HomeMy WebLinkAboutSWG2024-00106 - SWG Application / Design - 3/18/2024 415 N 6TH STREET,SHELTON,WA 98584
® MASON COUNTY SHELTON:360427-9670,EXT 400
HELTON:360. 27-9670,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 4D0
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00106
EQUALL ET AL MICHAEL S& Phone:
APPLICANT JACQUELYN M
Address: TAYLOR SAUNDERS DES MOINES,WA 98148
EQUALL ET AL MICHAEL S& Phone:
OWNER JACQUELYN M
Address: TAYLOR SAUNDERS DES MOINES,WA 98149
SEPTIC DESIGNER BRAD
OD S BOXM�GIG septic
H designer
98335 Phone: 253-851-2178
Address:
Site Address: UNKNOWN
Primary Parcel Number: 221144190030
Permit Description: New SFR-3BR Nuwater
Permit Submitted Date: 0311812024
Permit Issued Date: 0411112024
Issued By: Jeff Wlimoth
$526.00 (additional ees may be required upon Installatlpn of system)
Current Permit Fees Paid: .
Permit Expiration Dale:
0 3121/2 0 2 7 leased on dale of nspecnon)
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 backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 Mason County Asbuilf 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: masonoountyw3 0-427 9670 nviron entail nsiteloss-inspeclion4equest.php or call:
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH
ONSITE SEWAGE SYSTEMAPPLICATION Mp W MGW@ 25m
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E7 REPLACEMEMBYSTEM O WBTALLATIONPERNITONLY TETWp WpTYµrELL 1
O TABLE a RE PAIR 0 EINGLE RAMILY 0 COMNUNITYNUBLIO WRER9Y8TEN
0 TANK(a)ONLY 0 COMMERCIAL SY8.EM NAME
O UPGRADE TO EKISLWG 0 OTHER: eEORaONA �,�
0 EKMTINGFAILURE 'NroNOnweypuM 2
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OFFICIAL USE ONLY BELOW THIS LINE
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DESIGN FORM-PAGE ONE Assessor's Parcel Number: vL-ZJ_j_4-_ -e4I �Q
A design wild be reviewed when 3 topics of emb of the following are submitted:
"Completed design Loan that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checkist
•Scaled plot plan,including all applicable items on checklist. 'r Cross section sketch,including all applicable kerns on checklist.
This form m be scanned and avanable for public New on the Mason Web aft Maximum sin: 11"X 17"
-.: P K%TM TN-
Permit Number: SWG not NI Designer's Name: 64W (-
Applicant's Name: - - A i &0 A:tL Designer',Phone Number. 0 -Zd')$
Mailing Address: ,IG ,r Designer's Address: )
City SheaCi Shim
YAR+1At6T$S8; «. -
Treatment Device
❑tnendon Bivrdtar ❑sanal-mer amznoa 0ssc1d LlnadrbainIlNa ❑Rernrnl,tmgpt, ,Type:
❑Aerobic Unit Make/Model ❑DW fecdan Unit MakdModel Other:
Drainfleld Type
17 Gravity ❑Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Dratufleld Specifications LateralsNumber ofBodrooms --.;�_ Schedule/Class
Daily Flow:Operating Capacity (=CJ gpd Length
Daily Flow:Design Plow �'4,r-n gpd Diameter in
Septic Tank Capacity 2ZQ galNumber
Receiving Soil Type(1.6) —"--"fc_ Separation r fi
Raceiving Soil APPL Rate r d<; gpd* Orlflcel
Required Primary Area ---- ft Total Number of Orifices )
Designed Primary Area () & Diameter in
DestmedReserve Area elnC1y ft2 Spacing in
Trench/Bed Width *jL ft Manifold
Trench/Bad Length Zco ft Schedule/Class �Q
Elevation Meast remsentss Lengtb Z it
Original Dminfield Area Slope / % Diameter in
New Slope,If Altered % Preferred manifold configuration R es ib No
Depth of Excavation Upabpe 1 m Transport Pi
from Original Grade Dc..Iope m Schedule/Cla,s
Designed Vertical Separation in Length ? ft
Gravallew Chambers Required? Cl Ya o ISH*honai Diameter Z in
Pump Required? 3<es Cl No Dosing and Pump Chamber
puraptsiphaft Specifications Number ofdoseaiday Q
Difference inElevation B Pump Shuto end tTppeamoet Dose quantity gal
Orifice It Chamber Capacity gal
Uppermost Orifice❑Higher C]Lower than Pump Shutoff Pump controls: lease check those required.
