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HomeMy WebLinkAboutSWG2023-00253 - SWG Application / Design - 6/14/2023 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: SWG2023-00253 APPLICANT COCHRAN JOSEPH CHARLES & GAIL Phone: Address: PO BOX 117 HOODSPORT, WA 98548 OWNER COCHRAN JOSEPH CHARLES & GAIL Phone: Address: PO BOX 117 HOODSPORT, WA 98548 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 90 N Kimta Dr Primary Parcel Number: 423185000101 Permit Description: Nonconforming 2BR Gravity repair w/24" VS Permit Submitted Date: 06/16/2023 Permit Issued Date: 07/03/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/28/2024 (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 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. 1 \/ OFFICIAL USE ONLY v :)ATE RECEIVED: / i�, �� C > �`" °``` MASON COUNTY 1 �, D REMIT".{L• `� COMMUNITY SERVICES AMOt1NT RECEIVED RECEIVED BY: co o � � o m �i -^y? Public Health!Community Health/Environmental Health) C aruw , 31c .6th Street en 600 oon.WA 8584 r+t.400 ^ O 2 OO2-SSWG ,`/// -C/ � o ON-SITE SEWAGE SYSTEM APPLICATION D D A PPLICAN? HONE m m JOSEPH COCHRAN i r360-877-5059 z c MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE PO BOX 117 HOODSPORT WA 98548 m xi SITE ADDRESS-STREET.CITY.ZIP CODE 90 N KIMTA DR HOODSPORT WA 98584 1 - NAME OF DESIGNER PHONE I N CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE W I (A) TBD PERMIT TYPE(select one) DRINKING WATER SOURCE W.RESIDENTIAL OSS f COMMUNITY OSS FI COMMERCIAL OSS I PRIVATE INDIVIDUAL WELL b- PRIVATE TWO-PARTY WELL Z I CO TYPE OF WORK(select one) PUBLIC WATER SYSTEM LAKE CUSHMAN Fl NEW CONSTRUCTION/UPGRADES I-i7T REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I CTT SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ElSHORELINE 03 5-DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE O I O bWAIVER(S)(IFAPPLICABLE) 1 71'X139' n I - — : x Io DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gatel GO TO HOODSPORT, TURN LEFT ONTO LAKE CUSHMAN ROAD(119), GO TO THE TEE, I o TURN LEFT, TURN LEFT ONTO MT TEBO WAY, TURN LEFT ONTO POTLATCH , FOLLOW POTLATCH DRIVE, TURN LEFT ONTO KIMTA DR, GO ALMOST TO THE END, o PARCEL IS ON THE RIGHT SIDE OF THE STREET. SOIL LOGS ARE ON THE LEFT SIDE I o OF DRIVEWAY. SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I '1 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER. INSPECTOR SOIL LOGS COMMENTS/CONDITIONS .36 . tid RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. IN TOR SIGNATURE DATE APPLICATION EXPIRATION DATE AP CATION APPROVED/ISSUED BY DATE ttif In.l#ci —) C •-$3.-23 C alK. —cl—l( T S FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED Tdc2O1E DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 3 1 8 — 5 0 — 0 0 1 0 1 A design will be reviewed when 3 conies 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. .l Iarimum paper size: I/".1/'" � PARCEL IDENTIFICATION Permit Number: SWG O2 — O 253� —.-- Designer's Name: CINDY WAITE JOSEPH COCHRAN —� ---- --- Applicant's Name: _- --------- Designer's Phone Number: 360-701-0205 Mailing Address: PO BOX 117_ Designer's Address: 80 E PICKERING LANE SHELTON WA 98584 — — — — SHELTON WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon 13iolilter 0 Sand Filter 0 Mound 0 Sand Lined Urainlicld 0 Recirculating Filter.Type: ❑Aerobic(Jnit Make/Model 0 Disinfection(lnit Make/Model Other:_ _ Drainfield Type Ctif Gravity 0 Pressure EfT Trench 0 Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/('lass ASTM 2729 Daily Flow:Operating Capacity 180 gpd Length 34 ft Daily Flow: Design Flow 240 gpd Diameter 4 Capacity in Septic