HomeMy WebLinkAboutSWG2024-00184 - SWG Application / Design - 4/30/2024 SHELTON,WA
584
MASON COUNTY 415NBTHELTON: , 0427-97 ,EXT 400
SHELFAIR 360-2754467,EXT 400
BELFAIR:360-275-046],EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00184
APPLICANT REINHARDT KAREN Phone: 206-319-3840
Address: 320 E UNDERLINE RD BELFAIR,WA 98528
OWNER REINHARDT KAREN Phone: 206-319-3840
Address: 320 E UNDERLINE RD BELFAIR,WA 98528
SEPTIC DESIGNER CINDY WAITE• Phone: 360-701-02b5
Address: 80 E Pickering Lane SHELTON, WA 98584
Site Address: 320 E UNDERLINE RD
Primary Parcel Number: 122182100680
Permit Description: New 31od pressure bed
Permit Submitted Date: 04/3012024
Permit Issued Date: 0910312024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 (additional fi es a,ay W reymred upon mstalMon onymem).
Permit Expiration Date: 05/06/2027 (based on dare or fnsped,on)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic DesignerlEngineer installation approval prior to
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ON$ITE 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/environmentaVonsite/oss-inspection-request.php or call:
360-427.9670,extension 400.
OFFICIAL USE ONLY
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MASON COUNTY O - w a
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ON-SITE SEWAGE SYSTEM APPLICATION a a
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APPUCAN( PHONE TO
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KAREN REINHARDT 206-319-3840 z
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MMLINGGDORESS-MEET,CT',STATE,ZIP LODE 3
320 E UNDERLINE RD BELFAIR WA 98528 m
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SGEIDDRESS-STREET CITY.ZIP CODE
SAME I �
NANE OF DESIGNER PHONE N
CINDY WAITE 360-701-0205
N EOF INSTALLER PHONE O N
TBD <
PERMIT E(Weclone) cc ORIN.G.TERSOURCE y
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TYPEOFVA (ae.—) H�•Pp. PUBLICWATERSYSTEM
jr NEWCONSTRUCTONIUPGRADES EFREPMRIREPLACEMENT ORIEROETAILS(m .IdNto*) 0TABLE IX REPAIR IN
SUBMITTALS EISURFACINGSEV!>GE CIEXISTNGFMLURE ❑SHORELINE
DESIGN FORM(REQUIRED) ■cc SEF-DC DESIGN(REQUIRED) SEDROONS LOiaRE r I '
DIRELTMWEORSREBAND SITE LONDE 3 6ACRES
RIONS'.lm.kcYeOpeh) A Ic
GO TOWARDS BELFAIR, TURN LEFT ONTO HIGHWAY 106, TURN LEFT ONTO
ALDERWOOD RD, AT TEE, TURN RIGHT ONTO RASOR ROAD, FOLLOW TO ADDRSS, r
PARCEL IS ON RIGHT SIDE OF RASOR RD °
100
SIZE MISTYEPiA00E0F#OYNANFOADIND,E6TINILESY4STBEM1bOE01MNTlSINIXFRUNBERS. I I CD
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE ff ,p lWTaaaa)
❑VOLUNTARY []MAINTENANCEPUMPING ❑BUILDINGPERMff OHOMESALE CICOMPINNT MOTHER:
INSPECTOR 30 6 1� � LDlyy S c \ CMMENTS/CONDITIONS
36t+ compdL4tj l CD
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APR 3 0 2024
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SOB CODES: T/l RECORD GRAVING AND INST41-ADON REPORT
V-VERY O=GRAVELLY S=3NID L=LOMI S•SLLT C-CU E•EfIREAELY R=ROOTS REQUIRED FOR FIIMAPPROVN
INSPECTOR SIGNATURE DATE N WIMTION DATE APPLICATWN APPROVEDI ISSUED BY DATE APPLN;AIp
6 V7 `" a 3IZ
TXIS FORM IMY BE 3 ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBS TE REVISED 12CMIS
DESIGN FORM—PACE ONE
Assessor's Parcel Number: 1 2 2 1
A design will be reviewed when 3 c - �- ' ? — 0 0 6 6 0
•Completed design form that has been signed and dated.a following arc Bubo bottled:
"Scaled plot plan,including all applicable items on checklist V Scaled layout sketch, including all applicable items on checklist
Thblform m Cross-section sketch, including all applicable items on checklist.
