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HomeMy WebLinkAboutSWG2024-00001 - SWG Application / Design - 1/2/2024 MASON COUNTY 415N6TH STREET,,SHELTON, 70,EXT 584 400 SHELTON: -0 EXT L BELFAIR:360-275-4467,EXT 400 i Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2024-00001 APPLICANT SCHAFFER RALPH & NANCY G Phone: 360-877-5823 Address: PO BOX 174 HOODSPORT, WA 98548 OWNER SCHAFFER RALPH & NANCY G Phone: 360-877-5823 Address: PO BOX 174 HOODSPORT, WA 98548 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 3607010205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 430 N Dow Mountain Dr Primary Parcel Number: 423295000171 Permit Description: 1-bedroom gravity system: Non-conforming Repair Permit Submitted Date: 01/02/2024 Permit Issued Date: 01/16/2024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/03/2025 (based on date of inspection) Permit Conditions: 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 "'Non-conforming septic repair. The septic system may need to be brought into full compliance before future permits can be approved. Detail: The existing gravity system has less than 36 inches but at least 24 inches of vertical separation between the bottom of the distribution area and a restrictive layer. 7 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.govlhealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. I PATE REPEL MASON COUNTY /q P %t COMMUNITY SERVICES REC w 0rnQ nuN i. Public H b C LYH n E. mental neal,nl y ,,.n`ea SWG U 7_4_ - cob of o xi ON-SITE SEWAGE SYSTEM APPLICATION > z m 3 n REELCANI 1PHONE m RALPH/NANCY SCHAFFER 360-877-5823 z PIN INC,ADDRESS STEEL I.CITY STATE ZIP CODE 3 PO'BOX 174 HOODSPORT WA 98548 p STE ADDRESS-STREET CITY ZIP CODE 430 N DOW MAOUNTAIN DR HOODSPORT WA 98548 I a NAME OF DESIGNER I PHONE I. N CINDY WAITE 360-701-0205 NAME OF LN;TAI LEP PHONE CI CI) TBD N IN PERMIT Tr PE NAASs.nl DRINKINGWAIER SOURCE O 13( RESIDENTIAL oss h COMMUNITY oss Iri COMMERCIAL oss 1f7� PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PAR tt WELL Z GO- -- - - alo PUBLIC WATER SYS I EM SANE CUSHMAN ws TA PE CF NIORR 6dvtl lam' _ h NEW CONS/RUCTION I UPGRADES h REPAIR]REPLACEMENT I OTHER DETAILS(elecI alllmat:GOOAJ ❑ TABLE IX REPAIR IUD v. cns ❑ SURFACING SEWAGE gi EXISTING FAILURE ❑SHORELINE Bil IVI DESIGN FORM,REOUIRED) SEPTIC DESIGN IREOU.REE/ BEDROOMS I TO,SIZE or[]WAIVER(S)(IFAPPLICABI E) 2,. 70'X140' x O O'R ErLoNS TO SITE AND SITE CONDITIONS !+e / ca T I A GO TO HOODSPORT, TURN LEFT ONTO LAKE CUSHMAN ROAD(119), CONTINUE ABOUT 6.5 MILES, TURN RIGHT ON DOW MOUNTAIN DR, FOLLOW TO ADDRESS ON r I THE RIGHT SIDE OF THE ROAD. SOIL LOGS ARE RIGHT NEXT TO ROAD. I - 1 SITE MUST BE FLAGGED FROMMAIN ROAD AND TEST HOLES MUST SE FLAGGED WITH TES T HOLE NUMBERS. _. . GIIIII^I , `•-O Li F uT i.. PGRAD FAILURE SOURCE Jur zumi-.G,c.]cs sI I 0 VOLUNTARY 0 MAINTENANCEIPUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT POTHER. `") INSPEC TOR SOIL LOGS COMMENTS I CONDITIONS rift 0- v.' V(iGS P454-a4 Va t-/ W4fr iI ]. irliP0 - 98�- 10-0t$ ii AN U2 ' COPO DRAWING AND INSTALLATION REPORT SOIL CODES ✓-VERY G-GEAvc.LY S=SAND L=LOAM S =SILT I CLAY EXTREMELY R=ROOTS .I I INFO FOP kI NAL APPROVAL • PATE AV ICATON x Pvt ION DAIS I I IJATIUN APPRo D ISSUED BY DATE IusPF rDRsr;NArvRB 3 Z S L /1 THIS F AYBEiC/J/7O�Y AVAILABLE FI 1U 7z MASON COUNTY WEBSITE ( 7/11 [V DTI" DESIGN FORM—PACE ONE Assessor's Parcel Number: 4 2 3 2 9 — 5 0 — 0 0 1 7 1 A design will he reviewed when 3 collies 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 .a.er size: 11"X 17" Permit Number: SWG log y CO 46/ Designer's Name: CINDY WAITE Applicant's Name: RALPH/NANCY SdHAFFER Designer's Phone Number: 360-701-0205 Mailing Address: PO BOX 174 Designer's Address: 80 E PICKERING LANE HOODSPORT WA 98548 