HomeMy WebLinkAboutSWG2024-00332 - SWG Application / Design - 8/5/2024 HELTON,WA
584
MASON COUNTY 415NBSHELTON: , 0427-97 ,EXT 400
aHELFAIR 360-2759470,EXT 400
BELFAIR:360-275-4467,E%T 600
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00332
APPLICANT ANTHONY ANN LOUISE&TERRANCE Phone: 503-282-1953
Address: 2532 NE 32ND CT PORTLAND, OR 97212
OWNER ANTHONY ANN LOUISE&TERRANCE Phone: 503-282-1953
Address: 2532 NE 32ND CT PORTLAND, OR 97212
SEPTIC DESIGNER CINDY WARE' Phone: 360-701-0205
Address: 80 E Pickering Lane SHELTON, WA 98584
Site Address: 1500 E TIMBERLAKE EAST DR
Primary Parcel Number: 220075100052
Permit Description: Repair 2bd pressure bed
Permit Submitted Date: 08105/2024
Permit Issued Date: 0810812024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (adddmnai raaa may ea required upon insvllaoon or"am),
Permit Expiration Date: 08/07/2025 (tamed on data Mmspenion)
Permit Conditions:
1 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 OS&
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/oss-inspection-request.php or call:
360.427.9670, extension 400.
OFFICIAL USE ONLY
\\ ® MASON COUNTY DARR[CB D S -5 '
COMMUNITY SERVICES H
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ON-SITE SEWAGE SYSTEM APPLICATION a A
APPLICANT PHONE m n
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TERRANCE ANTHONY 503-2852-1953 z
1MIlINGPOORE88�STREET CITY srnTE,ZIP coOE
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2532 N E 32ND CT PORTLAND OR 97212
SITE ADDRESS-STREET CITY.ZIP CODE •.�.
1500 E TIMBERLAKES DR E SHELTON WA 98584 ^T
NAME OF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE I Q
TBD T
PERMITTYPE(MINKI.) DRINKING WATER SOURCE = I0
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L1.RESIDENTWLOSS L.I:cc pCOMMUNITYOSS LJCOMMERCLALOSS E�1 PRIVATE INDIVIDUALWELL EPRIVATE TWPPARTY WELL =V I V
TYPE OF VA ;RK(SN"d ay) PUBLIC AMTERSYSTEM TIMBERW(ESWS
5-NEWCONSTRUCTIONIUPGRADES 9REPAIRIREPIACEMENT OTHEROETAILSNxMRt00SS. , OTABLE IX REPAIR I Ip1
SUBMTTALS O SURFACING SEWAGE Ed EXISTING FAILURE ❑SHORELINE
WDESIGNFORM(REQUIRED) 6SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSRE I -�
EIAMWER(S)(IF APPLICABLE) 2 119 X63X130X121' A '
DIRECTIONS TO SITE AND SITE CONDITIONS I C)
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TAKE ENTRANCE INTO TIMBERLAKES, TIMBERLAKES DR TURNS INTO TIMBERLAKE I C�
DR E, FOLLOW TO ADDRESS. PROPERTY IS ON THE RIGHT SIDE
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SIIEMUSTBE FLADOEO NiOMMAW ROgpgNO rE3TMOLE3 MISTBERApOEP K11M 1E3TMIXENIMBERS. A� � I IV
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I.HURE SOURCE Dn,RFXI Wlaee) D
OVOLUNTARY OMAINTENANCIMPUMPING ❑BUILDINGPERMIT (]HOMESALE OCOMPLAINT OOTHER:
INSPECTOR SOIL LOOS COMMENTS,CONDMONS
aye
SOIL CODES: RECORD DRA4NNG AND NSTALLARON REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C-CIAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAFPROVAL
INSP CTOR SIGNATURE MTE APPUCX`ION EXPIRATION DATE APPLICATION APPROVED/I�BY� DATE
1 22 8
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE q-+ REVISED 1=15
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DESIGN F6RM—PAGE ONE Assessor's Parcel Number: 2 2 0 0 7 — 5 1 — 0 0 0 5 2
A design will be reviewed when 3 co ies If 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. 0 Cross-section sketch,including all applicable items on checklist.