be scanned and awllable forPublic New on the Moon Cou Web ate.Mrcrinnan a er sine: 1/"X/7'•
PARCEL IDENTIFICATION
Permit Number: SWG ZpZy�,1_7 Designer's Name: CINDY----
Applicant's Name: KAREN REINHARDT -
WAITE
-- - _ Designer's Phone Number: 360-701-0205 Mailing Address: 320 E UNDE_RLINE RD - - ___ __
-- Designer's Address: 60 E FICKERiN_ LANE d
__
BELFAIRWA 98528
Ci[ .State SHELTON WA —98504 -
- DESION.PARAMETERS Cit to Zi
Glendon Biofilter ❑Sand Filter CI
Deviee AUC
❑Mound ❑Sand Lined Drainlicld ❑Rccireulatin
❑Aerobic Unit Make/Model _ b Piltc Typo:
❑Disinfection Ilnit MakeMlndel_ Q�
d Gravity 9(Pressure Drainfreld Type - ---
- ❑ Trench iil(Red
Septic TenWDrainfield Specifications Sub rip
Number of Bedrooms 3 laterals Daily Flow:Operating Capacity Schedule/Class— 2770— SCHE_ DU__ LE�O
Daily Flow: Design Flow — Spiel Length
45360 R
Capacity gPd Diameter
Septic Tank Ca ��-
P y(working) 1200 1.225
Receiving Soil Type(1-6) gal Number in
3
3
Receiving Soil Appl.Rate Separation 3
.B _�� R
Required Primary Area gPd/R Orifices
450 R' Total NO, of 'ices
Designed Primary Area 450 R' Diamet 3./16
-
Designed Reserve Area �1.25
450 R2 Spac' . ft � in
Trrnch/eed Width 6
70 a�.. P /1,<lyl-u-----�_
R n
Trench/Bed Length anifoid
45 ft u a SCHEDULE40
Elevation Meaeummenta I sao ssicncR --
Original Drainfield Area Slope <1 V. Diamefe�,"" 1-2 it
New Slope, If Altered _?� in
Depth ofExcavetion llp,alope
Preferred manifold configuration used? ❑Yes 2`No
from Original Grade 6 to Transport Pipe
Ww slope 6
in Schedule/Class SCHEOULE40
Designed Vertical Separation
24 in Length �GreveM 30
es�Chemhrra R H _ Diameter —��— R
Pump Required? If Yes 17 No --? in
Pump/siphon Speeificatons Dosing and Pump Chamber
Diff. in Elevation Between Pump& Uppermost Orifice 5 R Number of doses/day 6
Dose quantity qg``
Drainfteld Squirt Height/Selected Residual heed 2 --�� gel
(held) =R Chamber Capacity(Flood) 1200_ gal,� \f1
Uppermost Orifice If Higher ❑Lower then Pump Shutoff Pump controls: Please check those required.Capacity @ Total Pressure Head 15.93
Spin gTimer GrEapW Meter WEvent Counter
Calculated Total Pressure Head 7.14 R
--- If Timer: Pump on ,Pump off_
Comments —
INSTALLER AND DESIGNER TO MEET ON SITE PRIOR TO INSTALLATION. CONCRETE TANK REOUIRED,
GRAVEL BASED DRAINFIELD REQUIRED, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION
rvnnr-rAGE TWO Assessor's Parcel Number. l 2 2. 1 a
3.1 0 0 4- .$.0
Permit Number: SWG, -
DESIGN CHECKLISTS
Scaled Plot Plan Sealed Layout Sketch Crosa-Section Sketch
ld Test hole locations Drainfield orientation and layout
❑ Soil logs Reference depth from original grade:
Bl TM Wbed dimensions end
0 Property lines critical distances within layout 9 Septic tank
Existing and proposed wells Ed D-Box/Valve box locations Gf Drainfield cover
I� within I00 ft of property Septic ranWpump chamber Reference depth from original grade
�teasurements m cuts, banks,and locations ?a n, and restrictive strata:
surface water and critical areas Y Laterals,trench/bed,top and Observation port location bottom
RIPLocation and orientation of Id Clean-out location
curtain drain and all absorption ❑ Curtain drain collector
components 66 Manifold placement ❑ Sand augmentation
m Location and dimension of 1Z Orifice placement Other cross-section detail:
primary system and reserve area Rf Lateral placement with distance lid Observation ports/clem-outs
16 Buildings to edge of bed Other Information
ld Direction of slope indicator Rf Audible/visual alarm referenced Yes No
N./ ~0
m Waterlines ef Scale of drawing shown on scale sf ❑ Design staked out
❑ ❑ Recorded Notices attached
0 Roads, easements,driveways, bar
parking ❑ ❑ Waiver(s)attached
❑ ❑ Pump curve attached
16 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar
Non-residential)wtifiation
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
rundenigned
ner must be notifi by insta er at time of installation Id Yes ❑ No
1H� 7
Signature signer Date
viewed this design on behalf of Mason County Public Health and determined it to be in
and local on-site regulations:
nr� �3—�—
Envrronmental Health Sp iahe� st�-�- 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: ✓ Z�
✓ 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, 9)
unless prior authorization is obtained from Mason County Public Health.
