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HomeMy WebLinkAboutSWG2024-00143 - SWG Application / Design - 4/11/2024 MASON COUNTY 415NBTHELTON: ,SHELTO70,EXT 400 SH STREET, ,SHEL ON, EXT 400 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:3604112-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00143 APPLICANT David and Deborah Rossi Phone: 206-228-0957 Address: 214020 E SR 3 BELFAIR, WA 98528 OWNER David and Deborah Rossi Phone: 206-228-0957 Address: 214020 E SR 3 BELFAIR,WA 98528 SEPTIC DESIGNER CINDY WAITS-Septic Designer Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON,WA 98684 Site Address: 193 E Point Wilson Rd Primary Parcel Number. 120193290020 Permit Description: 3-bedroom pressure bed Permit Submitted Date: 04/1112024 Permit Issued Date: 04/23/2024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (addldonalieesmayberegmred aanninsranadonor.rareml. Permit Expiration Date: 04118/2027 (basin on dale or lnspoodon) 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 specked 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 DesignerlEngineer 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.govlhealthienvironmental/onsite/oss-inspection-request.php or call: 360427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY D4TEPFCRVER ' y ® COMMUNITY SERVICES `AOs`yls_ \ � O N PUMN He.Nn ICOmmunn PHeaMrEmimnmenUl neellM1) R O SWG �o Z 60l s p ON-SITE SEWAGE SYSTEM APPLICATION 3 A m � APPLICANT PnorvE ITT ROSSI 206-228-0957 c MAILINGADOREM-STREET.CITY STATE,ZIP COIF 21402 E STATE RT 3 BELFAIR WA 98528 z 8ITEADDRESS-STREET CITY BP CODE 193 E POINT WILSON RD SHELTON WA 98584 NAME OF DESIGNER I to CINDY WAITE NUME 1-0205 NAME OF INSTALLER PHONE I 0 TBD T rA PERMITTYPE(eMaS coal DRINKING WATER SOURCE O ®RESIDENTbAOSS EflCOMMUNITYOSS JJCOMMERCIALOSS 151PRWAMINDIVIDUALVOELL ®PRWATET PARIYVrELL 2 I � ME OF WORK(aYe[f Prle) IE PUBLIC WATER SYSTEM 1 ®TT�SCONSTRUCT10N � DI IUPGRADES REPAIRIREPLACEMENT OTHFR DETALS(ac'ecfedmxeWYl E]TABLE REPAIR Su Iw ❑ VDESIGNFORM(REQUIRED) ESEPTIC DESIGN(REQUIRED) BEDROOMFACING SEYNAGE ❑E%ISO N� ILURE (]SHORELINE IN 5-MIVER(S)OF APPLICABLE) 3 330'X661 DIRECTIONS TO SREPNO SITE CONDITIONS:. lacb .l GO ONTO HARSTINE ISLAND, TURN RIGHT ONTO SOUTH ISLAND DRIVE, TURN RIGHT AT NEXT TEE, TURN LEFT ONTO PT WILSON RD. DRIVEWAY IS .2 MILES ON r THE LEFT SIDE OF ROAD, MARKED WITH PINK RIBBONS. PARCEL IS 900' DOWN ° THE DRIGEWAY ON THE LEFT. I N SREMUS1EEFlAGGFO FROM.WINR0A0 ANDTEST HOLES NUST BE F4GGEDWIINTEST HOLENUNBER3. I C� OFFICIAL USE ONLY BELOW THIS LINE 11PMADE/FM W RE S W RCE(1w,aiatl,p P�Pueq O VOLUNTARY []MAINTENANCEIPUMPING []BUILDING PERMIT []HOME SALE OCOMPIAINT 0OTHER: INSPECTORSOILN?GS COMMENTSICONDmONS rw s_o- ql Its fo 4okm Twi:o- '«5IS 10 IV" w3:0-19" SG 21- 11145;1- tf`1:0-Zr'S'L z? 31R cR RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V-VERY G=GMVELLY S=SAND L=LOPM Si-SILT C=CLAY E-EXTREMELY R=ROOTS REQUIRED FOR FIHALAPPROVAL. IHSPE TORG, SIGNATURE �� DATE APPLICATION EXPIRATION OATS MPLIGITI PROVEW ISSUED BY DALE Z 47 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE SIASON COUNTY WEBSITE REVISED lWnO15 /a / DESIGN FORM—PAGE ONE Assessor's parcel Number: 2 0 1 9 — 3 2 — 9 0 0 2 0 A design will be reviewed when 3 conies of each of the following are submitted: a Completed design farm that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist