HomeMy WebLinkAboutSWG2024-00371 - SWG Application / Design - 8/29/2024 SHELT
6134
MASON COUNTY 416NBSHELTON: 60427.O70,EXT 400
SHELTON:360-275-4467,EXT 400
BELFAIR:360.275d46],EXT 400
Public Health & Human Services ELMA:360.4825269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00371
APPLICANT ASCW INVESTMENTS LLC Phone: 360-239-1541
Address: 2000 W SHELTON VALLEY RD SHELTON,WA 98584
OWNER ASCW INVESTMENTS LLC Phone: 360-239-1541
Address: 2000 W SHELTON VALLEY RD SHELTON,WA 98584
SEPTIC DESIGNER MICAH HALVERSON• Phone: 360-490-6365
Address: PO BOX 1519 SHELTON,WA 98584
SEPTIC INSTALLER LOGAN SPEAR* Phone: 360-427-4440
Address: 2000 W SHELTON VALLEY RD SHELTON, WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 420243490049
Permit Description: New 4bd gravity bed with local waiver
Permit Submitted Date: 0812912024
Permit Issued Date: 1010312024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $705.00 (additional fees may I,a reammc upon Installation or sysram).
Permit Expiration Date: 08130/2027 (Easaapnaataofmape mnl
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department sta%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/environmentallonsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATE REGEMED 09 ZG 1G2d
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TEST HOLES ARE MARKED WITH PINK RIBBON, DRAINFIELD IS STAKED WITH IL
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RECORD DMYANGANO INSTALlATKK1 REPoRf
SOILCODEB: REQUIRED FOR FINALMPROVK.
V•VERY G=GRAVELLY S•8M0 L•L6N1 Si•SLT L=CUT E=EXTREMELY R=ROOTS
V. FFY SIGIMNRE DATE APP C=CT YE%PIMTWN DATE M'PLMATION APPRWEM ISSUED BY
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THIS FORM MAYBE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWESSITE REVISED1216015
DESIGN FORM-PAGE ONE Assessor's Parcel Number:l.Z GZ 4 - 3 a - vr-q
A design will be reviewed when 3 copies of each of the following are submitted: SWG 2C>Lt4 -00 3-7
Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist
Scaled plot pin,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist.
This torn maybe assumed and available for public view on the Noon County Web site.Maximum PaPer size: 11"X 17"
A'1707N
Permit Number. SWG OV Designer's Name: MICAH HALVERSON_
Applicant's Name: ASCW INVESTMENTS LLC Designer's Phone Number: 360490-6365
Mailing Address: 2000 W SHELTON VALLEY RD Designer's Address; PO BOX 1519
SHELTON WA 911594 SHELTON WA 98594
city State Zi Cd State zip
DESIGN PARAMETERS
Treatment Device
0 Glendon Biofi ter ❑Send Filter ❑Mound ❑Sand Lined Dminfield ❑Recirculating Filter,Type:
O Amble Unit MakdModed ❑Disinfection Unit Make/Modcl Other: SEPTIC TANK
Drainfield Type
S(Gravity ❑Pressure ❑Trench IidBed ❑ Sub Sur6ce Drip
Septic Tank/DrainBeld Specifications Laterals
NumbcrofBedrooms 4 Schedule/Class 2729 PERF
Daily Flow:Operating Capacity 360 gpd Length VARIES ft
Daily Flow:Design Flow 480 gpd Diameter 4 in
Septic Tank Capacity(working) 1200 gal Number 3
Receiving Soil Type(1-6) 2 Separation 2.66 it
Receiving Soil Appi.Rate 1 gpd/ft2 Orifices
Required Primary Area 480 flz Total Number of Orifices PERF
Designed Primary Area 486 fl Diameter in
Designed Reserve Area 480 ft' Spacing in
Trench/Bed Width 9 ft Manifold
Trench/Bed Length 54 ft Schedule/Class D-BOX
Elevation Measurements Length ft
Original Drainfield Ares Slope <5 % - Diameter in
New Slope,If Altered SAME % Preferred manifold configuration used? 0 Yes GifNo
Depth ofEzcavation UPd " 48 in Transport Pipe
from Original Grade Doanslope 32-48 in Schedule/Class 3034
Designed Vertical Separation 60 in Length 5 ft
Gravelless Chambers Required? ❑Yes 16No D Optional Diameter 4 in
Pump Required? ❑Yes RfNo Dosing and Pump Chamber
Pump/SiphonSpecifications Numberofdoses/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 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head gpm OTimer A P PER p ❑Event Counter
Calculated Total Press=Head ft If Timer: Pump on l.J �.J
Conners MASON COUNTY ENVIRONMENTAL HEALTH
RET
DESIGN FORM-PAGE TWO Assessor's Parcel Number: t/ Z� ZL - 3c1 _ `f2 't_`) /�- ,�
Permit Number. SWG W?4-« 3Zl —
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
51 Test hole locations [Z Drainfield orientation and layout Reference depth from original grade:
16 Soil logs Rf Trench/bed dimensions and Rf Septic tank
0 Property lines
critical distances within layout 69 Dramfield cover
Ea Existing and proposed wells 6t1 D-BoxfValve box locations Reference depth from original grade
within 100 ft of property sd Septic tank/pump chamber and restrictive strata:
m Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and
surface water and critical areas 21 Observation port location bottom
m Location and orientation of 6d Cleso-out location ❑ Curtain drain collector
curtain drain and all absorption 5d Manifold placement ❑ Sand augmentation
components 511 Orifice placement Other cross-section detail:
id Location and dimension of 56 Lateral placement with distance 56 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
tb Buildings it Audible/visual alarm referenced Yes No
10 Direction of slope indicator 56 Scale of drawing shown on scale 56 ❑ Design staked out
A Waterlines bar ❑ 1f Recorded Notices attached
lij Roads,easements,driveways, 9 ❑ Waiver(s)attached
❑ 19 Pump curve attached
puking
❑ 5d Evaluation of failure
id North arrow and scale drawing
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑ Flow
DESIGN APPROVAL -
The undersigned designer must X7 t,frad by installer at time of installation 56 Yes ❑ No
/ `-� � Dr�rau�
r Signature of Designer
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:
'(Z�t-y.olywwSN�� (O ( 3�Z'1
Environmental Haft Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. �,I,�1Z�
✓ 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 avallable for public view on the Mason County Web site.
darea Date: 12/7n015
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