HomeMy WebLinkAboutSWG2024-00380 - SWG Application / Design - 9/11/2024 A 98584
MASON COUNTY N6SHELTON OA27-9N EXT400
SHELTON:360-275 660, EXT 400
BE FAIR:ELVA.360182 5269,EXT 400
Public Health & Human Services ELMA:3soaez-szss.ExT aoo
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00380 c O V r ' i
APPLICANT IM ET AL HONG B Phone: 1
Address: 20706 SE 322nd St AUBURN, WA 98092
OWNER IM ET AL HONG B Phone:
Address: 20706 BE 322nd St AUBURN, WA 98092
SEWAGE DESIGNER MICAH HALVERSON` Phone: 360-490-6365
Address: PO BOX 1519 SHELTON, WA 98584
SEWAGE INSTALLER THAD BAMFORD* Phone: 360-790-2364
Address: 301 WALLACE KNEELAND BLVD STE 224-332 SHELTON, WA 98584
Site Address: 10972 E STATE ROUTE 106
Primary Parcel Number: 322257600010
Permit Description: Table 9 repair Sbd Glendon M-31
Permit Submitted Date 0911112024
Permit Issued Date: 09/12/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system)
Permit Expiration Date: 08/28/2025 (masad an dare Droapaabool
Permit Conditions:
i 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 Mason County is obtained.
3 Drainfield installation not to exceed designed ups/ope and downslope depth specified on
design farm.
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 Farm, 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/health/environmental/onsite/oss-inspection-request.php or call:
360.427-9670, extension 400.
OFFICIAI LIFE 0XI.I —
DATE FiCEV[D.. _ L 1-
MASON COUNTY CA
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APPLICANT 360-296-4240 z
Young Im 3
MPILNGAOORE55-STREET.LIiV STATE.=IP L°OE Auburn Wa 98092 p
20706 SE 322nd St
SITE ADDRESS.STREET CITT AT CLUE Union Wa 98592
10972 E STATE RT
PHONE ,.,
NAME°F DESIGNER 360-490-6365
Micah Halverson
PHONE 2
NAME OF INS FALLER
Thad Bamford
DRINKING WATER SOURCE Q
PERMIT TYPE RNSd one)
h.( RESIDENTIAL ORB fI COMIN Itt OSS II COMMERCIAL ONE Cl PRIVATE INDIVIDUALWELL MPRIVATE TWO-PARTY WELL 2
PUBLIC WATER SYSTEM I I
TYPE OF WORK 11l one)
PI NEW CONSTRUCTION IUPGMDER MREPAIR BEPtACEMENT OT❑ DETAILS LIIA�SURFACING SEWAGEPY9 EXIISTNG FAILUREI 9 SHORELINE W
SUPMITIPLS S¢E r
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.�DESIGN FORM(REQUIRED) �I SEPTIC DESIGN(REQUIRED) 6EDft0oM5 5 5ac O
rl WAIVERI51(IF APPLICABLE) S
VIRFCTIONSTO SRE AND SITE LONOITIONS./V-loI—gale) � -
Meet with Rhonda 8/28/2024
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SITE MUBT RE FLPOGEO FROM MItlH ROAD AND TEST NOLES MUST BE 11 AGGEO WITH TEST HOLE NUMBERS.
OFF(IAL USF CNLV UROW TMS LINt — —
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❑BUILDING PERMIT OHOME SPLE ❑COMPLAINT ❑OTHER
❑VOLUNTARY ❑MAINTENANCE/PUMPING _
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INSPECTOR SOIL LOGS
VAS `l`l roaC3
3 40f- Owya,-�-4
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RECORD DEVIONG AND INSTALLATION EFFORT F.�., _
SOIL . ft=ROOTS REQUIRED FOR FINALAPPOVAL
V-VEFEY G=GRPVELLV $=SANO L-LOAM 51=SILT C-CUY E=EXPEMELV
APPLICATION PPPROVED/ISSUFO SY OATE
INSPECTOR SIGNATURE GATE PPPLICATION F%PIPATION GATE •, - 1 ImZ�1
Irvt g v46 �2
N THE MASON COUNTY WEBSITE REVIED vn¢ms
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW 0
DESIGN FORM—PAGE ONE Assessor's Parcel Number:, 2 Z z'"S -- 7
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has;been signed and dated. r Scaled layout sketch, including all applicable items on checklist
♦Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist.
