HomeMy WebLinkAboutSWG2024-00071 - SWG Application / Design - 2/27/2024 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360427-9670,E%T 400
BELFAIR:365275d487,FXT 400
Public Health& Human Services ELMA:360 823269,E%T 400
4 FAx:360427-7757
On-Site Sewage System Permit: SWG2024-00071
APPLICANT BALLARD ROGER G&CORAL CO TR Phone: 909-957-7734
Address: 5820 WHEELHOUSE LANE AGOURA HILLS, CA 91301
OWNER BALLARD ROGER G&CORAL CO TR Phone: 909-957-7734
Address: 5820 WHEELHOUSE LANE AGOURA HILLS,CA 91301
SEPTIC DESIGNER Cindy Waite' Phone: 360-701-0205
Address. 80 E PICKERING LANE SHELTON,WA 98594
Site Address: 321 N Webster Ln
Primary Parcel Number: 2 240 6 51 00 01 6
Non-Conforming Repair in Public Works Easement: 2-bedroom
Permit Description: gravity system with pump basin
Permit Submitted Date: 0212712024
Permit Issued Date: 0110912025
Issued By: David Anderson
Current Permit Fees Paid: $805.00 tmatiwNlrx.m.r Ira nnume upo„Iw.n.donay.km).
Permit Expiration Date: 0 310 6/2 0 2 5 Le,mdm dme ar,.. idnl
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 Drainrield installation not to exceed designed upslope and downslope depth specified on
design Imm.
4 Installeris responsible for obtaining Mason County installation approval prior to bacAfill of
system Components.
5 Installer is responsible for obtaining Septic Designe#Engineer installation approval prior to
backfill of system components.
6 Non-conforming septic repair. The septic system may need to be brought into full
compliance before future permits can be approved. Detail: The gravity septic system
tlreinf/e/d has less than 36 inches but at least 24 inches of vertical separation, the gravity
drainfield lateral are not the same lengths, and the system does not have a designated
reserve drain(eld area.
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:masoncounty".gov/heatthlenvimnmentaLlonsito/ms4nspection-mqumt.php or call:
360-427.9670,extension 400.
OFFICIAL USE ONLY —
OATF PECSVED
MASON COUNTY c y
® COMMUNITY SERVICES "° Q — x"" 0 W
a m
rn
MIk INtlMlCwnmunlry HeelmlEnvimnmental HealLNl y O
SWG boo-4l o
Z 0
ON-SITE SEWAGE SYSTEM APPLICATION 'a A
m m
APPLICANT PHONE m
BALLARD FAMILTY TRUST 909-957-7734 z
c
MAILINGPDDRESS-STREET Crt STATE,LP CODE m
m
z
11FADORE11-ST1E1 Cm ZIP CODE LILLIWAUP WA 98555 1N
311 313 N WEBSTER LANE
NAME OF DESIGNER PHONE I IV
CINDY WAITE 360-701-0205
SPINE OF INSTALLER PHONE Q I A
TBD <
a to
PENMITTYPE(fNMore) DRINKING VMTER SOURCE
EIRESIDENTULLOSS ECOMMUNITYOSS EICOMMERCIALOSS ED PRIVATE INDMDUAL WELL �PRNATE TNQAARtt WELL 2 I �
TYPCE IOF N9RK(wMmaJ PUBLIC WATER SYSTEM I
EJINEWCONSTRUCTIONIUPGRADES �IREPAIRIREPIACEMENT OTKERDEPULSININS6"APPYJ OTABLE IX REPAIR I �
SUBMITTALS O SURFACING SEWAGE 19 EXISTING FAILURE O SHORELINE W
p p r
(¢'DESIGN FORM(REQUIRED) LI:SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIDE L
WAIVER(B)(IF APPLICABLE)
2 100'X81'X113'X100' 0 IO
DIRECT ONSTO SREAND SITE CONDITIONS.(a.Yx. 00U
GO NORTH ONUS 101, TURN RIGHT ONTO WEBSTER LANE(ALMOST TO JEFFERSON o
COUNTY LINE), STAY ON WEBSTER LANE, WHEN WEBSTER LANE MAKES A 90 c I o
DEGREE RIGHT, DRIVEWAY IS STRAIGT AHEAD OR YOU CAN MAKE THE TURN AND I�
G - EXT DRIVEWAY ON THE LEFT AND FOLLOW TO PARCEL ON THE WATER
DUG HOLES, HAVE TO GO THRO WALKWAY BETWEEN THE TWO BLDGS.
e2ioliEPFROMMaxRoaDaxO resTxa.Es MusraERLAGGEO wTN resrxaExuMBERs. m
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE VN mP> IIIIl
[]VOLUNTARY O MAINTENANCEIPUMPING []BUILDING PERMIT []HOME SALE OCOMPLAINT 0OTHER'.
