HomeMy WebLinkAboutSWG2022-00362 - SWG Application / Design - 6/24/2022 (2) ;� 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
,z, COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
zl z ELMA:360-482-5269,EXT 400
, �ti/ Building,Ptanniny,Envoonmental Health Community Health FAX:360-427-7787
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On-Site Sewage System Permit: SWG2022-00362
APPLICANT SHAFER JACQUELINE Phone:
Address: 1161 E TREASURE ISLAND DR ALLYN, WA 98524
OWNER SHAFER JACQUELINE Phone:
Address: 1161 E TREASURE ISLAND DR ALLYN, WA 98524
SEPTIC DESIGNER TOM WEAVER-Allied Design Inc Phone: 360-830-5308
Address: PO BOX 564 SEABECK, WA 98380
Site Address: UNKNOWN
Primary Parcel Number: 222025800004
Permit Description: New four bdrm-shallow pressure trench
Permit Submitted Date: 06/24/2022
Permit Issued Date: 07/20/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 07/20/2025 (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 (12') and downslope (9') depth
specified on design form. Minimum 6"of appropriate cover required.
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.
7 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
8 Gravel-less chambers required per design.
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 `'
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 6244 • 316
(n D
ONSITE SEWAGE SYSTEM APPLICATION Amorcis , REC CO m
415 N 6th Street,(Bldg S) Shelton WA 98584 r C▪ co
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S /G AO ���� EA
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APPLICANT PHONE >
71
Chris Shafer 360-340-0489 rn o
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MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE < r
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1161 S Treasure Island Dr; Allynm WA 98524 * g
3
SITE ADDRESS-STREET.CITY.ZIP CODE TJ co
601 NE Belfair Tahuya Rd; Belfair, WA 98528 *-
NAME OF DESIGNER PHONE I I IU
Thomas Weaver 360-830-5308 T. IN
NAME OF INSTALLER PHONE
(I)
IN
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0
C)14 I0
NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL (n
❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z I N
❑ TABLE 9 REPAIR 0 SINGLE FAMILY IX COMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY 0 COMMERCIAL Upgrade existing SYSTEM NAME: View Ridge Heights N I Vl
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE
❑ EXISTING FAILURE "Record Drawing required 4 16 800 W
for all Installations" ,
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) O I
Hwy 3 North to Belfair, take Hwy 300 West to NE Belfair Tahuya Rd,Take a right and proceed x I o
3/4 of a mile up the hill to NE View Ridge Dr, the Lot is on the left just before 611 Belfair Tahuya Rd
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
OFFICIAL USE oNLy BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
W (' -01 O ' O°') ) t/
JJUN 2 4 2022
By
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
'T.;1I. ? 17bT5 , 71'rot�7Y
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLI VIEW ON THE MASON COUNTY WE REVISED 12/7I2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 0 2 -- 5 8 -- 0 0 0 0 4
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 ')O'}'} — COOS (.T Designer's Name: Tom Weaver
Applicant's Name: Chris Shafer Designer's Phone Number: _ _ 360-830-5308
Mailing Address: 1214 West Ave Designer's Address: PO Box 564
Port Orchard, WA 98366 Seabeck, WA 98380
City State Zip City State Zip
DESIGN PARAMETERS
(, :73c)—(4.-- Ce-p APPROVED
Treatment Device
0 Glendon Biofilter 0 San r ter 0 Mound 0 Sand Lined Drainfield
0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Mod) JUL 2 Out '2
Drainfield Type U ��( 0-:
0 Gravity llfi Pressure cel Trench M__s �gdu Surface Drip
Septic Tank/Drainfield Specifications ++�lU L1Rls
Number of Bedrooms 4 Schedule/Class Sch 40
Daily Flow: Operating Capacity 3(.a gpd Length 40 ft
Daily Flow: Design Flow 480 gpd Diameter 1 1/4" in
Septic Tank Capacity 1200 gal Number 5
Receiving Soil Type(1-6) 3 Separation 5 CC ft
Receiving Soil Appl. Rate .8 gpd/ft2 Orifices
Required Square Footage 600 ft2 Total Number of Orifices 40
Designed Square Footage 600 ft2 Diameter 3/16 in
Percent Reduction Taken 0 % Spacing 60 in
