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Home My WebLink AboutSWG2024-00383 - SWG Application / As-Built - 9/12/2024 MASON COUNTY 415 N6 SHELTON: ,SHELTON,WEXT 404 SHELTON:360i27-9870,EXT 400 BE ELMA 360-276d267,EXT 400 Public Health & Human Services ELMA:380-4825289,EM 400 4 FAX:360427-T 87 On-Site Sewage System Permit: SWG2024-00383 APPLICANT PERRY RICHARD THOMAS&LORI Phone: Address: 291 NORTHCREST RD ALLYN,WA 98524 OWNER PERRY RICHARD THOMAS&LORI Phone: Address: 291 NORTHCREST RD ALLYN,WA 98524 SEWAGE DESIGNER CINDY WAITE` Phone: 360-701-0205 Address: 80 E Pickering Lane SHELTON,WA 98584 Site Address: 170 NE STEELHEAD DR SOUTH Primary Parcel Number: 223255006003 Permit Description: Nonconforming repair-2BR Gravity Permit Submitted Date: 09/12/2024 Permit Issued Date: 10/02/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $805.00 (aaainnnai reaa n,ay ee resmrea upon Ialallo asnceml Permit Expiration Date: 09/19/2025 Imma oo aace ormapec+bn7 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 Dreinfield installation not to exceed designed ups/ope 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 Asbullt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERW 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY -- MTEPfCENEP. MASON COUNTY y COMMUNITY SERVICES AM ....° o w P,OY<Hxhh lCommunlry HeattMEnvlmnmemal H¢altN) 0 A oM s Z N ON-SITE SEWAGE SYSTEM APPLICATION n n A m m APPLICANT PRONE RICHARD PERRY 360-932-1452 c DE F. 291 NORTHCRESTRD ALLYN WA 98524 z N17 ADDRESS-STREET.CITY 0 NE STEELHEAD DR SOUTH TAHUYA WA ODE 98588 ^ NAME OF DESIGNER P3HDNE I N CINDY WAITE 80-701-0205 NAME OF INSTALLER PHONE I W w IN PERMIT TYPE(bMectaro) DRINKING VMTER SOURCE ff RESIDENTLALOSS 51COMAMUNITYOSS EOCOMMERCIALOSS 6 PRIVATE INDIVIDUALWELL IDPRIVATETWO-PARTYWELL 2 I � ARN K((sabaorre) 17 PUBLIC WATER SYSTEM TYPE OFV I �NEWN CONSTRUCTION/UPGRADES ®REPAIRI REPLACEMENT OTHER DETAILS P~aAlhM*#Y) STABLE IX REPAIR IN SUBMITTALS SUR BWAN O GN FORM(REDUIRED) ®SEPTIC DESIGN(REQUIRED) BEOOOMSFACING SENWGE �EXISTNg FAILURE pSHDRELINE 0 ZE r Ei ER(S)IIFAPPLICABLE) 2 1001X432, x I0 DIRECTIONS TO SITE AN°SITE OONDIT Ng I. bcFeO WAS GO OUT NORTHSHORE ROAD, TURN RIGHT ONTO MISSION CREEK RD, TURN rn LEFT ONTO STEELHEAD RD, TURN LEFT AT Y, LOT IS AT END OF CULDESAC. SOIL r LOGS ARE BETWEEN COUNTY ROAD AND GREEN HOUSE/CARPORT. IRKS MUSTBEFLAOGED FROM MAINROAO AHOTFST NOIFS MUSTBEfLAGG®NIIMTFST XOLEMRtlERA I I W OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE IM,Aq'/Ihq WRaM9) OVOLUNTARY [3WINTENANCE/PUMPING O BUILDING PERMIT OHOMESALE 13COMPWNT OOTHER'. INSPECTOR SOIL LOSS COMMENTS I CONDITIONS 03 O rn 1 rT � co� � I L4 N q I C.n 1 �0 (0 La4 C�5]�� U � RECORD DRAV✓,NGAND INSTTLIATgN REPORT BgLOODEB: V•VERY G=GMVELLY S=SAND L=LOAM S=SILT C=CLAY E=EXTREMELY R=R TS REQUIRED FOR FINLLMPROVK. IN ECTOR SIGIUIDRE E PPPLN:ATION FXPI�O�O� � LI NAPPROVEDIOI ISSUED T WY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITEUU REVISED tL, DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 2 5 — 5 0 — 0 6 0 0 3 A design will be reviewed when 3 conies of each of the following are submitted: a 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. v Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web site.Marimuru paper size: 11"X IT, PARCEL IDENTIFICATION Permit Number: SWG 2z, _ Designer's Name: CINDY WAITE