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HomeMy WebLinkAboutSWG2023-00511 - SWG Application / Design - 12/4/2023 at 584 MASON COUNTY 415N6THELTON: SHELTON WA 98400 SB ELTON:STREET,SHEL-9670.EXT 400 BELEAIR:360-275-4467,EXT 400 ✓.,�':: Public Health & Human Services ELMA.360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00511 APPLICANT DAVIS EMILY J Phone: 1.360.801.4375 Address: 297 NE KISSIN TREE LANE TAHUYA, WA 98588 OWNER DAVIS EMILY J Phone: 1.360.801.4375 Address: 297 NE KISSIN TREE LANE TAHUYA, WA 98588 SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255 Designs Inc. Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER Shumaker Construction Inc Phone: 3605091222 Address: PO Box 3378 Belfair, WA 98528 Site Address: XX E Swindler's Cove R Primary Parcel Number: 320103150160 Permit Description: 4-bedroom gravity system Permit Submitted Date: 12/04/2023 Permit Issued Date: 12/21/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional lees may be required upon Installation or system) Permit Expiration Date: 12/19/2026 (based on dale 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/environmentallonsiteloss-inspection-request.php or call: 360.427-9670, extension 400. re,6 OFFICIAL USE ONLY• - MASON COUNTYoPTERFarVE I. c 'm COMMUNITY SERVICES "` m m y )u v m RIMERS>(Community HearcvsN,mmenul Health) nMw "1 / < o �„ SWG aU1 '7 - oat = y ON-SITE SEWAGE SYSTEM APPLICATION 3 z m n AP m PHONE y rn Emmilyily Davis I (360)801-4375 s. z a 3 MA:LINOAGGRESS-S-R==T CO-',STATE ZIP CODE m to ap`( 297NE KRssin Tree Lane Tahuya WA 98588 a rn ADDRESSSITE (/1/41s' E Swindlers Cove Rd Shelton WA 98584 ` I CA) NAME OF DES.GNER !AH,ONE in IN Arrow Septic Designs (360)898-2255 t ‘12 NAME OF INSTALLER v I o Shumaker Construction I (360)509-1222 74 PERMIT TYPE(sebtl ore; C neuNO'NATER SOUR'✓_ IR RESIDENTIAL O55 LL COMMUNITY 05S R COMMERCIAL 055 DE PRIVATE INGNIDUAL'NEL_ I]:PRIVATE T\O-PARTY WELL Z IQ GypPU3LIC WATER SYSTEM aF'.Wes mabu m; GEC y;rYW CONSTRUCTION UPGRADES G:REPAIR)REPLACEMENT OTHER DETAS hemc:all fm:aaory) o TABLE IX REPAIR I W TTALS ElSURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE COI t4 ' a SU p:DESION FORM IREDUIREO) i'SEPTIC DESIGN(REQUIRED) BEDROOMS I 4 BR S.CE 5. EWAIVER(S)OF APPLICABLE) 1 acres v f. I (, DIREC IONS TO STEAND SITE CONDITONS le.,ocked pawl Go out Hwy 3 and turn (R) onto E Agate Rd. Turn (R)onto E Agate Lop Rd. Turn (R) onto E I I o Daniels Rd. Turn (L) onto E Swindler's Cove Rd. Go (R) at"T", follow small signs to Lot 6, o I (R)at"T". Lot 6 on (L). Yellow sign: "Davis- Lot 6." -I Im SITE. $T OE n-AGGED FROO MAIN ROA 0 AND TEST HOLES MUST as FLAGGED Ng TN TEST HOLENUMBERS I0 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE II"r repm"q evmosesi ID VOLUNTARY O MAINTENANCEPUMPING O BUILDING PERMIT O HOME SALE 0 COMPLAINT 0 OTHER INS ECTO S IL LOGS II L OVMENTS'CONDITIONS I fF1 .30 64" Uri rlec(S to b0tbi ) iZ:0 - y1" l� 15 to - }s" Vr1 Mai 10 botf frl • • ECORDDRA,n,NS AXT^Ns-sL+-ICN RE=ORT SOIL GODES' R- R-D FDRFVBLFa:RDv::. G-GRAVELLY S=SAND L=LOAM SI_9LT C=CAY E-EXTREMELY R=ROOTS =v-I SP R SIGNATURE DATE APPL'CATION EXPIRATIONTE Z Z6 TXI ORM MAY BE SCI(?