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HomeMy WebLinkAboutSWG2023-00394 - SWG Application / Design - 9/18/2023 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: SWG2023-00394 APPLICANT OLANDER MARK A& KATHRYN M Phone: Address: PO BOX 1727 SHELTON, WA 98584 OWNER OLANDER MARK A & KATHRYN M Phone: Address: PO BOX 1727 SHELTON, WA 98584 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 1250 E MASON LAKE RD Primary Parcel Number: 321343290050 Permit Description: Non-Compliant Repair 3bd gravity bed Permit Submitted Date: 09/18/2023 Permit Issued Date: 10/03/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $780.00 (additional lees may be required upon installation of system). Permit Expiration Date: 10/03/2024 (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 unstope 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.govlhealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. FS. WOFF C I/IL USL ONLY MASON CO ' TSEP782013 Cl- I? - J-fJ3• 3 ch N COMMUNTT i�'/' s2 - 1BD _-1CAEIT C O) Publ X 1 M1 C n anon na .n N 2 y SWG & cc t o z di ON-SITE SEWAGE SYSTEM APPLICATION 3 n ' nPPuuN- PcNF m r MARK OLANDER 360-350-8757 z c IA,NDADDRESS-SPREE LIT EIAE ZIT]CAUL a PO BOX 1727 SHELTON WA 98584 m z -SITE AGGRESS < HEEI al 1250 E MASON LAKE RD SHELTON WA 98584 I4, PRIM CF RESIGNS) CINDY WAITE 360-701-0205 �ki NAME OF IN5TA.LER ID NE 0 l' TBD R Niw =I �I LRI:E - INRESIDFNIIALOSS hi COMMUNITY OSS Il COMMERCIAL OSS fl PRIVATE INDIVIDIIAI.tEl I ❑ PRIVATE TWO-PARTS WELL Z IWEOTWORK 4-(Jiu.a (� PUBLIC WATER SYSTEM FOJR WS fl NEW CONSTRUCTION:UPGRADES M REPAIR REIN ACEMEN I Lc- LT I,.,. 0 TABLE'IX REPAIR Iw ROUND IFLS 0 S RF LINT MAAGE 0 FYISTING FAIL TUNE ❑SHORELINE IC DESIGN FORM I4EDUIREDf f 1 SEPTIC DESIGN IHEOUIREJ I C.I Li.- r lk 3 DYx35'X)74'x52'X75 p ' ❑ WAIVERIBI;IPAPPucABLE) I� x G OSVEM]SOE GJ^IJI➢DNS mom.(-EMT pr'n, GO OUT HIGHWAY 3, TURN LEFT ONTO MASON LAKE ROAD, PARCEL IS 1.2 MILES 1 I' ON THE RIGHT SIDE. HOLES ARE BEHIND THE RESIDENCE. MAY NEED TO GO [� THROUGH GATE BUT IT IS NOT LOCKED. a Irr'r F1 S ITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS R OI-I(IAL USL ONLY BLLUW I HIS LI'JF U P FAILU(L SOURCE (^r Pi, .r ❑VOLUNTARY 0 MAINTENANE PU MPING UMPING O GUI-RING PLRMI 0 HOME SALE ❑OO.i PLAIN I ❑OTHER INS F LOP SAIL LIGA "IL"N UJNI II of p —1 1' o-L H cANv 1 3 1T Y im/ oce ,22 k f z : ti- 90 LAMS h uu-\-- CCS .. F .-WNO I +n .IAO AN, A ATON UL OH SOIL CODES rPHO.AN INSPELLGIR SIGNATURE - E TPPLICANO A!E ^CIE. SSC FO] OATS [ (3/ 1-)lS /D1 ���row,�y b(a1zz THIS FORM MAY E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE T&. �.t ,ESIGN FORM-PACE ONE Assessor's Parcel Number 2t• 1_.7 -- 7 L / - C C._,)_C • A design will he reviewed when 3 copies of each of the hillnwing are snbmiued: " Completed design form that has been signed and dated_ 0 Scaled layout sketch_ including all applicable items on checklist v Scaled plot plan, including all applicable items on checklist- s Cross-section sketch,including all applicable item on checklist. This form may be scanned and available