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SWG2024-00339 - SWG Application / Design - 8/9/2024
5134 MASON COUNTY 415NBTHELTON: 0427-970.EXT 400 SHELTON: ,SHELTON, A9 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2024-00339 APPLICANT FAUBION JEFFREY JOSEPH a BELINA Phone: MONTESCLAROS Address: 310 W G ST SHELTON,WA 98584 OWNER FAUBION JEFFREY JOSEPH &BELINA Phone: MONTESCLAROS Address: 310 W G ST SHELTON, WA 98584 SEWAGE DESIGNER PAULAJOHNSON• Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: 1590 W DEEGAN RD WEST Primary Parcel Number: 420253300020 Permit Description: Nonconforming Repair 2bd pressure bed Permit Submitted Date: 0810912024 Permit Issued Date: 0811912024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 laddwoea faro may ee required upon lroafleuon of system). Permit Expiration Date: 08/16/2025 leased oe dme d mspa aw 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 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.goviheahhlenvironmentaUonsiteloss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIALUSEONLV ® .�:xRem.. wm WTEY:QNID /y l N D MASON COUNTY —1 = D COMMUNUN ITY SERVICES mrJiw'"mural NxM/EnrllmmwulNUIW /1 62 SWG _ V11 4A-1 ON-SITE SEWAGE SYSTEM APPLICATION m PHONE r EXS Z aubion (360)742-6508 = UNG StEEi,GM.BATELP WE 3 Shelton WA 98584 a BIT TREEF,C_LPCOEE Shelton WA 98584 �A Deegan Rd W ER360 98 2255ptic Designs ( o NAME OF INSPNUER PNOXE 0 � INW 6DWCE PPER.,NPE I. DPIJH✓JNG WATER T ®RESIDENTIALOBS Ci00MMUNNYOSS E,COMMERCVLLOSS iYi PRIVATE INDIVIDUAL MULLtA�PRNATETWO-0ARTY HELL IZ IN 17 PUBLIC WMTER SYSTEM � TYFf CG NCRN(Mb PMI �� EENEWCONSTRUCTION/UPG EB ®REPAIRIREPIAGEMENT OT0 SURFAC( ISEM aFpy) M TABLE IXREEAIR O SURFACING SENMGE ❑E%ISTING FAILURE OSHORELWE suB.lmALs 6 I , DESIGN FORM IREOUIREDI ®SEMIC DESIGN(REQUIRED) eEDROOMS 2oR WTSRE A v 2.93 acres � I o I�W4IVER(SJ(IF APPLICABLE) OIREL IONS TO SIi AND SITE LONPT*NE'.p..b[MdpAYI Head south on N 6th St toward W Pine St and turn (R).Turn (L)onto N 7th St. Turn (R)onto W Railroad Ave.Turn (L)onto W Deegan Rd W. Destination on (R). o I o Yellow sign: "1590' Y}E YUSTYEFfAOGE°FR°YYYN ROAD AND TEdi I101E9YY9IYE FWWED MIIN IEdiMWEMUYBERi I I O OFFICIAL USE ONLY BELOW THIS LINE llW VO/FNLURE8WRCENTYWCpJMPI []VDLDNTARY pMAINTENANGER+UMPING ❑BUILDING PERMIT ❑HOME STIE OCOMPIAINT BOTHER. INSPELTGRSOLL C TSI COxgTIONS f E rv`"Jl �p Yboc�I-AA /o�Fz r tW�IJ� t� �� RECORD ORANIAOAND IXSTAWTIOX REPORT F - r WLSO°ES: \\ REQUIRED FOF FINALMRROVAL. V•VERY G•GRAVEULY B•SANO Le LOAM ...,I C•CtAY E•E%INEMELY R•ROOTS INSPECTOR SIGHATVRE Q OATS APPIICPTIONE[RPATION MTE PPPLICATIONAPPROVEW ISSUED 6Y OPTE V I IF{Zy J 111,,17A l Z. THIS FORM MAY BES ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVSEDIZOQOe DESIGN FORM—PAGE ONE Assessor's Parcel Nnmber: 4 2 0 ? 5 — A design will be reviewed when 3 wain of each of the following are submitted: v Completed design for has been signed and dated v Scaled layout sketch,including all applicable items on checklist that Cro, ction sketc Scaled plot Th spflan,including all onu ou,be smnnpedland av liable for Public view on the Meson County Web lshenMmrimvmcabler sixe.'on checklist. PARCEED]ENTIlfYCATION. r' >a4 • GG33�-( AmuW Supbc Designs,inc Permit Number. SWG tr Desigott's Name: (360)898-2266 pppncant's Name: Jeffrey Faubion Designer's Phone Number: 171 EVuecrest Dr Mailing Address: 310 W G St Designees Address: WA 9859z Union, SheMn WA 9858a City StatC Zi City State 2 PAP ETERS..: Treatment Device ❑Glmdon Bioffiw ❑Send Filter ❑Momd ❑Send Lined Dramfidd ❑Recirculating Fil Otl YPe. — ❑Aembic Unit M[dxfModtl ❑Disinfection Unit MekdModal Dminfleld Type G(Bed ❑Sub Surface Drip Ef Pressure ❑Trench ❑Gravity Laterals Sepik Ti mk/Dreinfield Specifications Schedule/Class 40 2 —� Number of Bedrooms 30 ft Daily Flow:Operating Capacity tall Slid 1.25 in 240 gpd Diameter v Daily Flow:Design Flow Number 4 Septic Tank Capacity(working) 1,000 gal Receiving