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Home My WebLink AboutSWG2024-00353 - SWG Application / Design - 8/26/2024 OFFICIAL USE ONLY DATE--: 08/26/2024 MASON COUNTY V V w SERVICES ° " """`"$805 """°L°W. Online 2 N COMMUNITY < N ""A�� NIN�"N' 2024 -00353 o ° w SWG ° A .,, anuM-wm,w9,w Z N ON-SITE SEWAGE SYSTEM APPLICATION Ell PHONE r APPLICANT 360-359-5017 Z c PETER FIELD s MAIUNGACDRESs.STREETgn.STATE.nP WCE OLYMPIA WA 98516 m 4702 LUHR RD NE I N SITE ADDRESS-STREET.CITY LP CODE 120 E SCENIC VIEW RD PHDNE N NAMEOFCESIGNER 360-970-1233 ALPHA SEPTIC SOLUTION, LLC. 0 0 gILNE � N9MECF INSTALLER N 10 TBD DPINI ANTER SOURCE ° PERMIr TYPE(KMY u's1 CC11 9RESIDENTIP1.055 GCOMMUNITYOSS ®COMMERCIALOSS fPUIBLICAXTERS SYSTEM PRIVATE TNO-PARTY W£LL I= II WPEOFNORN(WMae) 0 TABLE IX ®NEWCONSTRUCTION/UPGRADES UREPNRIREPLACEMENT DAOS SURFACING NG SENNGE OElO6T NG FAiLUREg106HORELINE al SUB GGMI}}TTALS 9EgtOCMs LOT WE .69 n DE51GN FORM(REQUIRED) Ly ®SEPTIC DESIGN(REQUIRED) 3 10 5WNVER(S)(IFAPPUCABLE) DIRECTIlMSTO SITEAND SITEWWRIONS.(W`AN`P lal RIGHT ON SCEINI FROM AGATE AND PICKERING RD C I o , NORTH ON PICKERING RD, ° I o VIEW, TO SITE ADDRESS ON R. 1 � o co OFFICIAL 4RE MIST aE FIADOED FRDM YAM R W O ANO TEaf NDIl9 YUFT M M W[D MTIM TFSI M W 2 MIINEM. OFFICIAL USE ONLY BELOW THIS LINE IIPCgADE/iAI W RE SOURCE INS A W AIy IM.Ma.1 []VOLUNTARY OMNNTENANOERUMPING ❑BUILDING PERMIT OHOME SALE OCOMPIAINTC...,SIOGNITIONS INSPECTO SOILLOGS TH1:G-12'Loamy Fill 12-25'SOIL(TypS 5) Real M 25'wl m01 TH2'.G-24"SCIL(Type 5) TH3:G3 Loamy All 4-6 SiCIL fill B-22'SCIL(Type 5) RBeI at 22'M/mot TH4:Wa RECORD DRAWTNGAND INSTALIATIGN REPORT SOLODDIM' A=SILT C=CNY E=EXTREMELY R=ROUTS REQUIREDFORFINALAPPROVAL O . V=YFYY G= VELLY S=SAND L=LOAM ARRUCATIONNPPROVEq ISSUEDW CVTE INSPECTORSIGNATURE DATE APRICATICNEXRRATIOi DATE 8/27/2024 8/27/2027 o N". 10/7/2024 °w 11 FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE REVISED 12na015 Assessor's Parcel Number: 21 7"R DESIGN FORM-PAGE ONE a2O )-t 51 — Qb 7_ DF Scaled layout sketch,including all applicable items an checklist A design rvlll be reviewed when 7 cosigned each of d. following are layoutcd: g applicable items on checklul. completed design form tlut has been signed and doled. ' +Scaled plot Flan,including all epplicnblO items on checklist Cross-section sketch,including n all p Thla form may be senlxd and available for publk vlew on toe Meson County Web site.bfbximunl eralze: ll"R 17" PARCEL IDENTIFICATION - �n�a_nn��s Designer'sNamc: 160-956-77aZ Permit Number: SWOs--�'��- Designer's Phone Number: Applicant'.Namg: Rose Tovnbee_— n`1 Qe.v ddri4'1 d7n2 I itbr Rd NE Ixnigner•.Adares.: Mailing Address: �------- TllmMte71 f WA 98511. l__ymnia,WA98516 al ssalen CI a C ZI DESIGN PARAMETERS Treatment Device I(Okndel Biafilter ❑said Filer ❑Mound ❑Sand Lined Ominfield ❑Reemnadn'g Filter0,th Trp:: ❑Aerobic Unit Make/MWel ❑Disinfection Unit MAVModel Drainfield Type Bed O Sub Surface Drip L(Pressure ❑Trench CI ❑Gravity Laterals Septic TanklDrainfield Specifications SclxdoldCless PPF� Nrlmber cif Beamoms 3 S l . it 270 gpd Length Daily Flow:Operating Capacity