HomeMy WebLinkAboutSWG2022-00630 - SWG Application / Design - 12/29/2022 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
M .: S7
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: SWG2022-00630
APPLICANT CHARLESTON JAMES WALTER Phone: 303.349.8727
Address: 931 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584
OWNER CHARLESTON JAMES WALTER Phone: 303.349.8727
Address: 931 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 3958 E North Island Dr
Primary Parcel Number: 221254290063
Permit Description: New SFR -3BR Pressure w/class b waiver
Permit Submitted Date: 12/29/2022
Permit Issued Date: 02/16/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/11/2026 (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.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: Ili �Zat eZ�
ONSITE SEWAGE SYSTEM APPLICATION AMOS& • ,_,L1,t
co (n
415 N 6th Street,(Bldg 8) Shelton WA,98584 R'
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S W G WI _ O (n 0
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APPLICANT PHONE > >
JIM CHARLESTON 303-349-8727 m m
MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE r
3959 E NORTH ISLAND DR SHELTON WA 98584 z
SITE ADDRESS•STREET.CITY.ZIP CODE W
SAME x
NAME OF DESIGNER PHONE I IV
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE 1
N
TBD o I ,
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
Is( NEW CONSTRUCTION 0 RV HOLDING TANK ONLY Eir PRIVATE INDIVIDUAL WELL (7) I N
❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL O
0 TABLE 9 REPAIR ❑ SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM Z I Cn
❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: 1
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE I
❑ EXISTING FAILURE "Record Drawing required co
for all Installations" 3 100'X$2$'X100'X821' W N
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) a 1
GO ACROSS HARSTINE ISLAND BRIDGE, TURN LEFT AT STOP SIGN, FOLLOW
1cc'
NORTH ISLAND DRIVE TO 3959 E NORTH ISLAND DRIVE. DRIVEWAY IS ON THE I o
RIGHT SIDE OF NORTH ISLAND DRIVE. LL BEFORE YOU GO, THEY NEE
UNLOCK AND OPEN TH� �ATF FOLLOW ROAD, IT TAKES QU0 D E LEFT, o I o
HOLES ARE ABOUT 180' FROM THE 90 DEGREE TURN ON THE LEFT SIDE OF THE I o
ROAD. THE ROAD IS ON AN EASMENT.
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I W
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE OCOMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS / COMMENTS!CONDITIONS
24 '/ /1 f_ v
4c.e6807 /.,
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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
1..-4(s'34 1 '-' () '''0)4 . 0�
1'���1;M MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSI � REVISED 12/72015
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4
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 2 5 — 4 2 — 9 0 0 6 3
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: /1"X/7"
PARCEL IDENTIFICATION
Permit Number: SWG „ZOO-?— 00(y30 Designer's Name: CINDY WAITE
Applicant's Name: JIM CHARLESTON Designer's Phone Number: 360-701-0205
'
Mailing Address: 3959 E NORTH ISLAND DR 80 E PICKERING LANE
Designers Address:
SHELTON WA 98584 SHELTON
WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon 13iofilter 0 Sand Filter ❑ Mound ❑Sand Lined Drainlield 0 Recirculating Filter.Type:
❑Aerobic Unit Make/Model❑ Gravity Eli Pressure 0 Disinfection Unit Make/Model
Drainfield Type
l 'Trench 0 Bed Other.
0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class
SCHEDULE 40
Daily Flow: Operating Capacity 270 gpd Length
40 f-t
Daily Flow: Design Flow 360 gpd Diameter 1.25
in
Septic Tank Capacity 1200 gal Number 5
Receiving Soil Type(1-6) 4 Separation 9
it
Receiving Soil Appl. Rate .6 gpd/ft2
Orifices
Required Primary Area 600 ft2 Total Number of Orifices 40
Designed Primary Area 600 ft2 Diameter 3/16
in
Designed Reserve Area 600
ft2 Spli;ng 60 in
Trench/Bed Width 3 ft /11
sirManifold
Trench/Bed Length 200
ft 4ghed ail lass SCHEDULE 40
Elevation Measurements 4'a 11(`'°I v� 2-3 ft
Original Drainfield Area Slope 3 % i`" .F s `
�y,Py�st.1,xt3 1„ IA) 2 in
New Slope, If Altered o g
��i,4�, P d i configuration used? ❑ Yes 0 No
Depth of Excavation tip-slope �/ -co, e s. . 1•
from Original Grade �� /( " � � ��A •` •if,
ansport Pipe
Down-slope f �. M L u t I R .1
II �;t,,��` N:" =`„`=1 SCHEDULE 40
Designed Vertical Separation 1 ( Ex, b 391
�" ? � 2023 ft
Gravelless Chambers Required? 0 Yes 0 No Gii• t aL 2
Pump Required? Yes 0 No �' ����CCJ� fRONMENTAL HEALTH in
Bw Dosing and Pump Chamber
Pump/Siphon Specifications Num er of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 45
Orifice 5 ft gal
Chamber Capacity 1200 gal \ r
Uppermost Orifice liff Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. \,
Capacity @ Total Pressure Head 23.6 gpm gTimer
C�Elapse Meter VEvent Counter
Calculated Total Pressure Head 10.908 ft If Timer: Pump on Pump off
Comments
DESIGNER AND INSTALLER TO MEET ON SITE AFTER CLEARING TO LAY OUT DRAINFIELD,
CONCRETE TANKS REQUIRED, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION.