Soil Type(1-6) 3 Separation � ft — 0-8 gpd/ft' Orifices Receiving Soil APPL Rafe 300 fe Total Number of Orifices 24 ✓ Required Primary Area 3116 in 300 it, Diameter' Designed Primary Area �-60—� Designed Reserve Area 300 ftz ✓ Spacing in 10 ft Manifold TrmehBed Width SchMWdClass 40 Ttench/Bed Length 30 ft �7.5� ft EElevationMeasurements � 1.25 in g % Diameter Original D IfAlte Area Slope nfiguration used? Styes �No New Slope,,If Altered 8 % Preferred manifold co UP-sbpe 26 in Transport Pipe Depth of Excavation 40 from Original Grade nown mme 16 in ScheduletCl-S so Designed Vertical Separation 27+ in Length ft 2 in Graveness Chambers Required? Cl Yes 16 No O Optional Diameter �--- Ed Yes ❑No Dosing and Pump Chamber Pump Regmred? 4 Pump/Siphon Specifications Number ofdoses/day 60 gal Dill in Elevation Between Pump&Uppermost prifiw 15 ft Chao quantity r (flood) 1,000 gal Selected Residual(head) ?8 Chamber troll:Capa l Dminfield Squirt HeigW Pump controls:Please check those required. Uppermost Orifice Higher ❑Lower than Pump Shutoff 9Timer R(Elapse Meter G(Evenl Counter Capacity B Total Pressure Head 14.16 glint2 minutes Pump off 6 hours Calculated Total Pressure Head 17.51 it If Timer: Pump on Caromenis aUG "�8 RET DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 2 5 — 3 3 — 0 0 0 2 0 Permit Number: SWG DESIGN CHECKLISTS rlgExisting t Plan Scaled Layout Sketch Cross-Section Sketch le locations 10 Drainfield orientation and layout Reference depth from original grade: gs Rf Trench/bed dimensions and Rf Septic tank ly lines critical distances within layout 19 Drainfield cover❑ D-Box/Valve box locations Reference depth from original gradeg and proposed wells Se re tank/pump chamber 100 tt of property pf and restrictive strata:rements to cuts,banks,and locations [Z laterals,trench bed,top and e water and critical areas 10 Observation port location bottom ❑ Curtain drain collector ❑ Location and nd all orientation of Ed ClearManifold location ❑ Sand augmentation curtain drain and all absorption � Manifold placement components 19 Orifice placement Other cross-section detail: 6d Location and dimension of EA Observation ports/cleanouts Ed Lateral placement with distance primary system and reserve area to edge of bed Other Information Buildings If Audible/vis referenced Yes No E9 Direction of slope indicator I91 Scale of dr con on scale d ❑Design staked out Sd Waterlines bar ❑ Rr Recorded Notices attached Ed Roads,easements,driveways, ❑ lil Waiver(s)attached parking 69 ❑ Pump curve attached E6 ❑Evaluation of failure North arrow and scale Brewing i shown on scale bar S0 s•s ` Non-residentialWatrengthication PAULA JOY JONNSnN'� ❑ 16 Waste strength U"C i E'A!`' ❑ Iil Flow ann r DESIGN APPROVAL The undersigned designer must be t ti ed by Iler at time of installation Rf Yes ❑ No $—ZA Signature oTlTesigncr Date The undersigned has reviewed this design on behalf of Mason County Public Health end determined it to be in compliance with state and local on-site regulations: % It�Izy Environmental ealt�Spm alis� Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: J The design is stamped"Approved"by Mason County Public Health. J I b ✓ The OnSte Sewage Permit has not expired,the Permit Expiration Date is: I Drsinfield 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 re uired. This form may be scanned and available for public view on the Mason County Web 910npdated Date:11J72015 Arrow Septic Designs 171 E.vuecrest Dr. Union,WA 98592 August 8,2024 Mason County Department of Health Services 415 N 6th St Shelton,WA 98584 RE: Jeffrey Faubion(Parcel#42025-33-00020)Evaluation of Failure Dear Inspector: Attached is a replacement septic design for a property located at 1590 W Deegan Rd W, Shelton. There is an existing 2-bedroom home built in 1981 that ties into a gravity septic system. Them is an existing 1,000- gallon 2-compartment septic tank followed by a gravity drainfield of unknown size