Applicant's Name: RICHARD PETTY _ Designer's Phone Number: 360-701-0205 Mailing Address: 291 NORTHCRFEST RD Designer's Address: 80 E PICKERING LANE ALLYN WA 98M SHELTON WA 98584 Ci Smte Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Bioditer ❑Send Filter 0 Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfeaion Unit Make/Model Other: Drainfield Type RrGravity ❑ Pressure RrTrench 0 Bed O Sub Surface Drip Septic Tank/Drainfield Specifications e e n v Laterals Number of Bedrooms 2 ASTM 2729 Daily Flow:Operating Capacity 180 g 45 ft `�' 0 2 2024 Daily Flow: Design Flow 240 g Ay0 n;4�!,\I� IROWPVALHEALTH 4 in Septic Tank Capacity(working) 1000 g NumbeeR 3 Receiving Soil Type(1-6) 4 Separation 2 ft Receiving Soil Appl. Rate .6 gpd/ftt Orifices Required Primary Area 400 ftt Total Number of. ices ASTM 2729 PERF Designed Primary Area 405 fte Diameter in Designed Reserve Area LIMITED ft2 Spacing . in Trench/Bed Width 3 ft ,8s'P a',eT Manifold Trench/Bed Length 135 ft Schedul s . Elevation Measurements Len 0 041 It Original Drainfield Area Slope <1 % Di'atilue m ov c in New Slope,If Altered % P ? DYcs RrN. Depth of Excavation UPslolre 14-16 in Transport Pipe from Original Grade Uvw ,opc 14-16 in Schedule/Class 3034 Designed Vertical Separation 24 in Length 5-10 ft ass am Diameter 4 in Pump Required? ❑Yes OfNo Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/dey Diff.in Elevation Between Pump&Uppermost Orifice ft Dose quantity gal �\lu 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 DTimer DElapse Meter ❑ Event Counter Calculated Total Pressure Head ft If Timer: Pump on ,Pump off Comments RETRO FIT EXISTING SEPTIC TANK WITH RISERS AND EFFLUENT FILTER, GRAVEL BASED DRAINFIELD REQUIRED. ' DESIGN FOAM—PAGE TWO Assessor's Parcel Numbee.2 2 3 2 5 — 5 0 -- 0 6 0 0 3 Permit Number SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch id Test hole locations E9 Drainfield orientation and layout Reference depth from original grade: 16 Soil logs Trench/bed dimensions and ❑ Septic tank 0 Property lines critical distances within layout V Drainfield cover 19 Existingandproposed wells 19 D-Box/Valve box locations Reference depth from original grade within 100 ft of property fief Septic tank/pump chamber and restrictive strata: gAMeasurements to cuts,banks,and locations P1,f m4# 59 Laterals,trench/bed,top and surface water and critical areas 19 Observation port location bottom i4kiccation and orientation of E7/11♦rlean-out location ❑ Curtain drain collector curtain drain and all absorption F'V 4D4anifold placement ❑ Sand augmentation components WljOrifice placement Other cross-section detail: Gil Location and dimension of Rf Lateral placement with distance fig Observation porlsild primary system and reserve area to edge of bed Other Information 0 Buildings d' I�isypgI,,a(��rr�mm, referenced Yes No is Direction of slope indicator f 'P'Yi"V"��n Ed ❑ Design staked out fib Waterlines Y" „f I [3 ❑ Recorded Notices attached 6Q Roads,easements,driveways, OCT 0 1 2�2§ ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached � North arrow and scale drawing MASON COUNTY ENVIRONMENTAL HEALTH ❑ ❑ Evaluation of failure shown on scale bar JBW Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notifie by ins Iler at time of installation 54 Yes ❑ No 1 �, ) 1.k 1?1;W .2v zy Si Designer IDate The undersigned has reviewed this design