for public view on the Mason County Web site.Maximum Iwo-.cl:c- /1.'X 17" PARCEL IDENTIFICATION Permit Number: SWG Cr- �ZJ Designer's Name: CINDY WAITE Applicant's Name: MARK OI ANDER — — -- - Designer's Phone Number: 360-701-0205 Mailing Address: PO BOX 1727 — -- --- -_ -. Designer's Address: 80 E PICKERING LANE SHELTON WA 98584 SHELTON WA 98584 City State Zip City DESIGN PARAMETERS - State Zip Treatment Device ❑ Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Dmintield ❑ Recirculating ISher,'rypc' ❑Aerobic Unit Make/Model ❑ Disinfection Unit Make:Madel Olhcr: LJ Gravil - Drainfield Type —. > ❑ Pressure 0 Trench IF1Bed 0 Sub Surlilce Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class ASTM 2729 Daily Flow:Operating Capacity 270 gpd Length 45 Daily Flow:Design Flow iL 360 gpd Diameter 4 in Septic Tank Capacity(working) 1200 GRAYSTONE gal Number 3 Receiving Soil Type(1-6) 3 Separation 3 Receiving Soil A pp1.Rote ft i .8 gpd/fr i ell Orifices Required Primary Area 450 fte mall Ip tuber el Ar iliccs 3 ASTM PERF 2729 Designed Primary Area 450 fe •' (, L 11 (t.' G n Designed Reserve Area 450 R' itifvT.�yS' ffl4 j) V\ Trench/Bed Width 10 i �` ° '11 11 ( \ in f i* � sp}Il , Manifold '17enclUBed Length 45 i ImC1a*1 Elevation Measurements 'e. Y E. w' ITE 'S 11 ucErspEQ iGNEK 11 p Original Drainfield Arca Slope <1 +�w.a �wc, 'WWI J� in Newi-s Slope, IfAltere 1 • io,or I I manifold co t b - ti used'? O Yes 0 No Depth of Excavation Up-slope ZZ in from Original Grade I Cranspart Pipe Down-slope f IL in Schedule/Class 3034 Designed Vertical Separation 24 i❑ Length 5 IIGravelees Chambers Required? 0Yes 0 No 0 Optonal Diameter 4 n Pump Required? ❑ Yes rem, Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day DiIT. in Elevation Between Pump& Uppermost Orifice p Uric quantity gal Draintield Squirt Ileighl/Selected Residual (head) ❑ Chamber Capacity(Bond) gal V\ Uppermost Orifice ❑ f ligher 0 Lower than Pump Shutoff Pump controls:Please check tho equired. Capacity grJ Total Pressure Head gpnl ❑Tinier 0Flapse Meter 0 Event Counter Calculated Total Pressure Head g If timer- Pump on ,Pump off' Comments DESIGNER TO BE NOTIFIED AT TIME OF INSTALLATION, GRAVEL BASED DRAINFIELD REQUIRED, EXISTING SEPTIC TANK TO RETROFITTED WITH RISERS AND EFFLUENT FILTER DESIGN FORM-PAGE TWO l 1 Assessor's Pm cd Number: t 3 f — I'ermil Number: SAW DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Test hole locations fi4' Drainfield orientation and layout Reference depth from original grade: fid' Soil logs 0/Trench/bed dimensions and Septic tank g"Yt+/r✓ propepC<], rty lines critical distances within layout %Drainlicld cover al Existing and proposed wells 0" D-Box/Valve box locations Reference depth from original grade within 100 ft of property ©' Septic Ianktpump chamber P l and restrictive ss tre: ® easuremenls to cuts, banks, and locations t�taF q,y, surface water and critical areas �' oteral , ench/bed, top and Ll' Ohservahon port location b bottom 00-Location and orientation of aK'lean-out location 0 Curtain drain collector curtain