and location.The records are unclear because the septic was installed before the property was subdivided. The owner has been fixing up the house and has decided to move forward with an upgrade to a modem system since the old existing septic is on the neighbor's property. The old tank is to be decommissioned or removed and the old drainfield is to be abandoned. Proposed is a new 1,000 gallon operating capacity minimum 2-compartment septic tank with an effluent filter followed by a 1,000 gallon pump chamber.The new drainfield consists of 300 s.f.of shallow pressure bed using an application rate of 0.8.The system will also have a control panel including timed dosing,a counter and elapse meter to prevent overuse and facilitate ongoing operation and maintenance. This is a non- compliant repair with 24"+vertical separation. The dminfield meets 100'+setback to surface water and wells and we have also designated a full reserve drainfield area. The property owner's contact information is as follows: Jeffrey Faubion 310 W G Street Shelton,WA 98584 (360)742-6508 If you need further information,please contact my office at(360)898-2255. Sincerely APPROVED x ' AUG 19 2024 s+o 3�9 �J MASON COUNTY ENVIRONMENTAL HEALTH PAULA JOY JO"SON �L I WIM l: t pM .. Il Palo riSon ���SSS333"000 Licensed Onsite Wastewater Treatment System Designer i &cALr: : 1. ° 3° y •�-, � N PLOT Pthh1 •—�/�/_1\ � JEFFRE FHug�oN QARC.�, 4.2oZg$3-000z.o IS�tp uy DEEGktI RD W r eXSb'fl� r .S4FEL'CON UJf4 98584 k: 0-12 g1C' hetRV- Y rff D sr de cr w:55».K.d r -50 .' P°G� 0-+ 0 D° v%gfU AI/ 2 53 " g l s ppRWNG * 1�fMc�' 2BR r O Audio-Visual Alarm Cleanout © 1000 Gallon Septic Tank omw p.�. ' PAULA JOY JOHNSON'•. y�r 2-0Om EnY with u(mm CE Effluent Filter ams i �1Q O4 1000 Gallon Pump Chamber [LOAD EftSEHQrar �/ O 10x30 primar.t pres5k�e• m¢d � © to'xSa' rese>r+e. Q✓f-f6ure WSJ L d� Qvldt-e v' -wbe 6 µ ALE Wt-Clt C 33 deC�ea�►..�lV.'-i�etsrs be 7/ N D AP 'RO g VE AUG 19 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET �e�aled 1� .nf;ea Lagc�-� "ry��GO•\ Observa�.o n. • 30' \PA.hOVAk , eo" to S' /0' 30• 0 Or. Fo cz Jr, G\r N x,o S FA [A JOY.,JOMNadN Fu)AL 8 t NEYt" (aRhaCs axrrc,ss O(jSgrvQJ(lOh l�or (,*AvgD A ' Typua� Fil�erFabric , Sr"-covey r lF;ll LQ+`oal 2bN • ; ��s so . lb' 3/y"-�Yi -9rw�n Rocv. to F APPROVED R.ESTR\GTIV� Lfk`{EY2 MASON COUNTY ENVIRONMENTAL HEALTH RET SGAtT N— CREW ON CAP Dr��nj-,e?d• Gross-SeGy"Ton view EGREE ELBOW 0R 0 Now c y�pid old L ymm 45 D SWEEPING 9 -pPiert-m LATERAL FVCprye yombarmm.ofbedm Sole" ` V a& A rwo%vbbcap sbdl be"m9allyd END OF on"At 'Pon PIP, ohm-r wbovam DITCH- - DETAIL '°pipe�o't beCzi 'ysbm. L7i CLEAN OUT 1Rn>im,vn W be in m ech caac. lateak are o be c�in aeorl+es . . NOTE. CLEANOUT TO BE FROM 0 TO 6 . INCHES BELOW FINISHED GRADE. MARx ENDS WITH REBAR. CLEAN OUT A Vic, REQUIRED AT END OF EACH LATERAL_ +&6 D LengM Length Orifice # Oisbncefrom Distance from Cabral# In. Ft. S cin Orifices Feeder Line In. Clean30 In 1 360 30 60 6 30 � 2 360 30 60 6 � 30 3 380 30 80 6 � 4 380 30 60 8 30 Total Lateral Len 120 Tobl#Orifices 24 GPM= 14.16 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(FL) #Orifices Transport Pipe 60 24 0.23 fl. Feeder Total Lateral Line Length Lateral#1 30 4 34 6 0.07 ft. Lateral#2 30 2 32 6 0.07 It. Lateral#3 30 2 32 6 0.07 fl. Lateral#4 30 4 34 6 0.07 ft. Total Elevation Lift 15.00 ft. Total Dynamic Head 17.51 R Y 0 ]i0 PAIILA JOY JONNSON APPROVED AUG 19 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET s�8 •' Brome construction available(139 series) High head version available(145 senes) Double shaft seal versions available for added protection Flow—Mate mom minforma0/245. For ma &L,;1 0d,see Technical Data ShttO FMI78;FM2783. In high head dewatering or effluent applications where pumping qE performance is criticaL this robust family of pumps is known for reliability, durability and performance. These pumps are especially suited for harsh