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swg2024-00152 - SWG Application - 4/15/2024
® MASON COUNTY 415 NBSHELTON: S427-960,EXT404 SHELFAIR 360-2758 70,EXT400 BELFAIR:380-2754487,EXi 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX M427-7787 On-Site Sewage System Permit: SWG2024.00152 APPLICANT LITTLEJOHN HEATHER Phone: 206-406-7489 Address: 182 NORTHEAST LAKE DR TAHUYA,WA 98588 OWNER LITTLEJOHN HEATHER Phone: 206-406-7489 Address: 182 NORTHEAST LAKE DR TAHUYA,WA 98588 SEPTIC DESIGNER CINDY WARE-Septic Designer Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON,WA 98584 Site Address: 221 NE Circle Dr Primary Parcel Number: 322145205008 Permit Description: NEW SFR-2BR Pressure Permit Submitted Date: 04/15/2024 Permit Issued Date: 11/0512024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $805.00 (amubralrasa mayneax,ua awnIwUlWtl dsysw ). Permit Expiration Date: 04/17/2027 (bes oadace&Ih,e on) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per 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 Drainfleld 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 bactRll 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 DES. 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/onsiteloss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY DNER ENB S ' N > ® COMMUNITY SERVICES ANOUNTRECUAD, SC — m1. m mw^x.MIN I<Om uniryxeakNBnmmnmenNl HearcM $ y SWG pal _ � o ON-SITE SEWAGE SYSTEM APPLICATION n n m n APPLICANTPHouE m r HEATHER LITTLEJOHN 206-406-7489 z MAILINGFDD ESS-STREETCITYSTATE.ZIPLODE �+ 182 NORTHEAST LAKE DR TAHUYA WA 98588 m SREAOORE55-STREET,CT',LP LCOE " "' 221 NE CIRCLE DR TAHUYA WA 98588 NAME OF DESIGNER PHONE CINDY WAITE 360-701-0205 o I_ ■ NAME OF INSTALLER PHONE �^+ TBD a I/ PERRMpM''.I.TTYPE(a~..) RY DRINKING WATER SOURCE m/RESIDENTIALOSS LDCOMMUNOSS RCOMMERCIALOSS Ll PRIVATE INDIVIDUALW TWO- ELL UPRIVATEPARTYWELL 2 TYPE OF WORK(sMe[e me) PUBLIC--SYSTEM NAGGE LAKE IRS 9NEWCONS11RUCTION/UPCIRADES Efl REPAIR/REPLACEMENT OTHER DETAILS(xW IUMmfV y) OTABLE LX REPAIR I� SUBMITTALS O SURFACING SEWAGE O EXISTING FAILURE ❑SHORELINE Ol WDE SIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOTS. r If MVER(S)(IF APPLICABLE) 2 70'X175' O A DIRECTIONS TO SREAND SIZE CONDITIONS:UP WOd PIR) u GO TO BELFAIR, TURN LEFT ONTO OLD BELFAIR HIGHWAY, TURN LEFT ONTO HIGHWAY 300/NORTSHORE RD, TURN RITGHT ONTO BELFAIR TAHUYA RD, TAKE a I 0 ENTRANCE INTO MAGGIE LAKE, TURN RIGHT AT TEE ONTO NE LAKESHORE DR, 0 Q TAKE SHARP RIGHT ONTO CIRCLE DR, TAKE FIRST ACCESS ROAD ON THE LEFT AND FOLLOW TO PARCEL ON THE RIGHT. co 4REMMSTBEFLAOOEDFRWWWROADANDTESTH MYSTREFLADOEDNe MSTNOLENUl0ER5. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE FAILURE SOURCE IW�ft NFaun) OVOLUNTARY E3WVNTENANCE/PUMPING OBUILDINGPERMIT OHOMESALE OCOMPIAINT OOTHER: 16' INSPECTOR SOIL LOGS COMMENTS/CONDITIONS PPRO I . ,, �� [� � � fJ �� APR 15 2024 0 „ p Nov 0 5 2024 �Y MASONCOUNIYE�BNI'�N _. {0 REC D DRAWNGAND INSTALLATION REPORT SOILCODES: V=VERY G=GRAVELLY S-SAND L=LOAM Si=SILT C=CLAY E-EXTREMELY R= OUIRED FOR FINALAPPROV)NL NSPE IGNATURE DATE APPLICATION EXPIRATION DATE PLICATION APPROVEM ISSUED BY DATE ��� q.171 C�,17 Z W4 lt-4-2'( T MAY BE SCANNEDANUAVAILABLE FOR PUBLIC VIEW ON THE MASON OOUNTYWEBSITE I LV REVISED 1NGGI5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 2 1 4 — 5 2 — 0 5 0 0 8 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. Cross-section sketch, including all applicable items on checklist. This form,maybe waned and available for public view on the Hawn County Web sire.Maximum paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG may' � 52- Designer's Name: CINDY WAITE Applicant's Name: HEATHER LITTLEJOHN Designer's Phone Number: 360-701-0205 Mailing Address: 182 NORTHEAST LAKE DR Designer's Address: 80 E PICKERING LANE TAHUYA WA 98588 SHELTON WA 98584 Ci State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Send Filter ❑ Mound ❑Sand Lined Grainfield ❑ Recirculating Filieo Type: ❑Aerobic Unit MakrlModel ❑Disinfection Unit Makerhtodel Other: Drainfield Type ❑Gravity 5i(Pressure Ur Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfreld Specifications Laterals Number of Bedrooms 2 Schedule/Class SCHEDULE40 Daily Flow:Operating Capacity 180 gpd Length 34 ft Daily Flow:Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Numb - 4 Receiving Soil Type(1.6) 4 Sep ti 5 ft Receiving Soil Appl. Rate .6 gpd/ft? Orifices Required Primary Area 400 lit Iyg1 Orifices 27 Designed Primary Area 408 ft2 �r'w _' "5 3116 in Designed Reserve Area 400+ ft' S act 48 in Trench/Bed Width 3 ft dv cm 51 All Manifold 1 FD ESIGNER Trench/Bed Length 136 SCHEDULE 40 [raves as+n Elevation Measurements Length 1-2 ft Original Grainfield Area Slope <1 % Diameter 2 in New Slope,If Altered % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation UP-sl°Pe 21 in Transport Pipe from Original Grade Dawn-dape 21 in c Cjass� SCHE2ULE 400 Designed Vertical Separation 24+ a(!7!7 R Gmvelless Chambers Required? ❑Yes 0 No 0 Op r `:i 2 2M n Pump Required? Yes O No p I�;} 1D1oss (ud Pump Chamber Pump/Siphon Specifications MASON t umb0 tioses/day I E'. 4 Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose gquuaan63t`ity 45 gal Drainfeld Squirt Height/Selected Residual(head) 2 R Chamber Capacity(flood) 1200 gal Uppermost Orifice Ef Higher D Lower than Pump Shutoff Pump controls: Please check those required. Capacity Qa Total Pressure Head 21.24 gpm MrTimer R(Elapse Meter lif Event Counter Calculated Total Pressure Head 12.16 R If Timer: Pump on ,Pump off Comments GRAVEL BASED DRAINFIELD REQUIRED, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 2 1 4 — 5 2 -- 0 5 0 0 8 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch i( Test hole locations f3� Drainfield orientation and layout Reference depth from original grade: Soil logs Trench/bed dimensions and L5' Septic tank 4r Property lines critical distances within layout fiY Drainfield cover AA6+xisting and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property 13"Septic tank/pump chamber and restrictive strata: Measurements to cuts, banks,and locations PJA n,y M' Laterals,trench/bed,top and �1,urface water and critical areas Ef Observation port location bottom AJ' Location and orientation of fd'Cleanout location ❑ Curtain drain collector curtain drain and all absorption W Manifold placement ❑ Send augmentation components W Orifice placement Other cross-section detail: L�J Location and dimension of primary system and reserve area Lateral placement with distance Observation ports/clean-outs to edge of bedQf Other Information Buildings GYAudible/visual alarm referenced Yes No BY Direction of slope indicator .l y 9Scale of drawing f�iown on scale W ❑ Design staked out J Waterlines bar ❑ ❑ Recorded Notices attached E( Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached 42/North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale but Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by ins Iler at time of installation Ed Yes ❑ No / ( I /i bpi 4� to 2dca Signs r€o esigner 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 Re dations: Walap�/ I i - s'z`( Env' t n I 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 approve. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained frrtA blic Health. NOV 0 5 2024 An Installation Fee is required. MASON This form may be scanned and available for public view on the Mason,Ge"We Updated Date: 12/72015 CL cupS tf C/) 0 co APHO PNOV 0 5 2024 MASON C UIWYEN6I(RONME TAL HE�l Jew 0 ❑ ° . o. C C 0 iF O a C c !� E j U p_ R V t V 11 C f0 Q E l0 CL °• o. C C O C N , V �� oo � a � `m " s o N O O L E y \ �OA a Q V ®CN CIJ U (D C a)cn _ a3 � a s � r- NL6v 0 � a °O L j • �@C k r F SI, tooPPROV NOV p� rocouv veravieony�emra� `JAI f� a LICENSEp DE5AII 1 NER F M S, Lxnwis us�Ia h Lateral a Length Length Orifice k Distance from Distance from end Length n (Feet) (Inches) Spacing" Orifices feeder line of end of lateral 1 34 408 48 9 1 1 34 2 34 408 48 9 1 1 34 3 34 408 48 9 1 1 34 4 JV . 