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HomeMy WebLinkAboutSWG2022-00297 - SWG Application / Design - 5/20/2022 ' 415 N 6TH STREET,SHELTON,WA 98584 , MASON COUNTY SHELTON:360-427-9670,EXT 400 l! A , COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 it j Budding,Planning,Envuaim¢ntal Health,CoromunnyHealth FAX:360-427-7787 • On-Site Sewage System Permit: SWG2022-00297 APPLICANT HIDDEN HAVEN ASSOCIATES LLC Phone: Address: PO BOX 1134 NORTH BEND, WA 98045 OWNER HIDDEN HAVEN ASSOCIATES LLC Phone: Address: PO BOX 1134 NORTH BEND, WA 98045 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 1700 E SHELTON SPRINGS RD Primary Parcel Number: 420013300060 Permit Description: repair 3br gravity bed Permit Submitted Date: 05/20/2022 Permit Issued Date: 05/31/2022 Issued By: Jeff Wilmoth Current Permit Fees Paid: $740.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/26/2023 (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 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.us/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. - --- OFFICIAL USE( MASON COUNTY PUBLIC HEALTH DATE RECEIVED' ,1 Z,-Z, Cn D ONSITE SEWAGE SYSTEM APPLICATION A14E6 RECEIVE CO Cn m 415 N 6th Street,(Bldg 8) Shelton WA,98584 • Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S"p G /, II 661, 7 SW �/ th Z -V APPLICANT PHONE > HIDDEN HAVEN ASSOC, LLC 206-755-1000 m m MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE (— PO BOPX 1134 NORTH BEND WA 98045 c SITE ADDRESS-STREET.CITY.ZIP CODE CO 17oo E SHELTON SPRINGS ROAD SHELTON WA 98584 m NAME OF DESIGNER PHONE CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE I N T;BD o l o CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE ❑ NEW CONSTRUCTION El RVHOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL U) mJ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z Id TABLE 9 REPAIR 0 SINGLE FAMILY Id COMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: HIDDEN HAVEN ❑ UPGRADE TO EXISTING ❑ OTHER: (A),.,/ BEDROOMS LOT SIZE sp EXISTING FAILURE "Record Drawing required for all Installations" 10 ACRES coo I (A) DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) 0 7 10 GO NORTH ON 101, TURN RIGHT ONTO SHELTON SPRINGS ROAD, TAKE FIRST LEFT INTO HIDDEN HAVEN MOBIL HOME PARK, TURN RIGHT, SITE IS ON THE LEFT o SIDE OF ROAD BETWEEN SPACE 40 AND 41. THIS SYSTEM WILL SERVE SPACE 36, r- 40,41,42. o o � C SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS C 3FFICIAL USE ONLY BELOW i I UPGRADE I FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS V r 6-:),0) O ' flE1Cf0d i). . 1 i�1� 0 2022 Al ______* . SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS SP TOR SIGNATURE DATE APPLICATION EXPIRATION DATE (CATION APPROVED BY DATE (../16 T S MAY BE SCAN ED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT REVISED 12/7/2015 DESIGN FORM-PAGE ONE Assessor's Parcel Number: 4 2 0 0 1 - 3 3 - 0 0 0 6 0 Adesign will be reviewed when 3 copies of each of the following are submitted: "Completed design form that has been signed and dated. 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 paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG_ . 2)+ -&C�'7? _ Designer's Name: CINDY WAITE Applicant's Name: HIDDEN HAVE ASSOC LLC Designer's Phone Number: 360-701-0205 Mailing Address: PO BOX 1134 _ Designer's Address! 