HomeMy WebLinkAboutSWG2024-00354 - SWG Application / Design - 8/22/2024 415N
MASON COUNTY B SHELTON:
400
STREET,SHELTON,
W 99594
SHH
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360-427-7787
On-Site Sewage System Permit: SWG2024-00354
APPLICANT OMDAHL MAX L&VIKKI L Phone: 360-490-0274
Address: 2061 E CRESTVIEW DR SHELTON, WA 98584
OWNER OMDAHL MAX L&VIKKI L Phone: 360-490-0274
Address: 2061 E CRESTVIEW DR SHELTON,WA 98584
SEPTIC DESIGNER CINDY WAITE• Phone: 360-701-0205
Address: 80 E Pickering Lane SHELTON, WA 98584
Site Address: 50 E EMILY LN
Primary Parcel Number: 320241290004
Permit Description: New 3bd gravity with Class B waiver
Permit Submitted Date: 08/22/2024
Permit Issued Date: 0912312024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (admrronal fees may oa re9wrea upon mataned.nmryatam).
Permit Expiration Date: 09/16/2027 (baud on data of nsp ion)
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.gov/health/onvironmentaLonsiteloss-inspection-request.php or call:
360-427-9670,extension 400.
' OFFICIAL USE ONLY
DAIERECENEO. V _X)—
MASON COUNTY
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ON-SITE SEWAGE SYSTEM APPLICATION s
APPLICANT PHONE ID
r
MAX OMDAHL 360-490-0274 c
MAILINGADDRESS-STREET CITY,STATE,ZIP CODE •'Ii
2061 E CRESTVIEW DR SHELTON WA 98584 a
SITE ADDRESS-STREET CITY ZIP CODE
50 E EMILY LANE SHELTON WA 584 w
NAME OF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE AA O I CD
PERMITTYPE(SNMone) DRINKING V ATEMOURCE a,j(��_" 6 EA I N
9RESIDENTIAL CCOSS HCOMMUNITYOSS SICOMAERCIALOSS 9 PRIVATE INDNIDUALWELL EF PRIVATE TWD- ?bF. IA
TYPE OF PARK L.-I na) IT PUBLIC WATER SYSTEM
ff NEW CONSTRUCTIONIUPGRADES If REPAIRIREPIACEMENT OTHER DETAILS(mkel al Put apply) STABLE W REPAIR I �
SUBMITTALS [3SURFACING SEMGE ❑EXISTING FAILURE [3SHORELINE m
ICIM DESIGN FORM(REQUIRED) 19SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I N
INIAIVER(S)(IFAPPLICABLE) 3 S 238'X3451
DIRECTIONS TO SITE AND SITE CONDITIONS'.!a boaKd fMa)
GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO AGATE ROAD, TURN RIGHT ONTO
EMILY LANE, PROPERTY ON THE RIGHT SIDE OF EMILY LANE, NEW DRIVE WAY, r
GO UP DRIVEWAY, SOIL LOGS ARE ON THE LEFT DER THE SLIGHT HILL.
I �
SI WSTOEFLAGGEDFROMWWROADAMMSTNOLESMUSTMFLAGDEDLMWMTNDL£NUMBERS, A
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE ft mpmM Fu,Fmea)
OVOLUNTARY OMAINTENANCEIPUMPING OBUILDINGPEWIT OHOMESALE OCOMPLAINT MOTHER'
WSPECTOR SOIL LOGS COMMENTSICONDITNIHS
-CiK`• 0 -S�e [1ST'^'/wa'1�Ste AUG
lil
RECORD DRAWNG AND INSTALLATION REPORT
SGLGDDES:
V=VERY G=GRAVELLY S=SAND L=LOAM SI•SILT C=CIAY E-EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL.
INSPECTOR SIGINTIME MTE PPPLICATION E%PI TON WTE MPLICAl1pHMPROVED/ISSUEO BY DATE
I ti �r e � �• arr.3�
THIS FORM MAY S6 SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISEDILOoT6
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 4 — 1 2 — 9 0 0 0 4
A design will be reviewed when 3 copies of 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. Cross-section sketch, including all applicable items on checklist.
