HomeMy WebLinkAboutSWG2023-00526 - SWG Application / Design - 12/18/2023 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: SWG2023-00526
APPLICANT Brian Reid Phone: 206-778-7617
Address: 8475 42nd Ave SW SEATTLE, WA 98136
OWNER Brian Reid Phone: 206-778-7617
Address: 8475 42nd Ave SW SEATTLE, WA 98136
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
Site Address: 60 E Franjo Beach Dr
Primary Parcel Number: 220165003005
Permit Description: 2-bedroom Glendon Biofilter
Permit Submitted Date: 12/18/2023
Permit Issued Date: 12/28/2023
Issued By: David Anderson
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation or systen).
Permit Expiration Date: 12/19/2026 (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 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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATEMmv[D:
MASON COUNTY ypy�Z\ c� 1 ata3 C CO
® COMMUNITY SERVICES RECEIVED.
, RECEIVED
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ON-SITE SEWAGE SYSTEM APPLICATION a z
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PHONE m
APPLICANT r
Brian Reid (206) 778-7617 -r z
MAILING ADDRESS-STREET CITY,STATE,ZIP CODEDI to
8475 42nd Ave. SW Seattle WA 98136 a
SHEADDRESS-STREET CITY,ZIP CODE Shelton WA 98584 0 � i
60 E. Franjo Beach Dr.
NAME OF DESIGNER PHONE 0 I N
Dale L. Tahja (360) 426-5940
NAME OFINSTALt£R PHONE 0
PERMIT TYPE/selectone) DRINWJNGWATER SOURCE SiI —
MIRESIDENTIALass ELCOMMUNITYO55 BICOMMERCIALOSS WEI PRIVATE INDIVIDUAL WELL iZI PRIVATE TWO-PARTY WELL 2 Ia)
CFI PUBLIC WATER SYSTEM
TYPE OF
NEW WORK INSTRIJselect C) CC
®NEW CONSTRUCTION/UPGRADES y;REPAIR/REPLACEMENT OTHER
05DETAILS
SURFACING EWAGEwY0 TABLE IX
I
❑SHORELINE �
SVBMTALS m IO
'DESIGN FORM(REQUIRED) litsEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE
ZWAIVER(S)(IF APPLICABLE) 2 0.41 acre aI 0
DIRECTIONS TO SITE AND SUE CONDITIONS:Iex.IMYad gate) I W
North on Hwy 3, right on Agate Rd., right on Franjo Beach Dr., property on the left. �"'
o to
to
to
WE MUST BE FLAGGED FROM MAIN ROAD AND TEST ROLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I r.rl
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for napping purposes) >1}
COMMENTS/CONDITIONS
❑VOLUNTARY O MAINTENANCE/PUMPING o BUILDING PERMIT OHOME SALE OCOMPLAINT 0OTHER: eta
INSPECTOR SOIL LOGS ,ENE Q4 .'
Tttt : O zy,lScic _.6.45i�� xeIV
Rif at Pt ` wjmai 4 kilt+^ (�, D,j <w+ 1
In: 0 -36'15c I1. . r
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fteS� at za Li( wu fug
SOILCADES
V=VERY G=GRAVELLY S=SAND L=LOAM S=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
17/Iq/ 26z3 111/7/20z6 6/1- f2I2872o 3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITf
REVISED 12/7R015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 1 6 — 5 0 — 0 3 0 0 5
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable items on checklist. v 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: II"X 17'
Permit Number: SWG lJOS Designer's Name: Dale Tahja
Brian Reid Designer's Phone Number: (360)426 5940
Applicant's Name: 2450 W Deegan Rd W
Mailing Address: 847542nd Ave.SW Designer's Address:
Seattle WA 98136 Shelton WA 98584
City State Zip City State Zip
Treatment Device
'Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model
0 Disinfection Unit Make/Model Other:
Drainfield Type ❑Sub Surface Drip
❑Gravity
Pressure 0 Trench Fid Bed
Septic TanklDraipfield Specifications
Laterals
2 ,- Schedule/Class GlenDon Biofilter
Number of Bedrooms N/A ft
Daily Flow:Operating Capacity 180 gpd Length
N/A in
Daily Flow:Design Flow 240 7 gpd Diameter N/A
Septic Tank Capacity(working) 1,250 7- gal Number N/A ft
Receiving Soil Type(1-6) 5 � Separation
Receiving Soil Appl.Rate
0.4 — gpd/tic Orifices
Required Primary
Area 600 � ft2 Total Number of Orifices GlenDon Biofilter
600 ' ft Diameter N/A in
Designed Primary Area NIA in
Designed Reserve Area
600 ft2 Spacing
17 fY Manifold
Trench/Bed Width Bch.40
36 $ Schedule/Class
Trench/Bed Length 40 ft
Elevation Measurements Length
Originalelpe, I te Area Slope
0 % Diameter 1.25 in
0 0/ Preferred manifold configuration used? ❑Yes Si No
New Slope,If Altered
Depthof Up-slope 0 in Transport Pipe
Excavation
fromm Origifinall Grade
rade pecan.dope 0 in Schedule/Class Sch. 40
36 in Length 20 ft
Designed Vertical Separation1.25 in
Gravelless Chambers Required? ❑Yes li6 No 0 Optional Diameter
Pump Required? Fe Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications c
Number of doses/day GlenDon Biofilter
Dill. in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity GlenDon Specs gal
N/A ft Chamber Capacity(flood) 1,000 gal
Drainfield Squirt Height/Selected Residual(head) Pump controls:Please check those required.