/2 Z� 1 AVAILABLEFORPOBL VIEW// 97T7COUNTY WE051TE�1 l7/ Z1XJ73, � OVED ISSUED BY A I D HE MASON DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 1 0 — 3 1 — 5 0 16 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 paper size: 17' X 17" Sf ° ?ARtEE IDEF]TIFICAT{ON Pern it Nu Designer's Name: Arrow Septic Designs,Inc Applicant's Name: SWG Emily Davis Designer's Phone Number: (360)898-2255 171 E Vuecrest Dr Mailing Address: 297 NE 10ssin Tree Lane Designer's Address: omen WA 96592 Tahuya WA 98588 Ci State Zip City State Zip t7 DESIGPfYABAMETERS, 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 ❑Sub Surface Drip lit Gravity 0 Pressure Et Trench 0 Bed Laterals Septic Tank/Drainfield Specifications Number of Bedrooms 2729 4 C Schedule/Class 50 ft Daily Flow:Operating Capacity 360 d- gpd Length ✓ Diameter 4 - in Daily Flow:Design Flow 480 gpd 4 Septic Tank Capacity(world 1,200 gal Number vg) 9 Receiving Soil Type(1-6) 3 / Separation Receiving Soil Appl.Rate 0.8 gpd/ft Orifices Required Primary Area 600 r ft2 Total Number of Orifices - - 600 r- ft2 Diameter in Designed Primary Area _ in Designed Reserve Area 600 _— ft2 Spacing 3 i ft Manifold TrenchBed Width — 200 ft Schedule/ClassTrevchBed Length — ft Elevation Measurements Length 7 Diameter — in Original Drainfield Area Slope a New Slope,,If f Altered 7 % Preferred manifold configuration used? 0 Yes 0 No Transport Pipe Depth of Excavation t2-sl°p° 24 � in 3034 from Original Grade Dow°-slope 22 , in Schedule/Class in Length 40 ft Desired Vertical Separation 36+ — 4 in Gravelless Chambers Required? 0 Yes it No D Optional Diameter ❑Yes Ft Dosing and Pump Chamber Pump Required? _ Pump/Siphon Specifications Number of dosesiday Dose Diff.in Elevation Between Pump&Uppermost Orifice — ft quantity gal—_ gal Drainfield Squirt Height/Selected Residual(Tread) ft Chamber Capacity(flood)Pump controls:Please check those required. Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff primer Elapse Meter ❑Event Counter gpm Capacitylcut d ToTtal PPressure Headaad If Timer: Pump on — ,Pump off — ft Calculated Total Pressure r - Comments ;, 1 VElYb DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 1 0 — 3 1 -- 5 0 1 6 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Et Test hole locations 17l Drainfield orientation and layout Reference depth from original grade: al Soil logs w1 Trenchibed dimensions and g Septic tank Property lines critical distances within layout 2 Drainfield cover ❑ Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property RI Septic tank/pump chamber and restrictive strata: g Measurements to cuts,banks,and locations Ig Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom 0 Curtain drain collector g Location andorientation ll of 0 ClManifold n 0 Sand augmentation curtain drain and all absorption 0 Manifold placement components ❑ Orifice placement Other cross-section detail: g Location and dimension of g Observation ports/clean-outs g Lateral plac • ent with distance primary system and reserve area ow to edge of.