HomeMy WebLinkAboutSWG2021-00259 expired - SWG Inactive - 5/10/2021 415 N 6TH STREET,SHELTON,WA 985"
MASON COUNTY SHELTON:360427-9670,EXT 400
COMMUNITY SERVICES aE ELMAFAR 36"82-5267,EXT 400
ELMA:380<62-5269,EXT 400
aua'„c vi.m„ssE,„.mnwww.m.cammun�wem FAX:360427-7787
ENVIRONMENTAL HEALTH REVIEW OF OSS APPLICATION
TOM WEAVER-Allied Design Inc
PO BOX 564
SEABECK, WA 98380
Applicant: PARSONS MICHAEL M&ALLISON KAY
Parcel Owner: PARSONS MICHAEL M&ALLISON KAY
Site Address: UNKNOWN
Primary Parcel Number: 221231100060
OSS Permit Number: SWG2021-00269
Permit Description: New three bdrm-gravity trench with
waiver
Permit Submitted Date: 0511012021
Permit Review Date: 08/10/2021
The above mentioned Onsite Sewage System Application was reviewed by Environmental Health and Planning
found more information is required.
Geotechnical report required per planning department. The site is within an area that indicates a landslide,there is a link
under the permit on Smadgov to the checklist. Planning made the note public so the applicant can get the information on
GIS.
If you have questions or concerns let us know.
Sincerely,
Scott Ruedy,AICP
Senior Planner
Mason County Community Services
Office#360-427-9670 Ext.287
Teleworking#503660-8336
Luke Cencula
360.427-9670 Ext.353
lcencula@masoncountywa.gov
— OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH IS
EEFMD
5- l U3
ONSITE SEWAGE SYSTEM APPLICATION lR 77 CND M FN DM:
OW A
415NddlSDeet(Bldg 8) SWWWA,9M �� H
sNNmR:3NT4zT-gdroen4gB eellelr.3do-ns4wT FneoB WG - OOa-c59 0 °z
Z N
APPUChW PHOHE a A
Rachel Parsons 360-477-1262 mikemparsonftmail.00m m m
MAUNGADDRESS-STREET Cm,STATE,MP CODE r
342 E. Orchid Ln;Grapeview, WA 98546 Z
c
3
SITE ADDRESS STREETCITY LP L00E M
342 E. Orchid Ln; Grapeview 98546
NAME OF DESIGNER PHONE JiroThomas Weaver 360-830-5308 IN
NAME OF INSTALLER PHONE
CHECNALLAPPLICABLE DEMS DRINKING VMTER SOURCE O Iy
L
NEW CONSTRUCTION ❑ RV VOIDING TANK ONLY ❑ PRIVATE INOMDUAL WELL y IN
[3 REPLACEMENT SYSTEM 0 INSTALLATIONPERMITONLY J0PRIVATE TV.OMRTY WELL O
0 TABLE 0REPAIR ❑ SINGLE FAMILY Ix CONMUNNYIPUBLICVMTERSYSTEM Z Ica
0 TANK(S)ONLY ❑ COMMERCIAL Upgrade ExiSting SYSTEM NAME'.
0 UPGRADE TO EXISTING 0 OTHER'. BEDROOMS LOTSIIE If
0 EXISTING FAILURE "R�°bM�WN�M 3 5.4 Acres m If
MtlMAMWtlonF" r
DIRECTIONS T081TE BE SPECIFIC ANDADVLSE OF ANY NEEDED NFORWTION FOR ACCESS(n kdW yN) O I
Take State Hwy 3 to Grapeview Loop Rd (South End) Io
Turn Right onto E Stadium Beach Rd Io
Go.8 miles and turn right onto E.Orchid Ln (Gravel)
Go.3 miles and the parcel is on your right. r Ip
The driveway is at the far end of the lot. Look for some very large rocks
and three pink and blue ribbons I°'
SNEMUSTSEFLAGfiE M MMANROAOANDTESTNOlE8 TBEFLAIXiF01MMMSTNOLENL ERS IO
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE(FAILURE SOURCE(W n PAo�]
❑VOLUNTARY OMAINTENANCEIPUMPING O BUILDING PERMIT ONOMESALE OCOMPLAINT 0OTHER:
INSPECTOR BOIL LOOS COMMEHTSICONDITIONS
( O - I- �SL." 'fe .a wet, SasL"o .ee'LS
m p
SHED
U- 38� G5L_ � r•-ar � �
0 0
Q
IniO
SOILCODES:
V=VERY G=GMWUY S=SAND L=LOAM E-SILT C=CLAY E-EXTREMELY R-ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EKPMTION DATE APPLICATION APPROVED BY DATE
4rsfat
Lpft FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE WSIN COUNTY WESSITE REVISED1WO015
DESIGN FORM—PAGE ONE Assessor's Parcel Number:2212_3 _I -- _"Q_6Q
►A design will be reviewed when 3 copies of each of the following are submitted:
O 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.
