HomeMy WebLinkAboutSWG2023-00223 - SWG Application / Design - 6/6/2023 (2) MASON COUNTY 415 N 6TH STREET,SHELTON.WA 98584
SHELTON:360-427-9670,EXT 400
(M ‘:, 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: SWG2023-00223
APPLICANT SKADAN ET UX RICHARD Phone:
Address: CHERYL D LEE SEATTLE, WA 98177
OWNER SKADAN ET UX RICHARD Phone:
Address: CHERYL D LEE SEATTLE, WA 98177
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 21 E Dogwood Ct
Primary Parcel Number: 321045200111
Permit Description: New SFR -3BR Nuwater w/ pressure distribution
Permit Submitted Date: 06/06/2023
Permit Issued Date: 06/27/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/27/2026 (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 DATE RECEIVED / tipr ��
COMMUNITY SERVICES AMO EI /b RECEI\ D vc.....) v m
Public Health(Community Health/Environmental Health) ^ CO
300 N.6 h Street
e.;.400 or n. 9 u67,ext.aoo S W G �3 -
415 N.6tN Street Shelton.WA 98584 0 b ' ,.-).3 O T
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ON-SITE SEWAGE SYSTEM APPLICATION 3 D
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APPLICANT PHONE .....0
RICHARD SKADEN z
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MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE g
361 NW 113TH PLACE SEATLE WA 98177 03
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SITE ADDRESS-STREET.CITY.ZIP CODE
21 E DOGWOOD CT UNION WA 98584 lc')
NAME OF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE
0
TBD _,,
PERMIT TYPE(select one) DRINKING WATER SOURCE - I O
PrRESIDENTIAL OSS hCOMMUNITY OSS COMMERCIAL OSS 6 PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z
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TYPE OF WORK(select one) PUBLIC WATER SYSTEM ALDERBROOK WS _ t
6 NEW CONSTRUCTION/UPGRADES 6REPAIR/REPLACEMENT OTHER DETAILS(select allthat apply) 0 TABLE IX REPAIR 101
SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE
IYJ DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE W I N
0 5 0 5-WAIVER(S) 3 121'X143'X137'X70' nor-
I
O
DIRECTIONS TO SITE AND SITE CONDITIONS (ex.locked gate)
GO OUT BROCKDALE ONTO MCREAVY, TURN RIGHT ONTO MANZANITA DR, TURN I a
RIGHT ONTO JACK PINE LANE, TURN LEFT ONTO VINE MAPLE LANE, LEFT ONTO I
DOGWOOD COURT. o
I --1-
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(tor reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
ip Z1 410 �v
16, � C� C II
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U JUN 06 2.1,123
By
SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
I PEC OR SIGNATURE DATE APPLICATION EXPIRATION DATE APP T//ON APPROVED/ISSUED BY DATE
0:1 M.erirTh (Clig3
1 f)Oil(MCI‘k (9-27 ;7)
T S F AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
I
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 0 4 — 5 2 — 0 0 1 1 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. '1 Scaled layout sketch,including all applicable items on checklist
'1 Scaled plot plan, including all applicable items on checklist. '1 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 202 3 - Oa 2 2 3 Designer's Name: CINDY WAITE
Applicant's Name: RICHARD SKADEN Designer's Phone Number: 360-701-0205
Mailing Address: 361 N W 113 PL Designer's Address: 80 E PICKERING LANE
SEATTLE WA 98177
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
liffAerobic Unit Make/Model BNR 500 ❑ Disinfection tinit Make/Model Other:
Drainfield Type
❑Gravity 'Pressure r 'Trench 0 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 50 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1200 TRASH gal Number 4
Receiving Soil Type(1-6) 4 Separation 5 OC ft
Receiving Soil Appl. Rate .6 gpd/ft2 r,, Orifices
Required Primary Area 600 ft2 ,, al .(i'• es , 52
1.
Designed Primary Area 600 ft2 �• eter i �, 3/16 in
Designed Reserve Area 600+ ft2 S- ing JUN 2 2023 > ,, 48
MASONin
Trench/Bed Width 3 ft COUNTYENtr/RpNME old
Trench/Bed Length 200 ft Schedule/CABW NTALHEALT/SCHEDULE 40
Elevation Measurements Length 2-3 ft
Original Drainfield Area Slope <2 % Diam , 2 in
iii,
New Slope, If Altered % Pre, e,a anifold configuration used? 0 Yes 0 No
Depth of Excavation Dp-slope 15 r
from Original Grade in ,,�Q. 10. Transport Pipe
•
Down-slope 14 in oW c,,rt, SCHEDULE 40
Designed Vertical Separation 12 in $etW ''41$ ��P!I 40 ftGravelless Chambers Required? 0 Yes Id No 0 Option is =, N�1 2 in
Pump Required? 66 Yes 0 No �44, C d'E. AITE GG ,: &'ng and PumpChamber
i L CEN- 0 DESIGNElT\ r�
Pump/Siphon Specifications „ . V.. . , 6
Diff. in Elevation Between Pump& Uppermost Orifice "eft ` �N+`� `_�����
`"�����S�}`ttity 45 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice sf Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 30.68 gpm I 'Timer litlapse Meter I 'Event Cou ei`\
Calculated Total Pressure Head 7.64 ft If Timer: Pump on ,Pump off
Comments
USE EXTREME CARE WHEN CLEARING, DESIGNER TO BE CONTACTED AFTER CLEARING TO
LAY OUT DRAINFIELD, CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED.
