HomeMy WebLinkAboutSWG2024-00022 - 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
W. FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00022
APPLICANT RIVERA ET AL JUAN YUNEOR Phone:
GONZALEZ
Address: ERICK HERNANDEZ GONZALEZ BELFAIR, WA 98528
OWNER RIVERA ET AL JUAN YUNEOR Phone:
GONZALEZ
Address: ERICK HERNANDEZ GONZALEZ BELFAIR, WA 98528
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 1950 E Rasor Rd
Primary Parcel Number: 122077500510
Permit Description: New SFR-3BR Pressure
Permit Submitted Date: 01/22/2024
Permit Issued Date: 03/05/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/05/2027 (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.
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OFFICIAL USE ONLY
DATE RECEIVED, 1 ` M /�
MASON COUNTY �/s l- N
.I 1. COMMUNITY SERVICES AMOUt.I VEDO. s RECEIVE JCO m
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Public Health (Community Health/Environmental Health) C (n
415 N.61h Street
el 400 or
rs3 WA 98584 ext.400 A __ —�� (n— Q
415 N.6th Street-Shelton WA 98584 AJrL/J` 2
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ON—SITE SEWAGE SYSTEM APPLICATION. 3
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APPLICANT PHONE m
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JUAN RIVERA 360-689-6327 z
MAILING ADDRESS-STREET CITY.STATE,ZIP CODE E
PO BOX 1326 BELFAIR WA 98528 co
SITE
1950ERASOR RDSS-STREET.CITY ZIP QDE BELFAIR WA 98528 I
NAME OF DESIGNER PHONE I N
CINDY WAITE 360-426-2113
NAME OF INSTALLER PHONE a I N
TBD
N I O
PERMIT TYPE(select one) DRINKING WATER SOURCE
W RESIDENTIAL OSS COMMUNITY OSS In COMMERCIAL OSS L PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z I
TYPE OF WORK(select one) 111 PUBLIC WATER SYSTEM
6 NEW CONSTRUCTION/UPGRADES ft REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I - j
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑ SHORELINE
I DESIGN FORM(REQUIRED) KI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r- I
G� r�
57WAIVER(S)(IF APPLICABLE) 3 2 ACRES 0 .DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
GO HNORTH ON BROCKDALE THEN MCREAVY, TURN RIGHT ONTO DALBY, TURN I o
RIGHT ONTO HIGHWAY 106, TURN RIGHT ONTO ALDERWOOD DRIVE, TURN RIGHT r
ONTO RASOR ROAD, PARCEL IS ON CORNER OF RASOR ROAD FIR DR. a
ALDERWOOD IS A MUCH BETTER ROAD THAN GOING ALL THE WAY UP RASOR. I
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMP INT ['OTHER:INSPECTOR SOIL LOGS ! et COMMENTS/CONDITIONS
��6i- -
Na m_ C()(r,Q V� t,
5
JAN Z z 2UZ4
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY Gr GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTO NATURE DATE APPLICATION EXPIRATION DATE PPL CATION APPROVED/ISSUED BY DATE
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THIS R BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
I
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 2 0 7 — 7 5 — 0 0 5 1 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: 11"X 17"
WINIIIIIIIININ PARCEL IDENTIFICATION
Permit Number: SWG ZD 2 GO 0 LZ Designer's Name: CINDY WAITE
Applicant's Name: JUAN RIVERA Designer's Phone Number: 360-701-0205
Mailing Address: PO BOX 1326 Designer's Address: 80 E PICKERING LANE
BELFAIR WA 98584 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:
Drainfield Type
❑ Gravity RIPressure 1rTrench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCHEDULE 40
Daily Flow: Operating Capacity 270 . .d Length 25 ft
Daily Flow: Design Flow 360 '''' a jtktO
V E • 1 25 to
Septic Tank Capacity(working) 1200 Nur 8
Receiving Soil Type(1-6) 4 �'` tpi o2024 6 ft
i.
