HomeMy WebLinkAboutSWG2024-00267 - SWG Application / Design - 6/13/2024 MASON COUNTY 415N6T"STREET SHELT967 ,EXT 400
BHSTREE ,SHELT967Q A98584
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA 360462-526e,EXT 400
FAX 360-427-7787
On-Site Sewage System Permit: SWG2024-00267
APPLICANT ROSE GEORGE S Phone.
Address: 44 MT RAINIER LOOP E BONNEY LAKE,WA 98391
OWNER ROSE GEORGE S Phone:
Address: 44 NIT RAINIER LOOP E BONNEY LAKE, WA 98391
SEPTIC DESIGNER CINDY WAITS" Phone: 360-701-0205
Address: 80 E Pickering Lane SHELTON,WA 98584
Site Address. 70 N VIEW OR
Primary Parcel Number: 422095100095
Permit Description: Repair 2bd gravity trench
Permit Submitted Date: 06/13/2024
Permit Issued Date: 06/2112024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation or system).
Permit Expiration Date: 06/17/2025 ceased on date of 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 back ill 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.
OFF IC AL UIPJN_Y
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MASON COUNTY
COMMUNITY SERVICES Friy
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PubllaHI' C lilyHealUi Enr ,mental rvealllf, N
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ON-SITE SEWAGE SYSTEM APPLICATION D A
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APPLICANT ED
,HONE r
GEORGE ROSE 426-614-8951 c
MAIL INPADDERSE STREET GIIY STATE.ZIP CODE Tj
44 MT RAINIER LOOP E BONNEY LAKE WA 98391 A
SITE AVURESE-sTPERT CIn EIP CODE
70 N VIEW DR HOODSPORT WA 98584 a
---
NAME Cl DESIGNER P42rvE N
CINDY WAITE 360-701-0205
NAME OF INSTALLER FHCNE O N
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PERMIT TYPE YeETLf ELF) DRINKING LV6ER SCURCE m
WRESIDENTIALOSS f COMMUNITYOSS FICOMMERCIALOBS ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL 2
TYPE CF wORK(vef,,I reJ 2 PUBI IC WATER SYSTEM AK NwE
NEW CONSTRUCTION,UPGRADES T�REPAIR,REPLAC EM ENT OTnbRO a LmILS ss,na✓ma:upulyi L] TABLE X REPAIR Ul
STEP TEALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE ❑ SHORELINE W
IWDESIGN FORM(REQUIRED) IK SEPTIC DESIGN(REQUIRED' ECROCrv' LOTSIZE r � �
WAIVERIS IF APPLICABLE) 2 SSXJ$4'Xl46'Xl2O' O
x Io
DIRECT ONE TO SITE AND SITL CONDITIONS iR, Le d9lRJ
GO UP HILL TO LAKE CUSHMAN, TURN LEFT ONTO FAIRWAY DRIVE, TURN RIGHT o
AT TEE, TURN RIGHT ONTO VIEW DR, PARCEL IS ON THE RIGHT SIDE OF THE r
ROAD. SOIL LOGS ARE BEHIND THE GARAGE. o 0
OAC ET STBE FLiGGEO FROMMAIN ROAR ANO TEST ROLES MVSi BE FL<GGEO WITN iESi NOLE NUMBERS.
OFF'.C.A�LEE OSLF B'_LCWTHIO_RE_ — —UP w --
E.FAIeF SOUNCF parmP�V Pw..e+l
❑VOLUNTARY O MAI NTENANCEPUMPING O BUILDING PERMIT ❑HOMESALE ❑CCMPLAINT ❑OTHER'.
INSV EOTOR SOIL LCGS LMMtry f5 T GONDrtIONS
jNI D NJgrn � �tb A
7k �., 60 � 11 64h4L E
UN 1 3 2024
RECORD CRAwING AND INSTALLATION HFPORT
SOIL CODES.
