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HomeMy WebLinkAboutSWG2021-00207 - SWG Application / Design - 4/20/2024 MASON COUNTY 415N 6SHELTON: ,SHELTO70,EXT 584 SHELFAIR 360d2T-06T0,EXT 400 4 BELFAIR:380-2]5.948],EXi 400 Public Health & Human Services ELMA:360482-5269,ENT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2021-00207 APPLICANT TAYLOR&MEGAN BALL Phone: Address: 3938 CORLISS AWE N SEATTLE,WA 98103 SEPTIC DESIGNER PAULAJOHNSON' Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 Site Address: 351 N Schaufler Ln Primary Parcel Number. 324347500040 Permit Description: New SFR-3BR Gravity Permit Submitted Date: 04/20/2021 Permit Issued Date: 07/17/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $640.00 (addmoml Ues mays wui�oma Lwellermofsry mi Permit Expiration Date: 04/2012024 Nasal oa darammapaaool Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staNper 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/onsite/oss4nspection-recluest.php or call: 360427.9670,extension 400. ©� 90 1, , Co\ OFFICIAL USE ONLY ® MASON COUNTY DAR D y D COMMUNITY SERVICES ^ ' ` N m m PubIY IY"Itll munXy NeaNJEnNmnmenul Meaenl O N SWG 202( - OOzv7 O A z ON-SITE SEWAGE SYSTEM APPLICATION D A m r APPLICANT PHONE PIT Taylor& Megan Ball (818) 55"103 z MANNGADDFESS-STREET CIT(STATE,ZIP CODE 3 3938 Corliss Ave N Seattle WA 98103 z EET CIT�ZIP DOOR 351 NE Schauler Ln Lilliwaup WA 98555 NAME OF DESIGNER PHONE I N Arrow Septic Designs (360) 898-2255 NAME OF INSTPLLER PHONE m I A PERMIT TYFE(ubcfas) DRINKING WATER EOURCE y W ®RESIGENTIALOSS HCOMMUNITYOSS 15COMMEKALOSS EZIPRIVATEINDIVIDUALWELL EOPRIVATETWO-PARTYWELL Z IA n.� L10PA IYYYo�"1 ®PUBLIC WATER SYSTEM ®NEWOONSTRUCTION/UPGRADES 5]REPAIRIREPIACEMENT OTTE.C.TAIIS1-1-I.mm gyry) OTABLE N REPAIR ICI .DENIALS [3 SURFACING SEWAGE EIMSTINGFAILURE r]SHORELINE ®�1DESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REODIRm) eEDRmMs LOT SIZE I � EDWAIVER(SO(IFAPPLICABLE) 3 BR 5.02 Acres In O PECTONSTO SITE AND SITE CONDITIONS(ex.b 9i ) From N US HWY 101 turn (L) onto N Jake Brake Ln. Take the first(R)onto N Schaufler Ln. Continue past the realtor sign until you see an orange cone on the left. Turn (L)just after o I o orange cone and follow road to RV pad. Yellow sign "Ball'. Trail to TH at orange cone at N end of RV pad. a glEYU9IYEM40ED iROYMAW FOAU AMU IE.TMIXESMU.T BE LLACCEO NTIN ZEST MOIEMUYFFRS OFFICIAL USE ONLY BELOW THIS LINE UFGRAOEIFFIWRESWROE(Fa,A Nng P,IPUEi) ❑VOLUNTARY OMAINTENANCEPUMPING DeUILDWGFERMR 0HOMESAtE ElCOMPLAINT POTHER_. INSFECTORSOILLW$ CCMMENTSICCNOIPONS — 7p [ 6 C d JUL 10 2024 D By kv $gLCCDFd. RECORD DRAWWAND INSTALAigN REPORT V•NFAY G=GRAVELLY S•SAND L-LOAM SI•SILT C=CIAY F-FATREMELY R=ROUT$ I REOUIREDFCAFINALAPFROVAL IH R GN�AT/LR�E O/FA.T(F.S AP—ION-"RAT/IFON DATE TONAPFROIVEtl I(&9LVED RY 7 I WTE TH FO YBE SCANNED AND AVAILABLE FOR PUBLIC VIEWON THE MASON COUNTY WESSITE REVISED 1-1-11 DESIGN FORM—PAGE ONE Assessor's Parcel Number. 