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SWG2024-00432 - SWG Application / Design - 11/4/2024
MASON COUNTY 415NBHELTON: , H967 ,EXT 400 H STREET, ,S SHELTON, WA 98584 584 S BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELM:360-482-5269,EXT 400 FAX:3604274787 On-Site Sewage System Permit: SWG2024-00432 APPLICANT LAHTI MISTY DAWN Phone: 310-9955648 Address: 617 N DILLON ST APT 412 LOS ANGELES, CA 90026 OWNER LAHTI MISTY DAWN Phone: 310-9955648 Address: 617 N DILLON ST APT 412 LOS ANGELES,CA 90026 SEPTIC DESIGNER CINDY WARE-Septic Designer Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON,WA 98584 SEPTIC INSTALLER BRAYDEN SCHOENING• Phone: 360-742-2982 Address: 121 W GRIZDALE DRIVE SHELTON,WA 98584 Site Address: 880 E Phillips Lake Loop Rd Primary Parcel Number: 220055100014 Permit Description: Table IX Repair: 2-bedroom Nuwater BNR500 ATU with pressure bed drainfield Permit Submitted Date: 1110412024 Permit Issued Date: 11/18/2024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (additional ees may be ne,ured upon Inslenefion or system). Permit Expiration Date: 11/12/2025 (based on dale of nspeeuon) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department sta%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 Drainfield installation not to exceed designed upslope and downslope depth speed 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 DesignerlEngineer 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 OSS. 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/environmental/onsiteloss-inspectionrequest.php or call: 360-427-9670,extension 400. OFFMMSL USE ONLY, MASON COUNTY DATE S.. /�- D'{Lg * 0 s COMMUNITY SERVICES NNIMaMILuuipHXNRNronmmlalXeeXM11® W^BEp A 20 "yNN 2 N ON-SITE SEWAGE SYSTEM APPLICATION 3 z n APPLICAnT PHONE m m 17 MtSTY LAHTI 310-995-5648 z c r,WlurvoADDREss-smEET.crtv.srnre,ZIP CODE ; 617 N DILLEN ST APT 12 LOS ANGELES CA 90026 m sITEAODREss-STREET cm,zwcoDE z 880 E PHILLIPS LAKE LO HELTON WA 98584 ^� NE OF DESIGNER PHONE I N CINDY WAITE NOV 4 2024 HONE 1-0205 NAME OF INSTALLER PHONE O l O SCHOENING EXCAVATI 360-742-2982 I CDFEflMTTVPEpNe .-I lERSWRLE K IRESIDENTIALOSS FCOMMUNITYQSS FCOMMERCMLOSS 9 PRIVATE INDNIDUAL WELL EPRIVATE TWO-PARTY WELL = I� rvPE aF LWR3(usclarel Cr PUBLIC WATER SYSTEM 5 f NEWCONSTRUCTION/UPGRADES JrREPAlRiREPILACEJMENT OTXERDETMLS(m MlaV.Ib ) Ip—TABLE IX REPAIR IC71 SUBMITTALS Cl SURFACING SEWAGE 0 EXISTING FAILURE E3 SHORELINE fir,DESIGN FORM(REQUIRED) IN MYSEPTIC DESIGN(REGUIRED) BEDROOMS LOT SIZE r I � 6'WAIVER(S)(IFAPPUCABLE) 2 601X203E I pIREGTIWST0911E ANB 91TE CCNDITIp15:(ec MMM9Ne) I � GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO PICKERING ROAD, TURN RIGHT la ONTO PHILLIPS LAKE RD, TURN LEFT ONTO PHILLIPS LAKE LOOP. PARCEL IS ON r THE RIGHT SIDE OF ROAD(LAKE SIDE). GATE CODE IS 8633 0 0 5(SEMV5r8E FIIGGEO iflpM AUW RDAO ANO TEST NOLf$WIST BE FLAGGED NIlN iE$INOLENUMBERS I A OFFICIAL USE ONLY EELOW THIS LINE UPGRADE/FM WRE SOURCE LM IvP HI q PuTONM) ,[(VOLUNTARY ❑MAINTENAFICHPUMFING [I BUILDING PERMIT OHOMESALE •(yCO1'MPLAINT 00THER INSFIXTORSOLLOG& COMMENTS I CONOITIONS iMlv-*- 44mt,iS vtv oP) �jy(G3) 