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SWG2024-00111 - SWG Application / Design - 3/20/2024
584 ® MASON COUNTY 415NBTHELTON:STREET,SHELTO70,EXT 400 SHELTON:388427-98T0,EXT 400 BELFAIR:360-275I487,E%T 400 Public Health & Human Services ELMA:360i82rv269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00111 APPLICANT SILIS ET UX KEVIN W Phone: Address: LESA C DENTON-SILIS LAKEBAY,WA 98349 OWNER SILIS ET UX KEVIN W Phone: Address: LESA C DENTON-SILIS LAKEBAY,WA 98349 SEPTIC DESIGNER PAULA JOHNSON` Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 Site Address: 300 W Reeves Hill Dr Primary Parcel Number: 520097590183 Permit Description: New SFR-3BR Pressure Permit Submitted Date: 03/20/2024 Permit Issued Date: 04102/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 (addNmul fees may be regdrad noon lmlenarnn dsyarem) Permit Expiration Dale: 03/27/2027 Ibaesd on date d Insuedionl Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization Irom Mason County is obtained. 3 Dreinfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbui/t Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.govlhealthlenvironmental/onsite/oss-inspection-request.php or call: 360427-9670, extension 400. OFFICIALUSEONLY MASON COUNTY ® COMMUNITY SERVICES _ m m wMMxru DI"nnXeaMNEnvlrum"Mal NeaNN Z w SING �1 - OV 2 ° 2 N ON-SITE SEWAGE SYSTEM APPLICATION > APPLICANT PrOrve m m Kevin & Lisa Sills (206)488-7922-Lela&(206)79(-9219-Kevin = c LUWNGADIX1E56-$TXEET,Cf1Y STATE ZIPCODE '3 PO Box 850 Lakebay WA 98349 m SITEADDRERS STREET CITY LPCOCE 300 W Reeves Hill Dr Shelton WA 98584 01 NA rrowa (360) 898-2255 Arrow Septic Designs ro NAME01114M A MOHE IO Mason County Excavating (360)426-0574 PEtMRTIPE(LeYCae) DRINKINGWAIERSOURCE y 10 C mIRESIDENnALOSS RCOMMUNrt OSS JJCOMMEFCIALOBS ZPRIVATEINDIVIDUALWELL GIPRNATETNOPAWYWELL 2 I (o TVPE OP NCNK IVYn and IZ PUBLIC WATER SYSTEM RNEWCGNSTRUCnON/UPGRADES ISIREPAIRIREPLACEMENT CTXER OETAIL.Ra....t.P ) DTABLE M REPAIR ICI WBMInALS OSURFACING SEWAGE DENISTNGFAILURE ❑SHORELINE DO p miCESIGNFORM(REDUIRED) RSEPTICDESIGN(REGUIRED) BEDRCVMS I LOT WE IN E -MIVER(S)(IFAPPUCABLE) 3 5.91 Acres x DRECTgNSTOSITEANDVTECONDMONS:A" boM pw) Take 7th Street. Turn right onto W Railroad Ave. Continue straight onto W Shelton Matlock Rd.Turn left onto W Reeve's Hill Dr. A green "300"sign is at the driveway. "Sills"is written I on a yellow sign. Park at locked gate and walk down driveway, go right at clearing with ribbon,test holes down and to the left. YIF MUYTYEMGDEO iROYYAW AOFDLYU TEST XOLIXMUbTBEgIDDED IMX TEST NOLEMYtlYFRi W OFFICIAL USE ONLY BELOW THIS LINE UK/UCE I FAILU RE 40URCE(b ryanlnp pppnn) DVOWNTARY DMMNTENANCEIPUMPING DBUILDINGPERMIT DHOMESALE DCOMPVJNT []OTHER: INEPECTORSOLLLLWB COMNENIB/CONDITIDN$ MAR N (j4V By V- L Ry E4: RECORD DAAA W AND INSTALLATION REPORT V•YERV G=GRAVELLY B•SAXD L•LOAM E•BILi C=CUY E=E)ORFMELV R•gWTb REDUIRED FCR FIHALFPPROVAL iOR GNATU WlE APPLCATOX EYMMTgX DATE A TI AFPRDVEN%UEDBV M`E ,(, ) 3 37 7 z1-� k-�- FO Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSnE REVISED I.,. DESIGN FORM—PAGE ONE Assessor's Pmoel Number: 5 2 0 0 9 — 7 5 — 9 0 1 8 3 A design will be reviewed when 33 c�of each of the following are submitted: •Completed design form that has been signed and dazed. v 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.Maxfnmm sire: 11"X77" m..,v"zd"r'4.reua- :: ...