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Home My WebLink AboutSWG2024-00131 - SWG Application / Design - 4/4/2024 MASON COUNTY 415NBTHELTON: , 0427-97 ,EXT 400 SHELTON: SHELTON, EXT 400 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:3604825269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00131 APPLICANT COLLETTE ET AL DON Phone: Address: PO BOX 134 HOODSPORT, WA 98548 OWNER COLLETTE ET AL DON Phone: Address: PO BOX 134 HOODSPORT,WA 98548 SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360426-5940 Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584 SEPTIC INSTALLER TJ GODS* Phone: 360490-0217 Address: 150 E MARISA PL SHELTON,WA 98584 Site Address: 291 N SZOLOMAYER LN Primary Parcel Number: 422147600040 Permit Description: Repair 3bd gravity trench Permit Submitted Date: 0410412024 Permit Issued Date: 04109/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (addiYonal lees may be remised uaoe Installation of srsxem). Permit Expiration Date: 0 410 5/2 0 2S (based on date of denebon) 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 barJxrll 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 CIS& 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.govihealthlenvironmentagonsiteloss-inspection-request.php or call: 360427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY IDmmvD EU LA � m w COMMUNITY SERVICES ^ �x..N,lu�m�RRXNeeNvN,wHN,MB � (e �� .,,.M.�....R.Na,.M.»R. —V o SWG - °D 2 r%N ON-SITE SEWAGE SYSTEM APPLICATION a z 0 APPucANT P»oNE m m Don Collette (253) 797-0759 c WILING ADDRESS-EM ET.CRY,STATE DP CODE 3 P.O. Box134 Hoodsport WA 98548 In 51iE P➢ORE68-BIREET,CRY ZIP CCGE 291 N. Szolomayrer Lane Hoodsport WA 98548 a NAME OF DESIGNER PHONE I N Dale L. Tahja (360) 426-5940 NAME OF INSTA PHONE O I N T.J. Goos (360) 490-0217 < pENMITTVpE(xyt mipl y CCtt IXIINNMIGYNTER SOLWCE KRESIDENTIALOSS ECOMMUNITYOSS &OMMERCML OSS Jn PRINATEINDIVIDUALWELL ITPRIVATETWO-PARWWELL = I � TREOFWJRKNNM .e) M PUBLIC WATER SYSTEM ffjNEWCONSTRUCTONIUPGRADES JUREPMRIREPIACEMENT OTIEROETALLSIw 00wdq DYABLE DI REPAIR IV SUBpLIR;'fKS ❑SURFACING SEWAGE 50 EXISTING FAILURE 0 SHOREUNE INESIGN FORM(REQUIRED) ZISEPTIC DESIGN(REQUIRED) BEDROOMS LOT SUE E'VMIVER(S)IIF APPLICABLE) 3 3.94 acres C.) Io OIRELTKK15R181iEMID&lE CIXiLYTYJNS'W kVNpeYJ North on Hwy 101 to Hoodsport, turn left on Cedardale Lane, turn right on Szolomayer o Land, property on the left. o I o BFIEM/SIBFRAOBFO FMMINIWAOADM'D IESTNgESYU4fKM6RED N1TN iESTAtl1ENINRS. ( I C) OFFICIAL USE ONLY BELOW THIS LINE UPG ADEIFAILURESWRCEPRnP%N Ww4 ❑VOLUNTARY 0MAINTENANCEPUMPING ❑BDILOINGPERMIT 13HOMES E [3COMPIAINT ❑OTHER. INSPECTOR SOM LOGS COMMENTSICON.". '7D k- VVA m b+-" RN R, 151w ` 1 r $pry bad-yo+{o.v�(%rtMV"' MILDODER •�� 4#Z 6S+ Nlr4- RECORD DFAWNGAND INSTA TON REPORT V=VET' G=GRAVELLY S=SAND LILOW 5=SILT C=CIAY E=EXTREMELY R=N003 REWIRED FOR FINALAWROVAL IN5PECTORSIGWWRE DATE APPLICATTNEXPIRATI NDATE MPUCATIWAPPROWD'ISSUEOBY WTE TNN FORM WY BE NNEO A0 AVABABLE FOR PUBLIC VIEW ON THE MASON COUMY WEBSITE REVISED'.IE r DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 1 4 — 7 6 — 0 0 0 4 0 A design will be reviewed when 3 copies of each of the following an submitted: Completed design farm 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 maybe scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17" PARCEL,IDRNTLFICATION Permit Number: SWG �2��UL) Designer's Name: Dale Tahja Applicant's Name: Den Gillette Designer's Phone Number: (360)4255940 Mailing Address: P.O.Box 134 Designer's Address: 2450 W Desggn Rd W Bandepnd WA 08548 sheiks, WA sew Ci State Zi City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Send Filter ❑Mound ❑Sand Lined Dreinfield ❑Rcdr;a%ingFilW Type: ❑Aerobic Unit MakeiModel ❑Disinfection Unit Make/Model Other: N/A Drainfield Type s(Caavity ❑Pressure RfTrench O Bed ❑Sub Surface Drip Septic Tank/Dreinfield Specifications Laterals Number ofBedenuars 3 Schedule/Class Sch.40 Daily Flow:Operating Capacity 270 gpd Length 67 ft Daily Flow:Design Flow 360 gpd Diameter 4 in Septic Tank Capacity(working) existing 1,250 gal Number 3 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl.Rate 0.6 gpd/leOrifices Required Primary Ara 600 ft, Total Number of Orifices Perr. Pipe Designed Primary Ara 600 ftr Diameter in Designed Reserve Area 600 Rc Spacing in Trench/Bed Width 3 R Manifold Trench/Bed Length 200 it Schedule/Class Sch.40 Elevation Measurements Length 25 ft Original Drainfield Area Stope, 15 % Diameter 4 in New Slope,If