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SWG2023-00427 - SWG Application / Design - 10/5/2023
MASON COUNTY 415N6THELTON: SHELTO7 ,EXT 400 SHELTON:STREET,SHELTON.V EXT 400 ` BELFAIR:360-275-4467,EXT 400 r Public Health & Human Services ELMA:360-482-5269,EXT400 v FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00427 APPLICANT GUSTAFSON KATRINA Phone: 1.360.463.6979 Address: 20 E SNOWCREST LN SHELTON, WA 98584 OWNER GUSTAFSON KATRINA Phone: 1.360 463.6979 Address: 20 E SNOWCREST LN SHELTON, WA 98584 SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255 Designs Inc. Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: 40 E SNOWCREST LN Primary Parcel Number: 221337690032 Permit Description: New SFR-3BR Nuwater Permit Submitted Date: 10/05/2023 Permit Issued Date: 11/02/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $525.00 (additional fees may be required upon installation or system). Permit Expiration Date: 11/02/2026 (based on date drinspection) 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 - MASON COUNTY0 ) U= - c m COMMUNITY SERVICES L��J£�!J1�( "" ° { Public Health(Common eanMEnvlmnm¢n,zlHdlie) sMOV ^J..(.9 < A SWG (lb 7-2, -o 411 5 2 z y ON-SITE SEWAGE SYSTEM APPLICATION 3 z m n rn Trina Gustafson (360)463-6979 c >WNGS:DRESS STREET CITE STATE.➢x COOS Z 20 E Snowcrest Ln Shelton WA 98584 A SITEADDRESS-STREET C TY Z.CODE 40 E Snowcrest Ln Shelton WA 98584 I n) NAME OF DESIGNER I2 O.E I N Arrow Septic Designs (360)898-2255 NAME OE NSTAALLEF IPhONE o I J Workman Contracting, LLC I (360)463-9573 y I w PERM!' p R C L.YG,�T_ SOURS a �RESIDENTIAL O95 NCOMMUNITY OSS r I COMMERCIAL O55 T Ll PRIVATE NONIDUAL WELL II C PRIVATE TWO-PARTY WELL Z Ico R FUELIC HATER SYSTEM TYPE or MORK rmle‘S one. — PT NEW CONSTRUCTICNIUPGRADES CIREPAIR'REPLACEMENT IOT 5 especial SDI.- ro -AA il ❑ BLEIXREPAIR I --.4 s vmnn5 ❑ SU FACNG SE'.A E ❑EXISTING FAILURE ❑SHORE NECO IDLp DESIGN CORM(REQUIRED) WI SEPTIC OESIGNIRECJraEO) °a- MS 36R _Y SIZE 70 ICI EWAIVER(S)(IF APPLICABLE) _ 1.24C) . CD UIEEL IONS TO SITE AA°S-E TONDO ONG (e bum gerei Go out Hwy 3 and turn (R)onto E Pickering Rd. Turn (R) onto E Phillips Lake Rd.Turn (L) I I c onto E Snowcrest Ln. Destination on (R). o I o -i IW vTE.USTAE,,AGDEDFROMWA,MROADANOTESTHOLESMUSTaEFLAGGEDWIT„TESTHOLENUMBERS I N OFFICIAL USE ONLY BELOW THI5 LINE _- UPGRADE I FAILURE SOURCE(or reposing purposes, ❑VOLUNTARY LI MAINTENANCEPUMPING 0 BUILDING PERMIT DHOME SALE 000MPLAINT D OTHER INSPECTOR SOIL L.D. ‘12 a LI SOMMEN S CONDT,O 5 a ________________--- 0 -R) fo_yi u 5 , 4 I - , O•j - 2D d .li .I( I4, J. 2? 0 33 1, - 'V - 3� �� \7 ORL DP.ONG A NAGNSIDLIATIQK REPOSF SOIL CODES Si_ _ RY G GRAV2.Lv S SAL.. - =SAS SEd__ —POOPS NUN TOE S GNAWRE LJtlnu� W - I(2-5-a� DS DBY T ISF MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE ��[\ -VfrN 'I ` 13 DATE DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 3 3 — 7 6 — 9 0 0 3 2 A design will be reviewed when 3 copies of each of the following are submitted: applicable items on checklist Completed design form that has been signed and dated. Scaled layout sketch,including all "Scaled plot plan,including all applicable items on checklist. 9 Cross-section sketch,including all applicable items on checklist. Web site.Maximum er size 11 XI] This formth form may be scanned and available for public view on e Mason County - , --- ' rgDEpp;'$CAll039 ` ._, ;rA`+^V' .