SHELTON WA 98580 Ci State Zi• Ci Stat— Zi. ❑Glendon Biofilter 0 Sand Filter Di Mound 0 Sand Treatment Device �/�' Lined Drainfield 0 Recirculating Filter,Type: '4N i 5 ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: RE 104 Drainfield Type W�t� 'Gravity 0 Pressure 0 Trench NI Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 1 7- Schedule/Class ASTM 2729 Daily Flow:Operating Capacity .90 / gpd Length 15 ft Daily Flow: Design Flow 120 i gpd Diameter 4 in Septic Tank Capacity(working) 750 EXISTING gal Number 3 Receiving Soil Type(1-6) 3 — Separation 3 ft Receiving Soil Appl.Rate .8 gpd/ft2 Orifices Required Primary Area _ 1150 _ ft2 Total Number of Orifices ASTM 2729 PERF Designed Primary Area 150 ft2 Diameter , in Designed Reserve Area 150 ft2 Spacing 9t P g s 1 in or Trench/Bed Width 10 ft .'•� 1tt• anifald S.Trench/Bed Length 15 ft Schedule/Class e, ., *, i F. Elevation Measuremegts Length ilk pr fl i Original Drainfield Area Slope 7-8 / Diameter � „`f' �s.�. in New Slope,If Altered % Preferr:`ate i�p` t tel use 0 Yes 0 No Depth of Excavation Up-slops SEE (PAGE#3 in : roovv ,.of4 e from Original Grade Down-slope EXPIRES IIS1W in Schedule/Class 3034 Designed Vertical Separation 24 in Length 20 ft , Diameter 4 in Pump Required? 0 Yes).No Dosing and Pump Chamber 0 Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump&Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual(Dead) ft Chamber Capacity(flood) gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity Q Total Pressure Head gpm OTimer DElapse Meter 0 Event Counter Calculated Total Pressure Head T_ ft If Timer: Pump on Pump off Comments RETRO FIT EXISTING TANK WITH RISERS ANC? EFFLUEN FILTER, GRAVEL BASE DRAINFIELD REQUIRED swaths r% nin—rA(it. IWU Assessor's Parcel Number: 4 2 3 2 9 -- 5 0 -- 0 0 1 7 1 Permit Number: SWG • =zr c - DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ftl Test hole locations Drainfield orientation and layout Reference depth from original gra e: 61 Soil logs B] Trench/bed dimensions and g Septic tank 6rJ Property lines 1 1 critical distances within layout 62f Drainfield cover 0 Existing and proposed wells 6I D-Box/Valve box locations Reference depth from original gra e within 100 ft of property 0' Septic tank/pump chamber and restrictive strata: 40Measurements to cuts, banks,and locations 6if Laterals,trench/bed,top and ,,,��r/ surface water and critical areas Pi Observation port location bottom Nl4Location and orientation of 0' Clean-out location ❑ Curtain drain collector curtain drain and all absorption 6g Manifold placement ❑ Sand augmentation components 64 Orifice placement Other cross-section detail: 6d Location and dimension of Observationports/clean-outs primary system and reserve area Lateral placement with distance 69 Buildings y, to edge of bed Other Information HA alarm referenced Yes No 6d Direction of slope indicator Scale of drawing shown on scale [fl ❑ Design staked out g Waterlines bar 0 ❑ Recorded Notices attached P1 Roads,easements,driveways, 0 0 Waiver(s)attached parking lig 0 Pump curve attached 6t] North arrow and scale drawing E' ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow HE VAL J. a �iadF. . AIL _,-., The undersigned designer must be ndfif ed by insta ler at time of installation 66 Yes ❑ No NPA4 f l> ? c21 Sigga urn Designer Dkte The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site Lions: 1116(zaD e Environmental Health 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: ) 13/20 '7 1 -I ✓ Drainfield site conditions have ndt been altered to adversely affect conditions of design approval. _ Please Note: The system must be installed by a certified installer, //I � unless prior authorization is obtained from Mason County Public Health. An Installation Fee is rgquired. This form may be scanned and av4liable for public view on the Mason County Web site. Updated Date: 12/7/2015 .0 U N C r « O. � y t r1 � � tR � m wa D y .