This form may be assured and Imitable for public vlaw or the Mason county Web site.M=innum Paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG �.071' nO 5+37 Designer's Name: CINDY WAITE
Applicant's Name: TERRANCE ANTHONY Designer's Phone Number: 3660 701-0205
Mailing Address: 2W2 N E 32ND CT Designer's Address: 80 E PICKERING LANE
PORTLAND OR 97212 SHELTON WA 98584
C1 State Zia C1 State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter.Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other.
❑Gravity ../ Drainfield Type
ty i Pressure R(Trench ❑ Bed
❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCHEDULE40
Daily Flow: Operating Capacity 180 glad Length 40,40,20 ft
Daily Flow:Design Flow 240 gpd Diameter - 1.25
n
Septic Tank Capacity(working) EXISTING 1000 gal Number 3
Receiving Soil Type(1-6) 3 Separation 5 ft
Receiving Soil Appl.Rate .8 gpd/ft' Orifices
Required Primary Area 300 ft2 Total Number Or1 20
Designed Primary Area 300 ft' Diameter cP 3/16 in
Designed Reserve Area ft2 Spacing vs 60
Trench/Bed Width 3 ft ft S s 3r B in
Trench/Bed Length 100 \ s auifold
E + 'YE 'S, ` SCHEDULE 40
Elevation Measurements L h L Ns ESIGNER 1 2 ft
Original Drainfield Area Slope >1 % Diameter a"fta usnm 2
in
New Slope, If Altered % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation UVsinpc 27 it
from Original Grade from Pipe
Down-slop` 27 in Schedule/Class SCHEDULE 40
Designed Vertical Separation 24+ in Length 50 ft
Gravelless Chambers Required? ❑Yes 0 No 0 Optional Diameter 2
in
Pump Required? If Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4 I
Dill in Elevation Between Pump& Uppemlost Orifice 10 ft Dose quantity 45 1 1 �(
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(Flood) 1200 gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 11.8 gpm Ximer jtlapse Meter (Event Counter
Calculated Total Pressure Head 12.138 ft If Timer: Pump on ,Pump off
Comments
CONCRETE PUMP TANK REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, RETRO FIT EXISTING SEPTIC
TANK WITH RISERS AND EFFLUENT FILTER, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 0 0 7 — 5 1 — 0 0 0 5 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sk7et
Test hole locations Drainfield orientation and layout
it Soil to Reference depth froPrp BB Trench/bed dimensions and 2l Septic tank,,,,,,..1l ����/�'�perty lines crtical distances within layout Drainfield cpr�`Exis[ing and proposed wells M D-Box/Valve box locationsJwithin 100 ft of property 21 Septic tank/pump chamber ference depth fro18 Measurements to cuts, banks,and locations p6.f map and restrictive strata
surface water and critical areas 9 Observation port location 91' Laterals,trench/bed,top and
bottom
OtWocation and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption lid Manifold placement ❑ Sand augmentation
components
19 Location and dimension of 69 Orifice placement Other cross-section detail:
Primary system and reserve area 16 Lateral placement with distance Ed Observation portsicleanouts
m Buildings to edge of bed Other Information
id Direction of slope indicator
Gd Audible/visual alarm referenced Yes No
Rf ((��(( ,, ,
� Waterlines
Scale of drawin�shbwit on scale Rf ❑ Design staked out
lid bar
❑ ❑ Recorded Notices attached
Roads,easements,driveways,parking ❑ ❑ Waiver(s)attached
❑ ❑ Pump curve attached
lid 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 notified by installer at time of installation If Yes Cl No
Signature of signer ! f Daf to
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:
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: `6 7
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
21t�
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
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DRAINFIELD LAYOUT
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APPROVED
AUG o 8 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET P 1�
X1=CLEANOUTIOBS PORTS (2)
X2=D BOXIVALVE BOX
X3=SOIL LOGS CIND1YDE�nE
'CENS'_D DESIGNER
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ORIFICE SPACING
5
Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 40 480 60 8 2.5 2.5 40
2 40 480 60 8 2.5 2.5 40
3 20 240 60 4 2.5 2.5 20
TRANS LENGTH 100 50 20 95
GPM 11.8
K (2"SCHEDULEN 40) 284.5
FRICTION LOSS 0.1386435
Squirt 2
Elevation difference 10
\1TDH 12.138644
Ty Jr! y lot" by ✓ 301i
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APPROVED
AUG 08 2024
MASON COUNTY ENVIRONMENTAL HEkJll
RET
TRENCH CROSS SECTION U,)A
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LICENSED O ki NER
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PMsure DishTbutlon SrsteW s—Recaum eaded Staadmds and Gaidaace
Effective Date:FebiI 1.2032
Figure 8B. Monitoring/Cleanout Port(Example). Cap must be secured.
