HomeMy WebLinkAboutSWG2022-00046 - SWG Application / Design - 2/7/2022 415 N BTH STREET,SHELTON.WA 985"
MASON COUNTY SHELTON:360427-9670,EXT 400
COMMUNITY SERVICES BELFAIR:360-2754467.EX74W
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FAX:3W427-7787
On-Site Sewage System Permit: SWG2022.00046
APPLICANT RADTKE JERRY P&CYNTHIA A Phone: 1.360.490.2869
Address: PO BOX 1473 SHELTON,WA 98584
OWNER RADTKE JERRY P&CYNTHIA A Phone: 1.360.490.2869
Address: PO BOX 1473 SHELTON,WA 98584
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON.WA 98584
Site Address: 1052 E Island Lake Dr
Primary Parcel Number: 420014190042
Permit Description: new 4br sfr-Sand Lined Bed
Permit Submitted Date: 02/0712022
Permit Issued Date: 04113/2022
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $740.00 (addmonai fees may na required upon mstananon or system).
Permit Expiration Date: 02/09/2025 (based on date or mapeamr)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing,and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED,
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: www.co.mason.wa.uslhealthlenvironmentallonsiteloss-Inspection-request.php or call:
3604279670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY c >
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SWG IC. -000 o A
ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHpE m
Jerry Radtke - (253) 888-9073 c
MVLINGADDRE56-STREET LITY,5iATE 9P CGOE
P.O. Box 1473 Shelton WA 98584 m
SOEACORESS-STREUCI ,,ZIPCCOE
Ilr)5k E Island Lake Dr. Shelton WA 98584 I j'
NAM1£OF CE mm PHOME IN
Dale L. Tahja (360)426-5940
INNS OF IN$IµLER PHONE I O
Manke Excavating LLC (360) 426-0834 I o
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FX RESIDENTIALOss FTCOMMUNITYOSS 1l COMMERCIALOSS WPRNATEINDIVIWALWELL t7PRNATETNO-PARWWELL z I �
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jfNEWCONSTRUCnON/UPGRADES 1=1REPAIR/REPUCEMEM OiIBY DETALLS pWtl MtlW MpH OTABLEIXREFAIR I IA
WBM TH ❑SURFACING SEWAGE O EXISTING FAILURE SHORELINE
DESIGN FORM(REQUIRED) RfSEPTICDESIDN(REOUIRED) KDR0CM, LOT8� 17
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fl WAIVER(S)(IFAPPLICABLE) 4 0.31 acre x
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DIRECOI STOSREANDSITECONDMOgS (u..U[ ")
Property directly south of 1090 E. Island Lake Dr. (new driveway).
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 0 0 1 — 4 1 — 9 0 0 4 2
A design will he reviewed when 3 conies of each of the following are submitted:
Completed design form that bass,been signed and dated. I 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 pope, size: 11"Y17"
PARCEL IDENTIFICATION
Permit Number: SWG Designer's Name: Dale L.Tahja __
Applicam's Name: Jerry Radtke Designer's Phone Number: (360)42"940
Mailing Address: P.O.Box 1473 Designer's Address: 2450 W. Deegan Rd.W.
Shelton WA 98584 Sheaon WA 98584
City State Zip city State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Inolm. OSand Fater ❑Mound 56 Send Lined Drambeld OReolreh&rl Fib.'Type'.
❑Aerobic Unit MakdModel ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity Ef Pressure ❑Trench m Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Clan Sch.40
Daily Flow:Operating Capacity 360 gpd Length 54 R
Daily Flow:Design Flow 480 gpd Diameter 1.25 in
Septic Tank Capacity(working) 11200 gal Number 3
Receiving Soil Type(lb) 1 Separation 3 R
Receiving Sail Appl.Rate 1.0 gpd/ftr Orifices
Required Primary.Area 480 Al Total Number of Orifices 81
Designed Primary Area 486 ft' Diameter 1/8 in
Designed Reserve Area 486 ft' Spacing 24 in
Trench/Bed Width 9 aft p R A V E Manifold
Trench/Bed Length u SchedulH� NT Sch.40
Elevation Measurements RI�1g3m J�J([
8 R
Original Drainfield Area Slope 10 aep5( COUN ��eassI���Qaa�fMENTAL HEALTH 2 in
New Slope,If Altered 4 % plAsm rnm '64old configurstionused? OYm RfNo
Depth ofExcavetion ePv^re 55 in Transport Pipe
from Origin Goode Ib..n-snipe 45 in Schedule/Class Seh.40
Designed Vertical Separation 24 in Length 100 ft
Cnavelless Chambers Required? ❑Yes 511 No O Optional Diameter 2 in
Pump Required? 16Yes ONo Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 10 R Dose quantity g0 gal
Drainfield Squirt Height/Selected Residual(head) 6 ft Chamber Capacity(flood) 11200 gal
Uppermost Orifice I KHigher O Lower than Pump Shutoff Pump controls:Please check those required. y�
Capacity @ Total Pressure Head 38 Elan d-rimer (i�Elapse Meter as Evem Counter
Calculated local Pressure Head ft if Timer: Pumpun 2.4 min. pip og 5 hrs.57.6 min.
Commems
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 0 1 — 4 1 -- 9 0 0 _4 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ill Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
It Soil logs Rf Trench/bed dimensions and Ed Septic tank
is Property lines critical distances within layout 19 Drainfield cover
lit Existing and proposed wells Rf D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 56 Septic tank/pump chamber and restrictive strata:
16 Measurements to cuts,banks,and locations 69 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
10 Location and orientation of 19 Clean-cm location ❑ Curtain drain collector
curtain drain and all absorption 56 Manifold placement 19 Sand augmentation
components 19 Orifice placement Other cross-section detail:
19 Location and dimension of Ed Lateral placement with distance Rf Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
m Buildings Rf Audible/visual alarm referenced Yes No
ld Direction of slope indicator it Scale of drawing shown on scale 51 ❑Design staked out
lid Waterlines ❑ ❑ Recorded Notices attached
Id Roads,easements,driveways, p P R O V1` En
❑ ❑ Waiver(s)attached
parking ❑Pump curve attached
lid North arrow and scale drawing APR 1 3 2022 ❑ ❑Evaluation of failure
shown on scale bar AidgSON COUNTY ENVIRONIdENTAL HEPL'r Non-residential justification
❑ ❑Waste strength
JBW ❑ ❑Flow
DESIGN APPROVAL
The undersigned designer m be notified d 'ns en a[time of installation Ef Yes ❑ No
Signature ofDesrgner � Date
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The undersigned has reviewed this design on behalf of Mason County Public Health and dete _ •U
compliance with state and I ne regulations:
v rc enta ealth Sp ali t`i Date '+ '
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CAUTION: DESIGN AP OVAL S VALID ONLY UNDER THE FOLLOWING COND
✓ The design is stamped" pproved"by Mason County Public Health. S;t;
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: —���S �• !
✓ 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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Modal 10' 291-0 3VA 60'(-M MWo►VYWtlr:10'(model 29T)
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291 Standard Optimfal Optional Optional Model 291,293...14'
293 Standard Optional Optional WA Model 297 VMF...10"
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Manual, - Wideangle - wide angle VMF48ades
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Installation/Maintenance
Pressure Distribution/Bed Systems
1. install bed 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 118 inch orifices on 24 inch. 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 1011. 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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PPROVE ®
APR 132022
MASON COUNTY ENVIRONMENTAL HEALTH
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02' ALE L. TAHJA
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