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Home My WebLink AboutSWG2023-00062 - SWG Application / Design - 3/1/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 ,t. 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: SWG2023-00062 APPLICANT METCALFE STEVEN J & JUDY C Phone: Address: 621 DUGUALLA RD OAK HARBOR, WA 98277 OWNER METCALFE STEVEN J & JUDY C Phone: Address: 621 DUGUALLA RD OAK HARBOR, WA 98277 SEPTIC DESIGNER STEVE METCALFE Phone: Address: 123 XXX XX, XX. 00000 Site Address: 12XX W Lakeside Dr Primary Parcel Number: 519015002030 Permit Description: 3-bedroom gravity system Permit Submitted Date: 03/01/2023 Permit Issued Date: 03/14/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/14/2026 (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 Drainfield 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. 'r N OFFICIAL USE ONLY DATE RECEIVED MASON COUNTY 3 [ j a(�a--� COMMUNITYSERVICES AMOUNT EIVED: RECEIVED BY: �. 2`/� 1{ v m Public Health(Community Health/Environmental Health)0 �` 'J I ` I�� C cn sbo-0279670.ext 400 or 360275-4467,eat.400 SWG T , 000 L y O 415 N.6th Street•Shelton.WA 9e584 l _/` '\ o V O z V) ON-SITE SEWAGE SYSTEM�� , { APPLICATION APPLICANT (� zu \V/ s PHONE m StSteve and Judy Metcalfe (lDI �LSSS l/ II133t3t97I 360-632-3825 I- eve ADDRESS-STREET,CITY,STATE,ZIP CODE LcJ MAR 01 2023 3 601 Dugualla Rd. Oak Harbor WA 98277 m SITE ADDRESS-STREET.CITY,ZIP CODE BY: 51901-50-02030 / Loss Lake BIk 2 Lot 30 Shelton WA 98584 NAME OF DESIGNER PHONE Steve Metcalfe II 360-969-1583 NAME OF INSTALLER PHONE 0 1- Steve Metcalfe II ,, 360-969-1583 PERMIT TYPE(select one) pp DRINKING WATER SOURCE - k.RESIDENTIAL OSS El COMMUNITY OSS L1)COMMERCIAL OSS 61 PRIVATE INDIVIDUAL WELL C PRIVATE TWO-PARTY WELL Z TYPEPE OF WORK(select one) 17 PUBLIC WATER SYSTEM Loss Lake Water Assoc. I l �r1 NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIRPI SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE co ff DESIGN FORM(REQUIRED) Ir!SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r 13 i7 WAIVER(S)(IF APPLICABLE) 3 475'x100t 0 l DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) On West Lake Side Dr. w U ` 1^v1� I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. \. 13 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS ?• COMMENTS/CONDITIONS 7 z• t r.- i_j: 64`^0� C v iktfy�� `�.45 �, Ttt3: 6 .7 T1-St7Tq 3 �� T I.17,.-��6 3 i t1 y : EC l E:� 19/I Ci t mS y 60'' --NA- -- -, 0 -$\ biS , itt6 . 61 RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPE OR GNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 11I1'10i w23 iy tic' w 7,6 THIS F R MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number:5 / 9 O f -- E U -- 02.Q 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 publiicc view on the Mason County Web site.Maximum paper size: 11"X 17" • 3 '.. . ^ PARCEL WENTIFFICAtlON. • Y`s f,4 Permit Number: SWG -b -�- 000 6)-- Designer's Name: Steve Metcalfe II Steve&JudyMetcalfe . 360-969-1583 Applicant's Name: Designers Phone Number: Mailing Address: 601 Dugualla Rd Designer's Address: 3063 N Oak Harbor Oak Harbor WA 98277 Oak Harbor WA 98277 City State Zip 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 ❑ Disinfection Unit Make/Model Other: Drainfield Type Er 0 Pressure L 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Daily Flow: Operating Capacity 280 gpd Length ft Daily Flow: Design Flow 360 gpd Diameter in Septic Tank Capacity(working) 2 @ 1000 gal Number Receiving Soil Type(1-6) 3 Separation ft Receiving Soil Appl.Rate .64 gpd/ft2 