HomeMy WebLinkAboutSWG2023-00006 - SWG Application / Design - 1/10/2023 MASON COUNTY 415 N 6TH STREET,SHELTON, ,E,E 84 985
SHELTON: 42 T 967XT 84
L BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00006
APPLICANT K&K PROJECTS LLC Phone:
Address: 3333 164TH ST SW, APT 112 LYNNWOOD, WA 98087
OWNER K&K PROJECTS LLC Phone:
Address: 3333 164TH ST SW, APT 112 LYNNWOOD, WA 98087
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
Site Address: 561 E Timberlake East Dr
Primary Parcel Number: 220185000105
Permit Description: 3BR Pressure
Permit Submitted Date: 01/10/2023
Permit Issued Date: 01/30/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/30/2026 (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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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OFFICIAL USE ONLY
DATE RECEIVED:MASON COUNTY I C) - N
COMMUNITY SERVICES AMOUNTR EIE4 VED ' RECEIVED BY:
/ASV=s COtioe cn
Public Health(Community Health/Environmental Health) ' ' cn
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4z,.%>o.e,� � 27 ,. ,� SWG 2Q ) - 0d 604 6
a 1 5 N.61h Street-Shelton,WA 9e531
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE m m
K&K Prejects LLC (425) 346-3479 c
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE --I 3
3333 164th St. SW, Apt. 112 Lynwood WA 98087 2 m
CT
SITE ADDRESS-STREET,CITY,ZIP CODE CD
561 E. Timberlake East Dr. Shelton WA 98584 a N
y
NAME OF DESIGNER PHONE CD ( N
i Dale L. Tahja (360) 426-5940
NAME OF INSTALLER PHONE a I CD
Logan Spear (360) 427-4440 < I
PERMIT TYPE(select one) DRINKING WATER SOURCE rn—
l RESIDENTIAL OSS ECOMMUNITY OSS UCOMMERCIAL OSS ice.'PRIVATE INDIVIDUAL WELL la'PRIVATE TWO-PARTY WELL Z I
PUBLIC WATER SYSTEM Timberlake Water Co.
CO
TYPE OF WORK(select one) -
>DC1;NEW CONSTRUCTION/UPGRADES b7 REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I cm
SUBMITTALS� 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
13)
Fif DESIGN FORM(REQUIRED) l��Z!K!'SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r0 I o
ffWAIVER(S)(IF APPLICABLE) 3 0.33 acre o I ,
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DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate)
Go into Timberlake Development, stay on Timber East Dr., property on the left. ' I o
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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
I
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER: 11--
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS YI
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JAN 1 0 2023 , ��� •, }11J
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ByRE;ORD DRAWING AND INSTALLATION REP ,..
SOIL CODES: $
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTRBrvrtt.T H s KW IS REQUIRED FOR FINALAPPROVAL i,,
INS( C R SIGNATURE DATE APPLICATION EXPIRATION DATE APP ION APPROVED!ISSUED BY DATE
0 til1J -\ '4-2,22Ltil LOR\
TH FO MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 121/I201b
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 1 8 — 5 0 — 0 0 1 0 5
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. '1 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 parer size: 11"X 17"
.-:: .l>k A. ...,- r,:,, .,..- PARCEL IDENTIFICATION
Designer's Name: Dale Tahja
Permit Number: SWG 2&.„2._. _
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Applicant's Name: K&K Projects LLC Designer's Phone Number: (360)426-5940
Mailing Address: 3333 164th St.SW,Apt. 112 Designer's Address: 2450 W Deegan Rd W
I Lynwood WA 98087
Zip Shelton WA 98584
City State City State Zip
DESIGN PARAMETERS, ...
