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SWG2024-00119 - SWG Application / Design - 3/26/2024
MASON COUNTY 415N6THELTON: , 0427-97WA98564 $HELTOR:3WV54670,EXT 400 BELFAIR:380-275-0461,EXT 400 Public Health & Human Services ELM&360-082-5269,EXT 400 FAX 360d27-Tr87 On-Site Sewage System Permit: SWG2024-00119 APPLICANT CLARK ET VIR RACHEL R Phone: Address: 5115 ANDREW ST SE LACEY,WA 98503 OWNER CLARK ET VIR RACHEL R Phone: Address: 5115 ANDREW ST SE LACEY,WA 98503 SEPTIC DESIGNER PAULAJOHNSON' Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474 Address: 911 BE Arcadia Road SHELTON,WA 98584 Site Address: 121 E PASSAGE VIEW RD Primary Paroel Number: 221277600070 Permit Description: New 3bd pressure trench Permit Submitted Date: 03/26/2024 Permit Issued Date: 06105/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 leedidmelr«.m.y na rwuie upon par Wb d.Ya )- Permit Expiration Date: 03/27/2027 (e..aa m d. dimpoMm) 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 Drainfie/d installation not to exceed designed ups/ope and downslope depth specified on design fort. 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 Asbuitl 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/health/environmental/onsite/oss-inspection-request.php or call: 360427-9670,extension 400. OFFICIAL USE ONLY DR a MASON COUNTY Cm H ® COMMUNITY SERVICES m O N NWLROIN ICURNN.NS,NNNME,ND.N,NN0.YIN y Q SWG z a 2 I%S ON-SITE SEWAGE SYSTEM APPLICATION s APPLICANT PHQxE TT Rachel Clark (775)720-7767 = c IMRINGADDRESG-STNEEi CRY 4IATE,DECODE 3 5115 Andrew St SE Lacey WA98503 a SITEADDENES-STREET CITY DPGOCE Shelton WA 00564 IN 121 E Passage View Rd NAYECf..V.ER P Arrow Septic Designs (360)898-2255 N NAMECFINSTAULER PRONE O Maples Excavating (360)463-8474 m I N EERMRTWE faNYYYI ORIONIw AATER SOURCE F''RESIOENiIALOSS ELCOMMUNRTGSS HCOMMERCIALOSS IE PRIVATE INDIVIDUAL WELL 11 PRIVATE TVVORARTY HELL 2 I.T4 rvPE OF wx+N IMNnaIRI M PUBLIC WATER SYSTEM ®NEWCONSTRUCTION/UPGRADES BIREPNRIR M EFIACEME OTMERDETALSryESSISPIaWM OTABIE U(REPAIR IJ G°anTAu JI ❑ EURFACINGSESNAGE O EXISTINGFAILURE O SHORELINE ZOESIGNFORM(REOUIRED) ®SEPTICDESIGN(REOUIREDI BEDROOMS LDTSI]E I� EflVPJVTR(S)(1FAPP IGnaLEI 3 BR 7.65 acres I o OASOICNST09TEAND SITE CONDRION3.ryF.KK PW 10 Go out Hwy 3 and turn (R)onto E Pickering Rd. Continue straight onto E Harstine Bridge Rd. Turn (L)onto N Island Dr. Turn (L) onto E Sunset Hill Rd. Turn (R)onto E Sunset Hill N. r I o Turn (L)onto E Passage View Rd. Destination on (L). Park at green gate#121 and walk in on driveway to RV. Follow tractor path up hill to the(R)to drainfield and test holes. I 1 -4 SITFYUST BE MGDFG FROYYAINR°MD]XG TESi MIXE5YU9PYEfUGGE°NifN IEEi NOLE NUYRERE. I OFFICIAL USE ONLY BELOW TH6 LINE UFGEADEI FAILURE SOUICEN NPY4np ENI ❑VOLUNTARY OMAINTENANOEPUMPING r]SUILDINGPERMR OFIOMESALE OOOMPLAINT 00THER'. INPDECTORMLLWS CCMNENTSIODM IONS ? ,U -ITN vns o- 32 0" RECORD DMVANG AN D INSTALLATION REPoRT £OILCDCES: •VERY G•GRAVELLY Sz"ND L•LOAM S•SILT C•CW E•FXIPFMELV R•RCCCE REQUIRED Fqi F114LACP20VAl IN ECTOR SIGNATURE WE APFUCXTON6TNMTIONDATE APPLICATIONAPPROVENISSUEDIN ATE THISFORMMAYBESC NNE.AND AVAILABLE FOR PUBLIC VIEWON THE MASON COUNTY WEBSITE EMBED I1,I1mrs DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 2 7 — 7 6 — 0 0 0 7 0 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. •Crass-section sketch,including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site. 19nximurn Pa.er.vize: I I PARCEL IDENTIFICATION Permit Number. SWO 2024-00119 Designer's Name: Arrow Septic