Orifices Required Primary Area 562.5 ft2 Total Number of Orifices Designed Primary Area 600 ft2 Diameter in Designed Reserve Area 600 ft2 Spacing in Trench/Bed Width 3 ft Manifold Trench/Bed Length Zoo ft Schedule/Class Sch 40 Elevation Measurements Length 50 ft Original Drainfield Area Slope 0 % Diameter 4" in New Slope,If Altered % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope ZCp in Transport Pipe from Original Grade Down- • stopc 2.0 in..., , Schedule/Class Sch 40 Designed Vertical Separation 36 in A-1 Length 334 ft Gravelless Chambers Required? Ca Yes 0 No 0 Optional Diameter 4" in Pump Required? 0 Yes I 'No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Gavity On Demand Diff.in Elevation Between Pump&Uppermost Orifice ft Dose quantity 46GPD X 6 times per day gal Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) 1000 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 This is a primary 3 bdrm system with a Reserve AreAPPR ��Reserve area for Parcel #51901-50-01066 MAR 1 4 2023 MASON COUNTY ENVIRON/L`%•rt'.- DJA DESIGN FORM—PAGE TWO Assessor's Parcel Number:,L 4 Q / -- .S Q -- _0 4 L Z Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch g Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: 10 Soil logs 0 Trench/bed dimensions and 10 Septic tank 0 Property lines critical distances within layout liff Drainfield cover 0 Existing and proposed wells 0 D-BoxNalve box locations Reference depth from original grade within 100 ft of property if Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations B Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom O Location and orientation of 13 Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: A Location and dimension of 0 Lateral placement with distance Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information 0 Buildings 0 Audible/visual alarm referenced Yes No 0 Direction of slope indicator Lvj Scale of drawing shown on scale 0 ef Design staked out PJ Waterlines bar 0 10 Recorded Notices attached 0 Roads, easements,driveways, 0 10 Waiver(s)attached parking 0 Q Pump curve attached O North arrow and scale drawing 0 El Evaluation of failure shown on scale bar Non-residential justification ❑ l01 Waste strength ❑ 0 Flow DESIGN APPROVAL The undersigned designer must be notifi d by installer at time of installation la Yes 0 No M e. al-Pe 461,3 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 , : re ations: <1 ROVE D 6r"'t► 31y z n rronmental Health Specialist Date MAR 1 LI 2023 CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWINGWAMMistiVIRONMENTAL HEALTH ✓ The design is stamped"Approved"by Mason County Public Health. DJA ✓ 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 Parcel #51901-50-02030 n' Scale 1"=60' I V 100' I NJ/ " oil Logs 1 0-20" Lm Fn Snd Type 4@ .48 25 21-65" Med Snd &Gry Type 3@ .64 2 0-19" Lm fn Snd w/gry Type 4@.48 20-51" Med snd &gry Type 3@.64 52-65" Grvly med snd Type 2@1.0 3 0-25" Lm fn snd w/roots Type 40 .48 26-45" Med snd &gry Type 3@.64 46-56" grvly med snd Type 2@1.0 v0, 4 0-24" Lm fn snd w/roots Type 4@.48 25-65" Med snd &gry Type 3@.64 5 0-40 Lm fn snd w/roots Type 4@.48 41-78 Med snd &gry Type 3@.64 15 6 0-20" Lm fn snd Type 4@.48 21-61"Med snd &gry Type 3@.6 A30' Roots to 28" 0% Slope 2 SI pe A 20% Slope APPROVED MAR 1 4 2023 Q ',.SON COUNTY ,`\ ENV1RONDJA MENTAL HEALTH 4 % 4 If SOP lope 031752 "---'" � Joe•_Steven Metcalfe II Driveway LICENSEDDESIGNER Expires 6/11/ PS�� Parcel #51901-50-02030 Scale 1"=60' N 60' �V 7,0' 3 Bdrm gravity trench drain field 41--D-Box • 5'l 3. using Chambers. 