HomeMy WebLinkAboutSWG2024-00212 - SWG Application / Design - 5/13/2024 ON,
MASON COUNTY 415 NB SHELTON: ,SHELT967 WA 98584
SHELTON:360-227-9a70,EXT 400
BELFAIR:360.275-0467,EXT 400
Public Health & Human Services ELMA:380.4825269,EXi 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00212
APPLICANT OCAMPO ET UX RIGOBERTO Phone: 1.360.990.3000
Address: 627 WASHINGTON AVE BREMERTON,WA 98337
OWNER OCAMPO ET UX RIGOBERTO Phone: 1.360.990.3000
Address: 627 WASHINGTON AVE BREMERTON,WA 98337
SEPTIC DESIGNER CINDY WAITE• Phone: 360-701-0205
Address: 80 E Pickering Lane SHELTON,WA 98584
SEPTIC INSTALLER BRAYDEN SCHOENING' Phone: 360-742-2982
Address: 121 W GRIZDALE DRIVE SHELTON, WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 320215502012
Permit Description: Non-conforming Repair 2bd pressure trench
Permit Submitted Date: 05/13/2024
Permit Issued Date: 05/16/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (addWoeel mas.ay ba raam.ad upon mslNlaeoa or sysmo,I.
Permit Expiration Dale: 05/15/2025 (based on diem or InspxNon)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staflper 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 Designer/Engineer installation approval prior to
backfl/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: mosoncountywa.govlhealthlenvironmentallonsiteloss-inspections quest.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION a 'n
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APPLICANT P m
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RIGOBERTO OCAMPO z
MAILINGADDRESS-STREET CRY,STATE,ZIP CODE 3
627 WASHINGTON AVE BREMERTON WA 98337 m
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60 E ASHEWOOD ET,CITY ZIP DLANE SHELTON WA 98584 I � '
NAME OF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE c)
SCHOENING EXCAVATION 360-742-2982 <
PERMRTYPE(WWoY ) DRIINNKINGNNTERSOURCE w N
®RESIDENTIALOSS [31COMMUNITYOSS JJCGMMERCIALOBB IL�I PRIVATE INDIVIDUALWELL EFPRIVATETWG-PARTYWEL1-
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TYPE OF 4lORK(Wcfow) p PUBLIC YWTERSYSTEM SHORECRESTM
UNEW CONSTRUCTION/UPGRADES EflREPAIRIREPLAGEMENT OTHER DETAILS(a M'e AWY) []TABLE U(REPAIR IG1
SUBMRTAi6 [3 SURFACING SEWAGE C]EXISTING FAILURE ❑SHORELINE
®DESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSIZE 0 I �
EDNWIVER(S)(IFAPPLICABLE) 0 1201X1251 x IO
DIRECTIONS TO SITENIO SITE CONDRIONS:Ia Whxf W)
GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO AGATE RD, TURN RIGHT ONTO I N
CRESTVIEW RD, TURN LEFT ONTO HILLCREST, TURN RIGHT ONTO WOOD LAND, r
TURN LEFT ONTO ASHWOOD, LOT HAS A FOR SALE SIGN, ON THE RIGHT SIDE OF 0 0
ASHWOOD. SOIL LOGS ARE LOCATED BACK OF THE RESIDENCE.