`PARCEL:IDx.NTERICA17bP1._ ._. Permit Number: S W G - : " i.%t ( Designer's Name: Anow Septic Designs,Inc Applicant's Name: Kevin A Lisa Si,-. Designer's Phone Number: (360)89a-2255 Mailing Address: P.O.Box 860 Designer's Address: 171 E Vuecram Or iskebay WA 99349 Union, WA 98592 City Stme Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilr a ❑Smd Filter ❑Mound ❑Sand Lined Dtainfield O Recirculating Filter,Type: ❑Aerobic Unit M.IuJM del ❑Disinfection Unit MakeMtodel Other. Drainfield Type ❑Gravity EK Pressure l(Trinch ❑Bed 17 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals NumberofBedrooms 3 Schedule/elms 40 Daily Flaw:Operating Capacity 270 gpd Length 50 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Nmnbw 4 Receiving Soil Type(1-6) 4 Separation 5 ft Receiving Soil AML Rate 0.6 gpd/ft' Orifices Required Primary Arm 600 fe Total Number of Orifices 40 Designed Primary Arm 600 le Diameter 3116 in Designed Reserve Arm 600 ftr Spacing 60 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class 40 Elevation Measurements Length header it Original Drainfield Arm Slope 3 / Diameter 1.25 in New Slope,If Altered 3 % Preferred manifold configuration used? RrYes 17 No Depth of6xmvarion Upalepe 11 in Transport Pipe from Original Grade 10 in ScheduldClass 40 Designed Vertical Separation 25+ in Length 80 ft Gravelless Chambers Required? O Yes ❑No R(Optional Diameter 2 in Pump Required? III Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Numberofdosedday 4 Diff.in Elevation Between Pump&Uppermost Orifice-5 it Dose quantity 90 gal Dramfield Squirt Height'Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermon Orifice dHigher O Lower than Pump Shutoff Purni,controls:Please check those required. Capacity @ Total Pressure Head 23.6 Spin gTimer I&EI hlglt re v nt r Calculated Total Pressure Head 9.11 ft If Timer. Pump on 2 min PY"'PU° h rey;'v, PPROVEII H MAR 2 9 2624 APR 0 2 2024 LE MASON COUNTY ENVIRONMENTAL HEAZT MASON COUNTY ENVIRONMENTAL HEALTH W °ES°� JBW DESIGN FORM—PAGE TWO Assessor's Parcel Number:5 2 0 0 9 — 7 5 -- 9 0 1 9 3 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch It Test hole locations 10 Drainfield orientation and layout Reference depth from original grade: Id Soil logs 21 Trench/bed dimensions and Rl Septic tank m Property lines critical distances within layout 6f Drainfield cover Is Existing and proposed wells 69 D-Box/Valve box locations Reference depth from original grade within 100 fit of property R1 Septic tank/pump chamber and restrictive strata: � Measurements to cuts,cuts,banks,and IZ Laterals,trench bed,top and surface water and critical areas 16 Observation port location bottom ❑ Location and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 56 Manifold placement ❑ Sand augmentation components 19 Orifice placement Other cross-section detail: E9 Location and dimension of 56 Lateral placement with distance Rf Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 6d Buildings 19 Audible/vis referenced Yes No lid Direction of slope indicator 56 Scale of d wn on scale 9 ❑Design staked out Ed Waterlines bar ❑ Rf Recorded Notices attached R1 Roads,easements,driveways, , ❑ Ed Waiver(s)attached parking .