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SWG2023-00113 - SWG Application / Design - 3/27/2023
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: SWG2023-00113 APPLICANT SPEIGLE DAN C & KAY L Phone: Address: 61 E PARK PL SHELTON, WA 98584 OWNER SPEIGLE DAN C & KAY L Phone: Address: 61 E PARK PL SHELTON, WA 98584 SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255 Designs Inc. Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: 61 E Park PI Primary Parcel Number: 420125200029 Permit Description: Repair-4BR Pressure Sand Lined Bed Permit Submitted Date: 03/27/2023 Permit Issued Date: 04/03/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/30/2026 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY C C DATE RECEIVED: ` MASON COUNTY 3 - 2`7 - 1- L r. COMMUNITY SERVICES AMOUV/C RECEIVED o Cn m • �� • Publk Health(Community Heatth/EnvironmentaI Health) `' C CO)360 427-9670,ert.400 or 3Kr275-4467.en 400 (/''' L\J L ,, I I 415 fi 6th Street-SMtork WA 96584 C W G ..! 6 1 �I L Z 65 ON-SITE SEWAGE SYSTEM APPLICATION D D m n APPLICANT 7-ON=_ m Dan & Kay Speigle j (360)463-8890 z MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE • - g 61 E Park Place Shelton WA 98584 00� m SITE ADDRESS-STREET.CITY ZIP CODE Same o I .4, NAME OF DESIGNER PHONE Arrow Septic Designs (360) 898-2255 N NAME OF INSTALLER P-!CNE Maples Excavating (360) 463-8474 PERMIT TYPE(select one) F CC DRINKING WATER SOURCE n0.:RESIDENTIAL OSS COMMUNITYOSS COMMERCIALOSS 6PRIVATEINDIVIDUALWELL EPRIVATETWO-PARTY WELL Z p E I N TYPE OF WORK;select one; PUBLIC WATER SYSTEM I E NEW CONSTRUCTION/UPGRADES IY REPAIR/REPLACEMENT 0-HER DETAILS(select all that apply) 0 TABLE IX REPAIR I Cn SUBMITTALS R El SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE ZDESIGN FORM(REQUIRED) I!(1fSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WO I N EWAIVER(S)(IF APPLICABLE) 4 .63 Acre 0 I DIRECTIONS TO SITE AND SITE CONDITIONS'(er locked gate) I O Go up Northcliff Rd. Turn right onto N 13th St. Turn left onto N Shelton Springs Rd. I I o Continue on E Shelton Springs Rd. Turn left onto E Park Place. On the left#61 is on a (- green house with white trim. Go around right side of house to gate. o 0 NIN SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I CID OFFICIAL USE ONLY BELOW THIS LINE — UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE 0 COMPLAINT 0 OTHER. INSPECTOR SOIL LOGS ! / COMMENTS/CONDITIONS ga v.-' '[ I 1 11'; � `' � zL; (; I_ '`i MARL 7 u omit. Z023 i _ By a z �. .2 - -)2-1 f ,O 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. IN of 1,,„71),, 5- 30 -.2q ECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE AP I TION APPROVED!ISSUED BY DATE itieft-i,(!VIVI t—-5'2,3 THIS F Iyl MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE v REVISED 127/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 0 1 2 — 5 2 — 0 0 0 2 9 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 public view on the Mason County Web site.Maximum paper size: 11"X 17" .: ,_...:..:I ;:..E..,.: _,..iia a. :, ... ,V RCEL:.j E TMCATIO Permit Number: SWG 2) ')'' 'O Designer's Name: Arrow Septic Designs Applicant's Name: Dan &Kay Speigle Designer's Phone Number: (360)898-2255 Mailing Address: 61 E Park PI Designer's Address: 171 E Vuecrest Dr Shelton WA 98584 Union WA 98592 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: 0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity lifPressure IiiTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 360 gpd Length 30 ft Daily