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HomeMy WebLinkAboutSWG2023-00112 - SWG Application / Design - 3/27/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 t. BELFAIR:360-275-4467,EXT 400 I Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00112 APPLICANT DALE & SANDY FASSIO Phone: Address: P 0 BOX 25 UNION, WA 98592-0025 OWNER DAHL Properties LLC Phone: 1.360.740.0345 Address: 261 Hamilton Rd CHEHALIS, WA 98532 SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255 Designs Inc. Address: 171 E VUECREST DRIVE UNION, WA 98592 SEWAGE INSTALLER JOHN GILLILAND-ARROW Phone: 360-898-4388 EXCAVATING Address: 1510 E MCREAVY RD UNION, WA 98592 Site Address: XX E Spruce St Primary Parcel Number: 322323060000 Permit Description: 4-bedroom gravity system Permit Submitted Date: 03/27/2023 Permit Issued Date: 04/11/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/11/2026 (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. OFFICIAL USE ONLY DATE RECEIVED: MASON COUNTY - �-� �- cn .,I. COMMUNITY SERVICES AMOUNT RECEIVED: RECEIV Cn 0 ni - -- c Public Health(Community Health/Environmental Health) SWG r,� /}�,t� Cn ,ww.aas sneno VI vase+00 or et,..caa� S V Y G �.0 b �� V 6 I I Z S. ON-SITE SEWAGE SYSTEM APPLICATION > „ 073 m m APPLICANT PHONE r Dale & Sandy Fassio (360) 490-8167 z ('\ MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE ' PO Box 25 Union WA 98592 co ` SITE E SpEruce St CITY.Z,P CODE Union WA 98592 I c`' NAME OF DESIGNER PHONE I N Arrow Septic Designs (360)898-2255 NAME OF INSTALLER PHONE 0 I N Joe Fassio Excavating (360)898-7286 _ 1 (.0 PERMITRM TYPE(select one) DRINKING WATER SOURCE O liC RESIDENTIAL OSS rf i COMMUNITY OSS F COMMERCIAL OSS IT PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z I IV TYPE OF WORK(select one) lal PUBLIC WATER SYSTEM I t fif NEW CONSTRUCTION/UPGRADES ff. th REPAIR i REPLACEMENT OTHER DETAILS(select ailat apply) 0 TABLE IX REPAIR I W SUBMITTALSC El SURFACING SEWAGE 0 EXISTING FAILURE CI SHORELINE Ln:.DESIGN FORM(REQUIRED) iffSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE IT I 0 bT WAIVER(S)(IF APPLICABLE) 4 BR .77 Acre a I rn DIRECTIONS TO SITE AND SITE CONDITIONS (or locked gate) I Take E Brockdale Rd to E McReavy Rd. From E McReavy Rd turn (L) onto E 5th St. Then I o turn (L) onto E Port Townsend St. Turn (L) onto E Spruce St. Follow E Spruce St to the (R). I- I o Destination straight ahead. Yellow sign "Fassio". o I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE 0 COMPLAINT ❑OTHER -- INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 11/:. 0-�Z � 1-115 \...i7itz: 4-12' CAS MAR 2 7 2023 B T� Y PAND INSTALLATION REPORT SOIL CODES: ■ � E AL APPROVAL V=VERY G=GRAVELLY S=SAND L=LOAM S,=SILT C=CLAY E=EXTREMELYAIJTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED!ISSUED BY DATE 1/1 — ( 1/10/3 if /(//Zo Z �' APR 1 1 2023 / �(,������G - I I"� REVISED 12/72015 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE II►R9010CVCN�NTIYI�FJtfECI�INcNTA�HEAD' DJA DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 2 3 2 — 3 0 — 6 0 0 0 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. 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: I"X 17" ,_. t '' I CEL IDENTIFICATION • �..•k x �'Permit Number: SWG Desi Arrow Septic Designs gner's Name: Applicant's Name: Dale&Sandy Fassio (360)898-2255 Designer's Phone Number: 171 E Vuecrest Dr Mailing Address: PO Box 25 Designer's Address: i Union WA 98592 Union WA 98592 City State Zip City State Zip ,:IDESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter 0 Mound 0 Sand Lined Drainfield ❑Recirculating Filter.Type: ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type gGravity 0 Pressure liTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals 4 f Number of Bedrooms / Schedule/Class 2729 Daily Flow: Operating Capacity 360 gpd / Length 40 ft Daily Flow:Design Flow 480 gpd Diameter 4 in 5 Septic Tank Capacity(working) 1200 gal !