HomeMy WebLinkAboutSWG2022-00025 - SWG Application / Design - 1/25/2022 (3) ' v`'' . . 415 N 6TH STREET,SHELTON,WA 98584
T,,. MASON COUNTY SHELTON:360-427-9670,EXT 400
t I COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA:360-482-5269,EXT 400
!r, r~~ (iuilding,Planning,Environmental Health,Community Health
` r FAX:360-427-7787
On-Site Sewage System Permit: SWG2022-00025
APPLICANT CHEN JOHNNY H &TAWNJA L Phone:
Address: 23108 70TH ST E BUCKLEY, WA 98321
OWNER CHEN JOHNNY H &TAWNJA L Phone:
Address: 23108 70TH ST E BUCKLEY, WA 98321
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 323312190010
Permit Description: New SFR-3BR Pressure Mound
Permit Submitted Date: 01/25/2022
Permit Issued Date: 02/11/2022
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $650.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/09/2025 (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.
OFFICIAL USE ONLY
DATE RECEIVED
MASON COUNTY
linf. . COMMUNITY SERVICES AMOUNT RECEIVED RECEIVED BY:
°D m
g Cl)
Public Health(Community Health/Environmental Health) •-
360427•0670.1_W0 cc 360-2 7 64467,.1.600
415116t6 Street•Shellac WA 98584 S W G �.,0 �`� -Cab z
ON-SITE SEWAGE SYSTEM APPLICATION
D >
3 n
APPLICANT PHONE m m
Johnny Chen (206) 510-4557 c
MAILING ADDRESS•STREET,CITY,STATE,ZIP CODE E
23108 70th St. E. Buckley WA 98321 co v ED
SITE ADDRESS•STREET.CITY,ZIP CODE 4t
Hoodsport WA 98548 (0 I CO
(0
NAME OF DESIGNER PHONE I N
Dale L. Tahja (360) 426-5940
NAME OF INSTALLER PHONE O I (A)
T.J. Goos (360) 490-0217
PERMITRM TYPE(Select one) DRINKING WATER SOURCE I COP RESIDENTIAL OSS COMMUNITY OSS F COMMERCIAL OSS FT PRIVATE INDIVIDUAL WELL C PRIVATE TWO-PARTY WELL Z I
TYPE OF WORK(select one) Q PUBLIC WATER SYSTEM PUD water system
t
Iiii NEW CONSTRUCTION I UPGRADES h1 REPAIR I REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I N
SUBMITTALS 0 SURFACING SEWAGE ❑EXISTING FAILURE ElSHORELINE COW DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r" I
o
6 WAIVER(S)(IF APPLICABLE) 3 6.02 acres o I co
I
DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate)
North on Hwy 101, left on Terrace Dr., first driveway to the right. I o
IO
I —
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I Ci
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE OCOMPLAINT CI OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
-V Y G=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPEC OR IG TURE DATE APPLICATION EXPIRATION DATE AP N APPROVED/ISSUED BY DATE
.26-3-2, z -01-25 ( J (,kO ( -3-22
F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12n/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 3 3 1 — 2 1 — 9 0 0 1 0
A design 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 2022-00025 Designer's Name: Dale L.Tahja
Applicant's Name: Tawnja&Johnny Chen Designer's Phone Number: (360)426-5940
Mailing Address: 23108 70th St. E. Designer's Address: 2450 W. Deegan Rd.W.