INSPECTOR SOIL LOGS COMMENTSICONDRWNS
Tgl,.O- 41a (1
19Fp} 41,
N2 0 46 �LS F�o1N+F( rg g i
k310— vq
RECORD DRA`MNG AND INSTALLATION REPORT
ML CODES:
V=VERY G=GRNELLY S-SAND L=LOIM &.SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAFPROVAL.
INBPECTO SIGNANRE WTE APPLICATION F%PIMTKKI DATE
APPL FROVEDIISSUEDBY DATE
3/ toa 3 20ZS 5
tL F RM MAY BE SCANNED ANDAVARABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED tvirzOm
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 4 0 6 — 5 1 — 0 0 0 1 §-
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.
This form may be scanned and available for public view on the Mason County Web she.Moaim_um pope, .size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWGZ*!S_Y db&Tt__ _ Designer's Name: CINDY WAITE
Applicant's Name: BALL.ARD FAMILY TRUST Designer's Phone Number: 360-70"205
Mailing Address: 5520 WHEELHOUSE LANE Designer's Address: SO E PICKERING LANE
AOOURAHILLS CA 91301 SHELTON WA 985"
_ city State Zip City State Zip
DESIGN PARAMETERS
Treatment Device (�
O Glendon Biofrltcr ❑Sand Filter 0 Mound ❑Sand Lined Drainlicld ❑ Recirculating Hher,'I'
D Aerobic Unit Make/A4odel ❑ Disinfection Unit Make/Model r. njif
Drainfield Type D
G(Gmvity ❑ Pressure ❑Trench GtTBed ❑ Sub Su ac
Septic Tank/Drainfteld Specifications Laterals
Number of Bedrooms 2 1/, Schedule/Class ASTM 2729
Daily Flow:Operating Capacity 180 — gpd Length 35.6,31.6,275,23.5' ft
Daily Flow:Design Flow 240 y_ gpd Diameter 4 in
Septic Tank Capacity(working) 1000 gat Number 4
Receiving Soil Type(1-6) 3 r Separation 2 ft
Receiving Soil Appl. Rate .S gpd/ft' Orifices
Required Primary Area 300 ft' Tot her ofOrtfices ASTM 2729[ERF
Designed Primary Area 300 ftl Ater
in
Designed Reserve Area LIMITED flit cil
Trench/Bed Width 1aniffeld
0 ft a v
Trench/Bed Length 30 - ft
Elevation Measurements U E 51 w E pESIGNE�( ft
M
Original fhainfield Area Slope <1 in
... i u,eesu -
New Slope, If Altered o - Pref feed roam ration used? O Yes 0 No
Depth of Excavation UPalepe 6 in Transport Pipe
from Original Grade wm-slupc 6 in Schedule/Class 3034
Designed Vertical Separation 24 in Length 3 11
Gravelless Chambers Required? ❑ Yes D No 0 Optional Diameter 4 in
Pump Required? III Yes O No Dosing and Pump Chamber \�
Pump/Siphon Specifications Number ofdoses/day ON DEMAND
Diff.in Elevation Between Pump& Uppermost Orifice 10 ft Dose quantity gal
Dminfteld Squirt Height/Selected Residual(head) �ft Chamber Capacity(flood) PUMP BASIN gal
Uppermost Orifice lid Higher O Lower than Pump Shutoff Pump controls: Please check those required.
