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HomeMy WebLinkAboutSWG2024-00196 - SWG Application / Design - 5/6/2024 ® MASON COUNTY 415N6SHELTON:STREET.SHELTON, 967WA98684 SHELTON:WIN27596]e,EXT 400 BELFAIR:380.2]6446],EXT 400 Public Health & Human Services ELMA:3604825269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00196 APPLICANT SPEAR ET AL LOGAN&BRENNA Phone: Address: ANDREW&MARCY SPEAR SHELTON,WA 98584 OWNER SPEAR ET AL LOGAN&BRENNA Phone: Address: ANDREW&MARCY SPEAR SHELTON,WA 98584 SEPTIC DESIGNER MICAH HALVERSON' Phone: 360-490-6365 Address: PO BOX 1519 SHELTON,WA 98584 Site Address: XX SE Lynch Rd Primary Parcel Number: 319024190002 Permit Description: New SFR-3BR OSCAR X02 Permit Submitted Date: 05/06/2024 Permit Issued Date: 05/22/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 (addNmalr my Wulre uaonln=11Wu dspWm). Permit Expiration Date: 0512112027 (e ondammmapecmn) 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 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 bacAfll of system components. 6 Mason County Asbuilt Form, Record Drawing,and Installation fee must be submitted for final installation approval. THIS PERMIT MUST RE 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/health/environmental/onsite/ass-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY - MASON COUNTY US y COMMUNITY SERVICES MQ X R RAF-° W 0On PN MIFHRFNM1QD Isom uAHtxBNIEnNmnrnmMlHnBHI < y m .��° MM � ,. m SWG ac��u Ubl�tb o ON-SITE SEWAGE SYSTEM APPLICATION M 0 AYPLII NT PHONE M Logan Spear 360-239-1541 U MAILING ADDRESS-STREET CITY,STATE,ZIP CODE ; 2000 W Shelton Valley Rd Shelton Wa 98584 A SITE ADDRESS-STREET CT'.MR CODE I� Undeveloped - Land NAME OF DESIGNER PHONE Micah Halverson 360-490-6365 NAME OF INSTALLER PHONE Q I-0 Logan Spear y 10 'EMIT TYPE(006,-) TU DNNMGVMTERSOURCE I�RESIDENTIALOSS LIc COMMUNITYOSS EiCOMMERCNLOSS 6PRNATEINDMDUALN£LL 2 IN TYPE OF WORK fMAztmr) Cr PUBLIC WATER SYSTEM I I 9NEWCONSTRUCTIONIUPGRADES 6REFYUR I REPLACEMENT OMERDETALS(mb1MMYepPY) C)TABLE IX REPAIR IS SUBCMrtTALS O SURFACING SEVMGE ElBOSTING FAILURE [3SHORELINE Ir I— LnDESIGNFORM(REDUIRED) IiffSEPTICDESIGN(REOUIRED) BEDROOMS LOT SOF ffMVER(S)(IFAPPUCABLE) 3 1491 AC x DIRECTONSTOSREANDSIIECONDIIIONS ft .kcbJpM1 From US HWY 101 at Tayler Town, turn onto SE Lynch Rd. Parcel is just past first SE Sells IO Dr intersection on your left. Test holes are marked with pink ribbon. r 0 10 „FEMDBF.BR.oBBDImoMMT.IRDADAT�T®THOL�BMBBTBFaABB�H,TN,>9THDI�.MT.RI: � Ir'' OFFICIAL USE ONLY BELOW THIS LINE UPGRADE FAILURE SOURCE GM SvNSW pupova) (]VOLUNTARY OMNNTBMNCEIPUMPING ❑BUILDINGPERMIT []HOMESALE OCOMFLNNT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS a /L,04-4- G5i L nnv�6�n/ RECORD OMVANG AND INBTNUPON REPORT BOIL CODE& V=VERY G-GMWLLY S=SAND L=LOAM W.SILT C=CUY E-E<IREMELY R=PINTS REQUIRED FOR FINNA➢PROVQ. I RSIGMNRE DATE APPLMATIONEXPMATONDATE U TIONAPPROVENISSUEDBY DATE 0 M AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE IPU REVISED 126=15 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 g e e-- 41 - 4 0 jo an 2 A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dazed. •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 may be sunned sad available for public view on the Mason Can,, Web site.Maximum a er size: 11"X 17" pia y ^�v Permit Number: SWG n* W)V[b Designer's Name: Micah Halverson Applicant's Name: Logan Spear Design er's Phone Number: 360-490-6365 Mailing Address: Design 2000 W Shahon Valley Rd Desi er's Address: PO Box 1519 