HomeMy WebLinkAboutSWG2024-00241 - SWG Application / Design - 5/31/2024 584
® MASON COUNTY 415N6SHELTON 0427-970 EXT 400
eHELFAIR 360-02]-96]0,EXT 400
BELFAIR'.360-2]6-44fi],EXT 400
Public Health & Human Services ELMA'.360-062-5269.EXT 400
FAX 360429-7787
On-Site Sewage System Permit: SWG2024-00241
APPLICANT SHREVE KENNETH WILLIAM&NORA Phone'.
LOUISE
Address- 81 E FIR TREE LANE UNION,WA 98592
OWNER SHREVE KENNETH WILLIAM&NORA Phone'.
LOUISE
Address: 81 E FIR TREE LANE UNION,WA 98592
SEPTIC DESIGNER MICAH HALVERSON' Phone'. 360-490-6365
Address: PO BOX 1519 SHELTON,WA 98584
Site Address- 71 E Fir Tree Ln
Primary Parcel Number: 321045400063
Permit Description: New SFR-2BR Newsier
Permit Submitted Date: 05/31/2024
Permit Issued Date: 06/18/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $540.00 raddrdalieaama,as naad,red„pod maauaneom ayarem)
Permit Expiration Date: 06/12/2027 (based on date or Infractor)
Permit Conditions:
i Proposed development subject to zoning requirements and approval by the planning
department staflper 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 DesignedEngineer installation approval prior to
backfill ofsystem 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 CBS.
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 LFMI IIN 5 31_�02 y
COMMUNITY SERVICES AMOU TMJgo MILLION., m
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ON-SITE SEWAGE SYSTEM APPLICATION 3 z
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APPLICANT cANT PHONE
KENNETH SHREVE 206-641-5878 c
MkILING
81 E FIR TREE LN STATE, � UNION WA 98592 ° m
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SITE ADDRESS.STREET,CITY.ZIP CODE
71 E FIR TREE LN _ F ILA,
NAM[0E OCRENER PHONE
MICAH HALVERSON 360-490-6365
NAME OF INSTALLER PHONE O ��
LO&N SPEAR 360-239-1541 o I O PERM"I 'D DG.l._) SPINNING WATER SOURCE
IM RESIDENTIAL OSS ET COMMON IV OSS ED COMMERCIAL OSS ED PRIVATE INDIVIDUAL WELL El PRIVATE TWO-PARTY WELL Z I
TYPE OF WIDEN DAkG oneJ 2 PUBLIC WATER SYSTEM ALDEROOK _ I �1•
VI NEW CONSTRUCTION I UPGRADES EED REPAIR I REPLACEMENT OTHER DETAILS(aelAIXau Alen
PPNI ❑ TABLE IX REPAIR V�
SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE W
WE DESIGN FORM(REQUIRED) vI SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSIZE
O
❑ WAVERS)(IF APPLICABLE) 2 24 � I O
DIRECTIONS TO SITE AND SITE CONDITIONS(AT Ml.E,ARI
FROM E MCREAVY RD TURN ONTO E MANZNITA DR, TURN RIGHT ONTO E JACK Q
PINE LN, TURN LEFT ONTO E PAINT BRUSH LN, TAKE FIRST LEFT ONTO E FIR
TREE LN. SUBJECT PARCEL WILL BE ON LEFT. TEST HOLES ARE MARKED WITH a
PINK RIBBON, DRAINFIELD IS STAKED OUT
SITE NOSTBE...FROM MAIN ROAD ASH MST HOLES MUST BE FLAGGED WRN TEST HOLE NUMBERS. W
OFFICIAL USE ONLY BELOW THIS LINE
UPRAOLI ATURE souacE Ro,raPamre,�ma.�)
[]VOLUNTARY []MAINTENANCEIPUMPING ❑BWLDINGPERMIT ❑HOMESALE ❑COMPLAINT []OTHER:
INSPECTOR SOIL LOSS COMMENTS,CONDITIONS
3� �L
RECORD DRAWING AND INSTAIL ATION REPORT
SOILCODES:
V=VERY G=GRAVELLY S=RAND L=LOAM Si=SILT C=CLAY E=E%TREMELV R=ROOT$ RE DFORFINALAPPROVAL.
P CTORSIGNATURE DATE APPLICAT ION EXPIRATION DATE APPL ATION APPRCVEOI ISSU EC BY GATE
) jI G- IZ �- ( 2 - )_ 2
TFI F AY BE SCANNED ANDAVAIIABLE FOR PUBLIC VIEW ON THE MASON COUNTYWEBSITE REVISED I4114a15
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 Z t 0 4 _ S °1 O L) (� 3
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. ° Cross-section sketch, including all applicable items on checklist.