4 @ 50' X 3 = 600 Sq Ft A , •A _ --o • Off Site Reserve Area 5 —II 2 trenches 75 x 3' = 450sq ft for Parcel #51901-50-01066 • Clean out • 10'I b. 1000 gallon Proposed double compartment 5. 60' x 60' septic tank shop This site is to have a primary drain field with outlet filter 5 Al s, and reserve rated for 3 bedrooms. -• (2 bedroom in the house and one in the shop building.) 9 There is be a 2 bedroom reserve area for .a, the an off site system located at i r, ; 15' 1194 West Lakeside Dr. Parcel # 51901-50-01066 Clean out .11 , °'., *• t3\ wit Reserve o:i (Nil. 15, Area rl —i �,I o, 0% o Slope a:: Clean out ,,,7 ----1.i Transport line from Off Site 4/a OSS on ' Parcel# pe A c 51901-50-01066 , =' a 1000 gallon double 20% _l compartment septic Slope tank W/outlet filter a Clean net • Proposed Water line must be 2000 sf This site map was developed by using existing resources and onsite sleeved if crossing home measurements. Features shown are approximate. It is not a legal survey. septic transport line A All surface water must be diverted away from tanks and drain field areas. 40Q'o_ ___ ___ ::-1S1:00e Site, design and construction requirements not specifically mentioned ti ' herein shall conform to applicable State and County codes and standards. - Driveway Water meter NOTE: Tanks may be relocated from position shown so long as setbacks are observed. 5' from property lines, foundations; 10' from water supply piping, 50' from public well.) Proposed 2"Transport line from Off Site OSS ��O �P Parcel # 51901 50 01066 S� p O 1194 West Lake Dr. q�oo I ` �r E MQR 1411 �013 ytA. ++ MASON COJHD,ENVIRONMENTAL �4. ++ D JA HEAL7 r 44.vim,` r 3 p!1�"t4 `Yr � 40 :> ... ' *1752 �F i•...'St•,w!Joe Metcalfe II i LICENSED DESIGNER Expires 6/11/_ I • Parcel a 51901-50.02030 TOP VIEW OF DRAIN FIELD TRENCHES Inspection Ports with 10" pit box to the surface 5O' r ( r ( ( I —4114c ( ( ( 5'between trenches ( ( T .._40 4'•Sch40 Pvc 5• 1. Sewer pipe ( 4"Transport line 5• Use sweep 90° \111. -11114C C CC C C C C C { ( ( I3' 75' Reserve area -- -- _for Off site Parcel #51901-50-02030 Clean out , ,- Transport line Connection from shop from house se tic tank Septic tank `, ovEp =e- 4Ap p R �. �: , OR 4 2023 �►'42 . � h �i 31752 : 4.1;a0 ,r 0 MASON COUNTY ENVIRONMENTAL HEM i Steven Joe Metcalfe-II LICENSED DESIGNER Di A Expires 6/11/',r, Parcel # 51901-50-02030 TYPICAL DRAIN FIELD TRENCH CROSS SECTION s Inspection Port 14" Cover Next trench Chambers . 6" 12.. Type 4/.48 20" x 5' 3' 6"- Type 3 / .64 26' Native Soil Type 3 @ .64 _39" Type 3 / .64 65" INSPECTION PORT TOP VIEW OF TRENCH ON INLET SIDE Trench side wal Infiltrator end cap Top soil line • 4" pvc pipe 4" slip cap I into infiltrator chamber Inspection port Infiltrator Infiltrator chamber chamber Trench side wall Trench bottom APPROVED ',� MAR 1 4 ?023 , '� •!,MASoNDUNTYENVIRONME ` f �Y;. DMA NTAL NEACTF' "3/bltj • 031752 • i•%Steven Joe Metcalfe II ' LICENSED DESIGNER Expires 6/11/0 Parcel # 51901-50-02030 TANK DETAIL i_Eritm house Install 4" Cleanout 4-4" PVC Transport Line Double compartment 1000 gallon Septic tank Connect 4" Transport line to D-Box Install 4" Outlet filter APPRO VED 4 MAR 1 2023 r 1,01 MASON COUNn ENVIRONMENTAL yE 0��I &I s� DJA ALTN 031752 •. Steven Joe Metcalfe II LICENSED DESIGNER Expires 6/11/") BERG Berg Vault Company VAULT Mt P.O.Box 98273 ' -y (360)424-4999 Cl^llr� rA 1 i ' �. www-befgvault.com • • 64" ' w r) ! • • 3. Pt LA V7FW se PANE TA to xr 0LM TER III. A 'LET DIM .111 • r ourtET • 76" 6,�n V4 54" 52° • • t.s CAPACITY(GAL.) CAPAcrrr(aAt..) CROSS SECnON OPERATIONAL 710 OPERATIONAL MID TOTAL(ROOD) 832 TOTAL(RA00) 995 Dural Maw 'sil dM.....El• w ionedW.r ri .