HomeMy WebLinkAboutSWG2024-00443 - SWG Application / Design - 11/13/2024 SHELTON,VIA
584
MASON COUNTY 415Nfi SHELTON: ,0427-97 ,EXT 400
SHELTON:360>27-9870,EXT 400
BELFAIR:3601 EXT 400
Public Health St Human Services ELMA:360482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00443
APPLICANT ADAMEK TRUSTEE MARCIA R Phone:
Address: 301 E WALLACE KNEELAND BLVD STE 224 PMB 4 203 SHELTON,WA 98584
OWNER ADAMEK TRUSTEE MARCIA R Phone:
Address: 301 E WALLACE KNEELAND BLVD STE 224 PMB 4 203 SHELTON,WA 98584
SEPTIC DESIGNER Cindy Waite' Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 50 SE NOBLE GLEN DR
Primary Parcel Number: 320267690021
Permit Description: Nonconforming repair 3bd pressure bed
Permit Submitted Date: 11/13/2024
Permit Issued Date: 11/19/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (adamonal tees may m repotted upon installation or system).
Permit Expiration Date: 1111912025 (basedondaleoflnspeoton)
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 Dramfie/d 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 DesignenEngineer 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/onsite/oss-inspection-request.php or call:
360-427.9670,extension 400.
—— OFFICIAL USE ONLY
MASON COUNTY EAIEEECENED I I I c w
® COMMUNITY SERVICES MDD RKE RE DVFDBry m
o m
Puak Nae M(CommunitylleanM12nvimme nmtl Health) ;z N
SWG JW - 4u3 0
Z f%
ON-SITE SEWAGE SYSTEM APPLICATION 3 a
APPLICANT PHONE m m
MARCIA ADAMEK 360-229-9657 i
c
M4ILINGADDRE55-STKEET CITY STATE 21P CODE Gj
301 E WALLACE KNEELAND BLVD ST224 PMB4 SHELTON WA 98584 m
SITE ADDRESS�STREET,CITY ZIP CODE A
50 SE NOBLE GLEN DR SHELTON WA 98584 L '
NAME OF DESIGNER PHONE N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE O I c
fV
PERppMIT TYFE(eebCane) DRINKING WATER SOURCE y
IYi RESIDENTALOSS FRCOMMUNITYOSS FICOMMERCIALOSS b PRIVATE INDIVIDUAL WELL IJ PRIVATE TWO-PARTY WELL Z I �
TYPE OF WDRXIY twel IX PUBLIC WATER SYSTEM'""` ""rv"" ,
6NEW CONSTRUCTION I UPGRADES 9REPAIRIREPLACEMENT OTHERDETaILS(.ubclae0ela'01) OTABLE IX REPAIR I I -4
SUB¢MITTALS 0 SURFACING SEWAGE m EXISTING FAILURE O SHORELINE Im
BIDESIGN FORM(REQUIRED) RSEPTIC DESIGN(REQUIRED) BEDROOMS I LOT SIZE 0 I �
][—WAIVER(S)(IF APPLICABLE) 3 167'X330' x '
DIRECTgNS TO SITE AND SITE CONDITIONS.(ex.A pAI
GO OUT ARCADIA ROAD, TURN RIGHT ONTO NOBLE GLEN, RESIDENCE IS THE o
FIRST HOUSE AFTER THE FIRE STATION. SOIL LOGS ARE BEHIND S1 EN�C'FE• r I o
CdV .36D •22 Q—(`�/�8�p7 / M
SJ-0 'jo,•j Cdw Ae �C '�
ILLS MUSTBE FIAIXMD FROM MAN READIkit"VALAMT ST MOUCIMUS�W WED WITH TESTNENUMBE0.4. NOV I
—OFFICIAL USE ONLY BELOW THIS LINE ---
UPGRADE/FAILURE SOURCE Qm n xd ng P•mAeel
OVOLUNTARY OMAINTENANCOPUMPING O BUILDING PERMIT ❑HOMESALE OCOMPIAINT OOTHER'.
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
36�yo�
UO1 low"
SgLCWEB. RECORDOMWINGAND INSTALLATION REPORT
V=WRY G=GRAVELLY S=SAND L=LOAM S=SILT C=CLAY E=E%TREMELY R=RWTS REQUIRED FOR FINALAPPRWAL.
INSPECTOR SIGNATURE OATS APPLICATION EXPIRATION DATE APPLICATION APPROVED!ISSUED BY DATE
6W� v��1 INkw% �ti< I tl [i "
THIS FORM MAY BE SCA141ED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED IWGCES
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 6
A design will be reviewed when 3 comes of each of the fallowing are submitted: — 7 6 — B 0 0 2 1
Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
°Scaled plotplan, including all applicable items on checklist v
ClOss-section sketch This form mar be scarm d and available for public view on the Mason County Web IekanMarimag all pmicabler s e9°!/�X/7s[.