Uppermost Orifice PeHigher 0 Lower than Pump Shutoff Timer G�Elapse Meter Event Counter
Capacity @ Total Pressure Head GlenDon gpm GlenDon
N/A ft If Timer: Pump on GlenDon pump off
Commend Total Pr%ssuce Head ad.qq .7r . -y ifE' P
Comments p t� ,. C1,.,§ •11
DEC 2 8 2fl23 is
4AfS Oh COUNTY
oJA ,a ,
, DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 0 1 6 — 5 0 -- 0 3 0 0 5
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations 66 Drainfield orientation and layout Reference depth from original grade:
HI Soil logs lid Trench/bed dimensions and RI Septic tank
HI Property lines critical distances within layout HI Drainfield cover
Hi 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:
WI Measurements to cuts,banks,and locations fd Laterals,trench bed,top and
surface water and critical areas RI Observation port location bottom
Id Location and orientation of HI Clean-out location 0 Curtain drain collector
curtain drain and all absorption HI Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
HI Location and dimension of ❑ Lateral placement with distance +I Observation ports/clean-outs
primary system and reserve area to edge of bed
Other Information
VI Buildings g Audible/visual alarm referenced Yes No
HI Direction of slope indicator 0 Scale of drawing shown on scale g d 0 Design staked out
O Waterlines bar 0 ❑Recorded Notices attached
Ia Roads,easements,driveways, l7j 0 Waiver(s)attached
parking 0 0 Pump curve attached
Si North arrow and scale drawing ❑ 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑Flow
DESIGN APPROVAL '- if..
The undersigned designer m [be notifi y ler at time of installation HI Yes ❑ _ r R O r
a t \-V-ail3 DEC 2 $
Signature of Designer Date �
MASON COON ''
The undersigned has reviewed this design on behalf of Mason County Public Health and de �'nn N i1 + t:
compliance with state and local on-site tions: - K. _ _,Y{,rr
l z/tg7wz g t <:u.a�
Environmental Health Specialist Date 'ct6 a u wl nIt„j
Ns 77 t ,N
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING7I CONO w
1 The
is stamped
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✓ The Onsittee Sewage Permithasvnot xpired,the Permit ExpirationlDate is: ( 'i l7/ft/Ej `�� 7
v. Drainfield site conditions have not been altered to adversely affect conditions of design approval. %Ali
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
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DEC 2 8 2023
MASON COJNT'! EN'V ONMENTAL HEALTH
OJA
Glendon Biofilter
Installation Comments
1. Install audio/visual high water alarm.
2. Install effluent filter as required by Glendon.
3. Install risers on septic tank and pump chamber.
4. Install check valve and quick disconnect in pump outlet line.
5. Divert all storm water run-off away from septic system components.
6. Install no curtain drains within 10 feet on the up-slope edge of the Glendon.
7. Install no curtain drains within 30 feet of the down-slope edge of the Glendon.
8. This septic system is to be maintained by certified Glendon Biofilter maintenance
specialist.
9. This system is to be maintained in accordance with guidelines set by Glendon.
10.This system is to be installed by a Glendon certified installer and licensed through
the Mason County Health Department.
11.AI1 material and workmanship must meet County and State regulations.
12.Deviation from this design without prior approval from the Designer and Mason
County Health Department will make this design null and void.
13.The prepared Site Plan is not a survey, it is the responsibility of the property
owner or representative to verify property lines prior to installation. Any
discrepancies shall be immediately reported to the Designer.
14.All utilities must be located prior to installation.
APPROVEP
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