Capacity(a}Total Pressure Hes d lz�_ ®m 13TTEM 85�e<mew a E ent Counter
Calculated Total Prmaure H 7-3 ft if Timer: Pttmp on
Comment11V V al' )
APR 1 1 2,24
MASON COUNTY
JBW
DESIGN FORM—PAGE TWO Assessor'sPareel Number:Y—SI-1-4- �� — � UU p
ParmitNumber: SWO
DEffiGN:CHECKC,TSTS
-Scged Plot Plan Se Layout Sketch Cross-Section Sketch
CY est hole locations vfield orientation and layout Referencydepth from original grade:
it logs - Trench/bed dimensions and ,septic tank
arty lines yriticat distances within layout Qr prainfield cover
IffExisting and proposed wells 0'JkHox(Valve box locations
}v'thin 100 ft of 0/ Reference depth from original grade
�/ property Septic tarwPurnp chamber and restrictive strata:
nts to cuts,banks,and yvations 0, Laterals,trench/bed,top and
ce water and critical areas r�/p1�{aervation port]ovation bottom
Location and orientation of Lf can-out location ❑ Curtain drain collector
curtain drain and all absorption anifold placement ❑ Send augmentation
nents
Loc ati Orifice placement Other ssection detail:
on and dimension of
�mary system and reserve area Lateral placement with distance Other
ports/clean-outs
Jff kedge of bed Other Information
ble/visual alarm referenced yea No
�-W:az!
of slope indicator
s Scale of drawing shown on scale ❑ Lft Desigo staked out
h� P P R O V E ❑ corded Natives attached
easements,driveways, Waivers)attached
g Cf P.ttnrp crave attached
w and stele drawing APR i i �p 0 Fvaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HEA oa-residentlal JuatlIIeatlou
JBW ❑waste strength
❑ ❑Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installatloa IY`fes ❑ No
hrgmtraeofDesrgner Date
The undersigned has reviewed this design on behalf of Mastro County Public Health and determined it to be in
compliance with state and local psi a regulations:
C J<<�n
r1 Health specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
The design is stamped"Approved"by Mason County.PubHc Health.
The Onshe Sewage Permit has not expired,the Permit Expiration Date is: 3�I -2
Drainfield site conditions have not been altered ro 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 Dare: 1217/2015
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MASON COUNTY ENVIRONMENTAL HEAL119
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L OESM D67RBllI ON NETWORK
A DAILYDESIGNFLOW-
3�v �.
B.APPLICATION RATE,based oo soil type— -
C.RRnrtmRn ASSORRUDNAREA —
-- O it
TRENCH OR BID WIDTH 31
AL BED OR TRENCH LENGTH-.BD
ON OFPROPOS DRAE�[A CONFIGURATION:
ZNE RKCONRGLIPATKft
.. A LATERAL LENGTEr—
B.LATERAL SPACING-
C. TRANSPORT PIPE LEUMB-
ANI7 DIAMETER z"
D.MANIFOLD T.ENNGTa= ___ Z�
LATERAL RESIDUAL ORIFICE LAT
ERAL
CES ORIFICE
UMBERS PRESSURE DIS. DIS.
I`I S. SPACING
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! 12024 Lf
UNTY ENVIRONMENTAL HEALTH
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Paves
L SELCECT THE MANIFOLD DIAMETER,USE APPENDIX4:' r
I.WITH INFILTRATOR TRENQ3S,ORIFICES TO BE FACING UP:
1. RECObAIEPIDEDDOSMEMUENCY/DAY- J� DOSESIDAY.
2. RECOWENDED DOSE VOLUE- y, _GAL. .
,!. REQU]REDPUMP CAPACITY- Z(v•" A T(YfAL GAL.
(som of all&sebwp rates 5mm in 1 R: )
a TOTAL FRICTION LOSSES N THE NErAORK
A.TRANSPORT PIPE LOSS—
PIPE PAYE FLOW FRICITONLOSSPER PIPE FRICTION LOSS
MAMMAL DIAMETER (GP* 100 FT.OF PIPE LENGTH INPB�B
::�,,04v Z4, ,y 1'J a 110,
&CALCMAXE MM T0TAIEL5VA.TIONLiFT-
,L DEITIME THE TOfALDYNANAC HE4D:
• SELECTED RESMUAL PRESSURE + 2.5 Fr.
• TRANSPORT POE FRICTION LOSSES + I , �,
• MANIFOLD ASSY.LOSSES + ¢j.g F(,
• MANIFOLD AND LATERAL FRICTM LOSSES + 1.0 FL
• TOTAL ELEVATIONLIFT + 1 :05' F[,
Tr1TAT TVNIIrt!'ria:AT- ��,45 EL
APPROVE
APR 1 1 2024
S 8l3ECfA P�' MASON COUNTY ENVIRONMENTAL HEALTH
REQUIRED CAPACITY 2 �'' GPM �T,OOT�A7L DYNAMIC HEAD Z FP.JBW
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