HomeMy WebLinkAboutSWG2022-00631 - SWG Application / Design - 12/29/2022 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: SWG2022-00631
APPLICANT ALDERBRINK LLC Phone:
Address: 6721 CASCADE AVE GIG HARBOR, WA 98335
OWNER ALDERBRINK LLC Phone:
Address: 6721 CASCADE AVE GIG HARBOR, WA 98335
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
SEPTIC INSTALLER Brayden Schoening-septic installer Phone: 360-742-2982
Address: 121 W GRIZDALE DRIVE SHELTON, WA 98584
Site Address: 11511 E STATE ROUTE 106
Primary Parcel Number: 222302390032
Permit Description: Table 9 repair 3bd ATU to pressure bed for three SW structures
Permit Submitted Date: 12/29/2022
Permit Issued Date: 05/31/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $1,160.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/19/2024 (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/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: raw •a et `��
ONSITE SEWAGE SYSTEM APPLICATION AM RE E0 RECEIV
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415 N 6th Street,(Bldg 8) Shelton WA,98584 R N
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S`^7 G Wilk
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APPL CAN: PHONE 1C, D
ALDERBR it,* LLC m m
MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE r
6721 CASCADE AVE GIG HARBOR WA 98335 c
SITE ADDRESS-STREET.CITY,ZIP CODE co
11511E STATE ROUTE 106 UNION WA 98592 m
NAME OF DESIGNER PHONE I IV
CINDY WAITE 360-701-0205
`.AME OF INSTALLER PHONE M
SCHOENING EXCAVATING LLC 360-742-2982 ry
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0
R
❑ NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL I C'')❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL O
S( TABLE 9 REPAIR ❑ SINGLE FAMILY Et COMMUNITY/PUBLIC WATER SYSTEM Z I o
❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: NOT KNOWN '
O UPGRADE TO EXISTING 6THER:'u A/W Util 4., BEDR.OMS LOT SIZE N)
CI EXISTING FAILURE "Record Drawing requlr d
for all Installations" /�+a, Q� 170'X 170'X 150'X 118' cor I (A)DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) 0 1
GO NORTH ON BROCKDALE, STAY ON MCREAVY, TURN RIGHT ON DALBY ROAD,
TURN RIGHT ONTO 106. PARCEL IS ON THE WATER SIDE. BRAYDEN AND I WILL I o
MEET ON SITE WITH YOU. PLEASE CONTRACT BRAYDEN, HE CAN SET IT UP FOR A
FRIDAY AND THEN HE WILL CONTACT ME. o I o
IW
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT El HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
0 -2 ( SL
1- 21- 60 S
SOIL CODES: •
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DAI E
c47\AMA)
i 511q I 2:S ci 11 i zL1 Ci31 Iz 7
THIS FORM 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: 2 2 2 3 0 — 2 3 — 9 0 0 3 2
A design will be reviewed when 3 copies of each of the following are submitted:
'I 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"
PARCEL IDENTIFICATION
Permit Number: SWG 2022-00631 Designer's Name: CINDY WAITE
Applicant's Name: ALDERBROOK LLC Designer's Phone Number: 360-701-0205
Mailing Address: 6721 CASCADE AVE Designer's Address: 80 E PICKERING LANE
GIG HARBOR WA 98335 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
0 Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
GI Aerobic Unit Make/Model BNR 600 0 Disinfection Unit Make/Model Other:
Drainfield Type
0 Gravity liti Pressure 0 Trench l'Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCHEDULE 40
Daily Flow:Operating Capacity 270 gpd Length 49.5,43.5, 37.5 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1060TRASH•BNR 600 IN 1060 gal Number 3
Receiving Soil Type(1-6) 3 Separation ft
Receiving Soil Appl. Rate .8 gpd/ft2 Orifices
Required Primary Area 450 ft2 Total Number of Orifices 34
Designed Primary Area . 450 ft2 Diameter 3/16 in
1,1
Designed Reserve Area %--e% 450 ft2 Spacing 48 in
50(Trench/Bed Width 10 ft aw- - Manifold
Trench/Bed Length 45 ft Schedule/C: lib SCHEDULE 40
Elevation Measurements Length "Q. , l;I 6 ft
•
Original Drainfield Area Slope <1 % Diame FoF 54,��II® 11nn 2 in
New Slope, If Altered % Pref. ijw [u a '•`' I rat' used? 0 Yes 6iNo
Depth of Excavation Up slope 33 in �`' ec
t aps, t Pipe
from Original Grade Down-slope 21 in o¢Itedu° � r 1�Y'' SCHEDULE 40
s. . tCE' 4.DEst t t �t Designed Vertical Separation 24 in :R.z..t::y...N.��..... ei. 1.,-ewei..8 , 10 ft
EXPIRES 05ito,
Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in
Pump Required? 0 Yes Ii6No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 45 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) INFILTRATOR 1060 gal
Uppermost Orifice 6f1 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 20.06 gpm 156Timer lii'1'Elapse Meter l 'Event Counter
Calculated Total Pressure Head 7.44 ft If Timer: Pump on ,Pump off
Comments \\ 1/
ALL TANKS REQUIRED TO BE COATED AND WATERTIGHT, GRAVEL BASE DRAINFIELD
REQUIRED, CONTROLS TO BE SET AT TIMEW OF INSTALLATION.
1
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 2 3 0 — 2 3 -- 9 0 0 3 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Eg Test hole locations Drainfield orientation and layout Reference depth from original grade:
6 Soil logs Er Trench/bed dimensions and Er Septic tank
El Property lines critical distances within layout Drainfield cover
GI Existingand proposed wells T' ft-Box/Valve box locations
Reference depth from original grade
within 100 ft of property "A Septic tank/pump chamber and restrictive strata:
RI Measurements to cuts,banks,and locations PS Laterals,trench bed,top and
surface water and critical areas lir Observation port location bottom
aj,ecation and orientation of Gil Clean-out location 0 Curtain drain collector
curtain drain and all absorption e1 Manifold placement 0 Sand augmentation
components Gg Orifice placement Other cross-section detail:
Location and dimension of Er Lateral placement with distance lir Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
Buildings
Er Audible/visual alarm referenced Yes No
Er Direction of slope indicator lir Scale of drawing shown on scale iir 0 Design staked out
RI Waterlines bar 0 0 Recorded Notices attached
Roads,easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
RI North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by ' staller at time of installation Er Yes 0 No
4714-4 / /242...y
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 on-site regulations:
Environmental Health ecialist fr2v(
Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. c
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: J 1114 I21
✓ 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.
g/\VI/
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
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Total 130.5 34 130.5
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Installation Notes
Pretreated Pressure Distribution System:
22230-23-90032 11511 E State Route 106
1. This is a failure. Drainfield is impacted with roots 10' from septic tank.
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. Install system during dry weather with acceptable soil conditions
4. All infiltrator tanks must be coated and water tested at time of installation.
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 tanks, valve box and ends of laterals.
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. This system must be installed by a Mason County Certified installer or
13. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
14. 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.
15. Install bed with contour of the ground
16. Install trench bottoms level and always maintain a minimum of six inches into native soil
17. Install locator tape on top of all drainfield laterals.
18. Install threaded clean outs at the ends of all laterals (caps must extend to within six
inches of finish grade and be in a valve box as shown on diagram.
19. Install audio/visual alarm
20. 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 i s down the trench wall.
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E?WIRE S 0510,
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
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