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Home My WebLink AboutSWG2024-00186 - SWG Application / Design - 5/2/2024 MASON COUNTY 415N6THELTON , 27-967 ,EX740 SHELTON SHELTON,- W 985844 BELFAIR:360-275 7,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00186 APPLICANT PETRIE MARION KAY Phone: 360-877-6723 Address: P O BOX 150 LILLIWAUP,WA 98555 OWNER PETRIE MARION KAY Phone: 360-877-6723 Address: P O BOX 150 LILLIWAUP,WA 98555 SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940 Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584 SEWAGE INSTALLER TJ GODS* Phone: 360-490-0217 Address: 150 E MARISA PL SHELTON,WA 98584 Site Address: 20 N Diamond Head Ct Primary Parcel Number: 323095300005 Permit Description: 2-bedroom pressure system: Non�conforming Repair Permit Submitted Date: 05/02/2024 Permit Issued Date: 05/08/2024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (admnonei fees may on regmmd upon mneitaron oraystem). Permit Expiration Date: 05/07/2025 (caned on data ormspe..m 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 downslops 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 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.govlhealth/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. ' OFFICIAL USE ONLY ly pARPEQ4ID MASON COUNTY S' - c N a COMMUNITY SERVICES ' /+� m y PNMic HWN((C Munlry eallFlEWnvkanmendl HLR. Ol SWG ;QD - bnb s p Z N ON-SITE SEWAGE SYSTEM APPLICATION m o APRICMR PxanE m Marion Kay Petrie (360) 877-6723 MAllLVGAWRBSS-61REET.0 ,,STATZPCODE O P.O. Box 150 Lilliwaup WA 98555 A snEADGREss-sTREETcm,aPcoGE K 20 N. Diamond Head Ct. Lilliwaup WA 98555 ( °1 NAMEOFDESIGNER MOME Dale L. Tahja (360) 426-5940 ro NAME OF INSTALIFA _E I CA)T.J. Goers (360) 490-0217 I o PERMRTYPE(EWm-) to �T GRRuaNDRNTERSouRCE o JERESIDENTIALOSS 53COMMUNITYOSS ®COMMERCW.OSS EPRIVATEINDMOUALVrELL 15PRM"TETY(OYARIYWELL Z I TYPEOF YARN(mWul G�II ®PUBLIC NMTER SYSTEM colniv✓UIR'elx6Ycdn , EUNEWCONSTRUCTION/UPGRADES MLIREPAIRIREPIACEMENT OTNER DEfAn$(zYSNtlrelegaM OTABLEDIREMIR AICr esvMl�i�fAL6 G1 ❑SURFACING SEWAGE ❑EXISTING FAILURE O SNOREUNE ZC,DESIGN FORM(REQUIRED) iNSEMC DESIGN(REQUIRED) SEDROOMS LOTSIGE 0 I W L,UMWVER(B(IFAPPIJCABLE) 2 0.75 acre 0 o DIRECTICNSTO 611EAND6Tc CgiDIDON6:Rn.OSIrOgY) Enter Colony Surf,continue on Colony Surf Dr„ right onto Diamond Head Ct., property at 10 end of cul-de-sac o 10 mlo . areMusraEFuaGEDFRGMMANRWDAxD rrsrxGLESNusreEFwwED mrx resrxD"ExumFxs. OFFICIAL USE ONLY BELOW THIS LME ' UPIWADE/FHLURE6WRCE(Mnpa91ppI1PMm) OVOWNTARY OMAINTENANCENUMPING OBUILOINGPERMIT ONOMESAIE OCOMPWNT 00TH ' INEFECRN"60A LOG6 rovd-lf R 65L ►>�� a� z 9" u/fly �,�f wo wRl r 1. En-1 �Rell-4f 3311 4/ �l� RECORDDRXWNGANDINSTALIATION REPORT 601L000E6: V=Y G.IX WMY SISMA LILOAM M^MLT C=WY E=E>TPEIAELY R=ROOTS REOUIREOFORF APPROVAL IMPE I WE I MKIWON E%PI ON GATE AP APRIOVEO'WIJED BY OATE S171a2 Z W1 ?e 2 TH11 ORM MY BE SCANNED AND AVAILABLE FOR MELD VIEW ON THE MASON COUNTY WEBSITE REVISED1YIDN5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 3 0 9 — 5 3 — 0 0 0 0 5 A design will be reviewed when 3 moies of each of the toBowing are submitted: Completed design form that has been signed and dated Scaled layout sketch,including all applicable items on cheddist Scaled plot plan,including all applicable items on checklist. Cross-section sketch,including all applicable items on checklist. Thy farm be scanned and avalkMe for view on the Mason Web Non.Maximum rsize: 11"X17" Permit Number: SWG 7JI Lt'I " —o Designer's Name: Dale Tahja Applicant's Name: Marron Kay Paris Designer's Phone Number: (360)42&5940 Mailing Address: P.O.Box 150 Designer's Address: 2450 W Deegan Rd W "hweup WA 98555 Shelton WA 98W Ci State Zig Ci State Zi Treatment Device ❑Oland..Biofiher ❑SndFiber ❑Mound ❑Sand Lured Dnmfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Meke/Model Other: N/A Drainfield Type ❑Gravity W1 Pressure l rT=ch ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class Sch.40 Daily Flow:Operating Capacity 180 gpd Length 45 ft Daily Flow:Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,000 gal Number 3 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl.Rate 0.6 gpd/ft Orifices Required Primary Aron 400 to Total Number of Orifices 36 Designed Primary Am 405 W Diameter 1/8 in Designed Reserve Area 405 ftr Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 135 ft Schedule/Class Sch.40 Elevation Measurements Length 28 it Original Drainfield Area Slope 3 % Diameter 1.25 in New Slope,If Altered 3 % Preferred manifold configuration used? 17 Yes IgNo DepthofExcavation Up+d 18 in Transport Pipe from Original Grade oa ,4. 