31TE W91BEFLAOBED FROM.IMMFOAOAND TESTXDIEy YUSIBE FLAODED NIM TE5TN0lEMWBFRS I N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE)FAILURE SOURCE(la, MpuRow)
❑VOLUNTARY C]MAINTENANCEIPUMPING ❑BUILDING PERMIT OHOMESALE OCOMPLAINT POTHER:
INSPECTOR SOIL LOGS �� CCMMENTS)LONDRIOIIS
dT 2 4. 07J1 �s ro cx\�
MAY 13 2024 �y�, 0/u
sY S 11101
901E CODES
RECORD DRAWNGAND INSTALLATION REPORT
V-VERY G•GRAVELY S=SAND L-LOPM Si SILT C=CIAY E-EKDIEMELY R=ROOTS REQUIRED FOR FINALAPPRONAL. DATE
INSPECTOR 6IGNATIIPE� � APPLIGIWN i IRAT)ON DA� APPLIGTONAPPROVEDI ISSUED BY
THIS FORM MAYBACANNEDAND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE DEVISED 12-1115
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 — 5 5 — 0 2 0 1 2
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form 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 sale.Maximum paper size.: 11"X 17'
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PARCEL(DENTEFICATION
Permit Number: SWG 2�2��O ZI Z Designer's Name: CINDY WAITE
Applicant's Name: ROBERTO OCAMPO Designer's Phone Number: 360-701-0205
Mailing Address: 627 WSHINGTON AVE Designer's Address 80 E PICKERING LANE
BREMERTON WA 98337 SHELTON WA 98584
Ci State Zip city State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑ Sand Filter ❑ Mound ❑Send Lined Drainfield ❑ Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity Rf Pressure RrTrench ❑ Bed ❑ Sub Surface Drip
Septic Tank/DrainBeld Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCHEDULE40
Daily Flow: Operating Capacity 180 gpd Length 50,40,48 ft
Daily Flow: Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1000 gal Number 3
Receiving Soil Type(1-6) 4 V Separation 5 ft
Receiving Soil Appl. Rate .6 gpd/ft-- Orifices
Required Primary Area 414 ftz Tots u r of Orifices 28
Designed Primary Area 400 ft' Di er 3/16 in
Designedz ~p
Reserve Area LIMITED R ��. 60 in
Trench/Bed Width 3 ft ?`! �yfanifold
Trench/Bed Length 138 ft "Sch^U, t (5 \ SCHEDULE 40
Elevation Measurements t Est NER 1-2 ft
Original Drainfield Area Slope <3 2 in
GVigES eb16
New Slope, If Altered % Preferred manifold configuration used? Rf Yes 0 No
Depth of Excavation Up-slope 15 in Transport Pipe
from Original Grade Down-slope 14
in Schedule/Class SCHEDULE 40
Designed Vertical Separation 12 in Length 10-15 ft
Gravelless Chambers Required? ❑Yes fU—No D Optional Diameter 2
in
Pump Required? /ryes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4 '✓
Diff.in Elevation Between Pump&Uppermost Orifice-5 ft Dose quantity 45 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1000 gal
Uppermost Orifice Of Higher 0 Lower than Pump Shumff Pump controls: Please check those required. 1
Capacity @ Tom!Pressure Head 16.52 gpm gTimer RrElapse Meter lit Event Counter 1
Calculated Total Pressure Head 7.10 R If Timer: Pump on ,Pump off
Comments
CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, PUMP CONTROLS TO
BE SET AT TIME OF INSTALLATION. SET FOR 180 GPD.
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 1 — 5 5 — 0 2 0 1 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
111 Test hole locations 9 Drainfield orientation and layout Reference depth from original grade:
Id Soil logs 16 Trench/bed dimensions and Rf Septic tank
iQ Property lines critical distances within layout 61 Drainfield cover
f�tF.xisting and proposed wells lif D-Box/Valve box locations,
rn-, ,/ Reference depth from original grade
Cl1within 100 ft of property 19 Septic tank/pump chamber and restrictive strata:
Fi<leasurements to cuts, banks,and locations/r./�f ,.,,y,J G1 laterals,trench/bed,top and
surface water and critical areas Ed Observation port location bottom
gs,L.ocation and orientation of 69 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption lif Manifold placement ❑ Sand augmentation
components
m Location and dimension of
69 Orifice placement Other cross-section detail:
Ed Observation o
primary system and reserve area � Lateral placement with distance p rts/cleanrouts
to edge of bed Other Information
0 Buildings 56 Audible/visual alarm referenced Yes No
It Direction of slope indicator p. Scale of drawing shown A scale If ❑ Design staked out
1d Waterlines bar ❑ ❑ Recorded Notices attached
m Roads, easements,driveways, ❑ ❑ Waiver(s)attached
parking lif ❑ Pump curve attached
17 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be not `d by installer at time of installation 56 Yes ❑ No
d1 Lea 1� r�t 267-
Si—gnatu�esigner Dat
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-site regulations:
sl1b I-o
Environmental Health Splecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: y III�I
✓ 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: 12/7/2015
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Lateral p Length Length Orifice N Distance from Distance from end Length
p (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 50 600 60 10 2.5 2.5 50
2 40 480 60 8 2.5 2.5 40
3, 48 576 60 10 1.5 1.5 48
138 28
TRANSLENGTH 20
GPM 16.52
K (2"SCHEDULEN 40) 284.5
FRICTION LOSS _ 0:1033466
Squirt 2
Elevation difference 5
TDH 7.1033466
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APPROVED
MAY 16 2024
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APPROVED
MAY 16 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
THREADED CAP OR PLUG
p 4 ✓QuI'E' 6" PVC
LAST ORIFICE; WITH
ORIFICE SHIELDS IF
ORIFICE ORIENTATION IS
BACKFILL UPWARD
MATERIAL .
