Loading...
HomeMy WebLinkAboutSWG2023-00206 - SWG Application / Design - 5/25/2023 MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 98584 . SHELTON: ,S 42 TON, ,EXT 400 584 ijc. 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: SWG2023-00206 APPLICANT ERIC RUSSELL Phone: 360-789-3607 Address: 5015 N 26th St SHELTON, WA 98584 OWNER ERIC RUSSELL Phone: 360-789-3607 Address: 5015 N 26th St SHELTON, WA 98584 SEPTIC DESIGNER ERIC RUSSELL Phone: 360-789-3607 Address: 5015 N 26th St SHELTON, WA 98584 Site Address: 750 E North Island Dr Primary Parcel Number: 220031490150 Permit Description: New SFR- 3BR Pressure Permit Submitted Date: 05/25/2023 Permit Issued Date: 06/13/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/07/2026 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY-- L. DATE RECEIVED: "` '�Y$N MASON COUNTY -PLC ' 1 COMMUNITY SERVICES _ S AMOUNI RECEIVE ci cn m ) fit; -� Public Meant(Community Health/Environmental Health) - C (Q \�ar - 4N 616 St et-40$n Itoor .WA 985047,ext..ue V Y V 26 �,-3_ Oou�� T� 415 N 61h Street•Shelton.WA 985a4 S V V ~ Z (n ON-SITE SEWAGE SYSTEM APPLICATION m 0 APPLICANT 'PHONE m 4e_TAd.,�►SSZw coc, 16g 3 fool C MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE q g 5o1G N. ZCv�rl 9 p -i �lao NA.A \ICJ 46 A 0 7 co SITE ADDRESS-STREET,CITY:ZIP CODE l p A �+ C C \ '�S-O • . Iv4 �¢r��l •`��{jc1D� �fv �111�'t- V off,) �� `��j JCS' I .) NAME OF DESIGNER PHONE e g.-cL s s G1A-- 3 bo ,-7 e9 . 3 6 D-7 NAME OF INSTALLER l P ONE 0 13 1Gn1 O'W N `� I�Pyd(select one) DRINKI WATER SOURCE 0 ��\COMMUNIOSS ECOMMERCLOSS .PRIVATE INDIVIDUALWELL ff PRIVATEO-PARWELL ZTYK(se!oO 'PUBLIC WATER SYSTEM CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select alt that apply) 0 TABLE IX REPAIR I`— SUBMI ALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r 0 5I WAIVER(S)(IF APPLICABLE) C") DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gale) Vv �1 N C I S 1�,J,P •'F-%9< � -- O J tO -C. v Uc) 1411`O I O 0 I� V c,J<: 1-0 C- ki),Q �� M/ �. ,J V►�% IcA r-) 00 4 ---ilD t • t..) ,L—v1,1 N .,Ariv -Twit\ SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I Q •- OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS Y 6 If 4— (-- ipMEUTTI-01 r MAY 2 5 ? Z3 1� 3S C > \III BY _ J RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V r'Y G=GRAVELLY S=SAND L=LOAM S,=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. TOR SIGNAT E DATE APPLICATION EXPIRATION DATE PLI TION APPROVED/ISSUED BY DA-E , ;q 6-7-2_3 , Lid CCC;t31 T IS F i# BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 F t d f� IrtS DESIGN FORM-PAGE ONE Assessor's Parcel Number:n` 1 0 0 2✓ -- i 4 -- O 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 Coun Web site.Maximum 'a,er size: 11"X 17" Permit Number: SWG .207 ; b020 a Designer's Name: a _-" Sc&' Applicant's Name: .P-+C, `WSSfi'lX/ Designer's Phone Number: 3610 lt1 '1J(0,9 Mailing Address: SO i 5 13: ?,fog S-V Designer's Address: So 5 N•• 2-cs av . --cthc wA NS401 '�v► coNvi wit O o'v1 City State Zip City State Zip . Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity I 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 5l O gpd Length 50 c- ft /1 Daily Flow: Design Flow c(eto gpd Diameter li. vS in Septic Tank Capacity(working) gal Number Receiving Soil Type(1-6) Separation ft Receiving Soil Appl. Rate �a gpd/ft2 Orifices Required Primary Area (P,pip ft2 Total Number of Orifices Designed Primary Area \Q.C7C) ft2 Diameter 3li Sp in Designed Reserve Area (po ' ft2 Spacing '3 ( in Trench/Bed Width °j ft Manifold Trench/Bed Length '2.4,8 ft Schedule/Class 0 Elevation Measurements 1 Length • �6L ft Original Drainfield Area Slope "3 - t % Diameter ti ,' S in New Slope,If Altered I % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope ''2 in Transport Pipe from Original Grade Down-slope 1 4 in Schedule/Class LA 0 Designed Vertical Separation 'Z 4 in Length 24eil ft 1 Gravelless Chambers Required? 0 Ycs 0 No VINOptional Diameter '2_ in ill Pump Required? .Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity R b gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1( j gal Uppermost Orifice ' er 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity(a;Total ressure Head 0 s gpm i -.•pse Meter 0 Event Counter Calculated Total Pressure Head 3. ft An � ..��.''.: Pump off Comments c�' . t 0�41 JUN 0 7 2023 �} 1 � �I hRONCQUNTY ENVIRONMENjAL HEAL" 4D J gW t l DESIGN FORM-PAGE TWO Assessor's Parcel Number:41- 1 C5©3 -- ti ' -- 51 fi Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: ❑ Soil logs N464.. I D 0 Trench/bed dimensions and 0 Septic tank ❑ Property lines Vk- critical distances within layout 0 Drainfield cover ❑ Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks, and locations 0 Laterals,trench/bed,top and surface water and critical areas 0 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: ❑ Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to ed e of bed g Other Information ❑ Buildings 0 Audible/visual alarm referenced Ycs No ❑ Direction of slope indicator 0 Scale of drawing shown on scale 0 'Design staked out ❑ Waterlines bar 0 Recorded Notices attached ❑ Roads, easements,driveways, ❑ �Waiver(s)attached parking i ',- ❑ Pump curve attached ❑ North arrow and scale drawing ❑ (171-Evaluation of failure shown on scale bar SUN 0 7 2023 Non-residential justification AEON COUNTY E ❑NVIRONMENTAL HEALTH 0 'WV•Flostte strength w JBW D IGN APPROVAL The undersigned designer must e notifi by inst t at time of installation X.,Yes 0 No S> re 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 localQ /1 ' e regulations: L) 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: &I"- -Z L ✓ 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 7 •[ r 0 7-4 ..---"-- // \ C._ v 2 -.... vt — / / / - • 58 AI\„,,#'"/ --is et ''' a ' , -Sa �•' V a?'O'l Ay) `' �ji. /J C %...,, ,,,,,, Pt ' ' ' • / 3// ... r; 7 rli /,r/ oi- , .