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Home My WebLink AboutSWG2024-00162 - SWG Application / Design - 4/23/2024 MASON COUNTY 415NfiTHELTON , 027-9 ,EXT 400 SH STREET, ,SHHE TONN, EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-526e,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00162 APPLICANT CEDARLAND &CO LLC Phone: Address: P 0 BOX 2269 GIG HARBOR, WA 98335 OWNER CEDARLAND &CO LLC Phone: Address: P O BOX 2269 GIG HARBOR, WA 98335 SEPTIC DESIGNER BRAD SMITH-septic designer Phone: 253-851-2178 Address: PO BOX 1444 GIG HARBOR, WA 98335 Site Address: UNKNOWN Primary Parcel Number. 220012100080 Permit Description: New 3bd pressure sandlined bed Permit Submitted Date: 04/2312024 Permit Issued Date: 06/2712024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be required upon inmauaronal eypfii Permit Expiration Date: 0510612027 (based on dale or Inspection) Permit Conditions: i Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17, 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH F-SWG /2 3 4 ONSITE SEWAGE SYSTEM APPLICATION / MaN�415N6thStre%fts) SheltwwABs5s4Shel=:350 27.g67BW400 BdfA,360-775-0467eR . _- Oo l6L EA \FANQ �Z ' 'aET air,srnrEm Gtt LPCOOESG/ II�-11�!/ lV� P 9Na NFME OF Bi$(pUER �' PHONE CHECK IG9LE KEYS GRNMM/O WRIER SOHpCE NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY WPRNATE WWDUA WELL ❑ REPLACEMENT SYSTEM 13 NSTALLATION PERMIT ONLY ❑ PRNATE TWOFARTV WELL ❑ TABLE B pEPAIq 0 SINGLE FAMILY O COMMUNRY/PUBLIC WATER SYSTEM 2 ❑ TANK(Sj ONLY ❑ COMMERCIAI. SYSTEM NNUE: ❑ UFDWE TO E%IS Na ❑ OTHER: "GROOMS �\ ClEYIBTING FAILURE LOT SIZE '\v W� MRECTION9T091TE-SE SEgFICANORpIgSE OFPNY NFEpEll INFpRMgTIIXO Fqt ACCEB$(ez.lopep gepl Q Vol � "1'.� ( � �±,y...,lam- `�.]TJrJ L5F'T-i'd .-NCi SIIEYDSi9E PLADOEORIOM YAw ROADA=MTwoltY MWTWRAGGEO mm 1E4iNOLEx1A9BERa OFFICIAL USE ONLY BELOW THIS LINE W'GRRCEIFNLLgE SOURCE Far2ptt4q Wrpdy/ ❑VOLUNTARY ❑MNNTENANOEMUa1PING 13BUILOINGPERMIT C3HOMESALE QCOMPLAINT BOTHER: INBPELT0.R SOh LOGS .��-�}j �''�1/'l CONMENB/CONp1TIGN9 040 � �5 U� y10 V V' WOEa: V= EAI' G=GMY£LLY Sa&WO L.LOFM 9.SILi C=CUV E=FXTgWFyY R=ROOTS NE ECigi 81GNATIIRE .h APFLIG'0'EXiMMTM WTE APPpGTIpNgpPRO�£G BV MTE w I /z4 c ILIry THISFORYMAYS SCANNEDANDAVA LEFDRPUBLICNEWONTHEYASDNCOUBTYWMff la:vre6n lNlAta -IT rnSOy DESIGN FORM—PAGE ONE Assessor's Parcel Number: I ZI t ^ K2 F A dwigo WIR be reviewed when 3 copug leach of the folbwing are wi n sided: -- VCompleted design firm that has been signed and deed. v Scaled layout sketch,including all applicable itemon checklist Scald plot plan,including all applicable here on checklist. v Qr=4 ction sketch,including ell 8 applicable items on checklist. 1mN fmren MaonnaeaM avagahlafor oubbe risen an the Masan Wab eRn.Marisnmst she: I1"X17" Permit Number. SWG 7i Designer's Name: Xaj� ';V. Applicant's Name: P 'G � Designer's Phone Number: Mailing Address: U 2 .&q Designer's Address: q s �ly �Uh y-3= Ci Zi Ci Sate zip 7Ywlintdt Device ❑tRud®Biahher ❑ Riper ❑IAom�d /�'{'�SmeLroedDram5vd ❑gapepygngFilte.type: ❑Aerobic Unit Makdld ❑Disinfection Unit MakelModal Other. Drainfield Type ❑Gravity ❑Trench Bed ❑Sub Surface Drip Septic Ta rainfidd Speeifintlons Lateral Number ofBedroome 3 Sebedule/Ciam Daily Flow:Operating 'ty 3(<7 !� Length 'fyV ft Daily Flow:Design Flow 3� gpd Diameter I�5 in Septic Took Capacity _ gal Number 4 Receiving Soil Type(1-6) 1 Separation Z ft Receiving Soil Appl.Rate I gpd/ft Ormces Required Primary Area ��pG B Total Number of Orifices O Designed Primary Area � 'S fo0 ft" iameter ,'� 1 in Designed Reserve Am ft' Spacing Z in Trench/Bed Width ft Manifold Trmcb/Bed LM& 0 it Schedule/Class Mavis n Mass rements Length Z, ft Original Dramfield Area ope IQ % Diameter in New Slope,If Altered % Preferred manifold configuration used? a No Depth ofpreavabon bc° in Transport�P,�'i"_p"^e from Original Gmdc — in Schedule/Clasa 'fCy Designed vertical Sepma an n Lmgth top ft Gravellns Chambers ? ❑Yea o O Opdotal Diameter Z in Pump Required? 