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: N/A
Drainfield Type
❑Gravity lif Pressure ( '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 15, 45, 50 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 9 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices 53
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 82 ft
Original Drainfield Area Slope 5 % Diameter 1 in
New Slope,If Altered 4 % Preferred manifold configuration used? 0 Yes f 'No
Depth of Excavation Up-slope 20 in Transport Pipe
from Original Grade Down-slope 10 in Schedule/Class Sch. 40
Designed Vertical Separation 24 in Length 60 ft
Gravelless Chambers Required? 0 Yes 0 No IYSOptional Diameter 2 in
Pump Required? litf Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff. in Elevation Between Pump&Uppermost Orifice 12 ft Dose quantity 67.5 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1,000 gal
Uppermost Orifice Higher El Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 24 gpm lifTimer CiElapse Meter Gil Event Counter
Calculated Total Pressure Head _ 22 ft Ifpnp RmOn 8 ,pump off 5 hrs 57.2 min
Comments
JAN 3 0 2023
MASON COUNTY ENVIRONMENTAL HEALTH
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 0 1 8 — 5 0 -- 0 0 1 0 5
Permit Number: SWG
eliSIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
1 Test hole locations gli Drainfield orientation and layout Reference depth from original grade:
0 Soil logs 0 Trench/bed dimensions and g Septic tank
0 Property lines critical distances within layout 0 Drainfield cover
0 Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 0 Septic tank/pump chamber and restrictive strata:
g Measurements to cuts, banks, and locations
Gil Laterals,trench/bed,top and
surface water and critical areas 0 Observation port location bottom
Location and orientation of 0 Clean-out location 0 Curtain drain collector
curtain drain and all absorption Manifold placement 0 Sand augmentation
components lid Orifice placement Other cross-section detail:
• Location and dimension of lit Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Buildings lig Audible/visual alarm referenced Yes No
O Direction of slope indicator Fir c ii . 0?.rt i ' sift
s , '; Ef 0 Design staked out
liti Waterlines a I ae 0 0 Recorded Notices attached
O Roads,easements, driveways, '�` ❑ 0 Waiver(s)attached
parking �AN 3 n 2(J23 a... 0 0 Pump curve attached
O North arrow and scale drawing iASON COUNTY ENVIRONMENTAL HEALTH 0 0 Evaluation of failure
shown on scale bar JBW Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer be t notifi i er‘f time of installation lid Yes 0 No
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Signature of Designer Date �e�(40 ; 0 i
The undersigned has reviewed this design on behalf of Mason County Public Health and dete si.u'`• trlo b- •z
compliance with state and local on-site egulations: �„ �'f ,!.]='uv-', i
0 .i (A 1m...4-N 1-30—2 if
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Envir. 1 :I Health Specialist Date '��\-b%,j� `,s3 y
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✓A CAUTION: DESIGN
DESIIGN APPROVAL
IS VALI NLY UNDER THE FOLLOWING COND 'H,,;`, �r� ram;'
designstampedpp by County
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✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ( -2<o—2 V oc
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✓ 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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280-SERIES . c-). ,
1/2 hp Submersible Effluent/Sump Pumps
The liberty 280-Series provides a cost effective"mid- Performance Cu ,:280-Series
range”pump for on-site waste water systems,liquid 40 ��s.iIm usszi11\leal�mlua as 12
waste transfer and commercial heavy-duty sump pump I\:1Ifi1E1llIIIIIEIM 1I■E•111111IIIIlIII1i111
applications that require higher head or more flow.
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up to f4" X 15 10 E1I\iIUIIIIIIEIIII IIII■IUIIIIEIIIZIII1111
•416 stainless steel rotor shaft ii.iIIIIIUIIIUUIIllIIIIIi�\E1•I 3
•Permanently lubricated upper and lower ball bearing 5 ■iEI\EIIIIIEIIIIII■IIIEIIIII1/EIEIEI1E1iI►'41 2
•Epoxy powder coat finish 0 ■t1EI■iiEIEIIIIIIHIE1lUfE1UE1IIIIIIEIIIII1111bN 0
0 6 10 15 20 25 303540455055606570
•All fasteners-corrosion-resistant stainless steel U.S.Gallons Per Minute
•1 t/2"Discharge 1 1 1 1 1 1 1 1
•Stainless steel bottom screen-easily removable 0 38 78 114 166 192 228 270
•Maximum fluid temperature:140'F. liters Per Minute
280-Series Cord Lengths Dimensional Data: PPQ
Model 10' 2S'(2) 354-3) 50 -`�} Weight 29 lbs.
VIRO vE
280 Standard Optional Optional OptionalHeight:13„ BAN 3281 Standard Optional Optional Optional Major Width:10"(model 28T S 0 2023 /sON COUNT
283 Standard Optional Optional N/A Minimum Sump Diameters: NMENTAL
287 Standard Optional N/A N/A Model 281,283...14" JBW yFALTN
10'cord length standard on all models.For optional lengths, Model 287 VMF...10" •
add"-2,-8 or-5"suffix to model number.
Exempla for model 280 with 35'cord,order 280-3 Factory switch Model 281,283 Model 287
settings VMF
Motor Specifications Turn on level 13" 9.5°
Ahp 60 Hz 3450 RPM Turn off level 7" 4.0"
Oil filled,thermally protected
(PSG')Permanent Split Capacitor The Model 283 features a fully adjustable wide-angle float.Differential
adjustments can be made easily by tethering the float to the dis-
charge pipe or other mounting point.Vertical float model 287 Is not
4.0 amps(208/230V) adjustable.
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4sea . ' Model 280 ..se. Model 281 �., Model 283 �,; , Mode1287
= �t� w VMF-Series
r Wide angle "i -- . Wide angle
l no switch liar �� nertitic float for
1�., flvu>t�h switch L��'� float switch Vertical mag-
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sump
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cus Certified
Speallcatlone am subject to orange Othout notice.
Liberty Pumps• 7000 Apple Tree Avenue•Bergen,New York 14416•Phone 800-543-2650 Fax(585)494-1819
www.iibettypumps.com Copyright*L8 etty Pw, Inc.2017
Al rights reserved. lilt 2000 R05/17
Installation/Maintenance
Pressure Distribution/Trench Systems
1. Install trench bottom level and as designed.
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 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 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
P
JAN 3
immediately.
17. Locate all utilities prior to starting installation.
soNROVER
2023
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COUNTYENVlRON
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