Tank Ca p y(working) 1000 EXISTING gal Number 3 Receiving Soil Type(I-6) 3 Separation 5 AND 10 ft Receiving Soil Appl. Rate 8 gpd/ft' Required Primary Area 300 It' TotalOrifices Number of Orifices ASTM 2729 PERF Designed Primary Area 306 ft- Diameter Designed Reserve Area in 300+ It-' Spacing Trench/Bed Width in 3 ft Manifold Trench/Bed Length 102 II ,,tedule/Class ao D BOX Elevation Measurements i el It Original Drainficld Area Slope <2 % ft �e Die I. r New Slope. If Altered % >'� in �!a� Ay;�,1 1•�j ifitld co i��l•ation used? 0 Yes ❑No Depth of Excavation tip slope )i t, 1. from Original Grade D„„,„_slop` 12 �P� r_ ' �/� �1 Transport Pipe y�;r uIt; `�.: ` 3034 Designed Vertical Separation 24 `I �Th • i .�'• ,. . 20 ft Gravelless Chambers Required? 0 Yes . ; I I Pump Required? 0 Yes erg Ht: JUN 10 u,i,o in 2023 , ,osing and Pump Chamber Pump/Siphon Specificatio Number of d. 0 Difi. in Elevation Between Pump& Uppermost tofhPCOUNTY N✓1 ay --- f� �W�r�rt�1EALTH Drainfield Squirt Height/Selected Residual(head) - 1413( inber Capacity(flood) gal gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity a Total Pressure Head gpm OTimer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head - --- -- It If Timer: Pump on 'Pump off CommentsX AFTER CLEARING, DESIGNER AND INSTALLER WILL RESTAKE DRAINFIELD LATERALS, RETRO FIT EXISTING TANK WITH RISERS AND EFFLUENT FILETER DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 3 1 8 -- 5 0 -- 0 0 1 0 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch � Test hole locationsDrainfield � Cross-Section Sketch lid Drainfield orientation and layout Reference depth from original grade: 64 Soil logs g Trench/bed dimensions and 0 Property lines critical distances within layout GA CA Septic tank x G� D-Box/Visting and proposed wells alvc box locations Drainfieldeld cover q within 100 ft of property lEr<eptic tank/pump chamber Reference depth from original grade �I leasurements to cuts, banks, and locations Cis<1� and restrictive strata: surface water and critical areas l� Observation port location G6 Laterals, trench/bed,top and and orientation of bottom l diem-out location ❑ Curtain drain collector curtain drain and all absorption components 1�eUd�anifold placement 0 Sand augmentation Ei/Oriliice placement Other cross-section detail: in Location and dimension ofsfl Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area RI Buildings to edge of bed Other Information ❑ Audible/visual alarm referenced Yes No 0 Direction of slope indicator Waterlines 66 Scale of drawing shown on scale g 0 Design staked out bar 0 0 Recorded Notices attached 66 Roads,easements, driveways, parking 0 0 Waiver(s)attached O 0 Pump curve attached 66 North arrow and scale drawing eat et r ❑ Evaluation of failure shown on scale bar ,.L—froi 1 Non-residential justification ❑ 0 Waste strength ❑ 0 Flow DESIGN APPROVAL The undersigned designer must be not' ed by instal ••at time of installation la Yes 0 No -------4142- —14 _4 Signatu of Designer ` 2/2 D ate 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 to egulations: Env.-on al Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped "Approved" by Mason County Public I lealth. ✓ The Onsite Sewage Permit has not expired, the Permit Expiration Date is: G —7_25 2-y ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. 'Ai Please Note: The system must be installed bya certified installer, unless prior authorization is obt e son ��I� County Public Health. An Installation Fee is required. JUN 3 O 23 EDThis form may be scanned and available for litk`1HpMon CWeb site. JB NTAL HEALTH Updated Date: 12/7/2015 22' '11' .71 er-5-0-0 D la 2 1-1a.3rk-.S7--0001 0 • Z'i'- i°1 P ti r, 34N- '► .