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HomeMy WebLinkAboutSWG2023-00104 - SWG Application / Design - 3/20/2023 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,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00104 APPLICANT Marianne Painter Phone: Address: 415 N Borough Way TACOMA, WA 98403 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 SEPTIC INSTALLER B-LINE CONSTRUCTION Phone: (360)426-4221 Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584 Site Address: 70 E Smith Cove Way Primary Parcel Number: 120195000025 Permit Description: Repair-4BR Pressure gravity Permit Submitted Date: 03/20/2023 Permit Issued Date: 04/04/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/04/2026 (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. / r MASON COUNTY PUBLIC HEALTH DATE RECEIVED OFFICIAL USE ONLY C_ • C. • A ONSITE SEWAGE SYSTEM APPLICATION AMOU E '0.;ICIAm W N R 415 N 6th Street,(Bldg 8) Shelton WA,98584 < � Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 C`n 7 G N - co) 0 c_ 0 .7VV �.�/ O z to z -o APPLICANT PHONE > > XI MARIANNE PAINTER m m MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE r 415 N BOROUGH RD - TACOMA WA 98403 c SITE ADDRESS SMITH Z IP CODE CO ECOVE WAY V6 SHELTON WA 98584 m NAME OF DESIGNER ---. PHONE CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE I IV B-LINE CONSTRUCTION 360-426-4221 0 CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0C ❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL Cp i REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL O ❑ TABLE 9 REPAIR 0 SINGLE FAMILY Er COMMUNITY/PUBLIC WATER SYSTEM Z I CO ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: SMITH COVE WS 1 O UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE I Ul lil0J EXISTING FAILURE "Record Drawing required I O for a►►►na►a►►ationa" 4 81r X225r X79r X208r co DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 1 GO ACROSS HARSTIN ISLAND BRIDGE, TURN RIGHT AT TEE, TURN RIGHT AT NEXT X IO TEE(HARSTENE ISLAND RD SOUTH), TURN LEFT ONTO POINT WILSON ROAD, 1O TUNR LEFT ONTO SMITH COVE, RIGHT SIDE OF SMITH COVE. O I I.) SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS — — -- OFFICIAL USE ONLY BELOW THIS LINE - UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS . A/0 Afij( SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS IN E TOR SIGtyATUR���� � DATE APPLICATION EXPIRATION DATE APP ICATION�APPROVED v /rl �/���� WW11 3 � TH F AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASO COUNTY WEBSI REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 0 1 9 — 5 0 — 0 0 0 2 5 A design will.be reviewed when 3 conies of each of the following are submitted: 'd Completed design form that has been signed and dated. • ''Scaled layout sketch, including all applicable items on checklist '1 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 si:e: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 2_,.2,.3"ad/d y Designer's Name: CINDY WAITE Applicant's Name: MARIANNE PAINTER Designer's Phone Number: 360-701-0205 Mailing Address: 415 N BOROUGH RD Designer's Address: 80 E PICKERING LANE TACOMA WA 98403 SHELTON WA 98584 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 0 Disinfection Unit Make/Model Other: Drainfield Type giGravity 0 Pressure lifTrench 0 Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 360 Schedule/Class ASTM2729 Daily Flow:Operating Capacity 480 gpd Length 50 ft Daily Flow: Design Flow 480 gpd Diameter 4 in Septic Tank Capacity EXISTING gal Number 4 Receiving Soil Type(I-6) 3 Separation 10 ft Receiving Soil Appl. Rate .8 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices ASTM 2729 PERF Designed Primary Area 600 ft2 Diameter 4 in Designed Reserve Area ft2 Spacing in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Clas ii�I1 - NA •ArElevation Measurements Length i i ft i' Original Drainfield Area Slope 3-5 % Diameter o- ,Aii in ot�`� .P New Slope,If Altered % Preferr.k:.rtilR14 •.1j:uration used? 0 Yes 0 No Depth of Excavation up slope 24 o' <4-' 'la.;1-,! P in i1,� N�.- _ %,1 . j sport Pipe from Original Grade Down-slope 18 in S e/C . `pica' 3034 p h 5111.1 �•$ n�L Designed Vertical Separation 36 in A' ,_th C DV- - !I ' U' 60 ft )r LICE ""r �`r SIGNER ,1 Gravelless Chambers Required? I ,i;`,.;,;,yi�,„`,„"" ",o eva 4 in PumpRequired? 