 66 SHORELINECO
fi DESIGN FORM(REQUIRED) AfLf�SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r0 I
bWAIVER(S)(IF APPLICABLE) 3 0.64 acre 0 I '
•DIRECTIONS TO SITE AND SITE CONDITIONS (ex.locked gate)
Go north out of Shelton on Hwy 3. Turn left on Mason-Benson Rd. Turn left on the 2nd I o
Benson Lake Dr. Property on the left, you'll need to walk around the locked gate. o I 0
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I C)
— — OFFICIAL USE ONLY BELOW THIS LINE
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UPGRADE I FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE ['COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
.3(0 Y +0 440/4___Ji,i- M T 2- 1,
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By LICENSED DESIGNER
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. •
EC OR SIG TUBE DATE APPLICATION EXPIRATION DATE 1-TION APPR VEO/ISSUED BY DATE
, (A, 4tRe\ 2LI
IS F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12lJ2015
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 3 — 5 1 — 0 0 0 2 0
A design will be reviewed when 3 copies of each of the following are submitted:
'1 Completed design form that has been signed and dated. '1 Scaled Iayout sketch,including all applicable items on checklist
'1 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: 11"X 17'
PARCEL IDENTCATION
Permit Number: SWG �%'q — `i 11. Designer's Name: Dale Tahja
Applicant's Name: Diane&Jeffery Martinson Designer's Phone Number: (360)426-5940
Mailing Address: 21436 4th PL.S. Designer's Address: 2450 W Deegan Rd W
Des Moines WA 98198 Shelton WA 98584
City State Zip City State Zip
., DESIGNPARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: N/A
Drainfield Type
❑ Gravity (21 Pressure C>'Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class Sch. 40
Daily Flow:Operating Capacity 270 gpd Length 30, 30,40, 50, 50 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,250 gal Number 5
4 Receiving Soil Type(1-6) 4 Separation 10 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices 47
Designed Primary Area 600 ft2 Diameter 1/8 in
Designed Reserve Area 600 ft2 Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 200 ft Schedule/Class Sch. 40
Elevation Measurements Length 110 ft
Original Drainfield Area Slope 8 % Diameter 1.25 in
New Slope,If Altered 6 % Preferred manifold configuration used? 0 Yes [if No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade pow„-slope 9 in Schedule/Class Sch. 40
Designed Vertical Separation 24 in Length 220 ft
Gravelless Chambers Required? 0 Yes 0 No li 'Optional Diameter 2 in
Pump Required? Eif Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Duff.in Elevation Between Pump&Uppermost Orifice 23 ft Dose quantity 67.5 gal
Drainfield Squirt Height/Selected Residual(head) 6 f} Chamber Capacity(flood) 1,000 gal
Uppermost Orifice I Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
'
Capacity @ Total Pressure Head 22 gpm Q'Timer [Elapse Meter GI Event Counter
Calculated Total Pressure Head 36 ft If Timer: Pump on 3 min. ,pump off 5 hrs. 57 min.
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 0 3 — 5 1 -- 0 0 0 2 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Fii Test hole locations g Drainfield orientation and layout Reference depth from original grade:
g Soil logs 6ti Trench/bed dimensions and g Septic tank
0 Property lines critical distances within layout Pi Drainfield cover
g Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
Ed Measurements to cuts, banks,and locations 121 Laterals,trench/bed,top and
surface water and critical areas Gt1 Observation port location bottom
g Location and orientation of Elf Clean-out location 0 Curtain drain collector
curtain drain and all absorption stf Manifold placement 0 Sand augmentation
components
li Orifice placement Other cross-section detail:
g Location and dimension of 0 Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed
g Buildings Other Information
5Zf Audible/visual alarm referenced Yes No
6if Direction of slope indicator i Scale of drawing shown on scale ( d 0 Design staked out
SI Waterlines bar ❑ ❑Recorded Notices attached
p R0 Waiver(s)attached
g Roads,easements,driveways, •0V Pumpcurve attached
parking ''.; 16
Fil North arrow and scale drawing *� `j"■ Evaluation of failure
s MAR Z [ IU-
shown on scale bar ''
MASON COUNTY ENVIRONMENTAL h ,.{� "residential justification
E TH❑ Waste strength
JBW 0 0 Flow
DESIGN APPROVAL
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The undersigned designer rtiti
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be notified y ins Iler at time of installation lif Yes 0 No
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Signature of Designer Date i 71'
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The undersigned has reviewed this design on behalf of Mason County Public Health and determine 4/bred se '1›,
compliance with state and local o 1 re lations: �\ �;,, �'��
U t 51002 3- 5—� / O`er Dale L.Tan a
Env' 0 1 Health Specialist Date
LICENSED DESIGNER
CAUTION: DESIGN APPRO AL IS VALID ONLY UNDER THE FOLLOWING CONDIT N:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 3 - (3-�7
✓ 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 County Web site.