Trench/Bed Width 3 fi Manifold
Trench/Bed Length 5@40'each ft Schedule/Class Sch 40 A
Elevation Measurements Length fi
Original Drainfield Area Slope 8 % Diameter 2 in
New Slope,If Altered - ° Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-siopc 12" in Transport Pipe
from Original Grade Down-slope (.._
9" • Schedule/Class Sch 40
Designed Vertical Separation in Length 40 ft
Graveness Chambers Required? IX Yes ❑No 0 Optional Diameter 2 in
Pump Required? IX Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 80 _ gal
Orifice 3 ft Chamber Capacity 1200 gal
Uppermost Orifice 6i Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity L Total Pressure Head 24 gpm Ii1Timer ltElapse Meter N Event Counter
Calculated Total Pressure Head II fl If Timer: Pump on 195 Sec ,Pump off 4 Hours
Comments ____
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 2 0 2 -- S 8 -- a_a 4
Permit Number: SWG 90a'y — Oc7 3( >
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
NI Test hole locations Drainfield orientation and layout Reference depth from original grade:
Soil logs IX Trench/bed dimensions and (81 Septic tank
N Property lines critical distances within layout ❑ Drainfield cover
❑ Existing and proposed wells X1 D-BoxNalve box locations Reference depth from original grade
within 100 ft of property I,'4 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks, and locations )(J Laterals,trench/bed,top and
surface water and critical areas 0 Observation port location bottom
❑ Location and orientation of t] Clean-out location 0 Curtain drain collector
curtain drain and all absorption ® Manifold placement 0 Sand augmentation
components ® Orifice placement Other cross-section detail:
J4 Location and dimension of gi Lateral placement with distance NI Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
IX Buildings g1 Audible/visual alarm referenced Yes No Top&bottom legs staked
Direction of slope indicator
IS1 Scale of drawing shown on scale 0 /4 Design staked out
IX Waterlines bar ❑ p Recorded Notices attached
¢j Roads,easements,driveways, 0 /4 Waiver(s)attached
parking ❑ Pump curve attached
c[ North arrow and scale drawing 0 ® Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation 0 Yes IR No
ifl/e. June 23 , 2022
S nature of Designer 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-site regulations:
--r 1)01)451.^›.
ironmental Health 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: ZTZ
✓ Drainfield site conditions have not been altered to adversely affect conditions of dettign 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.
Revision Date: 1/12/2010
Pressure Distribution For # 22202-58-00004
1,200 Gallon Two Compartment Septic Tank
1lip0 gallon Pump Tank
High Level, Low Level, And Redundant Low/Off Floats Required
All Tanks With Water Tight Risers On All Accesses To The Surface
Use Orenco Durafiber Lids
Number Of Laterals - Five Spaced 5' OC
Lateral Width 36"
Length Of Laterals 40'
Trench Depth 9" Maximum To Maintain Separation - 12" Upslope
Minimum Of 6" Of Sandy Cover Over Chambers
Transport Line To Be 2" Diameter Sch 40 - 40' (Estimated)
Pressure Laterals To Be 1 1/4" Diameter Sch 40
Have Access Ports On Lateral Ends For Inspection And Cleaning - Prefer Sweeping 90°'s
With Threaded Caps
Residual Squirt Height - Minimum 24"
Orifice - Size - 3/16" - Spacing 60,.
Orifices At 12 O'clock 510n333
THOMAS E.'VEAVER•.
O. .
End Manifold Box With Lateral Valves
EXPIRES 131/2t/��� 7
SJE Rhombus Simplex Controller
Timed Dosing Set For 6 Times Per Day, 80 Gallons Per Dose
Pump - Liberty 280 Or Equivalent
APPROVED
JUL 202022
1FtONMENTP����
JAS0N COUNTY 001-
Performance Curve: 29 -Series
50 - - , 16
45 -
1 25 3
= 20 A. ' 6 :
15 ' ' '
10 - d 3
0 1 \ 0
,o 20 30
40 50 60 80 PO
Flow (GPM)
i t I 4 I f--- - 4 f t----1
36 76 114 151 189 227 265 303 341
Utecs Per Minute
11
Recommend Liberty 280 Pump ,'.'k
vF
3/16" Orifices @ 2' residual head = .59 :'11•101vIns e.WEAV:;R.
2" Transport line @ 40gpm = .027' head/lineal ft EXPIRE; 01; 57�25
Every 90° = .162' head Every 45° = .07' head
Number of orifices 40 X .59 = 24 GPM
Transport loss 2 + Fitting loss + elevation life 6 + 2' residual = 11
APPROVED
JUL 202022 �.
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