50S. .6-. 1 ( . S. 0 r 3L 7L TRANS LENGTH Z©" - Aw,.. �p V_ GPM .�/2 '... r '9- K (2"SCHEDULEN 40) 284.5 FRICTION LOSS 0.0966222 ucENSEpEDE51GE ; Squirt 2 eMni a "mia Elevation difference 10 Q X, 'c' Qw/ TDH 12. - Ir T /u ' / 120H`44 J Cayu-� V, G6s PIAP Y (40 S' r l Volve 0,,< 61) S' r /2a Il ♦ 6 6 rle Vtil.c.dl z y. 17" P-RJ10 V E 0 nd1d NOV 0 5 21124 ` MASON COUNTY ENVIRON�MEWAL LE?LT, J8W THREADED CAP OR PLUG P ' 6"PVC LAST ORIFICE;WITH ORIFICE SHIELDS IF ORIFICE ORIENTATION IS BACKFILL �Iy UPWARD MATERIAL �\j\ \�' o j\O O PRESSURE LATERAL 000 PVC HOSE OR 00 �.0.0 AS SPECIFIED 00 LONG SWEEP .0 0 0 0 0 00 ELBOW / \ / \� DRAIN ROCK;6"MIN. BELOWPIPE UNDISTURBED SOIL 6"PVC WITH DRAIN HOLES; EXTEND TO BOTTOM OF GRAVEL TO MONITOR PONDING INFILTRATIVE SURFACE P` s9 MONITORINGICLEANOUT PORT (EXAMPLE) LICENSED F; P P R O V E _ NOY 0 5 2024 MASON COUNTY ENVIRONNENTAL FEAT- JBVd - ?5 g Valve RvA LICENSED DESIGNER RISER W"LOCNINO LID TO URAINFIELC nI'�'�FL9 +Ian PRESSURE LATERALS A A FLOW CONTROL VALV! REQUIRED RS REuulaeo L � _ FLAP CNECK VALVE LOG USE ELS SD REEELS f DEOOW ROCK J-ECTIONA-A DRAINWASHE MIN SUMP L TRANSPORTPIPEFROM PUMPCNAMSER DRAINFIELD CONTROL BOX (SLOPING GROUND: MANIFOLD BELOW LATERALS) P p Rovrm.44 NOV p 5 �14 MASON COUNTYENVIRONMENTAI HEA In JgLAj SECUREO LID WT H GASTIGHT SFAL 1 2P DIAMETER ACCESSRISER RNISNOMDE Gt/Z• / TO PUMP FROM SEWAGE CHAMBER SOURCE FLOATNO MAT APPROVED EFFLUENT FILTER SEDIMENTS SEPTICTANK (13TIO 1 SECURECyIO WITH GAS TIGHT SEAL THREADED UNION 24'DIAMETER ACCESS RISER SERVICE FINISH GRADE _ _ VALVE' FROMSEPDC IZ TANK TOORAINFIELD EMERGENCY STOMDE ANTI SIPHON HIGH WATERALARN LEVEL VALVE' WORKING VOLUME INDEPENDENT NORMAL TIMER OFF L FLOAT STEMFOR FLOAT ENCLOSEOPUMP MOUNTING A SEDIMENTSHROUD' CHECK VALVE` �3To,4 F9r 16" SEDIMENTS SUBMERSIBLE CENTRIFUGAL �J PUMP DYE WRITE LICENSED DESIGNER PAPEEDED !j a 120v 4bt¢((nr / PA ,-11WA NOV 0 J st'd 1 bbe i Pump Specifications ' LITER3 PER MINUTE 250-Series Submersible � ���` Sump 1 Effluent Pump ��'�� ITE GNEI 1 lfz Ls itA;*t 07—TICWS-E DES Rov E0, MASON . "L�S MR MINUTE JBIV _; Installation Notes Pressure Distribution System: 32214-52-05008 221 N E Circle Dr 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. There is no records on this parcel. System is probably 50 plus years old. System has been driven on and is very close to the till layer. 3. Gravel based drainfield required 4. If possible, use concrete tanks. 5. The tanks may be moved as necessary to accommodate building requirements. Septic tank location must meet all required setbacks. 6. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only, 7. 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. 8. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 9. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 10. Install access risers on the septic tanks, valve box and ends of laterals. 11. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 12. Lids must form a water and gas tight seal with the access risers. 13, Install effluent filter specified in this design at the septic tank outlet. 14. This system must be installed by a Mason County Certified installer. 15. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 16. 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. 17. Install laterals with contour of the ground. 18. Install trench bottoms level and always maintain a minimum of six inches into native soil.. 19. Install threaded clean outs at the ends of all laterals (caps mu end to within six inches of finish grade and be in a valve box as shown on di 20. Install audio/visual alarm. x 21. Filter fabric required over drain rock prior to backflling. If dWin extends above the original grade, run the fifterfabdcat least 2 inches . all. \0 1s,, NOV 0 5 2024 � GIs EpE51GNER`�1 y MASON COUNTY ENVIRONMENTAL HEAL'" Z�•� JBW 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. CI GV E.WAGE LICENSED DESIGNER [Y+JiL4 OS e4 APPROVE ' NOV 0 5 MASON COUNTYENVIRON,4,,N; t, Jaw A `�EAiT-