Designs,Inc ( .._ 360 Applicant's Name: Radtiel Clerk _ Designer's Phone Number. ( )898-2255 g Mailing Address: 5115 Andraw St BE Designer's Address: 171 E Vuecam t Dr P kaeay WA 99503 Union, WA 9e592 �e dsed CiN_ State Zip City State Zi DESIGN PARAMETERS Treatment Device ❑Glendon Bioli1wr ❑Send Filter ❑Mound ❑Sand Lined Drainfield ❑Itceirculating Filter.Type: ❑Aerobic Unit Makc/Model O Disinfection Unit Make!Model Other. Drainfield Type ❑Gravity Rf Pressure 9Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Literals Number of Bedrooms 3 ScheduleiClass 40 Daily Flow:Operating Capacity 270 glad Length 38 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 4 Receiving Soil Type(1-6) 3 Separation 9 ft Receiving Soil Appl.Rate 0.8 gpd/ft` Orifices ,,( Q,f�e.Q Required Primary Area 456 fta ✓ Total Number of Orifices �t12 f Ot""t Designed Primary Area 456 ft' Diameter 3/16 in Designed Reserve,Area 456 ft'- Spacing 60 in Trench/Bed Width 3 ft Manifold Tre rch/Bed Length 152 ft Schedule/Chus 40 Elevation Measurements Length header ft Original Drainfield Area Slope 3 % Diameter 1.25 in New Slope,If Altered 3 % Preferred manifold configuration used? R(Y'es 0 No Depth of Excavation uPsba 8 in Transport Pipe from Original Grade Duxn-slWa 7 in Schedule/Class 40 Designed Vertical Separation 24- in Length 50 ft Gravelling;Chambers Required? ❑Yes 0 No 90ptional Diameter 2 in Pump Required? Id Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 4 DitT.in Elevation Between Pump dt Uppermost Orifice 16 it Dose quantity 90 gal Drainfield Squirt Height)Selected Residual(bead) 2 it Chamber Capacity(Flood) 1,000 gal Uppermost Orifice dHigher 0 Lower tban Pump Shutoff e/ Pomp controls:Please check those required. Capacity @ Total Pressure Head 18.88 gpm fil(Timer G(Flapse Meter 19 Event Counter Calculated Total Pressure Head 18.02 ft If Timer: Pump on 3 to Ia Comments q p p K JUN 05 2024 JUN 042024 MASON COUNTY sy 1 eg 8 RET DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 2 7 — 7 6 — 0 0 0 7'0 Permit Number: SWG 2024-00119 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch R1 Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: 19 Soil logs Rf Trench/bed dimensions and Ul Septic tank 16 Property lines critical distances within layout W Drainfield cover id Existing and proposed wells lid D-Box/Valve box locations Reference depth from original grade within 100 ft of property Rf Septic tank/pump chamber and restrictive strata: m Measurements to cuts-banks,and locations 9 Laterals,trench/bed,top and surface water and critical areas S9 Observation port location bottom ❑ Location and orientation of E9 Clean-out location ❑ Curtain drain collector curtain drain and all absorption Rf Manifold placement ❑ Sand augmentation components 19 Orifice placement Other cross-section detail: la Location and dimension of lid Lateral placement with distance Rf Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information Ib Buildings Rf Audible/visual referenced Yes No m Direction of slope indicator lid Scale of dra on scale Rf ❑ Design staked out R1 Waterlines bar ❑ lid Recorded Notices attached R1 Roads,easements,driveways, A°•'"•• ' ❑ Rf Waiver(s)attached parking Rf ❑ Pump curve attached 91 North arrow and scale drawing ❑ E9 Evaluation of failure �'I S1p03gB shown on scale bar FALLA JOY JOHNSnN';' Non-residential justification 'Li ms [ NEB ❑ 19Waste strength rxrut + ❑ h'fFlow DESIGN APPROVAL The undersigned designer most ben ed by inst ler at time of installation Id Yes ❑ No (. - 3- T, 