HomeMy WebLinkAboutSWG2024-00154 - SWG Application / Design - 4/16/2024 MASON COUNTY 415N BTHELTON:STREET,
0427-97 ,EXT 400
SHELTON:360427-4467,EXT 400
BELFAIR:360-275446],E%T 600
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00154
APPLICANT Joel Roswell Phone: 425-890-6865
Address: 2038 Beverly Beach Dr W OLYMPIA, WA 98502
OWNER GONZALEZ JOE V&THERESA E Phone:
Address: 41 E GLENMORGAN CT SHELTON, WA 98584
SEPTIC DESIGNER PAULA JOHNSON' Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION, WA 98592
SEPTIC INSTALLER Bamford Septic Repair, LLC Phone: 360-790-2364
Address: 301 E WALLACE KNEELAND BLVD SHELTON,WA 98584
Site Address: 41 E Glenmorgan Ct
Primary Parcel Number: 321225000418
Permit Description: Repair: Replace failed sand filter w/Nu Water BNR-500 tank
Permit Submitted Date: 04116/2024
Permit Issued Date: 04/18/2024
Issued By: David Anderson
Current Permit Fees Paid: $265.00 (additional fees may be required upon mstallatlon of system).
Permit Expiration Date: 04/16/2025 (based on date mmspac(onl
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OS&
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.gov/health/environmentallonsiteloss-inspection-request.php or call:
360-427.9670, extension 400.
OFFICIAL USE ONLY
WTERERND> Rfc 16Zn24
MASON COUNTY ' 1 K'Fp(D
® COMMUNITY SERVICES
PubN� ezIN IC➢mmunMHNNNEmIrnnMtJ HmMI �` /` Ln O
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ON-SITE SEWAGE TANK ONLY APPLICATION _ 3
m m
PHONE r
ppYJ!.i.flT
Joel Roswall (425)890-6865 r c
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MANNGMDNESS-STREET CfIY 6TALEIIPOJCf � m
2038 Beverly Beach Dr W, Olympia,WA 98502 _ m
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611EADDRESS-STREE?CITY➢PCODECID
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41 E Glen Morgan Ct,Shetion,WA 98584
NAMEOFDESIGNER PHIX�E I N
Arrow Septic Designs, Inc (360)898-2255
NAMEOF INSLALLER
PHONE
Bamford Septic Repair, LLC (360)790-2364 N I N
TYPE OF MORK IAREPvP MNKING ARTIER SOURCE
❑NEWCONSTRUCTIONWIGRAOES NREPAIRIREPLACEMENT ❑ PRNATEINDIVIDUALWELL O PRIVATE TV0RARTY WELL 2 IN
0 PUBLICWATERSYSTEM ,
CdINNENi(S)TO BE RERACEd INSTALLED (V I �
❑ SEPTICTANK ❑PUMPTANK ❑RV HOLDING TANK BEGRDOMS LOi STLF '
■OTHER RapbahlkM$BIXI FiIKRUt NUWAMFBNREODMnk 3 .61 acres G O
OTHER DETAILS(mb.YNW,,. yt TANK(S)SETPACKCHEGKUST
O SURFACING SEWAGE ■EXISTING FAILURE [3 SHORELINE ■ 1NFT+PUSUCICOMMUNITYWELLS x IQ
sueMmus ■ SIFT.PRIVATEWELUL SURFACEWATERS.STREAMS,RIVERS
10FT+DRINKIHGNWTER SUPPLY LINES
■PLOTPLAN(REOVIRED) ■TANK CROSS SECTION(REQUIRED) I O
■ PUMP DETAILS(IFAPPLICABLE) [I WAIVERS)N APPLIWBIE) SFT+PROPERTY/EPSEMENT LINES.FOUNDATIONS,FOOTINGS
PLOT PUN CHECKLIST I A
PROPERTY LINES AND BASEMENTS ■ EXISTING)PROPOSED STRUCTURES ■EXISTING)PROPOSED OSS COMPONENTS AND UNES I '
O WELLS WITHIN IWFT ❑WTSR SUPPLY LINES ■ DRIVEWAYS/PARKING [3 SURFACE VATERS,STREAMS.RIVERS.ETC..