3 2 4 3 4 — 7 5 — 0 0 0 4 0 A design will be reviewed when 3 comes 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. I Cross-section sketch,including all applicable items on checklist. This form may be scanned and available foblic view on the Mason County web site—w=imum a el sue: 11"111 RCEL IDENTIFICATION 7Nmber: SWG77= 7 Designer's Name: Arrow Septic DesignsTayloDesi er's Phone Number. (360)898-2255171 E Vueaest Dr3938 Designer's Address:eezme Union wA 98592Cityi C' State Zi DESIGN;YARAMETERS .. Treatment Device ❑Glendon Biofilter ❑Said Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Maks/Model Other. Drainfield Type gGravity ❑pressure 9Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 2729 Daily Flow:Operating Capacity 270 gpd Length 38 ft Daily Flow:Design Flow 360 gpd Diameter 4 pert in Septic Tank Capacity 1200 gal Number 4 Receiving Soil Type(16) 3 Separation 9 ft Receiving Soil Appl.Rate 0.8 gpd/ftt Orifices Required Primary,Area 450 fe Total Number of Orifices — Designed Primary Area 456 f(r Diameter — in Designed Reserve Area 456 112 Spacing — in Trench/Bed Width 3 ft Manifold Trench/Bed Length 152 It Schedule/Class — Elevation Measurements Length ft Original Drainfield Area Slope 12 % Diameter — in New Slope,If Altered 12 % Preferred manifold configuration used? R(Yes O No Depth of Excavation UPelope 30 in Transport Pipe from Original Grade i -sope 26 in Schedule/Class 3034 Designed Vertical Separation 44+ in Length 120 It Crmvelless Chambers Required? ❑Yes O No EfOptional Diameter 4 in Pump Required? ❑Yes iff No Dosing and Pump Chamber pnmp(Siphon Specifications Number of doses/day — Difference in Elevation Between Pump Shotoffand Uppermost Dose quantity — gal Orifice — ft Chamber Capacity — gal Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity aQ Total Pressure Head — gum OTimer OElapw Meter Cl Event Counter Calculated Total Pressure Head — it If Timer. Pump on — Pump off Comments p V E r �p/ i 1g�S VASON Co, ENVIRONNEZ Tqi �EF:T.1 J13W DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 4 3 4 — 7 5 -- 0 0 0 4 0 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 16 Test hole locations G6 Drainfield orientation and layout Reference depth from original grade: la Soil logs R1 Trench bed dimensions and Ri Septic tank Z Property lines critical distances within layout G9 Drainfield cover m Existing and proposed wells 21 D-Box/Valve box locations Reference depth from original grade within 100 it of property 19 Septic tank/pump chamber and restrictive strata: m Measurements to cuts,banks,and locations [if Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom 121 Location and orientation of E6 Clean-out location ❑ Curtain drain collector curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation components ❑ Orifice placement Other cross-section detail: 10 Location and dimension of Rf Lateral placement with distance Rf Observation ports/cleanouts primary system and reserve area to edge of bed Other Information Id Buildings ❑ Scale e/visua'P ownreferencedwale Yes No ld Direction of slope indicator � Scale of dr p own on scale lif ❑ Design staked out ld Waterlines bar ❑ 9 Recorded Notices attached m Roads,easements,driveways, ❑ Rf Waiver(s)attached parking ❑ 6if Pump curve attached m North arrow and scale drawing = ❑ [if Evaluation of failure shown on scale bar 5141 sn ',_r1. Non-residential justification PAVLA JOY JOHNSON't ❑ Rf Waste strength LfS�' e' ENE r ga•• ❑ Rf Flow DESIGN APiltdVAL The undersigned designer must no fled installer at time of installation Ef Yes ❑ No Y 11 n() i gnature o t 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-si gulations: Envir ealth Special t 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 — (e ✓ 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: 12/7/2015 tias�/ (L4 3'x 38J rrmary DF _PT/ Y%cv 9l, n�)T flS ervc tnb.e+�.