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Home My WebLink AboutSWG2023-00299 - SWG Application / Design - 7/14/2023 MASON COUNTY 415 N 6TH STREET, SHELTON,WA 98584 SHELTON:360427-9670, EXT 400 BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269, EXT 400 Public Health & Human Services :o ' _. FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00299 APPLICANT OMDAHL MAX L &VIKKI L Phone: Address: 2061 E CRESTVIEW DR SHELTON, WA 98584 OWNER OMDAHL MAX L & VIKKI L Phone: Address: 2061 E CRESTVIEW DR SHELTON, WA 98584 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 2061 E Crestview Dr Primary Parcel Number: 320215803042 Permit Description: 3-bedroom gravity system REPAIR Permit Submitted Date: 07/14/2023 Permit Issued Date: 07/31/2023 Issued By: David Anderson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 07/27/2026 (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 Drainfield 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED. 1 _ 1 1 sAilp ``. MASON COUNT " 3 p�i w �, , COMMUNITY SE V IC AMOUNT RECEIV RECEIVED' (n Public Health(Community HealihiEnvuonme tal Healtp G_ 3Sh-426thS Street et•She a n.WA 8584 e.t.400 ��L 19 2023G 0 1- - O Ci ct g 415 N.StA Street�Shelton WA 98594 1 REC Z N v ON—SITE SEWA E APPLICATION D APPLICANT PHONE m 1- MAX OMDAHL 360-490-0274 z MAILING ADDRESS-STREET CITY.STATE ZIP CODE g 2061 E CRESTVIEW DR SHELTON WA 98584rn SITE ADDRESS-STREET CITY.ZIP CODE SAME I `A) NAME OF DESIGNER PHONE N CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE C7 0 TBD - Z Ni PERMIT TYPE(select one) DRINKING WATER SOURCE 1 O Fl RESIDENTIAL OSS h COMMUNITY OSS In COMMERCIAL OSS 6 PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z TYPE OF WORK(select one) 7 PUBLIC WATER SYSTEM SHORECREST WS t 1 NEW CONSTRUCTION/UPGRADES Eg REPAIR r REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR 101 SUBMITTALS RI SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE IW QDESIGN FORM(REQUIRED) NI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE co b WAIVER(S)(IF APPLICABLE) 3 60'x110' o I 1 Q DIRECTIONS TO SITE AND SITE CONDITIONS .,,> :ocaed;.•tel GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO AGATE ROAD, GO TO AGATE I (A) STORE, TURN RIGHT ONTO CRESTVIEW DRIVE. PARCEL IS ON THE LEFT SIDE OF o I o CRESTVIEW. -1 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I I Ni OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE OCOMPLAINT ❑OTHER: INSPECTOR SOIL LOGS /1 • COMMENTS I CONDITIONS 11.1 :0-53 l/C7t$ TH7-, D-5t 61,3 doe 1/e ( • 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 INSPE 0 IGNATURE DATE APPLICATION EXPIRATION DATE APPI I ATION APPROVED/ISSUED BY DM LJ 7/2674 7/Z7(z z‘ ! - �(�1 (ZoZ3 THIS FORM MAY BE SCANNED AND AVAILABLE OR PUBLIC VIEW ON THE MASON COUNTY WEESITE REVISED 1217201E 1 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 — 5 8 — 0 3 0 4 2 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. Maximum paper size: 11",ai 17" PARCEL IDENTIFICATION Permit Number: SWG Z02) — 004( Designer's Name: CINDY WAITE MAX OMDAHL Applicant's Name: Designer's Phone Number: 360-701 0205 2061 E CRESTVIEW DR -------- -—Mailing Address: _ Designer's Address: 80 E PICKERING LANE SHELTON WA 98584 — City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon 13iolilter 0 Sand Filter 0 Mound 0 Sand Lined Drainlield 0 Recirculating Filler.Type: ❑ Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other: Drainfield Type [Gravity 0 Pressure 0 Trench gBed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 ✓ Schedule/Class ASTM 2729 / Daily Flow: Operating Capacity 270 gpd/- I.ength 40 ft Daily Flow: Design Flow OF 360 gpd✓ Diameter 4 in Septic Tank Capacity(working) , 7* Q,,EXISTING gal Number 4 Receiving Soil Type(1-6) 3 V Separation 2 ft Receiving Soil Appl. Rate .8 g d/ft''/ p Orifices Required Primary Area 450 '' ✓ Total Number of Orifices ASTM 2729 PERF Designed Primary Area "400 ' Diameter in Designed Reserve Area ER ' ED ft2 Spacing in Trench/Bed Width 10 ft Manifold Trench/Bed Length 40+ It Schedule/Class Elevation Measurements Length / . ft Original Drainfield Area Slope >2 % Diameter So.1204, New Slope, If Altered % Preferred I ~I _ t 12 �• ill 24 used? cs 0 No Depth of Excavation up-slope in 6' 1O from Original Grade sto r • 'Pipe Do..»