36YoTH3, TNz-U-- 6yW 61&d1 to (XIi 1 T43_u - 31" 60*kS p6i- 4+ 31N wl o.Q*', RECORD DRAWINGAND INSTALLATION REPDRT SOLGODF V=V£RVRECORD=GRAVELLY 9=5A10 L=LOW $I=SILT C=CLAY E=EXTREMELY R=ROOTS REWIflED FOfl FINKMPROVAL IN:E 9IGNATURE DATE I APR( TI EOPNNTCH DATE APRUCATIONAPPROVEDI ISSUED BY DATE � THIS FORM MY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEB89E REVISED 1W=15 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 0 5 — 5 1 — 0 0 0 1 4 A design will be reviewed when 3 conic of each of the following are submitted: v 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 finned and available for public view on the Mason County Web SM.M=imum Paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 202°/ • 00 ,32 Designer's Name: CINDY WAITE Applicant's Name: MIST LAHTI Designer's Phone Number: 360-701-0205 Mailing Address: 617 N DILLEN ST APT 12 Designer's Address: 80 E PICKERING LANE LOS ANGELES CA 90028 SHELTON WA 98584 cityState Zi Ci State Zip is I`' DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑ Mound ❑Send Lined Drainfield 0 Recirculating Filter,Type: B(Aembic Unit Make/Model BNR 5OO ❑ Disinfection Unit Make/Model Other: ..! Drninfleld Type 0 Gravity m Pressure ❑Trench S(Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class SCHEDULE40 r Daily Flow:Operating Capacity 180 gpd Length 30 ft Daily Flow: Design Flow 240 Slid Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 4 1 Receiving Sail Type(1.6) 3 Separation 2 ft Receiving Soil Appl.Rate .8 ,,,,,y/ft2 Q, t Orifices Required Primary Area 300 - bfil Total s 24 Designed Primary Area 300 ft 2 Di r Designed Reserve Area 300 ftr g 60 Trench/Bed Width in 10 @ Eta a 4 anifold Trench/Bed Length 30 - ft F sxviars ov,ol Elevation Measurements Length ft Original Drainfield Area Slope 4 n/ - Diameter in New Slope,if Altered / Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Uo-slnne SEE PAGE in Transport Pipe from Original Grade Oou .slope SEE PAGE 5 in Schedule/Class SCHEDULE 40 Designed Vertical Separation 31-52 in Length 25 ft Gravelless Chambers Required? $Yes—191 a-9.9prip in! Diameter 2 in Pump Required? If Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 10 ft' Dose quantity 45 gal Drainfield Squirt Height/Selected Residual(head) 2 13 Chamber Capacity(flood) 1500 - gal Uppermost Orifice fdHigher 0 Lower than Pump Shutoff Pump cgpit Is: Plane check those required. Capacity Qa Total Pressure Head 14.16 gpm Timer Meter G(EIa se Calculated Total Pressure Head 12.077 6!Event Counter ft - P If Timer; Pump on ,Pump off 6 Comments CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, SET DOSE AT 180 GPD, PUMP ON TIME TO BE DETERMINED AT TIME OF INSTALLATION DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 0 0 5 — 5 1 — 0 0 0 1 4 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Id Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: Ib Soil logs Rf Trench/bed dimensions and Rf Septic tank III Property lines critical distances within layout 55 Drainfield cover Id Existing and proposed wells ❑ D-Box/Valve box locations 1"4 Reference depth from original grade within 100 ft of property 19 Septic tank/pump chamber and restrictive