Altered 15 % preferred manifold configuration used? O Yes O No Depth of Excavation UPAo 29 in Transport Pipe from Original Grade row-atop¢ 24 in Schedule/Class Sch.40 Designed Vertical Separation 36 in Length 30 ft Gravellms Chambers Required? ❑Yes O No Optional Diameter 4 in Pump Required? ❑Yes idNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day N/A Diff.in Elevation Between Pump&Uppermost Orifice_a Dose quantity gal Drainfield Squut Height/Selected Residual(head) _ft Chamber Capacity(flood) gal Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head NIA grin OTimm OElapw Meter ❑Event Counter CalcsdaledTow pressure R%d it If Timer: Pump on Pump off Comments The piping in the existing drainfield was root bound due to tree and scrub growth within the drainfield. Bio mat had formed in the drainfield piping and in the drainrock, limiting effluent flow. r DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 1 4 — 7 6 — 0 0 0 4 0 Pemdt Number. SWG *PON Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Id Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: 111 Soil logs Ed Trench/bed dimensions and E6 Septic tank lb Property lines critical distances within layout 51 Drainfield cover id Existing and proposed wells Rf D-BoxNalve box locations Reference depth from original grade within 100 ft of property Rf Septic u nk/pump chamber and restrictive strata: 1Z Measurements to cuts,banks,and locations 69 Laterals, trenchlbed,top and surface water and critical areas 19 Observation port location bottom 19 Location and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption gf Manifold placement ❑ Sand augmentation components 9 Orifice placement Other cross-section detail: Id Location and dimension of 66 Lateral placement with distance Ed Observation ports/clean-outs primary system and reserve area to edge of bed m Buildings Other information ❑ Audible/visual alarm referenced Yee No m Direction of slope indicator Rf Scale of drawing shown on state Rf ❑Design staked out 21 Waterlines bar ❑ ❑Recorded Notices attached m Roads,easements,driveways, ❑ ❑Waiver(s)attached parking ❑ ❑Pump curve attached la North arrow and scale drawing 19 ❑Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer t be notified b insta a at time of installation R1 Yes ❑ No 'A rn -0 Signature of Designer Date .sE ¢ �S 5.4 w The undersigned has reviewed this design on behalf of Mason County Public Health compliance with state and local on-site regulations: tiP r r2�5�E Environmental Health Sp ialis[ Date tiU CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITI ✓ The design is stamped"Approved"by Mason County Public Health. / ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: I�I ✓ Draintield 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 Mason County WA GIS Web Map i� t ,t t � � \ \ 4, I I ,t y t APPROVED APR 09 2024 J �., MASON COUNTY ENORONMENTAL7�, RET 41412024,7:36:40 AM 1:1.531 0 0.01 0.03 0.05 mi County Boundary o.m 0.04 0.08 wN No Filled Site Address (Zoom in to 1:3.000) FAO,Wa.NRC.W.GeoBeee.IGN.Nepal NL QM1v:m 9uM'.Fail Tax Parcels (Zoom in to 1:30,000) F„�'o", �„ F� (H° ° °"("Opwmmww w.N,cwry wn cw was uo apNN.mN N.�carry aa.m.�ur.uwuFv.a N..em..n.:ma.xao,m�iw.arwwao,„romx nep.n....�uee.�meco�p � a s f'{y 9700:7 DAU L.TAHJA UCEN$ED DE`$IGIVEjt APPROVED APR 09 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET Installation/Maintenance Gravity Distribution/Trench Systems 1. Install trench bottom level and in contour with the ground. 2. Install drainfield during dry weather and soil conditions.Any soil smearing must be eliminated by hand raking any areas that get smeared. 3. Divert all storm water run-off away from septic system components. 4. No curtain(french)drains allowed within I Oft. of the up-slope edge of the drainfield and reserve area. 5. No curtain (french)drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 6. Have the septic tank pumped or inspected every 3 to 5 years. 7. All material and workmanship must meet County and State requirements. 8. Install risers on septic tank. 9. Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 10.The prepared Site Plan is not a survey, it is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the Designer immediately. 11.Locate all utilities prior to starting installation. APPROVED i� APR 09 2024 a MASON COUNTY ENVIRONMENTAL HEALTH RET 5100214 ' Dale L.Too LICENSED DESIGN R SX^" t ell a car �-f ex�51� w � 'a a x 1 L 8 0 y / a ego a yam L T � �Cc'�SED J6- JNER h �� VA sq. �?rrti