This form may be scanned and available for public view on the Mason Count,Web site.Maximum Mver size: II"X 17"
Permit Number: SWG eh33l •0059 Designer's Name: Toni Weaver
Applicant's Name: Rachel Parsons Designer's Phone Number: 360-830-5308
Mailing Address: 342E Orchid Ln Designer's Address: PO Box 564
Granemew WA 98546 Seabeck, WA 98380
city State zip city State zip
Treatment Device
0 Glendon Biofil ❑ SebQ ber ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
0 Aerobic Unit Make/Model 0 Disinfection Unit Makc/Modcl Other:
Drainfreld Type
M Gravity ❑Pressure X1 Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 2729
Daily Flow:Operating Capacity 360 a-1 d. gpd Length 50 it
Daily Flow:Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity 1,200 gal Number 4
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl.Rate .6 gpd/ft2 Orifices
Required Square Footage 600 If Total Number of Orifices NA
Designed Square Footage 600 ft' Diameter 5/8 in
Percent Reduction Taken 0 % Spacing 4 in
Tmoch/Bed Width 36�' ft Manifold
Trench/Bed Length 56- 760 ft Schedule/Class
Elevation Measurements Length it
Original Drainfield Arco Slope 8 % Diameter in
New Slope,If Altered NA % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation U"lope in Transport Pipe
from Original Grade
A2 Dowpslope lg in Schedule/Class 3034
Designed Vertical Separation 18 in Length 60 it
Grovelless Chambers Required? ❑Yes 0 No M Optional Diameter 4 in
Pump Required? ❑Yes N No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal
Orifice R Chamber Capacity gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head gpm OTimer DElapse Meter ❑Event Counter
Calculated Total Pressure Head It If Timer: Pump on ,Pump off
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2_I23_ — t-i — Q0--0
Permit Number. SWG
" DESIGN -
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
P4 Test hole locations DI Drainfield orientation and layout Reference depth from original grade:
C4 Soil logs 0( Trench/bed dimensions and M Septic tank
R Property lines critical distances within layout ❑ Drainfield cover
M Existing and proposed wells X1 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 0( Septic tank/pump chamber and restrictive strata:
PQ Measurements to cuts,banks,and locations )(7 Laterals,trench/bed,tap and
surface water and critical areas M Observation port location bottom
❑ Location and orientation of t3 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
Location and dimension of ❑ Lateral placement with distance It Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
0( Buildings 0 Audible/visual alarm referenced Yes No Top&boroom legs staked
5[ Direction of slope indicator W Scale of drawing shown on scale ❑ W Design staked out
IA Waterlines bar ❑ 0 Recorded Notices attached
Roads,easements,driveways, R ❑ Waiver(s)attached
parking ❑ X1 Pump curve attached
¢Q North arrow and scale drawing ❑ W Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
The undersigned designer must be n�otified by installer at time of installation ❑Yes 19 No
i May 5 , 2021
M`iignature of 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:
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:
✓ 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.
Revision Date: 1/12/2010
��
� n p
-� m
� _ i
:T� -1
S �\ � t
: jti \l N � f � _T ��
P
`1�.
�� M i
. <
�c ^� ���
s�cr,a �� �I I I
ryrL�Ir��..�..'..� hNTFl ri' ;
u:wr-_s res.�3 i I i
'��.7 � I
1
� '
� S ��
__ � � M
i
,� I I i
1I
C+
y
\y I
l%i T
O 1
I
- � 9__
\ / §
� t {
k � }
( ( 14
10
- {
) E
, ! / �
1.
SECURED LID WRN GAS TIGNTSEAL
1 24•DIAMETER
ACCESS RISER
FINISNGRADE
TO PUMP
CMMIBFR
FROM 9EWAOE I
JA
SOURCE
Lj FLOATING MAT ,
APP Mo
EPFLU5NT
FIETEF
z SEDIMENTS
SEPTIC TANK
MVCAI]
Drawing modified from WSDH RS&G's
D-Box Details
Speed levelers inside D-box
Use in each leg going to a trench
r Inlet pipe comes through 2" higher hole
No speed levelers in inlet pipe
Typical Plastic D-Box for three legs
•t N
s. R
T o- led
st
t.
Typical Observation Ports
i Sam or slip cap
4"
pipe
✓ "migling above and below dumber
Gravel less cumber
Serew Type Cap _ crew Type or Slip Cap S Cap
y I
or Slip Cap
- -4" PVC lfp r
.-4" IIVC Pipe (I_enKt ) Varies)
(Length Variee)
- 114 a 4" Long
Slots (4) (190' Apart
_ )d —'Toilet Ring
): 4" PVC Ter
0
m
W
s 00
FF
S1re
er
Of
07
lJ
V
DD
O
CD
CDry
a �.
w �
to
m o
a
3 Fr
m
N ^ �
G) N
a Cr m
g v
� -0
y C
O O
O �
a � 0
m 3 O
7 5
(D (D
a CD O
7
O �a N p
mN N
mw . `°
Co
f
m
Q
m
c�¢m
e
m N m 1n _ so
L= 2123-11`00060
342 E. Orchid Ln
Orchid-Lane w
o
c�
N
� m
� o x
C �
U
Y