� thT '' �' d Arrow_ Septic Designs,Inc -t O ? — (J OY2) Designer's Name: Permit Number: % SWG (3fi0)698-2255 Trina Gustafson Designer's Phone Number: Applicant's Name: 171 EVueurst Dr Mailing Address: 20 E Snowcrest In Designer's Address: WA 98592 Union, Shelton - 9-- City State Zi State Zi . Treatment Device ❑Glendon BioSlter 0 Sand Filter ❑Mound 0 Sand Lined Drainfie:d ❑Recirculating Filter.Tvpe: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:____________— Drainfield Type ❑Bed ❑Sub Surface Drip ❑Gravity 9L Pressure lt 'Trench Laterals Septic Tank/Draivfield Specifications40 Number of Bedrooms 3 Schedule/Class Length 50 ft gpd Daily Flow:Operating Capacity 270 1.25 in Daily Flow:Design Flow 360 gpd Diameter Septic Tank Capacity(working) 1,200 gal Number 3 _ g+ ft Receiving Soil Type(1-6) 3 Separation Orifices Receiving Soil Appl.Rate 0.8 8ndifl2 30 Required Primary Area 450 fr Total Number of Orifices 450 fte Diameter 3/16 in Designed Primary Area 60 in Designed Reserve Area 450 ii2 Spacing Trench/Bed Width 3 ft Manifold Trench/Bed Length 150 ft Schedule/Class 40 Len h header ft Elevation Measurements g' Original IfAlte Area Slope 5 / Diameter 1.25 in New Slope,If Altered 5 % Preferred manifold configuration used? 12f Yes 0 No Depth of Excavation Up-slope 20 a in Transport Pipe from Original Grade oo..n-slope 18 'ft in Scheduie/Class 40 Designed Vertical Separation 24+ in Length 25 ft Gmcelless Chambers Required? ❑Yes ❑No Optional Diameter 2 in Pump Required? e Yes ❑No Dosing and Pump Chamber 4 Pump/Siphon SpecificationsNumber of doses/day 90 gal Diff.in Elevation Between Pump&Uppermost Orifice 8 fl ft DCose quantitn C achy(flood) 1,000 gal Drainfield Squirt Height/Selected Residual(head) required. Pump controls:Please check those Capacity Total Hire Head❑Lower than Pump Shutoff ETimer RfElapse Meter R.Event Counter Capacity rs of l PessurHead 1 .1 gpm 6 hours 11.15 ft If Timer. Pump on 2 minutes ,pump off Calculated Total Pressure/f ,, p I 1 Comments 13( 1ti044`1 .t f� rV L1+1 " f 0C� } 1 ri g DESIGN FORM-PAGE TWO Assessor's Parcel Number:2 2 1 3 3 - 7 6 -- 9 0 0 3 2 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Id Test hole locations g Drainfield orientation and layout Reference depth from original grade: g Soil logs M Trench/bed dimensions and RI Septic tank M Property lines critical distances within layout g Drainfield cover ❑ Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations Id Laterals,trench/bed,top and surface water and critical areas lill Observation port location bottom ❑ Location and orientation of g Clean-out location ❑ Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components es Orifice placement Other cross-section detail: g Location and dimension of primary system and reserve area g Lateral placement with distance g Observation ports/clean-outs to edge of bed Other Information m Buildings y+ g Audible'visuael f need Yes No I7j Direction of slope indicator g Scale of drz;WSlik le g 0 Design staked out g Waterlines bar �... 0 g Recorded Notices attached g Roads,easements,driveways, *.'+yr' Q ❑ S Waiver(s)attached parking _ �'I'A` P g ,udv 0 Pump curve attached al North arrow and scale drawing ' . ,f . 'c 1 Et Evaluation of failure shown on scale bar ca per'' PAULA Gov JO duenson'•, Non-residential justification f 'rk, 1'R13gp' ❑ h'j Waste strength rxnars ali ‘dir 0 g Flow DESIGN APPROVAL The undersigned designer must be notified by installer atdime of installation g Yes ❑ No Signature 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 locçrealth e regulations: ,)ikwt- I(2-23 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: 70 - 5`Z 6 I 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 0 ' ne Sc -. - TC ( O1 i PYy.Ocial 0 LO 40 mG a„ PLN /41 H I' v - 21NA ,UStAToCrN //j/ F // �` i r� i P;n ,E,.h Z1 v33- 1 0 a 0031 1 / A K 81,Y a,n L.w'� iYE,Ylvva; / / Pr era5t4 ( -1[ /• , y°.c-� 'z `rn t . ,A1 / �� / _ i jl7 i / ^ ',< :_ ,a 0 v / L'J 2 icn I / t / % l e_ if - P m , Att .wvVCw �i_d. r= c = 2 jISes IL, o Audio-Visual A azm titp ? R 0 V PApLA JpY Q cleanout pV 0 2 2023 EXPN.4 U1 JONN$ON ND EXPIRESQ Tama( Galion Sept°Ta rt - 2-Compartaent with !')