HomeMy WebLinkAboutSWG2024-00132 - SWG Application / Design - 4/4/2024 ® MASON COUNTY 416NeTHELTON:STREET,SHELTO70.EXT 4W
SHELTON:360<2]JB10,EXT 400
BELFAIR:360-2]5448],EXT 000
Public Health& Human Services ELMA:380.4825 69.EXT 400
FAX:360J27-]l8]
On-Site Sewage System Permit: SWG2024-00132
APPLICANT CARTER MARK M&MICHELLE R Phone: 253-882-9335
Address: 462377TH AVENUE COURT W UNIVERSITY PLACE,WA 98466
OWNER CARTER MARK M Is MICHELLE R Phone: 253-882-9335
Address: 4623 77TH AVENUE COURT W UNIVERSITY PLACE,WA 98466
SEPTIC DESIGNER PAULA JOHNSON' Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98592
SEWAGE INSTALLER ALLAN KIRK' Phone: 360-426-0574
Address: 30 E WILCHAR BLVD SHELTON,WA 98584
Site Address: 90 E Tahuya Dr
Primary Parcel Number. 220075100060
Permit Description: 2-bedroom gravity bed system
Permit Submitted Date: 04/04/2024
Permit Issued Date: 05/28/2024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (e4W.I real mq be 1N uabnlnruumn Mryemm).
Permit Expiration Date: 0411812027 (Wsmon&M&imwctmn)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department starlper 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 Drainfie/d 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
backfill of system components.
6 Mason County Asbuitt 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.gov/healthlenvironmentaYonsita/ws4nspectiont quest.php or call:
360-427-9670.extension 400.
OFFU'AL USE ONLY
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Mark Carter (253�82-9335
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4623 77th Ave Court W University Place WA 98466or
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SITEADDRESS STREETCITYZIPCODE 0
90 E Tahuya Dr Shelton WA 98584
NAMECFDESGNER PHONE ED I N
Arrow Septic Designs (360)898-2255
NAMEOFINSTALLER PHONE m
Mason County Excavating (360)490-3144 y o
PERMITTVPE(Wttuul C DRINKING-L SOURCE O
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]NEW CONSTRUCTION I UPGRADES F1 REPAIR I REPLACEMENT OTXENDEUILS(aRlrxeOMYYwYI OTABLE A REPAIR � Icn
SVBERTALS O SURFACING SEWAGE D EXISTING FAILURE DSAOREUNE m I '
CZOESIGNFORM(BEDUIRED) HISEP9CDESIGN(REOUIRED) ESDROONS LOTSME rO
EIWANER(S)of APPLICABLE) 2 BR .36 ( O
DIRECTIONSTOSITEANDNTEwNDTIONSnF.M VMI
Go out Hwy 3 and turn (R)onto E Agate Dr.Turn (L)to stay on E Agate Rd. Tum (L) onto E o
Timberlake Dr.Turn (R)onto E Tahuya Dr. Destination on (R).Green sign: "90"at driveway. o o
Yellow sign: "Carter"
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OFFICIAL USE ONLY BELOW THIS LINE — -
UPGRADE/FAILURESOURCEPueywEry Wrywol
❑VOLUNTARY OWUNTENANCEIPUMPING D BUILDING PERMIT DIOMESALE DCOMPLPINT DOTHEF'.
INSPECTOR SOIL LOGS CCMMENTS'CONDTICNS
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REcoRD GRnLMNGAxD Insrnuwnox REPORT
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INSPE NATLRE DATE APPUGTONENNRATOND11 AGPMUTION PPPROVELY I$$V'EO SY WTE
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TNIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBBITE SEL9SED tl/LN15
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DESIGN FORM-PAGE ONE Assessor's Parcel Number. 2 2 0 0 7 - 5 1 - 0 0 0 6 0
A design will be reviewed when 3 comes 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. v Cross-section sketch,including all applicable items on checklist.
