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HomeMy WebLinkAboutSWG2023-00253 - SWG Application / Design - 6/16/2023 eg,,,t 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,EXT 400 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 HOGDSPORT, 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. OFFICIAL USE ONLY DATE RECEIVED: CoI A.3 4,.."..• MASON COUNTY 1'� (/ w D jlz COMMUNITY SERVICES0 coeine I AMOUNT RECENED: RECENED BY: W (n �",. Public Health(Community Health/Environmental Health) �--- 1623 G w 3(A 42;h StretSh d 160 n,WA9 4467,eM.4()DSWG _ OQ25,� gO415 N.6th Sbxx-Sheltm,WA 98584 0 z th ON-SITE SEWAGE SYSTEM APPLICATION D 23 m n :-PP)(CANT PHONE m I— JOSEPH COCHRAN 360-877-5059 z - c MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE g PO BOX 117 HOODSPORT WA 98548 m 73 SITE ADDRESS-STREET.CITY.ZIP CODE 90 N KIMTA DR HOODSPORT WA 98584 1 A NAME OF DESIGNER PHONE N CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE a I CO TBD G_ PERMIT TYPE(select one) DRINKING WATER SOURCE — o If RESIDENTIAL OSS fl COMMUNITY OSS Fl COMMERCIAL OSS 1-1 PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL z I CO 17 PUBLIC WATER SYSTEM LAKE CUSHMAN TYPE OF WORK(select one) r �l NEW CONSTRUCTION/UPGRADES iir REPAIR/REPLACEMENT OTHER DETAILS(select all that appy) ❑ TABLE IX REPAIR I CP SUSMITTALS 0 SURFACING SEWAGE ill EXISTING FAILURE 0 SHORELINE 5 DESIGN FORM(REQUIRED) Fii SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I C3 b WAIVER(S)(IF APPLICABLE) 1 71'X 139' n I - ' 3-` I Q ?ECTIONS TO SITE AND SITE CONDITIONS (ex locked gale) 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. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(tor reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT El OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS .36 . vd . 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 TOR SIGNATURE DATE APPLICATION EXPIRATION DATE AP CATION APPROVED/ISSUED BY �l,l G-�s- G- erg' -�e( (A)I � G:-3D.-2) T S FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7201 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. .t/aximam paper si:e: /I"X I 7 r} PARCEL IDENTIFICATION Permit Number: SWG 013' OQ 25;) _ Designer's Name: CINDY WAITE Applicant's Name: JOSEPH COCHRAN 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 Biolilter 0 Sand Filter 0 Mound 0 Sand Lined I)rainlicld 0 Recirculating Filter.Type: 0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type 'Gravity 0 Pressure (Trench 0 Bed 0 Sub Surface Drip Septic Tank/Draintield 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 in Septic Tank Capacity(working) 1000 EXISTING gal Number 3 Receiving Soil Type(1-6) 3 Separation 5 AND 10 ft Receiving Soil Appl. Rate .8 gpd/I., Orifices Required Primary Area 300 ft2 Total Number of Orifices ASTM 2729 PERF Designed Primary Area 306 ft2 Diameter In Designed Reserve Area 300+ ft' Spacing in Trench/Bed Width 3 It Manifold Trench/Bed Length 102 ft ��,icdulei('lass D BOX Elevation Measurements i .c�(�rI , ft Original Drainfield Area Slope <2 % or�a-DAP ia 1.it. 'r % in New Slope. If Altered e/��� •44ii' '\y'� ifold co 'ation used? 0 Yes 0 No Depth of Excavation up-slope 12 y ' ' zc r.*. . 1 ` Transport Pipe from Original Grade I) %I slope 12 % J c i ul a+ 1� Designed Vertical Separation 24 , 5°"41:I $ 3034 '* f , ` 20 ft •I . Gravelless Chambers Required? 0 Yes l� ,.� .L,;„,,'�ic (:1 ,% 4 in Pump Required? ❑ Yes 66 i t_X`'"2U. os„o- JUN 30 2023 ' 'osing and Pump Chamber Pump/Siphon Specificatio Number of d .ay Diff in Elevation Between Pump& Uppermost WeilfittcouNTUN AfigkMfrtgagALTH QQW gal \0 Drainfield Squirt Fleight/Selected Residual(head) __ (0BI mberC'apacity(flood) gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity a;Total Pressure Head gpm ❑Timer ❑Elapse Meter 0 Event('ounter Calculated Total Pressure Head _ ft If Timer: Pump on ,Pumpoff 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 Cross-Section Sketch It Test hole locations lig Drainfield orientation and layout y Reference depth from original grade: Pi Soil logs 0 Trench/bed dimensions and 0 Septic tank 0 Property lines critical distances within layout rif Drainfield cover jr .