HomeMy WebLinkAboutSWG2022-00118 - SWG Application / Design - 3/11/2022 �.� i �1 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
' BELFAIR:360-275-4467,EXT 400
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COMMUNITY SERVICES+ ELMA:360-482-5269,EXT 400
ye' `i Building,Planning,Environmental Ilealth,CoimmunityIlealtM FAX:360-427-7787
On-Site Sewage System Permit: SWG2022-00118
APPLICANT CARTWRIGHT RICHARD G &TRACEY Phone:
P
Address: 24013 26TH DR SE BOTHELL, WA 98021
OWNER CARTWRIGHT RICHARD G &TRACEY Phone:
P
Address: 24013 26TH DR SE BOTHELL, WA 98021
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 201 N Mount Seattle Way
Primary Parcel Number: 423185000212
Permit Description: Non-Compliant Repair-2BR Gravity
Permit Submitted Date: 03/11/2022
Permit Issued Date: 06/29/2022
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/11/2025 (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 Drain field 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.
1
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 5C/�ZZ v, D
ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: RECEIVED BY: v cn
m
415 N 6th Street,(Bldg 8) Shelton WA,98584 C cn
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Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 sv' G 2 o . L _ 0 0 (i g ( 0
V V Z (A
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APPLICANT PHONE > >
RICHARD CARTWRIGHT 425-876-1307 m m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
24013 26TH DR SE BOTHELL WA 98021 z
SITE ADDRESS-STREET,CITY,ZIP CODE W
201 N MT SEATTLE WAY HOODSPORT WA 98548 m
NAME OF DESIGNER PHONE
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE IN)
TBD o I 0..)CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
❑ NEW CONSTRUCTION ElRV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL (A I
d REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑l PRIVATE TWO-PARTY WELL Z
El TABLE 9 REPAIR 0 SINGLE FAMILY p0 COMMUNITY/PUBLIC WATER SYSTEM 100
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: LAKE CUSHMAN WS I t
❑ UPGRADE TO EXISTING 0 OTHER:
BEDROOMS LOT SIZE
Cji
❑ EXISTING FAILURE `Record Drawing required ' co
for all Installations" 2 86 X129 X75X105o I o
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) n
TURN LEFT ONTO LAKE CUSHMAN(119), TURN LEFT ON MT TEBO WAY, TURN LEFT
X Io
ONTO POTLATCH DR, TURN RIGHT ONTO MT SEATTLE WAY. IT IS A CORNER LOT I o
ON THE RIGHT SIDE OF MT SEATTLE WAY. r
O N
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
()I- 9-' 1—'3 -1, ( (
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
IN'' �:R SIGNATURE
i DATE APPLICATION EXPIRATION DATE A: CATION APPROVED BY DATE
A i (A14-1/140Q-) a 3 4 1 -2,2
ral l
THI O-04I Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT' REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 3 1 8 — 5 0 — 0 0 2 1 2
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
0 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 2022-00118 Designer's Name: CINDY WAITE
Applicant's Name: RICHARD CARTWRIGHT Designer's Phone Number: 360-701-0205
DR SE Mailing Address: 24013 26TH ——
Designer's Address: 80 E PICKERING LANE
BOTHELL WA 98021 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon I3iofilter ❑Sand Filter ❑ Mound ❑Sand Lined Drainfield ❑ Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainfield Type
Et Gravity 0 Pressure NiTrench 0 Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class ASTM2729
Daily Flow:Operating Capacity 180 gpd Length 35 ft
Daily Flow:Design Flow 240 gpd Diameter 4
in
Septic Tank Capacity 1094(IM1060) gal Number 3
Receiving Soil Type(1-6) . 4 Separation 5 ft
Receiving Soil Appl. Rate .6 gpd/ft2 Orifices
Required Primary Area 400 ft2 Total mber of Orifices ASTM2729 PERF
Designed Primary Area 405 ft2 Di t
in
Designed Reserve Area 400 ft2 ng _ in
Trench/Bed Width �'
ft 4. co 17,AA 1,4Manifold
'Trench/Bed Length 135 ft ctcit _ ql ��4`' D BOX
Elevation Measurements cuff 4. tp� ft
Original Drainfield Area Slope <1 0/ y 57 a AITE
L in
CENSED DESIGNER
New Slope,If Altered uration used? 0 Yes 0 No
Depth of Excavation Up-slope 6 :xr'IHls os11oi
in Transport Pipe
from Original Grade Down_slope 6
in Schedule/Class 3034
Designed Vertical Separation 28/30 in Length 22 ft
Gravelless Chambers Required? 0 Yes 0 No It�Optional Diameter 4
in
Pump Required? 0 Yes 61'No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal
Orifice ft
Chamber Capacity gal
Uppermost Orifice❑Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head gpm ❑Timer ❑Elapse Meter 0 Event Counter
Calculated Total Pressure Head _ ft f Ijl�e p ,Pump off
Comments �r++ �1]�'
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MASON rntJNTY F 2 7 Z022
NVlRttQMtNTAL HEALTH
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 3 1 8 -- 5 0 -- 0 0 2 1 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Et Test hole locations V Drainfield orientation and layout
Reference depth from original grade:
0 Soil logs g 'french/bed dimensions and
gProperty lines critical distances within layout g Septic tank
D1 Drainfield cover
g Existing and proposed wells gi D-Box/Valve box locations
within 100 ft of property Gif Septic tank/pump chamber Reference depth from original grade
and restrictive strata:
iidkAvteasurements to cuts,banks, and locations
Ea
surface water and critical areas Cdf Observation port location Laterals,trench/bed,top and
bottom
i i ocation and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption
components �[�lanifold placement 0 Sand augmentation
pikJrifice placement Other cross-section detail:
g Location and dimension of
primary system and reserve area Lateral placement with distance g Observation ports/clean-outs
to edge of bed
Q1 Buildings Other Information
U{N'Audible/visual alarm referenced Yes No