An Installation F'ee is re wired.
This form may be warned and available for public view on Me Mason County Web Mte.
Updated Date: 12%/2015
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APPROVED
SEP 0 3 2RA
MASON COUNTY ENVIRON4ENTAL HEAL
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Length Length Orifice # Distance from Distance from end Length(Feet) (Inches) Spacing" Orifices feeder line of end of lateral
45 540 60 9 2.5 45 2.5 45
540 60 9 2.5 2.5 45
45 540 60 9 2.5 2.5 45
135 27
TH 2p
15.93
K (2"SCHEDULEN 40) 284.5
FRICTION LOSS .09 L�2
Squirt
Elevation difference 5
TDIH Q
3D,N GO„ `✓, ,
APPROVED
SEP 0 3 2024
MASON COUNTYENWRONME9TAL HEALTH
__. RET
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WITH GAS TIGH
T SEAL
24'DIAMETER
ACCSSBRISER
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TO PUMP
FROMBEWAOE CHAMBER
SOURCE FLOATHESMAT
APPROMEO
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MHIIMYlMft
TLM-- PROVED
MOCAu SEP 0 3 2024
BE
MASON COUNTY ENVIRONMENTAL HEALTH
OUREQI,IO WITH OAB TIGHT BEAT pp��77''
/ TNRSAO ;NION
LL 84'OIAMEIVER
FINIBHORADE W _ / 188 RISER
SERVICE
VALVE-
FINDS KPTI G /•
TANK TO GRAINFIELD
EMERCENCV STORAGE
ANT181PHON
HIGH WATER ALARM LEVEL VALVE
WORKINGVOWME INDEPENDENT
NORMAL TIMER OFF LEVEL + FLOAT STEM
ENCLOBEOPUMP FOR FLOAT
IM DIMENT SHROUD• MOUNTING
CHECKVALVE•
SEDIMENTS SUBMERSIBLE
CENTRIFUGAL
� I PUMP
Td \_PUMP)AMILER
AS NEEDED
OIX
CINDYE ARE
LICENSED DESIGNER
L.NKES J M
THREADED CAP OR PLUG
P4 ✓'O,(4 6"PVC
LAST ORIFICE;WITH
ORIFICE SHIELDS IF
�I� ORIFICE ORIENTATION IS
BACKFILL UPWARD
MATERIAL
Xx
\\� oO Io 8"OH �- PRESSURE LATERAL
PVC HOSE OR �/\ 00 ° !° .0 o AS SPECIFIED
LONG SWEEP �\% \ °H°o
ELBOW DRAIN ROCK;6i1 MIN.
BELOW PIPE
UNDISTURBED SOIL —J
S"PVC WITH DRAIN
HOLES; EXTEND TO
BOTTOM OF GRAVEL TO
MONITOR PONDING
INFILTRATIVE SURFACE
APPROVED
pelT0RlNQLQLgAKQMjZQBT SEP 0 3 2024
(EXAMPW MASON COUNTY ENVIRONMENTAL HEALI H
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LICENSED SIGNER
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vbo. Pumpff
Pump Specifications
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1 •
' Submersible Effluent Pump
LITERS PER MINUTE
0 80 100 TOO E00 260
40 12
10
20
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20 • 4
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PPROVED
- - 2 SEP 0 3 20A
gSON OJNTYEI'ORONMENTALHEALTH
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RET
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a 10 20 30 i0 M M TO
GALLONS PER MINUTE
2D PI R01MiM15 XyHgbl]015 LIw ftmMIn[. A[160U,fe swift lowwb*ow6anguilhq un a. jSplQEY'
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Installation Notes
Pressure Distribution System:
320 E Underline Rd 12218-21-00680
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. There is no records on this parcel. System is probably 50 plus years old. System has
been driven on and is very close to the till layer.
3. Gravel based drainfield required
4. Concrete tanks required
5. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
6. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
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 flow 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 mainta' inimum of six inches into native
soil..
19. Install threaded clean outs at the ends of a ra aps must extend to within six
inches of finish grade and be in a valve b n i gram.
20. Install audio/visual alarm. P6 ,4 m
21. Filter fabric required over drain rock p - ti e drain ck extends above
the original grade, run the filter fabri a IgTEg p�ROVED
LICENSED DESIONEq
I.,. SEP 03 20A
MASON COUNTY EN'ARONMENTALHEALTH
RET
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
SEP 0 3 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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