/ Number Receiving Soil Type(1-6) 3 V Separation 5 ft Receiving Soil Appl.Rate 0.8 gpd/ft Orifices Required Primary Area 600 ft' c/ Total Number of Orifices n/a Designed Primary Area 600 ft2 .' Diameter in Designed Reserve Area 600 ft2 Spacing — in / Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft `' Schedule/Class n/a Elevation Measurements Length — ft Original Drainfield Area Slope 15 % Diameter -- in New Slope,If Altered 15 % Preferred manifold configuration used? 0 Yes 0 No 30 in Depth of ExcavationUp-slopeTransport Pipe3034 from Original Grade Down-slope 25 in Schedule/Class Designed Vertical Separation 40+ in Length 150 ft Gravelless Chambers Required? 0 Yes ❑No 'Optional Diameter 4 in Pump Required? 0 Yes lifNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Uppermost Orifice — ft Dose quantity gal Diff.in Elevation Between Pump& gal g Chamber Capacity(flood) — Drainfield Squirt Height/Selected Residual(head) �Z,;��� ri,q eleck those required. Uppermost Orifice 0 Higher ❑ Shutoff 1"(Lower than Pump IITimel` " DElapse Meter 0 Event Counter Capacity @ Total Pressure Head gpm — Pump off — Calculated Total Pressure Head — ft If Timer: Pump on APR i 1 �02:3 Comments MASON COUNTY EN�1i ;;MEN TAi.NEAT DJA l6cs DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 2 3 2 — 3 0 -- 6 0 0 0 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 66 Test hole locations Drainfield orientation and layout Reference depth from original grade: 10 Soil logs El Trench/bed dimensions and l Septic tank critical distances within layout Ig Drainfield cover 121 Property lines D-Box/Valve box locations Reference depth from original grade g w 0 ithin 100 ft of property and proposed wells �j Septic tank/pump chamber and restrictive strata: within 0 Measurements to cuts,banks. and locations 12i Laterals,trench/bed,top and surface water and critical areas 12i Observation port location 0bottom ili drain collector Location and orientation of Clean-out location 0 CurtainSand augmentationcollector curtain drain and all absorption 0 Manifold placement components 0 Orifice placement Other cross-section detail: 121 Location and dimension of Observation ports/clean-outs RI Lateral placement with distance primary system and reserve area to edge of bed Other Information WI Buildings 0 Audible/visu referenced Yes No Iiii Direction of slope indicator 64 Scale of dr wn on scale 21 0 Design staked out 66 Waterlines bar �- ••-.A,?, 0 I.(Recorded Notices attached • i• 0 C�Waiver(s)attached 6� 'Roads,easements,driveways, .4,• . • �`.',.:R` � 0 Pump curve attached parking '�- I �'.•5,� 0 [�Evaluation of failure fili North arrow and scale drawing ', ,; shown on scale bar }" .�•PAULA JCC;;49 NSQN �J Non-residential justification L'iCktiLA • (ibl'Sf Cat.. 0 Cil Waste strength EwPaesI i i, �-S 0 RI Flow DESIGN APPROVAL The undersigned designer must be • ied by installer at time of installation Yes 0 No C ���k�✓� 3 — 23Da 3 Signature of Designer A^r A The undersigned has reviewed this design on behalf of Mason County Public Health and determine i o i r) compliance with state and local on-site lat. T APR 1 1 2023 VA/ �l /---- 2OUNTY ENVIRONMENTAL HEALTE Envi nmental Health Specialist 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.dated Date: 12/7/2015 A pi0+ Ptah ..._S:::::=1. No. 2 Sc n d j Fc cc o lat«1ir3233z-3o-bo00o E Spruce S+ crt (J) SCgle : I "= 1-10 . -6 Proposed 1 1 1 . Z C. 0 20 40 ( o S0 RV Park:v,1 r, J ,-o 0 O Q=TeSt Mole tz, .N1gitn;v,i, to be co 1 I iv Lit)" ioan Sgnd4-9ra veI \ _ cr Cil "�" SId�V(� i4" wi+tiin y�. 