HomeMy WebLinkAboutswg2024-00420 - SWG Application / Design - 10/21/2024 HELTON,WA
584
MASON COUNTY 415N6SHELTON: , 0427-97 ,EXT 400
SHELTON:380-42]-96]0,EXT 400
BELFAIR:380-2]5448],EXT 400
Public Health & Human Services ELMA:3604825269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00420
APPLICANT EVANS EARTHWORKS INC Phone: 360-928-1022
Address: 282 MILLER RD PORT ANGELES,WA 98363
OWNER SUNKEL TY&SARAH Phone:
Address: P O BOX 5572 BREMERTON,WA 98312
SEPTIC DESIGNER CINDY WAITE.Septic Designer Phone: 360-70"205
Address: 80 E PICKERING LANE SHELTON,WA 98584
SEPTIC INSTALLER B-LINE CONSTRUCTION Phone: 1.360.489.9169
Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON,WA 98584
Site Address: 81 N Duckabush Dr N
Primary Parcel Number: 422055101063
Permit Description: New 2-bedroom gravity system
Permit Submitted Date: 1 0/2112 0 2 4
Permit Issued Date: 1012912024
Issued By: David Anderson
Current Permit Fees Paid: $805.00 (amidonal lees may be required upon inslauannn orspuem).
Permit Expiration Date: 10/29/2027 (based on dale of nspeonon)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staflper 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 Draintield 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 OS&
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/oss4nspection-request.php or call:
360-427-9670, extension 400.
4 OFFICIAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION $
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APPLICANT EllPRONE �
EVANS EARTHWORKS C/O B- LINE CONST 360-426-4221 z
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282 MILLER RD M PORT ANGELES WA 98363 m
81 N DUCKABUSH DR CP6a V OODSPORT WA 98548 I A
NAME OF DESIGNER PRONE
CINDY WAITE Cl 11 1014 3.60-701-0205 N
NAME OF INSTAUIER I klOWE I IV
B-LINE CONSTRUCTION 60-426-4221 3
PERMITTYPE(R*R ) GRINNINGW^TER SOURCE w I �
RESIDENTIAL OSS ]I7COMMUNRYOSS . COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL I PRIVATE TWO-PARTY WELL z I �
F,NOEKIm aNN CrPUBLIC WATER SYSTEM LANE CUSXMAN WE ,
EW CONSTRUCTION I UPGRADES U REPAIR I REPLACEMENT OTXERDETMLSBWGWPM'L ) QTABLE IN REPAIR IGl
InuS ❑SURFACING SEWAGE {SEXISTINGFAILURE OSHOREUNE
,DESIGN FORM(REQUIRED) 9,SEPTIC DESIGN(REQUIRED) BEDROOMS LOI W I �
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p IN RECTNS TO$IIEµO SITE CONOITICNS.Ns F%FMpae)
GO TO HOODSPORT, TURN LEFT ONTO LAKE CUSHMAN RD, TURN LEFT ONTO I
STANDSTILL DR S, TURN LEFT ONTO N DUCHABUSH DR N, PARCEL IS ON THE r
LEFT SIDE OF THE ROAD, HAS A CHAIN ACROSS THE PATHWAY TO THE SOIL o 0
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OFFICIAL USE ONLY BELOW THIS LINE
UNAADEIFAEURESWRCEIIm,4>LlgpuDT H
OVOWNTARY OMAINTENANCEIPUMPWG OBUILDINGPERMIT OHOMESALE OCOMPWNT OOTHER:
INSPECT SOI ` COMMENTS ICONOITIONS
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BOB-CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM SI-SILT C=CIRY E=EMREMELV R=RANTS REQUIRED FOR FIWLLAPPROVAL.
INSPE 111RE ANTE APPLICATION EXPIRATION I APPLI APPROVED(ISSUED BV DATE
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THIB MAV BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEII REVISEG 1l 1.1S
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 0 5 — 5 1 — 0 1 0 6 3
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 Sealed layout sketch,including all applicable items on checklist
v Sealed plot plan,including all applicable items on checklist. v Cress-section sketch, including all applicable items on checklist.
