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SWG2023-00190 - SWG Application / Design - 5/17/2023 (2)
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 M ‘:. 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: SWG2023-00190 APPLICANT TRACY HANSON Phone: 360-790-8225 Address: 120 Vista View Ct SHELTON, WA 98584 OWNER TRACY HANSON Phone: 360-790-8225 Address: 120 Vista View Ct SHELTON, WA 98584 SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255 Designs Inc. Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER JOE FASSIO-Joe Fassio Excavating Phone: 360-898-7286 Address: 170 E SPRUCE ST UNION, WA 98592 Site Address: 1410 W Cloquallum Rd Primary Parcel Number: 320303290011 Permit Description: 3-bedroom pressure system Permit Submitted Date: 05/17/2023 Permit Issued Date: 11/15/2023 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 11/03/2026 (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: MASON COUNTY c cn > F' 1�" COMMUNITY SERVICES AMOUNT RECEIVED: I RECEIVED BY: 0 m Public Health(Community Heahh/Environmental Health) C�//���[/�� n/ Fij G N 415 N.R.hStr et•400 hor7.WA 985847.ext.400 ✓Y Y G 2 oZ - OO'9. 0 0 0 �75 N.6th Street•Shelton,WA 9858< 72 Z In ON-SITE SEWAGE SYSTEM APPLICATION cliz_- _. .` q m n P,CNE m .PaucaNT r Tracy Hanson (360)790-8225 Z MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE 120 Vista View Ct Shelton WA 98584 co SITEADDRESS-STREET.CITY,ZIP CODE Shelton WA 98584 IW 1410 W Cloquallum Rd NAME OF DESIGNER PHONE I N Arrow Septic Designs (360)898-2255 NAME OF INSTALLER PHONE 0 I c) Joe Fassio Excavating (360)898-7286 N I w PERMITE TYPE(select one) DRINKING WATER SOURCE RM 00.?RESIDENTIAL OSS FTCOMMUNITY OSS COMMERCIAL OSS A.1.+PRIVATE INDIVIDUAL WELL li•PRIVATE TWO-PARTY WELL Z I TYPE OF WORK Holed,onel Cr PUBLIC WATER SYSTEM , Wf NEW CONSTRUCTION I UPGRADES FT REPAIR I REPLACEMENT OTHER DETAILS(select allmat apply! 0 TABLE IX REPAIR I W 0 SURFACING SEWAGE ❑EXISTING FAILURE ElSHORELINE SUBMITTALS fif DESIGN FORM(REQUIRED) lif SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE Fl I N o 3 BR 1.07 acres :WAIVER(S)(IF APPLICABLE) _ I ' CO DIRECTIONS TO SITE AND SITE CONDITIONS(e.e locked gee; Head north on N 6th St toward W Alder St. Turn (R) onto W Alder St. At the traffic circle, I o take the 1st exit. Continue straight onto S 1st St for 1.5 miles. Turn in at driveway"1420" o I o past big gray shop. Yellow sign: "Hanson 1410" -1 I _.,. SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I _a OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporung purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER. INSPECTOR SOIL LOGS COMMENTS I CONDITIONS Till: a- ZS" 6( 5 TH7: 0-35 t �7 Ls OCT 31 2023 iltSi- cif 33" U( liii if s frd kO . 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. INSPECTOR NATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 1//3/207,3 11 /3/ 7 11 115 /2c 2)4 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1217/2C15 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 3 0 — 3 2 — 9 0 0 1 1 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 paper size: 11"X 17" NODesigner's IDENTIFICATION fu�V Permit Number: SWG '2O73 OO ("1 Designer's Name: Arrow Septic Designs, Inc Applicant's Name: Tracy Hanson Designer's Phone Number: (360)898-2255 Mailing Address: 120 Vista View Ct Designer's Address: 171 E Vuecrest Dr Shelton WA 98584 Union, WA 98592 City State Zip City State Zip DESIGN PARAMETERS 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 RS Pressure C'Trench ❑Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 ✓ Schedule/Class 40 ------- Daily Flow:Operating Capacity 270 r— gpd Length 50 ft Daily Flow:Design Flow 360 ,- gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 .."'gal Number 3 Receiving Soil Type(1-6) 3 r Separation 9 Receiving Soil Appl.Rate 0.8 -gpd/ft2 Orifices Required Primary Area 450 ,ft2 Total Number of Orifices 30 r Designed Primary Area 450 „' Diameter 3/16 in Designed Reserve Area 450 Spacing 60 in Trench/Bed Width 3 ft"-- Manifold Trench/Bed Length 150 ft„.....— Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 3 % Diameter 1.25 inc New Slope,If Altered 3 % ( Preferred manifold configuration used? l 'Yes 0 No Depth of Excavation up-slope 8 in Transport Pipe from Original Grade Down-slope 7 inV Schedule/Class 40 Designed Vertical Separation 24+ in — Length 330 ft Gravelless Chambers Required? .❑Yes 0 No S 'Optional Diameter 2 in Pump Required? Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal f Pump controls:Please check those required. Uppermost Orifice NS Higher 0 Lower than Pump Shutoff Timer [Elapse Meter Event Counter Capacity @ Total Pressure Head 17.7 gmE hours 12 ft If Timer: Pump on 2 minutes ,pump off Calculated Total Pressure Head . Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 3 0 — 3 2 -- 9 0 0 1 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch It Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: O Soil logs 0 Trench/bed dimensions and Septic tank Property lines critical distances within layout 0Drainfield cover O 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 DI Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom ❑ Location and orientation of 0Clean-out location 0 Curtain drain collector❑ Sand augmentation curtain drain and all absorption 0 Manifold placement components 0 Orifice placement Other cross-section detail: 0 Location and dimension of 0 Observation ports/clean-outs Ed Lateral placement with distance primary system and reserve area to edge of bed Other Information It Buildings 0 Audible/visual alrreferenced Yes No 0 Direction of slope indicator y' l 0 Design staked out Scale of drawi•• sh on scaleg 6Q Waterlines bar 0 0 Recorded Notices attached Q ` 0 C Waiver(s)attached Roads,easements,driveways, • w��.:.• 0T. [� ❑ Pump curve attached parking • os ▪ :c2�Lti `,.- �� 0 [�Evaluation of failure 0 North arrow and scale drawing ,,�t� ,� . shown on scale bar - • :{, Non-residential justification 510:3 9 0 0 Waste strength '%�' PAUT A JOY JOHNSQN-itcafsEbbmoNett'���� ❑ [�Flow O. .. DESI trefeAL The undersigned designer must be notkfied b instiller at time of installation 0 Yes 0 No 1 ,,, -& cL_zN4-1- - /0 - , _ ,,, ,, Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be,i� 2023 compliance with state and local on-site re tions: 10 i/P5/7a sON COUNv v\I\ROVIi• J _.41EAlt'r' Environ ental Health Specialist Date MA C W A CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health.✓ /Z / The Onsite Sewage Permit has not expired,the Permit Expiration Date is: l(/ 70 ✓ 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.dated Date: 12/7/2015 rill ' ici,,,, ..-i ., a - Gam-_: _ 4,6 8° 0, w 50 ooto ��ZP�C.y tjCANl50 N {P --i: .._. j 1�Ps' c5-t 32930 C. -TO 0.F ,, 30' 1 _k' SttE LT'c)4 v..),A 980 4 14441\0. A=t om °t S -{-tea a't-54 fs..,52 `' \ \._e, --k----, 1.‘ t, 1 s 4- "coj"; t \ (3)3' x 50 T:7,-- 1 vvlay•-if g i ,T� Z-Fs sa.Qe. ID, L- INI ,) C a xev: / 4 _( Oi Audio-Visual Alarm _ I t _ _ . 1 3, Cleanout z= I C 1200 Gallon Septic Tank 3% 5 is g r 2-Compartment with p h 2i „NAb fl Effluent Filter ,,vel a m0 4-. O1000 Gallon Pump Chamber -s- �•,-mil to 1 C Valve Control Box Al* ?„. k- -!.