Receiving Soil Appl. Rate .6 . '-gpd/ft2- 1\:fIRONMENTAL HEALT7+ Orifices
Required Primary Area 600 ft2 TaJBWit r of Orifices 40
Designed Primary Area 600 ft2 Diamete 3/16 in
Designed Reserve Area 600 ft2 Spaci �q. \,t 60 in
Trench/Bed Width 3 ft sip F F9 (7/1Manifold
ivw
Trench/Bed Length 200 ft $. s •ti;„ 4/CIA SCHEDULE 40
Elevation Measurements gth 418 \\ t°` 2-4 ft
Original Drainfield Area Slope <1 % 46 TED v DESI WRGNITE
ER. 2 in
New Slope, If Altered % 'on used? Dit Yes 0 No
EXP1NLS 05 10
Depth of Excavation Up-slope SEE PAGE 4 in Transport Pipe
from Original Grade Down-slope SEE PAGE 4 in Schedule/Class SCHEDULE 40
Designed Vertical Separation 24 in Length 35-45 ft
. ' nal Diameter 2 in
Pump Required? 66 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 6 ft Dose quantity 45 gal
Drainfield Squirt Height/Selected Residual (head) 2 ft Chamber Capacity(flood) 1200 gal \'1
Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 23.6 gpm liTimer Elapse Meter GI Event Counter
Calculated Total Pressure Head 8.19 ft If Timer: Pump on ,Pump off
Comments
CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, CONTROLS TO BE
SET AT TIME OF INSTALLATION, SYSTEM TO BE SET AT 270 Pein4S/4"/ CE4
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 2 0 7 -- 7 5 -- 0 0 5 1 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ft Test hole locations g Drainfield orientation and layout Reference depth from original grade:
g Soil logs g Trench/bed dimensions and g Septic tank
O Property lines critical distances within layout Gli Drainfield cover
g 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:
❑ Measurements to cuts, banks, and locations l ! Laterals, trench bed,top and
surface water and critical areas 6d Observation port location bottom
❑ Location and orientation of Gd Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement 0 Sand augmentation
components
6I Orifice placement Other cross-section detail:
❑ Location and dimension of Et Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed
0 Buildings Other Information
WI Audible/visual alarm referenced Yes No
RI Direction of slope indicator lil ale ifwing shown on scale lY.I ❑ Design staked out
g Waterlines 4 — OVER 0 0 Recorded Notices attached
g Roads, easements,driveways, gib' 0 0 Waiver(s) attached
parking MAR 0 3 2024 ❑0 0 Pumpcurve attached
t : ' Evaluation of failure
!A North arrow and scale drawing MASON C(�AT Y FN v;RONMENTAL HEr;
shown on scale bar n El
justification
J B W 0 0 Waste strength
0 ❑ Flow
DESIGN APPROVAL
The undersigned designer must be no •• by ins ller at time of installation g Yes 0 No
aj/ at "f "141 2rzy
Signatu of Designer e
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- •• regulations:
t3Jfolk >- 5 -may
En ro tal Health Specialist Date
CAUTION: DESIGN APPR VAL 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: ----- -5—;----' 7 \\
✓ 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 site.
Updated Date: 12/7/2015
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4 25 3001 60i 5 2.5 2.5 25
5 25 3001 601 5 2.5 2.5 25
6 25 300 60 5 2.5 2.5 25
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8 25 300 601 5 2.5 2.51 25
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Installation Notes
Pressure Distribution System:
12207-75-00510 1950 RASORR RD
1. 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.
2. There is no records on this parcel. System is probably 50 plus years old. System has
been driven on and is very close to the till layer.
3. Gravel based drainfield required
4. Concrete tanks required
5. Pump controls to be set at time of installation RFOR 170 GPD.
6. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
7. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
8. 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.
9. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
10. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
11. Install access risers on the septic tanks, valve box and ends of laterals.
12. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
13. Lids must form a water and gas tight seal with the access risers.
14. Install effluent filter specified in this design at the septic tank outlet.
15. This system must be installed by a Mason County Certified installer.
16. Self-install systems must meet Mason County procedures.
17. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
18. 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.
19. Install laterals with contour of the ground.
20. Instal ch bottoms level and always maintain a minimum of six inches into native
soil., 1,
21. In-' thre�3•ed clean outs at the ends of all laterals (caps must extend to within six
i►�, - . -'t4 •r...de and be in a valve box as shown on diagram.
22_>. PV&_= • . alar .
"dt�f -'* e• •' drain rock prior to backfilling. If the drain rock extends above I 0
Olt e •. ', '' ..I q`a,•:;,+t thqf, er fabric at least 2 inches do th trench wall.
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MASON COUNTY ENVIRONMENTAL HEALT►-
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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. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
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