V=VERY G=GRAVELLY 6=EASE L=1CAM S, SILI AT E-UTRLMELY R-ROOTS REOUIREC FOR FINAL APPROVAL
NSPECTOR S 1,NA11RE DATE APPLIOATON E%PIRATION DATE APR RATIONAPPEDVECHSSUFRUY DATE
w Lj *l IOS Iz IN'm uDi(7,-1
THIS FORM MAYBE 4CANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 127 2O'.E
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 0 9 — 5 1 — 0 0 0 9 5
A design will be reviewed when 3 come 5 of each of the following are submitted:
"Completed design form that has been signed and dated. 0 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 public view on the Mason County Web site.Maximum paper size: 11"X IT"
q� PARCEL IDENTIFICATION
Permit Number: SWG (ivZL-i—o071. 7 Designer's Name: CINDY WAITE
360-701-0205
Applicant's Name: GEORGE ROSE Designer's Phone Number Mailing Address: 44 MT RAINIER LOOP E Designer's Address: 80 E PICKERING LANE _
BONNEY LAKE WA 98391 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑ Sand Filter ❑ Mound ❑ Sand Lined Dminfidd ❑ Reci enuring Filter.Type:
❑Aerobic Unit Meke/Model ❑Disinfection Unit Make/Model Other
Drainfield Type
RrGravity ❑ Pressure h'(Tmnch ❑ Bed ❑ Sub Surface Drip
Septic Ts nk/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class ASTM2729
Daily Flow: Operating Capacity 180 gpd Length 34 ft
Daily Flow: Design Flow 240 gpd Diameter 4 in
Septic Tank Capacity(working) EXISTING 1200 gal Number 3
Receiving Soil Type(1-6) 3 Separation 5-9 ft
Receiving Soil Appl. Rate .8 gpd/fte Orifices
Required Primary Area 300 IT, Total Number of Orifices ASTM PERF
Designed Primary Area 306 ft'- Diameter 4 in
Designed Reserve Area " i l 'AAI-L 568- ft2 Spacing `i�
Trench/Bed Width 3 ft Manifold Y}
E D
Trench/Bed Length ft Schedule/Class JUN
Elevation Measurements Length ya�" ��U tiT}'F1�y1g c
Original Drainfield Area Slope <1 / Diameter in
in
New Slope, If Altered % Preferr i n used? ❑Yes RfNo
Depth of Excavation UP-slope 14 in B ' port Pipe
from Original Grade Down-slope 14 in Sc s e wnrE 034
Eo OESIGNE
Designed Vertical Separation 36 in 20 ft
Fast e7less F4tam6 R�_p Yes ^ 0-.0.61pl snot Diameterr 4 in
Pump Required? ❑ Yes RfNo Dosing and Pump Chamber
Pump/Sipbon Specifications Number of doses/day
Diff. in Elevation Between Pump&Uppermost Orifice ft Dose quantity gal
Drainfield Squirt Height/Selected Residual (head) ft Chamber Capacity(Flood) gal
Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls: Please check those required. 1^1
Capacity @ Total Pressure Head gpm OTimer ❑Elapse Meter ❑ Event Counter
Calculated Total Pressure Head _ ft If Timer: Pump on ,Pump off
Comments
GRAVEL BASE DRAINFIELD REQUIRED, RETRO FIT EXISTING SEPTIC TANK WITH RISERS AND
EFFLUENT FILTER.
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 0 9 -- 5 1 -- 0 0 0 9 5
Permit Number: SWC -
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R1 Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
9d Soil logs Rf Trench/bed dimensions and ❑ Septic tank Cy '
Ib Property lines critical distances within layout IZ Drainfield cover
,_`
�j_rixisting and proposed wells 56 D-Box/Valve box locations
Reference depth from original grade
within 100 ft of properly Septic tank pump chamber J and restrictive strata:
aMeasurements to cuts, banks, and locations
fd Laterals, trenchPoed,top and
surface water and critical areas 6d Observation port location bottom
II41,Location and orientation of MJkLAean-out location ❑ Curtain drain collector
curtain drain and all absorption %_Manifeld placement ❑ Sand augmentation
components SW orifice placement Other cross-section detail:
19 Location and dimension oflid Rf Observation orts/clean-outs
primary system and reserve area Lateral placement with distance P
to edge of bed Other Information
m Buildings 1 4ptudible/visual alarm referenced Yes No
R1 Direction of slope indicator
R1 Scale of drawing shown on scale d ❑ Design staked out
21 Waterlines bar ❑ ❑ Recorded Notices attached
RI Roads, easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
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 notift by ins er at time of installation Ed Yes ❑ No
Signa ure 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:
1w��z.Vv�p�uv1 � �zl -�
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:
✓ 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. 2h
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
Mason County WA GIS Web Map
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APPROVED
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—� APPROVED
JUN 2 1 2024
MASCV C:;l1tiP'P�ii4-44 EST„HEALTH
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Distribution Box(No Scale)
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LICENSED DESIGNER
Installation Notes
Gravity Distribution System:
70 N VIEW DR 42209-51-00095
1. System did not pass maintenance, drainfield not accepting effluent.
2. Existing septic tank to be retrofitted with risers and effluent fileter.
3. Install system during dry weather with acceptable soil conditions
4. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only
5. 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
tolled on or around them. Use swales, berms, catch basin and tight lines, curtain drains,
etc. to divert all waters.
6. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
7. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
8. Install access risers on the septic tank, D-box and observation ports.
9. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
10. Lids must form a water and gas tight seal with the access risers
11. Install effluent filter at the septic tank outlet.
12. This system must be installed by a Mason County Certified Installer.
13. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
14. 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.
15. Install laterals or bed with contour of the ground
16. Install trench bottoms level and always maintain a minimum of six inches into native soil
17. Filter fabric required over drain rock prior to backfilling. If the drain rock extends
above the original grade, run the filter brit at East 2 inches down the trench wall.
)APPROVED
i s
JIJN 21
2014
h CIND4( DYE W LICENSED DESIGNESIGN
ER
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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 should be pumped every three to five years or as needed.
3. System owners are responsible for having maintenance performed every three years as
per WAC246-272A.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
6. Keep the flow of sewage at or below the approved design operating capacity.
7. Keep waste strength at residential waste strength parameters.
B. Spread loads of laundry through the week.
9. Do not use excessive bleach or detergents with added whiteners.
10. Do not shower, do laundry and dishwasher at the same time
11. Antibiotics can kill or impair the biological process in the septic tank.
12. Leaky plumbing can hydraulic overload your on-site septic system.
APPROVED
iUN 2 1 2024
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