HomeMy WebLinkAboutSWG2022-00121 - SWG Application / Design - 3/14/2022 (2) MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
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: SWG2022-00121
APPLICANT RAMSEY DANIEL S & SARAH A Phone: 1.360.790.3863
Address: 351 YATES RD CHEHALIS, WA 98532
OWNER RAMSEY DANIEL S & SARAH A Phone: 1.360.790.3863
Address: 351 YATES RD CHEHALIS, WA 98532
SEPTIC DESIGNER Jim Zimny -Advantage Perc & Design Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380
Site Address: UNKNOWN
Primary Parcel Number: 222065400041
Permit Description: New four bdrm-pump to gravity bed- REVISION
Permit Submitted Date: 03/14/2022
Permit Issued Date: 04/04/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $660.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/24/2025 (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 (12') 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 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.
DESIGN FORM-PAGE ONE Assessor's Parcel Number. 22206 -- J t_I - O 0 OI/ i
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_ 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: 1I"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG a02.o.' DD19-\ Designer's Name: jim zimny
Applicant's Name: Dan&Sarah Ramsey 360 5t6 7287
Designer's Phone Number:
351 Yates Rd 7178 windflower pl nw
Mailing Address: t • :7' i�4�rfj 1 7
Chehalis,WA 98532 �1 seabeck wa 98380
CLEAR FORM
City State Zip 2 //' City State Zip
DESIGN PARAME+ERg '
Tre ien*J)tyice __
❑ Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield� Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
'Gravity 0 Pressure 0 Trench leBed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 11 Schedule/Class 3034
Daily Flow:Operating Capacity 3 L€O_ gpd igth_— o to o ft
Daily Flow:Design Flow �O Diam
eter tmeter� g
4 in
Septic Tank Capacity 1200 gal 1�Tumbar ', 3
Receiving Soil Type(1-6) 3 S�eparaPI 36 ft
Receiving Soil Appl.Rate 0-8 _ gpd/ft 1 i Orifices
Required Primary Area (AC>z ft2 Total Numb: u.Orifices N/A
Designed Primary Area (t uts ft2 lamete VS •,,a in
Designed Reserve Area ( GO ft2 Spaci%s, r++. in
,. r
Trench/Bed Width 10 ft �5+++ Manifold
Trench/Bed Length te O ft Sc. 4...:,,,, '°'
CR st
Elevation Measurements Le N1w-
e. ft
Original Drainfield Area Slope 0 % Diameter in
New Slope,If Altered 0 °/„ Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation up-slope 12 in Transport Pipe
from Original Grade Down-slope 12 in Schedule/Class SCh 40
Designed Vertical Separation 36 in Length 15' ft
Gravelless Chambers Required? 0 Yes le No 0 Optional Diameter 2 in
Pump Required? le Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 45 gal
Orifice 8 ft Chamber Capacity 1200 gal
Uppermost Orifice er Higher 0 Lower than Pump Shutoff Pump con PPM
a �i
Capacity @ Total Pressure Head 20 gpm Lo1`I• c cr IiirEvent Counter
Calculated Total Pressure Head 10 ft if Timer: Pump on MAP-
min ,pump off 4 hrs
Comments MA�r 6 2021
MASON COUNTY ENVIRONMENTAL H=AI?`
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DESIGN FORM—PAGE TWO Assessor's Parcel Number.22206 _ L _ d 6 G LLI
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
! 1 Test hole locations El Drainfield orientation and layout Reference depth from original grade:
El Soil logs Lot Trench/bed dimensions and le Septic tank
O Property lines critical distances within layout it Drainfield cover
O Existing and proposed wells le D-Box/Valve box locations Reference depth from original grade
within 100 ft of property El Septic tank/pump chamber and restrictive strata:
O Measurements to cuts,banks, and locations Filf Laterals,Tench bed,top and
surface water and critical areas le Observation port location bottom
B Location and orientation of B Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
E< Location and dimension of pJ Lateral placement with distance E< Observation ports/clean-outs
primary system and reserve area to edge of bed
le Buildings Other Information
le Audible/visual alarm referenced Yes No
El Direction of slope indicator
Lot Scale of draw' shown on scale 0 to Design staked out
El Waterlines bar ''+++ 0 Lot Recorded Notices attached
e Roads,easements,driveways, s 0 Pa'Waiver(s) attached
parking �1 9. ++R Wit ❑ Pump curve attached
V+
e1 North arrow and scale drawing �„+ El (i?(Evaluation of failure
+
shown on scale bar 2° "•'n„ ++ Non-residential justification
r . ,ISEi DESIGNER +
+. ❑ E(Waste strength
a/17/` .3 0 E(Flow
DESIGN APPROVAL
The undersigned designer must be notified by ' sfaller at time of installation El'Yes 0 No
Signature o signer Date
APPROVED
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in rcompliance with state and local o ' ulations:
MAR 0 6 2023
/ J 7` ZC l" '"MASON COUNT?ENVRONMENTAL H EALTH
nviro ental Health Specialist Date DJA
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:
✓ 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
Advantage Perc & Design
Timely•Peasonable•30 Years of Local Experience
Construction Notes for Pump Gravity if Bedroom System:
Equal Distribution w/ Rock and pipe
Install 3- ()'Laterals in a 10' x(o'Bed configuration w/4 hole d-box.
Install 12" deep on low side of trench maintain 36" of vertical separation
Install level and along contours.
Install in dry weather only.
Use 1200-Gallon septic Tank APPROVE-
System
designed for typical residential waste strength sewage only.
System designed for yO-Gallons Per Day-operating at k .Gallons Per Day MAR 0 6 2023
MASON COUNTY ENVIRONMENTAL HEALT;
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280 P1 R010R/2015 CCopyright 2015 Liberty Pumps Inc. All rights rmcred m Speci$catio subject to change without lattice. $ .t
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