Capacity Q Total Pressure Head 17.7 gpm OTimer ❑Elapse Meter ❑ Event Counter
Calculated Total Pressure Head 8.11 ft If Timer: Pump on ,Pump off
Comments
TRAFFIC RATED CONCRETE SEPTIC TANK REQUIRED, GRAVEL BASED DRAINFIELD
REQUIRED, SOLIDS PUMP ON DEMAND(SEE PAGE 10 ITEM 6), TRANSPORT LINE TO BE CASED
DESIGN FORM—PAGE TWO Assessor's Parcel Number.2 2 4 0 6 -- 6 1 -- 0 0. 0 1 6
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
RJ Test hole locations ig Draintield orientation and layout Reference depth from original grade:
id Soil logs 0 Trench/bed dimensions and 5d Septic tank
0 Property lines critical distances within layout Qf Dminfield cover
❑ Existing and proposed wells Ed D-Box/Valve box locations Reference depth from original grade
within 100 ft of property fig Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts, banks, and locations 19 Laterals,trench/bed,top and
surface water and critical areas Gd Observation port location bottom
❑ Location and orientation of 9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Bf Manifold placement ❑ Sand augmentation
components
19 Orifice placement Other cross-section detail:
19 Location and dimension of Observation o
primary system and reserve area Ed Lateral placement with distance ports/clean-outs
m edge of bed Other Information
m Buildings Ed Audible/visual alarm referenced Yes No
0 Direction of slope indicator If Scale of drawing shown on scale Ef ❑ Design staked out
Ia Waterlines bar ❑ ❑ Recorded Notices attached
Id Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking 65 ❑ Pump curve attached
A North arrow and scale drawing E6 ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must he no ied by installer at time of installation Ed Yes ElNo
k (nJ&4 RI f�— lI_7�i
Signat of Designer I— r Date
The undersigned has reviewed this design on behalf of Mason County Public Health and dell Snbe in
compliance with state and local on-site re ula[ions:
l/9/7a2 s soN gay 0
Environments Health Specialist Dale NNry OR �®
Fry` 0
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COIQp �i:
✓ The design is stamped"Approved"by Mason County Public Health. 7 r Tq�H
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ���/.(/J
✓ 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, 2
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 Daze: 12/72015
OO/
3
OL
a i
O CL C °bi
44
CO .V .� U �pO�• ,Z
0 NS
3 ,� a U
N 7 M N U U
O it
C O. 'O Ol
N a) p 1.
X 7 m 7 U r E ,N
W ¢ a ` w
a
s � �iaivuicd � aog
nu%
01 .......
a
f °a
§ t ,
1
h lG� ,nn
°al FP a
5 `� p E, E wAIr m k
uCENSEp DESIGNER O
°nr R c
E%HIRES.a5n0i I
etas JAN0 �
pNppNNryfNYIRp ?015 0 z
OJq NMfNTq�
TN
0
•
® n �
� 9 � � � t
6 a a � � � y
e
O
S �mDja 1013.
1 � L'.y � O✓�o��F'rl
J '
2U'
rrr
jCi JL5"�r.Urfy� �,.ls
i%
04
04
19
for
01
-LLL
-Fie
P
� , S
$� S wo wE
LiC DOESIGNER \�IA
I
� ',� as scarf
ff
sTOyya �qy
oyry�y` pg1p1s
H
0,,9 oy�Fygl
Hwc
Fe"a 6 1�
i
hMTM4ea g Dwm
LW,Wh,pa
[ .
Distribution Box(No Scale)
�e qA4
d \ 94 ti� V O E WHIM
IICFNStD DE81WR
EYl�MES US-'.m
1200 Gallon Double Compartment Septic Tank
OUTLET FILTER
I' -1 REQUIRED
S I.Dn,
L*W laM 1 ...
nler io�
so,,
tpl CpmPprllnpnl ?.f r• '•
a11P
Intl Compartment
Draxnnp
ad to
Kane
SEPTIC TANK MUST BE ON DOH APPROVED LIST
y
��sPN�oN ✓AN49,9J�� 5 e LI YfWgTE
O ryFpy� �rYf LICE NMDUITIER
R
V
Or—enc
• Technical Data Sheet
PVC Pump Basins �9�oyc
Applications Standard Models
Orenco PVC Pump Basins are designed to house effluent pumps, P81854,PB2454 Oq`906,y OAS
sewage pumps,or grinder pumps in wastewater pumping applications. (Custam basins are available for specific configurations.) Fygl
They are not IAPMO listed. y
General Materials of Construction
Oral PVC Pump Basins come in 18 and 24in(460 and 600mm) Pobhed pipe PVC
nominal diameters.Bases are fiberglass•reinforead polymer(FRP), ease PRP
attached with epoxy.€POM grommets seal all piping penetrations.A Grommets EPOM
An(100mm)Inlet elbow and holes to accommodate splice boxes and -----
discharge piping are located and sited to specific need.Fiberglass
access lids and stainless steel fasteners are sold separately.
Optional equipment is available. Specifications
Model OR,including db I.B. Liquid capacity
In(mm) In(mm) gaUln(Umm)
PB24XX 19,42(651) 23.60(446) 1.08(0.28)
PB24%X 25.63(651) 23.60(6971 1.88(0.28)
Product Code Diagram
pxawyeaoamyaa�n�lwlu�.
ro -neaamnlwlx
ma .neea�ea,xorum
to . inn GSmml c9mmm
1a wm r.,mnoe,rc��
io z�hwmn�
-� Gnnxwlrykeawaptan:
ell: Yrz-00Nb6*igil^'
L 1Nm RanMAm'MNIMabE
61 . SolNtleO
S1 Sax al
5] � 50]lfwfM
Se � SMtlWaf
l5 5aNMl,
l6 6 uPB a
Se . Pa.YUWN1ub Metlamtl�ubY
kS • 64La��iadAalyY mils Yedw pwP
W - fgbm'nY�4�Wbupupumpv
xr feltpioamnl6womweee�waa'
4b.