80 E PICKERING LANE NORTH BEND WA 98045 SHELTON WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device 0 Glendon Biofilter 0 Sand Filter ❑ Mound 0 Sand Lined Drainfield ❑ Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity lif Pressure 0 Trench 0 Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 8 designed for 4 Schedule/Class SCHEDULE 40 Daily Flow: Operating Capacity 360 gpd Length 28 ft Daily Flow:Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity 1500 gal Number 10 Receiving Soil Type(1-6) 3 Separation 2 ft Receiving Soil Appl.Rate .8 gpd/ft2 Orifices Required Primary Area 1200 ft2 Total Number of Orifices 70 Designed Primary Area 684 ft2 t eter 3/16 in tz Designed Reserve Area NONE f "pl4n 48 in OVE Trench/Bed Width 12 anifold Trench/Bed Length 57 Sciegul /�Ia22 2 ASON 0)Len ,NVIRONMENTAL HEALTH Elevation Measurements n 2-3 ft Original Drainfield Area Slope >1 % Dia :,�, - 2 in New Slope, If Altered % l'refe,,d m. fold configuration used? l'Yes 0 No Depth of Excavation Up-slope 15 in /A�- �,,, # Transport Pipe from Original Grade Down-slope15 in ,� s , y 1,' ,ssC go SCHEDULE 40 • 1 Designed Vertical Separation 45 in i. ngt ci. o (- ll 15 ft Gravelless Chambers Required? 0 Yes 66 No 0 Option i •;illOkdame gd0478 02�. 2 in PumpRequired? 6�Yes 0 No of O, CINDV E.WAITE , .4�, qi LICENSED DESIGNEFAOS1 ,; and Pump Chamber it Specifications 'hm..��"eir t.v ���wroiri., z. ' Pump/Siphon , 10 ExpipEs 05,+0, Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal Orifice s ft Chamber Capacity 1500 gal Uppermost Orifice fif Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 41.3 gpm Timer G'Elapse Meter EIS'Event Counter Calculated Total Pressure 1-lead 10 ft If Timer: Pump on ,Pump off Comments xt" CONCRETE TANKS REQUIRED, CONTROLS TO BE SET AT TIME OF INSTALLATION \\\< 4. co 444 Gv c'e ; DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 0 1 — 3 3 -- 0 0 0 6 0 Permit Number: SWG • DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations ti4 Drainfield orientation and layout Reference depth from original grade: 0 Soil logs lJ Trench/bed dimensions and l 1 Septic tank tel Property lines critical distances within layout Pf Drainfield cover existing and proposed wells fiti D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: OP%Ieasurements to cuts, banks,and locations 7t'/'7 to(a A/ II Laterals,trench/bed,top and surface water and critical areas li:l Observation port location bottom A`Location and orientation of lil Clean-out location 0 Curtain drain collector curtain drain and all absorption [1 Manifold placement 0 Sand augmentation components RI Orifice placement Other cross-section detail: g Location and dimension of gObservation ports/clean-outs primary system and reserve area Lateral placement with distance to edge of bed Other Information id Buildings g Audible/visual alarm referenced Yes No 66 Direction of slope indicator Scale of drawing shown on scale l� 0 Design staked out tii Waterlines A ❑ ❑ Recorded Notices attached 0 Roads,easements,driveways, ❑ 0 Waiver(s)attached parking R 0 V E G71 0 Pump curve attached Eli North arrow and scale drawing MAY 3 0 Evaluation of failure shown on scale bar � 2022 Non-residential