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HomeMy WebLinkAboutSWG2024-00255 - SWG Application / Design - 6/7/2024 HELTON,WA 98584 ® MASON COUNTY 95N6SHELTON 0427-97 ,EXT400 SHELTON 360-47-9670,EXT 400 BE ELMA 360482-5267,EXT 400 Public Health & Human Services ELMA.36o<ez-szfis,ExT 400 FAX 36OA27-7787 On-Site Sewage System Permit: SWG2024-00255 APPLICANT SPEAR ET AL LOGAN & BRENNA Phone: 360-239-1541 Address. 2000 W Shelton Rd SHELTON, WA 98584 OWNER SPEAR ET AL LOGAN & BRENNA Phone. 360-239-1541 Address. 2000 W Shelton Rd SHELTON, WA 98584 SEPTIC INSTALLER LOGAN SPEAR" Phone: 360A27-4440 Address: 2000 W SHELTON VALLEY RD SHELTON, WA 98584 SEWAGE DESIGNER MICAH HALVERSOW Phone: 360-490-6365 Address'. PO BOX 1519 SHELTON,WA 98584 Site Address: XXXX BE Lynch Rd Primary Parcel Number: 319024190003 Permit Description'. 3-bedroom OSCAR X02 system w/OS-50 coils Permit Submitted Date: 06/07/2024 Permit Issued Date: 07/08/2024 Issued By. David Anderson Current Permit Fees Paid: $540.00 (advnonal Deb may be required upon lbroauadon or system). Permit Expiration Date: 0710312027 (based on date 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 downstope 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 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/healthlenvironmental/onsite/oss-inspection-request.php or call: 360-427-9670,extension 400. �� -- — OFFICIAI USE ONLY - %MASON COUNTY FAR 1111MED LQ \� COMMUNITY SERVICES °° ^S D © _ LI�L a m 52) =cHea h(CommuntYy v m ealth/En ,onmeel Hezlth) AM M 2 y SWG QSL` _- GO 5 o Z N ON-SITE SEWAGE SYSTEM APPLICATION 3 'z m aP=u WNr PRouE m Logan Spea -239-1541 � z c MAILING ADDRESS STREET CITY STATE,ZIP COVE 360 2000 W Shelton Valley Rd Shelton Wa 98584 om s ITE ADDRESS-STREET CITY Z1P CCOE Undeveloped - Land ` VIA14, NICE OF DESIGNER PHONE Micah Halverson 360-490-6365 NAME Or INSTALLER PHONE Logan Spear 360-239-1541 y PERMIT TYPF!selecl one) DRINKING V✓ATER SOURCE i� RESIDENTIAL OSS MCOMMUNITYOSS rl COMMERCIALOSS ❑ PRIVATE INDIVIDUAL WELL ra PRIVATE TWO PARTY WELL Z N TYPF OF VVOI Iswed—I ❑ PUBLIC PLATER SYSTEM V MI NEW CONSTRUCTION/UPGRADES rI REPAIR/REPLACEMENT OTHER DEWLLS Isel .I 1..1111 ❑ TABLE IX REPAIR SIISMITTAIS ❑ SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE LA X DESIGN FORM(REQUIRED) 17l SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r 7 WAIVER(S)(IF APPLICABLE) 3 1 .91 AC n >c s D Recnorvs TO srrEAno SITE corvorclorvs(ex mexee pare) From US HWY 101 at Tayler Town, turn onto SE Lynch Rd. Parcel is just pa t SE Sells ) Dr intersection on your left. Test holes are marked with pink ribbon. �GN f4 > o G SITE MOST BE FLAGGED FROMMAM ROAOAND iESTNOLES MUSTBE FLAGGED PACT TEITNOLE NUMBERS. C/l,/ OAT OFFICIAL USE ONLY BELOW THIS LIPAL uPORADE I ONLURE SOURCE Imr ,T,puryoags) ❑VOLUNTARY QMAINTENANDEIPUMPING O BUILDING PERMIT ❑HOMESALE ❑COMPUgNT ❑OTHER'. INSPECTOR SOIL LOGS COMMENTS/CONDRIONS ifr- ir+1:U-Z4'Sr`GIG "(�dG�uk Sv{.anfrla� 5fiwol*ti' ReSi-af a" c.� �if I cif 27-30— fclL rlfz-u -21" SAefe 1/1 A&I. eteS"Q► Jf A` JWIL 4*+l- 4+ -23-ztk ScIL 1. rIf3.0-2f" 5rctL- L-/ muduk S✓DwYj.l�r I¢�ucfrvc FoS+ a z�`V/ 7- -30' ScLL /zGSl wt 16 " wl nwF 784;11 -26` Zt L..l Iwtu4ft Svho+r�V' S{Xur 2/0-It" 5cn SOIL CODES'. RECORD DRALMNGAND INSTALLATION REPORT V-VERY G=GRAVELLY S-SAND L=LOAD 3,-SILT C-CLAY E=EXTREMELY A-ROOTS REQUIRED FOR FINALAPPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLOTI APPROVEOI I$CUEO SY DATE lrilt6 � / 1 kZ THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 194801E DESIGN FORM—PAGE ONE Assessor's Parcel Number:3L_/ © Z A design will be reviewed when 3 conies of each of the following are submitted: Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist. This form may be scanned and avallable for public view on the Mason County Web site.Maximum paper size: Il"X IT' PARCEL IDENTIFICATION Permit Number: SWG c�LQP&q 'W%Z ss Designer's Name: Micah Halverson Applicant's Name: Logan Spear Designer's Phone Number: 360490-6365 2000 W Shelton Valley Rd PO Box 1519 Mailing Address: _ Designer's Address: Shelton We 98584 Shelton we 98584 city State zip city