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HomeMy WebLinkAboutSWG2022-00127 - SWG Application / Design - 3/15/2022 /� * MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 .". F COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 Building Planning Environmental Health,Community Health it re.!`,,‘,,‘," FAX:360-427-7787 On-Site Sewage System Permit: SWG2022-00127 APPLICANT GEIGER ET VIR KEVIN S Phone: Address: JEREMIE BERG SEATTLE, WA 98178 OWNER GEIGER ET VIR KEVIN S Phone: Address: JEREMIE BERG SEATTLE, WA 98178 SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 Site Address: N Seagull Way Primary Parcel Number: 324121190071 Permit Description: New SFR-3BR Pressure w/waiver @ 12" Permit Submitted Date: 03/15/2022 Permit Issued Date: 05/24/2022 Issued By: Jeff Wilmoth Current Permit Fees Paid: $740.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/28/2025 (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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED:),i'""""'-�, MASON COUNTY — — a . > RECEIVED: n, COMMUNITY SERVICES ^M°� — k; o N t4 Public Health(Community Health/Environmental Health) I (/�� e� \ fA '*'.n•� C )bpa77th Ste et-400 or Shelton. 584 ext.900 S G 60 ' ■ 1 O 415 N.6[h Stteet-Shelton,WA 98551 V,Y/ 21.)11. -- i ice..,-.��.�__�. _. _ . . Z 0, ON-SITE SEWAGE SYSTEM APPLICATION mAPPLICANT m PHONE Jeremie Berg (253) 691-9309 c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE 3 5543 S. 120th St. Seattle WA 98178 c SITE ADDRESS-STREET,CITY,ZIP CODE N. Seagull Way Lilliwaup _ WA 98555 l `T NAME OF DESIGNER PHONE I N Dale L. Tahja (360) 426-5940 NAME OF INSTALLER PHONE o I T. J. Goos (360) 490-0217 < PERMIT TYPE(select one) DRINKING WATER SOURCE O 4 RESIDENTIAL OSS )1 COMMUNITY OSS rn COMMERCIAL OSS ri PRIVATE INDIVIDUAL WELL O PRIVATE TWO-PARTY WELL Z N PUBLIC WATER SYSTEM Seagull Way Water System TYPE OF WORK(select one) t M NEW CONSTRUCTION/UPGRADES ri REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR —, SUBMITTALS El SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE Ica I ...1` DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE o `I WAIVER(S)(IF APPLICABLE) 3 1 acre ' ( c DIRECTIONS TO SITE AND SITE CONDITIONS (ex.locked gate) I Go north on Hwy 101, turn left on Seagull Way (unmarked, steep road, just before Beacon ( o Point) r I o I -.4 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. —a OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(tor reporting purposes) ' 0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: I INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 3� . 51 t 5 a -) --riNDIOTI ir, a `� `O �: 4 M app MAR 1 5 2022 L �u1 �N,eix� �� J ke o-m . X By �� 11 .:�<f. ' ti'fQ" ). RECORD DRAWING AND INSTALLATION REi SOIL CODES: ' V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL 1 INSP C R SIG TU E 4DATE APPLICATION EXPIRATION DATE APP (CATION APPROVED/ISSUED BY DATE ,}� r2� - fir- `��—�5 ,__ . /i (, rl,,,�`� �.rn s z`1' 2- THI F Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED t2f7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 4 1 2 — 1 1 — 9 0 0 7 1 A design will be reviewed when 3 conies 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 c Dale L.Tah a Permit Number: SWG��� �,��� Designer's Name: 1 Applicant's Name: Jeremie Berg Designer's Phone Number: (360)426-5940 Mailing Address: 5543 S. 120th St. Designer's Address: 2450 W. Deegan Rd.W. Seattle WA 98178 Shelton WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device 0 Glendon Biofilter 0 Sand filter 0 Mound 0 Sand Lined i)raintield 0 Recirculating Filter,Type: 0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: N/A Drainfield Type 0 Gravity lif Pressure IF/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 40 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 5 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 50 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 70 ft Original Drainfield Area Slope 8 0, Diameter 1.25 in New Slope,If Altered 6 % Preferred manifold configuration used? 0 Yes gNo Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope 9 in Schedule/Class Sch. 40 Designed Vertical Separation _ 1 in Length 250 ft Gravelless Chambers Required? 0 Yes 0 No lYS Optional Diameter 2 in Pump Required? HI Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff in Elevation Between Pump& Uppermost Orifice 5 ft Dose quantity 67.5 gal Drainfield Squirt Height/Selected Residual(head) 6 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice EIS Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 24 gpm Efrimer GiElapse Meter l 'Event Counter Calculated Total Pressure Head 20 ft if Timer: Pump on 2.8 min. ,pump off 5 hrs. 57.2 min. Comments 14 MAY 2 tf A122 Ili DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 4 1 2 — 1 1 — 9 0 0 7 1 Permit Number: SWG DESIGN CHECKLISTS - Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ei Test hole locations lid Drainfield orientation and layout Reference depth from original grade: , 121 Soil logs 56 Trench/bed dimensions and [if Septic tank Property lines critical distances within layout fif Drainfield cover 56 Existing and proposed wells Ed D-BoxNalve box locations Reference depth from original grade within 100 ft of property lid Septic tank/pump chamber and restrictive strata: lil Measurements to cuts, banks,and locations Gd Laterals,trench bed,top and surface water and critical areas Ed Observation port location bottom lid Location and orientation of 121 Clean-out location 0 Curtain drain collector curtain drain and all absorption 51 Manifold placement 0 Sand augmentation components lg Orifice placement Other cross-section detail: 6d Location and dimension of 56 Lateral placement with distance t1 Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information PI Buildings Ig Audible/visual alarm referenced Yes No lil Direction of slope indicator El Scale of drawing shown on scale 56 0 Design staked out 0 Waterlines bar 0 0 Recorded Notices attached 10 Roads,easements,driveways, AippROVE ❑ ❑ Waiver(s)attached parking fid ❑ Pump curve attached Gd North arrow and scale drawing MAY 2 li 2022 0 ❑Evaluation of failure shown on scale bar Non-residential justification 1AS i;OUTY rti�IRON�1ETAL NEAIT 0 0 Waste strength jBW ❑ ❑ Flow DESIGN APPROVAL The undersigned designer m t be iotifie ins e at time of installation 56 Yes 0 No r f. Signature of Designer \ Date •�• a`- f LA of I The undersigned has reviewed this design on behalf of Mason County Public Health and dete �.^'° '`.'be in . #-� compliance with state and local • i-site regulations: .•" ".40` _�'-(„it 5241� '\.. 'Al 8 p A:mental Health Specialist Date 1%c 1) l "' Q,t 7 CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CON:ln : ,M .� ,uQ ✓ The design is stamped"Approved"by Mason County Public Health. -4 .. • ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 3-2 )5 k'‘o ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. t ' 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 • Se...1.$\-- -Y.—.1-11-0•• .r\ 9.vc••5\s ,C.......\-4:Nrcr,\Der• . • ............4ftr,,rwact . 1111111111111111 fk- -.,-t- ..... '091111MRIVIT•10611M ,-• -,. kIll•-d;XI-• -40 ..-.,.::..1;w4-,..,,.•1.'`' f'., ' , '''' -''' i L'•: W•7 . C3,1%)\ v av,--,...zr Li • 1 i 1 iil • 4.1 .kt i . iili \ • t . rf :iit A-cr. . cl 0 e .. g . .