�• ^..4" 1000 Gallon Pre-Cast Concrete podedd...r:' ..,�" ,.�°�I.. Two Compartment Septic Tank csrw..Irr�.r�/wras eOdomA ora Rime ST� n N� lrlrNilorr9.atMAICNns .gaid=�r‘OSM I ilia.Dec. 20r5 Zcidis6 NTS I Ycd.G +000 S or ow Ant APPROVED MAR w 2023 031752 , i• Steven Joe Metcalfe II f CENSED DESIGNER MASON COUNTY ENVIRONMENTI DJA Expires 6/11/Dt1 Parcel # 51901-50-02030 NOTES TO PROPERTY OWNERS: 1) - Your septic system consists of a septic tank&outlet filter, pump chamber tank&pump, transport pipe, and a drain field bed using gravel less chambers. There should be a clean-out/inspection port accessible at the surface at the end of each lateral and monitoring port in the first third of bed. There is a control panel that will sound an alarm which usually indicates the level is too high in the pump chamber tank. If the alarm sounds and you can't locate a leaking fixture call a septic maintenance &operations company to evaluate what is going on. 2) - Keep all access risers and caps secured for the protection of people and animals. 3) -This system has a pump and Island County requires annual inspections. The tanks do not need to be pumped out annually but, should be evaluated during inspections. with typical use, tanks will need to be pumped out every three to eight years. Your system is designed for an average water use of 360 gallons per day. Maximum flow is 480 gallons per day. The alarm will sound if you are routinely exceeding 360 gallons per day and it is advised that you look at ways to reduce your water usage. Additionally: - Do not flush or put down the sinks any chemicals, solvents, paint, etc. Only flush human waste and regular toilet paper. - Limit use of bleach and use the smallest amount of detergents and softeners recommended for laundry. -Spread out water use over the week rather than concentrating use in one day (showers, laundry etc.) - Limit or avoid antibacterial products and products containing ammonia. -Garbage disposals are not recommended. -Avoid toilet paper labeled for septic systems as it breaks up into suspended particles that make their into the drain field instead of settling out in the tank. Only flush human waste and regular toilet paper. - do not flush animal waste or cat littler. -Avoid appliances that use large amounts of water. - If you have a water softener, do not allow backflush to enter the septic system. 4) - Periodic maintenance will be required including cleaning the filter and having the tanks pumped. 5) -Tank access lids and cleanout ports in the drain field should be kept clear for accessibility and to remind you of where the system components are located. 6) - You should not grade or fill in the area of your drain field. The drain field area must be protected. No livestock, vehicle traffic or parking, no decks or patios, and no structures are to be placed on the drain field. 7) -The drain field area can be grass seeded and mowed. Do not use a commercial turf as the high silt content could smother the drain field and shorten it's life. 8) - All footing drains and surface water(including down spouts&irrigation) must be directed away from the drain field and tanks, and can not be connected to your septic system. KEEP THIS PAGE AFTER INSTALLATION IS COMPLETE ALONG WITH A COPY OF YOUR ASBUILT PAGE. PPRO frA Q '�or 4)1 MAR 1 II 2023 ENVI �\.d A`A 9• .s DJA NMENtAC1i HEALth .Steven oe1031Met alfe..11_'" LICENSED DESIGNER d, Expires 6/11r,