-41.4y,!:,,, ,, ... h�i �' ,t.,J '.. .;... - .L J, �,�t< , •i .5 PAULA`J'OY3JOHNSUN )\ LtCJS�EiU� "iGN �'' �14V 15 2023 ` �`�E „ � ` ----- MASOv COUNTY ENVIRONMENTAL HEALTH IMIlik so' Mow Valve Control Box with 126 Bail Vatves SA 2' Transport Lhe Ql} IgIIINIIMM • / 0 u 3� Typical C eonout p r' 1.25- Lateral 125 Feeder lines • Typical C1I Port . \ / . Detailed Drainfield Layout �i Sac*ac* I. - 1 O. �1 1 - t 1 l 0 10- — M. rater Fault 9-1 cover , Fit Orgnai Cxode .5 . .„__________ 3/4. to 2 YY/ 2-1/2- `--, (")'``— 12s' Lateral r, 7 ordn 6is g�:. fg h �-( 5100349 '' t' PAULA JOY JOHNSON .?y , 4: .. 114;SW MglalgY..._____k 24-F. Epic-t-ag Restrictive Layer Drainfield Cross-Section View Screw-On Cap Not To Scale 45 Deg Vow APPROVED End of Le:� NOV 1 5 2023 II Note: Clearovt to be from 0 to 6 inc les below Note 0 x Observation B port !.A [NA SON COUNTY ENVIRONMENTAL HEALTH Finished Grade. welt'ends w Reber. ' Out To Be a' PVC Moe from Bottom of Trench Required at the End of Eath LoteroL TO Finished `rode- Removable Cap shall beDesigns Installed on Observation+ Port Floe. A Arrow Sept v O, Bottomwith -on Tee. ,,,Q, (360) 898-2255 ;,x,,, of 3 Total Required ared System. al k Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout30 (In.) 1 600 50 60 10 30 2 600 50 60 10 30 3 600 50 60 10 30 30 (Total Lateral Length 150 I Total#Orifices 30 I GPM = 17.7 Dynamic Head Calculations Selected residual pressure: 2 ft. Length (Ft.) #Orifices Transport Pipe 330 30 1.94 ft. Feeder Total Lateral Line Length Lateral#1 50 2 52 10 0.29 ft. Lateral#2 50 11 61 10 0.34 ft. Lateral#3 50 20 70 10 0.38 ft. Total Elevation Lift 5.00 ft. Total Dynamic Head ,- 12.00 ft. ,ii-,,,,,, ,.:::'..74," ..10:k• rPti.. 1r,. .L.:J. ,. 51ee349 �r '. PAULA JOY JOHNSON .; LtC tglit?Egi�ly APPROVE NOV 15 2023 MASON COUNTY ENVIRONMENTAL HEALTH OJA 4 A , 137 139 • Bronze construction available(139 series) ` • High head version available(145 series) • Double shaft seal versions available for added protection Flow-Mate on models 140/145. For more information,see Technical Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping performance is critical, this robust --- ...„„•- g .. PUMP PERFORMANCE CURVE NODEL137A4C/145 family of pumps is known for reliability, durability and performance. These _- a s .��������� pumps are especially suited for harsh • . ,111111■■■11•11. environments. Zoeller's cool run design • a ■,■■■■■■■■ (13 and corrosion-resistant,powder coated ' k C epoxy finish add up to a long-lasting, a ■'•■■■■•■■ • a trouble free product. li , . u n .„..■■■■• E"NIIIIIIIIIIIIMI m APPLICATIONS •: •a•us■■■ ram" • STEP or onsite applications .■.`■■■ ■■ ■ C • Water transfer �, ■■■L UMU■ m • Light commercial dewatering a x �■v ■", ■■■ Z -i SPECIFICATIONS: 6 � : a " ■'.■•,■•■ • 1-1/2"NPT discharge o 1/2 HP through 1 HP 4" MADE IN THE USA •■■■■,I,`•■ • Available in automatic or nonautomatic US116AYAIDRmOfOSCOOTIE s ■■■■M„�',� • Model 137,139.140:1/2"(12 mm)spherical solids 11111.1111111111151® capacity with vortex impeller • ZD z w " s nick '°° • Model 145:3/4"(19 mm)spherical solids capacity with . ° 60 w 64 1M vortex impeller 0.W MP1.0666 152656 151, 152, Ti, PUMP PERFORM•► CURVE MODEL 15 WISP•3 Dose-Mate or etulvaIee( 50 , This is our fastest growing line of effluent 411 14- 153 pumps.The 150 series is truly a workhorse designed for reliability under extreme 12— 40 ' conditions in an effluent environment. 150 series pump curvescovera wide range - a 10- 35 152 of applications. They are well suited to u 30 applications with low pressure pipe(LPP) i s_ and enhanced flow STEP systems.Zoeller's ' 25 1s1 cool run design and corrosion-resistant, o powder coated epoxy finish, in addition - s- 20 to the hermetically sealed, oil-filled motor 15 and non-clogging vortex impeller add up to 4- a long-lasting,trouble-free product. 