environments.ZlagWscoolrun design and corrosion-resistant powder coated epoxy finish add up to a long-lasting, trouble-free product APPLICATIONS STEP or onsite applications Y� watertransfer E Light commercial dewatedng SPECIF1 nchlB: E �— 1-12-NPT discharge 112 HP through 1 HP NAPE rN THE USA Available in auttlmatic or nonautomatic 091618U R.,WlN • Model 137,139,14tk 1/2•(12 MM)spherical solids , capaciry with nnie,impeller • Model 1A5:3/A'(19 mm)sphericat solids capacity with w—� wee vorteximpeiier PUMP PERFORM NC CURVE 53 Dose-MeteoR E&01UAcENI� w MODEL 15 1152/ This is our fasten growing line of effluent +a u + pumps.The 150 series is truly a workhorse designed for reliability under extreme +a a0 conditions in an effluent environment. @ 150 series pump curves cover a wide range im of applications. They are well suited to w applications with tow Pressure pipe(LPP) S a N iri and enhancedflow STEP systems.Zoeller's Y cool run design and corrosion-resistant, a w powder coated epoxy finish,in addition to the hermetically sealed,oiL-Ned motor is and non-clogging vortex impeller add up to a a Long-lasting,trouble-free product. w APPLICATIONS: STEPoronsiteaypUcations 1rgA o MADEINnT"tt[plA1 m x w ro ao • Light commercial dewatering NINI autoxs SPEcrwewnows: 1-112-NPT discharge ien- m•me • 3/10HPthrough112HP APPROVE • Available innonautomadcor with aeaniiblelevel AUG 19 2024 piggyback mechanical switch • 111'(12mm)spherical solids.,Or,withvortex MASON COUNTYENVIRONMENTALHEALTH thermoplastic impeller Formom information,see Technical Dam SheetFM27" RET O All rights reserved ZOELLER PUMP CO. 1502-77d-2T31 l 800-928-7867I roeLierpuarps.cam 9 tfJdLg�J e L3D wms !TMff SEAL1 . =DM GRAN i To mw I �+ QSAFUM � i J FiAATDF6s IFLT , l } L PTER � } SEDDENTS 31 SEPTIC BM an= a i�•XITY-Eta Tswrr5 - rTram-spap hXQoi'1 g4`OFAFFE�C ' i S F'31M GR=E - YAWS• Flaw So=TAW To W.MXNELD � I R A .12SER w MaFwATl�uaFtettFva � li I - vuvE= Fom"TDMOFF tEa ` waamw VoL&W I� , nexpamw JIM MAT Fa1605ID FKAFP 'yam NounT= eteaoe vacvE_ APPROVEI AUG 19 2024 MASON COUNTY ENVIRONMENTAL HEALTH PUMP PUMP CO3r®+'.�� RET -ASFay =•N,": septic Tanks must meet standards required by WAC chapter zas-ant - P70URE 2 and manufacturer must be on the Dept of Heath list of regstened sewage tanks.'= �g� of8 ,7 avcout. Septic D"iywl 17ac. INSTALLATION & MAINTENANCE Pressure Distribution Systems-Bed PPULA JO,JO JONNaON'. 1. Install Laterals with contour of the ground. ftlS L 2. Install bed bottom level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. Minimum of 2 required in each bed with bottom extending to the drainrock/native soil interface. Glue"T'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. Install threaded clean-outs at the end of all laterals (cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. Redundant off switch required. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 10. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue), after pressure test and Environmental Health Dept. approval,turn orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 11. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 12.Encase all water lines within 10' of drainfield and under any driveway/parking areas. 13.Divert all storm water runoff away from on-site sewage system. 14.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 16.No vehicular traffic over drainfield area. 17.Inspect floats,clean filters, and test high water level alarm every 6.12 months as needed. 18.All materials and workmanship must meet County and State regulations. 19. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 20. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 21.All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down/away from tank opening. 22.All transport lines under driveways or parking��T"`must be eryptad to prevent crushing. 23. Homeowner is responsible for all properlyini'` "VE D AUG 19 2024 MASON COUNTY ENVIRONMENTAL HEALTH S RET