PARCEL IDENTIFICATION Permit Number: SWG_ —Q(7L1'i 3 Designer's Name: CINDY WAITS
Applicant's Name: MARCIA K1~t:K
Designer's Phone Number: 360-701-0205
Mailing Address: E A✓al(xp �/ves/�,JB/�� WEPICKERING LANE
Oe 12sr eI1ELTON Designer's Address:
S State am SHELTCN WA 98684
ZI Ct State Zi
DESIGN PARAMETERS
❑Glendon Biofilrer ❑Send Filter Treatment Device
❑Mound ❑Sand Lined Drainfleld ❑ Recirculating Filter,Type:
❑Aerobic Unit Make/Mudel O Disinfection Unit MmIavModel
Other:
O Gmvi Drainfleld Type
h R(Pressure ❑Trench EdBed
❑ Sub Surface Drip
Septic TenWDrainfield Specifications
Number of Bedrooms Laterals
3 Schedule/Class SCHEDULE 40
Daily Flow:Operating Capacity 270
Deily Flow:Design Flow 8Pd Length 30 ft 360 glad Diameter �—'
Septic Tank Capacity(working) 1.25
g) 1200 in
gal Number
Receiving Soil Type(1-6 6
) 3 Separation
Receiving Soil Appl.Rate ,B 3 ft
�� O
Required Primary Area rifices
450 W Total NO f0 =a
Designed Primary Area 36
460 IT, Diame �? �—
Designed Reserve Area 450 z „a 3--�16 In
ft Spac' Ji( 60
Trench/Bed Width (2 BEDS): 10 ft .� � in
Trench/Bed Length 16�add4 �, anifold
(2 BEDS)23 ft 44 E 4 SCHEDULE 40
Elevation Meeaurementa DESIGNER
Original Drainfleld AmSlaps <2 Emlats M11, 1-2 ft
ao o�n,„eeer
New Slope,If Altered o 2 in
/o Preferred manifold configuration used? ❑ yes O No
Depth of Excavation up.alape SEE PAGE 4
from Original Grade In Transport Pipe
Down-slope SEE PAGE in Schedule/Cim,
SCHEDULE 40
Designed Vertical Separation 24 in Length —�-
-6,0-41135 Mariana
40 B
rs mcquireU7 ®latlppyl Diameter --
Pump Required? Yes ❑No In
Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 6 I
Diff.in Elevation Between Pump&Uppermost Orifice 5 It
Dose quantity 45 gal
Dreinfleld Squirt Height/Selected Residual(head) 2 R Chamber Capacity(flood) 1200
gal
Uppermost Orifice Id Higher O Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 21.24 glum OTimer
Calculated Total Pressure Head 7.33 OElepse Meter ❑ Event Counter
It If Timer: Pump on ,Pump off
Comments
CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, PUMP CONTROLS TO BE SET
AT TIME OF INSTALLATION, SET FOR 270GPD, PROPERLY DECOMMISSIONED EXISTING SEPTIC TANK
DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 6 — 7 6 — 9 0 0 2 1
Permit Number: SWG
=Tmnch/bed
ESIGN CHECKLISTS
rSo'llogs
Plan Layout Sketch Cross-Section Sketch
e locatainfield orientation and layout Reference depth from original grade:
P44nch/bed dimensions andSeptic tank
linestical distances within layout � Dminfield cover
and pBox/Valve box locations0 ft oReference depth from original grede
tic tanWpump chamber and restrictive strata:
Id Measurements to cuts, banks,and locations ptof mw
surface water and critical areas 59 Observation port location Laterals,trench/bed,top and
bottom
In Location and orientation of 69 Clean-out location
curtain drain and all absorption ❑ Curtain drain collector
rp � Manifold placement ❑ Send augmentation
components lid Orifice placement
m Location and dimension of P Other cross-section detail:
primary system and reserve area Rf Lateral placement with distance id Observation ports/clean-outs
m Buildings to edge of bed Other Information
56 Audible/visual alarm r7ferenced Yes No
m Direction of slope indicator lid plo -n
Scale of drawing shown on scale � ❑ Design staked out
Id Waterlines bar ❑ ❑ Recorded Notices attached
m Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking E9 ❑ Pump curve attached
id North arrow,and scale drawing ay lif ❑ Evaluation of failure
shown on scale bar
4Y yam. o lJ Noa-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation Ed Yes ❑ No
"tur - � �
Signatu Designer Datb
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;
'1�1 "" k1 �m1-u`
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.
