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Home My WebLink AboutSWG2024-00361 - SWG Application / Design - 8/26/2024 MASON COUNTY N6SHSTREET SHELTON ,WA EXT 400 SHELTON:360-42 TON EXT 584 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX 360-427-7787 On-Site Sewage System Permit: SWG2024-00361 APPLICANT GUTHRIE ET AL STEVEN &JUNE Phone: Address: ASHLEY FULLER; NOAH GUTHRIE RAYMOND, WA 98577 OWNER GUTHRIE ET AL STEVEN &JUNE Phone: Address: ASHLEY FULLER; NOAH GUTHRIE RAYMOND, WA 98577 SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940 Address. 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 SEPTIC INSTALLER TJ GODS` Phone: 360-490-0217 Address 150 E MARISA PL SHELTON, WA 98584 Site Address: UNKNOWN Primary Parcel Number: 422095000071 Permit Description. New 2bd gravity bed Permit Submitted Date: 08/26/2024 Permit Issued Date: 09/1 012 0 24 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be required upon mstanaimn of system) Permit Expiration Date: 08/30/2027 (@aeedondm..I ns...I-) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staffper Mason County Title 17, 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Masan 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 back ill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 7 Clearing vegetation inside the wet/and buffer and future building permits must comply with all Planning requirements. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OFF, 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: 360427-9670, extension 400. OFFICIAL USE ONLY pPIFRKEIVEP. MASON COUNTY e 2 0 > COMMUNITY SERVICES MDp ENE `m W PuElICHwlp(Canmunlry XenhNEnvlmnmenul XeahM11 C y _ y O „h ��WG �D F 0 2 N ON-SITE SEWAGE SYSTEM APPLICATION 3 CA7 APPUCANT PNDNE m B1 Steve Guthrie (360) 208-4552 c AFF-INGARDRIESS-STREET CITY sTAE,TIPL00E 1228 Tower Ave. Raymond WA 98577 n z PEADDREsN.TMt LChristie Ct. Hoodsport WA 98548 a NAME OF DESIGNER PXDNE ? N Dale L. Tahja (360) 426-5940 NAME OF INSTALLER PHONE v I N T.J. Goos (360) 490-0217 < PERGGMIT 1E(xkd one) CC DRINKINGAATER SOURCE y O L9I RESIDENUALOSS �COMMUNITYOSS ILPCOMMERCIALOSS fPRIVATEINDIVIDUALWELL I])PRIVATETWO-PARTYWELL 2 (� TYPE OF NORrc(ukn orre) 7PUBLIC WATER SYSTEM LAI Cmhman w 1Co. 9.NEWCONSTRUCTION I UPGRADES E�REPAIRIREPLACEMENT OTHER DETAILS(a'Man 1bale00111 [I TABLE IX REPAIR A CT SUDMI"; ADS p� ❑SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE ppV,'DESIGN FORM(REQUIRED) YDISEPTIC DESIGN(REQUIRED) BEDROOMS LOTS¢E r0 6WAOIER(S)DFAPPDCABLE) 2 0.23 acre x I o DIRECTIONS TO BITE ANO SITE CONDITIONS.AA bCA6tl peg) Go up to Lake Cushman, left on Duckabush Dr, go left at Tyee, right on Mt. Christine Crt., o property second lot on right. o 0 � 1 -4 SITEMUSTBEEIAGGENCNNVM WIWAOANO TEETXOLESNUSTWINDIGGEO MTHTESTNOIENUMBERS. -- OFFICIAL USE ONLY BELOWTHIS LINE - UPGRADEIFAILURE SOURCE(Im,A SrO,,,m l ❑VOUUNTARY OMAINTENANCEIPUMPING OSUILDINGPERMIT OHOMESALE INSPECTOR SOIL LOGS L M T� AU 262024 0 O RECORD DRAIMNG AND INSTAUATON REPORT SAIL GDES: V-VERY G=GPAL2 LLY 5=SAND L=LOAM sI=SILT L=LNY L=EMPEMELV R=ROOi$ REQUIRED FOR FINALAPPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 9130Izy � I��z I[( I t THISFORMIMYB SOANNEO AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBBITE REVISED INrz0:5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 0 9 — 5 0 — 0 0 0 7 1 A design will be reviewed when 3 Comes of each of the following are submitted: •Completed design form that has been signed and dated. a Scaled layout sketch,including all applicable items on checklist "Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist. This form may be sunned and evsllable for while view on the Mason Coundy Web site.Maximum exer size.' //"X IT' Permit Number SWG Designer's Name: Dale Table Applicant's Name: Steve Guthrie Designer's Phone Number: (360)426-5840 g Mailing Address: 1228 Tower Ave. Designer's Address: 2450 W Deegan Rd W Raymond WA 98577 Shelton WA 9B5M Ciry State Zi City Slate Zip Treatment Device ❑ Glendon Biofilter ❑Sand Filter ❑Mound 0 Sand Lined Dminteld ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Make Model Other: N/A Drainfield Type Ei Gravity ❑Pressure ❑Trench 9 Bed ❑Sub Surface Drip Septic Tank/Dreinfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 3034 Daily Flow:Operating Capacity 180 