HomeMy WebLinkAboutSWG2023-00371 - SWG Application / Design - 9/6/2023 415N B
MASON COUNTY H ELTON 0427-970,EXT 400
H STREET,SHEL ON, EXT 400
S
4 BELFAIR:360-2754487,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2023-00371
APPLICANT TURNBULLTREVOR Phone: 253-549-8700
Address: PO BOX 376 OLALLA,WA 98359
OWNER TURNBULLTREVOR Phone: 253-549-8700
Address: PO BOX 376 OLALLA,WA 98359
SEPTIC DESIGNER Jlm Zimny Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK,WA 98380
Site Address: XX E Cove Crest Ln
Primary Parcel Number: 220197690031
Permit Description: 3-bedroom gravity system
Permit Submitted Date: 09/06/2023
Permit Issued Date: 04/04/2024
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional teas may ea re4mrad uaon Installation of system).
Permit Expiration Date: 10103/2026 (6aaad on date or invaction)
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 Drainfield 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 bacMill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
bacAfill 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/environmentaVonsite/oss-Inspection-request.php or call:
360.427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY
COMMUNITY SERVICES —A —'
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TREVOR TURNBULL 253-549-8700 Z
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MAILING ADDRESS-STREET CRY.STATE.LPLOCE
PO Box 376 , OLALLA WA 98359 m
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NAMEOFDESGNM —ME SEp U 2023
Jim Zimny 360-516-7287 p �N
NAME INSTALLER M`bNE p C I O
PERMITTYPE(aeicl) IX21M(WGMMi9t5WRLE w I—
WfRESIDENTIMOSS FcaMnluNLHDss FcaMMERCA 055 MWAM INDIMD MU_ f3 TET PFAA FARIY WELL
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TYPE DFNAPK(aeTalox) 17 WBUC MWTER SYSTEM
WNEW CONSTRUCTION/UPGRADES f]REPAIR/REPLACEMENT OTNERD ILS(ab.YaFMxy [3 TABLE M REPAIR IV
suEMITTALS OSURFAQNGSEWROE OEASTNGFAILURE OSHOREUNE m I�
DESIGN FORM(REQUIRED) FsEPnc oEGlcN(REWIRED) Tsoflows 3 7.26ACRES
�WVVER(S)OF APPUCABLE)
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DIRECiIONGTO SREAND SIZE CONDNIONS(m.bi0ylel
FROM Hwy 3 turn south on Agate rd. In 3.8 miles take left on Agate rd. In 1.2 miles take rt I O
on old farm rd, in 0.4 mi take rt on a cove Crest In, follow WTI and take left to ribbons and
yellow gate. Follow rd and pink ribbons to test holes. o II
srtEMnreEFuaemsRDMMAWRDaoaxD iEssrmxESMusreEFueaED wmrrarxxeAMEAERs I 1"�
OFFICIAL USE ONLY BELOW THIS LINE
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OVOLUNTARY OMAINTENANCEAn.M%NG OBUILgNG PERMT OHOAESALE 1[3 n w ❑OTHER:
INSECTOR SpLLCGS ,,�� // C'CMMBRSI NNIRDMS
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REGGND DRNMNG,W D IwrN uTK�N REPORT
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IN9GECTOR SIIXUTUNE DATE AFPLICI.TION FXPIRRICN WTE AFTROYFD'P' EDW DATE
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"IS FORM MY BE SCANNED AND AVAILABLE FON FIIKIC VM ON lNE MASON COUNTY V/ WM REMSEDtYID015
DESIGN FORM—PACE ONE Assessor's Parcel Nmnber. 220197690031— __ — _____
A design will)R 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 item on checklist
Scaled plot plan,including all applicable items on checklist Cross-section sketch including all applicable item on checklist.