■ DIRECTION OF SLOPE)CONTOURS O PERIMETEW CURTAIN DRAINS E NORTH ARROW ■SCALE BAR AL
1D 100
DIRECnONSTO SITEAND SITE CONDD10N6'.Ir I IIRN)
From downtown Shelton take Hwy 3 toward Belfair, turn (L)onto E Mason Lake Rd, take (L)
onto E St. Andrews Dr, turn (R)to stay on E St Andrews Dr, stay (R) onto E St Andrews Dr
N, turn (R)onto E Glen Morgan Ct, house is on L at cul-de-sac.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADEINTARY 60URCEITENANCgPUMPIl
O VOLUNTARY �MAINTENANCEPUMPING [3 BUILDING PERMIT ❑HOME BALE I]LOMPUINT I]
COMMENTBICDN TIONS �(1
ly(a�e f�L'�cc�s�,zrl f'11W uy B t�2SaU L APR 1 s ,L;,4
SEW1(1ETANK6 MUBT BE LIBTED UI-0ER DJH•LISL OF REOISTFRED SEWAGE TANKS' TANKS MVSi YEETCUMEM MINIM
WMEOWTN FIBERS
ANDDDSTOSURFACE.AND INCLUDE AN EFFLUENT FILTER IIFA➢PUCABLEL RECORD DRXMNGANDINSTALUTION REPORT REQUIRED FOR FINA-APPROVAL.
1NBFECTOR 91GNATUR—E GATE APPLICATION EWRATION GATE
APPLI APPflOVEDI I63UED BY DATE
THIS FORM MAY BE SCANNED ANDAVAILABLE FOR PUBLIC MEW ON THE MASON COUNTYWESSITE REVISEDTKrN1P
Arrow Septic Designs
171 E.Vuecrest Dr.
Union,WA 98592
April 9,2024
Mason County Department of Health Services
415 N 6th St -
Shelton,WA 98584
RE: Joel Roswall Property(Parcel#32122-50-00418)Septic Replacement/Upgmde
Dear Inspector:
Attached is a repair/upgrade septic design for a property located at 41 E Glen Morgan Ct,Shelton,WA 98584.
The existing septic was installed in 2006. The original septic system consisted of a 1,200-gallon 2-compartment
septic tank,a 1,200-gallon pump chamber,a 1 Ox36 sand filter and 150 If.(450 s.f)of drainfield.
At the last service,it was discovered that the sand filter was ponding.(See report attached.) Upon further
investigation, it was confirmed that the sand filter is failed. The sand-filter is to be decommissioned or removed
and a NuWater BNR-500 tank is to be added.The NuWater provides Treatment Level B,similar to the sand-
filter. The existing 1,200 gallon septic tank may stay as a pre-trash tank if the installer finds it to be in
acceptable condition. The existing 1,200-gallon pump chamber will send the pretreated effluent directly to the
drainfield. This upgrade also includes adding a new main control panel with a timer,elapse meter and event
counter.
There are no setback issues to wells or surface water.A full reserve drainfield area is shown.
The property owner's contact information is as follows:
Joel Roswall
2038 Beverly Beach Dr W
Olympia,WA 98502
(425)890-6865
If you need further information,please contact my office at(360)898-2255.
Sincerely,
Paula J.Jo �d`` /''iPPROVE ,''
Licensed .fie' ewa ,Treatment System Designer
APR 18 2024
PAOLA JOY JOHNSON`.
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1)F vare tardy We win vertical walls to i feot larger loan
reek on all aitlee. ,� — vs IL. ry-Q3C, r
2)8 bodom of Ale is wary,metal 7 of..ped eand&w,el - FA[-.'
w won screed. �-------,r----- q ,
3)Install tank in ceniar dhole.keeping 1 ft vaiE spxe on I �• ) xatoxm
all Was. 1
gr As tank is filling j M water,fill in Vdtl space wdh aompxt 1Ypa
granular(sanay)sdt free of lerye dumps of day. I iI
6)Install rest l system.&afex risers to atlapters wnh ! I pg
fi)Perform watertlghtrvss test in field as require0 by local
))UMnan. I I +r RISER I,
7)Upon approYal b beckfill,Carefully backfill with native I I i I'
soils over top of tank. I ID6M1.6161BER II DIGE6IE6 IIReRe®I
8)Final qmM,Me surface le avoid dlanelling surface L______—L__--_---
watartmard tank
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AEROBIC TREATMENT TANK DETAIL FOR
NUWATER BNR-500 TREATMENT UNIT
ENVIRO-FLO, INC. 3/01112
Wastewater Treadrtenf Teton ges
P.O.BOX 321161,Ffowood.MS 39232 scat-. ,.. _ 1.4 ft.