0 Yes fill No EXPIRES os,to Dosing 9 and Pump Chamber Pump/Siphon Specifications Number of doses/day Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal Orifice ft Chamber Capacity gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head gpm ❑Timer DElapse Meter 0 Event Counter Calculated Total Pressure Head ft If Timer: Pump on ,Pump off Commentsle eoer f P irk ,,it_ )tat, _ I b4i J cJA..6it is. lrell APR 0 4 2073 f' MASON COUNTY ENVIRONMENTAL HEAL,r JBW i DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 0 1 9 — 5 0 -- 0 0 0 2 5 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations l Drainfield orientation and layout Reference depth from original grade: ❑ Soil logs g Trench/bed dimensions and ❑ Septic tank ❑ Property lines critical distances within layout ❑ Drainfield cover ❑ Existingand proposed wells [� D-Box/Valve box locations P P 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 Z Observation port location bottom ❑ Location and orientation of 0 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: g Location and dimension of Lateral placement with distance M' Observation ports/clean-outs primary system and reserve area to edge of bed Buildings Other Information 0 Audible/visual alarm referenced Yes No FA Direction of slope indicator L Scale of drawing shown on scale 0 g Design staked out &i Waterlines bar 0 0 Recorded Notices attached g Roads,easements,driveways, 0 0 Waiver(s)attached parking • , j 0 0 Pump curve attached g North arrow and scale drawing q?eJ ' EA 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notifi y installe at time of installation , Yes 0 No Signature esigner 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 'te regulations: Lfrii— 2-3 En irs�T'1 tal 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: / LI Z ✓ 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 re it l� , „ This form may be scanned and av e for pu I c e o -. - .n County Web site. APR 0 4 2023 Updated Date: 12/7/2015 MASON COUNTY ENVIRONMENTAL HEALTH JBW I __ 1 I L f2619- so -oaoa.- __11 scit/ fbfs f , , _, , ...„ s ,e5,,,,,A.,„ „........_ „.... .,,,,) , © fec_i C, t/ 12ap 5'T 5 , /g Sik ,....... ...--- t CD D Rex ..-- --- e , c,...„,,,,, , ) \_ -• -- 0) / i ti, be1wee "e)eir /w, <n aiS 1 �T.,le JV v r`r`S�c��1, 5 \f, p l l O/ ' G 5J1'l• N 18 ' $! l� ■ i •{ fO LI ' D D►�•IGNER • l • IL ' APR 0 4 2023 EXPIRES os„a MASON COUNTY ENVIRONMENTAL HEALTH JBW • D Yl a kIf i d L7t l rr, ii vi,___-_-i\ - [U, \\ I I ,.,. ., 0 \,[ ,/L . , ______ 10 1 {{ 1 0' - j L'P' - _ Iry to' 4 20- , J'' I tQ, Li o l C)tom' o', i. �N •Q� ���,1, Fs.xi r iv ma I. •0 CI DY,'. (`•I 'S, ri.i e2. q.o�j q 04/ UCE S D,i-1GN it + �� J EXPIRES 35;10, /2 '. F ____,... OP' I PP ? OVE �.,.; APR 0 4 2023 b MASON COUNTY ENVIRON?vIENTAL r;E �SCde Jew ALTH • Installation Notes Gravity Distribution System: 80 E SMITH COVE 12019-50-00025 1. The original 2007 system has failed. The infiltrators and D-box are full of sand from gophers.The new system will be installed between the primary laterals. 2. 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. 3. Gravel based drainfield required. 4. Install system during dry weather with acceptable soil conditions 5. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only, 6. 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. 7. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 8. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 9. Install access risers on the septic tank, D-box and observation ports. 10. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 11. Lids must form a water and gas tight seal with the access risers 12. Install effluent filter at the septic tank outlet. 13. This system must be installed by a Mason County Certified Installer. 14. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 15. 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 per bedroom per day. 16. Install laterals or bed with contour of the ground 17. Install trench bottoms level and always maintain a minimum of six inches into native soil 18. Filter fabric required over drain rock prior to backfilling. If the drain rock extends above the original grade, run the filter fabric at least 2 inches down the trench wall. 4 91 • r ,- Q ur FZ 1 >:4 PPROV CI ITE E o= LICEN DESIGNER APR 0 4 2023 MASON COUNTY ENVikONMENTAL HEALTH JBW System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed every three years as per WAC246-272A. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 6. Keep the flow of sewage at or below the approved design operating capacity. 7. Keep waste strength at residential waste strength parameters. 8. Spread loads of laundry through the week. 9. Do not use excessive bleach or detergents with added whiteners. 10. Do not shower. do laundry and dishwasher at the same time 11. Antibiotics can kill or impair the biological process in the septic tank. 12. Leaky plumbing can hydraulic overload your on-site septic system. see" c As �- L7 iN Ill J 2 0- 5 004 per '‘4' j. A s ' CI Y E WAITE -4 LICENSED DESIGNER r-X.lk.S u5'0 • ,;: q PRO APR 0 y �:� . , Jo 2023 ,r; AGN APR ENVIRONf ENTAL HEAL Jam, Th i