°' rA' ' E6 ❑Pump curve attached Ed North arrow and scale drawing Ap ❑ Rf Evaluation of failure shown on scale bar s,boaiu Non-residential justification ><k PAULA JOY JOHNSON ❑ ff Waste strength L Wb f ❑ RfFlow DESIGN APPRO AL The undersigned designer must ti d b) r Ile t f i stallation Id Yes ❑ No �� 3-r9- Z4 Signature of Designer 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 -sit re latior 2-2 Env' o alth S ~st Date CAUTION: DESIGN APPROVAL ALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. —2 ✓ 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. An Installation Fee is required. This form may be sunned and available for public view on the Mason County Web site. Updated Date: 12/7/2015 G3309t REEL l 3 2 FR 3 9 i 96 Boundary Lima AGjustment fors BLA NO. 'r.3 AP Rq N. Patricia Holman 3221 CerpantK Road BE Nmeon ty Department of Lacey NA 98501 Comeunity Davelopment •si a4'E e5 '6 yam. R 3 ."_ —a— OtA 67 W N FELI 2 8-JD•5 � Oc REELfi+.tlp, AUDITOR MA504 COUNTY .,_^.St ALLAI I BROTCHE E R% AS2b A4Ob REQUEST OF., At� a ADJOaTNrjrt Dl+ 1SP.'MKly AVYUelc"M U111ra l-�` -gl':abort Subdivision No. 2705 and mLat Ns of Boundary Lin. ustmesi! No' 94-15, in Government Lot one (1) end the Norlhseet �tr y'gynnAip 2Da Nort7lth RARge S N![y.1i�r Ns hington all In section del NO. 52009 75 9018J and all of ParNl NO. 52009 75 00170. SCALE+ la - 200' NO. >1J99 eaais of as i Beunaaey Lin. Adjustment No. 94-15, Auditor,. Pile No. 553405. NOTE: Thi. is a" A Survey. COUrme/, diatences and location of improvements shown hereoh Ara for Lilustrative 171YR0VE PROVE APR 0 2 2024 D APMAR 2 9 2024 MASON COUNTY ENVIRONMENTAL HEALTH . MASON COUNTY ENVIRONMENTAL HEALTF 2 °I JBW JBW g�M�dre N 33L3°�y�y}�p 2 k 4 I2 a d a ak: 8�`�GS < S y t F- 6 ¢ BYm t p `��r{ 4. tl t R I W��,� ,� g ; WW ��� i,��N • Sa J 9 � tee������'�gt8� C �� ¢ �Cak4 � •i���£o Q � ¢ 3F� 'i ?�. ' �! i a0 \8 33 #a°' � >p gggg a'Y -tl 9roa _n $ 82 C tgE n i M '�um�wsn�swwµ . '� vn'a� �+ any a LR�zvBaaE iRS:P.:888 c yy �� £8i::8:'o88g:Y:SC:RB °5 0 a����' wwwuuwwuuuwuu�•�.,, 6 w 7Y_ S::R48:7�RR=q` ;aog:�gi^gaiaak� ai�as � p�5g�'-a 41 b 3p 2 �� d9.�4 • o i� 5 g 3# 9A=aadep $3 �� 3 � '� �Y i e a N -�'% ♦ � 4 yypC€ - �_� ___ �_ i ¢ d 8an6 ztr t c 9 asp . g y Lu ,�'., $ CC PP�tOVE 14 APR 0 2 2024 9,2024Ef MASON COUNTY ENYI�ONMENTAL HEALT, 7J _n G1 MASON COUNTY ENVIRONMENTAL HEALTH W °�( JBW 150 108p loo' 200, — 30` EASEMENT — — — —(t:eeves Hilt 17r.-- - o z5 s.oy� �Ro? KAN �jyin*�Sn. S i 1 15 y &,,,Ix5z00q-75.9018Ti 300 1nf 'R ew&S H I If V r ,• A Newrf 510 341 h ,:kP.AULA JOY JOHNSON'•, .�., O Audio-Visual Alarm owaes 1 Cleariout © 1200 Gallon Septic Tank wnKS 2-Compartrnent with Effluent Filter r O1000 Gallon Pump Chamber 100' r W'v°At'�•gyc�c-S,.pt,a.