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SWG2024-00024 - SWG Application / Design - 1/22/2024
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: SWG2024-00024 APPLICANT GROUT CHRISTOPHER N Phone: 360-490-6934 Address: PO BOX 236 UNION, WA 98592 OWNER GROUT CHRISTOPHER N Phone: 360-490-6934 Address: PO BOX 236 UNION, WA 98592 SEPTIC DESIGNER CINDY WAITE- Septic Designer Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 5720 E State Route 106 Primary Parcel Number: 322325300014 Permit Description: 3-bedroom OSCAR X02 system w/OS-100 coils: REPAIR Permit Submitted Date: 01/22/2024 Permit Issued Date: 02/16/2024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/06/2025 (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. I 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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. 7,- OFFICIAL USE ONLY MASON COUNTY COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVED BY: v_ m Public Health(Community Health/Environmental Health) C 1;10 360-427-9670,ext.400 or 360-275-4467.ext.400 DATE RECEIVED: ('' 415 N.bth Street-Shelton.WA 98584 5 W G /--7 -5 2 c �� y c(/) a Z ui -13 ON-SITE SEWAGE SYSTEM APPLICATION D x 3 n APPLICANT PHONE m pi r CHRIS GROUT 360-490-6934 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C PO BOX 236 UNION WA 98592 03 5720 ADDRESSSITE ZIP E STATE ROUTE 106 UNION WA 98584 I W NAME OF DESIGNER PHONE I N CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE v I N - DRINKING WATER SOURCE I 0.)PERMIT TYPE(select one) 0 RESIDENTIAL OSS COMMUNITY OSS Ill COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z I N TYPE OF WORK(select one) I PUBLIC WATER SYSTEM 1 E NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I C71 SUBMITTALS 0 SURFACING SEWAGE lit EXISTING FAILURE ID SHORELINE I.r DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I W 5WAIVER(S)(IF APPLICABLE) 3 100'X 943' 0 I o DIRECTIONS TO SITE AND SITE CONDITIONS'(ex locked gate) GO NORTH ON BROCKDALE THEN MCREAVY RD, TURN RIGHT ONTO DALBY, TURN I o LEFT ONTO ST RT 106. ADDRESS IS ON LEFT SIDE OF 106, TURN LEFT AT THE r BRICK HOUSE THAT SITS RIGHT ON 106, GO UP HILL, FIRST HOUSE ON THE RIGHT. o 0 HOLES ARE BEHIND THE HOUSE. I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I 4' OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS T if-r 0--1 Li • t PIC+ al- CLIt' L( viol ct camia fro► ;-, i 1 t f i L. �� lu U 1Ju TjfZ= G- jLl L ( 5+ qi l'i w( era? '(Qmpco v; I.-cde4'iv) hale. • PER 0 6 2024 "M3: o 13 \ poi 01 t3, v/ mot- ft Cmp�c� i t,.-oee V/ iole . -- Ttty: tV(g . 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 SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE Z y Z /6( ZZS �i( ' Z//6 20T FORM MAY BE S CANNED AND AVAILABLOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 2 3 2 — 5 3 — 0 0 0 1 4 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. 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" PARCEL IDENTIFICATION Permit Number: SWGZQZSI— 06624.1 Designer's Name: CINDY WAITE Applicant's Name: CHRIS GROUT Designer's Phone Number: 360-701-0205 Mailing Address: PO BOX 236 Designer's Address: 80 E PICKERING LANE UNION WA 98592 SHELTON WA 98584 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: 0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: X02 TO OSCAR DF Drainfield Type ❑ Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 ✓ Schedule/Class NETAFIM Daily Flow: Operating Capacity 270 gpd Length 100 ft Daily Flow: Design Flow 360 gpd Diameter in Septic Tank Capacity(working) 1200 '" gal Number 3 Receiving Soil Type(1-6) 4 - Separation .5 - ft Receiving Soil Appl. Rate .6 " gpd/ft2 Orifices Required Primary Area 616 ft2 Total Number of Orifices 3X100 Designed Primary Area 600 - ft2 Diameter EMITTER in Designed Reserve Area VERY LIMITED,-ft2 Spacing .5 in Trench/Bed Width 22 ft t ' Manifold Trench/Bed Length 28 ft Schedule/ or re.ssI\P, SCHEDULE 40 Elevation Measurements Length rr3- a���: 45 RETURN,50 SUPPLY ft Original Drainfield Area Slope >5 % Diana r.