This form be ,,mad and available for Public view on the Mason CountY sseb sites Marimurn paper size: 11"X 17"
��tt,,���s��1y PARCEL IDENTIFICATION
Penmt Number: SWG fI)A :3'nn . ak Designer's Name: Jim Danny
Applicam's Name:
Trevor Turnbull ,,,,,n,e,. 36"16-7287
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Mailing Address: PO Box376 _ D 7178WdltlflowuDLrnv
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City crate
SPEP 0 6 2023 City statezip
DESIGN P METERS
Treatmen 15evire
❑Cilendoa Biofdter ❑Send Filter ❑Moved ❑Send Lined Dramleld Cl Rmaculaling Filter,Type:
E3 Aerobic Unit MskelModel ❑Disinfection Umt Msk&Model Other
Drainfield Type
RrGmvily ❑Pressure VTrench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number ofBedmorrs 3 / Schedule/Class 3034
Daily Flow:Operating Capacity 270 gpd Length 50 ft
Daily Flow:Design Flow 360 ui/, Diameter �. 4 m/
Septic Tank Capacity(working) 1200 gal Number 4
Receiving Soil Type(1-6) 4 Sepamtio P' �„ 5' CTC ft
Receiving Soil Appl.Rate 0.6 Wee ' Orifices
Required Pricey Area 600 If Total N/A
Designed primary Area 600 if Diameter in
Designed Reserve Area 600 ftz— Spacing in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 200 ft Scbedule/Class N/A
Elevation Measurements Length fl
Original Drainfield Area Slope 5 % Diameter in
New Slope,If Altered 5 % Preferred aamfold configuration used? 0 Yes 0 No
Depth of Excavation U1-10r 12 in Transport Pipe
from Original Crmde Nm-slop, 12 in Schedule/Class 3034
Designed Vertical Separation 24 in Length 30 ft
Gmvelless Chambers Required? ❑Yes O No EfOptional Diameter 4 in
PumpRequiryd? ❑Yes If No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day
Diff.in Elevation Between Pump&Uppermost Orifice_ft Dose quantity gal
Dmadield Squirt Height/Selected Residual(head) _ft Chamber Capacity(flood) gal
pump camels:Please cbeck tlmse required.
Capacity orifice re Higher ❑Lower than Pump Shumff �,� apse Meter ❑Event Counter
Capacity @ Total Pressure Head 8pnn
Calculated Total Pressure Head it I if Timor: Pump on ,Pump off
Commems
DESIGN FORM—PAGE TWO Assessor's Parcel Number 22DI 979170 I-- __ —
PermitNumber SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
15 Test hole locations B Drainfield orientation and layout Reference depth from original grade:
tff Soil logs El Tmnch/bcd dimensions and Ef Septic bank
H Property lines critical distances within layout B Dra nfreld cover
lih Existing and proposed wells 16 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property H Septic tank/pump chamber and restrictive strata:
H Measurements to cuts,banks,and locations Q! Laterals,urach/bed,top and
surface water and critical areas Iff Observation port location bottom
0 Location and orientation of B Clean-cut location ❑ Curtain drain collector
curtain drain and all absorption 16 Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other crow-section derail:
16 Location and dimension of 15 Lateral placement with distance Iff Observation ports/clear-outs
primary system and reserve area to edge of bed Other Information
Id Buildings ❑ Audible/visual alarm referenced Yes No
0 Direction of slope indicator 19 Scale of drawing shown on scale ❑ ❑Design Asked out
EI Waterlines bar ❑ ❑Recorded Notices attached
H Roads,easements,driveways, If ❑Waiver(s)attached
parking ❑ ❑Pump curve attached
ld North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justification
❑ Cl Waste strength
0 ❑ ❑Flow
The undersigned designer must be notitierr
at time of installation 15Yes ❑ No
- 2s23
Si f Designer Date 14
The undersigned has reviewed this design on behalf of Mason County Public Health and d
compliance with sate and local on-si mgulatioa r r
/ ���y��T� �saN APR q 2024
Environmental Health Speci. ' t ate �WL,yjYEIpV VI�ROpiUENvr'
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITIf1N:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ /v /
The Onsite Sewage Pemtit bas 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.
An Installation Fee is re uired.
This form may be scanned and avaiWbie for public view on the Mason County Web Updated Date: I2n12015
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Advantage Perc 8 Design
Tlmely•Reasonable•30 Years of Local Experience
Construction Notes for 3 Bedroom Gravity System
Gravity w/graveless chambers(Rock and pipe may be substituted)
Install 4-50' Laterals.
Use a 6 hole d-box and speed levelers
Install on 5'foot centers.
Install 12"trench depth on low side of trench and maintain 24" of vertical separation
Install level and along contours.
Install in dry weather only.
Use 1200-Gallon septic and add risers for pumping and maintenance
System designed for typical residential waste strength sewage only.
System designed for 360 Gallons Per Day
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APR 0 4 2024
MASON COUNTY ENVIRONMENTAL HEATH DiA
Advantage Perc&design 0 APDdesign56Didoud.com 9 (360) 516-7287
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MASON COUNTY ENVVIIRWAENTAL HEAL
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