HomeMy WebLinkAboutSWG2018-00098 - SWG Inactive - 3/26/2018 415 N 6TH STREET, SHELTON WA 98584
MASON COUNTY SHELTON: 360-427-9670, EXT. 400
COMMUNITY SERVICES BEELMA: 360482-5269, EXT. 400
ELMA: 360-082-5269, EXT.400
e�xa�.w,m��.6rvianmenW Hesim.canmu,iq Heaim FAX: 360427-7787
May 02, 2018
Anthony DeMiero Design
PO Box 1174
Hoodsport WA 98548
C; D (l ; � � �� �� tiAt
RE: Design for UHRICH
Case No: SWG2018-00098
Parcel No: 423075000141
Your design for the above referenced parcel has been reviewed and is NOT APPROVED. It does not meet
the requirements or needs additional information.
Please refer to the comments section of this letter for any additional information.
Please call me at (360) 427-9670, ext. 279 if you have any questions.
Sincerely, �1
Alex Paysse
Environmental Health
Mason County Public Health
COMMENTS: Tony, Test Hole 4 showed a very compacted greyed gravelly coarse sand to surface. It
appears to be a restrictive layer. I also found this layer in the other test holes about
30-34" down. The North corner obviously was cut down. I recommend staying in the
southern/west part of property (TH 1, 2, and 3) with system to avoid this layer, being
mindful of the downgradient cut. System will need to be conventional pressure with
timed dosing. Please include a trench cross-section drawing/sketch referecing trench
depth from original and finished grade on resubmittal.
5/2/2018 Page 1 of 1 SWG2018-00098
ONSITE SEWAGE SYSTEM APPLICATION
ON COUNTY PUBLIC HEALTH e
Official use only : a
415 N 6e STREET, POBOX 1666 Z
9
SHELTON,WA 8584 PERMIT NUMBER: SING
Shelton:(360)427-9670,Ext,400 • 1
Belfair:(360)2754467 Ext.400 DATE RECEIVED:h 0 •
Elmo:(360)482-5269 Ext.400 _ z
Fax (360)427-7787 AMOUNT RECEIVED:SIJ
3
APPLICANT DATE
� G CHECK APPLICABLE EMS p urZa.\ l)\Lcitx - 3- z3' l $ ' - NEW SYSTEM n N
MAILING ADDRESS DAYTIME PHONE 0 REPAIR SYSTEM V
0 TABLE 9 REPAIR a
`04' rIF. 136 r� �l to 0 TANK REPLACEMENT n
CITY STATE DP 0 RV HOLDING TANK ONLY r\
JG u ea J J et" p) qq (mgaims w > z
(� Ob�L • SINGLE FAMILY 3
SITE ADDRESS 0 OTHER p
"� Pease describe: a
Note. O
NAME OF DESIGNER PHONE NUMBER R—rd Drawing(Asbuill)rrqulredfor as Z M
intafladem
A. 6.9,c,Lc DRINKING WATER SOURCE O I�
NAME OF INSTALLER 0 PRIVATE INDIVIDUAL WELL
0 PRIVATE TWD-PARTY WELL km
NUMBER OF BEDROOMS LOT SIZE: ACRES FT X FT M COMMUNITYIPUBLIC WATER SYSTEM I O
iJ ��a_[.,,/¢n _ SYSTEM WFI k en-J� —A —�.
^L P SYSTEM NAME: M
SPECIRC OIRECTIONS FOR LOCATING SITE. O
Era SR(I ')o � T. 51+a5` n_ Lc�� ,'s S xYc-aS� _ Tenn i p
IILAT n'o-5¢ v ,/l.�- f..do.. T'c Pa^i /etch arofe. ��^nftl '•` Ip
q✓ld -1. 9e.J .ge - Q7MtlA b, q'frV on
JJ J Id
Tt-e- o �p
Site must be flaqwd from main road and test holes must be flamed with test hole numbers
Official use only below this line
SOIL LOGS COAWNTS/CONDMONS
p .ZIjlo LDAk, � 0 31
WU'AnA.A 't1 Sw"OLf,Q I O b
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SOIL TEXTURE CODES:
V = G=Qravefly S=send L-Wm Si=sa C=d1Y E_
MS SIGNATURE DATE DESIGN EXPFRAT10N DATE DESIGN APPROVED BY DATE
This fornt may be scanned and a callable for public view on the Mason County Web site.