�oc tisy1, tvi 1 in New Slope, If Altered % Pr-, r• d i 0 cSn t•uration used? 0 Yes 0 No ti. Depth of Excavation Up-slope 0 in 5100418 J't/,t ansport Pipe from Original Grade Down-slopc 0 in . eott Ws SIGNER I1t NA Designed Vertical Separation 18 in `rr` >�% rm.. qr. .os�'..0' ft - P RLS os/,o, Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter in Pump Required? g Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 411 ` ,° Diff. in Elevation Between Pump& Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual (head) ft Chamber Capacity(flood) 1200 gal Uppermost Orifice re Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head gpm NiTimer UrElapse Meter l 'Event Counter Calculated Total Pressure Head 15 ft If Timer: Pump on 30 SEC ,Pump off 3 MIN Comments INSTALLATION TO FOLLOW X02 REQUIREMENTS. INSTALLER TO NOTIFY DESIGNER PRIOR TO STARTING INSTALL. CONCRETE TANK REQUIRED, . ANY CROSSING OF WATERLINE AND MANIFOLD MUST BE CASED. Celz_.- -cri A) Cs ie e, '>,c 2 ere- : _-vL G✓ G✓e'ui Jv(-if i/.i C�G.l DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 2 3 2 -- 5 3 -- 0 0 0 1 4 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 6ti Test hole locations 6if Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and if Septic tank 66 Property lines critical distances within layout G2f Drainfield cover O Existingand proposed wells gD-Box/Valve box locations Reference depth from original grade within 100 ft of property 66 Septic tank/pump chamber and restrictive strata: O Measurements to cuts, banks,and locations gf Laterals,trench/bed,top and surface water and critical areas Gd Observation port location bottom ❑ Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption E6 Manifold placement 0 Sand augmentation components g Orifice placement Other cross-section detail: g Location and dimension of g Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed Buildings Other Information lg Audible/visual alarm referenced Yes No lie Direction of slope indicator 64 Scale of drawing shown on scale d ❑ Design staked out g Waterlines bar 0 ❑ Recorded Notices attached 66 Roads, easements, driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached g North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength 0 0 Flow DESIGN APPROVAL The undersigned designer must be notified by ins aller at time of installation lif Yes 0 No 2 24 21 SigCf Designer l Date 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 gulations: -2//i/2Qzti ,, FEB 162024 Environmental Health Specialist D COuNTyENVJRp NMENTAL HEALT CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COIION: H ✓ The design is stamped"Approved" by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: Z/j/70 a ' ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. rA.V0 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 . , 4 .... WO # I % 441 lk %144 . • • 4 4i:k1 1 *... , 1 vi1/44, IS ,..00006 4 '- -/ I •r : k - `?4 X ,,.., • IL -S:464 4 i % t 114 i 4 $4* • 4 4 i , 4 1 i At " I t )24* 4442 e , 4 t t 4 22101 i , e 16* \i 1 it, *44 4% ... ... , t 4,,, ,., ..,, .. 110/0 24, .214 *40 ..,. .,,. ;44 1441 0 41,1* 1,411 4 iti **1 ,,,_ % * i ‘44‘.li '"i *1/4 '4 *1/44 4111* t • N 4 4 ir I . it 4 to 4 illi'l \1 (k1 / C.) -. , q. % c , AlrPida t ss e '14 0, `4 .4. ...., * or I 1 Y. N 111.• t. • .0' 7c 0 42- ), 41 ..,„ -,.. (i 44, , ....74,‘. '''',/ 14,0 -4" TT% , •• 0041 . 'i Y,F)5 liE lb 14 A i t t . • 0 .0 sE.D I NER 4 *, 4 ow mammtolegoimimlow** ,1* weet..."0, .,,'10 EXPIRES 05110/ • • A C .., i \ i : < < i. -I FEB 1 6 2024 .' ....t PASON CO tiTY • ENVIRONMENTAL HEALTH ., ..., 0.... - DJA.- ... • -......-„:7,---,.-_--.-„--,-.-;,-.7.-... --....„-------••,....,—............... -..:- :: ---_„77.-77,-.7r4-7.-„.7.77:747-. .„7:.., ..................... i i ; ! $ i., I ',...N 1 I I 1 A i • : ...... ; a,1 ...4. • ,_ ..........•..„..................,1••••,,,,S.VSS1.%........L.,......t.....................4;14 t.Z.::.::::...t.....:4...7,,,,.......:.:.1..:=a.'110 ....