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HomeMy WebLinkAboutSWG2023-00206 - SWG Application / Design - 5/25/2023 (2) MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 611, ‘: SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00206 APPLICANT ERIC RUSSELL Phone: 360-789-3607 Address: 5015 N 26th St SHELTON, WA 98584 OWNER ERIC RUSSELL Phone: 360-789-3607 Address: 5015 N 26th St SHELTON, WA 98584 SEPTIC DESIGNER ERIC RUSSELL Phone: 360-789-3607 Address: 5015 N 26th St SHELTON, WA 98584 Site Address: 750 E North Island Dr Primary Parcel Number: 220031490150 Permit Description: New SFR - 3BR Pressure Permit Submitted Date: 05/25/2023 Permit Issued Date: 06/13/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/07/2026 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. I OFFICIAL USE ONLY AAA MASON COUNTY DATE RECEIVED: �.�� • �� N D (' n . � ' COMMUNITY SERVICES AMOUNI1/E RECEIVE o m ---- [ i �;� Public Health(Community Health/Environmental Health) �/p��(/'�` Q - �@ 3604t5 N,6Ih .e -Ape or Itn,Wi7 ext.400 S V V G Z6 .1� (50�G O �t$N.6;h Street-Shelton,WA 98584 zoi ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHONE m (e_T_Ae.,, SSZw 3fo0 --16°1 $r, �•ICBV)9: z c MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE M 501,-;• N 7-co.-Pm sv --Tik&DM.a \kbi 9 ` o7 th JUN 2 Q. 2023 co SITE ADDRESS-STREET,CITY,ZIP CODE --1'So . (vow \s.,A 1.) '3)�, ,pe �tiwc-�o►.) r/IJ, Y:1 5 ___ I�� NAME OF DESIGNER PHONE NAME OF INSTALLER \ P ONE O cd iGtJ o 4) `r 7 10 PERMI PA(select one) DRINK! WATER SOURCE 7ENTIAL OSS f1_COMMUNITY OSS Q COMMERCIAL OSS PRIVATE INDIVIDUAL WELL Q PRIVATE TWO-PARTY WELLDI ZTYK(selectPUBLIC WATER SYSTEMI CONSTRUCTION/UPGRADES _REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I SUBMI ALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE __DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I 0 ]-WAIVER(S)(IF APPLICABLE) n DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) .{ wfs�11V IS tjp ' F—ti9 �— b y l� V VO.L-111 1 1M1O I V ?, ,u _1 �� — S ex is / -�.,� Q j �-V� S `-, 00 4 --1 9 D t_.. u 31 --9 4-t-, ice, SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I Q OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE 0 COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS (6 /f a <- V . M Y 2 5 2r23 3s L ) t SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V Y G=GRAVELLY $=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPE TOR SIGNAT RE DATE APPLICATION EXPIRATION DATE PLIC TION APPROVED/ISSUED BY DATE T IS F M BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12(7/2015 r r � q DESIGN FORM-PAGE ONE Assessor's Parcel Number:n Y /f` 0 0 2✓ -- ilk -- ` o vI3 0 A design will be reviewed when 3 copies 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 ,a'er size: 11"X 17" Permit Number: SWG 9JoZ '-0O3O g? Designer's Name: e-x--- SST%tik. Applicant's Name: (-Kk '1 l -' Designer's Phone Number: 900 1 Vt "J(0,9 7 Mailing Address: SO 15 lU, '2 A S tr Designer's Address: Soly N.. 2 c; 1 517 —IACONVA WA WADI -- Ac &V4 Ot`tot Cit State Zi. Cit State Zi. Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity Pressure 0 Trench 0 Bed 0 Sub Surface Drip • Septic Tank/Drainfield Specifications Laterals 1 Number of Bedrooms 3 Schedule/Class `4 O Daily Flow:Operating Capacity 3 o gpd Length 5 Q ft Daily Flow:Design Flow 3(e,,p gpd Diameter 1. in Septic Tank Capacity(working) ki_00 gal Number Receiving Soil Type(1-6) Separation ft Receiving Soil Appl. Rate �']e gpd/ft2 Orifices Required Primary Area 1p-0p ft2 Total Number of Orifices Designed Primary Area V,C`)C) ft2 Diameter /( co in Designed Reserve Area t4000fi' ft2 Spacing 3 (0 in Trench/Bed Width 127 ft Manifold , Trench/Bed Length `..oa ft Schedule/Class 0 Elevation Measurements Length )(-," ft Original Drainfield Area Slope "3 - t % Diameter ti .2s- in New Slope,If Altered Lii-1 % Preferred manifold configuration used? ❑Yes 0 No Depth of Excavation Up-slope 1 2 in Transport Pipe from Original Grade Do -slope 1 4 in Schedule/Class 1,0 Designed Vertical Separation 4 in Length -ace, ft Gravelless Chambers Required? 0 Yes 0 No lAsOptional Diameter 2- in Pump Required? I Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 1 b gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) intf) gal Uppermost Orifice er ❑ Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total ressure Head 40 , ( gpm Jimer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head l i ei ft If Timer: Pump onVe l ,,J)4 Pump off Comments pw-i).$1.1 ( A P P R 0 V E eg� 0 svro - �\\ ��a JUN 0 7 2023 MASON COUNTY ENVIRONMENTAL HEALTH JBW 2 -- ti -- DESIGN FORM—PAGE TWO Assessor's Parcel Number: t 0©3 Q fi S 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: ❑ Soil logs I D 0 Trench/bed dimensions and 0 Septic tank ❑ Property lines I 4)4 >L- critical distances within layout 0 Drainfield cover ❑ Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks, and locations 0 Laterals,trench bed,top and surface water and critical areas 0 Observation port location bottom ❑ Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption ❑ Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: ❑ Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed ❑ Buildings g Other Information 0 Audible/visual alarm referenced Yes No ❑ Direction of slope indicator 0 Scale of drawing shown on scale 0 '.%,�/D,�esign staked out ❑ Waterlines bar 0 �I /.R�e�corded Notices attached • ❑ Roads, easements,driveways, ❑ fd�Vaiver(s)attached parking :e ' — 0 Pump curve attached 0 North arrow and scale drawing ❑ ( -Evaluation of failure shown on scale bar JUN 0 12023 Non-residential justification MASON COUNTY ENVIRONMENTAL HEALTH 0 16'Waste strength JBW ❑ 'ttFlow D IGN APPROVAL The undersigned designer must e notifi by inst 1 at time of installation KYes 0 No re 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- .te regulations: En r 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: — ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. 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 .1 , ' A r 0 -.1) / \ e. '� ` 7'/ ` \ 7 /SIC �' `yet* ) 'pc. (:i �� h , .i/_dp . / 3// cp . ili,71 il * / fo 7---) k.,.) ,4‘ .t, ll , �Q / OP ' X C .> b ---"( -4_ Z ; ,-P 1 v ' ,1,.., :, / SZ 1 / t ,- a , ! /bfAeon,vs / r' t _ 6. J c s 1 yJ JI •t• \\ 1•41. K'',, ,.,_ I \, ct <es - ...,.. ls.tor....,..„,.,.. .. ., t .rigs - ��T MOM i, C c ev z -0 c.) 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