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HomeMy WebLinkAboutSWG2023-00168 - SWG Application / Design - 5/3/2023a lepfr- ‘:. 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: SWG2023-00168 APPLICANT DANIEL SHKARIN Phone: Address: 15419 18TH AVE CT E TACOMA, WA 98445 OWNER PARKER CAROLYN D EST Phone: Address: 510 E ROAD OF TRALEE SHELTON, WA 98584 SEPTIC DESIGNER Lawrence Purdum-Apex Septic Design Phone: 253-509-9922 Address: PO Box 801 GIG HARBOR, WA 98335 Site Address: 530 E Road of Tralee Primary Parcel Number: 321275100010 Permit Description: New SFR -3BR Nuwater Permit Submitted Date: 05/03/2023 Permit Issued Date: 05/30/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $527.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/10/2026 (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 MASON COUNTY PUBLIC HEALTH °A� 3 ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: RECEIVED BY:415 N 6th Street,(Bldg 8) Sheton WA,98584 f�D+'lCC; co• cf, C N Shelton:360�27 9670 ext 400 Belfair:360-275-4467 ext 400 r`A`G 0 JVV — /Lp� O XI XI z 6 APPLICANT PHONE D D Daniel Shkarin • o 73 m m MAILING ADDRESS-STREET,CITY,STATE ZIP CODE ' I- 15419 18th Ave Ct E, Tacoma, WA 98445 Z c SITE ADDRESS-STREET,CITY,ZIP CODE W 530 E Road of Tralee, Shelton Wa 98584 m NAME OF DESIGNER PHONE Lawrence Purdum (253) 509-9922 NAME OF INSTALLER PHONE - IN CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE o I NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL < 6IJ ❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL 0 ❑ TABLE 9 REPAIR 0 SINGLE FAMILY [$I COMMUNITY/PUBLIC WATER SYSTEM Z {iI ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: ❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE h3 I ❑ EXISTING FAILURE "Record Drawing required 3 13,816 SQ FT r I�for all installations" DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) _ 0 r X ici Use Google Maps to navigate to 530 E Road of Tralee Cq(c , C'1ITIf'tJ(C o Ic SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS f OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 0 37 42, 6 /,1„ id -7.,\-( u 4_, Li witc. 5L SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSP.CTOR SIGNATURE DATE APPLICATION EXPIRATION DATE ii ATION APPROVED BBY^ DATE. .�fi: `V6`/ , -• 5'/0 '25 5 '!0 l Li SIN v ` 9Jci2i THI- FO1A AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT fr V REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 2 7 __ 5 1 __ 00 0 1 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.:tlaximum paper size: 11"A'17" PARCEL IDENTIFICATION Permit Number: SWG • 001(,C3 Designer's Name: Lawrence Purdum Applicant's Name: Daniel Shkarin Designer's Phone Number. (253) 509-2579 Mailing Address: 15419 18th Ave Ct E Designer's Address: PO Box 801 Tacoma, WA 98445 Gig Harbor, WA 98335 City State Zip City State Zip DESIGN PARAMETERS N,J ot-ke/ 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 ❑Gravity ® Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 360 gpd Length 2 ea 65', 1 ea 70' ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity 1,250 gal Number 3 Receiving Soil Type(1-6) 4 Separation 5 ft Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 49 Designed Primary Area 600 ft2 Diameter 1/8 in Designed Reserve Area 600 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 70 ft Schedule/Class Loweridge Tech HWN-LPD-4 Elevation Measurements Length ft Original Drainfield Area Slope 9.3 % Diameter in New Slope,If Altered N/A % Preferred manifold configuration used? Q9 Yes 0 No Depth of Excavation Up-slope 15 in Transport Pipe from Original Grade Dorm-slope 12 in Schedule/Class 40 Designed Vertical Separation :i{, ( ,t, in Length 24 ft Gravelless Chambers Required? 0 Yes 0 No CS Optional Diameter 2 _ in Pump Required? [B Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 60 gal Orifice 1 ft Chamber Capacity 1,250 gal Uppermost Orifice MI Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity(.Total Pressure Head 23.5 gpm tilTimer ®Elapse Meter 151 Event Counter Calculated Total Pressure Head 16.9 ft If T r: prpo:.s►c:' p off 4 hrs Comments , MAY 3 0 2023 MASON COUNTY ENVIRONMENTAL HEALTH DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 2 7 -- 5 1 -- 0 0 0 1 0 J Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch DO Test hole locations 131 Drainfield orientation and layout Reference depth from original grade: rtg Soil logs CV Trench/bed dimensions and Septic tank ria Property lines critical distances within layout ril Drainfield cover ❑ Existing and proposed wells l$ D-BoxNalve box locations Reference depth from original grade within 100 ft of property MA Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations al Laterals,trench/bed,top and surface water and critical areas Bl Observation port location bottom ❑ Location and orientation of RI Clean-out location 0 Curtain drain collector curtain drain and all absorption FA Manifold placement 0 Sand augmentation components 181 Orifice placement Other cross-section detail: DJ Location and dimension of 181 Lateral placement with distance 181 Observation ports/clean-outs primary system and reserve area to edge of bed RI Buildings Other Information Eg Audible/visual alarm referenced Yes No 18) Direction of slope indicator aa Scale of drawing shown on scale 0 II Design staked out ® Waterlines bar 0 ❑ Recorded Notices attached 18) Roads,easements,driveways, 0 0 Waiver(s)attached parking 17( 0 '] E 0 IR Pump curve attached p DO North arrow and scale drawing ❑ 0 Evaluation of failure shown on scale bar MAy 3 0 2023 Non-residential justification �p�N1Y ENVIRONMENTAL HEALTH ❑ ❑Waste strength \11,ASpN (�1N ❑ ❑ Flow DESIG APPROVAL The undersigned designer must be notified by installer at time of installation MI Yes ❑ No 4 it . Plkflr.._. 4/19/23 , 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 o 'te regulatiions�: En ' o• I' • Health Specialist jC (j\ j411#N.1 c— -5°-2 3 Date CAUTION: DESIGN APPR AL 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: L. f 0 2 ✓ 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 bxcanned and available for public view on the Mason County Web site. Updated Date: 12/7/2015 "s b °' J 6,6 h O w.. 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