HomeMy WebLinkAboutSWG2023-00042 - SWG Application / Design - 2/15/2023 4 OFFICIAL USE ONLY
MASON COUNTY DATE RE E^JED:0) - 5 N D
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,(. -`\ COMMUNITY SERVICES AMOU • RECEN CO cn
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Public Health(Community Health/Environmental Health) (\' (/� � (n
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE
Carrie Collins (360) 801-7207 co c z
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MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE CL g
130 E Lakeview Dr Grapeview WA 98546 v) m
SITE ADDRESS-STREET.CITY,ZIP CODE =
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NAME OF DESIGNER PHONE V) N
Arrow Septic Designs, Inc (360) 898-2255
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NAME OF INSTALLER PHO%E —a.
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Maples Excavating (360) 463-8474
PERMITRM;
W TYPE(select one) DRINKING WATER SOURCE 5 I CDRESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS E`'PRIVATE INDIVIDUAL WELL 5 PRIVATE TWO-PARTY WELL Z
I CO
TYPE OF WORK(se/eelOne) - PUBLIC WATER SYSTEM I
El NEW CONSTRUCTION/UPGRADES REPAIR I REPLACEMENT OTHER DETAILS(selectan Met apply) 0 TABLE IX REPAIR I al
SUBMITTALS � 0 SURFACING SEWAGE 10 EXISTING FAILURE CI SHORELINE COfi Et SEPTIC FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r- I N
o
5WAIVER(S)(IF APPLICABLE) 2 .32 Acre o I
DIRECTIONS TO SITE AND SITE CONDITIONS.(e locked gate) I O z.
Take Highway 3.Turn left onto E Mason Benson Rd. Turn left onto E Mason Lake Rd. Turn I o
right onto E Mason Lake Dr E. Turn right onto E Lakeview Dr. A gravel driveway will be on r I o
the right with an orange cone on each sides and a yellow sign reading "Collins." Park at o
bottom of driveway. al
90
�
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. � 1 (3)
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE ❑COMPLAINT ❑OTHER.
INSPECTOR SOIL LOGS COMMENTS ICONDITIONS
! FEB 1 5 2023 =J
t1�`' Slops- i
By_AP
RECORD DRAWING ANC INSTALLATION REPORT
SOIL CODES:
V= RY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
SPE TOR SIG 'TURE DATE `APPLICATION EXPIRATION DATE AP ATION APPROV C/ISSUED BY DATE
t -2_-1z3I —/(o — 65
� Z_ 3
F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/712015
M .: MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON: 7
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: SWG2023-00042
APPLICANT COLLINS CARRIE L Phone:
Address: 130 LAKEVIEW DR E GRAPEVIEW, WA 98546
OWNER COLLINS CARRIE L Phone:
Address: 130 LAKEVIEW DR E GRAPEVIEW, WA 98546
SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255
Designs Inc.
Address: 171 E VUECREST DRIVE UNION, WA 98592
SEPTIC INSTALLER MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE ARCADIA SHELTON, WA 98584
Site Address: 130 E Lakeview Dr
Primary Parcel Number: 221085200076
Permit Description: 2BR Gravity Repair
Permit Submitted Date: 02/15/2023
Permit Issued Date: 02/21/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/16/2024 (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.
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 8 — 5 2 — 0 0 0 7 6
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 m be scanned and available for public view on the Mason County Web site.Mmumum a er size: 11 V/ '
.' r l
Permit Number: SWG 2o2-3—(90`-(Z : Designer's Name: Arrow Septic Designs
Applicant's Name: Came Collins Designer's Phone Number: (360)898-2255
Mailing Address: 130 E Lakeview Dr — Designer's Address: 171 E Vuecrest
Grapeview, WA 98546 Union WA 98592
Cit . State Zip City State Zip,
f ` � .. ._,...C. O.ae6.`:S.rase . I.a_ _-Irt+....,..