-,rorx 24 in Sche Ia.4tiCI D IT 3034 D DESIG Designed Vertical Separation 24 in Lem_ 0-25 Exc9REs 05.10i ft Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 4 in Pump Required? ❑ Yes WSNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump& Uppermost Orifice ft _ Dose quantity gal Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Plea Al �� cI �/C Capacity q_D,Total Pressure Head gpm ❑Timer • ,apse e er G Event Counter Calculated Total Pressure Head ft If 'Timer: Pump on JUL 3 �C��3--1 q �p,off Comments \�� N011' 3 MASON��f/h t'n � �,� �QQ�(�r COUNTY ENVIRONMENTAL HEALTH �"If Op at DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 1 -- 5 8 -- 0 3 0 4 2 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Eli Test hole locations lid Drainfield orientation and layout Reference depth from original grade: Iii Soil logs fitf "french/bed dimensions and ❑ Septic tank 0 Property lines critical distances within layout t;f Drainfield cover d Existing and proposed wells RI D-Box/Valve box locations Reference depth from original grade within 100 ft of property lif Septic tank/pump chamber and restrictive strata: Vil"feasurements to cuts, banks, and locations urfaee water and critical areas l21 Observation port location lig Laterals, trench/bed,top and botto►n 1 ocation and orientation of RI Clean-out location ❑ Curtain drain collector curtain drain and all absorption components Manifold placement 0 Sand augmentation cAt3Orifice placement Other cross-section detail: 6d Location and dimension of primary system and reserve area Lateral placement with distance 0 Observation ports/clean-outs gi to dge of bed Other Information Buildings �,lid udihle/visual alarm referenced Yes No Direction of slope indicator lid Scale of drawing shown on scale I 0 Design 0 Waterlines t staked out bar 0 0 Recorded Notices attached 0 Roads,easements,driveways. 0 0 Waiver(s)attached parking 0 0 Pump curve attached WI North arrow and scale drawing �..Gd 0 Evaluation of failure shown on scale bar 1)4t C Non-residential justification j 4. ( 0 0 Waste strength 0 0 Flow DESIGN APPROVAL The undersigned designer must be notif- by installe• time of installation XYes 0 No Signatur Designer Date The undersigned has reviewed this des' =n on behalfof Mason County Public Health andA `OVER compliance with state and local on-• t gulations: W3lizo z3 JUL 3 12023 Environmental Health Specialist Date COUNTY ENVIRONMENTAL HEALTH CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDIA1: V The design is stamped "Approved"" by Mason County Public Health.V The Onsite Sewage Permit has not expired. the Permit Expiration Date is: //Z FiZ0 2C V Drainfield site conditions have not been altered to adversely affect conditions of design approval. 1A1 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 A i4 Q ...... I APPROVEDil �f • � f OF Li ff JUL 3 1 2023 e4Q- ,fA MASON COUNi't ENV�t.ONMENTALHEALTH '' �° , y9'/'* raDJA %4" `'. Set ,�/ C` CI'Ct N�+f LICENSED AvoteimomikNE505D'1O DESIGNER .ep' Lxi'I ! i --_-__��._. .-�._._ CT----- 111 kl i �1 N 6. DTI ' \• 4 rk.) .______________ �0 4 — g ..6 e �� c), d � u -T-1 In (NI) re) n a 0 1 ` x A t'�`• " i --�- `� C 'N. /Al v ,L.. T 1 . et— I) / 1 DbS ic,10.7,vdt..1 IT) / /0 ' 0/f#44. 01 AA/ Ala/ GAS., S CA lj I IZ" r--,Aft Fuy _i_ APPROVED 6 -- JUL 3 12023 MASON COUNTY RV!RONMENTAL ir."LTN DJA VS i �4 'VI 0 � of Kqs. 6j �� I 2c 5 0418+ cc. O C Y E WAITE LICENSED DESIGNER EXPIRES os,,u- 's 3 i 5 Fi 4sCc r t—Access Rizer To Grade • Inlet with 45 Ell Facing Down N U_ i ,Speed Levelers*equal)required Leveling APPROVED JUL 3 12023 MASON COUNTY ENVIRONMENTAL HEALTH DJA Distribution Box(No Scale) \.1 P 1)F �� of Yt;s 9J� /►- y�. fa v a _SAP � ? >' 1004 6- CINDY E AITE LICENSED DESIGNER EXNIRtS OSiO • Installation Notes Gravity Distribution System: 2061 E Crestview Dr 32021-55-03042 1. There is a permitted repair from 2001. Drainfield was full of sludge. Tank had not been pumped in 22 years and there was 6 plus adults living in home. 2. Gravel based drainfield required. 3. Install a diversion valve so that the old drainfield can be used in the future if needed. 4. Install system during dry weather with acceptable soil conditions 5. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only, 6. 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. 7. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 8. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 9. Install access risers on the septic tank, D-box and observation ports. 10. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 11. Lids must form a water and gas tight seal with the access risers 12. Install effluent filter at the septic tank outlet. 13. This system must be installed by a Mason County Certified Installer. 14. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 15. 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. 16. Install laterals or bed with contour of the ground 17. Install trench bottoms level and always maintain a minimum of six inches into native soil 18. 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. APPROVED , JUL 3 1 2023 ',° I y 'f j MASON COUNTY ENVIRONMENTAL HEALTH DJA 2y 004 O C DYE WADE ` LICENSED DESIGNER LxPIRLS 05:10: 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, VJD "OVED J U L 3 1 2023 MASON COUNTY ENVIRONMENTAL HEALTH DJA Q- kck yy.) -� \.1 y 5)0041 p? CINDY E WWITE'A LICENSED DESIGNER ExPI Ls J. 1U;