../ W . Effluent Filter • r .�B O 4 1000 Gallon Pump Chamber . 0 Valve Control Box 50' falle Vane Coned Box win. 125 Ed Yahoosle T z Trmaput :x anamminsSIMISIIIMISIIIIIIIS z ;Jr Tyam Oars& Ba Ste re 125. Feebr 'eats Typical Otsu.<au Put nn-1 (Dy-rA.01.o r Detailed Drainfield Layout U ‘R,• I Y N¢) f'tlR !Q I - I 1 a 1 — Q S q"0 u' Eater Fabt* r o /�$ a r Fa oiv 1 r 2 • 9/4: to i ° ^ 1y1 0. �C bl2 — t25 Loire . PDrain.ac e iCi o f'..... ,Y J. :: PAULA JOY JOH 4. INSON 'J j re Lo Drainfield Cross-Section View Y t Sa Cep Not To Scot 45 k Sbe. J<sece F„e .. NON 2 2� Caen A U 2U Not.: vim: to I. from 0 to S K� am. We O Port i4f teethed Cf b. Yvk ands no1N Reba" Clow Coe To Be s' PVC Ppe from Bettom of Trerc+ pr.Otik_ ," ` >9� Awned cro Its Fie ""' Latta • reseed Cads Pcm.mo GtD snag Sr Inseam on omrnama Pert Fps. ArchCeA r row Sept C Designs Jn Senn it Glued-On Tr ✓ ef 3 Total Reseed ln Sy.or- (36C) 898-2255 - c1 Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder 3 Line(In.) Cleanout(In.) 1 600 50 60 . 10 30 30 2 600 50 60 10 30 3 600 50 60 10 30 30 (Total Lateral Length 150 !Total#O 30 I GPM = 17.7 rifices Dynamic Head Calculations - 2 ft. Selected residual pressure. Length (Ft.) #Orifices Transport Pipe 25 30 0.15 ft. Feeder Total Lateral Line Length 0 29 ft. Lateral 50 2 52 10 Lateral#2 50 11 61 10 0.34 ft. Lateral#3 50 20 70 10 0.38 ft. Total Elevation Lift 8.00 ft. Total Dynamic Head �n'tin 11.15 ft. ....Jo ) . co!", :: • 0 Gy°l,`t,` sroaoaa 7 PAVLA JOY JOHNSON. APPROVE Nov 0 2 2023 vhs,„ U Y EN‘IIROP...ETAL HEALTI .DBIN 402r1 137 //�/T v : Bronze construction available(139 series) Ji�'�lT_ q ? • High head version available(145 series) • Double shaft seal versions available for added protection Flow-Mate on models 140/145. For more information,see TeChnlCal Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping vcawwce:�we M]'performance is critical, this robust _. _ vow" _ Q _. .. - .1 q]1::act family of pumps is known for reliability, — I I durability and performance. These - -, pumps are especially suited for harsh - ` _ ' : environments.b eller's cool run design dill I f' and corrosion-resistant powder mated yI C epoxy finish add up to a long-lasting I ' I, I I .p= trouble-free product. ' _ � LI APPCATIONS: r • STEP or onsite applications 1' , , I 1 C„ • Water transfer . I 2_ • Light commercal dewatering ` -{,` SPECIFICATIONS: • 1-1/2"NPT discharge ,�' I� • 1/2 HP through 1 HP ' MADE IN THE USA • Available in automatic or nonautomatic ANIMAS 11I{OT • Model 137,139.140.1/2"(12 mm)spherical solids capacity with vortex impeller , ' v ` ` z -, ` • Mode1.145:3/4"(19 mm)zpherical solids capacity with '''''"' sass vortex impeller 151, 1� ` . T h� '2PUMP PERFORMANCE CURVE MODEQ51/ 52M53 Dose-Mate of eQuNaa 5e This is our fastest growing line of effluent a 153 i pumps.The 150 series istruty a workhorse designed for reliability under extreme u conditions in an effluent environment. 150 series pump curves cover a wide range _ s 152 of applications. They are welt suited to tie applications with low pressure pipe(LPP) r.and enhanced flow STEP systems.Zoeler's s_ s '. 25 coot run design and corrosion-resistant, 3c powder coated epoxy finish, in addition to the hermetically sealed, oil-filled motor - 1 H ic• STPor oot pplcanosMADEI 1 is 5 ibn &,c so too • Light commercial dewaten ng USairisOgr IF LL IIH GALLONS SPECIFICATIONS: nee r ° • 1-1/2"NPT discharge di A pP-RmeVE It • 3/10 HP through 112 HP NOVn 7• Available in nonautomatic or with a variable Levet V 0 2 2J23 f �1(' e piggyback mechanical switch �J:r • 1/2"(12 mm)spherical solids capacity with vortex .... . , thermoplastic impeller JUL' For more information,see Technical Data Sheet FM2784. ©ALL rights reserved ZOELLER PUMP CO. 1503TJ8-2731 1800-928-7867 I zoeLLerpumps.com 9 5c'l -- — 1. • WOWED LW WM71 GAS wart'SE'" l24'mamma EWAN i i r--,I k:...:E*Te - ----_- ___- nest own ! ROAMS MaT / '1--i i 1 FLM SOURCE { i I 1 alAPPROY® _iihr WAS i ) �,^ 1 ? _ FOSS Ort'Zik3C%ft Crl SEDIMENTS } i K way` E i i , i j Mrc TANK 1 a LTD VMS Ms TRENT MAL r ?MEWED v aow i 2 ALCM RISERi Fa : maw Me* ' s I F .mecaussn I A 1 1 i i ( ''STORAGE „i i ANRSala 1 areal warstitaan taa� i }( A 11 UWE t i i S '�.