gpd Length 30 It Daily Flow:Design Flow 240 gpd Diameter 4 in Septic Tank Capacity(working) 11200 gal Number 3 Receiving Soil Type(1-6) 3 Separation 3.33 ft Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices Required Primary Area 300 ft, Total Number of Orifices Perf. Pipe Designed Primary Area 300 Bc Diameter in Designed Reserve Area 300 ft2 Spacing in Trench/Bed Width 10 ft Manifold Trench/Bedlmgth 30 it Schedule/Class 3034 Elevation Measurements Length 25 R Original Drainfield Area Slope 0 % Diameter 4 in New Slope,If Altered 0 a/ Preferred manifold configuration used? ❑Yes 69 No Depth ofEzcavation Up-:lope 24 in Transport Pipe from Original Grade down-smp� 24 in Sohedule/Class 3034 Designed Vertical Separation 48 in Length 40 ft Gravelless Chambers Required? ❑Yes ❑No lif Optional Diameter 4 in Pump Required? ❑Yes If No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Gravity Diff.in Elevation Between Pump&Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual(head) _ft Chamber Capacity(flood) gal Uppermost Orifice re Higher ❑Lower than Pump Shutoff Pump controls:Plisse check those required. Capacity @Total Pressure Head Gravity gpm OTimer Elapse Meter ❑ Event Counter 3 Calculated Total Pressure Read ft If Timer: PwripbP i ^": k +Purn(t ojE Comments DESIGN FORM—PACE TWO Assessor's Parcel Number:4 2 2 0 9 — 5 0 -- 0 0 0 7 1 Permit Number: SWG DESIGN.CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch m Test hole locations m Drainfield orientation and layout Reference depth from original grade: m Soil logs lid Trench/bed dimensions and m Septic tank m Property lines critical distances within layout m Drainfield cover m Existing and proposed wells m D-Box/Valve box locations Reference depth from original grade within 100 ft of property m Septic tank/pump chamber and restrictive strata: m Measurements to cuts, banks,and locations m Laterals,trench/bed,top and surface water and critical areas m Observation port location bottom m Location and orientation of m Clean-out location m Curtain drain collector curtain drain and all absorption m Manifold placement ❑ $and augmentation components m Orifice placement Other cross-section detail: m Location and dimension of m Lateral placement with distance m Observation ports/clean-outs primary system and reserve area to edge of bed Other Information m Buildings ❑ Audible/visual alarm referenced Yes No m Direction of slope indicator m Scale of drawing shown on scale Design PJ ❑ staked out m wate'Ames _ bar ❑ ❑ Recorded Notices attached m Roads,easements,driveways, ❑ ❑ Waiver(s)attached puking ❑ ❑ Pump curve attached m North arrow and scale drawing ❑ ❑Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑Flow DESIGN:APPROVAL The undersigned designer ttttttttt\ \be notified i\n—s{—�(!\fir az time of installation m Yes ❑ No v ' �A X4� Signature of Designer Date ��yCyyyyylIII The undersigned has reviewed this design on behalf of Mason County Public Health and d be, compliance with state and local on-site regulations: Environmental Health Specialist Date sb CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING ON J ✓ The design is stamped"Approved"by Mason County Public Health. ---t ✓ 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: 12/7/2015 - f d o T - b ,3 �1 vy Cy ; � S r or t`na� r� I11 OO,1 ,1 0` 1 � � 1 Installation/Maintenance Gravity Distribution/Bed Systems 1. Install bed bottom level and in contour with the ground. 2. Install drainfield during dry weather and soil conditions.Any soil smearing must be eliminated by hand raking any areas that get smeared. 3. Divert all storm water run-off away from septic system components. 4. No curtain(french) drains allowed within 1 Oft. of the up-slope edge of the drainfield and reserve area. 5. No curtain (french) drains allowed within 3011. of the down-slope edge of the drainfield and reserve area. 6. Have the septic tank pumped or inspected every 3 to 5 years. 7. All material and workmanship must meet County and State requirements. 8. Install risers on septic tank. 9. Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 10.The prepared Site Plan is not a survey, it is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the Designer immediately. 11. Locate all utilities prior to starting installation. w n ? 51 O' SEDbi �I LICENSED DESIGNER