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HomeMy WebLinkAboutSWG2024-00052 - SWG Application / Design - 2/13/2024 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: SWG2024-00052 APPLICANT MORRIS TROY H & ROSA E Phone: 360-490-5349 Address: 2027 FERRY STREET SHELTON, WA 98584 OWNER MORRIS TROY H & ROSA E Phone: 360-490-5349 Address: 2027 FERRY STREET SHELTON, WA 98584 SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 350 SE CERMAK LN Primary Parcel Number: 320277500120 Permit Description: New 4 bd gravity trench with Class B waiver Permit Submitted Date: 02/13/2024 Permit Issued Date: 03/22/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/26/2027 (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.govlhealth/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. 4 OFFICIAL USE ONLY DATE RECEIVED: MASON COUNTY • • cpC › COMMUNITY SERVICES AMO �14/40 MI RECEIVE OCP W M Public Health(Community ,extHealth/Environmental Health) f0 360-027-9670,ext.400 d 360-2756467,ext.400 /� 415 N.6th Street-Sheltort WA 98584 S\/,JG IQ Z _M 53 V V iZI Z V) ON-SITE SEWAGE SYSTEM APPLICATION v C APPLICANT PHONF IT1 TROY MORRIS 360-490-2334 z c MAILING ADDRESS-STREET.CITY STATE.ZIP CODE g 2027 FERRY STREET SHELTON WA 98584 CO Xi SITE ADDRESS-STREET.CITY.ZIP CODE 350 SE CERMAK LANE SHELTON WA 98584 I c^) NAME OF DESIGNER PHONE I N CINDY WAITE 360-701-0205 NAME OF INSTALLER PHONE v CD TBD < PERMIT TYPE(select one) DRINKING WATER SOURCE - N ft RESIDENTIAL OSS COMMUNITY OSS Fl COMMERCIAL OSS W-PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z I TYPE OF WORK(select one) a PUBLIC WATER SYSTEM I NEW CONSTRUCTION/UPGRADES h-REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR . 1 SUBMITTALS 0 SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE CD DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I— I C I 5-WAIVER(S)(IF APPLICABLE) 4 341'X658' 0 ' t 1 .4 DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.locked gate) ras Z_A 3- 'S / -rz-c 1 re tw4x IQ GO OUT ARCADIA ROAD, TURN RIGHT ONTO CERMAK LANE, CERMAK TAKES A 90 I o DEGREE LEFT AND THEN A 90 DEGREE RIGHT. PARCEL IS ON THE CORNER, SOIL o LOGS ARE TOWARDS THE BACK -+ N SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. 0 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ��� ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑ ❑COMPLAINT OTHER 7� INSPECTOR SOIL LOGS II COMMENTS I CONS •NS 2 t` �� 7/5 S l� Rc ,,,, O?� r .mm 0 �A- +i ‘ �� r D- S� S L_ FEB X 3 2024 I 3LA+ I Nsst- .—nk'2- `. By :04, 0 _ 3c. (__ 4- G RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: 3D V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=E TREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 10 Z- lv-/ 2/ (2/47 �,� ,► ��i\ S124Z� THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE 4 REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 7 — 7 5 — 0 0 1 2 0 A design will be reviewed when 3 copies of each of the following are submitted: I Completed design form that has been signed and dated. `' Scaled layout sketch, including all applicable items on checklist 'I Scaled plot plan, including all applicable items on checklist. I 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" PARCEL IDENTIFICATION Permit Number: SWG -W7j`'t-C)OQ c Z Designer's Name: CINDY WAITE Applicant's Name: TROY MORRIS Designer's Phone Number: 360 701 0205 Mailing Address: 2027 FERRY STREET 8 Designer's Address: 0 E PICKERING LANE SHELTON WA 98584 SHELTON WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device 0 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 IGravity 0 Pressure G'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class ASTM 2729 f Daily Flow: Operating Capacity 360 gpd Length 67 ft Daily Flow: Design Flow 480 gpd Diameter - 4 in Septic Tank Capacity(working) 1200 gal Number 4 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl. Rate .6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices ASTM 2729 PERF Designed Primary Area 804 ft2 Diameter in Designed Reserve Area 800 ft2 Spacing �OV in Trench/Bed Width 3 ft �io ) amfdld E Trench/Bed Length 6.2? 77Q, ft 0'ed v, Class MAR 2 2 2024 Elevation Measurements gth��! • MASON COUNTY EhV1RON► P �P1 �. Original Drainfield Area Slope 3 % �9,.�Q� hTAL HEAL N New Slope, If Altered % P,ii '''. !I �0 in i \ : e�n .1.le Id cg figuration used? ❑ Yes ❑No Depth of Excavation Up-slope 10 .r 1 (�' from Original GradeTransport Pipe t:• y slog 1 P P g Down-slope 9 ` O� CINDY E WAIT, f IIt 3034 Designed Vertical Separation 18 MEM 116 111% t:��'� l`�`��v�� Ex'I 120 ft - Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 4 in Pump Required? 