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Treatment Device
0 Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter.Type:
t ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
l 'Gravity 0 Pressure 0 Trench l'Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class 2729
Daily Flow:Operating Capacity 180 gpd Length 30 ft
Daily Flow:Design Flow 240 gpd Diameter 4"perf in
Septic Tank Capacity(working) 1,000 existing gal Number 3
Receiving Soil Type(1-6) 3 Separation 3 ft
Receiving Soil Appl. Rate 0.8 gpd/ft2 Orifices
Required Primary Area 300 ft2 Total Number of Orifices n/a
Designed Primary Area 300 ft2 Diameter - in
Designed Reserve Area 300 ft2 Spacing - in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 30 ft Schedule/Class 2729
Elevation Measurements Length 6 ft
Original Drainfield Area Slope 0 % Diameter 4 in
New Slope.If Altered 0 % Preferred manifold configuration used? lt�Yes 0 No
Depth of Excavation Up-slope 24 in Transport Pipe
from Original Grade Down-slope 24 in Schedule/Class 3034
Designed Vertical Separation 24 in Length 20 ft
Gravelless Chambers Required? 0 Yes lid No 0 Optional Diameter 4 in
Pump Required? 0 Yes ltifNo Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day n/a
Diff.in Elevation Between Pump&Uppermost Orifice - ft Dose quantity - gal
Drainfield Squirt Height/Selected Residual(head) - ft Chamber Capacity(flood) - gal
Uppermost Orifice 0 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 If Timer: Pump on - ,Pump off -
Comments Ap p R 0 V E
FEB 16 2023
\, -1 MASON COUNTY ENVIRONMENTAL HEALTH
JBW
DESIGN FORM-PAGE TWO Assessor's Parcel Number:2 2 1 0 8 - 5 2 -- 0 0 0 7 6
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
ri Test hole locations Q' Drainfield orientation and layout Reference depth from original grade:
0 Soil logs Ig Trench/bed dimensions and ' Septic tank
g Property lines critical distances within layout l f Drainfield cover
g
❑ Existing and proposed wells D-Box/Valve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts.banks.and locations l' Laterals,trench/bed,top and
surface water and critical areas Gd Observation port location bottom
❑ Location and orientation of l I' Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
❑ Location and dimension of gLateral placement with distance l ' Observation ports/clean-outs
primary system and reserve area to edge of bed
121 Buildings Other Information
0 Audible/visua,,. referenced Yes No
lifi Direction of slope indicator 41
g ❑ Design staked out
g Scale of dra,y:,• . .wn on scale
❑ Waterlines . '
bar �, 0 g Recorded Notices attached
6d Roads,easements,driveways, �� o� .4 .-V 0 g Waiver(s)attached
parking rl `;to', 0 Gil Pump curve attached
RI North arrow and scale drawing WIlrl� �` . .! l CI Evaluation of failure
shown on scale bar ''••
-r.% S,00349 .. Non-residential justification
'if PAULA JOY JOHNSON
L'tC1 418r 'Da Ni=C El � Flow
Waste strength
�~ LL FYPfRFq /7� .. 0 Flow
DESIGN APPROVAL
The undersigned designer must be tified by ins ler at time of installation Eti Yes 0 No
2-( 3-23
Signature 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 o ite regulations:
1.ittilit 2-/�-z3
E iry ental 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: 2-/Q -2--tf
✓ 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
Arrow Septic Designs
171 E. Vuecrest Dr.
Union,WA 98592
February 13,2023
Mason County Department of Health Services
415N6thSt
Shelton,WA 98584
RE: Carrie Collins(Parcel#22108-52-00076)Evaluation of Failure
Dear Inspector:
Attached is a repair septic design for a property located at 130 E Lakeview Dr E,Grapeview,WA 98546.
There is an existing 2-bedroom house that ties into a gravity septic system installed in 1975. The existing
system has a 1,000-gallon 2-compartment septic tank followed by a 240 s.f. gravity drainfield.
At the last pumping,it was found that the drainfield is not taking water the way it should. Upon further
investigation, it was discovered that the drainfield is clogged and saturated.
The existing 1,000-gallon 2-compartment septic tank may be kept/re-used and must be retrofitted with risers
and lids to the surface and an effluent filter. The new drainfield consists of a new 10' x 30' gravity bed,for a
total of 300 s.f.. This is a non-compliant repair with 24"+of vertical separation. There are no surface water
or well setback issues.