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: )R:tn me Environmental Health Silecialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved" by Mason County Public Health. -3 7 ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 7 V ✓ 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 forth may be scanned and available for public view on the Mason County Web site. Updated Date: I ZJ 2015 1827088 BLA# BOUNDARY UNE ADJUSTMENT MAP Scml' 150' MORRIS WOELVREY P.O.BOX 724 ALLYN,WA 98524 EXHIBIT ' � LEGEND PROPOSED LOT LINE OLD Lar LINES (XXK) RECORD BEARING&DIST JWJMES IS NOT A SEE SUR RECORDED)IN 9,PAGE SEE NIA.-SON CO N..96-70 TOPOFEATURES WN ARE PER I BLAA 9670& SWAMP PARCEL 2 7.65 ACRES OLDLCYrIJNE PARCEL, I 2.61 ACRES 4? 4t NEWLOTLINE 2�OT v nT IEDOE OF C�ON Afmox(@RE% Dm A� Olt a SE 114 D 4446 f�27,T...Wp2lNd4 L- R� Wavy,W.. W.M,io Maven QfC�DdV� ARMOVSD JUN 0 5 2024 MASON COUNTY EN14ROKYLENTAL HEALTH i 2�1 Q� �o ' I A21 Ixi2: Za°E� CA13' 1 rc\ � W) ��SZYJG ih b\ziwew � ` Tndu-Viauat Alarn v© 0t out y \ \ 0' VyP" I © 1200 Gaon Se Tank W nt= mtY- \ ESIYOLFVLG 1,V O IOOO Gallac?:�P C:usber © OS Valve Control Box O A y4� rcX . Yrece" r I pwe { LwtkSnv.ewS aw.. 1 mtx o WPROV D JUN 0 5 2024 ? / ovea SON COUNTY ENVIRONMENTAL H RET PAULA JOT JOHNSON'. V "fC Etl i NEq" Ea%afS 2•,-11'anSpoff I�Tw aw CcnMel Bea wiM 125' Bog Vtiv.c ti Ty iCc11 Ufavlov+ I.n,5 B T Lcal05efvat(o✓1 '125 La d " Is• ` APPROVED JUN 05 2024 Detailed Droinfield Layou TY°"a °b"'"991 MCUNTYENARCNMENTALHEALTH I. , tv F�tl GPd RET 0 10' 20' q 60 to 12' F➢tor Fd Cmr /ritl Nd( (L}) 38' 1 .25" Sched. 40 Laterals 3/� m 2" z-vz• 0 -- t2s' Lof a�, CS) 3/ 16" Orifices C� O m .C. Bum a Per Lateral. 1st & Last Orifice IS" From End of Trench BB• -- xr.wGn up Laaa w.trmu.. Lerr — FM e1 OhN Drainfield Cross-Section View N., Ta bGa. Nelc awvrt to a tray 0 ro B new eaow Net.: 0 - ODeervanon Pxt C Paq Gex oak aitlo wC1� oL O..m Out Te B. 6' WC F" rr"e Sefton of Tr.rcX PIp?b et t1Y BM M BCa� t'a'fa. Te FriNeE G000. Flemov�k Cap atoll W Pat P,.. A. Arrow Septic; Design: Qi Beftem C Rn Tea of 4 Totao ReWeL A SYaf.m y: PAULq JOYY JO 6t0 HNSON (360) 898-225 E '�. $� t 4S 1 / Length Length Orifice # Distance from Disfancefrom Lateral# (In. Ft Spacing Orifices Feeder Line In.) Cleanout(In. 1 456 38 60 8 18 18 2 456 38 60 8 18 18 3 456 38 60 8 18 18 4 456 38 60 8 18 18 Total Lateral Len lh 152 Total#Orifices 32 GPM= 18.88 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(Ft.) #Orifices Transport Pipe 50 32 0.33 ft. Feeder Total Lateral Line Length Lateral#1 38 2 40 8 0.15 ft. Lateral#2 38 7 45 8 0.16 fl. Lateral#3 38 12 50 8 OA8 ft. Lateral#4 38 17 55 8 0.20 ft. Total Elevation Lift 15.00 ft. Total Dynamic Head 18.02 ft. e "ll •� NF S O y�PAULA JOYY JO JOHNSON F}!8 fC,N fXPaiES � APPROVED JUN 05 2024 MASON COUNTY ENVL40NMENTAL HEALTH RET • Bronze construction available(139 series) High head version available(145 series) • Double shaft sealversions available foridded protection Flow-Mate0/145. on models information, Far more information,sea Technical Data Sheets FM1782,FM2783. In high head dewatering or effluent applications where pumping performance is critical, this robust family of pumps is known for reliability, durability and performance. These pumps are especially suited for harsh J environments.Zoeller's coolrundesign and corrosion-resistanC powder coated epoxy finish add up to a Long-lasting, troubLe-free product. APPLICATIONS: • STEP or onsite applications y Wamrtmnsfer 1 • Lightcommeicialdawatering a SPECIFICATIONS: 1-1/2-NPT discharge 1/2 HP through S HP • Availabb in automatic or nonautomatic MA Model 137.139.140:1/2-(12 mm)spherical solids , capacity with vortex impeller • Model 145:3/4.