*II........=,2 ,....:......:•v.• 1 i SS:!,.... ........•,V I*I I: ' 1.......... S4 . 4,. ii ("1 * . 1 # * f I , •• „z. A .., ." itr4.• Ct4 \\0 ••. .. '''':. L.'4'I- ,,t...° ':'..1'Y%":.'•,.4fr ' ,,..,.. '4:.:`, ••• . . t Ifs, 5 . . . ...... .. rl - ' •-••,- .-"\-•-• 4411' m w et r c �D D 1 m w 1-----------'. 12_ r - ,' - `e S 0 0 o b c H ,..c" -,--3, I 1 b e o (4 ! oila Ll I . I C, W-N I k e r s o ° • ; >ne 1 • O yP I r F \ 4 A 11 ( I =`i I / CO 00 'NI O CJl .N CO N ., . _ a I'T1 D = D N N .vim 6;.� N a) Q = O O -O O SZ — Oo * _ < O O CD c FEB 16 2024 • v w 0 " v - rn - MASON COUNTY ENVIRONMENTAL HEALTH • co 0 C) w DJA Q (D O to Q. �' n n � O (D �‘u S �, C S1 Sv Sv 1\ `C ., { (D N CD 7C' x c _ -C _ Q o 4 .-- O v v (n CD ' CO CO CD CD CD o $ o4 XiAg1, 9jVrx O o C V CD �.- PGj"OOk"' a1=‘ • •t N 2 510 t 'y� O Cl. E WAITED, l� t LICENSED DESIGNIFR CW — i k o gN O D ` m q. ► BASAL WIDTH a i n * .. r)am' z ♦ i • ��� Zp C ♦ ON J- • '....•••:.........?..:.....:.*:•.......:.:.1....:..........::.:.'.:.......;n:410101 ..•.':::. w z •�• V , 1 c vl < . /. n z n ' L.. J . • P� ��,' FE8 16 2024 a. C s� c)u RON,y�ENtA1 HEALru coC 8v0 AITE D ESIGNER Lxc'i$E5 J5,10, lv For tanks with water tight, structurally sound partitions: for both the treatment tank and discharge tank a double compartment tank with tee baffles can be used (no flow through ports). Flip the discharge tank around so the smaller compartment is first as shown (see Illustration 2). The clarifier chamber is to remain full. VENTED LD rMN1rD .4 _, ,� I V4°7' I . 0 i roy i `,s _ �_ .i 4i . Illustration 2 As the daily design flow rates increase, larger tanks will be needed. It may become necessary to have individual tanks for each chamber or a combination of tanks to meet the volume requirements. For example: 3,000 god design flow (refer to Table 1-2). Septic chamber = 4000 gal. needed, use a 3000 gat. tank + 1000 gal. tank. Aeration Chamber = 2-1000 gal. tanks. Clarifier chamber = 2- 1000 gat. tanks. Pump chamber = 3000 gal. tank + 1000 gal. tank. In this example, the septic chambers could be connected using standard tee baffles making a two compartment chamber. The aerator chamber could be arranged the same as the septic chambers. Half of the diffusors would be placed in each 1,000 aeration chamber. The clarifier chambers could either use tee baffles or be connected together below the li•o id level. The combined pump chambers must be connected below the liquid ‘It:l. • I . • iIs •o/f ni s APP of FEB 16 2024 O�ar CI Y E WAITE 18 � , ,�I LI SED ESIGNER I "„SCN COUNTY ENVIRONMENTABr ki L HEAL;; LxpIREs 05,10 DJA Table 1-2**` Design Septic Aeration Clarifier* Pump Aerators Suggest tank sizes** Flow • 500 gpd 670 330 330 670 1 1,000 gal. treatment, 1,000 gal. discharge 750 gpd 1,000 500 1,000 500 2 1,500 treatment, 1,500 discharge 1500 gpd 2,010 990 990 2,010 3 3,000 treatment, 3,000 discharge 2000 gpd 2,680 1,320 1,320 2,680 4 3k& 1500 treatment&3k& 1500 discharge 2250 gpd 3,000 1,500 1,500 3,000 5 3k&1500 treatment&3k& 1500 discharge 3,000 gpd 4,000 2,000 2,000 4,000 6 use multiple tanks to meet volume needs 3,500 gpd 4,700 2,310 2,310 4,700 7 use multiple tanks to meet volume needs *Minimum liquid volume needed. **Local health jurisdictions may require larger tank volumes. ***Table 1-2 is a quick reference guide. Aerator: For each 500 gpd design flow one aerator will be needed. Round up the design flow to the next 500 gpd value. For instance, a 600 gpd design flow will need 2 aerators (600 gal. rounded up to 1000 gal. needs 2 aerators). The aerator box must be installed so that the bottom of the aerator box is at the same elevation or higher than the top of the tank risers, see Illustration 3. If the site is sloped the aerator box can be buried, upslope from the tanks. The sides of the aerator box lid must not be buried. Aerators can be installed up to several hundred feet away from the diffusors. The line between aerator and diffusors must slope toward diffusors. Aesthetic