1 Yes ON. Dealing and Pump Chamber Pump/Siphon Specifications Number of doses/day Difference in Blevedon Between Pump Shutoff and Uppermost Dose quantity �.00 gal Orifice 2, /; ft Chamber Capacity )190 gal Uppermost Orifice G<gber (3 Lower than Pump Shutoff Pump conVistPlewe check those / Capacity @ Total Bud it caner bElirr�,�(��rMe�� 'E, vent Cpumer Calculated Tool Presents eed ft If Timer. Pump on�Nov off P-mlo APPROVED inns bier)' )100d , efI(W" s RJN 27 2M 4scl, -��vresie�w T.'LHEALTH 4ET DESIGN FORM—IPAGE TWO Assessor's Parcel Number00 Permit Number: SWG DESIGN CBECIOLISTS . . ..... Soled Plot Plan Sce�ed Layout Sketch CrogaSection Sketch est hole locations Z Drainfeetd orientation andlayout Reference depth from on oil logs original s 1G Tronch/bed dimensions and � VP lines ,oentical distances within layout 9Se �f ■ 6'Drainfield cover Existing and proposed wells BoxNalve box locations and g eve strata: Reference depth from on within 100 fit of property septic tank/pump chembcr �grade z1atianons —ri onsMeasurements[o cuts,banks,and ld I,aterels,trench/bed,top and J surface water and critical areas F Observation port location bottom la Location and otilentation of 25�lean-out location ❑ Curtain drain collector curtain drain and all absorption In Manifold placement ❑ Sand augmentation ,fumponents J dH fice placement [)[leer -section detail: Location and Sion of _ primary system d reserve area Lateral placement with disfaace 1G Observation ports/clean-outs is edge of bed Other Information mldtags 2_/AndbleM m sualalarreferenced Yes No on of slope indicator !d Scale of drawing shown on scale ❑ aterlines bar I staked out ❑ rled Notices attached � �sngeasemen}s,driveways, aiver(s)attached ❑P94 curve attached North arrow an wale drawing ❑ valuation of failure shown on scale art Non-residendai Justiticatlon ❑ ❑Waste strength ❑ ❑Flow Il&SIGN APPROVAL . The undersigned de goer most be potilied by installer time utatallatio es ❑ No Sid tm ter ) Date The undersigned hm rZviewed9 jss design w behalf of Mason County Public Health and determined it to be in compliance with stal e and local on-site re I ions: �7;-! nf " C(zy(Z-1 Environmental Health S ist Date CAUTION: DES GN APPROVAL IS VALID ONLY UNDER THE FOLLO G C9NDMON: ✓ The design is a ed"Approved"by Mason Cowty Public Health. ✓ The Onsite Sewage Permit bas not expired,the Permit Expiration Date is: ✓ Drainfteld site 'lions 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 Installati n Fee is required. This form may be acanned and available for public view on the Macon County Web site. Updated Date: 12n2015 Peninsula Septic Designs P.O.Box 1444 Gig Harbor,Washington 98335 (253)851.2178 FAX(253)851-2178 JOB# F - �7,5D BR x 120 GPD/BR = 3 D GAL/DAY APPLICATION RATE APPLICATION AREA = 3L. / _ FT2 PROPOSE 0 ORIFICES/LAT. 2- x LATERALS = PAD TOTAL ORIFICES 8c x z _ GPM FOR SYSTEM PUMP CAI CS: APPROVED MAX. ELEV, DIFF. JUN 2 7 2024 � _ 3 Nk50h'CcUM1IYcyVI,gOH4ENi4LH` '—=` I EALiN FRICTION LOSS; REi 660 LF MANIFOLD &FRICTON LOSS = t n MANIFOLD ASSY. RESIDUAL �. TON FOR SYSTEM USE PUMP OR EQUN. DOSE VOLUME `30 voo o 0 2 b`� PRES�SNED go BEP- - A Z K r --- u � °off o y99y _ oZ -UyAmo ®95 • ___ �. __ - __ III � a 'b�X r• m y p"m 3 D °° �o Nz°Oy C_ z a P s 5 _ w _ rE Z -_ V a � G omz os � m iD- 20p 2O On Oh y Cz 44. 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