44. l a' of ar j S eCtiC ,1 yS- 70" v1ft,d Sand -ry rot ► �_Dr e v e wa C 0 ry) Po v .vifS, 2-v S;v et I ci r 102' , © ExiSktn5 weS+ern Froper•i ll i:i o be moved ► oo w;+►t C51 3 X L0 BovngarY L;v\? prcl •+rv -� vSun , drojinx;el d +rehC1,‘,,5' 5 o C. w;-h1 reserve above . �:...-.4. '�,1 Wes x't;-. 'A R.' °1CG349 / i\r♦ Ke .,-ro2` PAULA JOY JCHNSON ' ' OCleanout J s EXPIRES II s -a O2 1,200 Gallon Septic Tank - �. 2-Compartment with Effluent Filter -- 03 D-Box with speed-levelers !---� APPROVED and cover to surface �/ —_ j V APR 1 1 2023 ASON COUNTY ENVIRONMENTAL HEALT'' 21% SIcp, DJA v 2 D -Fc f8 Or cn-Fuld Layout �9 3039 „ h ,;�F „ Yfa519 fi Scait: i _ l p' fYtox wT-h 1 2 l ! d kve krS and ° 5 is i5 Z0 over +o Sur'�ace .1,_. q II 3' r Solsd 272 T Ia.,. _ / ‹.--- d t r I j ` O '0 j Ptt'.Fpra-kd / y" Z729 / Q / la-ftro,i S / / akIMMEMMIIIIIIIIIMMINIIIIIIIMMIM scrap - t �� t F 0 t' 2 .. ciL eiross—£es c \ eJ NOTE: O v na\ + O=OBSERVATION PORTS TOBE tt PERT:. `Grade PVC PIPE FROM BOTTOM OF TRENCH TO "�j� FINISHED GRADE. REMOVABLE CAP SHALL BE INSTALLED ON OBSERVATION `--� PORT PIPE. Glue WTtt ON BOTTOM SO PIPE CAN'T BE REMOVED. NEED ONE AT DISTAL END OF EA. LAT. LATERALS. -z. ARE . TO BE CENTERED IN TRENCHES. , tji4NL, / t c:324: { 2S Z . � l . .I,,l,0 --•k, Str,'oaas ��r` I :0. PAULA JOY JOHNSON . `i� iN ,� , L�CCtJSLfSriI=S(GNEft" F, exP,ms r, . 3� 4Ot APPROVED APR 1 1 2023 1 MASON COUNTY ENVIRONMENTAL HEALTH 3 dyG DJA SECURED LID WITH GAS TIGHT SEAL 1 24'DIAMETER ACCESS RISER \ ' ' __ J rJ n LI Z' ?illimii -521...5f TO PUMP i tit' FROM SEWAGE SOt* \..r FLOATING MAT — t...._ APPROVED @PLC FILTER 1 CDOMaia 1 \ 2, -0 ,1/4-1 ",\-_ww-vv ieic-Q-cdcn C9..seo.c-."1, APPROVF [ APR 1 1 2023 MASON COUNTY ENVIRONMENTAL HEALTF • DJA f **Note: Septic Tanks must meet standards required by WAC chapter 246-272C and manufacturer must be on the Dept of Health list of registered sewage tanks.** H 4 (balmy. Septic De/sign/3 �t raay INSTALLATION & MAINTENANCE `s yJ� `` �; Gravity Distribution Systems S1C`349 PAULA JcY JOHNSON••?�A Lid Srt.ri5tSid4it\f�l 1. Install Laterals with contour of the ground. -x �� -N 2. install trench bottoms level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the detailed drainfield layout. One required at distal end of each lateral in drainfield with bottom extending to the drainrock/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. Use distribution box with speed levelers and cover to surface. Divert incoming pipe down with 90-degree angle to prevent short-circuiting. 7. 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. 8. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 9. Divert all storm water runoff away from on-site sewage system. 10. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 11. No vehicular traffic over drainfield area. 12. Install Bio-Tube or equivalent effluent filter at outlet end of septic tank. 13. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 14. Inspect tank and clean filters every 6-12 months as needed. 15. Have the septic tank pumped or professionally inspected every 3 to 5 years. 16. All materials and workmanship must meet County and State regulations. 17. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 18. All transport lines under driveways or parking areas must be encased to prevent crushing. 19. Homeowner is responsible for all property lines. APPROVED APR 1 1 2023 MASON COUNTY ENVIRONMENTAL HEAL?' DJA S �S