HomeMy WebLinkAboutSWG2023-00334 - SWG Application / Design - 8/8/2023 MASON COUNTY 415 N STREET.6TH EXT
SHELTON:360-427-9670,SHELTON,W 98584
400
BELFAIR:360-275-4467,EXT 400
it Public Health & Human Services ELMA:360-482-5269,EXT 400
.3:101.44 FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00334
APPLICANT FAHSHOLTZ BRIAN J Phone:
Address: 38017 303RD AVE SE ENUMCLAW, WA 98022
OWNER FAHSHOLTZ BRIAN J Phone:
Address: 38017 303RD AVE SE ENUMCLAW,WA 98022
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address; 3333 E Harstine Island Rd S
Primary Parcel Number: 120302390050
Permit Description: New SFR-3BR Gravity w/class b waiver
Permit Submitted Date: 08/08/2023
Permit Issued Date: 11/06/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon nstallation of system).
Permit Expiration Date: 10/05/2026 (based on dale of inspection)
Permit Conditions:
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: mesoncountywa.gov/health/environmental/onsiteloss-inspection-reguest.php or call:
360-427-9670, extension 400.
OFFICIAL usF ONLY —
MASON COUNTY PUBL IC HL:kill'II � _�, Z m n
0\CITE SEWAGE SYSTEU APP1iC,ATIO\ � �� o m
415 N th Street 'B16gF h IW 43 :6 (es;
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R ALPH FAHSHOLTZ QUG Gg - 3-579-3193 m r
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LiAILnV -LODE -:ileEL t.T. ST,FTE ZIIfT ,PE
3333 E HASTINE ISLAND RD S RECtI %p ' ELTON WA 98584 3
'ITEo ` .L,FEI LI•, ]199]OE CO
SAME
CINDY WAITE 360-701-0205
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gr NEW CONSTRUCTION ❑ RV HOL DING TANK ONLY gFP.VFTE INDI'✓CLAL'T;FLY (/1 Co.)
❑ RE P IAOEMENT SYSTEM 0 INS IA,LA I ION PERMIT ON I V 0 PRIVATE I WO- R IYV✓t-II O
❑ TAEL E9REPAIR 0 SINGLE FAMILY I 0 III'HMI YPDS C vATFRSYCTFII Z I
❑ 1ANK,S'ONLY 0 COMNIFRCIAI SY9'E1.t NAME
❑ UDGR DE TO EXISTING ❑ OTHER T RT N
❑ EXISTING EA. RE R d0 . gA 3 330'X330' rm co
D BRIDGE, TURN a
RN RIGHT, GO TO TEE; TURN RIGHT, s I o
GO ACROSS HARSTINE ISLAND
GO PAST POINT WILSON ROAD, DRIVEWAY WILL BE ON THE LEFT SIDE OF I o
HARSTINE ISLAND RD S, GO DOWN DRIVEWAY, THERE IS A GATE ACROSS BUT IT
IS NOT LOCKED. IF YOU GET TO THE BURGUNDY ROAD, YOU HAVE GONE TOO 8 I o
FAR. I Ts
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST DOLES MIS I BE RAGGED WITH TEST HOLE NUMBERS I 0
— OFFICIAL USE ONLY BELO W THIS LINE-
❑bA YUNIARY [IM1AINT NANCE PUMPING 0 RIM DIN'-'FRIAII 0,,,1. _r I D. VNPIAINI ❑LcEHP
..iL r rt _IL LL..B i.I 1.rEJ .-✓ ((..I/F 7 r/c1� N.
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. -VERY C,AvaL? s SANI .-.CA s - T C=CLA T.
IN AA „a ICNA-!IRL 1 HELKC,'t. I , ..I
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THIS F MAY BE SCANNED ANC AVAILABLE FOR PUBLIC VIEW ON TEE MASON COUNT{EVERS E
DESIGN FORM-PAGE ONE \ssesx;r s Parcel Number: 1 2 0 3 0 — 2 3 — 9 0 0 5 0
A Iles ign will be reviewed when 3 copies of each of the following are submitted:
r Completed design form that has been signed and dated. v Scalcd layout sketch-including all applicable items on checklist
r Scaled plot plan, including all applicable'Wins on clicdkim. v ( r a-section sketch. including all applicable items on checklist.
This farm may be scanned and available for public view on the Mason County Web site.:1/Loll/HMI po/xr sir II-'.Y I"
PARCEL IDENTIFICATION
Permit Number: SWG 2 o 23 - 00 33y 1lcdrnn-s Name. CINDY WAITE
RALPH FAHSHOLTZ 360-707-020tiAP'licant s Name: Designer's Phone somber
Mailing Address: 3333 EHARSTINE ISLAND RD S Deacncr-s Address. 8(I E PICKERING LANE
SHELTON WA 98584 SHEI TON WA 98584
City State lip ( ii State tip
DESIGN•PARANI ETERS - -
Treatment Dec ice
❑ Glendon Hlolllier D Sand Filter ❑ NIGHT,' 0 sand I Hied Donald,' 0 l<ecircliLltiar I diet IApe._
❑ Aemhie I'nil YlakdModel 0 Disinfection I an ALite:Model _ Other. __ -�
Drainfield Type
IrGravily 0 Pressure firf'I reach ❑ Bed 0 Soh Sumtace Drip
Septic Tank/Drainfield Specifications I,ater:ls
Slumber of Bedrooms 3 Schedule'('lass ASTM 2729
Daily flow: Operating Capacity 270 gPd Lcn_II: 50
i
Daily Flew Uesiyl flaw 360 gpd Diameter 4
in
Septic lank Capacity 1200
cal Number 4
Receiving Soil'rypc(I-6) 4 Separation 5 fl
Receiving Soil Appl. Rate 6 cpdifl' Orifices
Required Primary Area 600 111 l ma i er of Orilice ASTM 2729 PERF
Designed Primary Arca 600
fh Dia ter 4 in
Designed Reserve Area 600 p' S t��,
Trench'Bed Width 3 fl 44.4 wmv in
Pe y_ �� Manifold
I rencliBed Length 200 II c sit 's m •n NA
Elevation Tircments e I ``�WW�BBWWii�r�r''e AITE m�
1!