(877)836-8476 (601)S 716 fax
�o www.en ' flo.nef
��NuWa!ter
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APR 18 2024
<O N COUNTY ENVIRONMENTAL PPP
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PARTS UST NuWater NR Assembly Diagram i
A.OMLLPORTAEMTOR M.POLY OIFNSERSI
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C.WY SPRSEDAOPPTOR X 12 NPT(31 0.1"Wp CAP
p.t2'SLIPX t12'NPlAMPTOR P. ilB"CLEAR PvC PVC PIPE INSTIveT PTI0NP15i
E t'$IRE£TS 1?'NPT BUSKNG(d) O.1lY' leY /LLLERI
E 1?9P ELBOW(3J R.t'PYG PIPE(BY IH5(ALLER)
G.1'%1'%t?TEE E.11 PJC PIPE(BY INSTALLER)
T.+/Y BARBED ADAPTOR TO 1/6'HPf RI
:.2X 1'EUSI U.1?STREET%Yr NPT WISHING R)
J Y'SAWTARYTEE V.1?r PVCCOUPLERM
% V PVC CROR W Z COUPLER(BY INSTALtERi
L.1"COUPLERWINSTALLER)
Revised 2/25/12
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L• :41 E GLENMORGAN CT Service Company:
Shelton AAA Septic LLC
Tea to:321225000418 PO lion 1460
u.. Shelton.WA 98584
360421-6110
Serviced:0110312023 by:Alisha Lovely Submitted 0110612023 by:Alisha Wulf
Dumn�:RluRegdrg Jurisdiction ID:321225000418
COMMENTS
Rl 11,IC— Replacetl floab aM wamrg m saM filler m tl2in.
01N5123 Chedetl saM fl6er,M1,poMin9 raferted m In,fa3er
This tank was not pumped or ser 'ed.
APR 18 ?"?4
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.41 E GLENMC�C. N C-. Service Company:
Shelton AAA Septic Li
Tax ID:321225000418 pp Box 1460
u.. Shelton,WA 98584
360-427-6110
Serviced:06107=22 by:Debra Lovely Submitted 07/19/2022 by:Alisha Wulf
p.mpinw._Bio-Recydmg Jurisdiction ID:321225000418
COMMENTS
Tghtllne hour pump vault to santl filter is broken.rauvng eMuen[watrtlopding the haCkyaN.Also very hash Memkel aural form links.
amandeamnuee
YES
Tank Pumped: 12M
Tank Size(Gallons)(Number only,no text): YES
Effluent level andve operational Ilmits(II NO explain in comments): 1200
Total GaAons pumped from tank(Number only,no text:
EMuent telumi back into tank a0er un in9: NO
Tankdepthbdow We inches): YES
Atones Risers installatl t retle(N/A'd not eaent):
Tank Construction Materiel: tweets
Tank CoNon Good: VES
M
Bafllea in good winditbn WAR not resent): VES
Effluent wean cleaned(WA d not presort: VES
Effluent auffacing around aite component(.—I...I aketl): NO
Tank abandoned after purr m NO
Ware re irs made to the Tank or Tank Companion?(OYES explain in wriment: NO
Compartment 1 Scum acwmuta0on(Inches,0 otller spei ): 6
Compammert 1 Sludge ewumula8on(Inches,0 oMer specify). 10
Compemmen 2 Scum acomiula0on(Inches,It other apectty): 2
Gore admen 2 Slud a aeeilmula0on Inches,if other specify): 10
Tank Pumped: YES
Tank Size(Gallons)(Number only,no text): 1200
Effluent level within operational Innis it NO explain in wmmen): YES
Total Gallons pumped from tank(Number only,no text 200
Tank depth belay grade(inchee:
Access Risers instlled to qMde(NIA d not present), YES
Tank construction Material: Gonerele
Tank Condition Good: YES
Effluent screen darned NI ifna resent): YES
Effluent surfacing amuntlsitco *p Wis WA if not Mocketl : YES ocncwot
Pump operating as intended: YES
Condos operefirg as intended: YES
OMtherm workin es intended YES
Tank abatMoned after pum in NO
NI matle to the Tankor Tank Components?iff YES explain in wmmenb: NO
Corn Roman i 3wm aF ulauon Inches,B other spec' ): 2
Co.
i 5lutl a aocumumon Inches.a other spec' pp�q+pp�pp 'T S
10 8 f� a,
APR 18 "24
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