17 in Schedule/Class Sch.40 Designed Vertical Separation 12 in Length 10 R Gmvelless Chambers Required? ❑Yes ❑No 510ptional Diameter 2 in Pump Required? alJ Yes ❑No Dosing and Pump Chamber Pump/Siphou Specifications Number ofdoses/day 4 Dill in Elevation Between Pump&Uppermost Orifice 5 R Dora quantity 45 gal Drainfield Squirt Height/Selected Residual(head) 6 It Chamber Capacity(flood) 1,000 gal Uppermost Orifice if Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity Q Total Pressure Head 18 gpm gTimer GgElapse Meta R(Event Counter Calculated Total Pressure Head 14 ft I If Timer: Pump on 2.5 min. ,pip off 5 his.57.5 min. Comments DESIGN FORM-PAGE TWO Assessor's Parcel Number:3 2 3 0 9 - 5 3 - 0 0 0 0 5 Permit Number SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 5d Test hole locations M Drainfield orientation and layout Reference depth from original grade: Id Soil logs Ell Trench/bed dimensions and 9 Septic tank m Property lines critical distances within layout 61 Drainfield cover R1 Existing and proposed wells 69 D-Box/Valve box locations Reference depth from original grade within 100 R of property fig Septic tank/pump chamber and restrictive strata: 19 Measurements to cuts,banks,and bons 9 Laterals,trench/bed,top and surface water and critical areas R1 Observation port location bottom 19 Location and orientation of 19 Clean- ut location ❑ Curtain drain collector curtain drain and all absorption 16 Manifold placement Cl Sand augmentation components Rf Orifice placement Other cross-section detail: 16 Location and dimension of 16 Lateral placement with distance fill Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 16 Buildings 16 Audibletvisual alarm referenced Yes No 56 Direction of slope indicator Rf Scale of drawing shown on scale Rf ❑Design staked out Id Waterlines bar ❑ ❑Recorded Notices attached R1 Roads,easements,driveways, ❑ ❑Waiver(s)attached parking 56 ❑Pump curve attached Id North arrow,and scale drawing ❑ ❑Evaluation of failure shown on scale bar Non-residential justification Cl ❑Waste strength ❑ ❑FIow-'a r- DESIGN APPROVAL ' k The undersigned designer t be notified ins er at time of installation hd Yes ❑ No MAY Q 8 2024 2S-`)Cbo MASON COUNTYENVIRONM iH Signature of Designer Date The undersigned has reviewed this design on behalf of Mason Conroy Public Health and t compliance with state and local on-site atiom: _ S«i�oay oq Environmental Health Specialist Date w U_ CAUTTON: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDMON: ✓ The design is stamped"Approved"by Mason County Public Health. / /�O Z S `✓ 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 scanned and available for public view on the Mason County Web site. Updated Date: 12n2015 za a Xso� b Lev qAp R® \ �cc _ 1- MAY `O +. � 0 � FSc ti'cc�,,,ry 81014 abDMW- -� Rc� F"ray"FAtrH a l i Y .. 1 I� Or'Q �..y•'Hn Su r • 5�5. D v+ a J� P 5 O� ! DALE L. TA JA L.'� ;SIGN .ER O� r 3 APPROVE® -� -- MAY 0 2024 MASON COUNTY ENVIRONMENTAL HEALTH D.IA wr Media Gallery x Liberty Pumps 280 - 112 HP Cast Iron Submersible Sump/Effluent Pump (Non- Automatic) Performance Curve: 280-Series, 40 , - 35 . 4 30 - i , 25 ; 7� 20 +� I 15 -t-I 10 5T T. 0 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 U.S. Gallons Per Minute APPRO VEQ MAY 0 8 2021 h'ASONCOUNryENVIF:Oh'MENiAt gcAi DJA Installation/Maintenance Pressure 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. Install audio/visual high water alarm. 4. Install effluent filter in septic tank outlet or pump vault with 1/16 inch maximum filtration mesh size. 5. Install check valve in pump outlet line to prevent back-flow into the pump chamber. 6. Install 1/8 inch orifices on 4ft. centers. Install the orifices (with orifice shields)pointing straight up( 12:00 o' clock). 7. Divert all storm water run-off away from septic system components. 8. No curtain(french) drains allowed within 1 Oft. of the up-slope edge of the drainfield and reserve area. 9. No curtain(french) drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 10.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 11.Inspect and clean pump screen as needed. 12.Inspect floats and test high water alarm every 6 to 12 months or as needed. 13.All material and workmanship must meet County and State requirements. 14.Install risers on septic tank and pump chamber. 15.Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 16.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. 17. Locate all utilities prior to starting installation. APPROVED MAY 0 8 2024 MASON COUNTY ENVIRONMENTAL HEALTH Y i OJA 570a214 O? Dais L.T LICENSED DE R