-411 Other Information Ib Buildings ❑ Audible referenced Yes No g Direction of slope indicator g Scale o win tvn on scale g 0 Design staked out g Waterlines bar ' nv Aft 0 le Recorded Notices attached fii1 Roads,easements,driveways, :fr 0 l�Waiver(s)attached F, s,il': ❑ 2 Pump curve attached parking �I W .~'s4i ❑ l�Evaluation of failure g North arrow and scale drawing :fl� ' bti '�z• PAULA�•' • n'eN Non-residential justification shown on scale bar q. r// L�.g)•Ij„,...,Ett_ D ❑ fi�Waste strength O. yXPIRES ii 51 0 lif Flow DESIGN APPROVAL The undersigned designer must be ;IV. by instal er at time of installation RI Yes ❑ No ■ Il 3 ez3 Signature ofDes er Date ,,..0 ee ¢ The undersigned has reviewed this design on behalf of Mason County Public Health anti e e�in compliance with state and local on-sit ulations: �a 2�23 1�2Iz(71/?a?3 DEC ;N nvi onmental Health Specialise Date ��ifiLlilfElJiAL bE M1NGDCN CCDlI CIr�'A CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. I. ��(/���OZ hl ✓ 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 sit pdated Date: 72/T2015 h :/1161.47.92.1651TSWeb5/ Orders/ORSResull.as x?Coun ode=M&FromOrderhum... 9,26'2022 Iri if diekt AEGIS LAND —es r- TITLE GROUP - I Order Number 2022-43337-8F Property Address: XXX Vacant Land, Shelton,WA 98584 R ROADWAY AMP UtetiY EASEMENT - . pituir0 UtKER krN SM- __._._...__.____ .Mai.ac } rN lio20-11- I i yeq'.va-OoU 213231 Ry 5Di LOT 1If ' ` `4,1,'o- s.at :: LOT 1 � \ . MI 220 .IaeRY�. 3L ...iel I ' i /1510pplas : ,all„ II �L"F3:z whose r♦sear canon" P EDi a aT5D]K TYL2w S 2036 c •\{\ a,*oi a ` • t Z7053 i.a yyll, LO Z, J5 d COC al/ .lwi +t-c.t . lessor APPROXIMATE - sAc .s• St♦v4+T n. gIpaMY NI}+ .. w uon" --tlerP +�llN FHmaa 1Br'm w M lw Owm -.�.. ..'.. m no aasn r er♦atrunEtnn L i 2.4::: � LEGEND .,}e'La ISTa-S Ya it 1• •'.`"� • a LOC lie BGL ...be. •• snort* • IIl We CA MT Rant Ow Ea,+piEal LMP PROCEDURES' • +da♦ rtat,t C+ REM l-E CPS PROCEDURES"'— AIM It O provided as a convenience to locale me land indicated anew*eh*eh reference to streets an drier Ian. a is not intended to This is pet a suwY tot not en.ted to.a.eas.dnenarons.assessments.enao**mams,Of bulbar,bo'jr.danes. it a not a sho per (, matter modify to the p mostmeIe o pong.licy to vetch d*seethed The company assumes no liability for any metier related to this sketch:. pad of, ce doss it to the GnNnWMnt s.Pey torRelents*shouldbemadetoaccuratesurvey Mader information. AP OV D DEC 2 1 2023 ,MASON COJNiY ENVIRONMENTAL HEALTH 205-CQ 23554 NE Sum Ric 3.Sunc 2. PO Box 2126.tlelran.WA 98528 DJA Web Sac: wow.AGLTG.com 00 Sr-�,. t" 'So Q' B O is co 'F 1.c0 22, I ay ?Lo 1 ? LA1,3 EMtLAI 'DAMS prw.E. -Ft 32010-3- SO icco E svaiNDt-ER's c,0U) RD 51kEl—TcN 3 vs& `1658`} p.TEST llol..E -��- _4 1 : 0- 30 k 1 oavAl aa^^d r ----PC------ roots) 30`toe+ ra.ietly ra d 5 ton d +goo " 4j: 0-52." \caw 1 d + roo-ts raietl`� yngd. Saner 150 Bev. 5WtELlNE 60FfEit ARER O Cleanout M111 0 1,200 Gallon Septic Tank 2-Compartment with Effluent Filter ___, O D-Box with speed-levelers and cover to surface PI 5„e` (4)3 x 50 Pr;+ y r a le co i D.F. Tre+tl'tes@ q ' — o.c. w';kkA 942.5w-ot inn bt+wCCfl ©Li 1=cskure ' ••"..titi Sl&A PAULA JOY JOHNSON '. • ,, gam.NEfi . P APPROVED Wclte - / 9 ao�E op �i � R 5 �O°E RD Go' DEC 2 12023 -3 ''°ad hell Id4SO,N I COUNTY ENVIRONMENTAL HEALTH DJA ` s DRAINFIELb LAYOUT PG tiAtia ,...peK' ',..