HomeMy WebLinkAboutSWG2024-00402 - SWG Application / Design - 9/30/2024 SHELT
584
MASON COUNTY 415 NBTHELTON: 60427-O70,EXT 400
SHELTON:360-2754470,EXT 400
BELfA1R:360.2754467,EX7400
Public Health & Human Services ELMA:360.4825269,ExT 400
FAX:360427-Tr87
On-Site Sewage System Permit: SWG2024-00402
APPLICANT JEFFERY NORMA Phone:
Address: PO BOX 1042 HOODSPORT,WA 98548
OWNER JEFFERY NORMA Phone:
Address: PO BOX 1042 HOODSPORT,WA 98548
SEPTIC DESIGNER CINDY WAITE• Phone: 360-701-0205
Address: 80 E Pickering Lane SHELTON,WA 98584
SEPTIC INSTALLER BRAYDEN SCHOENING' Phone: 360-742-2982
Address: 121 W GRIZDALE DRIVE SHELTON,WA 98584
Site Address: 320 N MOUNTAIN VIEW DR
Primary Parcel Number: 422095400047
Permit Description: Nonconforming Repair 2bd sandlined bed
Permit Submitted Date: 09/30/2024
Permit Issued Date: 10/21/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees may be requiretl upon inslalleaon of system).
Permit Expiration Date: 10/17/2025 (hosed on date of napeTon)
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 Mason County is obtained.
3 Drainh'eld 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 backfr'll of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backffll ofsystem 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: masonmuntywa.gov/health/environmental/onsite/oss-inspection4equest.php or call:
3604274670,extension 400.
OFFICIAL USE ONLY
IMTEMfFIYFD:
® MASON COUNTY
COMMUNITY SERVICES
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ON-SITE SEWAGE SYSTEM APPLICATION 3 a
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NORMA JEFFREY 360490-1307 z
MAIUSIGILORESS-STREET,CITY,STATE,VP CODE 3
PO BOX 1042 HOODSPORT WA 98548 z
SREADDflFSS-STREET,clrY zIP coDE
320 N MT VIEW DR HOODSPORT a
NANECFDESIGNER PHONE D N
CINDY WAITE 360-701-0205
NMIE OF INSTAI R P11011E N
SCHOENING EXCAVATION 36Q-742-2982 N o
FERWTIPEpel ._f CC DRINKING WATER
SWflCE By
Ip'RESIDENTMLOSS LLCOMMUNITYOSE HCOMMERCIALOSS 6i PRIVATE INDIVIDUALWELL GPRIVATETWO-PARTYWELL 2 I �
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µ NEW CONSTRUCTION I UPGRADES WREPAIR)REPLACEMENT OTHEROETAILS1veM0ftfAgM OTABLE IX REPAIR ICTI
aupMlnus 0 SURFACING SEWAGE 19 EXISTING FAILURE 0 SHORELINE
DESIGN FORM(REQUIRED) USEPTIC DESIGN(REQUIRED) BEDROOMS LOTSIm r I ?
Eflw ER(S)(IFAPPUCABLE) 2 83'X143' I c
MECTIONS TO SREAND SITE CONDMORS:(U..MAWAPb)
GO TO HOODSPORT, TURN LEFT ONTO LAKE CUSHMAN ROAD, TURN LEFT ONTO 10
CLUB HOUSE DR, TURN LEFT ONTO FAIRWAY DR, TURN LEFT ONTO LAKE VIEW r I CDDR, PARCEL IS ON THE LEFT SIDE OF THE ROAD. C 19j�, ar��J �
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OFFICIAL USE ONLY BELOW THIS LINE
uI'GMDE/FARURE G W RCE(kr npwdnp wm�,l
OVGLUNTARY OMAINTENANCEIPUMPING OBUILDINGPERMIT 0HOMESALE OCOMPWNT 0OTHER:
INSPECTORSOILLOGS COMMENTS)CONDITIONS
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V•VERY G-GMVELLY S=SAND L•LMI O SI•SILT C•CI Y E=EXTREMELY R=ROOTS REOUIREDFgi FINALAWROVAL
INSPECTOR SIGNATURE GTE OPPLIGTIIXI E%PIRAIpN WTE APPLICATIONAPPROVEG'ISSUEDBY GTE
kb2M'-/M 1° nl 16117/ IA,' i loiuh�^
THIS FORM MAY BE SCANNED ANDAVAIABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE REVISED'w=I5
ila.ar,
IDESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 0 9 — 5 4 — 0 0 0 4 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. v Scaled layout sketch,including all applicable items on checklist
Scaled plot plan, including all applicable items on checklist. q Cross-section sketch, including all applicable items on checklist.