This form may be scanned and available for public vlew on the Mansur County Web site.Maxirnum o er'size: //"X/7
PARCEL IDENTIFICATION
Perron Number'. SWG �� Designer's Name: MICAH HALVERSON
Applicant's Name. KENEE H SHI' Designer's Phone Number' 360-490E365
81 E FIR TREE LN Desi nei's Address. PO BOX 1519
Mailing Address: 6 -
UNION WA 98592 SHELTON WA 985M
City Slate Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Biefilter ❑ Sand Filter ❑ Maned ❑ Sand Lined Drainfield ❑ Recirculating Filter,Type:
Lg Aerobic Unit Make Modal BNR-500 ❑ Disinfection Unit Make/Modcl Other:
Drainfield Type
❑ Gravity E(Pressure lgTrench ❑ Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schcdule/Class 40
Daily Flow: Operating Capacity 180 gpd Length 60,50,36 ft
Daily Flow: Design Flow 240 gpd Diameter 1 1/4 in
Septic Tank Capacity(working) 500+NUWATER gal Numbcr 3
Receiving Soil Type(1-6) 4 Separation 91, ft
Receiving Soil Appl.Rate .6 gpd/ft' Orifices
Required Primary Area 400 fie Total Numbcrof Orifices 37
Designed Primary Area 438 ft' Diameter 3/16 In
Designed Reserve Area 438 ft'- Spacing 48 in
'French,Bed Width 3 ft Manifold
Trencher ed Length 146 ft Schedule/Class 40
Elevation Measurements Length PREFERRED it
Original Drainfield Area Slope 7 % Diameter 2 in
New Slope, If Altered SAME % Preferred manifold configuration used? gYCs 0 No
Dcpth of Excavation 1-P auPv 12 in Transport Pipe
Crum Original Grade Dewaalope 9.52 in Schidule/Clas's 40
Designed Vertical Separation 12 in Length 50 it
Gravelless Chambers Required'? ❑ Yes 0 No T(Optional Diameter 2 in
Pump Required'? Ef Ycs ON. Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff. in Elevation Between Pump&Uppermost Orifice 12 it Dose quantity 45 gal
Drainfield Squirt Height, Selected Residual(head) 2'+ ft Chamber Capacity(flood) 1223 gal
Uppermost Orifice ErHigher 0 Lower than Pump ShutnfC Pump controls:Please check those required.
Capacity a Total Pressure Head 28.79 gpm Efturt r lap er E ter
Calculated Total Pressure Head 13 41 ft If Timer. Pump onuo
Comments JUN 1 8 )(P4
DESIGN FORM—PAGE TWO Assessor's Parcel Number- _3_2__/__O 4_
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
El Test hole locations H Drainfield orientation and layout Reference depth from original grade:
9 Soil logs EI Treneh/bed dimensions and 06 Septic tank
® Property lines critical distances within layout fd Drainfield cover
• Existing and proposed wells 9 D-BoxNalve box locations Reference depth from original grade
within 100 ft of property 16 Septic tank/pump chamber and restrictive sh'ata:
H Measurements to cuts,banks, and locations lif Laterals, trenchibed, top and
surface water and critical areas IH Observation port location bottom
0 Location and orientation of 96 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 15 Manifold placement ❑ Sand augmentation
components 10 Orifice placement Other cross-section detail:
M Location and dimension of 9 Observation ports/clean-outs;
primary system and reserve area Lateral placement with distance P
to edge of bed Other Information
® Buildings 9 Audible/visual alarm referenced Yes No
El Direction of slope indicator El Scale of drawing shown on scale 9 ❑ Design staked out
E7 Waterlines bar ❑ 9 Recorded Notices attached
H Roads, casements, driveways, ❑ 9 Waiver(s) attached
parking Q ❑ Pump curve attached
• North arrow and scale drawing ❑ Q Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must notified by installer at time of installation 15 Yes ❑ No
n
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 Iota n- itc regulations:
lC y
E vir tal 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: _ _ � - 2
✓ 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 Mas Ir 1' taltIt.
An Installation Fee is required. rJUN 18 202'l
This form may be scanned and available for public view on the MasogFt6plU8tylP0I�1151t'@Th1=1+-�L`=r_T"
J B Wdated Date: /2/72015
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M.Halverson Design LLC KENNETH SHREVEPO Box 1519 Shelton Wa 98584 Mailing: 81 E FIR TREE LANE 71 E FIR TREE LN
Halversondesi nllc outlook.com UNION, WA 98592 REV,