-/ ' ,47/ V cP , Tnt,..,ve1/4'. m'.i,, J r7.''o _ ___ A-0,11, \..'_ :,.. _ - 1,t-e I.010,.., f- 1 F • ''. /6-, > _,, .:•:„:y,..1,. 4,,,'-i.,.'."' ;,,,,: 2;.. ..,..,'.,,(• "ti P . / J .. /t)4i.e1.,.-/,/ Azt,m ----- _) ..-. \ .0(S� ..; 6 \\ \ a --Pc.r.-..) , 0 . Oe jl >. J, \/ ;; \ \ y 6 e. x r i. t �r x1 sr1 A] NI W • J v, V' �7 cn c,ti y'�" G f, 1 1) - 6x 1- 'N z ~ V * i SC 1,1% , � v' o r (7 ", �� V Z < vc rahctc- now . � C) X >ril ts7En - iv �` �F �C v�� t)� \., 4,,, ( O � w � 0t• o � rii• n a�� ti Q -1� 3 CrKoy -3Y � rriPo a�tiwitA � s � � COVVIxd � � VI - �y 6 c G� va v, 4 o zrily V v, z ,c ri7 ,.q ,. cA a "N o � cn ky C. z 4 m N o ° cO to v Cr) U1 A. L.) ,v _, (I)W- N O M O � z G) 0 A -+ O --i-iz c -1 DoXcn -I Uoo w-u-1 KW �cn-Ixcnrg-1 mXiz cnODcnD - oCo o _1 t -1 rjOi [ D CD gin 00 m<n OZO�n m0K--t-1 FOm 011 m -1M,Mm7J0Zm oz7Jn, wgD>m6 rnnzmoz IT n A7�op rn ��nf1 N Drr mI 0 m < mmm> m Z2323mu) ow-um 2m23 WCI X0mccn�zCm Omen mm> >cn zmliC51 Gn m rr A`' n z rn zc, z O0/ -1 C/ -1 DZr �D m- -A-4 G)313 D 'n-1D 0zwnioz z-I_4� -G E :< D m 3 ` Zc�i'Um' _T x05 -ID �� OD n xzT. ��cm-m�pon 3 �DII �zD"1pO Znzz � f�Ti .....„ccn U ; 0 71 * N DK00 DCn =(D4 .-nU mu' g zzpr cc/ - O(/>0D>oD m�DO OOZ>Zcn v'mXcn0 C Z v S C-I DL)Z Z -zz =ZpD C DDZ �� W 0 m j o x p zwz � pz cndoDcn crn3*� Dm-i �* -1Dwm^JD7� mm{0 Dcnnzwc A- ZZD G) A • rn z m -<-10D m10 cnCr � D D rzm m,-_ m < -1ry A m=pvz V�� c _, i 0 w *wm! < � m �DrD- m�mW Ornm O r�-lym-3n(n *zz7J0> m>TTCm Om*M0 Z r- < m m 73 m n 3 z �po=D mm < AOOo0 mOAm mmn mrm- Dz npwvO rm71� I - co' ?mop r0 D m D m TM OM C�cn cam 0 v- > z= Dr r�z-mDw wDOm ��D -v-1 c-I w cn Om0 Coz co- ZEW co K orb oD -1rpzpczn1D Dm=D mzcXD� cTO�D C! cn (0 m O xcrz rm D zZcn- cn o Dtrvvm _A. -1 -1 w pm-IO On m w L c o wD mzD � � r •� uziOi m=XC mm> mcn �DG)or D Omzz c�rr�-TmO�D uci-Dj=Zcrn p D. 3 m ,,`` �Zm'm �� SDnm -1m0n00 TI "'IW -Im mrwr^��mv�m rt vc�nD my1�p?'v 'Dz��x G) D z z 2 D 5. v- O -i �c mrn rnDcnT �zm vm m vzOD� xcmi'z "r' mmp-r-=< cOO{0� z x 0 � c --1 r- Sz0 �cn vmOm mo0M OTD �7j -7-<mm<rG) w- -Im x0c �1v wTcnTr m s ' D rD s m m-<m zm m<?(n m<cfZ --mK 7,r Dm* �mm1-I1 mZOn nprwOm FT -I �c� Z m pcn m =1 D p vv 0-n 5r 0� �mm � z rz 7-1 c13 D Dim �cnv� Z°jzv� Z mm�mO -1 > 0 ( O, m m 07 O N00 �� mW"'� pr11mz m� m�C DC ZT�pz� zmGzi mnmov� mmm00 r- o O O,m m wmv m�� cnO3 zz VrilX0xcnO 0020 v-IODc mcnOCw - nm r= D mv� 3X o =-v ODD-•cm 30 Op cnm ��pmc) mcm� • Dwl��� OOc_ZM O � p r r N �y0 ,1w DO r�0 * m wm mmOrm�O mrZ � Dn T. MZ� -i mm O r m z mz-, DD v � rz nzZg Del �� D-nOm� 3 00-n � zOz� T7Dm=O � O Dv p r0- �mcn c m mmmp mwnmm mR n� WC> 0 -.1 0xr Ov_I_Z D-i0-0D= mD m Ocn xv Ov M -< mmZO =_� m p m -uOo0 mr-m nm co _A m D �TpP •13 mm 3 _1 �1 Zz �� Cm c)z 3_1n-1-0- -10� cn �rO m zcn�=� m0 A m n 3 OCZ O ZOmm . r-n mm-I •-I-IO 011='mKz °��T' °Xinm< D_v m m< 71 0 m -rt O� D -1x ;6 Om Dm ZC