k-
� P e �wmlrcNltl
fi
rr axm p" S�= g V
li /�
.�
r 'w• o(� /I CI
a 0li6167 r � max V�vxmn �r �pv�
1 elemi.na ms DE VEIL` \y\ Y-
k 1e \
w•inm�.we
'pgvPu miMmum l&n(eSTmny RrtanSlil
24in(600mm)P824XX PVC Pump Basin rra mm m.aam mm.mmem
(Shown with optional cleanout and vent)
deal Sysul•8aP9/0'9a0.t•t1 541-459-4449•wvmw.orene.,el MIe�B'M-1
Aw e O awal
r.Eaa a1
Pump Specifications
LE40 Series
4/10 HP Submersible Sewa a Pum
IIAAIIIAl11A111111111111111111
111111111111111111111111111111
1':AIIIAAIA111111111111111lI1f
I�II��IIAIIl111111111111111111 ,
:,IAIAIIA��111111111111111111111
�IIIIIIIIIi�11111111A1111111111 .
. 1�\IIIIIIIII��IIIIIIIIIIIIIIIII
' ���!��iil1lAAlII��AAAIIA!!!IAlIIA
._�III�l�5illAAlA11!`l11111lAIIIIII
' . • : :�D��� ��1A11111111111111 IIIIIIIA
=- -:---"'"'�''�"'jGi�lAA111111111�11111111
1llii�11111111111111�111111111A ' -
111lIIIAI!!lIIAIIIAIl11lA11111 . .
IA11A1111l11111111111►11111111
IAIA11l11 AIIIIIIIIA!l1AI1l11!
�: IIA111111�AAIIIIIA111l1!l11111
'• 11lIIIIIIIIIIIIIIIIIIA1111111!
!IAlAlIIIIIAIA1111l1111lID1111
• IIA�IIIIIAIA11111111111111\111
' ' IA1111111A11111111111111111111
IIIAIIIIIIl11!l111111111111!!A '
11111111111111111111111111111�1 • ,
s
Installation Notes
Pump to Gravity Distribution System:
22406-51-00016 313 N Webster Lane
NOTE ONE: This is a repair system. The only place we have for a repair is in a county
alley way. We had Mason County Public Works on site. This alley way is not
maintained by the county and per public works, will never be maintained by them. We
applied for a private line utility occupancy permit allowing us to install in the alley
way. The area that we are proposing for the drainfield has been maintained by the
homeowner for forty plus years and has been a garden. The driveway will not
encumber the proposed repair. We are dealing with basalt and this was the best area
we found. Drainfield will be two feet off property lines. NPP(04 W/ UT(701Y-Ova?
Alk-
1. Gravel based drainfield required. �ro*0
1. System to be installed by a licensed Mason County installer.
2. Traffic rated concrete septic tank required. *4SO J4,
oV�
3. Install system during dry weather with acceptable soil conditions *r, Q9
4. Pump vault will be installed with a solids pump in the old septic tank area. ro? IO1S
5. Keep wheeled vehicles off the drainfield area before, during and after installation. q0,y
Tracked equipment only, ✓4 �7lFNTq`
6. 2" pump line shall be adapted to 4" line 10'+ from the septic tank.
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 tigh as, curtain drains,
etc. to divert all waters.
8. Curtain drains can be no closer than 10' upgradient and 30' do rod t of the
drainfield
a
9. Exposed restrictive layers, cuts, banks, etc. can be no closer. '� Pwom thetl
drainfield.
10. Install access risers on the septic tank, D-box and obse n o 2
11. Make sure septic tank risers are epoxied or caulked t0 in 0 D i,on
12. Lids must form a water and gas tight seal with the ac
NER
13. Install effluent filter 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 or bed with contour of the ground
18. Install trench bottoms level and always maintain a minimum of six inches into native soil
,fy%l 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 down the trench
wall.
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank should be pumped every three to five years or as needed.
3. System owners are responsible for having maintenance performed every three years as
per WAC246-272A.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
6. Keep the flow of sewage at or below the approved design operating capacity.
7. Keep waste strength at residential waste strength parameters.
B. Spread loads of laundry through the week.
9. Do not use excessive bleach or detergents with added whiteners.
10. Do not shower, do laundry and dishwasher at the same time
11. Antibiotics can kill or impair the biological process in the septic tank.
12. Leaky plumbing can hydraulic overload your on-site septic system.
M qpp�®VF
4,90,V uN AAVI '9?01S
D�q N,yENTq�H�(TH
f
LICENSED DESIGNER
E%n'i R[5 11S,Y