State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter,Type: R(Aembic Unit Makc/Model Oscar X02 ❑Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity ❑Pressure ❑Trench ❑ Bed lif Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Per Oscar Daily Flow:Operating Capacity 270 gpd Length ft Daily Flow:Design Flow 360 gpd Diameter in Septic Tank Capacity(working) 1000 gal Number Receiving Soil Type(1-6) 5 Separation ft Receiving Soil Appl.Rate .4 gpd/f c Orifices Required Primary Area 900 - W Total Number of Orifices Designed Primary Area 900 W Diameter in Designed Reserve Area 900 - ft' Spacing in Trench/Bed Width 18 - ft Manifold Trench/Bed Length 50 - ft Schedule/Class Elevation Measurements Length if Original Drainfield Area Slope 3-5 % Diameter in New Slope, If Altered same % Preferred manifold configuration used? O Yes O No Depth of Excavation ut slupe 0 in Transport Pipe from Original Grade Dowaslope 0 in Schedule/Class 40 Designed Vertical Separation 18+ in Length 30 1t Gravelless Chambers Required? ❑Yes O No ❑Optional Diameter 1 in Pump Required? if Yes O No Dosing and Pump Chamber Pump/Siphon Specificatious Number ofdoses/day Per Oscar Diff. in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity " gal Drainfield Squirt Height/Selected Residual(head) n/a ft Chamber Capacity(flood) 1000= gal Uppermost Orifice Rf Higher O Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 62 gpm 5fTimer G(Elapse Meter G(Event Counter Calculated Total Pressure Head 10.69 ft If Timer: Pump on OsCW Pump off Oscar Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:_L C/ b Z -- 11 -- 10 O Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch RJ Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: it Soil logs Ed Trench bed dimensions and Rf Septic tank 91 Property lines critical distances within layout 2 Drainfield cover 1A Existingand proposed wells 19 D-Box/Valve box locations P P ose Reference depth from original grade within 100 ft of property Ed Septic tank/pump chamber and restrictive strata: m Measurements to cuts, banks,and locations 66 Laterals,trench/bed,top and surface water and critical areas 66 Observation port location bottom 19 Location and orientation of Q Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation components 66 Orifice placement Other cross-section detail: Location and dimension ofEil 66 Observation rts/clean-outs primary system and reserve area Lateral placement with distance Po to edge of bed Other Information lid Buildings 16 Audible/visual alarm referenced Yes No lid Direction of slope indicator Ed Scale of drawing shown on scale 111 ❑ Design staked out 19 Waterlines bar ❑ Rf Recorded Notices attached It Roads,easements,driveways, ❑ 19 Waiver(s)attached parking lid ❑ Pump curve attached m North arrow and scale drawing ❑ 19 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer mustJf notified by installer at time of installation R1 Yes ❑ No /l 10_1 — �/7/200c/ Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and Qete lffim d,it8rbe, compliance with state and local on-site gulations: 7�8�701� Environmental Health Specialist Dete CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDhif0N: '`` ✓ The design is stamped"Approved"by Mason County Public Health. /�/L✓ 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. This form may be scanned and available for public view on the Mason county Web site. Updated Date: 12/72015 � \ � - , _ � § ( \ ` 2 O= Q' 2 2 / ^ _ _ _ TI : _ , ; , , �, - - - - - \ �a / + ƒ ; , > \� \ Z � � !�! � , ! � � ! � .. f / ` zz \ � � � \ ` 5 - - - - - - ^ Er / � V aal qon Design LLC pi""Gan' Logans m q t�j lot,. mcel# es Sao � PO Box mss_ ms& ! a =_, e mre « 9w_ Halversondesign1icCcDoutlook.com Shelton, m _, v Gross Section -14 o N T O0 (D 18' cn tQ 0 U) - OQ OA OD0 C nt D > oa _ 50 on A � L � \ O n d d D o � o o m ----- -- m 0 and 3 � lP m m L lU un O ➢ �I r _ - m m \ L A\ C Ti O T 3 � O w 3 Iy I � I v w N � N / P J / � l 9 N 6 o a 6 Slope 3-5% N w O O NNO A N N N a O O N n d � a o 0 r n g o a 2\ O u� 0 it fy M.Halverson Design LLC Owne,/Anplirant Logan Spear qdt Inf. 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