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Home My WebLink AboutSWG2024-00107 - SWG Application / Design - 3/18/2024 i MASON COUNTY 413NBSHELTON:SHEL967 ,EXT 400 SHELTON:380-2754470,EXT 400 4 aELFAIR:360.275i067.EXr 400 Public Health & Human Services ELMA 360 482-6269,EXT 400 FAX:380d27-7787 On-Site Sewage System Permit: SWG2024-00107 APPLICANT LATTIN STEPHEN A&SHARON K Phone: Address: 425 E RIVENDELL RD GRAPEVIEW,WA 98546 1 OWNER LATTIN STEPHEN A&SHARON K Phone: Address: 425 E RIVENDELL RD GRAPEVIEW,WA 98546 SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226 Address: PO Box 162 OLYMPIA,WA 98507 Site Address: 425 E Rlvendell Rd Primary Parcel Number: 221167590070 T Permit Description: 3BR Oscar X02 Repair Permit Submitted Dale: 03/18/2024 Permit Issued Date: D4101/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $805.00 (addwoaarteeamayee,asm,ad upon malaoanon orayalem). Permit Expiration Date: 0312012025 (deaedoadaleormep"on) 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 i authorization from Mason County Is obtained. 3 Drainfield Installation not to exceed designed upslope and downslope depth specified on design form. 4 Installerls responsible for obtaining Mason County Installation approval prior to backtill of system components. 5 Installer is responsible for obtaining Septic DesigneNEngineer Installation approval prior to backfill ofsystem components. 6 Mason County Asbullt Form, Record Drawing,and Installation fee must be submitted for final Installation approval. I i I THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS, PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATONS, 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. DESIGN FORM—PAGE ONE Assessor's Parcel Number:(2a 1L L - -- Q� - A design will be reviewed when 33 c�of each of the following are submitted: o Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist �Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for pudic view an the Maven County Web site.Maximum paper size: 11"X 17" �1rr��rr�� II '' ss��,,�� PARCEL IDENTIFICATION Permit Number: SWG 2\1L�1.' \N Designer's Name: ADAM HUNTER Applicant's Name: HOUSE BROTHERS Designer's Phone Number: 360-753-1226 Mailing Address: PO BOX 1820 Designer's Address: PO BOX 162 MOCLEARY WA W557 OLYMPIA WA 98507 city State Zip city State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Fdmr ❑Mounted ❑Sand Lined Drainfield ❑Recirculating Filter,Type: EYAerobic Unit Make/Model X02 ❑Disinfection Unit Make/Model Other: Drainfield Type OSCAR X02 DRAINFIEL Cl Gravity ❑Pressure ❑Trench ❑Bed ❑Sub Surface Drip Septic Tank(Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class PER OSCAR Daily Flow:Operating Capacity 270 gpd Length PER OSCAR ft Daily Flow:Design Flow 360 gpd Diameter 7FT N Septic Tank Capacity 1500 gal Number 5 Receiving Soil Type(1-6) 4 Separation 0.5 ft Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 600 gr Total Number of Orifices PER OSCAR Designed Primary Area 825 Ill Diameter PER OSCAR in Designed Reserve Area N/A Ili Spacing PER OSCAR in Tmnc[Bed Width 15 ft Manifold TrencbBed Length 55 It Schedule/Class 40 Elevation Measurements Length 40 ft Original Drainfield Area Slope 3 % Diameter 1 jn New Slope,If Altered 3 % Preferred manifold configuration used? 6dYes 0 No Depth of Excavation Up-slope WA in Transport Pipe farm Original Grade Downalopc N/A in Schedule/Class 40 Designed Vertical Separation 24 in Length 40 ft Crrevelless Chambers Required? ❑,�/Yes Rl 0 Optional Diameter 1 in Pump Required? M Yea 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 412 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.874 gal Orifice ° it Chamber ac 12-01b\ gal Uppermost Orifice dHigher Cl Lower than Pump Shutoff Pump cc r : le e c os r k } d. Capacity Q Total Pressure Head 12 gpm jile� MAR 9I4pse,Meter @rEveut Counter Calculated Total Pressure Head t220 ft If Timer:. Pump on. 30SEC Pump oft 3MIN Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:AQ�4--/-4. — Pemut Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 1Zr Test hole locations EZ Drainfield orientation and layout Reference depth from original grade: 6d Soil logs Trenchlbed dimensions and Ed Septic tank E� Property lines critical distances within layout IZ Drainfteld cover 19 Existing and proposed wells 19 D-BoxfValve box locations Reference depth from original grade within 100 ft of property 1d Septic tank/pump chamber and restrictive strata: Id Measurements to cuts,banks,and locations ❑ Laterals,trenchlbed,top and surface water and critical areas Observation port location bottom 121' Location and orientation of Clean-out location ❑ Curtain drain collector curtain drain and all absorption Manifold placement ❑ Sand augmentation components EZ Orifice placement Other cross-section detail: 13 Location and dimension of E9 Lateral placement with distance 9 Observation ports/clean-outs primary system and reserve area to edge of bed E9 Buildings Other Information � Audible/visual alarm referenced Yes No E9 Direction of slope indicator Scale of drawing shown on scale 12( ❑ Design staked out 19 Waterlines bar ❑ ❑ Recorded Noticesattached 95 Roads,easements,driveways, l!". ® {® ❑Waiver(s)attached parking �Jip❑Pump curve attached e IVA j =❑Evaluation of failure f7j North arrow end scale drawing y �;� y �,7as shown on scale bar "h t% r ,"-residential justification ,>F3. ❑Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer must noti ed a let at time of installation dYes ❑ No 318124 of Designer Date The undersigned has reviewed t design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site lations: 74�4/Qotl __ 3 -?-Zr Envirro a eallh SpeQW list Dale 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: ✓ Dminfield 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 . v - - - - - - - - - - - - - ��\ � ƒ .» .. / . � \ + � � ! » ! | — § MUM � ` Na • § |;)!| / | § ! § § | \ k |�||| , § ! | \ _ . - . ] } \ 3 | ) ��E �\ 2 ~ , : : • } < �----� X ' � » : ( j\ ' b ~ � 9R2R \� §§/ DOSING TANK RET_ LINE §I »2/ SUPPLY` RETURN 0 ( � , , | ■ ; J q ■ \ �� SING ` | § % « � .