p00 O oo 0 �— PRESSURE LATERAL
PVC HOSE OR °0 g400� AS SPECIFIED
LONG SWEEP \/ o 0
ELBOW / \ / �\ DRAIN ROCK;6"MIN.
BELOW PIPE
UNDIS i L,RBED SOIL
6"PVC WITH DRAIN
HOLES; EXTEND TO
BOTTOM OF GRAVEL TO
MONITOR PONDING
INFILTRATIVE SURFACE
MONITORINGICLEANOUT PORT
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RIDER LMTII LOONONi LIO
TO GRAINFIELD
FREOOIAIl LATERALS
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��- FLAP CHECK
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LONG 0I to 00 l - .,",
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,RANOPORT PIPEFROG APPROVED
PMPCHMON MAY 6 2014
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MASONCOUNTYE VIRONMENTALHEALTH
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TROL BOX
(SLOPING GROUND,
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LICENSED DESIGNE
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SECURED LID WITH GAS TIGHT REAL
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1 ACCESSRISER
FINISHORADE
TDPYIMIM DNAIM
FROM SEWAGE
SOURCE FLOATING MAT
APPROM
EIPUMINT
PRIM
SEDIMENTS
PROVED
SEPTIC TANK MAY 16 2024
MTI"W MASON COUNTY ENVIRONMENTAL HEALTH
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eowrtH GAenallr 9EAL
THREADED UNION
EY DIAMETER
FINISHORADE Eau /ACOESS RISER SERVICE
VALVE•
FROM SEPTIC /Z 1'
TµN TO DOWUNFIELD
EMMOENOV STORAGE
ANTI SIPHON
HIGH WATER ALARM LEVEL VALVE•
WORKINOVOLUME INDEPENDENT
NORMAL TIMER OFF LEVEL FLOAT STEM
FOR FLOAT
ENCLOSEOPUMP MOUNTING
SEDWENTEXR000• CHECKVALVE•
18"
SEDIMENTS SUBMERSIBLE
'.4 ♦ CENTRIFUGAL
T PUMP
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� S I/Is t1 til �Q QU p4.��S+d AS NEEDED h
ND WAITS 11 1 �I�
LICENSED DESIGN T 4M�
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�P mp ecifications � � �III�
r Submersible � ����11�
aSump I Effluent Pump ���'�`
25
�iAPPROVED
MAq
"�NS PER MINUTE
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Installation Notes APPROVED
Pressure Distribution System: MAY 16 202y
60 E Ashwood Lane 32021-55-02012 MASON COUNTY ENVIRONMENTAL HEALTH
RET
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. This is a repair of a 1960 system. Not accepting effluent.
3. Gravel based drainfield required
4. Concrete tanks required
5. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
6. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
7. All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains,
etc. to divert all waters.
8. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
9. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
10. Install access risers on the septic tanks, valve box and ends of laterals.
11. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
12. Lids must form a water and gas tight seal with the access risers.
13. Install effluent filter specified in this design at the septic tank outlet.
14. This system must be installed by a Mason County Certified installer.
15. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
16. Thls design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum 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.
17. Instali laterals with contour of the ground.
18. Install trench bottoms level and always maintain a minimum of six inches into native
soil..
19. Install threaded cl is at the ends of all laterals (caps must extend to within six
inches of finish a a be in a valve box as shown on diagram. 1a
20. Install audioivi alarm li
21. Filter fabric r in rock prior to backfilling. If the drain rock extends above
the original e„Pj1 is at least 2 inches down the trench wall.
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System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or after settings 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 whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12.Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
APPROVE ®
MAY 16 20A
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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p' CINDY E.WAITE
LICENSED DESIGNER
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