70 2- APPLICATIONS: 5 • STEP or onsite applications o MADE IN THE USA 10 20 30 40 50 60 70 80 90 100 • Light commercial dewatering USII6 A WUORfY Of O.tt3llll1 GALLONS SPECIFICATIONS: LITERS 0 40 B0 120 1s0 200 240 280 320 360 • 1-1/2"NPT discharge FLOW PER MINUTE 014508 • 3/10 HP through 1/2 HP ©Kn Ar :I u L `..' 4,,-* , • Available in nonautomatic or with a variable level piggyback mechanical switch NOV 15 2023 • 1/2"(12 mm)spherical solids capacity with vortex thermoplastic impeller For more information,see Technical Data Sheet FM2784. MASON COUNTY ENnnVIRONMENTAL HEALTH C All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoellerpt�rtlA.com 9 w LTD 111711 GAS TAT ; 2 ISER 1 rc-� , „I ACLU RE t y�+ J• 1 , �liAx' �J . 3' E�i r t �---g, 1 j ? I i I FROM S i c I 1 i i ' FLOATING MAT ; i ; { I SOURCE1 i f ` i ; Ammo . if , i i rr FILTER C� SEDIMENTS f I { _____----i. L__________, WC'kA-m6ILE41A 4.5 "."--------- 'AP P Rovr--ir, 1 , I' San C TANK NOV 1 5 2023 • • fTYPICAO MASON COUNTY ENVIRONMENTAL HEALTH DJA SECURED LID ti1t3Tf GAS TOM"SEAL r ut�oit 24 DIAMETERt f A RESER Nr' VALVE..______,...01pr-- i H . FROM SEPTIC 3Et =-�TO DRA .D y TANK "{ �; . , \ ; 't I - -T STORAGE •; A J!T i SIGN WATER ALARM LEVEL 6 .-1. • T ___ #� REAL=Bt OFFALz.54 M : i _ FLOAT STEM PUMP I I MOUNTING 1 — ate=VALVEa SEDIMENTS is" . I t / I .— •- • .� 1 \,,,,�;�r„�w` ' man,el4Asaint P MTZglgal =ASS **Note: Septic Tanks must meet standards required by WAC chapter 246-272C FIGURE 2 ' and:manufacturer must be on the Dept of Heath list of registered sewage an_ics.** 1 rcj1p. oft S tic 1`)e/ � G�,rtuacc� �p tgn4 : l , .,. L't STALLATION & M LNTENANCE - • Pressure Distributon Systems r� . ,��� 5100349 ..' PAULA JOY JOHNSON 1. Install Laterals with contour of the around. LtC�NSE(it5�5iON��t =aFXPIR s UW•r 5T'\' 2. Install trench bottoms level. 3. Tnsta1i locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the drainrockinative soil interface. Glue "T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at finial grade level• 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 6. Tnstall threaded clean-outs at the end of all laterals (cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area, not 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 flush back into tark. - 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drai.nfield. 10. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. Tee to Tee construction between laterals and tnni:o11d with orifices oriented at 6 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, turn orifices down (6 o'clock) and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12.`l'ilter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 13. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 14. Divert all storm water runoff away from on-site sewage system. 15. No curtain drains allowed within 10' of the up-slope edge or 30' of the dower+-slope edge of the drainfield and reserve area 16. Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. • 17.No vehicular traffic over drainfield area 18. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet County and State regulations. 20. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 22. All pressure systems with a pump chamber outlet higher than the drainfield must have a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. 23. All transport lines under driveways or parking areas must be ep,ca,sed to prevent crushing. 24. Homeowner is responsible for all property lines. l., b • -•• ; NOV 1 5 2023 MASON COUNTY ENVIRONMENTAL HEALTH ,ap _-1 DJA