Buckley WA 98321 Shelton WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Blother ❑Sand Filter 0 Mound 0 Sand Ivied Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: N/A
Drainfield Type
0 Gravity Eif Pressure fi '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 Le,�Iig U I 67 ft
Daily Flow: Design Flow 360 gpd Di. l JUN 2 9 2022 er I 1.25 in
Septic Tank Capacity(working) 1,200 gal Nu +.ir 3
Receiving Soil Type(1-6) 4 Separation 4 10 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 By —...-- ! Ices
Required Primary Area 600 ft2 Total Number of Orifices 51
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 40 ft
Original Drainfield Area Slope 14 % Diameter 1.25 in
New Slope,If Altered 10 % Preferred manifold configuration used? 0 Yes 67'No
Depth of Excavation Up-slope 20 in Transport Pipe
from Original Grade Down_slope 15 in Schedule/Class Sch. 40
Designed Vertical Separation 24 in Length 310 ft
Gravelless Chambers Required? 0 Yes ❑No 5i I.,ioniotp kiameter 2 in
Pump Required? 16 Yes a Tao OW R 0V 1'1,'"!.; and Pump Chamber
4
Pump/Siphon S Specifications ,> umber of doses.
P .. .�
Diff.in Elevation Between Pump&Uppermost Orifi. ' ftA J oZ 4u2 ` 67.5 gal
iist
Drainfield Squirt Height!Selected Residual(head) iVIH$Opy C,OIV YthaIktth�T,'
ood) 1,000 gal
ElaW
Uppermost Orifice Higher 0 Lower than Pump Shutoffntrols:Please deck those required.
Capacity @ Total Pressure Head 25 gpm EgTimer l 'Elapse Meter fib Event Counter
Calculated Total Pressure Head 62 ft If Timer: Pump on 2.7 min. ,Pump off 5 hrs. 57.3 min.
6-9 4, (/0 0 - yo /vim
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 3 3 1 — 2 1 -- 9 0 0 1 0
Permit Number: SWG 2022-00025
DESIGN,CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations lig Drainfield orientation and layout Reference depth from original grade:
7 Soil logs id Trench/bed dimensions and 7 Septic tank
g Property lines critical distances within layout lig Drainfield cover
i71 Existing and proposed wells lid D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 7 Septic tank/pump chamber and restrictive strata:
lig Measurements to cuts, banks,and locations WI Laterals,trench/bed,top and
surface water and critical areas 7 Observation port location bottom
1 7 Location and orientation of 7 Clean-out location 0 Curtain drain collector
curtain drain and all absorption 7 Manifold placement 1 0 Sand augmentation
components
li Orifice placement Other cross-section detail:
1 Location and dimension of 7 Lateral placement with distance 7 Observation ports/clean-outs
primary system and reserve area to edge of bed
EZI Buildings Other Information
Iif Audible/visual alarm referenced Yes No
Eii Direction of slope indicator 7 Scale of drawing shown on scale It 0 Design staked out
7 Waterlines bar p p R 0 V E ' ❑ Recorde)Notices attached
E71 Roads,easements,driveway s, ❑ Waives(s attached
parking "-:' 0 Pump curve attached
7 North arrow and scale drawing AUG 2 3 2022 ❑ Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL hE a 9n-residential justification
J B W d ❑ Waste strength
0 ❑Flow
DESIGN APPROVAL
The undersigned designer be n titled . to er at time of installation el Yes 0 No
Signatu f Designe ate ♦+► -0 ,
tw `'-1 '°u n
The undersigned has reviewed this design on behalf of Mason County Public Health and dete i,..;"*�• • •s :4r .z
compliance with state and local • ite regulations: t 6' : .3" S2 j
E vir ntal Health Speci-list Date .1,, b °-i,. `.3•+'r;
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CON I�',1��f;j,,4. '`_ , '�'
✓ The design is stamped"Approved"by Mason County Public Health. 1.. .. 4
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: .2 —0 ) o f
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. ‘j%
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
//
/
1
1
. .
(r--;\
sei- \--\g__,—:r\---o,. .4 R,,c,:?, ,...._ro,-,-..:Der ,
. , ,
fit, . \\-\\C 11 ''‘'-t3LAC",IIIONIMI1/..0.011WIMINN4.401almr. °- .
"lii) ..
:.v, -.-"Y.a".:7'. .:, ._:.tin. .a., i
. 1i eg \.4:)(:),* ,it 04. , p.: .