r�
• DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 2 5 -- 4 2 -- 9 0 0 6 3
• Permit Number SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations Pate 9 Q( Drainfield orientation and layout
Reference depth from original grade:
0 Soil logs Pa-QG it( g Trench/bed dimensions and
g Property lines critical distances within layout g Septic tank
V Drainfield cover
91 Existing and proposed wells fib D-Box/Valve box locations
within 100 ft of property gSeptic tank/pump chamberReference depth from original grade
and restrictive strata:
g Measurements to cuts, banks, and
locations , map
121
I surface water and critical areas gObservation port location Laterals, trench/bed, top and
Nttk6cation and orientation of gClean-out location bottom
curtain drain and all absorption ❑ Curtain drain collector
[� Manifold placement 0 Sand augmentation
components
Location and dimension of WI Orifice placement Other cross-section detail:
gprimary system and reserve area Lateral placement with distance gObservation ports/clean-outs
Buildings
to edge of bed Other Information
g Audible/visual alarm referenced Yes No
61 Direction of slope indicator /u .�r ,
Waterlines g Sca e o draw g shown on scale Ii 0 Design staked out
bar
* 6-)r ❑ Recorded Notices attached
Roads, easements,driveways, 19 K eu
parking ❑ Waiver(s)attached
waive,' t 5 g 0 Pump curve attached
g North arrow and scale drawing ❑ 0 Evaluation of failure
shown on scale bar 4.49pK.,r�1
Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL PPRO
I'he undersigned designer must be notifi install rat time of installation � `
I ? FEB 16 3
c 12 2 23
Signature Designer at��� it
UNTVE�a��R
The undersigned has reviewed this design behalf ` e w ME�FgL��` ��g of Mason County Public Health and determined it to he in
compliance with state and local on-s. regulations:
Env ro tnit
al Health Specialist Date
CAUTION: DESIGN APPR VAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
V The design is stamped"Approved" by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1 ' f_Z-C
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. ^ '
/ J� it
Please Note: The system must be installed by a certified installer, r `
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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Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing " Orifices feeder line of end of lateral
1 40 480 60 8 2.5 2.5 40
2 40 480 60 8 2.5 2.5 40
3 40 480 60 8 2.5 2.5 40
4 40 480 60 8 2.5 2.5 40
5 40 480 60 8 2.5 2.5 40
6 0 0 24 0
7 0 0 24 0
8 0 0 24 0
200 40 200
TRANS LENGTH 391
GPM 23.6
K (2" SCHEDULEN 40) 284.5
FRICTION LOSS 3.908515
Squirt 2
Elevation difference 5
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280_PI RO10/7l2015 CCopy right 2015 Liberty Pumps Inc All rights reserved Specifications subject to change without notice
Installation Notes
Pressure Distribution System:
22125-42-90063 3959 e North Island Dr
1. 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.
2. Extreme care to be taken when clearing, remove no top soil, all stump holes to be
filled with C-i2 sand.
3. Installer and designer to meet on site after clearing to layout drainfield laterals.
4. Concrete tanks required
5. Pump controls to be set at time of installation.
6. Install system during dry weather with acceptable soil conditions
7. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
8. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
9. 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.
10. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
11. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
12. Install access risers on the septic tanks, valve box and ends of laterals.
13. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
14. Lids must form a water and gas tight seal with the access risers
15. Install effluent filter specified in this design at the septic tank outlet.
16. This system must be installed by a Mason County Certified installer.
17. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
18. 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 p bedroom per day.
19. Install la Is with contour of the ground
20. Install nc atoms level and always maintain a minimum of six inches into native soil
21. Instal atoif, e on top of all drainfield laterals.
22. lnst �1cea ea outs at the ends of all laterals (caps must extend to within six
in of_ •�, e and be in a valve box as shown on diagram. \ It
23. I II is rm
24. �Ite fabri Al ire r drain rock prior to backfilling. If the drain rock eps
he al s n filter fabric at least 2 inches down the trencti"A S' I Piro V E
FEB 16 20 2 ''
0{ COUNTY ENVIRONMENTAL HEALTH
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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 and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
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