on behalf of Mason County Public Heahh and determined it to be in compliance with state and local on-site ulaLLO(tions: _ a -2Y Env im e I Ith Specialist Date CAUTION: DESIGN APPROV L 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: "I — ✓ 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 1 p ,i li o r k 'ydga� 3 G a a •m� i. yw o � nn �w ru •f .w ee .v 'APOPR0vl m w+ MASON COUNTY EWIRONME �•« >'&y /lCIRONME1 LHEALTH JBW y StWwIB Ci DV E WAIT LICENSED DESi d 10 1J s AAA q� ..A � • � it .w ,. F1 nj �^ fh .. r' "'• O a J -,1 0) N � o (D F m m CL zr N O C 0L -� (D f0 7 X _ In CD CCL ry 7r r 4', Ds Y _ � z S z � r I � 6le4,a Q w! AP P R O V E OCT o 2 2024 DTL r,2- MASON COUNTY ENVIRONMENTAL HEALTH 6-q21, L J13W (� l � � IZf�MGi K z �Z,r oy i2 Tot C,n 6 No sc a 6 W�5 9 5104,E p' CINDYE WAITE F 9/ LICENSED DESIGNER 1 l Ai Lap1K a0 d<,,/� No_ �o P�rc<f�1 1 prr ppR®�/ ANN Installation N System: M4SON00 � Gravitya C� / ? v� y Jaw MENtq�yEq[TH 170 NE STEELHEAD DR S 22325-50-06003 ` m 1. System did not pass maintenance, drainfield not accepting effluent, no records, we dug up part of the the drainfield and k appeared to never have been used 2. Existing septic tank to be retrofitted with risers and effluent fileter. 3. Install system during dry weather with acceptable soil conditions 4. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only 5. 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. 6. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 7. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 8. Install access risers on the septic tank, D-box and observation ports. 9. Make suee septic tank risers are epoxied or caulked to cast in riser rings on tank. 10. Lids must form a water and gas tight seal with the access risers 11. Install effluent filter at the septic tank outlet. 12. This system must be installed by a Mason County Certified Installer. 13. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 14. This pesign 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 gallops 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. 15, Install laterals or bed with contour of the ground 16. Install Yrenerbottoms level and always maintain a minimum of six inches into native soil 17. Filtei 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 down the trench wall. 10 4 Y p' CINDVE.WAI LICENSED DESIGNER L-I'WLS lalq 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'awmrs are responsible for having maintenance performed every three years as per VVAC24&272A. 4. System owners.arb responsible for regponding to septic issues in a timely manner. • 5. System owner agrees to read and abide by information regarding their system in the Usar Manual provided by Mason County Public Health. B. Keep,the flow of sewage at or below the approved design operating capacity. I 7. Kefep waste strength at residential waste strength parameters. j 8. SpreaiOl ads of laundry through the week. 0. Do pot use excessive bleach or detergents with added whiteners. 10. Do riot Shower, dp laundry and dishwasher at the same time 11.Antibiotics can kll or impair the biological process in the septic tank. 12. Lealry plumbing can hydraulic overload your on-site septic system. ) VEEk u 2 2024 ENVIRONMENTAL SEA.' x jow s CINDY x [ WRITE ' a LICENSEENSEC.MS ER .Wy» r r -�1 _� �� _ _��- _� � - -� � _ _� �I �I =� -- �+r �I- �I �I ,,.