m-1prm-* -<(,) >� ZX -DI r0 ¶ ? ° 3 e v Om mm00 O� `�y X <--I A 00� z m 'r' C m z m c 0 > Smx m z O z -I m cn m o 2 D to cn w w m w - o 1.000 -r co rr, A w ra 7' 'U X;pMrrICmmmrmmr DDM v-Czzm Tmrn nnw00D TZD > -r x it i�i' z� 0 vF vrv= v -I Dr mm aoo3D �O= (/) mtn n = m -I-1D D -1 DvDm DD Or0 m �Op� ram U) • �� mmm� ��z 0 -imw m p D v unm -1 3m 3D- 3Z II- D 3 r vD -zOwxz Drmc v c r 5 m m -1 - 1 mcn O� x mm Off* % zpzT.T�T7Kcn LVr � � C 7) v° y =r m m, mG)�D my Dzcn mo zr ! m • Z n=1rn0-Cm� "' mr m < .pr v mow Ll rp �70 -ram ZO r�y C)-I fT1 m00-1c?wm -- xr- o v D-1C � m D --cn - 00,, - -1 ,iml Ol r -1� tgr N \ Tvz ��O<c. �x\ c7►v' cmv u' -) 370� mn w ND Nmzg Of- Dx2 n0 m3m Dzrr- m -I l�L:r�N1 = n r _ nN_ �Z al Zrr z -1mZ nm ��� mm p�C � �cn -1 \ n -+ m=vo rG) ow omx- mm 7ln - �� m oxmo m D D0z v n sm xm-io rn = s. m o mDm DIrr-- 3 / \\S. �-„ te,...,...„... . 23 -im D D v� m� m NN WDZm -r pcn w 0-- �pW m :r v = n cn n ZO r r = m rnC-I vmrTh1L OQ40 fJm 1-5 low (n w r to m 1 I cDp p n vT m = m0=s Zm mr m mrD-m m�D C) mN � N m zA ZrDD G) co r 0 w02 N to w -i 0 v' n OM •1 08 G)prm -r mm �Dz �OTrn 'T1 � wx D -1 m i _ -I r = �' -Im �ztn D Cj zs o.�o.. Cm 3 0 rF-D �o _ � 2rww fl D O nv - °(fir n ..•; - • TOTAL DYNAMIC HEAD-FEET N o -1 Dr r{T z z D flibal n D m m D rJ v0 r Doj Z= /'' �': off- co -� —NI A nmm Id 17 —I O c or- <Z w I 1 mxMD s, G m mwX Dm�m Z 1 _Ipw cn m-.I o 11m 0) -z v ^> A Xmw -I D (�/) Om „ Fin ZIP m m Or-Drm- MO N 3DD wm� r I �I" o C -4z o D �_ ill mm(n< � � 00 r Wm mD _ z -i m -u DD D� Ozm .. v 0 = O Wm zcn 1) cnC1 m FP N (Aga, CZz _ + o �1tn m cn zc 13 z =m0 00 m m{m m�D tiu a c 3m O �- -c Dr 4NOD moil w mwo 0 -4-0 iT /^ \\\�;::\;_::. ' �+ < o n •G x 3 -< o m w o m m-1 D 72 1 j w.', ,41 ,... y • •Yr T =n r — Iml,` Zz p vn� � m K< 3� , N� G) 71 mN � Z mm ` xI A g- m G) m v z o o m m c D 3 m c � * my sip m cn A • • \ cn D , F - — _ m 3 t�� -;. i - I mIp z c_— — m C 4,, 111( 111 g 1 HHITIf ! j • •r. C: jT y o00 08 ° \� _T // / IQ1 cn X :•l, i Il �' m •fit '/ o _l / v ;e-4 $golJ_ V rn r-r .-• ).-\ - ( - /\ ./NZ -.-_-_ V6, Y? ////////2/ 53 rrn) p i i '!kil Om xi , L z E1 r , C //// mrZ •� UM UI �m * a� Y�T�, 5 / i 1 °C �,/ 11lll t(il) c U) ' i ^i . r•,' .l ll. 1�.� j Nv v w _-' • -"-_, o00OC j\� 11 O(oo(1U \/)/ p -i m 1 pO j mO g a i 11°r' O y r7gr pOVD 'iO OS a LI CnS me i -3t (n 2• 'G CA 1) ; (L� 0 > � r- r 1, r� �� • • • 70rnrrr *o3 «c ` j\\� 8r r J rrl > Z -1 0 ,..: i s .,/7..\//\, \ o 0 -» C7 Z rn O '�i "i to .I Y �7 N O :v Y n vzA >A� ,..._ K i•-' cr) Mae < 2 E m • D z 0 Vi cp —, rA rr1 t7 O G) vq • .. r* �/ ' —_l r_ A D CD "CIF • cn _O • W- O r O cn =. ` O- --1 0 (D m is 3 a r z,,rrl s ,_i Y.. � r'n X •C z C Aram > �, ] s� D mm -- 21. - c CA m Z O \C...._' t 3�_� C- C1-1. -� T. ii .o .. o+ > OZ , Oo00 t,.. I r r W L s� O a CA Ln ` O ' ' ay �1Oc Ita - ------- g" 1 j �A p C \y Arçr �� 8 CA A -3Cr7 C7 G� x P i c rn Y z m i • if = N'1'' 0C:11 / t b o III i A