This form may be!ramrod and avallable for a view con the Mason County Web site.Maximum a er size: 11"X 17"
.. 'P lie IDN.
Permit Number: SWG o; •Ocl 6 Designer's Name: Micah Halverson
Applicant's Name: Young Im Designer's Phone Number: 360490-6365
Mailing Address: 20706 SE 322nd St Designer's Address: PO Box 1519
Aubum we 98092 Shefton Wa 98584
City State Zi Ci State Zip
.' , D1LYiCiN:P TRRS .
Treatment Device
OWGlendon Bioli ter ❑ Sand Filter ❑ Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter,Type:
❑ Aerobic Unit Mak&Model ❑ Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity ❑Pressure ❑ Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 5 Schedule/Class Glendon
Daily Flow: Operating Capacity 450 gpd Length It
Daily Flow: Design Flow 600 gpd Diameter in
Septic Tank Capacity(working) 1500 gal Number "
Receiving Soil Type(1-6) 3 Separation ° ft
Receiving Soil Appl.Rate .8 gpd/ft2 Orifices
Required Primary Area 750 fta Total Number of Orifices "
Designed Primary Area 829 ftc Diameter " in
Designed Reserve Area No Reserve 8' Spacing " in
Trench/Bed Width 17 ft Manifold
Trench/Bed Length 78 ft Schedule/Class 40
Elevation Measurements Length Glendon It
Original Drainfield Area Slope <5 % Diameter 1 1/4" in
New Slope,If Altered same % Preferred manifold configuration used? ❑ Yes WNo
Depth of Excavation Ur-slops Per Glendon in Transport Pipe
from Original Grade Downalepe in Schedule/Class 40
Designed Vertical Separation 3611+ in Length 350 ft
Gravelless Chambers Required? ❑Yes 16 No 0 Optional Diameter 1 1/4" in
Pump Required? Ef Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day Per Glendon
Diff in Elevation Between Pump&Uppermost Orifice 50 ft Dose quantiry gal
Drainfield Squirt Height/Selected Residual(head) N/A It Chamber Capacity(flood) 1800 gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 5 gpm E1Timer gElapse Meter W Event Counter
Calculated Total Pressure Head 56.5 it If Timer: Pump on Glendon ,pump off Glendon
DESIGN FORM—PAGE TWO Assessor's Parcel Number: C� �- 2 -- 4� -- �- �` i L
-- -- -----
Permit Number: SWG
DESIGN MCKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
19 Test hole locations IN Drainfield orientation and layout Reference depth from original grade:
IS Soil logs 9 Trench/bed dimensions and 15 Septic tank
H Property lines critical distances within layout IN Drainfield cover
FI Existingand proposed wells 19 D-Box/Valve box locations P Po Reference depth from original grade
within 100 ft of property E1 Septic tankpump chamber and restrictive strata:
H Measurements to cuts,banks, and locations ❑ Laterals, trenctt/bed,top and
surface water and critical areas H Observation port location bottom
H Location and orientation of Iff Clean-out location ❑ Curtain drain collector
curtain drain and all absorption EJ Manifold placement ❑ Sand augmentation
components H Orifice placement Other crosssection detail:
8 Location and dimension of 16 Lateral placement with distance ❑ Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
0 Buildings PJ Audible/visual alarm referenced Yes No
P1 Direction of slope indicator pf Scale of drawing shown on scale fY ❑ Design staked out
P1 Waterlines bar Lg ❑ Recorded Notices attached
19 Roads,easements, driveways, ❑ lY Waiver(s)attached
parking 9 ❑ Pump curve attached
19 North arrow and scale drawing ❑ Q 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 Id Yes ❑ No
Signature of Designer Date
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:
gt-Nnnryo v, . Ct((zl zy
Environmental Health Sp cialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health' sDIZ-161 Z1r
✓ 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
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