THREADED CAP OR PLUG
PLUG IN SLEEVE �\ / 6"PVC
/ - LAST ORIFICE; WITH
ORIFICE SHIELDS IF
\ � ORIFICE ORIENTATION IS
CKFILLERIAL ! / /�W UPWARD
MAT
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CIO QO
J r' PRESSURE LATERAL
` ° AS SPECIFIED
PVC HOSE OR .. "�°9,.'O�i
LONG SWEEP \/ � . e;,G ,,,j ` a, 0�,
ELBOW \ ��� �� ��
DRAIN ROCK; 8" MIN,
BELOW PIPE
UNDISTURBED SOIL
-- -- -- 6'PVC WITH DRAIN
HOLES; EXTEND TO
BOTTOM OF GRAVEL TO
MONITOR PONDING
INFILTRATIVE SURFACE
MONITORING/CLEANOUT PORT
(EXAMPLE)
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APPROVED
0 024
418
AUG 8 2 G=y CINDY�E WAITE
LICENSED DESIGNER
MASON COUNTY E IARORET NMENTAL HEALTH LICENSED'Ls u'10
DOH 337-009 February 2022 Page 40 of 66
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_ Draintield Control Box (Sloping Groaad, Manifold tselow Laterals)
RISERV IMLOCI muse
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PREMIRELATERNS
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APPROVED
Ism
AUG 0 8 2024
MASON COUNTY ENVIRONMENTAL HEAL CINDY E ITE my
RET LICENSED DESIGNER
9ECUREG,LdOWITHOA6 —4rf GOAL
_ THREAOEONNION
W DIAMETER
r' ACGESSRIEER
FWIBN ORADE SERVICE
-- - - VALVE
FROM EEPTIO �z�� ..
TANK TO DRAIHf1ELD
mAERBNXOV STDRAOE
ANTI SIPHON
FIIOH WATER ALARM LEVEL VALVE
WORKING VOLUME INDEPENDENT
NORMAL TIMER OFF LEVEL FLOATSTEM
ENCLOSEOPUMP FONFLOAT
NOUNTING
SEDIMENT BNROUD'
OXECN VALVE'
tIDIMdri -- _ lE° -- _
BUEMERSISLE
_�___ �, CENTRIFUGAL
PUMP
PUMP.CH[ANB_ER
(TYPICAL)
-AS NEEDED
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APPROVED3pf
AUO 08 2024 � g z�l
MASON COUNTY ENVIRONMENTAL HEALTH clNorto
RET LICENSED DESIGNER
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Pump Specifications
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Installation Notes
Pressure Distribution System:
22007-51-00052 15D0 E Timberlakes Dr E
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. The tank may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
3. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only
4. Concrete pump tank required
S. Gravel based drainfield required
6. Retro fit existing septic tank with risers and effluent filter
7. 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
collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains,
etc. to divert all waters.
8. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
9. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
10. Install access risers on the septic tanks, valve box and ends of laterals.
11. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
12. Lids must form a water and gas tight seal with the access risers.
13. Install effluent filter specified in this design at the septic tank outlet.
14. This system must be installed by a Mason County Certified installer.
15. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
16. 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 now of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety
gallons per bedroom per day.
17. Install laterals with contour of the ground.
18. Install trench bottoms level and always maintain a minimum of six inches into native
soil..
19. Install threaded clean outs at the ends of all laterals (caps must extend to within six
inches of finish grade and be in a valve box as shown on diagram.
20. Install audio/visual alarm.
21. Filter fabric required over drain rock prior to backfilling. If the drain rock a above
the original grade, run h filter fabric at least 2 inches down the trenc II.
PROVED
AUG 0 8 2024 G .
MASON COUNTY ENVIRONMENTAL HEALTH N
m;
RET
I ER
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower. do laundry and dishwasher at the same time
12.Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
APPROVED
MASON COUNTY ENVIRONMENTAL HEALTH q 1
RET
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? N IN WARE
o LICENSED
SEG DESIGNER