o Scaled plot plan,including all applicable items on checklist. a Cross-section sketch,including all applicable items on checklist. This form be conned and available for public view on the Mason County eb site.Maximum paper size: 11 'X 17" PARCEL IDENTIFICATION Penait Number: sWG 70p-(jO Designer's Name: CINDYWAITE Applicant's Name: DAVID/DEBORAH ROSSI Designer's Phone Numb 36D-701-0205 Mailing Address: 21402 E STATE RT 3 Designer's Address: 60 E PICKERING LANE BELFAIR WA 98528 SHELMN WA 986" city State Zip city State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑ Re iroulating Filter,Type: ❑Aerobic Unit Make/Model O Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity of Pressure ❑Trench IF( ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterah: Number of Bedrooms 3 Schedule/Class SCHEDULE40 Daily Flow:Operating Capacity 270 gpd Length 50 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 / in Septic Tank Capacity(working) 1200 i gal Number 3 Receiving Soil Type(1-6) 3 i Separation 3 ft Receiving Soil Appl. Rate .8 gpd/fe Orifices Required Primary Area 450 ft' Total Number of Or fices 30 i Designed Primary Area 460 fP Diameter 3116 in Designed Reserve Area 450+ fit Spacing 60 in Trench/Bed Width 9 ft Manifold Trench/Bed Length 50 ft $ dule/Class SCHEDULE 40 _ Elevation Measurements n 6 ft Original Grainfield Area Slope <1 % 'pie 2 in New Slope,If Altered % anifold nfiguration used? O Yes El No Depth of Excavation Dvsloce 15-16 1 in s� +- r g 1a Transport Pipe from Original Grade �wnalaoe 15-16 i ,S' SCHEDULE 40 Designed Vertical Separation 24 LICE s c '1 n 100 ft Gravelless Chambers Required? [3 Yes ❑No 2 in EX"', LS J51J. Pump Required? III Yes 17 No D Bing and Pump Chamber Pump/Siphon Specifications Number ofdoos/da 6 Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 45 gal Drainfield Squirt Height/Selected Residual(head) 2 it Chamber Capacity( ood) 1� gal Uppermost Orifice If Higher 13 Lower than Pump Shutoff Pump controls: Pie a check those required. Capacity Q Total Pressure Head 17.7 gpm gTimer R(Elapse Meter St Event Counter Calculated Total Pressure Head 12.587 ft If Timer: Pump on Pump off Comments q CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD SQUIRED, PUMP CONTROLS WILL BE SET AT TIME OF INSTALLATION DESIGN FORM—PAGE TWO Assessor's Parcel Number. l 0 1 9 — 3 2 — 9 0 0 2 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Id Test hole locations 9 Drainfield orientation and laY01 r Reference depth from original grade: Ia Soil logs 21 Trench/bed dimensions and Rf Septic tank it Property lines ,,� critical distances within layout W Drainfield cover it Existing and proposed wells I64BoxNalve box locations Reference depth from original goods within 100 ft of property 66 Septic tank/pump chamber and restrictive strata: di/&asurements to cuts,banks,and locations p to/i _4e ig Laterals,trench/bed,top and surface water and critical areas 19 Observation port location bottom k IA,ocation and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption R1 Manifold placement ❑ Sand augmentation components 69 Orifice placement Other cross-section detail: ib Location and dimension of Rf Lateral placement with distance Rf Observation ports/clean-outs primary system and reserve area to edge of bed Other Information m Buildings 56 Audible/visual alarm reference Yes No lid