This form may be scanned and available for Public view an the Mason Wunty Web site.Maximum pope, sire: /V X 17"
PARCEL IDENTIFICATION
Permit Number: SWG If7Zc/ :Quo / ? Designer's Name: CINDY WAITE
Applicant's Name: EVANS PARTHWORIfS-&LINE Designer's Phone Number: 360-701-0206
Meiling Address; 282 MILLER RD Designer's Address: 80 E PICKERING LANE
PORT ANGELE9 WA 911369 SHELTON WA 98584
City—State Zi CityState Zip
DESIGN PARAMETERS
Treatment Device
0 Glendon Millibar ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Modd Other:
Drainfield Type
IidGrevity 17 Pressure O Trench fri(Bed 0 Sub Surface Drip
Septic Tank/Drainffeid Specifications Laterals
Number of Bedrooms 2 Schedule/Class ASTME 2729
Daily Flow:Operating Capacity 1B0' gpd Length 30
ft
Daily Flow:Design Flow 240 Slid Diameter 4 in
Septic Tank Capacity(working) 1200 gal Number 3
Receiving Soil Type(1-6) 3 Separation 3
ft
Receiving Soil Appl.Rate .8 - gpd/1)2 Orifices
Required Primary Ares 300 ftr Total Number of Orifices ASTM 2729 PERF
Designed Primary Area 300 fe Diameter in
Designed Reserve Area 3DO ft' Spacing
in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 30 ft - Schedule/C
Elevation Measurements Length q- ft
Original Drainfield Area Slope <1 % Diamet -
in
New Slope,If Altered % preF _ _ lion used? O Yes 91so
Depth ofExeavation Upelepe 15-24(PAGE 4) in �4 Asport Pipe
from Original5�l Grade pews-doce 15.24(PAGE 4) - in ul mSE. is
AITE 'I' 3034
Designed Vertical Separation 36 - in LICENSED DESIGNER
20.30 ft
Diamete`}�vIRLs av�N 4
in
Pump Required? 17 Yes 9No Dosing and Pump Chamber
PUMP/Siphon Specifications Number ofdoses/day
Dirt in Elevation Between Pump&Uppermost Orifice_ft Dose quantity gal
Drainfield Squirt Height/Selected Residual(head) _ft Chamber Capacity(flood) gal
Uppermost Orifice E3 Higher O Lower than Pump Shutoff Pump controls:Please check thou required.
Capacity @ Total Pressure Head gpm OTimer DElapse Meter ❑Event Counter
Calculated Total Pressure Head it If Timer: Pump on Pump off
Comments 6Cgve ( Py✓T DLo4 L,�/ ^ ,
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 0 5 — 5 1 — 0 1 0 5 3
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
ld Test hole locations 61 Dreinfield orientation and layout Reference depth from original grade:
16 Soil logs Ef Trench/bed dimensions and 16 Septic tank
Ill Property lines critical distances within layout 9 Drainfield cover
d"isting and proposed wells Rf D-BoxNelve box locations
/,i- Reference depth from original grade
within 100 ft of property Id Septictank/]rump chamber and restrictive strata:
Pjrfeasurements to cuts,banks,and locations Gi Laterals,mench/bed,top and
surface water and critical areas 61 Observation port location bottom
4L.Wcation and orientation of .Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Manifold placement ❑• Sand augmentation
components
on an ry .(9rifice placement Other cross-section detail:
Id Location and dimension Lateraports/clean-outsplacement with distance Rf Observation ports/clean-outs
primary system and reserve area to edge of bed
m Buildings Other.Informatian
Q,llAudible/visual alarm referenced Yes No
Id Direction of slope indicator
Scale of drawing shown on scale 9 ❑ Design staked out
id Waterlines bar ❑ ❑ Recorded Notices attached
❑ Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
Id North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer most be notifiep installer/af time of installation Yes ❑ No
lwJa . /U�/?✓,y
Srgna o igner Da e
The undersigned has reviewed this design on behalf of Mason County Public Health and determined tC' i0,
compliance with state and local on-
s' gulations: O
Environmental Health Specrelist Date Nry�FjjN`��igON�_ 1y
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COiv»HgO T
✓ The design is stamped"Approved"by Mason County Public Health. •�A�H�IT
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 0�l f/)U 7 ' 'y
✓ Dreinfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note; The system must be installed by a certifiled installer,
unless prior authorization is obtained from Mason County Public Health.
An Installation Fee is required. 4M
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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APPROVED
OCT 292024
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MASON COUNTYCINDY ENVIFOt'VENTALHEAIP, LICEENSEDNSED Wa1E
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Installation Notes ,qPpR
Gravity Distribution System: 0
81 N Duckabush Dr North 42205-51-0106vCouNry
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1. 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.
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
8. 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 backfilling. If the drain rock extends
above the original grade, run the filter fabric at least 2 inches d n the trench wall.
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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.
8. 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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O CINDY E.WAITE 'L
LICENSED DESIGNER
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A►'PROVEL)
OCT 2 9 2024
MASON COUNjyENVIRONMENTAL NEALTt,
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