This form maybe scanned and available for public vim on the Mann County Web site.Maxinmm paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG_f?,`'('QQZil Designer's Name: CINDY WAITE
Applicant's Name: MAX OMDAHL Designer's Phone Number: 360-701-0205
Mailing Address: 2061 E CRESTVIEW DR Designer's Address: 80 E PICKERING LANE
SHELTON WA 08564 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑ Sand Filter ❑Mound ID Sand Lined Draint]eld ❑Recirculating Filter.Type:
❑Aerobia Unit Make/Model _ ❑ Disinfection Unit Make/Model Other:
Drainfield Type
N(Gravity, ❑ Pressure N Trench ❑ Bed ❑Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms 3 Schedule/Class ASTM 2729
Daily Flow:Operating Capacity 270 Slid Length 50 ft
Daily Flow:Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity(working) 1200 gal Number 4
Receiving Soil Type(1.6) 4 Separation 9 ft
Receiving Soil Appl. Rate .6 gpd/ftt Orifices
Required Primary Area 600 to Total Number of Orifices ASTM 2729 PERF
Designed Primary Area 600 it, Diameter in
Designed Reserve Area 600 ftr Spacing in
Ttench/Bed Width 3 ft ALength
ManifoldTrench/Bed Length 200 ft NA
Elevation Measurements ftOriginal Drainfreld Area Slope 7 % r, in
New Slope,If Altered gjo atidn used? O Yes O NoDepth of Excavation UP-slope 18 innsport Pipe
from Original Grade Dewnslupc 15 in NMir1E\ 3034
lu RDesigned Vertical Separation 18 in20+/- R
x.i•wtx ux,a
I Diameter 4 in
Pump Required? ❑Yes MIN. Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day
Diff. in Elevation Between Pump&Uppermost Orifice_ft Dose quantity gal
brainfield Squirt Height/Selected Residual(head) ____ft Chamber Capacity(Rood) gal \\y\
Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @1a Total Pressure Head gpm ClTimer ❑Elapse Meter 13 Event Counter
Calculated Tom]Pressure Head ft If Timer: Pump on
Comments
SEP 2 3 2024
MASON COUNTY ENVIRONMENTAL HEALTi
DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 D 2 4 — 1 2 -- 9 0 0 0 4
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Id Test hole locations Iff Dminfield orientation and layout Reference depth from original grade:
m Soil logs R1 Trench/bed dimensions and Rf Septic tank
0 Property lines critical distances within layout 91 Drainfield cover
16 Existing and proposed wells Eg D-Box/Valve box'tIocations
within 100 ft of property 66 Septic tank/pumI CRsmbeiF Reference depth from original grade
and restrictive strata:
Id4&1easurements to cuts, banks,and locations Pl.) mar GT Laterals,trench bed,top and
j1 surface water and critical areas E6 observation port location bottom
lay AKkation and orientation of bl trean-out location ❑ Curtain drain collector
curtain drain and all absorption 1014NSnifold placement ❑ Sand augmentation
components M!19rifice placement Other cross-section detail:
m Location and dimension of 16 Lateral placement with distance ❑ Observation ports/clean-outs
primary system and reserve area to edge of bed
m Buildings Other Information
leiftdible/visual alarm referenced Yes No
111 Direction of slope indicator g 19 ❑ Design staked out
� Scale of drawing shown on scale
Ib Waterlines bar ❑ ❑ Recorded Notices attached
Ed Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ 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 must be ri !2 by installer at time of installation Od Yes ❑ No
/�Jgt4e W 72i z y
Signatu�f 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:
- - -- t2-1-A-rkwykjeci '''1
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. / -1
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: � I(6 (2 /
✓ 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 Daze: 12/72015
1. Proposed shop and residence
2. Clean out
\ 3. 1200 gallon septic tank
4. Transport line
5. D-Box box
6. Primary and reserve drainrfield
7. Attenuation Zone
8. Well
9. Water line
1� APPROVED
SEP 2 3 2024
MASON COUNTY ENVIRONMENTALHEA kl
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SEP 2 3 2024
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SEP 2 3 2024
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APPROVED
SEP 2 3 2024
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Installation Notes
Gravity Distribution System:
50 E Emily Lane 32024-12-90004
1. System did not pass maintenance, drainfield not accepting effluent, no records, we dug
up part of the tile drainfield and it appeared to never have been used
2. Concrete septic tank required
3. Gravel based drainrield required
4. Install system during dry weather with acceptable soil conditions
5. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only
6. 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.
7. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
B. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
9. Install access risers on the septic tank, D-box and observation ports.
10. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
11. Lids must form a water and gas tight seal with the access risers
12. Install effluent filter at the septic tank outlet.
13. This system must be installed by a Mason County Certified Installer.
14. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
15. 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.
16. Install laterals or bed with contour of the ground
17. Install trench bottoms level and always maintain a minimum of six inches into native soil
18. Filter fabric required over drain rock prior to backfllling. If the drain rock extends
above the original grade, run the filter fabric at least 2 inch own the trench wall.
MASONCCUNry �Ch 2024
MfA(rh 6 c€"s"e I TENERm�
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department,
2. The septic tank should be pumped every three to five years or as needed.
3. System owners are responsible for having maintenance performed every three years as
per WAC246-272A.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
6. Keep the flow of sewage at or below the approved design operating capacity.
7. Keep waste strength at residential waste strength parameters.
S. Spread loads of laundry through the week.
9. Do not use excessive bleach or detergents with added whiteners.
10. Do not shower, do laundry and dishwasher at the same time
11. Antibiotics can kill or impair the biological process in the septic tank.
12. Leaky plumbing can hydraulic overload your on-site septic system.
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