-T. N :O :r N O Z' N +i its 'NY Ll 2 `m � �w m Eai V C C C O = 0 ,4) `4T W 0 N . e O .T-- r W C b w W W Q w ❑ r U Fy l `— N M CEU (U I� cD 114--I ill, �/ S {o rev r-46 C ` �01/30 53bLIN - a it c , to Y ............ �� aje.,; 1 w.r i1 N3pl � , ©� ' O 'yAUNOhi vrfli OIS `y 'i .00 kb efri, 14 Q �, 10,or€ F 4I1 CI tdr 4. _ • Itt I Zrtoti \ y p CINDYICI WAIT E '�I fl LICENSED DESIGNER I,sr N .1M % �� ri EXPIRES 05r10/ ry r L_- _ c . z.--_ nl is, , z Oa _ / ,,„ D I Iva �0 • rpfc, fat,t C> 7' ,/z - 3 / V I `/ /"._ 2.T ^ I G her tadsi' N p CQ giU PH. S. I 40 IDep4-11 at 'etc cdei.{tom .2 Is" n 3 P6" „ talki Y IVI— — 4a mw�-{wm 2y f us II 2y „ vs i „ ,- 0-4 C / au I 4. O' RITE 'A 141. 11 LICENSED ENSEp DESIGNER ], [XViNE9 OY�oi FtMa, Steal S1 riallatThSS • rit.rn411111 RIO ■ •S DLL . n ' ends -I sr Art IA 4 c. DJ e ylo iE mA.WAGER '° I sby or LICENSE IICENSENSEp pESIGNER i EXPIRES 05/10e Installation Notes Gravity Distribution System: 430 Dow Mountain Dr 42329-50-00171 1. No records on this on-site system, system installed in roundabout driveway, appears to be right on top of till, fill with roots. 2. Gravel based drainfield required. 3. System to be installed by a licensed Mason County installer. Self install must follow Mason County Healty Departments requirements. 4. Install system during dry weather with acceptable soil conditions 5. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only, 6. All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. Ensure the final grade slopes away from these areas and water doesn't collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains, etc. to divert all waters. 7. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 8. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 9. Install access risers on the septic tank, D-box and observation ports. 10. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 11. Lids must form a water and gas tight seal with the access risers 12. Install effluent filter at the septic tank outlet. 13. This system must be installed by a Mason County Certified Installer. 14. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 15. This design was sized per Washington Administrative CodeWAC246-272A-0230. The operating capacity is based on 45 gallons per day per capita with two persons per bedroom. The minimum design flow per bedroom per day is the operating capacity of ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety gallons per bedroom per day. 16. Install laterals or bed with contour of the ground 17. Install trench bottoms level and always maintain a mini, um of six inches into native soil 18. Filter fabric required over drain rock prior to bac;;r Pi g. If the drain rock extends above the original grade, run the filter fabric at !rat • nches down the trench wall. i 4 A$ttl i' , 9 11 a I_\1- 3P9 g e'(jfrot Y/ 'sc.? N Is � Vn O2 nY ARE ,1 or LICENSED ESIGNEH 1 \M %la �%WW \ I•f, Ea'iBt5 JSID. System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed every three years as per WAC246-272A. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 6. Keep the flow of sewage at or below the approved design operating capacity. 7. Keep waste strength at residential waste strength parameters. 8. Spread loads of laundry through the week. 9. Do not use excessive bleach or detergents with added whiteners. 10. Do not shower, do laundry and dishwasher at the same time 11.Antibiotics can kill or impair the biological process in the septic tank. 12. Leaky plumbing can hydraulic overload your on-site septic system. • i 11 11 i PAP h�� J ?0 +gyp ENSE E. iE St�iE v-1 or LICENSED G SIGNED l 1, ,I EXPIRES OS TN n �\ l