HomeMy WebLinkAboutSWG2024-00167 - SWG Application / Design - 4/24/2024 WA
MASON COUNTY 415NBTH SHELTON: , 0427-97 ,EXT 404
STREET,
SHEL ON, EXT400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360d62-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00167
APPLICANT SOETE ASHTON &KENDRA R Phone:
Address: 14506 COLONY AVE SE PORT ORCHARD,WA 98367
OWNER SOETE ASHTON &KENDRA R Phone:
Address: 14506 COLONY AVE SE PORT ORCHARD,WA 98367
SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK,WA 98380
Site Address: UNKNOWN
Primary Parcel Number: 122073400000
Permit Description: New 3bd gravity trench with Class B waiver
Permit Submitted Date: 04/24/2024
Permit Issued Date: 05/22/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 (additional rims may ne required upon lnatanaton or system).
Permit Expiration Date: 05/06/2027 (Imsedondate otimpemllmn)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staffil 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 downslop s 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 Asbui/t 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.govihealthlenvironmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
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NAME OF DESGN R,`VE
Jim Zimny 360-516-7287
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DESIGN FORM—PAGE ONE Assessors Parcel Number. 122073400000- —
A design will be reviewed when 3 copies of each of the following am submitted:
•Completed design form that has been signed and dated I Scaled layout sketch including all applicable items on checklist
•Scaled plot plan,including all applicable items on checklist Cass-section sketch including all applicable items on checklist.
This form my be scanned and assailable for public view on the Masco County Web sRa.:lfnrimum paper size: 11"_Y 17"
��1//��'�11 PARCEL IDENTIFICATION
Permit Number SWG or4 aLA- L)O Zl
II, >c Designer's Name: Jim mny
Applicant's Name: Designers Phone Number.
Aston 3oet8 MO-516-7287
Mailing Address, 14508 COLONY AVE SE Designer's Address: 7178 WintlAower Pa NW
® Pon Omard WA 98367 Sesbedn WA SlKiw
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city State Zip City Stale zip
DESIGN PARAMETERS
Treatment Device
O Glendon BiofUter ❑Sand Filter ❑Mound ❑Send Lined Aainfield ❑Recinculamig Filter,Type:
O Aembic Unit Make/Model ❑Diaudeebou Unit MekdModel Other:
Drainfield Type
PlGravity ❑Pressure ffTwwh ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedroom 3 Schedule/Class 3034
Daily Flow:Operating Capacity 270 gpd length 50 ft
Daily Flow:Design Flow 360 gpd Diameter 4" in
Septic Tank Capacity(working) 1200 gal Number 4
Receiving Soil Type(1-6) 4 Separation S CTC ft
Receiving Soil Ap pl.Rate 0.6 gpd/ft' Orifices
Required primary Area 600 ft' Total Number ces NA
Designed Primary Area 600 ft' Diameter a NA in
Designed Reserve Area 600 ftr Spacing NA in
Trencb/Bed Width 3 it - , Manifold
Trench/Bed Length 200 It Sclic L�( R, : ::,^.,n NA
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Elevation Measurements Izng[h�11,/�p_z.j NA fl
Original Dminfield Area Slope 5 /" Diameter NA in
New Slope,If Altered 5 / Preferred manifold configuration used? O Yes O No
Depth of Excavation Upsiopa 10 in Transport Pipe
from Ohgim)Gmde po,.,v., , 12 in Schedule/Class 3034
Designed Vertical Separation is in length ft
Grevelless Clambers Required? ❑Yes O No ElOptioml Diameter 4e in
Pump Required? ❑Yes EfNo Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day NA
DLff.inElevationBetwmn Pump&Uppermost Orifice NA ft Dose quantity NA gal
Drainf eld Squirt Height/Selected Residual(head) NA ft Clamber Capacity (flood) NA gal
Uppermost Orifice O Higher O Lower than Purtm Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head IVA " gpm OTimer OElapse Meter ❑Event Counter
Calculated Total Pressure Head NA fl o NA ,Pump off NA
Comments 00
MAY 14 2024
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DESIGN FORM—PAGE TWO Assessor's Parcel Number. 122073400000- __ — ___
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
El Test hole locations 0 Drainfield orientation and layout Reference depth from original grade:
0 Soil logs III Trench/bed dimensions and 16 Septic tank
0 Property lines critical distances within layout If Drainfield cover
0 Existingproposed wells 0 D-Box/Valve box locations
and p ro p Reference depth from original grade
within 100 ft of property of Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and loons 0 Laterals,trench/bed,top and
surface water and critical areas H Observation port location bottom
0 Location and orientation of Itd Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
0 Location and dimension of pf Lateral placement with distance 16 Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
0 Buildings
❑ Audible/visual alarm referenced Yes No
0 Direction of slope indicator 9 Scale of drawing shown on scale ❑ ❑Design staked out
0 Waterlines bar ❑ ❑Recorded Notices attached
15 Roads,easements,driveways, Lot ❑Waiver(s)attached
parting ❑ ❑Pump curve attached
19 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑Flow
DESIGN APPROVAL
The undersigned designer must be notified by t ler az me of installation C(Yes ❑ No
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Signature of Visilivr -Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
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Environmental Health Speciabit Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Orate Sewage Permit has not expired,the Permit Expiration Date is:
✓ 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 maybe scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
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APPROVED
MAY 14 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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Advantage Perc & Design
Timely•Reason able•30 Years of Local Experience
Construction Notes for 3 Bedroom Gravity System
Gravity w/graveless chambers(Rock and pipe may be substituted)
Install 4-50' Laterals.
Use a 6 hole d-box and speed levelers
Install on 5'foot centers.
Install 12"trench depth on High side of trench and maintain 18"of vertical separation
Install level and along contours.
Install in dry weather only.
Use 1200-Gallon septic and add risers for pumping and maintenance
System designed for typical residential waste strength sewage only.
System designed for 360 Gallons Per Day *4%144
APPROVED
MAY ) 4 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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Advantage Perc&design 41 APDdesiensQicloud.com 9 (360) 516-7287
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APPROVED
MAY 14 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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APPROVED
MAY 14 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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