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HomeMy WebLinkAboutSWG2020-00056 - SWG Application / Design - 5/22/2026 . az A COUNTY 415 N 6TH STREET.SHELTON,WA 98584 SHELTON:360.427-9670,EXT 400 COMMUNITY SERVICES BELFAIR:360.275,4467,EXT 400 ELMA:360-482-5269,,EXT 400 t+..irt`cw�rrwny FAX:360-427-7787 On-Site Sewage System Permit: SWG2020-00056 II�I��■■AI■����■��I�II ���■I�I��1��■■ ■ ■ ��I■I I■ I II�■��� APPLICANT PARSONS DANIEL C&CINDY ANN Phone: Address: 10 E Park Rd SHELTON,WA 98584 SEPTIC DESIGNER JAMES MEDCALF Phone: 360-426.9277 Address: PO BOX 1552 SHELTON, WA 98584 I I��I 11��1111�1�1. I��I �■��I�I����I 'I Site Address: UNKNOWN Primary Parcel Number: 420014090040 Permit Description: New 4bd sandlined pressure bed Permit Submitted Date: 02120/2020 Permit Issued Date: 03/"1812020 Issued By: Rhonda Thompson Current Permit Fees Paid: $690.00 (additional fees may be required upon installation of system). Permit Expiration Date: 0311212023 (based on date of inspection) Permit Conditions: 1 Permit must be installed by a Mason County Certified installer unless prior written authorization from Mason County is obtained. 2 Drain field Installation not to exceed designed upslope and downslope depth specified on design form. 3 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 4 Installer Is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 5 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,call 360.427-9670,extension 400. OFFICIAL USE ONLY DATE IECBVFD: MASON COUNTY ',' C � COMMUNITY SERVICES MOuN6. PuN1th(Community Vital Health) ac+ooattovs ,.a�oo Z 455 N.8M SbiN•Sloft&WA 9S9a� _ SWG "16 ON-SITE SEWAGE SYSTEM APPLICATION � o m n PHONE m 1Si - -CD2 MAIUNGADDRESS-STREET,,CIT'Y STATE,ZIP IP CODEE to ç) m SITEADDRESS-STREET,CITY,ZIP CODE (_ NAME OF DESIGNER PHONE I� NAME OF INSTALLER PHONE Q lo PERMNi t'YPE(sskd aie) DRINKING VWTER SOURCE RESIDENTIAL OSS COMMUNITY OSS EICOMMERCIAL OSS 51 PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z (,.. TYPEOF WORK( ) ®PUBLIC WATER SYSTEM llE1NCONSTRUCTION/UPGRADES REPAIR I REPLACEMENT OTHER DETAILS(.eleaUPet D TABLE IX REPAIR (r 0 SURFACING SEWAGE CI EXISTING FAILURE 0 SHORELINE SUfr.LS IGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE' / Q (D R(S)(IF APPLICABLE) ) l oo K i n ' (� IRSCTi SITE AND SITE CONDmONS:(ex.roared Wb) ,. TO t 4 4arw. hero 14 t� 0 l(�v. .cam I $q STEAMSTBEFLAGGEDFROMAWNROADANDTESTHOLESM/STBEFLAOGEDM1THTESTHOLENI RS , 1gM-I 1 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(tor repoding p apomes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING I]BUILDING PERMIT 0 HOME SALE aCOMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS APPROVE MAR 16 2020 2 d MASON COtrnTY I r'ALTH IV RET „��..�... RECORD DRAVANG AND INSTALLATION REPORT SOIL CODES: V=VERY 0-GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FAVALAPPROVAL INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE ss 3 2 ) Zo THIS FORM MAYBE N,ABLE FOR PUSIUC VIEWrI ON THE MASON COUNTY WEBSITE REVISED ttin2M5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 0 0 1 - 4 0 - 9 0 0 4 0 A design will be reviewed when 3 conies of each of the following are submitted: Completed design form that has bee signed and dated. Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all appIiab1e items on checklist. "Cross-section sketch,including all applicable items on checklist. Ibr an the INS/011 OU, Wsb $, a L%MPGPer size: 11"117" Permit Number: SWG 2020 00O 510 Designer's Name: JAMES MEDCALF 8n Applicant's Name: DANIEL PARSONS Designer's Phone Number: 360.428.9277 Mailing Address: E 10 PARK RD Designer's Address: P.O.BOX 1552 SHELTON WA 98584 SHELTON WA 98584 City State Zip City State Zip Treatment Device APPROVED ❑Glendon Biofilter ❑Sand Filter ❑Mound 'Sand Lined Drainfield O Recirculating Filter,Type: O Aerobic Unit Make/Model O Disinfection Unit Make/Model Drainfield Type