Bj Direction of slope indicator
g Scale of drawing shown on scale g 0 Design staked out
Ii6 Waterlines bar
0 ❑ Recorded Notices attached
Roads, easements,driveways, ✓.o u 0 0 Waiver(s)attached
parking I
❑ 0 Pump curve attached
g North arrow and scale drawing b u1 ❑ Evaluation of failure
shown on scale bar
,J(f 2 , Non-residential justification
M' N COUNT , �022 ❑ 0 Waste strength
1 ENVIR
ONMENTv 0 0 Flow
DESIdSA ROYAL ALTr�
The undersigned designer must be notified by ins Her at time of installation l�Yes 0 No
cG I ` 20 2,7-
Signature 2Desi 7ner
bc-d 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-si egulations:
ffp,. K (Ali Illts0 (i - -7— 'i
En ' 6- Z',:l Ilealth 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: 3 - «" _
/ 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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The Infiltrator IM-1060 is a lightweight strong and durable septic tank. • Can be pumped dry during
This watertight tank design is offered with Infiltrator's line of custom-fit pump-outs
risers and heavy-duty :.s. Infiltrator injection molded tanks provide a • Suitable for use as a septic tank, pump
revolutionary improves?i tin plastic septic tank design, offering long-terra tank,or rainwater(non-potable)tank
exceptional streng v-n. atertightness. • No s ial ter filling requirements
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IM-1060 General Specifications and Illustrations
•LIHIrN,SNAP LirTINGLIIG --•RISER CONNECTION
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The IM-1060 is an injection molded two piece mid-seam \\ ,y�-' `
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allows for a mid-seam joint that has precise dimensions A .}' ` -d,i •. I' :II In ire s
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through a network of certified Infiltrator distributors. 1 . 1+7.4132261EX1LRIORLENGTN
Must be backfilled and installed in accordance with , TOP VIEW
Infiltrator Water Technologies.Infiltrator IM-Serles = tk� 8 *OUT -
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ground water conditions reference the Inflltrato O V e
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Working Capacity 1094 gal(4141 L) TYPKAU 1—
Total Capacity 1287 gal(4872 L) END VIEW
Airspace 16.5%
Length 127"(3226 mm) 04((e21 —, 024;610l ACCE550PENINUS WITH I OCIRNG I IDS(2'
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Width
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• Height 54.7"(1389 mm) PER ;�l PER
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Liquid Level 44"(1118 mm) 1 ►.__
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Fiber lass Su orts WITH RAW F 9 PP 2 wm.i INHERE
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Compartments 1 or 2 ,'
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Maximum Burial Depth —� __ ^ 48"(1219 mm) . SIDE VIEW
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 6"(152 min) Q- CONTINUOUS
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Weight 320 lbs(145 It *� A sy HALF GASKET
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www.infiltratarawoter.com
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Ouick•I.and SideWIruler are registered)traltellralii of Infiltrator Water technologies.IntstraWr 13 D IegiSfe'od(rarle'1rti k 41`"A11Ce.Infiltrator Water Tedlnologies is a registeren trademark in Mexico.
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Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436
..
Installation Notes
Gravity Distribution System:
201 N SEATTLE WAY 42318-50-0012
1. Extra care needed to make sure that gravity can be maintained from the proposed
residence to the septic tank, then to the drainfield.
2. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
3. Install system during dry weather with acceptable soil conditions
4. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
5. All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains,
etc. to divert all waters.
6. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
7. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
8. Install access risers on the septic tank, D-box and observation ports.
9. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
10. Lids must form a water and gas tight seal with the access risers
11. Install effluent filter at the septic tank outlet.
12. This system must be installed by a Mason County Certified Installer.
13. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
14. This design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety
gallons per bedroom per day.
15. Install laterals with contour of the ground
16. Install trench bottoms level and always maintain a minimum of six inches into native soil
17. Filter fabric required over drain rock prior to backfilling. If the drain rock extends above
the original grade, run the filter fabric at least 2 inches down the trench wall.
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System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank should be pumped every three to five years or as needed.
3. System owners are responsible for having maintenance performed every three years as
per WAC246-272A.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
6. Keep the flow of sewage at or below the approved design operating capacity.
7. Keep waste strength at residential waste strength parameters.
8. Spread loads of laundry through the week.
9. Do not use excessive bleach or detergents with added whiteners.
10. Do not shower, do laundry and dishwasher at the same time
11. Antibiotics can kill or impair the biological process in the septic tank.
12. Leaky plumbing can hydraulic overload your on-site septic system.
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