strata: m Measurements to cuts,banks,and locations pl( 1 Pr Wr Laterals,trench bed,top and surface water and critical areas ld Observation port location 61 bottom m Location and orientation of Id Clean-out location ❑ Curtain drain collector curtain dmin and all absorption gj Manifold placement ❑ Sand augmentation components id Orifice placement Other cross-section detail: 19 Location and dimension of Ed 19 Observation primary system and reserve area Lateral placement with distance ports/clean-outs Eb Buildings to edge of bed Other Information BI Audible/visual alarm referenced Yes No Ed Scale of dt�wi Ed Direction of slope indicator (�g s own o"�' n scale Rf ❑ Design staked out Ia Waterlines bar ❑ ❑ Recorded Notices attached m Roads,easements,driveways, ❑ ❑ Waivers)attached parking Ed ❑ Pump curve attached ❑ North arrow and scale drawing n"Jr t v ❑ Evaluation of failure shown on scale bar d<<v-lip 11 Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation 111 Yes ❑ No Si'gf'atu of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it:o be in compliance with state and local on-site lotions: 81ZZ?4Iy V,s "°V,q 1�Zy 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: ✓ Dminfteld 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. Updated Date: 12/72015 � » ` � ( � f �■ \ \ / ~ + $ a > � LICENSED � f � , <| 7 - § | } V. > , 2 z@9 = ƒ \ | / CLMM -0f \ \ \ \ / \ % 05 e ; 0) 2 ^ 3 9-0cu2 : § a) 0 = 0OL IVI Z 3W ` -0 / & ZCDCIL ƒ § j ` � . . \ \ ° j ` \ \ \ � / � } ° \ ! E q — — ]m m , _ � : f © 0cr kƒ ®- --- - — ORIFICE SPACING 5 Lateral#F Length Length Orifice # Distance from Distance from end Length# R124 (Feet) (Inches) Spacing" Orifices feederline of end of lateral 30 360 60 6 2.5 2.5 30 30 360 60 62525 30 30 360 60 625 2530 30 360 60 6 2.5 2.5 30 120 24 115 TRANS LENGTH i2p GPM I K (2"SCHEDULEN 40 FRICTION LOSS 0.0777043 Squirt 2 Elevation difference 10 TDH 12.077704 �P P O E Jill LICENSED DESI OESIGNEa ��'+ts o9rW TRENCH CROSS SECTION AjQ �So, N07D ,� 6 , �'u" Iq L u .J ry^Ny�o ?�14 N ash 91. Y Y eQrLs,� " Uy Sra� qrr O O O O q r, h-d SZr See -Paves 6•t, dy dt4 DRAINFIELD LAYOUT Z Z Z• 3 P -JA� CINDY EWANE 2 33 LICENSED DESIGNER �� L,LWts s,o. 3 «N qP mgso NP�� NCouNryfN�iRO ?O24 X1=CLEANOUT/OBS PORTS(q) X2®D BOXIVALVE BOX nr(v X3=Check Valves �..L / u/vu/v<,f Cy) SL.3 � :63 LS Cesr.nerm Q{e�, e lliiP C� 2- 1 B y 5 Q ND1Nj16�{�A11 LICENSED S p[ IGNER - EXPIRES PSIO? THREADED CAP OR PLUG P 4 lea,(4- B"PVC LAST ORIFICE;WITH ORIFICE SHIELDS IF ORIFICE ORIENTATION IS BACKFILL `� UPWARD MATERIAL o \\�\o00 'O o°000 �— PRESSURELATERAL PVC HOSE OR /\\ �o °� o qQ,,2$o a AS SPECIFIED LONG SWEEP �, , "Op0 ELBOW DRAIN ROCK:S"MIN. BELOW PIPE UNDISTURBED SOIL -/ -- S"PVC WITH DRAIN HOLES; EXTEND TO BOTTOM OF GRAVEL TO MONITOR PONDING INFILTRATIVE SURFACE IIII0NITORINGIr-1 EANOUT PORT (EXAMPLE) 18 2024 MASON COUNryFh'VlROh'hfENTAI HEALTH DJA WATERTIGHT LOvENT(fyp) DIAL PORT AERATOR RIURS(TYP) 38'MAIL F 1'wC(IyP) +AIRLNE MASTIC 4• 2•COUPUNO a REDUCER B' T TEE +r 1'wC SLIaILE RETURN UNE z•we TRASH CHAMBER DIGESTERCHAMBER CLM!!R OPERATING CAPACIPra17 GALLONS OPERATING CAPACITY:QI GAL1-0148 CHAMBER FLOOD CAPACITY: Po GALLONS FLOOD CAPACITY:i&GALLONS 1BBgALLONa �• FLOOR 191 GAL 1s TOM T!E +r 1wRe(2)' ro TANR wAL 4• IJ SWDGE RETURN 1.r TAP6i TP NE-FREE NATIVE SOL OMPACTED SAID INSTALLATION INSTRUCTIONS ]p'Q♦g 2 STONY SOIL 1)Excavate,tank hole with vertical walls to 1 foot larger than CINDY �ITE tank on all ekes. LICENSED DESIGNER 2)If bottom of hole is stony,install 3-of compact send&level out with spread. 