This form may be scanted and a nillim for Ic view,on the Mason County Web site.Maximum r size: f/"X 17"
EL IDENTIFICATION
LpPlicant's
SWG 229' — 00902 Designer's Name: CINDY WAITE
NORMA JEFFREY Designer's Phone Number: 360-701-0205
PO BOX 1042 Designer's Address: 80 E PICKERING LANE
HOODSPORT WA 98548 SHELTON WA 99ES6
City stele DE2i City State zip
SIGN PARAMETERS
Treatment Device
0 Glendon Biofiiter 0 Sand Filter ❑Mound BdSand Lined Dminfeld ❑ Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other
❑Gravity f Drainfield Type
ty Pressure ❑ Trench SdBed ❑ Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCHEDULE40
Daily Flow:Operating Capacity 180 gpd Length 24 ft
Daily Flow:Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1000(EXISTING) gal Number 4
Receiving Soil Type(1-6) TYPE 1 Separation 2
ft
Receiving Soil Appl. Rate 1. gpd/ft' Orifices
Required Primary Area 240 fri Total Number of Orifices 48
Designed Primary Area 240 ft, Diameter 3/16
in
Designed Reserve Area 240 fit Spacing A Mn in
Trench/Bed Width 10 ft M81401
TrencWBed Length 24 ft Schedule/Class OCT 2 707G
Elevation Measurements Length SON COUNTY ENVIRnuucn..$'
Original Drainfield Area Sloe �1 ao ��"" 4016EALT,
g P / Diameter in
New Slope, If Altered
Preferred sad? D I �No
Depth of Excavation Up-slope xpo eonou or sallol In e
from Original Grade G .ran Pipe
Down-elope 3a-R 90TTpA DF aWO CmB E -Tl *�
In $Chad assCENSED DESIGNER S DULE 40
Designed Vertical Separation 24 in Len 15
J,.111 JYtb ft
,/
I Diameter 2 in
Pump Required? of Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4
Diff. in Elevation Between Pump&Uppermost Orifice 5 it Dose quantity 45 gal
Drainfield Squirt Height/Selected Residual(head) --AKr It Chamber Capacity(Flood) 1200 gal �\`0
Uppermost Orifice Ad Higher 0 Lower than Pump Shutoff ,y'ddd'` Pump controls:Please check those required.
Capacity®Total Pressure Head 28.32 gpm T-+ OTimer 13Elapse Meter Cl Event Counter
Calculated Total Pressure Head 8.21 ft If Timer: Pump on ,Pump off
Comments
CONCRETE PUMP TANK REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, PUMP
CONTROLS TO BE SET AT TIME OF INSTALL
D=GN FORM—PAGE TWO Assessor's Parcel Number 4 2 2 0 9 — 5 4 -- 0 0 0 4 7
Permit Number: SWG
- DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
dTest hole locations 15' Dminfield orientation and layout J / Y Reference depth from original grade:
E Soil logs l9 Trench/bed dimensions and fr Septic tank
6f Property lines 6 ritical distances within layout Dreinfield cover
✓Existing and proposed wells i0 D-Box/Valve box locations Reference depth from original grade
yiithin 100 ft of property fa Septic tank/pump chamber and restrictive strata:
OMeasurements to cuts,banks,and J locations p 14 s^vf d Laterals,trench/bed,top and
A',\\ L8urface water and critical areas ® Observation port location bottom
' di:ation and orientation of Q(/Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Lil Manifold placement 67✓Sand augmentation
components
1;( Orifice placement Other cross-section detail:
Location and dimension of Lateral placement with distance 12( Observation ports/clean-outs
primary system and reserve area to edge of bed
N1 Buildings Other Information
udible/visual alarm referenced Yef No
/ Direction of slope indicator kale of drawing shown on scale' EI ❑ Design staked out
®/Waterlines bar ❑ ❑ Recorded Notices attached
L9" Roads,casements,driveways, ❑/ ❑ Waiver(s)attached
/ping D�.P P t IJ o>t 6d ❑ Pump curve attached
I North arrow,and scale drawing d ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer most be nofin ,by ins Iler at time of installation Ri Yes ❑ No
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:
gjnQ✓_V (,�� f6Izl fzti
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL 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: 111 I L�
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. \ O
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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PROVED
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4SOk COUNTY ENWROANTAL HEALTH
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LICENSED DESIGNER
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Mountain View Drive
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DRAINFIELD LAYOUT