SON COUNTY ENVIR TS LTI 0 Gravity if Pressure 0 Trench R T p Septic Tank/Drainfleld Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 480 gpd Length 48 ft Daily Flow:Design Flow 360 • gpd Diameter 1.25 in (/ Septic Tank Capacity 1200 gal Number 3 Receiving Soil Type(1-6) 1 Separation i.?j BED ft Receiving Soil App!.Rate 1.0 gpd/ft2 Orifices Required Primary Area 480 ft2 Total Number of Orifices 72 Designed Primary Area 480 ft2 'ameter 1/8 in Designed Reserve Area 480 ft2 Spacing 24 in Trench/Bed Width 10 ft Manifold Trench/Bed Length 48 ft Schedule/Class 40 Elevation Measurements Length 8 ft Original Drainfield Area Slope 0-1 % Diameter 2 in New Slope,If Altered SAME % Preferred manifold configuration used? t 'Yes ❑No Depth of Excavation Up-slOPe 48 in / Transport Pipe from Original Grade msj 45 in Schedule/Class 40 Designed Vertical Separation 12+ in Length 120 ft V Gravelless Chambers Required? ❑Yes ld No O Optional Diameter 2 in Pump Required? 16 Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Differentiain Elevation Between Pump Shutoff and Uppermost Dose quantity 584 t) gal Orifice a $ Chamber Capacity 1200 gal Uppermost Orifice 16 Higher ❑Lower than Pump Shutoff V Pump controls:Please check those required. Capacity(Total Pressure Head 29.2 gpm fi'Timer 6('Elapse Meter Gif Event Counter Calculated Total Pressure Head 14.3 It If Timer: Pump on 2MIN ,pump off 3HOUR 56MIN Comments FIELD SET TIMER AFTER FLUSHING LATERALS AND PERFORMING DRAW DOWN � Ito DESIGN FORM—PAGE TWO Assessor's Parcel Number.4 2 0 0 1 - 4 0 - 9 0 0 4 0 Permit Number: SWG Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 1� Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: 66 Soil logs 11 Trench/bed dimensions and of septic tank i6 Property lines critical distances within layout Qf Drainfield cover id Existing and proposed wells O D-Box/Valve box locations Reference depth from original grade within 100 ft of property 16 Septic tank/pump chamber and restrictive strata: O Measurements to cuts,banks,and locations Gg Laterals,trench/bed,top and surface water and critical areas 16 Observation port location bottom ❑ Location and orientation of 19 Clean-out location O Curtain drain collector curtain drain and all absorption 16 Manifold placement Gd Sand augmentation components Qj Orifice placement Other cross-section detail: ig Location and dimension of Lateral pl t with distance i d Observation ports/clean-outs primary system and reserve arearu to edge of Other Information 16 Buildings 1 i Audible/ referenced Yes No ❑ Direction of slope indicator Scale wi wn on scale If ❑Design staked out 1 f Waterlines bar ❑ O Recorded Notices attached 16 Roads,easements,driveways, O ❑Waiver(s)attached parking st ❑Pump curve attached i d North arrow and scale drawing s` • O O Evaluation of failure shown on scale niNon-residential justification O O Waste strength ❑ ❑Flow : / I The undersigned designer must be noti ' lldler at time o lation ld Yes ❑ No x/1(O zo Signature of Designer 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: 1 Environmental H th Specialist Date 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: ` �Z ✓ 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 'on Fee is required. ZJl o This iiiiiii scanned and available for public view on the Mason County Web site. updated Date:12/7/2015 _, pp �_ \r i1h 'J Wa\ Z --� IFS ♦rrQWU ., Ow v 1 tea. (/) o \ UZtbl � * . �z3 �mffZ`8 O a o Q� 3 cn pp y. 3 \ ♦�i t61 Y yt � \\ '1 �i( � I •Atar e eta a♦ ` mil l I ♦��oyta__ \ 5 ,„�' � 113 I 11' �� ��t� NJ nuor� T i� I nee 4 Itl I < 9 N ' < ZS 1i I I \ \ ' 3_ Iy�'�� g1TT X16 0� I&IJ I WI �i S'ID• \\ P � �� �� \ �U1 � �, �`,� II l*i*�l ��tj �9 14 6 0. 