HomeMy WebLinkAboutSWG2023-00131 - SWG Application / Design - 4/12/2023 MASON COUNTY 415N 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
;;..1`. FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00131
APPLICANT Daniel Villa Phone:
Address: 1217 S 9th TACOMA, WA 98405
OWNER Daniel Villa Phone:
Address: 1217 S 9th TACOMA, WA 98405
SEPTIC DESIGNER ROD LEFT -Acme Design Phone: 360-698-8488
Address: PO Box 2954 SILVERDALE, WA 98383
Site Address: 350 NE Lake Ridge Dr
Primary Parcel Number: 223047690060
Permit Description: 4-bedroom pressure system
Permit Submitted Date: 04/12/2023
Permit Issued Date: 12/27/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/18/2026 (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 055.
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.govlhealth/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
. OFFICIAL USE ONLY— --
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ON-SITE SEWAGE SYSTEM APPLICATION >
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APPLICANT PHONE
Daniel Villa z
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MAILING ADDRESS-STREE F,CFO.STATE.ZIP ERNE
1217 S. 9th St Tacoma WA 98405 p
SITE ADDRESS-STREET CITY.ZIP CODE WA 98528 "'
350 NE Lakeridge Dr Belfair
NAME OF DESIGNEE PHONE I N
Rod Left 360-698-8488
PHONE -- - o w
NAME OF LUST:Ee <
N I O
DRINKING WATER SOURCE 3
=Ewp.+IT C C
yLRESIOErvrlAL o55 EcoMMUNITV oss COMMERCIAL 7PUBLIC INDIVIDUAL LL PRIVATE tVJ6f'PRiY WELL Z
a
- - �j PUBLIC WATER SYSTEM Etle:mnLake Tracts -_
pp
PEOFwoCNanAne) - - —
RIPE OF
CONSTRUCTIONIVPGPAOES �REPAIR(REPLACEMENT OTHERDETAILS eSEL,¢eleppy) ❑TABLE IXREPAIR I J
0
SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE
SVBpMIWALE�DESI p "- -- LOT SIZE ` CO
EDESIGN FORM(REQUIRED) V.SEPTIC DESIGN(REQUIRED) eEDRWMs 4 \ 1 b ��� O
q O
yLWAIVER(S)(IP APPLICABLE) — — S` co
DIRECTIONS IC SITE AND SITE CONDITIONS..(e+lucked gale)
See map
0 I 0
la)
S ITE MUST BE PUGGED FROM MAIN ROAD AND TEST HOLES MUST EN FLANGED will!TEST Hw E NUMBERS.
OFFICIAL USE ONLY BELOW THIS LINE - —
U PGRADE?FAILURE SOURCE Ito'opting po aesl
❑VOLUNTARY 0 MAINTENANCEIPUMPING 0 BUILDING PERMIT Q HOME SALE ❑COMPLAINT 0 OTHER.IN -
SPECTOR SOIL LOGS COMMENTS I CONDITIONS
TH1- 0-L$" 6751
l ' C6inpariv. ¢FIT
: 0-a 6SL
25" (000W d I'll witt. N✓elev of 3,11
1x;. 0-36'' C5e-
3G' rv.nfg l we
111.0-36" 66st
RECORD DRAWING AND INSTAL(ATION REPONW
SOIL EXTREMELY R- REQUIRED FORH FINAL APPROVAL.
CODES S=SAND L-LOAM 6-SILT O=CLAY RODS - DATE
APPLICATION EXPIRATION DATE EN ISSUED BY -
INEP /;R ylislw�3 11llg77076 It1V /7(2VVzq3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE
REVISED LSLiO)5
DESIGN FORM-PAGE ONE Assessor's Parcel Number: 2 2 3 0 4 - 7 6 - 9 0 0 6 0
A design will he reviewed when 3 copies of each of the following are submitted: including all applicable items on checklist
Completed design form that has been signed and dated. ° Scaled layout sketch,in g pp ic
8' 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 J I X 17"
PARCEL.TDENTTEICATION:
Permit Number: SRi -00.I;I - - Designer's Name: Rod Lek
--
Applicant',Name: Daniel Villa Designer's Phone Number: 8-8488
_
360
PO Box 2954
Mailing Address: S. —
1217 S 9th St Designer's Address: — -
—
Tacoma WA 90405 Silverdale WA 9ft383
City State Zip City State Zip
DESIGN PARAMETERS' -
Treatment Device
❑ Glendon BioDer ❑Sand Filter ❑Mound 0 Sand Lined Dramheld ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model- _
_ ❑ Disinfection Unit Make/Model Other: - —
.J Drainfield Type El Sub Surface Drip
El Gravity
R1 Pressure 0 Trench ❑Bed
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class 40
Daily Flow:Operating Capacity 360 3L gpd Length 40 ft L
Daily Flow:Design Flow 480 gpdL Diameter 1 in
Septic Tank Capacity 1250 gal Number 7
Receiving Soil Type(Ifi)
4 Separation 5 ft
Receiving Soil Appi_Rate 0.6 gpd/fLt' Orifices
Required Primary Area 800 ft2 ✓ Total Number of Orifices 67
Designed Primary Area
800 ftr V Diameter 1/8 in
Designed Reserve Area 800 ftr " Spacing 48 in
Trench/Bed Width 3 ft
Manifold
Trench/Bed Ixng[h
270 ft Schedule/Class 40
Elevation Measurements
Length IoS ft
NewiSo Drain field Area Slope
10-14 % Diameter 1.iS in
New Slope.If Altered 10-14 % Preferred manifold configuration used? gfYcs ❑No
Depth of Excavation Op-stopc 12 in Transport Pipe
from Original Grade now.,slope 8 in Schedule/Class 40
Length 'a07 ft
Designed Vertical Separation 12 in Tonal Diameter 2 in
Graveness Chambers RequiredP ❑Yes D No Optional
Pump Required? Fe Yes M No Dosing and Pump Chamber
Pump/Siphon Specifications
Number of doses/day 12
40 gal
ferevice in Elevation Between Pump Shutoff and Uppermost Dose ber ay 1250 gal
Orifice 12*
- B.