�tth Q.Tes+ Hole �dti�•' Qnti Iwo-$v" LMS+67 wl rods no rl${TiC+IvC #2- 0-74° LMS+GwlrOOt3 Kew.. 1 Q 0 Clean011t 3 1,200 Gallon Septic Tank _> o S�,00 2-Compartment with Effluent Filter O I W xaj6 _, b-'gOX © D_gbx with speed-levelers a- / �b end cover to surface ta5nuet Fla+ Plan , 704 or+ e o B II r 3 ' 3N-15�000gO 351 dE Sc�aufter Ln °'°°PAU JOTA JOT JOHNSON C SE pq" owsrs a 2S Ss 7T 100 APPROVE JUL 17 2024 MASON COUNTY ENVIRONMENTAL HEALTH JBW Z�g-5 ° It38" 00V CID" a >9 0 0 NOTE, O=OBSERVATION PORTS--TO BE 4" PPBF PVC PIPE FROM BOTTOM OF TRENCH ORA-i.,C an N T-bp yi W TO FINISHED GRADE. REMOVABLE CAP SHALL BE INSTALLED ON •-r �ic..� ObSCrda_-'Fib �Ol} OBSERVATION PORT PIPE. GLUED ON y TEE AT BOTTOM. MINIMUM OF tj IN SYSTEM. G✓^d� NaF:ve 6 ,C C.oc•/ O f Fla �'� Yf•��p` 4"[ar hr O FAULA JOTY JOHN60N :.• JUL 17 2021 MASON COUNTY ENVIRONMENTAL HEALTH Dkpo A)FIELD LNn yI E1A/ �IV .r•S` PAf,F.7 Jr nnrr•:: SECURED LID WrrM SAS TIOT PAL � 1RZSWR FDUSN GRAM TO PUMP TCHANIER FROM SEWA" FIOATDK KAT SODIUM LMqRloff APPROVED FILTER SEDDUNM SEPTIC TANK APPRpVE JUL 17 2024 MASON COUNTYENVIRONMEAlW HEA '•Note: Septic Tanks must meet standards required by WAC chapter 246-272C J13W and manufacturer must be on the Dept of Health list of registered sewage tanks.'• auom Septic 17eaw c . r INSTALLATION& MAINTENANCE Gravity Distribution Systems 5J'G J � PAULA JCY JOH NSON`. 1. Install Laterals with contour of the ground. ow 2. Install trench bottoms level. 3. Install locator tape or rebarat each end of all drainfield laterals. 4. Install observation ports as indicated on the detailed drainfield layout. One required at distal end of each lateral in drainfield with bottom extending to the drainrock/native soil interface. Glue"7"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions;any soil smearing must be eliminated by hand raking. 6. Use distribution box with speed levelers. Divert incoming pipe down with 90degree angle to prevent short-circuiting. 7. Filter fabric required over drain rock prior to back filling. If the drain mck extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 8. Encase all water lines within 10'of drainfield and under any driveway/parking areas. 9. Divert all storm water runoff away from on-site sewage system. 10.No curtain drains allowed within 10' of the up-slope edge or 30'of the down-slope edge of the drainfield and reserve area. 11.No vehicular traffic over drainfield area 12. Install Bio-Tube or equivalent effluent filter at outlet end of septic tank. 13.All manhole lids and access, sampling or inspection ports must have locking covers and, be located at ground level. .. 14.Inspect tank and clean filters every 6-12 months as needed. 15. Have the septic tank pumped or professionally inspected every 3 to 5 years. 16. All materials and workmanship must meet County and State regulations. 17. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. I&All transport lines under driveways or parking areas must be encased to prevent crushing. 19. Homeowner is responsible for all property lines, APPROVE : , JUL 1 7 2024 y MASON COUNTY ENVIRONMENTAL NEA_*� JBW PAGE C.JGF 75PAGES