Flow:Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 8 Receiving Soil Type(1-6) 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 104 Designed Primary Area 600 ft2 Diameter 5/32 in Designed Reserve Area 600 ft2 Spacing 28 in Trench/Bed Width 10 ft Manifold Trench/Bed Length (2)10x30 ft Schedule/Class 40 Elevation Measurements Length 7.5 ft Original Drainfield Area Slope 0-1 % Diameter 1.25 in New Slope,If Altered 0-1 % Preferred manifold configuration used? I 'Yes 0 No Depth of Excavation Up-slope 24+24=48 in Transport Pipe from Original Grade Down-slope 24+23=47 in Schedule/Class 40 Designed Vertical Separation 24+ in Length 90 ft Gravelless Chambers Required? 0 Yes 66 No 0 Optional Diameter 2 in Pump Required? ( 'Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 120 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,200 gal Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 66.56 gpm ELITimer I 'Elapse Meter lir Event Counter Calculated Total Pressure Head 22.63 ft If Timer: Pump on 2 minutes ,pump off 6 hours Comments p p R 0 V E ',:` APR 0 3. 2023 .s0. H- t, i MASON COUNTY ENV!RONMENTAL HEALTH JBW DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 1 2 — 5 2 -- 0 0 0 2 9 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: g Soil logs lif Trench/bed dimensions and g Septic tank Property lines critical distances within layout gDrainfield cover ❑ Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property Eig Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks,and locations Gd Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom ❑ Location and orientation of 6i Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components g Orifice placement Other cross-section detail: 0 Location and dimension of Lateral placement with distance Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information Buildings Audible/vis a rm referenced Yes No Et Direction of slope indicator 1 ❑ Design staked out Scale of d �.,•wn on scale g Waterlines bar e• ❑ ei Recorded Notices attached 6Q Roads,easements,driveways, •of v4,, :�,i� 0 i 1 Waiver(s)attached parking 4c ''��si, g 0 Pump curve attached id North arrow and scale drawing •!�% V 0 Evaluation of failure shown on scale bar <'y 349 "c ' Non-residential justification P. JOY JOPINSON ••y� ItC ' VEI UMONg1 / ❑❑ 0 Waste strength ou�R s Timg DESIGN APPROVAL The undersigned designer must be o ' red by• tall at time of installation g Yes 0 No 3-2,4--z3 Signature of Designe 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 on-site r4lations: Enviro n n alth 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: .1 - 3 0 / ✓ 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 March 23, 2023 Mason County Department of Health Services 415N6thSt Shelton, WA 98584 RE: Dan&Kay Speigle(Parcel#42012-52-00029)Evaluation of Failure Dear Inspector: Attached is a repair septic design for a property located at 61 E Park Place, Shelton, WA 98584.There is an existing 4-bedroom home built in 1967 that ties into a gravity septic system of the same era. There are no original septic records so the exact size and location of the drainfield are unknown. The existing system has a 1,200-gallon 2-compartment concrete septic tank installed in 1999. 