-, ?6, i , . - 1 4.0..,......." .......„. .....„4„ „.1.,:.. . „....*,;:7“..41........r, . ,...Asa__•••••- 7.,.•Qte,;4..--..- - A --- 4,-",--- • •..: , ail ..glif .t PPROVED ....4- •Ate • ,,, t, MAY 2 4 2022 a 1-,\'. A SON COUNTY ENVIRONMENTAL HEALTH or 6,-4-•' - s%r4Sa .4'. i B W 1. . '0.›..• • N 510k)214 - s , • 0.0- DALE L. TAHJA fa 'IL -1.1(.1VSE-D DESIGNER ,., ..‘AN-NZ%,...11•C ......i•Z ..S.I.c.".17--.• milob,140104,Z1nrw -• mpv4141,4 . ii. ii.....-.41•:.! ' ••.... .....- -6— --- ,,... • • \..„..... V '\144t- • \• 1' ,_.-- . _......„..001Z" clit /44—\-litiitgAW-Tie4WPMetv'z' . <NZ f. 41;' -'Ci"1.4%!C' -''-. 41-VPstyl. • a •,... . .„. * - \')•\‘‘ , , r Pi p,t. V4 , .PIA-7r TIT 1\it \OkX , _., ,. ,,, 280-SERIES 1/2 hp Submersible Effluent/Sump Pumps The Liberty 280-Series provides a cost effective"mid- Performance Curve 280-Series range"pump for on-site waste water systems,liquid 40 12 waste transfer and commercial heavy-duty sump pump applications that require higher head or more flow. ' 11 Designed around Liberty's unique"Uni-Body"casting, 30. ., 9 the 280-Series will provide years of reliable performance. �25, 8 All Models Feature: 20 6 •Vortex style impeller permitting passage of solids i 15. 5 upto'!1" 110, 3 •416 stainless steel rotor shaft •Permanently lubricated upper and lower ball bearing 5 2 •Epoxy powder coat finish 0 0 •All fasteners—corrosion-resistant stainless steel 0 5 10 15 20 25 30 95 40 45 50 55 60 65 70 U.S.Gallons Per Minute •1'/�'Discharge I i I ► I I I I •Stainless steel bottom screen-easily removable 0 38 78 114 156 192 228 270 •Maximum fluid temperature:140'F. Liters Per Minute 280-Series Cord Lengths Dimensional Data: Model 10' 25'(2) 95'(-3) 50'(-S) weight;29 lbs. 280 Standard Optional Optional Optional Height:13" 281 Standard Optional Optional Optional Major Width:10"(model 287) 283 Standard Optional Optional N/A Minimum Sump Diameters: 287 Standard Optional N/A N/A 10'cord length standard on aN models.For optional lengths, Model 2814" add'-2,-3 or-5"suffix to model number. Model 287 VMF...10" Example:for model 280 with 35'cord,order 280-3 Factory switch Model 281,283 Model 287 settings VMF Motor Specifications n `' Et" urn Vowel 13" 9.5• ' 60 Hz 3450 RPM V SIf ISvel 7" 4.0" �� ppR Oil filled,thermally protected 2p22 (PSC)PermanentSplit •' , •. ,• {iA1 2. The Modd2$3 features afuly adjustable wide-angle ftoatDifferential 8.0 amps(115V) EN�lR4Nti1ENTA� E'adchar pipe can be made urMng poinnt.Vet�ti�t float mod the float el the t snot 4.0 amps(208/230V) MA C CQUNZV �B adjustable. ef^ I of ci Model 280 r _ Model 281 f ma Model 283 -I/ Model 287 Manual, Wide angle Wide angle VMF-Series i I no switch 1 � float switch Mi P'� float switch Vertical ntag- �� with quick- lip with series netic float for i .Am!i disconnect .I1I (piggy-back) :,4 smaller pits- t,_ s,..,r..w plug .......fill will operate in I I ``!' I `, I `I.' a 10"diameter sump SEVN c us Certified spoons we aubiect to change,Ithout notice. Liberty Pumps•7000 Apple Tree Avenue•Bergen,New York 14415•Phone 800-543.2550 Fax(585)494 1889 www.tberfypuumps.com c 6 Ley Pumps,ino.2017 NI rights reserved. (Ur MOO Roam 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 up ( 12:00 o' clock). 7. Divert all storm water run-off away from septic system components. 8. No curtain (french) drains allowed within l Off. 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. of 4 Rd � I,� �,�AS Mq y 2 Ors co, A/146'o, ort.+" thNT y ?O?Z iot„ e � Jew "'AL HE417., ‘ ; 5100214 . ,DALE L. T JA EXPIRES: —� -. 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