justification MA BOUNTY ENVIRONMENTA HEALTH 0 0 Waste strength Jew ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be tified by installer at time of installation lif Yes 0 No IL f Zv2Z Sign re of Designer Data The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local of regulations: ..,„0 5-3 -2z Env' o,TV al Health Speci ist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. I The Onsite Sewage Permit has not expired,the Permit Expiration Date is: -2-4-�3 I Drainfield site conditions have not been altered to adversely affect conditions of design approval. /)-1,� Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. .., i • 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 Installation Notes Pressure Distribution System 1700 E Shelton Springs Road 42001-33-00060 This is a mobile home park with 73 sites served by on-site septic systems that were installed in 1965. Each system usually serves two to four mobile homes. Each mobile home is privately owned. The park is an adult park. The system I am designing serves four two bedroom mobile homes. Each home has one occupant. There is not enough real estate to install an eight bedroom system. Historically, the homes have one occupant. I am designing a four bedroom system maxing out all the room there is. I am using pressure distribution with 45" of vertical separation with a 1500 septic tank and a 1500 pump tank. System will be timed dosed. I did not extend the bed to the south because the system to the south may need this area for a repair in the future. There is a main power line going through at the so end of the drainfield. PL,PRoi, t) C_ / , q A�" ,� Y 3 AWN coUNryENViR 1 ?022 e �N,17FNr y J i& A( Ec rH • ,s, \,0?" 0 P 0 . cow 1;‘ I. ( 1, I A. M • .0 1 ' ) 4 . , 40 r is, i ,. J1 . U.i I 1 , •J � s O O # i 1 0 C I` i , 4 . 41 J #" • rV11011• ► y ' • t s. ' � ` 4: b Ss 44.• ry1 4 / 7 r 4. r i .' s' i y ,... . • : ..av , , ., el 1 i' ',.r - • - •-'',.--'T•'.;-°7 itAi 1111 e • L 0 ea,i 0 a All 1 r 7 - , iila Ili .. \ ‘Yi t 4 tio , 1, ,,,,,,.„ ,i,,,,..4,,..„._, „ • • ,„,. ,. 1 ,• . •a a , ••..• . „. . . P A A Arr.* ' °-- • lq ti1 Cr2 4 44 ,:. mod . t, Ii QIr t - }, O: r„ • .i OS 44110 E < u) , �.. . • ` LU •. }i. a o ��ati F W- ,° C + a —g a sum :1:13 :, -1 i , t . • H • lJ DE k-,-1-- NA v izle.E _I� / -: N- M Mt—r •... 7' 1 N ,9 �}- _ INN + ` fih 4 1 V1 T GN ILA A � t� i n M' i _ A, - , rft 41 ' --"*. ill& A 9 to r /J "�� _ o �9 L c- Rec. Hall 1! �tA J• 6 I xt.:,, T fi .,_ a - VI t.r‘ M c- Q 1 ,.,. N M� 7M 7°r):: 1 , , (.4,, , jot ..9- Z • iti or„ .0 -� 0 S1 O We E i ti c � S --Q.. i - J. s i • •• /t iip -'r P q J• j 2 5100418 �'�` (�` ?' t G LICENSED DESIGNER $i, � _.+/ 4 EXPIRES 05,10, C. 6 V 0 1 "6 36 11ULii Y, v o J s CV rrlaj `i- MAY 3 1 2022 0 ' e COUNTY ENVIRONMENTAL HEALTH o 0 Qi f JBw 0 1 Sao 6 alio?, 0 C� U 1 CI - - - 1 6 ISO v 6M,t►vim b ,(iv .. t�i. N. sl r— 4 �.. rs),la„ Si Pk ill made, fr.wH N(! C 1 wade, C L.