(19 mm)spherical solids capacity with r vorteximpeller PUMP PERFORM CURVE DO$e-I a or ilgUtv0AA++ MODEL 1 /1621 3 N This is our fastest growing line of effluent u m In pumps.The 150 seriesistruly aworkhorse designed for reliability under extreme If m conditions in an effluent environment. 150 seriespumpcurves covera wide range 3 u ; ,n of applications. They are well suited to z applications with Low pressure pipe(LPP) and enhanced flow STEP systems.Zoeller's a n Isr cool run design and corrosion-resistant, 5 e a powder coated epoxy finish, in addition to the hermetically sealed, oil-filled motor Its and non-cLoggingvortex impeller add up to I a Long-lasting,trouble-free product m APPLIGTICNe: s STEP or onsite applicarions p MApEIN THE U511 Ip m ap W 5p W N W W 'doUghtcommerciatdewarering MAW m URm wuoxs BP -1/2'ITOrae: " �Q 15P7 1 1 IDp • 1-1/2'NPi discharge H'fJ ru R 0`Vffo p'xn 3110 HP through 1/2 HP • AvailabieinnonaummaticorwiNa variable level JUN 05 2024 piggyback machanlol switch MASON COUNTYENOROHMENTAL HEALTH • 1/2"(12 mm)spherical solids capacity with vortex thermoplasdcimpeUer RET For mom information,see Technical Oats Sheet FM2 784. 1� Q 0 All rights reserved. ZOEl1ER PUMP CO. 1502-T78-2731 1800-928-7867 1 welierpumps.com 9 �wmusTsomSEAL �aMAKITER - Aee�s2m a To PUMP F4W7 r-oxrzw MAa j 1 1 j u �o C — MTER tXtA OVED T° JUN 05 2024 6'KSON COUNTY ENVIRONMENTAL HEALTH mu—Pew�rrs r RE,�.e�v�ae Ac�aZSER PD=BRADS YAM 7A78C -� e , i —>TO MLUNFZMD omm —r RIGH WATBCAtADttEVEL ` - ji ,�. u a VE stew sBe s cLom scam - wcsuw 4, @�9� �J.m•/l SSDMKEWSFlRWDz ' 9HM VALVE= Dt9® HFry�B.F®uem =AS 1Eo I "Note: SeAtk snits In=Me-xncares roruirad n-i Wye CsApter 24 272C FIGURE 2 and:nanuFeCts:n'.rmust ce on L,he xy o':Heekh?s o` '�=r'=se�zge tars. i �9 � ofg LLv w Septic Deaigm) Ac. e MIy INSTALLATION & MAINTENANCE Pressure Distribution Systems 510 349 r PAJL JOY JOHNSON 1. Install Laterals with contour of the ground. N owrres r, r 2. Install trench bottoms level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the draimock/native soil interface. Glue "T"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. Install threaded clean-outs at the end of all laterals(cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area, not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 10. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock,(do not glue), after pressure test and Environmental Health Dept. approval,turn orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 13.Encase all water lines within 10' of drainfield and under any driveway/parking areas. 14. Divert all storm water runoff away from on-site sewage system. 15.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 16. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 17.No vehicular traffic over drainfield area. 18. Inspect floats,clean filters,and test high water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet County and State regulations. 20.Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access,sampling or inspection ports most have locking covers and be located at ground level. 22. All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down/away from tank opening. 23. All transport lines under driveways or parking area�ptpj� ysFd tpjU'�yent crushing. 24. Homeowner is responsible for all property lines an e e 13�/ JUN 05 2024 B(�8 MASON COUNTY ENVIRONMENTAL HEALTH V RET