Updated Date: 12/7/2015
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APPROVER
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FL5O-SERIES ..
TECHNICAL SPECIFICATIONS
EXTERNAL CONSTRUCTION: FL50-Series
Pump Volute and legs-Gray iron casting class 25 PERFORMANCE C i RVE 60 Hz.
Motor Cover-Gray iron casting class 25.All
castings shall be powder coated for corrosion Liters'=r Minute
resistance prior to assembly. 0 38 114 189 265 341
Fasteners-all fasteners shall be 300-series 70 -� 21.3
stainless steel. I �-
60 18.3
MOTOR '
Submersible 3450 RPM,oil filled and hermetically 50 s 0 - 15.2
sealed.Class B insulation rating.17-4 PH stainless I '
steel rotor shaft.Thermally protected on single _s 40 12.2 iu
phase models.Three phase models shall have i
overloads incorporated into the control panel, 30 �____ g.t 5'
properly sized for the horsepower and
amperage of pump.
20 I 6.1
IMPELLER - -
Cast iron-class 25,semi-open design capable 10 3.0
of passing a minimum 3/4"solids. - -
0 0 10 20 30 40 50 60 70 80 90 100
SHAFT SEAL U.B.Gallons Per Minute
Carbon/ceramic unitized design with BUNA N
elastomers and stainless steel housing.
FL50-Series
POWER CORD Model HP Volts Ph Amps Cord Switch Plug-End Wgt
10'cord length-Standard.Quick-disconnect FL51A 1/2 115 1 12 10' Automatic Series Plug 62
FL51 A-2 1/2 115 1 12 25' Automatic Series Plug 64
design allows for easy field replacement. FL51A-3 1/2 115 1 12 35' Automatic Series Plug 66
Optional lengths available per chart. FL51M 1/2 115 1 12 10' Manual Plug 61
FL51M-2 1/2 115 1 12 25' Manual Plug 62
LEVEL CONTROL FL51M-3 1/2 115 1 12 35' Manual Plug 63
Automatic models shall be controlled by an FL51 M-5 1/2 115 1 12 50' Manual Bare Lead 65
adjustable wide-angle style switch sealed in FL52A 1/2 208 230 1 6.5 10' Automatic Series Plug 62
a polymeric float.A series piggy back style FL52A-2 1/2 208-230 1 6.5 25' Automatic Series Plug 64
plug shall be provided to allow for manual FL52A-3 1/2 208-230 1 6.5 35' Automatic Series Plug 66
bypass operation.Not available on 50'models FL52M 1/2 208-230 1 6.5 10' Manual Plug 61
Yp
pFL52M-2 1/2 208-230 1 6.5 25' Manual Plug 62
and 3-Phase. FL52M-3 1/2 208-230 1 6.5 35' Manual Plug 63
FL52M-5 1/2 208-230 1 6.5 50' Manual Bare Lead 65
DISCHARGE
2"FNPT with a 1-1/2"FNPT threaded cast iron
flange provided.
DIMENSIONAL DATA: PPRO VE
Hei ht:16,4" Width:11.2" z •
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MAR
(manual models) 1 2024
Maximum Fluid Temperature: MASON COUNTY EN VI �ENTgI
100°F 40°C Continuous Duty Jew HEALTH
140°F,60°C Intermittent
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Specifications are subject to change without notice.
Liberty Pumps• 7000 Apple Tree Avenue•Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839
www.libertypumps.eom Copyright a Liberty Pumps,Inc.2017
All rights reserved. LLIT 6762 R08/17
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Installation/Maintenance
Pressure Distribution/Trench Systems
1. Install trench bottom level and in contour with the ground.
2. Install drainfield during dry weather and soil conditions.Any soil smearing must be
eliminated by hand raking any areas that get smeared.
3. Install audio/visual high water alarm.
4. Install effluent filter in septic tank outlet or pump vault with 1/16 inch maximum
filtration mesh size.
5. Install check valve in pump outlet line to prevent back-flow into the pump chamber.
6. Install 1/8 inch orifices on 4ft. Centers. Install the orifices pointing straight down( 6:00
o' clock).
7. Divert all storm water run-off away from septic system components.
8. No curtain(french) drains allowed within l Oft. of the up-slope edge of the drainfield and
reserve area.
9. No curtain(french) drains allowed within 30ft. of the down-slope edge of the drainfield
and reserve area.
10.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years.
11.Inspect and clean pump screen as needed.
12.Inspect floats and test high water alarm every 6 to 12 months or as needed.
13.All material and workmanship must meet County and State requirements.
14.Install risers on septic tank and pump chamber.
15.Deviation from this approved design without prior approval from the Designer and
Mason County Health Department will make this design null and void.
16.The prepared Site Plan is not a survey, it is the owner's responsibility to verify property
line locations prior to installation. Any discrepancies must be reported to the Designer
immediately.
17. Locate all utilities prior to starting installation.
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