Updated Date: 12/7/2015
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APPROVED
NOV 19 2024
MASONGN111 I
RET H 11 t
ORIFICE SPACING 5
Lateral p Length Length Orifice q Distance from I Distance from end Length p
k (Feet) (Inches) Spcng Orifices feeder line of end of lateral
1 30 360 601 6 2.5 2.5 30
2 30 360 60 6 2.5 2.5 30
3 30 360 60 6 2.5 2.5 30
4 30 360 60 6 2.5 2.5 30
5 30 360 60 6 2.5 2.5 30
6 30 360 60 6 2.5 2.5 30
180 36 175
TRANS LENGTH 40
GPM 21.24
K (2"SCHEDULEN 40) 284.5
FRICTION LOSS 0.3290362
S uirt 2
Elevation difference 5
TDH 7.3290362
y'N 6Ow L �" '60 2Y'
l,, /x Ly APPROVED
NOV 19 2024P
MASON COUNTY ENVIRONMENThw
h a dY p P
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5 MIC B GI ITE
I DESIGN R
,f a+NlB J: O
TRENCH CROSS SECTION
J' 0 3 r o ?, dt Z• q „ 6.� urol+ of
Ys. -- P.rea�,elwri.
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APPROVED
TO DRAINFIELO RISER WITH LOCKING LID NOV 19 2024
PRESSURE LATERALS
A A 'SON COUNTY ENVIRONMENTAL HEALTH
} RET
FxoWOONTROLVALVE
SLOTS AS
EPW REQUIRED
LONG
DEGREEEBOIN
DEGREE ELBOW
SECTION A
WASHED ROOK
DRAIN SUMP .f
P
L TRANSPORT PIPE FROM
PUMP CHAMBER 2�
h
W018
NOV E WyTE�
LI NS i6NMM
CFIgXLS Vi 10.
APPROVED
NOV 19 20A
MASON COUNTY ENVIRONMENTAL HEALTH
RET
THREADED CAP OR PLUG
P 4 ✓Q-` (+ a"PVC
-- LAST ORIFICE;WITH
ORIFICE SHIELDS IF
ORIFICE ORIENTATION IS
BACKFILL `� UPWARD
MATERIAL
o0 - O°cFo000 PRESSURE LATERAL
PVC HOSE OR \/\\O°0 0 0��0o o AS SPECIFIED
LONG SWEEP / �o ° �00
ELBOW % DRAIN ROCK;S"MIN.
��\� BELOW PIPE
UNDISTUR IL
8"PVC WITH DRAIN
~ HOLES;EXTEND TO
P°`A" ;.'wo BOTTOM OF GRAVEL TO
MONITOR PONDING
s�aoae N Y INFILTRATIVE SURFACE
UC IGNE0.
eu.n�cs as:°
MONITORING/Cl EAM UT PORT
(EXAMPLE)
goo B �D
SECURED LID WITH GAB TIGHT �l
1 Y!'01AMETER
ACCESfi RISEq 1
ACE
71NOV
TOPUMP
CHAMBER
FROM SEWAGE
SOURCE APPROVED
EFFLUENT
FILTER
OVED
9 2024
NMQI JK MASON C^UNTYENARONMENTALHEALTH
t wmw RET
SECURE"ID WITH OAS TIGHT SEAL
THREADED UNION
' - 2Y DIAMETER
'FINISH GRADS
ACCESS RISER SERVICE
^—
VALVE•
FROMSEPTIC 6 /L
TANK TO DRAINFIELO
EMERGENCY STORAGE
ANTI SIPHON
HIGH WATER ALARM LEVEL VALVE'
WORKING VOLUME INDEPENDENT
NORMAL TIMER OFF L FLOATSTEM
FORFLOAT
ENCLOSED PUMP MOUNTING
SEDIMENTSHROUD• - CHECKVALVE-
�R
P
y v�,V,,{4�s� SEDIMENTS —iS SUBMERSIBLE
T `Vl Y sF CENTRIFUGAL
PUMP
•510041 �q�'S PUMPCHAMM9
\ CIN V E'yY4�ITT!!��
LIC UESI6NER (T-YPJCAL) I 61ACG
ExPaLs mrmi BUD •AS NSiO® (�
�F
�•
Pump Specifications ������
bbeCty' Pumps-
250-aeries Submersible '� � ����Ta
Sump / Effluent Pump
UTERS PER MINUTE
25
APPROVED
40V 19 2024
20 ., . NTY ENVIRONMENTAL HEALTH
€ iiiiii►�iil� 'h
�i. +,
iEDME I
L251
---X-- !i
GALLONS PER MINUTE
Pumpr
APPROVED
Installation Notes NOV 19 2024
MASON COUNTY ENVIRONMENTAL HEALTH
Pressure Distribution System: RET
50 SE Noble Glen 32026-76-90021
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. Existing septic tank to be properly decommissioned
5. The tank 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 must extend to within six
inches of finish grade and be in a valve box as s n on diagram.
20. Install audio/visual alarm.
21. Filter fabric required over drain rock prior to b illi If the drain rock extends above
the original grade, run the filter fabric at lea rich"' own the trench wall into original
grade. a "s°+q.
0
ToonVeWdd��
ILEN ECINDYC,d�SIdt
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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.
8. 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 systeA P P R O V E D
NOV 19 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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ICE �IINER
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