� »1i 40� OS Valve Control Hoc o, r r' J � I S�ov6 \ 3'I• 0 - `E,5•( �oLE /6\ 75'X 50' grLM0.t't� dY4rM�iE�d SL to -mt `{\r)tne�ts OI 5' aG.l witkAYes¢cve �E7.ho ISL Wetland �3 3e � P R 0 V E sekb0.ck Pcr APR022074 PPROVE SP=Zoz3 8� 4 MASON COUNTY ENVIRONMENTAL HEAL MAR 29 2024 QOtzS B IY- JBW MASON COUNTY ENVIRONMENTAL HEALTH JBW Zlr L1.A, I.LS C4 � 0 3 Bac (az WS VAL aK a �I—t�aQy. ac l i e.4 3a r� bo" Ob` '� �DCb [�4alLQr+d�. {10 T nn e Sf 0.4. VVIV) VAULAJOT JONNSON'. }} cic FD r SCREW ON CAR NOTE 5 DEGREE ELBOW OR O=OBS£RVATION PORTS BE 4" 4 PVC PIPE FROM BOTTOMTOM OF TRENCH � TERALSwEEPING 90 TO FINISHED GRADE. REMOVABLE END OF CAP SEALL BE INSTALLED ON DITC IL OBSERVATION PORT PIPE. GLUED ON CLEAN OUTTEE AT BOTTOM. MINIMUM OF of IN SYSTEM. NOTE, CLFANOUT TO BE FROM 0 TO 6 LATERALS ARE TO BE CENTERED INNCCEEES BELOW FINISHED GR E. OUT IN TRENCHES REQUIRED AT END OF EACH LATERAL. 50 TRF7CES (�oD OCNIFO DD ORIFICES) P � D A PPROVE APR 0 2 2024 MAR 19 2024 MASON COUNTY ENVIRONMENTAL HEALTH MASON COUNTY jBMENTAL HEgITN U JBW Length Length Oriftce # Distance from Distance from Lateral# In. FIL Spacing Orifices Feeder Line In. Cleanout In. 1 600 50 60 10 30 30 2 600 50 60 10 30 30 3 202 50 60 10 30 30 4 800 50 60 1 10 1 30 30 Total Lateral Len th _ 200 ]Total#Orifices 40 GPM= 23.6 Dynamic Head Calculations j Selected residual pressure: 2 ft. Length(Ft.) #Orifces Transport Pipe 80 40 0.80 ft Feeder Total Lateral Line Length Lateral#1 50 2 52 10 0.29 ft. Lateral#2 50 7 57 10 0.31 ft. Lateral#3 50 12 62 10 0.34 ft. Lateral#4 50 17 67 10 0.37 ft. Total Elevation Lift 5.00 ft. Total Dynamic Head 9.11 ft. c ��J PAULA JOT JOHNSON 'f LiCtYiaEflUF�i NE 1" W L PPROVE TZRO " A 2 9 2024 APR 0 2 2024 MASOMCOUNTY ENVIRONMENTAL HEALTH q MASON COUNTY ENVIRONMENTAL HEALTH JBW JBW -T1 a4 Bronze construction avaitable(139 series) • High head version available(145 series) Double shaft seaLversions available for added protection Flow-Mate on models 1401145. In high head dewatering or effluent For more information,see Technim(Data Sheets FM278Z FM2783. applications where pumping performance is critical, this robust _ I m,eEcws family of pumps is known for reliability, xmemmmRa durability and performance. These pumps are especially suited for harsh environmenm ZoelleescooLrun design and corrosion-rescaUn,powder coated epoxy finish add up to a Long-lasting, trouble-tree product. APPLICIITIONB: STEP or onsite applications �< • Watertransfer I, • Light commerciaL dewatenng SPECIFICATIONS,. NPTdis: • 1-1/2"NPT discharge • 1/2 HPthrough 1 HP NIMFI USA Available in automatic or nonautamatic AP11aag1aR51 Model 137,139.140:1/2'(12 rum)spherical solids capacity mth vortex impeller, ° . . . • Model 145:3/4"(19 mm)sphencaLmUdscapadty with vortex impeller n• � - . . tu PUMP PERR NCE CURVE Dose-Mate ov PT6VA1ent w MOD 151 52/153 This is our fastest growing line ofeffluent pumps.The 150seriesistrulya workhorse designed for reLiability under extreme it m conditions in an effluent environment 150seriespumpcumescoverawiderange rst ro of applications. They are well suited to m applications with low pressure pipe(LPP) and enhanced flow STEP systems.Zoeller, 6 as tai cooL run design and corrosion-resistant, a powder coated epoxy finish,in addition B a m to the hermetically sealed,oil-fiLLed motor is and non-clogging vortex impeller add up to a a long-lasting,trouble-free product to APPLICATIONS: • STEP or onsite applications a MADE INTHE USA m m m AO M cap m as as I. Light commercial dewatering 03GAVOINF61[ORHI oy 9PECIACATIONS: R6 0 b p Im 1 10 L ]m 3A 9& • 1-1/2"NPT discharge xaw EEa Nixon oi,me 3110 HP through 112 HP �p Available in nonautomadc or with a