HomeMy WebLinkAboutSWG2024-00205 - SWG Application / Design - 5/9/2024 ® MASON COUNTY C15 N6THELTON:STREET,SHEL-9670 E T400
SHELTON:W-2754467:EXT 400
BELFAIR:360-2]bi467,EXT 000
Public Health & Human Services ELM WOAW5269,EXT C00
FAX 360427-Tl67
On-Site Sewage System Permit: SWG2024-00205
APPLICANT ROGERS CHARLES EARL&NANCY Phone: 509570-6812
LORRAINE
Address: 24030 192ND PL SE COVINGTON,WA 98042
OWNER ROGERS CHARLES EARL&NANCY Phone: 509-570-6812
LORRAINE
Address: 24030 192ND PL SE COVINGTON,WA 98042
SEPTIC DESIGNER CINDY WAITE.Septic Designer Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 340 E Burgundy Rd
Primary Parcel Number: 220251402000
Permit Description: 4-bedroom pressure system
Permit Submitted Date: 05/0912024
Permit Issued Date: 06105/2024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (addnlooalrees maybe re9mredopon lnamiadon msymem).
Permit Expiration Date: 05/09/2027 (based on dere m inspection)
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 upslope and downs/ope depth specified on
design form.
4 /nstalleris responsible for obtaining Mason County installation approval prior to backill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
ball ofsystem components.
6 Mason County Asbuilf Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF MS.
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/heahhlenvironmentallonsite/oss-inspectiont quest.php or wll:
360.427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY DATLAE 6 LD S
COMMUNITY SERVICES RE'
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APPLICANT PRONE m
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CHARLLES ROGERS PcoDE 509-570-6812 zz
WILINGADDRESS-STREET.C".STATE, 91
24030 192ND PL SE COVINGTON WA 98042 z
61Titt609E BURGUNDY RD SHELTON WA 98584 ^T
NAME OFF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE O I 0
PERMRTYPEIWa .) DRINKING'ANTER SOURCE w I IJ
If RESIDENTALOSS 157COMMUNITYOSS ECOMMERCIALOSS irPRIVATEINDIVIDUALW£LL IZ'PRIVATE T RARTY WELL = I �
TYPPEpE OF NORK WIKtM ne) Cr PUBLIC WATER SYSTEM
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NEW CONSTRUCTIONIUPGRADES EREPAIRIREPIACEMENT OTHER DETALS(wYAMMNappY) []TABLE UI REPAIR I �
SUBMITTALS ¢ ❑ SURFACING SEWAGE E]EXISTING FAILURE ❑SHORELINE
In.DESIGN FORM(REQUIRED) CISEPTIC DESIGN(REQUIRED) BEDROOMS Loi s¢E I 'p
ffWAIVER(S)(IFAPPUCABLE) 4 281'X1100' x '
OIRECTIONBTO SITEPNO SITE CONDRIONS(u.kMatl P,h)
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CROSS HARSTINE ISLAND BRIDE, TURN RIGHT AT TEE(SOUTH ISLAND DR)TURN N
RIGHT AT NEXT TEE(HARSTINE ISLAND ROAD SOUTH), TURN RIGHT ONTO r
BURGUNDY ROAD, NEW DRIVEWAY ON THE RIGHT. TAKE DRIVEWAY BACK TO THE o 0
CLEARING, SOIL LOGS ARE ON THE RIGHT JUST BEFORE THE CLEARING. GATE I o
CODE IS 3275
SITEMUSTBEFIADDEOFAONMAMROADANDMSTNOLESMUSTSEFLAGGEDMMTESTNOLENUMSER3. c)
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(N,¢aNM pgcwF)
OVOLUNTARY [ MAINTENANCEYPUMPINO EIBUILDINGPEHMIT CIHOMESALE CICOMPIAINT (]OTHER:
INSPECTORSOILI.IXi6 5 COMAENTSICONDMI0146
In:o�4a' �5
Ids+ at Lie 1-7 kil 000
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414N! M s 19 uuup�uuu MAY 0 9 2024 D
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RECORD DPAWNGAND INSTALLATION REPORT
SOIL CODES:
V=VERY G-GRAVELLY S-SAND LOAM Si=SILT C•CIAY E=E%1REMELY R=ROOTS REQUIRED FOR FIWLLAPPROVAL
IXSPE RSIGNATURE MTE MPLICATpH EXPIRATION DATE APPLIL PPPROVEd ISSUED BY DATE
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE AGUSED 1274015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 2 5 — 1 4 — 0 2 0 0 0
A design win be reviewed when 3 conies 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
v Scaled plot plan,including all applicable items on checklist. 0 Cross-section sketch, including all applicable items on checklist.
