HomeMy WebLinkAboutSWG2023-00248 - SWG Application / Design - 6/14/2023 (30) en, MASON COUNTY 415N6TH: EE1 s400
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On-Site Sewage System Permit: SWG2023-00248
APPLICANT Sheetz, Sally Phone:
Address: 71 SE MILL CREEK RDG E SHELTON, WA 98584
OWNER Sheetz, Sally Phone:
Address: 71 SE MILL CREEK RDG E SHELTON, WA 98584
SEPTIC DESIGNER CINDY WAITE- Septic Designer Phone: 360 2
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 71 SE Mill Creek Rdg E
Primary Parcel Number: 320287500010
Permit Description: Replacement SFR -3BR Gravity Non-conforn
Permit Submitted Date: 06/14/2023
Permit Issued Date: 06/27/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $780.00 (additional fees may be reci upon
Permit Expiration Date: 06/22/2024 (based on date of inspectio,
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the plan,
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior writter
authorization from Mason County is obtained.
3 Drain field installation not to exceed designed upslope and downslope depth spec d on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to b fill
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approv -ior t,
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be subm, I 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 EASL LU
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED .)DE:
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELf' STR
For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspect roc; ,Il:
360-427-9670, extension 400.
v
OFFICIAL USE ONLY ��
DATE RECEIVED'
MASON COUNTY _ �D - - --- cn r.
A p COMMUNITY SERVICES AM T IVED: RE W cn
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Public Health(Community Health/Environmental Health) Cn
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ON-SITE SEWAGE SYSTEM APPLICATION
PPLICANT PHONE m m-
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SALLY SHEETZ 360-870-3866 z
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AILING ADDRESS-STREET,CITY.STATE.ZIP CODE g
71 SE MILL CREEK RIDGE SHELTON WA 98584 m
SITE ADDRESS-STREET CITY.ZIP CODE
SAME Iw
NAME OF DESIGNER PHONE / I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE I CI
TBD _R-
PERMIT TYPE(select one) DRINKING WATER SOURCE - I N
M c RESIDENTIAL OSS I I COMMUNITY OSS FCOMMERCIAL OSS II PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z 100
TYPE OF VVORK(select one) F.r PUBLIC WATER SYSTEM r
6 NEW CONSTRUCTION/UPGRADES lif REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I \I
SUBMITTALS- CI SURFACING SEWAGE El EXISTING FAILURE El SHORELINE
co
IYI DESIGN FORM(REQUIRED) K. SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I IP
6 WAIVER(S)(IF APPLICABLE) 3 336'X 661' I
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DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate)
GO SOUTH ON OLYMPIC HIGHWAY, TURN LEFT ONTO MILL CREEK RD, GO TO END, I c)
TURN RIGHT ONTO MILL CREEK RIDGE, GO TO TOP OF HILL, TURN LEFT. r
PROPERTY IS THE FIRST DRIVEWAY ON THE RIGHT(CIRCULAR DRIVEWAY). THERE o 0
IS A BARN AND MANUFACTURED HOME. SOIL LOGS ARE BEHIND THE RESIDENCE
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS, I CD
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
Yy (/i
Rro-ifiJuN2o23LJ
By tt
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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.
IN E TO SIGNATURE DATE APPLICATION EXPIRATION DATE A CATION APPROVED/ISSUED BY DATE
C,1,-lf4CL6-2ci-4 6-� I tiLl„,,R, (0--Z7-23
TH F AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
e►
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 8 — 7 15. — 0 0 0 1 0
A design will be reviewed when 3 conies of each of the following are submitted:
Completed design form that has been signed and dated. v Scaled layout sketch, including all applicable items on checklist
v.Scaled plot plan, including all applicable items on checklist. v 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.I:Llaximum paper size: I"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG a 'a?-Oo2 Vg Designer's Name: CINDY WAITE
Applicant's Name: SALLY SHEE Z Designer's Phone Number: 360-701-0205
Mailing Address: 71 SE MILL CREEK RIDGE Designer's Address: 80 E PICKERING LANE
SHELTON WA 98584 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon I3iofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainlicld ❑ Recirculating Filter.Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainfield Type
fii'Gravity 0 Pressure l 'Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class ASTM2729
Daily Flow:Operating Capacity 270 gpd Length 37.5 ft
Daily Flow: Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity(working) 1250 gal Number 4
Receiving Soil Type(I-6) 3 Separation 8-9 ft
Receiving Soil Appl. Rate .8 gpd/t12 Orifices
Required Primary Area 450 ft2 Total ber of Orifices 2729 PERF
Designed Primary Area 450 ft2 Dial er 4
in
Designed Reserve Area 450+ ft2 S g � i
,�
n
Trench/Bed Width 3 ft ��.4r c zto Manifold
Trench/Bed Length 150 ft *4% $ ASTM 2729
Elevation Measurements L ig5 t 1 L' ,\
(,012-15