� t: ( E RORMALTSFISOFF WORE=VOLUME T i I = i } FLOAT TSTEM E! P ie}a o /adk I mparshmw= m Qa3o:nuvas 1 U 1 i ' ,— 1 ear P I # me f NOV 0 2 2023 m" =AsWife FIGURE 2 1 :*Note. SePtrc ia� �iil rtFeg" rdaros reyuind by WA rir.er 24b-272C and manufacturer to Won the Dept of health o`reg'Ssred sewage tar:ia.ss - C i F9 (2 °el Qwiew septic Deebtwo" ...„ ,• o s LSTALLATIO\ & MALVZE\A\'CE : 515 9 P_Te551Le D1_'L nu CP Systems sr tat JOT eJOHNSON ig+1 tikFit 'Etl'OE �iGNEYt" 1. Install Laterals with comma-of the g ound. r'P"� 2. Install tench bottoms level. 3. Install locator tape or rebar ar each end of all dr,;-_field late_- s. 4. Install observation ports as indicated on the plot plan. One requited at distal end of each lateral n drainfield with honor+ eri encng to the drallfrocknative soil interface. Glue " 'to bottom so Observation port cannot be easily removed from gro+_d. Instal_ removable cap on top of poi at final grade level. 5. Install drainfield dune dry weather and soil ccnditons, any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals (cap must extend to witifia six_aches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. 8. Install I/8"mesh non-corrosive pump screen( . _2 sq. fit. surface area,nor to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank. Pull bio-tube every 6-12 months and Lush back into tank. 9. Install anti-siphon valve above pin tarp chcber to prevent the pi p chamber from siphoning into the C2i,.hd el . - - 10. Install check valve im pump outlet line to prevent system from draining back into the Pump chamber. •.l. Tee to Tee cons-action between laterals and man=`c'd with orifices Oriented ate, o'clock. Install laterals to the manifold with the orifices at 12 o'clock. (do not glue), after pressure test and Environmental Health Dept. approval, ram c=ices down(6 o'clock) and glue laterals to manifold. Orifice shields may be used with on ces iin the 12 o'clock position in lieu of naming the orifices down to the 6 o'clock position. 12ltlter fabric required over drain rock prior to back =Sling. If*the drain rock extends above natural grade, run the filter fabric at least 2 inches down the trench wail. 13. Encase all water lines within 10' of can-+fie'-d and under any d;:veway/parking areas. 14. Divert all storm water runoff away from on-site sewage system. 15.No chain drains allowed-w=„= 10 o_ sio_pe edge or 30' of the down-slope edge of the drainLehi and reserve area 16. Have the septic*anic and pump chamber pumped or inspected every 3 to 5 years. 17.No vehicular tra9c over di-aid-field area. 8.Inspect floats, clean filters, and test blab water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet Coanny and State .eaulatons. 20. Deviation from this desiT without prior approval from the Desig='•er and Mason County Environmental Health Department will make this design n,_ and void. 21. All manhole lids and access, sampling or=pec-.oa pore must have locking covers and be located at ground level. 22. All pressure systems with a pump chamber on higher than the drainfleid must have a II"hole dulled in the discharge pipe above the pum prevent siphonin . 23.All 7ansport lines under driveways or rant=aneas r t}.�y�c ed to preventcrashing. 24. Homeowner+s respos of for all property lints ° 8Y- 0 V s 'A ^ri. NOV 0 2 2023 F.