HomeMy WebLinkAboutSWG2022-00562 - SWG Application / Design - 11/7/2022 (2) ENVIRONMENTAL 6LIODR -00/ ao
HEALTH
_ MASON COUNTY 1 `� d�����• 15N6SHEL ON 3 0427-9670 EXT400
I.- BELFAIR:360-275-4467,EXT 400
"''' Public Health & Human Services JAN 3 1 2G23 ELMA:360-482-5269,EXT 400
4 FAX:360-427-7787
615 W. Alder Street
On-Site Sewage System Permit: SWG2022-00562
APPLICANT Austin Brereton Phone:
Address: 25381 N US-101 HOODSPORT, WA 98548
OWNER HOODSPORT RESORT LLC Phone:
Address: 1482 N 1540 W SAINT GEORGE, UT 84770
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: 422014300060
Permit Description: New three bdrm-pressure trench
Permit Submitted Date: 11/07/2022
Permit Issued Date: 12/30/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $740.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 12/06/2025 (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.
7 Septic components must be located at least 8 feet from the top of the slope or at least 5
feet from the toe.
8 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
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 DATE RECEIVED: I I - 1 — a )-
03 0
I COMMUNITY SERVICES AMOL(�RPCE RECEIVED v m
Public Health(CommunityHealth/EnvironmentalHealth l`
CD
415 N.6th Street
ext.-Sh orn,WA 7. .4� ' SWG co Ti). - 0(9 S�Z---1 °
415 N.6th SI(P2I-ShNton,WA 99584
Z 6
ON-SITE SEWAGE SYSTEM APPLICATION a v
APPLICANT m
PHONE m n
m
Austin Brereton
(801) 850-7869 Z
MAjUI G ADDRESS-STREET,CITY,STATE,ZIP CODE
25381 N. Hwy 101 I Hoodsport WA 98548 0°
SITE ADDRESS-STREET,CITY,ZIP CODE
m
25381 N. Hwy 101 Hoosport WA 98548 y 4""
NAME OF DESIGNER I PHONE
Dale L. Tahja (360) 426-5940 iv
NAME OF INSTALLER PHONE N
T.J. Goos (360) 490-0217 �
IPERMIT TYPE(select one) DRINKING WATER SOURCE L-�.1 - I 0
l sRESIDENTIAL OSS !—r COMMUNITY: OSS COMMERCIAL OSS PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL _
Z
TYPEPE�OF WORK(select one) NPJ PUBLIC WATER SYSTEM Glen Ayr Resort
4 RC NEW CONSTRUCTION/UPGRADES I REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE
DESIGN FORM(REQUIRED) ffSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I W
I EWAIVER(S)(IF APPLICABLE) 3 0.79 acre o '
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
North out of Hoodsport on Hwy 101, left into Glen Ayr Resort. Call Austin Brereton at (801) I 10
850-7869 to schedule the inspection.
o Ia,
I0)
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I C
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
i
0 - 56 65L
d - (, t. ^ ff D T CE
1
0 D _ L, ‘I0 7 2022
. By 1
SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
. 17/44r, b.e.00?. (AL, t 7'6 '16 C‘- '4."''' - 1,4349(:).1)°.
IS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WE ITE REVISED 12/7/2015
•
t DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 0 1 — 4 3 — 0 0 0 6 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. s Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. s 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 )' 0- —006 lam Dale Tahja Designer's Name: __ _ —
Austin Brereton Desi ner's Phone Number: (360)426-5940
Applicant's Name: g
g
Mailing Address:
25381 N. Hwy 101 Designer's Address: 2450 W Deegan Rd W
Hoodsport WA 98548 Shelton WA 98584
City State Zip City State Zip
_ DESIGN P,A,RAMigTERS
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 g Pressure l'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 67 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,250 gal Number 3
Receiving Soil Type(1-6) 4 Separation 6 ft
Receiving Soil Appl.Rate 0.60 gpd/ft2 Orifices
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 50 ft
Original Drainfield Area Slope 0 % Diameter 1.25 in
New Slope,If Altered 0 % Preferred manifold configuration used? 0 Yes lie No
Depth of Excavation Up-slope 24 in Transport Pipe
from Original Grade Down-slope 24 in Schedule/Class Sch. 40
Designed Vertical Separation 48 in Length 60 ft
Gravelless Chambers Required? 0 Yes 0 No Fif Optional Diameter 2 in
Pump Required? It Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 67.5 gal
Drainfield Squirt Height/Selected Residual(head) 6 ft Chamber Capacity(flood) 1,000 gal
Uppermost Orifice fif Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 24 gpm grimer liklapse Meter l 'Event Counter
Calculated Total Pressure Head Al O f p on 2.8 min. ,Pump off 5 hrs.57.2 min.
Comments
DEC 3 0 2022 0,‹
004*
%ASON COMM Et Y�-
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 0 1 — 4 3 -- 0 0 0 6 0
Permit Number: SWG Y77'--O c:'Sto7—
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations g Drainfield orientation and layout Reference depth from original grade:
g Soil logs g Trench/bed dimensions and g Septic tank
g Property lines critical distances within layout 171 Drainfield cover
I Existing and proposed wells EZI D-Box/Valve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts, banks, and locations g Laterals,trench/bed,top and
surface water and critical areas liiObservation port location bottom
g Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption Ft Manifold placement 0 Sand augmentation
components ti6 Orifice placement Other cross-section detail:
66 Location and dimension of g Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
0 Buildings g Audible/visual alarm referenced Yes No
6Q Direction of slope indicator g Scale of drawing shown on scale d 0 Design staked out
EA Waterlines bar 0 0 Recorded Notices attached
Wi Roads,easements,driveways, 0 0 Waiver(s)attached
parking g 0 Pump curve attached
Wi North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer m be notified by ' taller free of installation 56 Yes 0 No
c 1` — C
Signature of Designer Date `00
_cce. ' ,fxr ,
The undersigned has reviewed this design on behalf of Mason County Public Health and dete 'tc to -in Q;�V
.
compliance with state and local on-site regulations: 's� '7)-'t,f7
nvironmental Health Specialist Date 4Lj3 , ,1 <L
•lsb i>3 ci:.
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COND
✓ The design is stamped"Approved"by Mason County Public Health.
� �•
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: b.c tr C. t1-iti)._ • .;
✓ 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
Mason County WA GIS Web Map
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Mason County WA GIS Web Map Application
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Per Minute 6 192 228 270
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280-Series Cord Lengths Dimensional Data:
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Al right*rived. Ulf A000 RO6t17
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 4ft. 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 10ft. 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.
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