< 12$iktl tee; I 1 C3 1-?j7.1.fdJrcl. Dr:- ; L\ , i I 2 )6-1 i 4)D F4,1 1 :0; audio / u /./Li a ' ''- zv' L\ (,\6, Oak yli © Sr, / / ays 6-6 -- L 14..26c 1- 2y-00660 I 1niN c <7 . , ... . Lap > L3 ✓QwC b11¢ 1 0- I 1 L xi e'r- di 0 / au e ) tof tL� S' / i S'' _e +2 f.4 f I" =I1 5') 1 1 p ► ! /I/, '5 I / / 1 itt 1 4211/--"'r AZ lb I?Int 40 °44',4!ai '% 01P,fl\i,/ or cr, z Nit T DY E.WAITE *i�1 i LICENSED DESIGNER 1/ J__ Z�al�ibIWC �1% I\ �•%\\�� I 'trel",L Ii „s, EXPIRES OS11Ol APpb MAY ,v 1 a.L( A' VC L-eecirk. Ii 4 ICJ (AJ I' 'I'Cef *Spiv COU J 1 ?u2 NTYENVIRpNMENTAL Co 1, ti�4.d t V al v of i A/ V «,l v-t a,. J8W HEALTH ,i\\ • ( „MML fe i�',I s 60 is TO DRAINFIELD RISER WITH LOCKING LID 02 N E AITE , PRESSURE LATERALS or LICENSED DESIGNER I/ A A :��.��. .•.mo ..►`.�1 0-- EXPIRES 05n0i t�f 1 i _ej FLOW CONTROL VALVE SLOTS AS REQUIRED Cam- --- XV ( rp.........) ....,:i \ / 0 • 0 0 /< LONG SWEEP 90 / ••••• •p�Q�0'`O�'t.j•Y+o.:• ;/ DEGREE ELBOW ) /�•�A.�0• "0• e••�• / \___ SECTION A-A WASHED ROCK _ DRAIN SUMP TRANSPORT PIPE FROM PUMP CHAMBER PpR � VF MAY 3 120?2 D .... MASON COUNTY ENV/RON� JBW ilifEALTH fy -� • , Ja/ IMjL • �-6I4.+�•i h n re i1. ? ”! U + � l� 0 '?.t/ I , � ar %. r i. 17Vt.; 07 it..i THREADED CAP OR PLUG P Fi- 1tcL A(4' 6" PVC / LAST ORIFICE; WITH ORIFICE SHIELDS IF ORIFICE ORIENTATION IS BACKFILL ! X UPWARD MATERIAL ��\""-\-`�; \ \��\`'� 4 \ \\\\\ I\/ \\\�\\\�\\ 6"-24" \\I •4 p1 .\ F,O0061 p�°O00IL' --- PRESSURE LATERAL \pc, 0 00' �O)OO o AS SPECIFIED PVC HOSE OR /\�� 00 op LONG SWEEP \/ �a : 0OOo ELBOW ��A �� �� /\\ \ �\ DRAIN ROCK; 6''MIN. \�\�� X\ \ /\ BELOW PIPE UNDISTURBED SOIL 6" PVC WITH DRAIN I HOLES; EXTEND TO BOTTOM OF GRAVEL TO MONITOR PONDING INFILTRATIVE SURFACE MONITORING/CLEANOUT PORT «5" ,� (EXAMPLE) 1-0,- 7-' e\‘‘‘ lV P o 1 - . N ^ 0410 ( CINDY t.WAI I t 1' LICENSED DESIGNER 11 EXPIRES 05/to, /Gee "dG", • Lateral# J Length I ' Length I Orifice # Distance from ' Distance from'end ' Length# — (Feet) (Inches) ; Spacing" Orifices feeder line of end of lateral 1' 2,8 336: 48. 7 2 2 28 - --- - 336; 48 2 23' 336. 48; 7. 2 2 28 3c, 28' 7 2 2; . I . 28 4! 28: 336 48 7 2 2 28 5 28 336 48 7 2, 2 28 G 28; 336' 48. 7 -- - --- -- 2; 2 28 7: 281 336 48 2 2 28 ... 7' 8; 28r 336: 48 7 2 2 28 ,4 48 7 2 � 33 2: 28 101 2pi .131 48 7 2 2 28 Total _N_ 168 70. 41.3 GPD • I - ---- _ d K.. 1 1N , CdclI . • G 6 1 o cl 4 .' ` . — — ev I V S wu SG air �� �1� ." 0 h 1 \ Iva 5-cat. .4 �d ' , /� = 100418 1. �—' _____ O C DY E.WAITE F-*fi ir LICENSED DESIGNER I+ ..... , AESPI MAY3Z�Y �� ru MASON COUNTY ENVIRONMENTALHEALTH a-11 I f) / JcbL# 494Z,,j k te\k( 1 s' , / 2 ' i /s, r "- .S ' _ E 1500P & 1500P-HW 1585 GAL FLOOD CAR ' 1 16 110" ■i r 7 7 [� P VIEW 24' 18" 72" T i 6 6 ' 4" ! 6" .-, . I i0 iI !• # li -- ..,s 9T, 3 iJOI48 S . E. AITELIDD DESIGNER I, o EXPIRES 0 0, MASTIC 6 PVC PORT J 24 ORENCO TANK ADAPTER \_ 4. CAST-A-SEAL GASKET _�� -/ G ' 1 R L L v `� _I _—r T 1 4' A P 6 ROVE D 27.8 GALS. PERfINQ1 i 1 2022 52- 1 /2° o MASON COU E VIRONMENTAL HEALTH BW 4 el vv d i ' — ' 72-" H 1'43— t \`\LO APPROX. WEIGHT 12.000 LESS. 1500SR & 1500SR-HW • 1' 128" --- --P P79" ail ri----- 4 1 " H ---1- 1 1I 1 1 i ji 1 1 El • 18 24" TOP VIEW N .� .1]6 72 . iii iR ��ii1, ors 7. ,I4� v IN' tot I� / 1 .0 _v- • o �z�ih lv y 7 'O INDYE WAITE ,iii 0, LICENSED DESIGNER + � VAL EXPIRES 05't0, MASTIC 4' CAST-A-SEAL CASKET 6 '/ / iJ NNI- 1,1 ,i ..< -.@---4. PVC BAFFLE 4 6 4" FLOOD CAP. FLOOD CAP. 1233 GALS. 627 GALS. — 6 rJ — 55- 1 /2„ 53,. 30 1 3" t / - 2— 1 /2" —ed F.,— f J • 1./\ A rmnnnv 1AI1 Ti-I I I 1 7 nnn 1 P P 0 V_.E MAY 3 1 2022 MASON COUNTY ENVIRONMENTAL HEALTH JBW