� I/ 14 11 q0 N 36 ' , cc ' I 2'G ' / h'_ -7• 1 \I 11i 14) , ..e.fretio e pi/ Co4 " "e � 111' I �s �7P1160re !� 11 () (/� «d I71r�9iiifo lam" tU Trdi f�� . ITEt,, ;., UCENSEDDESIGN j oRik,-,....,e dviit. ' Irri .tomV ED EXPIRES U5'tO 7�4MJ p0J / ue �V N 3 2023 © t) .06JL 40 COUNTYENVIRpNMENT Jew AL HEALTH P�4a'4,``r • N jieU el -.R\, \N . , 1 '6_\FO 61 \ _ II 7TI f__ ,_ r"--_._---- a 101 --Slf )CD ob sek_oa I)u old pdAir(3) di2)- .b- 90/. C U-?‘.. Z.-S G - L/?L# 4 ' lilt- -74i/ Si h w• e /S I" It r «'JG I,c , . PPROVE 2„ io �1 JUN 3 0 2023 1 Oariod ,A, Z. AirP ��`�� MASON COUNTY ENVIRONMENTAL H 'LTH o„fie 5 004 7 c ,� , j'l/1 a ! (1 vs if �/�\1 / LICENSED. SIE. NE R �6 7 " t LXr'I LS 0510: No s ..iPe, i—Access R:aer To Grade i f Inlet with 45 Ell Facing Down J _._, ( - 6 Speed Levelers(or equal)required I. Leveling Pads l __ — 1 Distribution Box(No Scale) of••dAsy 9, Ai,, ,,, c.c% R 0 v is D G., ,,,,....) �. M JUN3020 s 1 ,a le2A�?, aSONCOATy 23LICENSE ESIGNER G �NVIRON4ENTgL z a vv HEALTh Installation Notes Gravity Distribution System: 90 N Kimta Dr 42318-50-00101 1. The original system was installed in 1974, consisting of a 144 block seepage bit and a 1000 gallon two chamber septic tank. Seepage is quite deep in the ground and is failing. 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. Designer and installer can meet on site after clearing to restake the laterals. �..44. Gravel based drainfield required. 5. Septic tank to retrofitted with risers and effluent filter. Keep drainfield as shallow as possible. 7. Install system during dry weather with acceptable soil conditions 8. Keep wheeled vehicles off the drainfield area before. during and after installation. Tracked equipment only. 9. 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. 10. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 11. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 12. Install access risers on the septic tank, D-box and observation ports. 13. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 14. Lids must form a water and gas tight seal with the access risers 15. Install effluent filter at the septic tank outlet. 16. This system must be installed by a Mason County Certified Installer. 17. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 18. 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. 19. Install laterals or bed with contour of the ground 20. Install trench bottoms level and always maintain a minimum of six inc�a�� to native soil 21. Filter fabric requir over drain rock prior to backfilling. If the drain ro !e nds above the original grad npepltRfOriVtE inches down the trek:{ w. 40 JUN 3 0 2023 .+;� 2 MASON COUNTY ENVIRONMENTAL N � N,� �' HEALTH /� 5100 18 �,JIM EINDY E IT or, LI D NER �\ . � ., , �i i i %; . ". ". ...+.,:.,,,,,,,Es 05,,n, System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed every three years as per WAC246-272A. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 6. Keep the flow of sewage at or below the approved design operating capacity. 7. Keep waste strength at residential waste strength parameters. 8. Spread loads of laundry through the week. 9. Do not use excessive bleach or detergents with added whiteners. 10. Do not shower, do laundry and dishwasher at the same time 11. Antibiotics can kill or impair the biological process in the septic tank. 12. Leaky plumbing can hydraulic overload your on-site septic system. 4 Ap R 0 it -vitv 2 „ -°11v eotiNri, 3 I/?0?3 ir6.410D, Joky CT,ti ovkiik., oP�Sti2 �.f 2 Y E WAITE LICENSED DESIGNER v,,HL5 .r;'9, L\1