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 d-box was full of roots and the drainfield was flooded. The existing 1,200-gallon 2-compartment septic tank may be kept/re-used if in acceptable condition. The installer is to ensure the tank is watertight and has adequate risers and lids to the surface and an effluent filter. It will be followed by a new 1,200-gallon(minimum flood capacity)pump chamber. Because of very gravelly soils,the new drainfield will consist of 600 s.f.of sand-lined pressure bed using an application rate of 0.8. The system will also have a control panel including timed dosing,a counter and elapse meter to prevent overuse and facilitate ongoing operation and maintenance. This is a 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: Dan&Kay Speigle 61 E Park Place Shelton,WA 98584 (360)463-8890 If you need further information,please contact my office at(360) 898-2255. Sincerely, gis A.. 01 W�., ' sfis 'ir 7�*$ }, .1I 1 Qc 1+ v 9 •at PAULA JOY JOHNSON 4. < utdmisr U SItAl;i Licensed Onsite Wastewater Treatment System Designer 2,. A tAO' SCALE: l'=7JO' �D o .5 41 (Z 10.x30' SPND-LINE �ot BANo p�.E5SU\2E SE o e DANt A`I SPEIGLE `/ 0 41° 1°' a°' M Lci S''°� 5 \ LQ t E PARK PL A LE A �a y ci �o' a 4 . OLDDgxtoB . 'CI .xS�� 'DEGvriNItSSONEfl = pg. R.EMovE� ® so Nis * ova ?pot , 1 O $E Age ,, / / a ,,,, / L=T-Es-r koi:E_ •Z'. V G LS 4 ~0- 12'12-4t' LS, P (II- 150' \\<:\ Key;0 Audio-Visual Alarm Cleanout I _E eA(2. ". * Eros-ri E1 O1200 Gallon Septic Tank 2-Compartment with WATER. A.z. Effluent Filter t 05' *NEW 04 1200 Gallon Pump Chamber $•, PIOVED filb• :; APR 0 3 2023 t ,:I:74\ t /J\ .,-\SON COUNTY ENVIRONMENTAL HEALTH y s .' S9 J BW gkiPAULA JOY JOHMSUN ���h 4. , s T1. 7 aI .1 Z,. TraSPoY+ '��to;ca` yx nt oz ....od _ TyQcck\ ; ObSeY'.ra� � 1 30 Pork -De t ea D r0u6i e.t --0.y c'�±` Ty v icy, t l 1 D Y T- Ice O % . �� 5===i,(:= 7-7--7:0 0- ai Tii 4 {`0•1 w 46:,.•;sti) k r 4.* ' RRCiLA JvY JOHNSON 4\ • O V1 5 t h a- "ExARE,MFT .. ) / 7$14144 . -IL- Carer F;I�vY • . 2.3' 1 / Fort C. f 4 . 24 " .. . , '.. 3.7____,pri_ii.itten—,•=-6•"---104-46.4 " . 41.,x4. . i . . - x4f.1( Asm 0,-33 11 • 1 Savvt.. Pecteel**6 Z 4' • 1. met-- tom e . t o . e..- j 4 v, - Ste,.._ s t'' _• .:P R,,O V E T 0 1 , . a PR U 3 2023 -- �N CObNTY ENVIRONMENTAL HEALTH �--SCREW ON CAP .B W • • 5 DEGREE ELBOW OR _ . "TERAL SWEEP ING 90 NOTE, O=OBSERVATION PORTS--TO BE 4" SDOWs. END OF. PVC PIPE PROM BOTTOM OF TRENCH DIT • • TO FINISHED GRADE. REMOVABLE '"_ DE3'AIL CAP SHALL BE INSTALLED CLEAN OUT ON OBSERVATION PORT PIPE. • i` fr Aatt'M of oetstatvoino4i paeT• NOTE, CLEANOUT TO BE FROM 0 TO 6 TOTAL OF if IN SYSTEM. INCHES BELOW PINISHED GRADE. (t) T` :1j51ALL AT'aerton eV C•33SAID MARK ENDS WITH• REBAR. CLEAN OUT **LATERALS ARE TO BE CENTERED REOUIRED AT END OF EACH LATERAL. IN TRENCHES. Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout (In.) 1 360 30 28 13 12 12 bed 1 2 360 30 28 13 12 12 bed 1 3 360 30 28 13 12 12 bed 1 4 360 30 28 13 12 12 bed 1 5 360 30 28 13 12 12 bed 2 6 360 30 28 13 12 12 bed 2 7 360 30 28 13 12 12 bed 2 8 360 30 28 13 12 12 bed 2 Total Lateral Length 240 Total#Orifices 104 GPM = 66.56 (with 5/32 orifices) Dynamic Head Calculations Selected residual pressure: 5 ft. Length (Ft.) #Orifices Transport Pipe 90 104 5.27 ft. Feeder Total Lateral Line Length Lateral#1 30 4 34 13 0.30 ft. Lateral#2 30 2 32 13 0.29 ft. Lateral#3 30 2 32 13 0.29 ft. Lateral#4 30 4 34 13 0.30 ft. Lateral#5 30 4 34 13 0.30 ft. Lateral#6 30 2 32 13 0.29 ft. Lateral#7 30 2 32 13 0.29 ft. Lateral#8 30 4 34 13 0.30 ft. Total Elevation Lift N 10.00 ft. Total Dynamic Head 14`..4)4 22.63 ft. T.e. . 5100349 .A�) PAULA JOY JOHNSON •. 