Ca
pacity apamty
Uppermost Onfice D Higher titi Lower than Pump Shutoff Pump controls:Please check those required.
�Thner liClapse Meter lg Event Counter
Capacity rLi TolalPressue Head ''. 1gent _
Calculated Total Pressrte Head — ;O-5—_ mn
ft If Timer: Pump on 1 I7 Ste.: .Pump off_ 2 hr
Comments (? A i 1)Aj tl "R U `t: L Lip
CLWSy CS WAlvc
DEC 2 7 2023
.ASCN :OUST+ENV'SAUM_NTAL HEALTH
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DESIGN FORM—PAGE TWO Assessor's Parcel Number. 22 30 4 — 7. 6 -- 90 0 60
Permit Number: SWG_ _
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross Section Sketch
O Test hole locations 0 Drainficld orientation and layout Reference depth from original grade'
64 Soil logs 64 Trench/bed dimensions and RI Septic tank
64 Property lines critical distances within layout 92t Drainfield cover
WI D-Box/Valve box locations Reference de lh from original grade 77.1
within
0 fp of proposed wells P
within 100 ft property � Septic tank/pump chamber and restrictive strata:
® Measurements to cuts,banks, and locations Wi Laterals,trench/bed,top and
surface water and critical areas 64 Observation port location bottom
0 Curtain drain collector
❑ LocationL and and
all abs of WI Clannout locationlace ❑ Sand augmentation
curtain drain end all absorption � Manifold placement
components 64 Orifice placement Other cross-section detail:
WI Location and dimension of RI Observation ports/clean-outs
Lateral placement with distance
primary system and reserve area to edge of bed Other information
O Buildings RI Audible/visual alarm referenced Yes No
64 Direction of slope indicator 64 Scale of drawing shown on scale ❑ 0 Design staked out
64 Waterlines bar ❑ WI Recorded Notices attached
[� ❑Waiver(s)attached
• Roads,easements,driveways, l21 ❑ Pump curve attached
parking ❑ ❑ Evaluation of failure
O North arrow and scale drawing
shown on scale bar Non-residential justification
❑ ❑Waste strenyrth
O ❑Flow
DESIGN APPROVAL
The undersigned designer must be notified by ins Ilcr at time f installation I .Yes 0 No
Lirii•2o25
Si re of Designer Date P�i'4�g'The undersigned has reviewed this design on behalf of Mason County Public Health and e�'L
compliance with state and local on-site�regula/tions: �7 / //
/UO✓ IZrz7lm DEC27
Environmental Health Specialist 11,1R(,9 2023
4(gm,. f,
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COiLlitf' LFh';A(HsAt
J The design is stamped"Approved"by Mason County Public health_ �� (����
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (� """VVV
J 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 an the Mason County Web site.
Updated Date. 12/72015
Primp Selection for a Pressurized System -Single Family Residence Project
VILLA/22304-76-90060
Parameters
160
o3 eqv¢ltse` b5 Sze 220) rda _ _ _ _
lullatta 2F 6 _4}
T,w,aec;r 40 I �, _
Tmsan�mSce 2m I
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NahaLel* 103 at 1
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Calculations _
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YFYwOruaiYleHatO xe 19 % H l —�
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Frictional Head Losses 40 IIII i I �
Ira raa-spat OD
s'nL aae OD de t ■'��55��
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Pipe Volumes 0-- •n1■ -
Vat-arrowo e $1 sea 0 10 20 33 40 50 60 /0 80
werra;b5 84 gS Net Discharge(gpm)
Va crane l -Zm' 126 g8
attain. 57D as
Minimum Pump Requirements
PumpData Legend
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R.r` = DEC 2 7 2023
Omna SrSIlTY 'tCEN9t DESIGNER
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