drain and all absorption components �i`+flanitbld placement 0 Sand augmentation 0ril ice placement Other cross-section detail: Location and dimension of rimary system and reserve area 6 Lateral placement with distancel l Observation purls/clean-outs 0/Buildings to edge of bed Other Information f[t`itAiidibAA isual alarm referenced Yes No a77Direction of slope indicator �/ Scale of drawing shown on scale q�'❑ Design staked out W Waterlines bar ❑ 0 Recorded Notices attached 0/Roads,casements,driveways, 0 ❑ Waiver{s)attached /parking 0 0 Pump move attached Fd North arrow and scale drawing fJk L r '1 - - 0 ❑ Evaluation of failure shown on scale bar Non-residential justification t jr' ' / 0 0 Waste strength 0 0 Flow DESIGN APPROVAL The undersigned designer must ben feed by%nstaller at time of installation Pl Yes 0 No L C it: 4 l�r��z�z? Sign. ue of Designer - Date The undersigned has reviewed this design on behalf of Mason County Public I lcalth and determined it to be in compliance with state and local on-site regulations: EnvironmentalHealth pcciaiist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved" by Mason Couny Puhlic !Icallh_ / The Onsite Sewage Permit has not expired, the Permit Expiration Date is: (0 L3/2"ti ✓ 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, ) i 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: 1217,201 s N '. �1 S • v ^J Q P O P <\ eawfw+66 as a \% r O YE' AITE 'S LICENSED-DESIGNER O APPROVED T.. J OCT03 2023 ° '` ,, MAS0N cou'Sr EN/ERONYEN-=L HEALTH ,� . RET H f S_'L id H wox 2 o wo V \ , > aw c 0 ,_ w a 3 0O u) F>- N J U w > N H d U- aH Z Z Z (76 W Q7 _. w p Z K Z 0- it O CL I a W a O w nWWa nwD ¢ ".✓ W W W J Q �, CtwwC � UL- 3 / N M V (D f� W I 0.SO ��G rGL 4k/F- 12wY1w�;e,/; L4,t,e0✓ 71 /X z N _ ? `XI�, o. Z \ _. .. . \ie cm APPROVED OCT 03 2023 YASQS C:u'tT'E'rviRCti4E1T-L +EALTH RET ' k " ' o rfi q GNa i titi i D' I ;Net_ a6z V _IO 11 + . 11 I 1 _a to 1 r'o r 1 TRENCHES NO DEEPER THAN: UPSLOPE 2,Z " DOWNSLOPE ,Aso ?5 aie ' � L�Z71 p CIND y18 1 LICENSED DESIGNEfl EaniuE! 05I0 APPROVED OCT 032023 7lAE'C`7 C;.Ijgi:EY i7SONYENTAL T E,7L F NET Gh: I M—Accase Rear To Grade Inlet with 45 EN Feting Down_.. O 1 �peedLew, afed required i Leveling P®d� 1 _ _ Distribution Box(No Scale) 4 :,,4e P4 Lou i N �t@,.. 3 0 • 5 0418441`14`;ZuL p CWOYE WAIT 1 1 LICENSED DESIGNER {' Installation Notes Gravity Distribution System: 1250 E Mason Lake Rd 32134-32-90050 ,:k41. Failed drainfield, system full of roots a(.2. Gravel based drainfield required. 3. Existing septic tank to be retrofitted with risers and effluent filter. 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 ches down the trench wall. APPROVED u3°PO4'49A OCT 03 2023 �; i�^r, R moanSA NAAQ.1 COUlN E'iv7RCh4E�9T4L HEALTH SLcclrse'"'o e tiea 7e v3 REF 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. 1I • ar ip 11 j44? P11 p� �\\ �`rP "'�°w m911 .J' i` .W?f... s V.m1 ig 5/041 VV ^ $ w\G.. et IND 4q}, 1 i LICE DESD NER ` `II *NV %%%%%%%% A % %Nola EXOINIS OS?t6 APPROVED MAS05 OCT 03 2023 couNrrE�R WNYEVAL HEALTH RET