PCPn17 rei.ki{ 1 7' k -re/ ,10 of 1"Iri.1,11
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DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 0 4 — 5 2 -- 0 0 1 1 1
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
0 Test hole locations g Drainfield orientation and layout Reference depth from original grade:
1 Soil logs g Trench/bed dimensions and g Septic tank
I1 Property lines critical distances within layout II Drainfield cover
ifPxisting and proposed wells g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 0 Septic tank/pur►ppp chamber and restrictive strata:
Measurements to cuts, banks,and locations p14 oils
G21 Laterals, trench/bed,top and
surface water and critical areas g Observation port location bottom
Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption lif Manifold placement li( Sand augmentation
components
G71 Orifice placement Other cross-section detail:
Iii Location and dimension of 0 Observation ports/clean-outs
' primary system and reserve area Lateral placement with distance
to edge of bed Other Information
0 Buildings
WI Direction of slope indicator lid Audible/visual alarm referenced Yes No
lif Scale of drawing shown on scale ❑ 0 Design staked out
WI Waterlines bar /❑ 0 Recorded Notices attached
0 Roads,easements,driveways, 0 0 Waiver(s)attached
parking APP�� o ,,, ❑ 0 Pump curve attached
10 North arrow and scale drawing 0 Evaluation of failure
shown on scale bar '' ❑
JUN on-residential justification
2 / 2023 Waste strength
MASON COUNTY ENVIRONa�F l4 r 0 0 Flow
NT,gt HEAL'
DESIGN deQWVAL
The undersigned designer must be not' by insta er at time of installation It Yes 0 No
i Gfsf2o23
Signatur f 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 loca ••-site regulations: •
(.a — z_--7 - ._3
nvironmental Health Specialist Date
CAUTION: DESIGN A'PROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
/ The design is stamped"Approved" by Mason County Public Health.
T° ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: CO — (Z (
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note: The system must be installed bya certified installer v `.
unless prior authorization is obtained from Mason County Public Hdalth.
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
9
I
1. PROPOSED 3BR RESIDENCE
2. 121200 TRASH TANK
3. BNR 500 IN CONCRETE TANK
/Y3i'I 4. 1200 GALLON PUMP TANK
— -. 5. AUDIOVISUAL ALARM
6. CLEAN OUT
' SL 3 5:z_ , - 7. VALVE BOX
51
8. TRANSPORT LINE
�l� 9. 20'X50'DRAINFIELD ENVELOPE
PAGE #4
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Lateral # Length Length Orifice # Distance from Distance from end Length #
# (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 50 600 48 13 1 1 50
2 50 600 48 13 1 1 50
3 50 600 48 13 1 1 50
4 50 600 48 13 1 1 50
Total 200 S� 200
TRANS LENGTH 40
GPM 3,,E-
K (2" SCHEDULEN 40) 284.5
FRICTION LOSS 0.3815518
Squirt 2
Elevation difference 5
TDH 7, 4 r
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LAST ORIFICE; WITH
ORIFICE SHIELDS IF
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SEDIMENTS
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WORKING VOLUME INDEPENDENT
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LICE DE IGNER(, JUN 2 ? 2023
EXPiHES OS t0 ,;. ON COUNTY ENVIRONS ENTAL HEALTH
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Pump Specifications
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Sump / Effluent PumpII -i. =---,
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Pumps.
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Installation Note
Pretreated Pressure Distribution System:
32104-52-00111 21 E Dogwood Court
:1. Use extreme care when clearing the drainfield area.
. Designer to stake out drainfield after clearing the drainfield area.
3. 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.
4. Install system during dry weather with acceptable soil conditions
5. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
g-6. BNR 500 must be installed in concrete tank
-7. Pump tank and trash tank must be concrete
8. Gravel based drainfield required.
9. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
10. 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.
11. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
12. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from
the drainfield.
13. Install access risers on the septic tanks, valve box and ends of laterals.
14. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
15. Lids must form a water and gas tight seal with the access risers
16. This system must be installed by a Mason County Certified installer or
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 bed with contour of the ground
20. Install trench bottoms level and always maintain a minimum of six inches into native
soil 134)
21. Install locatorp-l.n top of all drainfield laterals. 'b;'
22. Install thre.. cle�14 outs at the ends of all laterals (caps must extend to within six i
inches of f' . 9ra4_-41-nd be in a valve box as shown on diagram.
23. Install a�; �cf �2 s
24. Filter f;t: • r, , -= ov. d,� !,in rock prior to 0 ckfilling, If the drain rock extends above
the o-���:~ • ' .
al t rP,?,:,; n +er f4ric at lea it hols'dipyvr he rtc ;wall.
o C NDY 1:ITE !� i h 0
r LICE S i DE' GN • 4• e
.. ..`.;� JUN 2 l 2023
EXPIRES °SnO, MASON COUNTY ENVIRONMENTAL HEA'
TH'
JBw EARTH
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.
E
JUN1 � 2023
MASON COUNTY ENVIRONME
.1 B VI/ NTAL HEALTH
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