1 •LI_ JS rOiVEi �EXIR EXPIRES • /152 C SJ PROVEAP APR 0 3 2023 MASON COUNTY ENVIRONMENTAL HEALTH JBW tit%l: Bin*pimps, aY eusv"1 PumpSpecifications ��lir I FL70 Series 3/4 hp - 44. Submersible Effluent Pump AN. III Flow(Liters Per Minute) 0 38 76 114 151 189 227 265 303 341 379 80 1 1 1 1 I 1 + 1 1 II + 1 24 70 21 60 18 50 15 — I N M � V j M 40 12 i _ v d s 30 9 20 -© 6 • 10 3 - ?: PROVE 0 t I 1 F 1 1 1 ' I , I 9\PR 0 3 2013 0 10 20 30 40 50 60 70 80 100 i. : fi.ASON COUNTY ENVIRONMENTAL HEALTH Flow(GPM) JaW FL7O_PI R10I24R017 ®Copyright 2017 Liberty Pumps Inc. All rights reserved. Specifications subject to change without notice lillegR . ( b Pressure Distrsbc oa Systems —Rcoomana+dcd Standards and GUIoa . f Effiredvs - E 1 Julyt'2007 - SECURED LC N TM GAS TIGHT SEAT. _ • 1 ' ACCESS RISER \ . • .16. I 3, / \1. . `I,MOH GRADE: cL . 3 ri n s . _,, e-ii —.FT, I :11......4 ______ 1 t _f____ _ ,. . , TO PUMP FROG SINIAGE FLOATING VAT • • i . E M R« •CO3-- -- s / • 7/----------)%---._ 4.PPROVE 2 L_\-e..7(C). 1--%-\Q--- ,, j(�`sz" ti� APR 3 2023 ctst_lisArk.-- cam-- =mu �ASO(v OOUNTY ENVIRONMENTAL , ,„,„..,� 0,,,.fl,,, ,b .- Jew HEALTH SEDUM L®WITH GAS TIGHT SEAL MIMED tJMbU1 24"DIMIETER \ ACCMIS RISER MIME filMIN GRADE Jt st VALVE• �,as; '- I.-I:: FROM)11BRIC J L-'� `l,f, ' ---+TO GRAINFIELD t i , if : . rl rETO AAOE 1 .HMIANrlslrlloa I WATER ALARM LEVEL --+-0 VALVE• NORMAL TII OFF LEVEL W7 VOUiNE f - k.\;\-()X4.'C--IQti6 10NZMtMf L 2 : o SlONIOiTlIM101M�• 1w+ ' t#M9CK VALVE• _..._. -. --..._._.._.__... I8 1 rUif.11 PUP • tjwYM wW I 'AS NEEDED Septic Tanks must meet standards required by WAC chapter 246-272C and man must be on Dept of Health list of registered sewage ranks. FIGURE 2 .4. CiA40-w Septic Descgtvs Iti40 w4. INSTALLATION & MAINTENANCE tar �n Pressure Distribution Systems—Sand Lined Bed • 51 O 4' s04) PAULA JOY JOHNSON • 1. Install Laterals with contour of the ground. - WIRES 1N/'22 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 plot plan. One required in each corner of the bed. Two with bottom extending to the bottom of the drainrock and two extending to the sand/native soil interface. Glue"T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals (cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. Redundant off switch required. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area, not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank. Pull bio-tube every 6-12 months and flush back into tank. 9. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 10. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue), after pressure test and Environmental Health Dept. approval, turn orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 11. 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. 12. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 13. Divert all storm water runoff away from on-site sewage system. 14. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area 15. Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 16. No vehicular traffic over drainfield area. 17. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 18. All materials and workmanship must meet County and State regulations. 19. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 20. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 21. All pressure systems with a pump chamber outlet higher than the drainfield must have a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. 22. All transport lines under driveways or parking areas must be encased to prevent crushing. 23. Homeowner is responsible for all property lines. APPRovE .94*. APR 0 3 2023 MASON COUNTY ENVIRONMENTAL HEALTH 8e- j Jaw