LICENSEDSIGNER
Original Diaiofield Area SI pc 3 15
in
New Slope IfAltered o ('i'c Pegr'riil manifold con-Isis iliou used' 0 Yes 0 No
Depth ui Pcnvation Iup.+La ' EE PAGE 4
from Original Grade ill Transport Pipe
u°Il n-.Io EE PAGE 4 in scheduled'lass 3034
Designed Vertical Separation 18 ill Length 40
111
Graveness Chambers Required? ❑ Yes ❑ No 17Optional Diameter 4
❑1
Pump Required? 0 Yes Li6 No
Dosing and Pomp Chamber
Pump/Siphon Specifications Number of doses day
Difference in Elevation Between Pump Shutotiand Uppermost pt
Orifice pal
- II CEm) 1 :lc
l eimosl Orifice
, gell
IPP her 0 Lower than Pump Shl t If I ume�Sproi,5I'IRom die �� required
a food Pres_urc I lead pm '.',5.: d llgfjlppi �aLJ r fps Meter ❑ fecal Counter
Calculated Total Pressure lead 3( r tPNIh
II II I interis
ul llLLtr?t.-{ Plenp oft
COlnluents 6W
CONCRETE TANK REQUIRED,GRAVEL BASED DRAINFIELD REQUIRED, INSTALLER AND tk�I
DESIGNER TO MEET ON SITE PRIOR TO STARTING INSTALL.
(2 M AK rOci
imsitrN PORV1—PAGE TWO Assessor's Parcel Vumher: 1 2 0 3 0 2 3 -- 9 0 0 5 0
Permit Number'. SWO
DESIGN CHECKLISTS
Scaled Plot Plan Sealed Layout Sketch Cross-Section Sketch
li Test hole locations 0 Drainl icld orientaion and layout Reference depth from original grade:
0 Soil logs 0 I IcnchPocd dimensions and
0 Septic lank
0 Property lines critical distances within layout Drainlield cover
0 Existing and proposed wells 0 D-Box'Vah e box locations Reference depth li'om original grade
within I(I ) It of property filiSeptic tanklpump chamber -
and resmaclnc strata:
❑ Measurements to cuts, banks, and locations
0 otto Is. Irenchibed, top and
bottom
water and critical areas m Observation port location bottom
❑ Location and orientation of 0 ('lean-oat location 0 Curtain drain collector
curtain drain and all absorption ❑ Manihiki placement ❑ Sand augmentation
components
0 Orifice placement Olhcr cross-section detail:
EL Location and dimension of 0 Observation ports/clean-cols
primary system and reserve area Lateral placcuunl w ilh distance
to edge of bed
IZI Buildings Other Information
❑ AudihIcA{sual alarm referenced \es Va
0 Direction of slope indictor
0 Scale of draw ing show n on scale d 0 Design slaked out
Fii Waterlines bar C 0 Recorded Notices attached
g Roads. easements, driveways, 0 0 Waiver(s) attached
parking („i h II _le _W•i ❑ 0 Pump curve attached
g North arrow and scale drawing ❑ ❑ h.vuhim ion of failure
shown on scale her 464 i!tYa' "(pY'e.�a!
Non-residential justification
O 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undelaritlier _ .e not ill -1 install r at time ofinstalLn ion ❑✓Yes ❑ No
51, ;- /v/ 1 le % a_ c 20 2-
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n(,� Signature ol wiener Dale
s
3,;39955
le3-is Ip�CJ ne�� viewed this design on behalf of Mason County Public I leuhh and determined it Io he in
clyi*liancc with state and local on- t re,'ulauons:
IJ , M�k /0-5— 2-3
I vi on 1 I lean Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY TINDER THE FOLLOWING CONDITION:
✓ The design is stamped `Approved" by Mason County Public Health.
✓ l'he Onsite Sewage Permit has not expired.the Permit I:xpinit ion Date is: Cg‘ —-)a-2
✓ Drain field site conditions have not heen altered to :ids erseh affect conditions of design approval.
'At
Please Note: The system must be installed by a certified installer, ` 1
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.
I'pdated Date: I237:20i5
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Installation Notes
Gravity Distribution System:
3333 E Harstine Island Rd S 12030-23-90050
1. 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.
2. Gravel based drainfield required.
3. Maximum lateral dig depth is 10"(see page 4)
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 r e spbe
the original grade, run the filter fabric at least 2 inches down the tre I.� ri i� '
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LICENSED ESIGNER
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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.
p O Ar E
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LICENSED DESIGNER
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