HomeMy WebLinkAboutSWG2021-00170 - SWG Application / Design - 4/1/2021 415 N 6TH STREET,SHELTON.WA 985M
MASON COUNTY SHELTON:360427-9670,EXT 400
COMMUNITY SERVICES BELFAIR:36046 ,EXT 400
ELMA:360482-082-525269,EXT 400
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ENVIRONMENTAL HEALTH REVIEW OF OSS APPLICATION
ANTHONY DEMIERO
PO BOX 1174
HOODSPORT, WA 98548
Applicant: MARK&ANGELA HILL
Parcel Owner: JARZYNKA D"ID A&SUSAN
Site Address: UNKNOWN
Primary Parcel Number: 322207500010
OSS Permit Number: SWG2021-00170
Permit Description: New 2bd Norweco pressure trench
Permit Submitted Date: 0410112021
Permit Review Date: 04/30/2021
The above mentioned Onsite Sewage System Application was reviewed by Environmental Health and found more
information is required.
Environmental Health has requested a planning review due to steep slopes on the property. Planner Julie Lewis will
reach out if further information is needed. N
If you have questions or concerns let us know.
Sincerely,
Rhonda Thompson
360.427.9670 x581
rthompson@m.mason.wa.us
° OFFICIAL USE ONLY
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INSPECTOR SIGNATURE DATE 1 APPLIGAMIN EX% WTE AppLICATIONGLPROVED11S. OSV DATE
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THIS FORM I.NY BE ANNED AND AVABABLE FOR PUBLIC VIEW ON TIRE MASON COUNTY WEBBITE gEVISEO tp/TTNts
DESIGN FORM—PAGE ONE Assessor's Parcel Number:5!: 91 Q -- '7 S- O Q t7 L Q
A design will be reviewed when 3 copies of each of the following are submitted:
•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. •Cross-section sketch,including all applicable items on checklist.
Thlsfatn maybe warned and available for pubticview onthe Mason county Webalte.Maximum paper sire: 11"X17"
PARCEL IDENTIFICATION �
Permit Number. SW Designer's
I L Designer's Name:
Applicant's Name: r(t„ eQ t/iW7, Designer's Phone Number: 766 '177-5ZI 7'
Mailing Address: 176 3bx HP9 Designer's Address: 76 gnx 1174/
99599 kl»r{ a h, 995`/8'
Cr State ZipCityState Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sind Filter ❑Mound ❑Sand Lined D o mfidd ❑Reticulating Filter,Type:
,PAerobic Unit Make/Model .✓dra/rld ❑Disinfecfion Unit Make/Model Other: CdAnw.42—
Drainfield Type
❑Gravity ❑Pressure ❑Trcnch ❑Bed ❑Sub Surface Drip
Septic Tanh/Drai afield Specifications Laterals
Number of Bedrooms Z Schedule/Class
Daily Flow:Operating Capacity .-/,0 gpd Length
Daily Flow:Design Flow gpd Di :s /.O in
Septic Tank Capacity Aofulecp gal
Receiving Soil Type(1-6) on , /Z ft
Receiving Soil Appl.Rate .( gpd/fiz 3r r : " �.,,i Orifices
Required Primary Area 460 f oml of s 33
Designed Primary Area 4d O ft r7 Erfx ostmsao'. 3
. 'rC ble 1CNE'R �/6 in
Designed Reserve Area t/60 ft �$ in
Trench/Bed Width 3 R Manifold
Trench/Bed Length 133 ft Schedule/Class yQ
Elevation Measurements Length L it
Original Drainfield Area Slope Sr /o Diameter 1,5—r' in
New Slope,If Attered S' % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Ur-,ba- 1d in Transport Pipe
from Original Grade p -dope T in Schedule/Class </b
Designed Vertical Separation in Length (S It
Gmvelless Chambers Required? es 0 No 0 Optional Diameter /„f in
Pump Required? Yes 0 No Dosing and Pump Chamber
Pump/Siphou ecM tions Number ofdoses/day [
Difference in Elevation Betwe p Shutoff and Uppermost Dose quantity y/) gal
Orifice 1.Z R Chamber Capacity _ 126 p gal
Uppermost Orifice IN Hi ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Head /9.q7 Spin arm" OElapse Meter 0 Event Counter
Calculated Total Pr cad � ft If Timer: Pump on pumpoff
Comments SCrryv"" R-y.......rb 4r l"=...I /rr..rr"
DESIGN FORM-PAGE TWO Assessor's Parcel Number..ZJ Z L? — 7 5--- to 0 O L d
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations J2( Drainfield orientation and layout Reference depth from original grade:
Soil logs ¢ Tmnch/bed dimensions and 91 Septic tank
r'✓Property lines critical distances within layout pJ Drainfield cover
Existing and proposed wells D-BoxNalve box locations Reference depth from original grade
within 100 ft of property Septic tank/pump chamber and restrictive strata:
[Measurements to cuts,banks,and locations 10
surface water and critical areas J2( Observation port location moms,trench/bed,top and
Location and orientation of 9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption la Manifold placement ❑ Sand augmentation
components
Location and dimension of Orifice placement Other cross-section detail:
primary system and reserve area V Lateral p cut with distance ❑' Observation po clean-outs
,,5� to edge bA Other Informs
,E Buildings C� Audi is arm referenced Yes NO)
jd Direction of slope indicator S own on scale 0 staked out
LI Waterlines b r .+?s ❑ corded Notices attached
ef Roads,easements,driveways, ' '?!'� ❑ Waiver(s)attached
1
Parting •+.^F• Pump curve attached
Cj North arrow and scale drawing .ANTHONYM D.1MR.% Evaluation of,failure
/ shown on scale bar • 'IC N 55
i NE'q"'
Grp rm.•=s::r_< Non-residential justification
❑ P Waste strength
❑ ZJ Flow
DESIGN APPR AL
The undersigned designer mast be no^ed , ' ^taller at �f installation BY" ❑ No
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Signamy f Designer Date
The undersigned has reviewed this design on be of Meson County Public Health and determined it to be in
compliance with state and local on-site regulatio :
Enviro Health Specialist Date
CAUTION: DESIGN APPROV IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approv "by Mason County Public Health.
✓ The Onsite Sewage Permit not expired,the Permit Expiration Date is: _
✓ Drainfield site conditions a not been altered to adversely affect conditions of design approval.
Please Note: a system must be installed by a certified installer,
unless prior a orization is obtained from Mason County Public Health.
An Installa on Fee is re uired.
This form may Ife scanned and available for public view on the Mason County Web site.
Updated Date: 12/72015
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Consider the facts:
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SERVICE PRO' Control Center Blue Crystal*Residential Disinfecting Tablets
- - - and Bio-Mara Dechlorination Tablets
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3
Pretreatment Riser
and Sealed Lid, eio-Kinetic Riser and
Unit Mounting Riser IIIIII i Sealed Lid
and Vented Lid 'I
Singulairc Aerator
Inlet
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Alternate lnlat _
Bio-eine[i<"
System
Pretreatment Outlet
Chamber
I
Aeration Chamber Hio-Static,
Sludge Return
Polyethylene Tank
Clarification Chamber
U.S.and Foreign Patents
Granted and Pending
Inlet Gutlet
Pretreatment Chamber -
01. Aerator Provides complete treatment
Aeration Chamber
i "`1' - - Polyethylene Tank
Clarifcation Chamber _ $7
_ Peak Flow
Sustained How
Design Flow
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Bio-Kinetic Syrtehr {1
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g UV Protected Molded Risers with Sealed
R or Vented Lids
17tts30rz p.RESSURt DIS'i MITIOH
. 11 REQUIREMENTS
l.Snstall :trench bottoms level without any slope
Z.When'trenches are being used on different elevatiuh,,
Check valves are to be used between laterals with". .-
•- manifold 'to keep manifold primed at all times.
3.Install trtnches with the contour of the ground.
4.install.locator. tape to surface to locate laterals if ever _
needed '
.3 anstall obearvation-ports within 24- of ends of all trenches.
'6.Instail trenches during dry conditions. if smearing occurs,. .
contact designer or the health dept. official who signed
the design. This-is a must or designer is not responsible
for failure caused-by smearing of the trench walls.
?.Xnstall a check valve in the transport line within the dump
chamber.
a . Install either a pump chamber screen or an effluent filter
to-p otect•the pump and the drainfiel& from.-contaminating =:
solid matter.
9.Snstall high level water alarm system to warn owners of
Dump failure,
10.Install lateral cleanouts, screw fittings forty five up to
finish-grade.
11.Risers are to be .installed at the pump tank to the finish
grade level for ease in pump removal. if baffle type filter
is being. used -Ldeers -must also be brought to the surface.
la.Install filter, fabric- over trenches completely over
trenches. e
13.Diyerr all home and storm drains away from the drainfield.
ld2 Septic-system is to be inspected, and or serviced every
ONE- to -rwo years. tank should be pumped at a minimum
of every T7,p years.
iS.My deviation Pkour this design without prior approval with
Designer or Health Dept. official will. make this design,,.- .�. .:
void; as well as the- re'sponsibi.1ci-Ly, o$.7the -DIsignar.
16':' Inacall audio and visual alarm in, pumptheater. '
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!4• Goutd P°�P uLed 3485 Yer Wco3q or L be��1 ,1ra1 50 Fou(p -