Thla torso an seamed and available for public view en the Maaon Cowry Web site.M¢rimvm r size: 11"X IT'
Permit Number: SWG_ aZtI-QQ o Designer's Name: CINDV WgITE
Applicant's Name: CHARLES ROGERS Designer's Phone Number: 360-70"205
Mailing Address: 24030192ND PL SE Designer's Address: 80 E PICKERING LANE
COVINGTON WA 98042 SHELTON WA 98584
Ct State Zi Ct State Zi
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilm, ❑ Sand Filter ❑Mound 0 Send Lined Dreinfield ❑Recirculating Filter,Type:
❑Aerobic Unit MakctM del ❑ Disinfeaion Unit Make/Model Other:
❑Gravity Drainfield Type
tY Pressure G?(Trench ❑ Bed
❑ Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms 4 _ Schedule/Class SCHEDULE 40—
Daily Flow:Operating Capacity 360 gpd Length 50 i ft
Daily Flow:Design Flow 480 - gpd Diameter 1.25 —
n
Septic Tank Capacity(working) 1200 gal Number 4
Receiving Soil Type(1-6) 3 Separation g ft
Receiving Soil Appl.Rate .8 - gpd/ft2 Orifices
Required Primary Area 600 - ft' Total Number of Orifices 40 '
Designed Primary Area 600 ftz Diameter
3./16 in
Designed Reserve Area 600 ft' S ing 60
n
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 200 - ft 4Sche, /Class SCHEDULE 41d
Elevation Measurements L� tt 1-2 ft
Original Dreinfield Area Slope 5 / '�
2 in
New Slope,If cav t on 1 nfiguration used? S(Yes O No
Depth of Excavation up-slDpe 22 s' a
WA
from Original Grade 20 ._ aICEN FDEDESIvYrE Transport Pipe
Dmmslope SCHEDULE 40
Designed Vertical Separation 24 a.^ s as,a
in Length 75 ft
na Diameter 2 in
Pump Required? If Yes ON. Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 7 it Dose quantity 60 '
Dreinfield Squirt Height/ gal
Selected Residual(head) 2 g Chamber Capacity(flood) 1200 gal 1t"
Uppermost Orifice EdHighm 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 23.6 gum IdTimer fifElapse Meter St Event Counter
Calculated Total Pressure Head 9.74 it I If Timer: Pump o, ,Pump off
Comments
INSTALLER SEE PAGE 10 ITEM 2. CONCRETE TANKS REQUIRED, RAVEL BASED DRAINFIELD
REQUIRED, PUMP CONTROLS TO BESET AT TIME OFINSTALLATI
DESIGN FORM—PAGE TWO Assessor's Parcel Number.2 2 0 2 5 -- 1 4 — 0 2 0 0 0
Permit Number: SWIG
=10gsRf
ESIGN CHECKLISTS
Plan Scaled Layout Sketch Cross-Section Sketch
locations 6d Drainfield orientation and layout Reference depth from original grade:
Rf Trench/bed dimensions andSeptic tank
lines critical distances within layout � Drainfield cover
and proposed wells � D-BoxNalve box locations
0 ft of ro Reference depth from original grade
p perty 59 Septic tank/pump chamber and renedepictive strata:
m Measurements to cuts,banks,and locations tb/#/ut y
surface water and critical areas Ed Observation port location 19
Laterals, trench bed,top and
bottom
q*cation and orientation of 59 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components
hZ< Orifice placement Other cross-section detail:
E9 Location and dimension of
primary system and reserve area 66 Lateral placement with distance Gil Observation ports/clean-outs
to edge of bed
!b Buildings Other Information
III Direction of slope indicator m
56 Audible/visual alar referenced Yes No
id Waterlines sc
66 Scale of drawing shown on ale If ❑ Design staked out
bar ❑ ❑ Recorded Notices attached
m Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking 0 ❑ Pump curve attached
16 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 otified by installer at time of installllat�io,n 06 Yes ❑ No
St store o signer Date
ytc�pp�
The undersigned has reviewed this design on behalf of Meson County Public Health and determined ittRovp
compliance with state and local on-site ulations:
� Shy to IyEA., 0520p4 19-4
nvtronmental Health S cialist �'�
Date 'lNfNJP,
UjA �iIIIAC HfA/rp
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: 2 12cl e 7
✓ 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: 12/72015
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Lateral tt Length Length Orifice p Distance from Distance from end length
tt (Feet) (Inches) }Spacing" Orifices feeder line of end of lateral
1. 50 600 60 10 - - 2.5 - 2.5 50
2 50- 600'. - 60 30 - 2.5 2.5 50
3 50 _600 60 30 IS 2.5 50
4 50. _. 600� __ - __.
_ ____ - _60-_ . . 10, 2.5 2.5 50
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200. 40
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TRANS LENGTH 75 - ---
GPMT 23.6 --
K (2"SCHEDULEN 40)i 284.5 - -
FRICTION LOSS 97151 "-
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Installation Notes '
Pressure Distribution System: �O", JtjNO$2024
340E Burgundy Rd 22025-14-02000 COUNryf���'SN„g�NTAC HFA(
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.
,iJF•2. We have laid out an envelope for the drainfield site. When clearing has been completed,
we will shoot grades and stake out laterals. 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..
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. This 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. Install laterals with contour of the ground.
18. Install tr h bottoms level and always maintain a minimum of six inches into native
soil..
19. Inst re clean outs at the ends of all laterals (caps must extend to within six
inc fn�i$ race and be in a valve box as shown on diagram.
20. 11 `14°_ v' 1 alarm.
21. `r 2eq over drain rock prior to backfilling. If the drain rock extends above
e gi IQ the filter fabric at least 2 inches down the trench wall.
QN E W I J
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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 alter 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. g�
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