„,..,,4 / —4- It\--0::,,,yr \ <e; V.' ,', J, `I ' 0 a 1 % 5l P2 b- I v po __ .- _ 3 'X So' -Q2A1N r o 112Eti1GH `,...4 O`C SCcAQ; 1 _ Io t q''T -twA- Lose-size o s' (a' (� zo` 1_4•^2 ---- ' T���cpzA?OVA. Sev+u_-t>., I / Fnw.1 = lOV \ y Grade r prt9;„w1 v� (�YgOIQ ) s. p l F T/` 22° `'j' z- 24 ' E 21 Lsd e n "s?,h s . 9 4.) �PAL LA Cr •oeesory ' b 3 b" a� Eiv aess'33 1Yr ` ` Ic Ses a O ` Sr tf B.wN. td— Pews—S Wee) 3`0 A— I JOTS: O=OBSERVATION PORTS TORE 4" BEEF Ai PVC PIPE FROM BOTTOM OF TRENCH TO FINISHED GRADE. REMOVABLE CAP - VL SHALL BE INSTALLED ON OBSERVATION _ DEC 2 1 Zd13 PORT PIPE. Glue •T" ON BOTTOM SC PIPE CAN'T BE OOAED. REED THE b4ASe1 AT DISSTAL END OF EA. LAT. LATERALS. v Et,'l 4 * IP ARE TO BE CENTERED IS TRENCHES. SECURED LID WITH GAS TIGHT SEAL I M.DIAMETERREM GRADE in i �isi � TO POMP C _ ii . or Drat-Ad PROM SEWAGE SOURCE ARVROV® E}lLUBIT trre� ^^nnnnee66,^, FILTER eilagtAket(Ilan =Deal IMENEMINW S'J®TTC TANK rtvs*r;_ri 4PPRn c esc DEC 2 1 2023 • CN COJNTYEDJr' NeIFNrat MEN'(?� "Note: Septic Tanks must meet standards required by WAC chapter 24S-272C � and manufacturer must be on the Dept of Health list of registered sewage tanks.** r s T c (Imam Septic `)eoigno ��j�. Tff INSTALLATION&MAINTENANCE • Gravity Distribution Systems .- - i :(5: PAULA JOY IOWNSON 1. Install Laterals with contour of the ground. o-Eryas r,ms_. 2. Install trench bottoms level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the detailed drainfield layout. One required at distal end of each lateral in drainfield with bottom extending to the drainrock/native soil interface. Glue"T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 6. Use distribution box with speed levelers and cover to surface. Divert incoming pipe down with 90-degree angle to prevent short-circuiting. 7. Filter 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. 8. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 9. Divert all storm water runoff away from on-site sewage system. 10.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 11. No vehicular traffic over drainfield area. 12. Install Bio-Tube or equivalent effluent filter at outlet end of septic tank. 13. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 14. Inspect tank and clean filters every 6-12 months as needed. 15. Have the septic tank pumped or professionally inspected every 3 to 5 years. 16. All materials and workmanship must meet County and State regulations. 17. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 18. All transport lines under driveways or parking areas must be encased to prevent crushing. 19. Homeowner is responsible for all property lines. r.�gsov�o�m��e ?073 /A (HfA(TH b ct, Q