Direction of slope indicator 9 Scale of drawing shown on scal Ed ❑ Design staked out R1 Waterlines bar El Recorded Notices attached 6i1 Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached 111 North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale but Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be noti b in/ aller at time of installation Ed Yes ❑ No 8n � ,y W414 v 10 2.r2 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 on-in gulations: �> APR 2 3 2024 Environmental Health Specialist Date ";CpUh'ry fNVIRONM fN;q/p„-.. CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE F LLOWING CONDYDI4� ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Dace i [ ✓ Drainfield site conditions have not been altered to adversely affect condi ions of design approval. Please Note: The system must be installed by certified installer, unless prior authorization is obtained from Ma on County Public Health. An Installation Fee is required. 4 This form may be scanned and available for public view on the M n County Web site. Updated Daze: 12/72015 0 1A c e 4 � n � 1 0 Y y o® � e S w W r r• r W c v N � VIA w 0 © i ie O ` LIGENSM GESIGNEB O N E."RLS ovum � 4 73 4 (/ x ) A P A A r I x i i g o P Z F c i F L = tIt 1 ICA 1 z� C) 1� �A w r r feral Nj Length _ Length Orifice N Distance from Distance from end Length p (Feet (Inches) Spacing" Orifices feeder line _ of end of lateral 11 _ 50 600 60 10 S 2.5 50 2� 50 600 60 10 5 2.5 50 3 50'. _ 600 60 10 5 2.5 50 150i 30 TRANSLENGTH K (2"SCHEDULEN 40) FRICTION LOSS Elevation difference 10 TDH 12.-r4r7 !, n V t' Pe < SpQc�d' APR 2 3 2024 L�qg�*CCJPlTy E,4VIRONRENTAL, J,1 H rq © G�CQN UL� i y, ehs pay "� D Rai "/1 L 5 si yl Cr��isoes 't ti "�s +ma G/7x t zyx s� M 1 THREADED CAP OR PLUG ✓aJ, 6" PVC Ii LAST ORIFICE;WITH ORIFICE SHIELDS IF ORIFICE ORIENTATION IS BACKFILL UPWARD MATERIAL \\� "ppp opOp PRESSURELATERAL AS SPECIFIED PVC HOSE OR \�\ oD o ��°oop0 LONGSWEEP \/ o e o ELBOW / / DRAIN ROCK; 6"MIN. BELOW PIPE UNDISTURBED SOIL 6"PVC WITH DRAIN HOLES; EXTEND TO BOTTOM OF GRAVEL TO MONITOR PONDING INFILTRATIVE SURFACE r A� MONITORINGICLEANOUT 13ORT a� (EXAMPLE) s t G E.WRITE LICENSED DESIGNER Lxt4RES 0S1b OR 2 ENVI O�MENTAL HEALTH n I ZOO 7.i� 4w< SECURED LID WITH GASTIGHT SEAL 1 26'OINETER ACCESS RISER PO W SSSDE TO PUMP / CHAMBER FROM SEWAGE / SOURCE FLOATING"T APPROVED EFFLUENT FILTER SEDIMENTS APR 23 &EPfIc rANK MgSGN(ffiI-QAIJ � CGUN1yE,yVIRONL�=1 HEdLTP BECUREyJ.ID WITH GAS TIGHT SEALpiA THREADED UNION 24'DIAMETER 'ACCESSRISER SERVICE FINSHS m - "'_-� VALVE' FROM SEPTIO TANK TO GRAINFIELD EMERGENCY ETOINEM ANTI SIPHON VALVE• HIGH WATER ALARM LEVEL WORKINOVOLUMS INDEPENDENT FLOATSTEM NORMALTIMER OFF LEVEL - FOR FLOAT ENCLOSED PUMP MOUNTING SEDIMENT SHROUD` CHECK VALVE' 18' BEDIMENTS SUBMERSIBLE �Q CENTRIFUGAL Y PUMP wf�418 PUyP_Ct11�M@ER AS NEEDED CINDY LIC DESA1III R rZOU E%RMES OLIW r I lib ■Pump Specifications �■■■■■■■ri■r=� ■■��■■■■®� i V ■■■■■■�■1�■■ ■■■■■■■i\II■■ ■■■■■■■\11■■ LITERS PER MINUTE WAITE ■■■■■■■■11►!■ ■■■■■■■■11\\■ COUNTY ■■■■■■■■11�\■ ■ . Installation Notes Pressure Distribution Syste 12019-32-90020 193 E Point Wilson R 1. The prepared site plan is not a survey. It's the owner's res onsibility to verify property lines, utility lines (water, sewer, power, phone and gas) pri r to installation. 