The property owner's contact information is as follows:
Carrie Collins
130 E Lakeview Dr
Grapeview,WA 98546
Carrie phone: (360) 536-1651
JR phone: (360)801-7207
If you need further information,please contact my office at(360)898-2255.
Sincerely
4.44,4 ApPRO vE
mo, .,.M FEB
."` Iv, MASON c NT yE 6 ?D23
349 is 8W M0NTq�yEALTy
�•I PAULA JOY JOHNSON
Pa 'i An2
Licensed Onsite Wastewater Treatment System Designer
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a to 2. 30 0 Cleanout
` Lol. ?LAN 0 1,000 Gallon Septic Tank-EX'S-V►nov
CA .F.VE Co LLA NS 2-Compartment Add Effluent Filter,
Lids 1.Risers -Co Sur.FaCr
1A CI-44 221o8-S2 o OO1(p 0 D-Box with speed-levelers
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Note: (Typical Bed Layout)
0=Observation Port—to be 4"perforated •
;.; -• -..J ��
PVC pipe from bottom of bed to finished :," s,r334s
1`'�' PAULA,'OY JOHNSON 4 \
grade. A removable capshall be installed on r,,-Q-: ..
7 LtC>=NSCp'rir~Si�_N�
observation port pipe. Glue"T'on bottom a,,11SS» X
so pipe can't be removed.
REsi
Minimum of 2 in system,one in each corner.
Laterals are to be centered in trenches.
cam--,t It .
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FEB 1 6 2023
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MS. SECURED UD WITH eAS TI6MI SEAL
i 744S.24'DIAMETER \ •
„ R
i _ FINISH GRADE
1111110. „a
.... 111:1 -V -
To PUMP' N _ r ----a G r ice.
7
NamisammoNsimonolagime
FROM SEWAGE Ara-
SOUR FLOATING MAT
.._.
f-.�.— APPROVED
— EFFLUENT
SEDIMBETS
SEPTIC TANK •
•
A ? ovEA 1 6 2023
MASON COUNTY FNVIRONMENTq
Je L HEALTH
**Note: Septic Tanks must meet standards required by WAC chapter 246-272C
and manufacturer must be on the Dept of Health list of registered sewage tanks.**
• i�
(Mow Septic Deaigno 4
�.
• INSTALLATION It MAINTENANCE t y^\ N�}
Gravity Distribution Systems-Bed
' r'�
'' Q PAULA JOY JOHNSON •�t
CCEiiSE CiESiai k"
1.
Install Laterals with contour of the ground.
2. Install bed bottom level.
3. Install locator tape or rebar at each end of all drainfield laterals.
4. Install observation ports as indicated on the dejailed drainfield layout. Minimum of 2
required at diagonal corners of bed drainfield with bottom extending to the
drainrock/native soil interface. Glue
to bottom
oof Observationort at final Portgo grade
o be easily
removed from ground. Install removablecap on soil smearing must be
vel.
5. Install drainfield during dry weather and soil conditions;any
eliminated by hand raking. i down with 90-degree
6. Use distribution box with speed levelers. Divert incoming pipe
angle to prevent short-circuiting.
7. Filter fabric required over drain rock prior to back filling. If the drain rock extends above
natural grade,run the filter fabric at least 2 inches down the trench wall.
8. Encase all water lines within 10' of drainfield and under any driveway/parking areas.
9. Divert all storm water runoff away from on-site sewage system.
10.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area.
11.No vehicular traffic over drainfield area.
12. Install Bio-Tube or equivalent effluent filter at outlet end of septic tank.
13.All manhole lids and access, sampling or inspection,ports must have locking covers and,
be located at ground level.
14.Inspect tank and clean filters every 6-12 months as needed.
15.Have the septic tank pumped or professionally inspected every 3 to 5 years.
16.All materials and workmanship must meet County and State regulations.
17. Deviation front this design without prior approval from the Designer and Mason County
Environmental-Health Department will make this design null and void.
18. All transport lines under driveways or parking areas must be encased to prevent crushing.
19.Homeowner is responsible for all property lines.
PROVEWA,
F
EB 16 A23
UutmTY Eh v/ +
•
O+�'�'1ENTAL HEALTH
Jai
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