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APPROVED
OCT 21 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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X1=CLEANOUT/OBS PORTS
*2 B l5w)a wAtv= DO s100l18 �at1
X3=SOIL LOGS CINDYEWAITE 6
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ORIFICE SPACING 2
Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 24 288 24 12 1.5 0.5 24
2i 24 288 24 12 1.5 0.5 24
3 24 288 24 12 1.5 0.5 24
4 24 288 24 12 1.5 0.5 24
TRANS LENGTH 96 48 94
GPM
K (2"SCHEDULEN 40)
FRICTION LOSS
Squirt 2
Elevation difference 6
TDH i 8.210093
MINIMUM 40 ORIFICES FOR SAND AUGMENTED
APPROVED
OCT 21 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
TRENCH CROSS SECTION
Nak a Fa
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ED DEESIGNS)GN g- 'i
i SER
THREADED CAP OR PLUG
P 4 datw.l F s..PVC
LAST ORIFICE;WITH
ORIFICE SHIELDS IF
ORIFICE ORIENTATION IS
BACKFILL UPWARD
MATERIAL ----7
-.1
\\� p00 �p °oQ0 �� PRESSURE LATERAL
PVC HOSE OR \�\\ ° o Doi AS SPECIFIED
LONG SWEEP ° o _
ELBOW / / DRAIN ROCK;S"MIN.
BELOWPIPE
UNDISTURBED SOIL
S"PVC WITH DRAIN
HOLES; EXTEND TO
BOTTOM OF GRAVE O
MONITOR POND
INFILTRATIVE SURFACE
PP
RwEG MONITORINGlCLEANOUTPORT
OCT 21 2014 (EXAMPLE) CIN`11'E s
MA ON COUNTY LICENSEDENSED E E
ENVIRONMENTAL HEALTH DESIGNE2
RET zL,....1., AIN v
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![OUNID IdD MNFH M�TIDNf ePJ1L
/ THREADED UNIGN
RL•OUMRTM
AOOBG MIER
FINISH MACE EALVE-
vALVE
FROM ELICE
vne 6112, Q
rAxN TO ORIINFIELD
i
-TT
EMERGENCY STORAGE
NIGH WATM ALARM ANTI MPH"
LiVEL I1 -VALVE•
WOMUNO VOLUME IIALEPENDENT
MOMIALTR OFFLr4ft + FL01ATe1TEM
ENCLONIDPUMP FOR FLOAT
EEDIMMTEHROUD' MOUNTING
OHEON VALVE•
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CENTRIFUGAL
PUMP
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CINDY E.WAITE
LICENSED DESIGNER
1 APPROVED
3 OCT 21 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET '1\�°
Pump SpecifF 601Y
ications
250-Series Submersible �Il���il�
LITERS PER MUTE
25
20.
Sump / Effluent Pump .�
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Installation Notes
Sand Augmented Pressure Distribution System:
42209-54-00047 320 N Mt View Dr
1. This is a repair, existing drainfield full of roots and sludge
2. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
3. Retro fit existing septl tank with risers and effluent filter
4. Concrete tank required
5. Pump controls to be set at time of installation
6. Install system during dry weather with acceptable soil conditions
7. Gravel based drainfield required.
6. Clean C-33 sand to be used.
9. Install 30 mil liner down 6" into sand
10. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
11. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
12. 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.
13. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
14. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
15. Install access risers on the septic tanks, valve box and ends of laterals.
16. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
17. Lids must form a water and gas tight seal with the access risers
18. Install effluent filter specified in this design at the septic tank outlet.
19. This system must be installed by a Mason County Certified installer.
20. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
21. 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.
22, Install laterals with contour of the ground
23. Install trench bottoms level and always maintain a minimum of six inches into ive it
24. Install locator tape on top of all drainfield laterals.
25. Install threaded clean outs at the ends of all laterals (caps must extend to
inches of finish grade and be in at�a P9�-7M die ram.
26. Install audiolvisal alarm ^ r I�V V��J g 0�'
OCT 21 2024 LIC IN
ED60 1 NFR�
MASON COUNTY ENVIRONMENTAL HEALTH sxrinEs av a
RET
27. Filter fabric required over drain rock prior to backfilling. If the drain rock extends above
the original grade, run the filter fabric at least 2 inches down the trench wall.
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12.Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
A=z
APPROVED
CA•IFFS VY�Oi
OCT 21 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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