concerns should be considered when placing the aerate,;4p. Place the aerator away from house windows, doors, and areas where •:ply end to congregate, such as patios areas and barbecues. - / `1 Oh2^��1�I ti VENTED LID jP N j� , al LICENSE DESIG E,R ,,1I. •Colowliftib.11oholotomiph. \ Pamilimmt I — ExPIRES 05110/ ri7.1 APPROVED Illustration 3 FEB 1 6 2024 1 (0 COUNTY ENVIROaEi+-AL HEALTH DJA Headworks: HWN-.7-RF • 3/4 inches Arkal disc filter, mesh, 130 micron • 3/4 inches Arad flow meter • Three oil filled pressure gauges (0-100 psi) • 5 Netafim normally closed solenoid valves (Model 80) f . ,,. . , - ._,F.,„ko a, 1) © �,0�' �, ,, • C OSCAR-X02 Parts list (500 gpd). •A • • le Each OSCAR-X02 unit will include: `` =<,,S • LF1P-RF-AR or LF1 P-RF-ARA control panel may,4,4,,;� "yc !,i • LOT-30, 1/2 hp, 120 volt pump S� - -".' z:,ll_ ti� ' Hi-Blow Aerator, HB-80 (80 liter/minute) �c ,,,,, • Hi-Blow diffusers o� LICENSED DES G NDY E \E �f1l NER • OS-50 or OS-100 Coils ..`,�` „`„" ` low.. /�, • PVC fittings and drip tubing adapters ExI'iRLS 05.10, • HWN-.7-RF automatic headworks • Solid 'h inches poly tubing for connections • 2 float switches Installation Notes Oscar-X02 Treatment System 5720 E STATE ROUTE 106 32232-53-00014 1. Stumps in the drainfield area must be cut down to ground level or below. 2. Installer and designer must meet on site prior to installation. 3. Oscar drainfield: ASTM C-33 sand media as per Washington Department of Health's Recommended Standards and Guidance for Intermittent Sand Filter. 4. Concrete two compartment tanks required for septic and pump (See pages 6 Item A and B) 5. The prepared site plan is not a survey. It's the owner's responsibility to verify property lines, utility lines (water, sewer, power, phone and gas) prior to installation. 6. Minimum of 6" of sand throughout out the lateral(coil) area, must be level. 7. Oscar X02 parts list on Page 8 8. The tanks may be moved as necessary to accommodate building requirements. 9. Septic tank location must meet all required setbacks. 10. Keep wheeled vehicles off the drainfield area before, during and after installation. 11. Tracked equipment only 12. ,All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. 13. 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 14. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 15. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 16. Install access risers on all tanks, valve box and ends of laterals. 17. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 18. Lids must form a water and gas tight seal with the access risers. 19. This system must be installed by a Mason County Certified installer. 20. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 21. 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 rest's in a minimum design flow of one hundred twenty gallons per day. This creates a 1••tractor of 33% but anticipated flow is ninety gallons per bedroom per day. fI. or A°' '2 0 of'K^ �9.‘' ', �� 1C 418 , DY '\ FEB 1 6 2024 LICENSED DESIGNER 1A' mow•w� �% ���� os���•A MASON COUNTY ENVIROKir'ENTAL t� EXPIRES OS lOt System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank and pump tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed annually. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owners shall not at any time change or alter settings in the control box. 6. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 7. Keep the flow of sewage at or below the approved design operating capacity. 8. Leaky plumbing can hydraulic overload your on-site septic system 9. Keep waste strength at residential waste strength parameters. 10. Spread loads of laundry through the week. 11. Do not use excessive bleach or detergents with added whiteners. 12. Do not shower, do laundry and dishwasher at the same time 13. Antibiotics can kill or impair the biological process in the septic tank. I I II\ t j.t. • P ,` - Ayy • 0l� y %yiP s v'' •1,k, v2 510.0418 O CINDY E WAITE %It 4 1 pr LICENSED DESIGNER 1I