Aug. 21. 2015 3:09PM No. 4519 P. I
DESIGN FORM-PAGE ONE Assessor's Parcel Number. �� 01- 5d
A design VAR be reviewed when 3 cool"of each of the following are submitted:
"Completed design farm that has been signed and dated. v Scaled layout sketch,including all applicable items ren checklist
°Settled plot plan,including all applicable items on checklist .°Crass-section sketch,including all applicable items on checklist.
This Porn ma bo scanned and available far ubll"now on the Mason CoantyWeb site.Madmen) q rsire.' 11"X17"
Permit Number SWO r�O L`s 'OCXY�. Designer's Name: fa. 7„ T.
r
Applicant's Name: Dgoici. i UH's.' fh -Designer's Phone Number; /-fW-877- 2-17
Mailing Address: 'UtEr a16, 134'-4 AJc - Designer's Address; .0 BOk If7L�
Vo:araDVcrWA um?_ )n,-P� t..1G GR5'lfl
Ci .Start ZI G - Slate Z-
Treatment Device
❑Glendon Binfilkr ❑Send Filter ❑Mauna ❑Sand Lincd Dminficld ❑Recirculating Filter,Type:
❑Aerobic Unit MakHit ekl ❑DainRakn Uarr Makshfodel Other.
Drain
Type
�f3"viry 0 PreSSUM irrrmch O Red ❑Sub Surfite Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedroom 2 Schedule/Chas /
Daily how.Operating Capacity 2rf0 gpd Length �. 3 3'� i
O
Daily Flaw:Design Flow gpd Diameter 39 S a `Val slims
1 U y�0' .,
Septic Tank Capacity 1 ZO b ,c4� • ""s 3
gal Number
Receiving Sail Type(1-6) Se � R ''
- - ft
Receiving Soil Appl.Rate �6 gpd/ftr r
Required Square Footage U90 fta v of
Designed Square Footage q06 Ito "mete "4'r"- / in
Percent Redaction Taken / % Specie 1' in
Trench/Bed Width 3 it
Afataltbld
TlencIvEad Length /33s3 ft Schedule/Class -jjOk
Elevation Measurements Length /I g
Original Drainfidd Area Slope < 7 yo Diameter 1�' in
New Slope,If Altered I / Preferred manifold configuration used? 0Yea RbNo
DepthofEzcevation UPdopc /Z in Transport Pipe
from Original Oracle Dom,.dope /
I Z in SchedulUClass -
Designed Vertical Separation >96 in Length
Gravel less Chambers Required' ❑Yes ONO 6 Optiomal Diameter 7-
Pump Required? ❑Yea ®No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day /
Difference in Elevarion Between Pump Shutoff aUppermost DosequanGry gal
OrificeOrifice it Chamber Capacity Y— al
g
Uppermost Orifice❑Higher ❑Lower than Pump Shutoff Pump controls:Please check Nose required.
Capacity®Total Pressure Head _L gpm OTimer OElapse Meter ❑7E t Counter
Calculated Total Pressure Head R If Timer: Pump on Pump off
Comments
Aug. 21. 2015 3: IOPM No. 4519 P. 2
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 7- --,_12 -. 0r LPL
Permit Number: SWG
NOW cA_
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
fT Test hole locations (11 Drainfield orientation and layout Reference depth from original grade
'd Soil logs 0 Trench/bed dimensions and R( Septic tank
9/property,lines critical distances within layout f�'" Drainfield cover
Pr Existing and proposed wells W D-Rokfte a box locations Reference depth iom original grade
within 100ft of property Septic tmklpmap chamber Reeunie deptht
Measurements to cuts,banks,and locations and ive strata:
6 Laterals,trench/bed,top and
surface water and critical,areas .)27 Observation port location bottom
Location and orientation of. if Clean-out location Zr Cu m e r
curtain drain and all absorption Lj Manifold placement ❑�mation
components
Location and dimensionof
Orifice placement Other cross-section detail:
primary system and reserve
erve area Lateral placement with distance' Of Observation.ports/deanrouts
o ege of b
Buildings d - Other Information
p Audible/v' Iarm referenced Yes No
/ Direction of slope indicator C� Scale o hown on Santa m ❑Design staked out
Waterlines / bar xei ❑ ®Recorded Notices attached
Roads,casements,driveways, ❑ ® Waiver(s)attached
parking % ❑ ill Pump curve attached
North arrow and scale drawing :' R ❑ 21 Evaluation of failure
shown on scale bar reoarsow`el'r°nes+ao. Non
9. -residential justification
❑ g Waste strength
❑ low
The undersigned designer must be no ed ins Iler 'me ofinstallation ❑Yes ❑ No
Signatu fD rgna 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:
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:
✓ Drainfiald 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 Pee is required.
This form may be scanned and available for public view on the Mason County Web site.
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