This farm maybe scanned and available for public view on the Mason County Web site.Uetceaum paper size: 11"XI7"
PARCEL IDENTIFICATION
Permit Number: SWGZO7 L' -(/01? Designer's Name: Arrow Septic Designs,Inc
Applicant's Name: Mark Carter Designer's Phone Number: (360)898-2255
Mailing Address: 4623 77th Ave Court W Designer's Address: 171 E Vuedlast Dr
Uniwaty Place WA 98466 Union, WA 98M
Ci State Zip Cit State zip
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DESIGN PARAMETERS Axe.`
Treatment Device
0 Glendon Biofilter ❑Sand Filter ❑Mound ❑Send Lints Dainfield ❑Recirculating Filter,Type:
0 Aerobic Unit Make/Model O Disinfection Unit MakelModel Other:
Drsinfield Type
IJO Gravity ❑Pressure ❑Trench hl(Bed ❑Sub Surface Drip
Septic Tank/Drainfseld Specifications Laterals
Number of Bedrooms 2 / Schedule/Class 2729
Daily Flow:Operating Capacity 180 /' gpd Length 30 It
Daily Flow:Design Flow 240 $pd Diameter 4 - in
Septic Tank Capacity(working) 1,000 gal Number 3
Receiving Soil Type(1-6) 3 Sepamtion 3 _ ft
Receiving Soil Appl.Rate 0.8 / gpd/t[z Orifices
Required Primary Arta 300 ft Total Number of Orifices -
Designed Primary Area 300 ft Diameter - in
Designed Reserve Area 300 ft2 Spacing - in
Treach/Bed Width 10 ft Manifold
Trench/Bed Length 30 . R Schedule/Class 2729
Elevation Measurements Length 6 ft
Original Drainfield Area Slope 0-1 % Diameter 4 in
New Slope,If Altered 0-1 % Preferred manifold configuration used? lif Yes 0 No
DepthofExrevation Uc-slope 36 in Transport Pipe
from Original Grade ro aloce 24 in Schedule/Class 3034
Designed Vertical Separation 48+ in Length 25 ft
Grevelless Chambers Required? ❑Yes 16 No ❑Optional Diameter 4 in
Pump Required? ❑Yes IdNo Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day
Diff.in Elevation Between Pump&Uppermost Orifice=ft Dose quantity - gal
DmivBald Squirt Height/Selected Residual(head) ft Chamber Capacity(good) - gal
Uppermost Orifice 13 Higher ❑Lower than Pump Shumff Pump controls:Please check those required
Capacity Q Totai Pressure Head - gpm ElTimer OElapse Meter Cl Event Counter
Calculated Total Pressure Head - R If Timer: Pump on - .Pump off -
Comments
DESIGN FORM-PAGE TWO Assessor's Parcel Number:2 2 0 0 7 - 5 1 -- 0 0 0 li 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scald Layout Sketch Cross-Section Sketch
led Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
19 Soil logs 21 Trench/bed dimensions and Ef Septic tank
16 Property lines critical distances within layout B Drainfield cover
❑ Existing and proposed wells Rf D-Box/Valve box locations
within 100 ft of Reference depth s aura original grade
property Septic chamber and restrictive strata:
19 Measurements to cuts,banks,and locations
surface water and critical areas It Observation port location G( Laterals,trench/bed,top and
❑ bottom
Location and orientation of ❑ Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Rf Manifold placement ❑ Send augmentation
components Orifice placement 19 Location and dimension of P Other cross-section detail:
Primary system and reserve area E6 Lateral placement with distance ❑ Observation ports/clean-oms
0 Buildings to edge of bed Other Information
❑ Audible/visual referenced Yes No
!a Direction of slope indicator
66 Waterlines lid Scale of dra on scale Ed ❑Design staked out
bar e ❑ �Recorded Notices attached
Roads,easements,driveways,Pparking , ❑ Rf Waiver(s)attached
sr. ❑ Sd Pump curve attached
shown on scale bar
!b arrow,and scale drawing ❑ �Evaluation of failure
show q sroua<, Non-rf Waste strengtificafion
p PAULA JOY JOHNSON��,• ❑ Rf Waste strength
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❑ �FIOW
DESIGN APPROVAL
The undersigned designer must be o' ins ta er at time of installation Rf Yes ❑ No
Signature of Designer Date A n The undersigned has reviewed this design on behalf of Mason County Public Health and determilt�i compliance with state and local on-sin ulations: "Mc 3�
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Envuonmentel Health Specialist /Date Spy0 102�',W
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CAUTION: DESIGN -Approved"d"by Mason CounVAL is VALID tpublic
e�E FOLLOWING CONDIT�p{�N,gf/�,q
The deli is stamped"A County �H
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.
n Instal
an Fee is re uireel
Thk form may be sunned and available for publk nl on the Mason County Web site.
Updated pate: 12/72015
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Note: (Typical Bed Layout)
O=Observation Port—to be 4"perforated
PVC pipe from bottom of bed to finished
grade. A removable cap shall be installed on
observation port pipe. Glue"T"on bottom
so pipe can't be removed.
Minimum of 2 in system,one in each comer. �VfPjGa-( � PE'YT, Ut7t GINhL
Laterals are to be centered in trenches. )a7FP�n� AST
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••Note: Septic Tanks must meet standards required by WAC chapter 246.272C
and manufacturer must be on the Dept of Health list of registered sewage tanks."
atwut Septic Oeaigne
IPLSTALLATION&MAINTENANCE ° - � .y�i
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Gravity Distribution Systems-Bed i�'`a ,,;,,,,, : :�A
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1. Install Laterals with contour of the ground.
2. Install bed bottom level.
3. Install locator tape or rebar at each end of all drainfield laterals.
4. install observation ports as indicated on the defiled drainfield layout Minimum of 2
required at diagonal comers of bed drainfield with bottom extending to the
drant ock/iti ive soil interface. Glue-I-to bottom so Observation Port cannot be easily
removed from ground install removable cap on top of port at final grade Level.
5. install drainfield during dry weather and soil conditions,any soil smearing must be
eliminated by hand raking.
6. Use distribution box with speed levelers. Divert incoming pipe down with 90-degree
angle to prevent short-circuiting..
7. Filter fabric required over drain rock prior to back filling. If the drain rock extends above
natural grade,rim the filter fabric at least 2 inches down the trench wall.
8. Encase all water lines within 10' of drainfield and under any driveway/parking areas.
9. Divert all storm water runoff away from on-site sewage system.
10.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area.
I I.No vehicular traffic over drainfield area
12.Install Bio-Tube or equivalent effluent filter at outlet end of septic tank.
13. All manhole lids and access,sampling or inspection ports must have locking covers and,
be located at ground level.
14. Inspect tank and clean filters every 6-12 months as needed.
15.Have the septic tank pumped or professionally inspected every 3 to 5 years.
16.All materials and workmanship must meet County and State regulations.
17.Deviation from this design without prior approval from the Designer and Mason County
Environmental'Health Department will make this design null and void.
18.All transport lines under driveways or parking areas must be encased to Prevent crushing.
l9.Homeowner is responsible for all property lines.
App
MAY�81074
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