2. Gravel based drainfield required 3. Concrete septic and pump tank required 4. The tanks may be moved as necessary to accommodate uilding requirements. Septic tank location must meet all required setbacks. 5. Keep wheeled vehicles off the drainfield area before, dud and after installation. Tracked equipment only, 6. All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. Ensure the final grade slopes away from th se areas and water doesn't collect on or around them. Use swales, berms, catch basi and tight lines, curtain drains, etc. to divert all waters. 7. Curtain drains can be no closer than 10' upgradient and 3 ' down gradient of the drainfield 8. Exposed restrictive layers, cuts, banks, etc. can be no clo er than 50' downhill from the drainfield. 9. Install access risers on the septic tanks, valve box and an s of laterals. 10. Make sure septic tank risers are epoxied or caulked to ca in riser rings on tank. 11. Lids must form a water and gas tight seal with the access isers. 12. Install effluent filter specified in this design at the septic to k outlet. 13. This system must be installed by a Mason County Ce ified installer or self install systems must follow the requirements of the Mason C unity Health Department 14. Deviation from this design without prior approval from the $signer and Mason County Health Department will make this design null and void. 15. This design was sized per Washington Administrative Cod WAC246-272A-0230. The operating capacity is based on 45 gallons per day per cap a with two persons per bedroom. The minimum design flow per bedroom per day s the operating capacity of ninety gallons multiplied by 1.33. This results in a minimu 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. 16. Install laterals with contour of the ground. 17. Install trench bottoms level and always maintain a minimu of six inches into native soil.. 18. Install threaded cl an outs at the ends of all laterals (caps ust extend to within six inches of finish and be in a valve box as shown on iagram. 19. Install audio/vi I Ytrm. 20. Fitter fabric r ed r drain rock prior to backfilling. If t e drain rock extends above the original rulC filter fabric at least 2 inches do n..the trench wall.w - 3 € APR 2 3 2024 y\� LICENSED OE:3I N I ..,,. .:;i;'-NTAL HEALTH E%WNES 091d - i System Owner Responsibili es: 1. Operation and Maintenance is required by Washington St ite Department of Health and Mason County Health Department. 2. The septic tank and pump tank should be pumped every t ree to five years Gras needed. 3. System owners are responsible for having maintenance performed annually. 4. Sys am owners are responsible for responding to septic issues in a timely manner. 5. Sys#em owners shall not at any time change or alter settirgs in the control box. 6. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 7. Keep the flow of sewage at or below the approved design operating capacity. 8. Keep waste strength at residential waste strength parameters. 9. Spread loads of laundry through the week. 10. Do not use excessive bleach or detergents with added wh teners. 11. Do not shower, do laundry and dishwasher at the same tir is 12.Antibiotics can kill or impair the biological process in the s ptic tank. 13. Leaky plumbing can hydraulic overload your on-site septic system. APPROV" , APR 2 3 2024 MASON COUNTY ENVIRONMENTAL HEALR DJA p CINDYE WAITE LICENSED DESIGNER 41VWlS JS ID, 4'I