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H APPRC3%iED A AA+ MAR 162020 a } j W no MASON COUNTY ENVIRONMENTAL HEALIH W p RETFY� Pump Selection for a Pressurized System -Single Fancy Residence Project Parsons,Daniel/Parc#42001-40-90040 Lot#4 Paramebrs Db"IPAeee�►itySiae 20D irdes 50 Tra�epot talah Z feet Tralepat Pipe gees dD Trsepat Une Stae 20D hdras DW.ft gl�M MON Nm ----- - - t 5mmm LYt 8 feet Mffiald tegh 8 fed Msirdd Pipe Cues 40 40 Manifold PiFe Slav 20D hde>s Nutba d beds ps Cd 3 Died Lh 48 fed LAaei Pipe Cbes -- 40 Late>31 F'<pe Sim 1.25 ides Odioe Stns 1/8 idres owm '6 2 fed Redd;el Head 4 fed G 30 Fb+v We Nate Yti F ---- -- %Iddat Frim mesas 0 fed Caiotdaorls � Mtinm FkW Rev omm 0.39 — Nurber d Oates pa Zee 75 20 Tate)FbN RAe per Zee 2a2 gm Nurba d LAeeb per Zae 3 ° %Flan Dlfeertbt 1et/I. Orfk a 28 % F= Ira tapart�klody 28 fps - - - --- - Friclfonal Head Losses Lnes tt oAh Dbde?ge 1.7 fed LneshTra ut a3 fed 10 .- - Lars ttradl VAm 0.0 fed Lacs h Menrald 0.0 fed Laos n Idede 0.3 feet --- Laos!►rain+Amer 0.0 fed of Frictiontnsees ao fed Pipe Vokrnes i Vd dTraepat Lns as gob 00 20 40 60 80 100 120 140 Vd d Mer1ctI 1.4 gds NetDischarge(gpm) Vd d LAeds per Zee 11.2 gob Tdd Vcine 181 gab Mnimum Pump Rsgt>lirsmenb PurnpDebt Legend Desigi FbN Re 2a2 gpn PS& SOW Rp Ciiv Totd Dwwric Heed 143 fed 411O1P 115'ZiW 10 RapCum PtrrpOptnplRags 0t0 APPROVED MAR 16 2020 MASON COUNTY ENVIRONMENTAL HEALTH RET s .e,drMyAll gf1O APPROVED P.O.Box 1552 MAR 16 2020 Shelton,Wa 98584 Office: 360-426-9277 MASON COUNTY ENVIRONMENTAL HEALTH RET INSTALLATION NOTES Pressure Distribution System: 1. The prepared site plan is not a survey.It's the owners responsibility to verify property lines prior to installation. 2. Install system during dry weather and soil conditions. 3. Time of installation final inspection and as built will need to be completed by the designer.A fee of$300.00 for this service will apply. 4. Keep wheeled vehicles off the drainfield area before,during and after installations. Tracked equipment only. 5. All ground,surface water and roof drains must be diverted away from the tanks and drainfield.Ensure the final grade slopes away from these areas and water doesn't pool on or around them.Use swales,berms,along with catch basins and tight-lines, curtain drains,ect.to divert ground and surface water. 6. Curtain drains can be no closer than lo'uphill or 30'downhill from the drainfield. 7. Exposed restrictive layers,cuts,banks,ect.can be no closer than 50'downhill from the drainfield. 8. Install two 24"access risers on both the septic tank and pump tank. 9. Make sure access risers are epoxyed or caulked to cast in riser rings on tanks. lo.Lids must form a water and gas-tight seal with the access risers. 11. Install effluent filter specified in this design at the septic tank outlet. 12. Install control panel specified in this design. 13. Install check-ball valve with union on pump discharge in pump tank riser. 14. If drainfield is lower than the pump,install an anti-siphon valve in the pump discharge above the high level mark. 15. Install pump in a vault/pump silo designed to draw effluent from 18"off the bottom of the pump tank. 16.This system must be installed by a licensed septic systems installer. 17. Deviation from this design without prior approval from the Designer and County Health Department will make this design null and void. System Owner Responsibilities: i. Operation and Maintenance is required by the state of Washington and the county for all septic systems. 2. A current list of certified O&M technicians is available from the County. 3. System owners are responsible for having maintenance performed according to the schedule set forth by the County. 4. System owner is responsible for responding to septic issues and alarms in a timely musnner. 5. System owner shall not at any time change or alter setting in the control panel,Only cif ied maintenance providers should perform these changes. 6 System owner agrees to read and abide by information regarding their system in User Manual provided by the County. 1©(cD