0 Yes EgNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump& Uppermost Orifice ft Dose quantity gal d Drainfield Squirt Height/Selected Residual (head) ft Chamber Capacity(flood) gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head gpm OTimer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head ft If Timer: Pump on ,Pump off Comments GRAVEL BASED DRAINFIELD REQUIRED, CONCRETE TANK REQUIRED, SPECIAL CARE NEEDS TO BE TAKEN MAKING SURE NEW RESIDENCE AND SHOP CAN GRAIVITY FEED TO DRAINFIELD ,)-ee Paw -7 -.1 •ri - 17 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 7 -- 7 5 -- 0 0 1 2 0 Permit Number: SWG ' DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch /1 Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: )I Soil logs Of Trench/bed dimensions and 121" Septic tank Property lines critical distances within layout 0 Drainfield cover Ej Existing and proposed wells . D-Box/Valve bp5 locations 47 • Reference depth from original grade within 100 ft of property 51 Septic tank/pump chamber and restrictive strata: Z1 Measurements to cuts, banks, and locations p/./ .ryv 0, Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom IcULocation and orientation of E' Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement Vit 0 Sand augmentation components 0 Orifice placement Other cross-section detail: fcl Location and dimension of primary system and reserve area .1Er Lateral placement with distance Observation ports/clean-outs to edge of bed Other Information 4 Buildings of._ / gra—Audible/visual alarm referenced Yes No 01 Direction of slope indicator Er Scale of drawingshown on scale Waterlines 3 0 Design staked out bar 0 0 Recorded Notices attached Roads, easements, driveways, ❑ 0 Waiver(s)attached parking 0 0 Pump curve attached 0 North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by i taller at ime of installation Yes 0 No Signature of D ner 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 regulations: Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved" by Mason County Public Health. -(-2ll, /7,7 The Onsite Sewage Permit has not expired, the Permit Expiration Date is: ✓ 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. y 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 %r I....4.,. ri•-, I.., ..-4, ,... )- f--- $.1 -1 1 ....1.4. -t.f%-• . 1\..1 s.x k....' .....„ ..... 0 oy A c•i (X.. ik,KA rcs,' it_ 2 ,k i..., t. t!, . al (11) \J -.....: 3 , -...... ---_,... t .....- 1 t.., ri •• .4* -) IN\ Idi -1 . 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( d..df:..................,........ ... .......... ..........I..ZL2. ,... , .- •diz/ CV _____-- --- 2a.� r��� C�a u1. sI lJ` . I /o , , is-' I r � © 4,d3 r+tuGli& Po4s(4J 4/ / .,.:_. J.. 6) D8ai ( 1 ) a bet y ,44 Pv ���' yet 7�` Y E.WAIT S' '‘„ - LICENSED DESIGNERy� '+.6 / SO F-r/ •k EXPIRES Osia �/ w 16-4 oyN i q., � D E----------C-----____. MAR 2 2 202 MASON COUNTYENyJNON4lVEENT RET AL HEALTH I __ No) t► .5-CaPv F'Ncl Gar _ • --~ .. LAccess Maar To Grade • Inlet BI Facing Down Speed 1sve0190"e&WO TAyked • Leveling Pad Distribution Box(No Scale) APPROVED ,,f MAR 2 2 2024 �f• 1 MASON COUNTY ENVIRONMENTAL NEALTI' �OP ��Q �,�� N RET of SAS ` (((rrr ,, . y "�i U 0 CINDYO18 E4WAITE ��,II, or LICENSED DESIGNER i/ \ . (.hPIRLS uS.ir,. 1200 Gallon Double Compartment Septic Tank Lc Ground Ldvel L.0 M.nm 1 "//2'P 1 1 c -- SC::ilj8 'Cd1' I I Liquid Level R I �, o _7 a rhef: 1 Scum Layer 131 _'� 1 I ` j ret Tee -- 1 1st Cam parlmenl l"r•• ;l:;i r. ie lialW 2nd Compartment not to Sludge scab. /140 gam"' s- '� w s-It.. 'ejj/4 r4,1 I, 1#i APPROVED MAR 222024 MASON COUNTY ENVIRONMENTAL HEALTH �°4- � RET pleA <� '� • is 04, y 100 B b \ p DYE WAITE� \ LICENSED DESIGNER atla \� EXPIRES 05.10, Installation Notes Gravity Distribution System: 350 SE CERMAK LANE 32027-75-00120 1. Gravel based drainfield required. 2. System to be installed by a licensed Mason County installer. Self install must follow Mason County Healty Departments requirements. 11 3. Install system during dry weather with acceptable soil conditions 4. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only, 5. 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. 6. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 7. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 8. Install access risers on the septic tank, D-box and observation ports. 9. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 10. Lids must form a water and gas tight seal with the access risers 11. Install effluent filter at the septic tank outlet. 12. This system must be installed by a Mason County Certified Installer. 13. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 14. 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. 15. Install laterals or bed with contour of the ground 16. Install trench bottoms level and always maintain a minimum of six inches into native soil ,/ 17. Filter fabric required over drain rock prior to backfilling. If the drain rock extends A above the original grade, run the filter fabric at least 2 inches down the trench wall. APpROV ;,� . MAR 2 2 2021r % •i MASON COLIN • rr ;o ee- .A eei Eh V1RQh'uFNTAI HEAL Tv i��04 T44•.sA, 9A v,(1�" RET ` ti� le 'PA,� o 'PA,�\� �� q CI E.WAITE 1 r LICENSED DESIGNER 14 ��% II% % . \ 1101016•01e Ex/'/RLS 05/10, 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. 1 f" VANf'%L �(✓2j (IA 17,E J. 0-1 51 18 �� rk Pp� IN E.WAE ED R O� LICE ED DESIGNER EXPIRLS 05,10 MAR 22 2024 MASON COUNTY ENVIRONMENTAL HEALTD: RET