Original Drainfield Area Slope %
<1 '� ft
4
-ICENSED DESIGNER In
New Slope, If Altered rat�on used? 0 Yes 0 No
Depth of Excavation tip-slope 12 EXPIRES 05110/
Transport Pipe
from Original Grade Do„.slope to „' ., ,,,
�n �c�tt�s� �: 3034
Designed Vertical Separation 24 p Le h ft
Gravelless Chambers Required? 0 Yes ❑No 0 nalm2tdr 2023 `•'[ 100
1 4 in
Pump Required? 0 Yes fib No LjN f
Pump/Siphon Specifications MASON SC")NIum uaNVIRONoses 71"gl and Pump Chamber
ay
Diff. in Elevation Between Pump& Uppermost Orifice ft Dose uan ity
gal `\CN
Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head gpm ❑Timer ❑Elapse Meter 0 Event Counter
Calculated Total Pressure Head ft If Timer: Pump on Pump off
Comments
CONCRETE TANK AND GRAVEL BASED DRAINFIELD REQUIRED. _ —J 1 a 4— 1wd 1,t,4y
.e-lQ7pt,O...I ,N en, 11If ,` 1Nrpa1. 6titer_
1
DESIGN FORM-PAGE TWO Assessor's Parcel Number: 3 2 0 R 'i 8 -- S -- 0 0 0 1 0
Permit Number: SWG I
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
0 Test hole locations El Drainfield orientation and layout Reference depth from original grade:
g Soil logs Gry PF Ic'1 .t.` It Trench/bed dimensions and El Septic tank
EZl Property lines P.-ley critical distances within layout l Drainfield cover
g Existing and proposed wells El D-Box/Valve box locations Reference depth from original grade
within 100 ft of property El Septic tank/pump chamber and restrictive strata:
titilasurements to cuts,banks,and locations flog- n'►col
g Laterals,trench/bed,top and
surface water and critical areas g Observation port location bottom
(„L Location and orientation of 'i lean-out location 0 Curtain drain collector
curtain drain and all absorption %.4f 1anifold placement 0 Sand augmentation
components
g Location and dimension of 0EJOrifice placement Other cross-section detail:
primary system and reserve area lid
placement with distance Observation ports/clean-outs
1 g Buildings to edge of bed Other Information
EILAudible/visual alarm referenced Yes No
E0 Direction of slope indicator
lir Scale of drawing shown on scale g 0 Design staked out
El Waterlines bar 0 0 Recorded Notices attached
EI Roads,easements,driveways, 0 0 Waiver(s)attached
parking ❑ 0 Pump curve attached
EI North arrow and scale drawing fQ-f t -rfe'"'�—l 0 Evaluation of failure
shown on scale bar
Non-residential justification
❑ ❑ Waste strength
❑ 0 Flow
DESIGN APPROVAL
The undersigned designer must be no 'fled by in taller at time of installation •19 Yes 0 No
Signat of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
e
compliance with state and local o1• r•gulations:
t (AA 1 69, 6 •z7 .0,2-3
E virs' 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: lsl -22 --Z Y
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
/1/\ct
Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public Health.
ppRovEl
An Installation Fee is required. , pp���� •k
This form may be scanned and available for pub w o'i,he hsaPoun " ' eb site.
MASON COUNTY ENVIRONMENTAL HEALTH Updated Date: I2/7/2015
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Installation Notes
Gravity Distribution System:
71 S E MILL CREEK RIDGE 32028-75-000102021-58-04026
1. The original 1981 three bedroom seeptic system has failed. Existing system was a step
down and appears to be full of roots.
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. Gravel based drainfield required.
4. Concrete tank required.
5. Install system during dry weather with acceptable soil conditions
6. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
7. 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 ai-eas and water doesn't
collect on or around them. Use swales, berms, catch basin and!tight lines, curtain drains,
etc. to divert all waters.
8. Curtain drains can be no closer than 10' upgradient and 30' dovyn gradient of the
drainfield
9. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
10. Install access risers on the septic tank, D-box and observation ports.
11. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
12. Lids must form a water and gas tight seal with the access risers!
13. Install effluent filter at the septic tank outlet.
14. This system must be installed by a Mason County Certified Installer.
15. Deviation from this design without prior approval from the desigrher and Mason County
Health Department will make this design null and void.
16. 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.
17. Install laterals or bed with contour of the ground
18. Install trench bottoms level and always maintain a minimum of six inches into native soil
19. 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 inches down the trench wall.
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JUN 2 7 2023 .z 418 G
O ON Y E WAITE 7 h
LA�SO COUNTY rr LICENSED DESIGNER' 4
ENVIROAIMENTAL �"` -; •b�� O/,
J3w h'EALTH ,",I:_51s,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 tenk.
12. Leaky plumbing can hydraulic overload your on-site septic system.
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EXPIRES 05/10/
JUN 2 7 2023
MASON COUNTY ENVIRONMENTAL HEALTH
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