Shelton We 98584 Shahan We 98584 Lti State Zi Zt cityState Treatment Device ❑ Glendon Biofilter ❑ Send Filter ❑ Mound ❑Send Lined Drainfield ❑Recirculating Filter,Type: ffAerobic Unit Make/Model Oscar X02 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity ❑Pressure ❑Trench ❑Bed EISub Surface Drip Septic Tank/Dralnfleld Specifications Laterals Number of Bedrooms 3 Schedule/Clan Per Oscar Daily Flow: Operating Capacity 270 gpd Length " ft Daily Flow:Design Flow 360 gpd Diameter in Septic Tank Capacity(working) 1000 gal Number Receiving Soil Type(1-6) 5 Separation ft Receiving Soil Appl.Rate .4 gpd/ft' Orifices Required Primary Area 900 ft Total Number of Orifices " Designed Primary At" 900 ft? Diameter " in Designed Reserve Area 900 ftr Spacing in Trench/Bed Width 18 If Manifold TreuchBed Length 50 IT Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope 3-5 % Diameter in New Slope,If Altered same % Preferred manifold configuration used? Yes No Depth of Excavation Up-dove 0 in Transport Pipe from Original Grade Ddope 0 in Schedule/Class 40 Designed Vertical Separation 12+ in Length 125 If Gravelless Chambers Required? ❑Yes 0 No 0 Optional Diameter 1 in Pump Required? Er Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of dowslday Per Oscar Diff.in Elevation Between Pump&Uppermost Orifice 12 It Dose quantity " gal Drainfield Squirt Height/Selected Residual(head) n/a It Chamber Capacity(flood) 1000 gal Pump controls:Please check those required. Uppermost Orifice dHigher ❑Lower than Pump Shutoff a�a pb „aa_ gf'Evut Counter Capacity @ Total Pressure Head 6.2 Spm �T �iJ �E "iY�9` Calculated Total Pressure Head 14.86 ft If Timer: P on Oscar Comments 1U1 4 If MASON COUNTY ENVIRONMENTAL HEALTH r erlar • DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 19 0 2 — _q I — S 0 p 0 Z Permit Number: SWG 1?ESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 9 Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: 9 Soil logs 9 Trench/bed dimensions and 9 Septic tank 9 Property lines critical distances within layout Q Draffifield cover 9 Existing and proposed wells 9 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 19 Septic tankipump chamber and restrictive strata: 19 Measurements to cuts,banks,and locations Iff Laterals,trench/bed,top and surface water and critical areas 9 Observation port location bottom 9 Location and orientation of 0 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 16 Manifold placement ❑ Sand augmentation components 9 Orifice placement Other cross-section detail: 9 Location and dimension of pJ Lateral placement with distance If Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 9 Buildings 9 Audible/visual alarm referenced Yes No 9 Direction of slope indicator pJ Scale of drawing shown on scale ❑ Ef Design staked out 9 Waterlines bar ❑ 9 Recorded Notices attached 9 Roads, easements,driveways, ❑ 9 Waiver(s) attacbed parking 9 ❑ Pump curve attached 9 North arrow and scale drawing ❑ 9 Evaluation of failure shown on scale bar Non-residential Justification ❑ ❑Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be/tified by installer at time of installation 9 Yes ❑ No Az�� S/c fzat( 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-site regulations: S--2l -z� Environmental Health Specialist 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: ✓ Draiufxeld 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 frolAp f i f f MFftic Health. An Installation Fee is required. 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