variable Level �P p R 0 V. E APPROvE piggyback mechanical switch • 1/2"(12mm)spherical solids capacity with vonex APR 0 2 2024 MAR 2 9 2024 tbemmplasdc On,se er For more inJormaOon,seeTechnim(Door Sheet FM2784.11AA����((�1gN� IIIIpp��77yy ILIR,O,L��{MENTAL HEALTH MASON NT ENVIRONMENTAL9EALTI- CAUrIghtImserved. ZOELLERPOxt'CC..YSOI'-A 800g28-7867I meter um scorn -7 d�. � w awe FRM iEWAM L SAW95 I PLON"m No j APPROYM EFRUfff f SEDDIISM pLIMp CHAMBERS OVER ; C YAK Acoo GALLONS REQUIRE (2).21V ACCESS FUSEP'a IJi FJNM GRADE ACCM SIR= YALW FROK SEP= TASK TO SGRalm—sr*PAU SMIN WATM AZAW,Lela ANn- Saa" ow Lida i WORKma r4L,,Aw II RAW SIM ENCLOM FEMW 8WDMKr-%9tawz nouwxw CN=WALVEx PUMP 7 71, 2 MAN 9 A-0-1g. and 2 c( MASON COUNTY ENVIRONMENTAL H COUNTY ENVIR JBW JBW I auet : Septic oea w INS r A r r ATTON& PENANCE Pressure Di don Systems s,00]da PAULA JOY JOHNSON 1. Install Laterals with contour of the,ground L 2. Install trench bottoms level. 3. Install locator tape or rebar at each end of all drainfield Laterals. d distal end of each 4. Install observation ports as indicated on the plot plan One require lateral in drainfield with bottom extending to the dtainrock/native soil interface. Glue "f"to bottom so observation port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather end soil conditions;any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals(cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. S. Install 1/8"mesh non-corrosive pump screen(min. 12 sq.ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank. Pull bio-tube every 6-12 months and flush back into tank. 9. Install ami-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 10.Install check valve in pump outlet line to prevent system from draining back into the Pump chamber. 11. Tee to Tee oonstnution between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock,(do not glue),after pressure test and Environmental Health Dept approval,turn orifices down(6 o'clock)and glue laterals to manifold Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12--Fiher fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 13.Encase all water lines within 10' of drainfield and under any driveway/parking areas. 14.Divert all storm water runoff away from on-site sewage system. 15.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area 16.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 17.No vehicular traffic over drainfield area 18.Inspect floats, clean Biters,and test high water level alarm every-6-12 months as needed. 19.All materials and workmanship must meet County and State regulations. 20.Deviation from this design without prior approval from the Designer and Ylason County Environmental Health Department will make this design mull and void 21.All manhole lids and access, sampling or inspection porn musr have locking coven and be located at ground level. 22.All pressure systems with a pump chamber oul- et higher than the drainfield must have a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. 23.All transport lines under driveways or parking areas m••.st be encased to prevent crashing. 24.Homeowner is responsible for�Ippp V EWCOUNTY p p R 0 V. E APR 0 2 23 MAR 2 9 2024 MASON COUNTY ENVIRONMENTAL ENVIRONMENTAL HEALTH " tj JBW JBW