•isting and proposed wells Gif U-Box/Valve box locations Reference depth from original grade within 100 ft of property Septic tank/pump chamber and restrictive strata: kleasurements to cuts, banks,and locations Otis' h•-7 4.% surface water and critical areas GZI Observation port location n'� li Laterals, trench/bed,top and bottom K2k,ocation and orientation of Crean-out location ❑ Curtain drain collector ll tcurtain drain and all absorption P1dM'nifold placement 0 Sand augmentation components Location and dimension of EI#Qrifice placement Other cross-section detail: fif primary system and reserve area Lateral placement with distance 0 Observation ports/clean-outs to edge of bed Buildings Information ill 0 Audible/visual alarm referenced Yes No 0 Direction of slope indicator 0 Scale of drawing shown on scale It ❑ Design staked out (0 Waterlines bar 0 0 Recorded Notices attached g Roads,easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached 10 North arrow and scale drawing Pat et r g 0 Evaluation of failure shown on scale bar / � rifri Non-residential justification ❑ 0 Waste strength ❑ 0 Flow DESIGN APPROVAL The undersigned designer must be not' ed by instal at time of installation g Yes 0 No Signatu 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 on- to egulations: _ 6—3 o z3 Env' om al I lealth 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: G 7-s' ZY ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. -2,.0 Please Note: The system must be installed by a certified installer, unless prior authorization is obt epfp son County Public Health. An Installation Fee is required. SUN 3 p wThis form may be scanned and available for '41 NT 0Web site. ALHEgLTyUpdated Date: 12!7!2015 • 22, 'l 1' 0 L\ ck' _..41 5 V.I r CP /f- 1 3 y. Q \. r a ---..._______-- - -- 1I q0 N I 36 ' i Coy I Fe) i'^ ' J `I 4. , • � /}Air I ih_e- y+ns '9Af1/ I T4 be 641'e : F •.i(" 0 N, . n /Hno541 !1\ v" O E ITE{{-- sate i LICENSED DESIGN It ,�I, �(��I](J �C� llX�n. �� �" EXPIRES us.in ` V 7/LQ pQ,J (.I L(' 3UN 302023 © b Boy. MASO ED N COUNTY ENVIRONp�ENTAL Jaw HEALTH ® P�Lyi�i Jami t,Pl1 L fl I '/. E I '/i \ . __ 61 I I 11-.. [ -------"---."--141 I lit, e9 I/L • r ii/L, 4 xt obse„„.., ►u A,J VOAkr(&) D- Pow O- `" � - ' ,4// / T N -/.// 1__ S lU' n /s--' _.6 Poe i P _ , ( < re wG 10k4, . ) �� PROVE j 2 „ I O y"' Iz— JUN 3 0 2023 '1F MASON COUNTY ENVIRONMENTAL HE'LTH � 1�,, t.,„ti� JBW e. 5 0041 rVilaiV1 a i 0 Y E. AITE 1p LICENSED SI {���""" %, ToUsC -e i—Access R;zer To Grade • i I I Inlet with 45 al Facing Doom _.._ - �✓ 9 Speed Levelers(or equal)required 1 Leveling Pad- i "- ; Distribution Box(No Scale) • S�Po4. NSy �•' 4a' ROVE 46 �� 5, ,8 s� r�ascN COUNTY 124.11):3 0 2023 tz' 1/2l NTYE G LICENSE ESIGNER G �� ,,8 RCN'MENTgL HEALTH Z L.N.'ALS 05 IO 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. 4. 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 41 to native soil 21. Filter fabric requir over drain rock prior to backfilling. If the drain rod!e 4 nds above the original grad np f ltflfOriytt inches down the t P w- ��„,, rr - .., °c . 9', JUN 3 0 2023 �~ '; y��`� - ��P -J • 2 � 1 MASON COUNTY ENVIRONMENTAL HEALTH � - �`�, 5100 18 t JBW O CINDY E IT I� LI E D NER t w%% \�\\ 1\ \*'.\'/.., //j EXPIRES US.1G: 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 Apo� ��N y� Ivry Nfr/RO %Jaw F,y/4z Hal r,A4 441 1, �y�Poo�eSy%L'9 )99 NJ ', V E WAITE LICENSED DESIGNER M'IRLS u!,10r