. N\ r sit PAi k--. 1 .3.4
4.
ti>
PPROvEj:
li
>4 ;. AUG 2 3 2022 ; ...
•
MASON COUNTY ENVIRONMENTAL HEALTH
- JBW • ,
1 �- C VAC\_ N \eti�
.01
47$,6")., °
•
�.+
i `ram ' s
;;. 5" :214
: d' DAL L. iA A �? '� _ 1, � `cs ,
/ sr,c
re.. \'r \V e_ \°\\(P S-- ,
q
I,
I,
1'
I'
lilholaim*punipse 1151w\\\
Pump Specifications _ .......t. , ..
FL100 Series r
Submersible Effluent Pump ..-- -- r,-....z..... ..-
..-... ..„....-
--...-:-_- ---0
Flo liters Per Minute)
0 38 76 114 151 89 227 265 303 341 379 416
_
80 - - 24
-
1 TX
— ,
-7.
vt 0
ko 60 -t . ' , 18
17;
4.,
a I
a
50 15
_
- _
-a
to
x
40 -,---- ) 12
,
30
20 1 -
VAIS:COUN TY ENVIRONMENtAL hEA. ''.
14 P 4'0 V E
10 3
JE3 A
0 0
0 10 20 30 40 SO 60 70 80 90 --100 1 1 n
Flow(GPM)
LI:P ' i, ;i1).•
i - ...
71 10O PI 11.9271211t1 ermeight 201!I atwp el I'wu I!: Al r0.(5..c.Tooi Spuiticit.ons Re%oct to CO0V voutot-t noOce • 1, 1 ii
---
Printed From Mason County DMS
Primed fmr.ri.Mon Crow*/DMZ
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 Oft.Centers. Install the orifices pointing straight down
o' clock).
7. Divert all storm water run-off away from septic system components.
8. No curtain (french) drains allowed within l Oft. 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. a
PR
dr'if
t '• M Au, 2
P� , $t ° 0UNT YEN,j ?422
r�.
Yy
'ID
'. • . A �' +�!
j
L!._..: +CNER
•
\. A
.-\) (/
/
/
/A. .
•-1/./ /
W :
• • 1.
( i f .. 10
• ,
A/3/ ri! . ofr • \ , \\A \\ , . ../f.'
y 0
\ \
• . \\ .\‘ \
t y r v \ •
, •Ik.. ...,
1 k)
I Q
1:44 . '•
i N
\ '\ R •
\ \
\ \
le
. \
\ .....
\ \
---- -.,. \
-1-
\
1. 1Po
-00
1
\t‘ \ 1 ..-- . r,
\
...(2 . ,
---
- . 1 \I 1 •
1 !, //
1, co
/
cj i I i
/
• 't1(??
/ra /
/ •-,- ./
,
/
a
41%/1
•
P
1/
•
::_____.... .....,..._>_.. ...............\ . .,. ..,
• i (5\A\\ \\Q.,. 1
ci - 0
,--c ,o '''I • '
< I
J.\ 4' ''''')
c) ...::'amt.:-•,
•
c-)
f I
V U4
i.il,.: ,e4, , ,..,,-
c-6 i
t ;,.,;:i?,.,-.-. y: 4(K c,.. ,-1?-(4,A% , , . L-0—.i Y----' . P , .
,z c) CA.) .''.-73.r .< i...,•:. k It lJ, ---.
-; iN) C) •r --I N . 4- , ' _.-C '>. (425 ,0
u 12—
---.,
Fri kz)) ) c,,11/'>. 4. .-P -6-- iir"'•--- N°1. - 'Or 'll q\ _.,,P 7-, P....6...„
q-__ . vi
, 0 —Paw
4 n i 0.1
rri -10 . •iN- le -- ,....< .5 _. .-- _
' (/' .•1'.'
z .„,vZ:4•. Ili 410 _,..., .1•11' .......„-,•
5 9fi (3)-
11, P ?-'- (71 n
3 .3 . ..)
,.../P
..i