3)Install tank in center of hole,keeping t R.void space on r -1 r an aid". I 24.R1 digall 24-SLOMR I 4)As tank Is filling with water,fill in void space YAW compact 1 NG G9 5)Install rest of system, free of large xriser to of day. 1101 I O Top OF 5)Install rest of systam,&affix risers to adapters with 1 waterproof(sandy) ve. pd 6)Perform watertightness test In field as required by local I I I jurisdiction. tY RISEA 7)Upon approval to backfill,ceratuly backflll wfth native. I l sails over up of tank. I O)GESTEB I b7Mimaw 6)Final grade the surface to avoid chanelling surface ____J L water toward tank. ).�'J V Y 8 ?OZ4 r-281�Y =2�i7yfN!'(ROh' c r-zen. � \ AEROBIC TREATMENT TANK DETAIL FOR NuWA TER BNR-500 TREATMENT UNIT ENVIRO-FLO, INC. RE ,ED 3101112 +T y Wastewater Treatment Technologies �•'w P.O. BOX 321161,Flowood,MS 3g232 (877) 836-8476 (601)845-4716 fax scAtE: www.e im-Ho.nef 1° = 1.4 ft. SECURSO-WO WITH GAS-..GHT SEAL JR HREADEOUNION METER RISER FINIBM GRADE . { SERVICE VALVE FROMSEPTIC Z�TANKTO GRAINFIELDEMERGENCYEANTI SIPHON HIGH WATER ILLARM LEVELVALVE WORKING VINDEPENDENT NORMALTIMEROFFLEVELFLOAT STEM ENCLOSEFOR FLOAT SEDIMENTSMOUNTING CHECK VALVE-IS•SEDIBUSMPRSIOLE CENTRIFUGAL PUMP P_u�11P�HAM@ER (DPICAW i A ��1�s.(c •ASNEEOED lSDD JCYO� N,,p MaSON� Nov puh I g 20'y, ryT 5�u/ rlv 9 1 ■ I I tr� Pump Specifications LITERS PER MINUTE 250-Series Submersible �, Sump / Effluent Pump iii _ _s� . �iii 20 ,� i`i� 0 , Installation Note Pretreated Pressure Distribution System: 22005-51-00014 880 E PHILLIPS LAKE LOOP 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 tanks required 3. Gravel based drainfield required. 4. Flow control valves to be installed on each line in a pit vault 5. Pump on time to be set at time when the one minute pump down has been completed 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 tanks, valve box and both ends of laterals. 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. This system must be installed by a Mason County Certified installer or 13. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 14. 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. 15. Install bed with contour of the ground 16. Install trench bottoms level and always maintain a minimum of six inches into native soil 17. Install locator tape on top of all drainfield laterals. 18. Install threaded clean outs at the ends of all laterals (caps must extend to within six inches of finish grade and be in a valve box as shown on diagram. 19. Install audio/visual alarm 20, 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 dow a trench wall. ` NOV MA �n O 61Yb.WAIN SaNCOdNn'6t^ 1 LICENSED DESIGNER - E%OIPES Oy�pr 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. ,�e s 3r S� s1Mi CINDY lCENSED3ED ER EAnINES OS'IOi 4ppR®As