In 360 gpd Diameter �--- Daily Flow:Design Flow 1 Number Septic Tank Capacity(working) Be it Separation _------- Receiving Soil Type(1-6) 5 4-- tiffle Orifices 91) Receiving Soil Appl.Rate 900 fe Total Numbs'of Orifices Required Primary Area 936 ftr Diameter Deigned Primary Area m 900 ft2 Spacing ---- Deigned Reserve Area R Manifold Trenchdsed Width R Sdxdule/Cla.a 11 Tronch/Bed Length it Length , Elevation Measurements in 0 % Diameter Original Dminfield Arse Slope 0 °/a Preferred manifold...figrealiun used? ❑yes [INo New Slope,If Altered Transport Pipe Depth of Excavation uP-`ePe 12 in g nomMape 12 in Schedule/Class I from Ori inelGmde 7/� it n Length 1 Designed igned Vertical Sepemhon in Gmvelleas Chambers Required? ❑Yea []No D Optional Diameter Dusbtg and Pump Chamber I Pomp Required? C(Yes ❑No PsmplSipbon Specifications Number of doses/deY gal Diff.in Elevation Between Pump&Uppermost Orifce_R Dose quantity gal _g Chamber Capacity(Dood) Dreiafield Squirt Height/Selected Residual(head) pip controls,Please check those require Uppermost Orifice f7 Higher O Lower than Pump Shutoff &imer MElapsc Meter MEvent Counts Capacity©Toml Pressure Head fi m If Timer: Pompon GLENDON ,P P off Calculated Total pressure Head Comments 1200 gal per design '... DA Dp zm o09- 51 � 000l=- DESIGN FORM—PAGE TWO Assessor's Parce[Number: SL - _ o oSj 0 23 Nu"rc Permit Number: SWG -- DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch H DrainBeld orientation and layout Reference depth from original grade: ld Test hole locations H Soil logs H Twnchlbed dimensions and ❑ Septic tank critical distances within layout ❑ Drainfreld cover H Property lines BI D_BoxNalve box locations Reference depth from original grade H Existing and proposed wells H Septic tanWpump chamber and restrictive strata: within too it of property locations G7 Laterals,trenchlbed,top and H Measurements to cuts,banks,andbottom surface water and critical areas H Observation port location H Certain drain collector Q Location and orientation of H Clean-out location g:( Sand augmentation rp H Manifold Placement curtain drain and all absorption ether u'oss-section detail: components H Orifice Placement 9 Observation ports/clan—s H Location and dimension,of Ej Lateral placement with distance primary system and reserve area to edge of bed Other Information H Buildings H Awhble/viswd alarm referenced Yes No Design staked out H Direction of slope indicator Nj Scale of drawing shown on scale 0 Cl❑Recorded Notices attached H Waterlines bar ❑ ❑Waivers)attached H Roads,easements,driveways, ❑ H Pump curve attached parking ❑ ❑Evaluation of failure 9 Norm arrow and scale drawing Non-residential justification shown on scale bar ❑ ❑Waste strength ❑ ❑Flow DESIGN APPROVAL r.CAUTION, ned designer must be notified by installer—at nme of installation P1Yea ❑ No Debt Signature o. esrgne Dane in gned Isea reviewed this design on behalf of Mason County Public Health and determined it[EH APPROVED with state and local onaite regale[ions: 10/7/2024 NM". u.�eeiem IOMTM24 Environmental Health Specialist Date LOWING : DESIGN APPROoVtAdL Ibyy Mason ou�ty Public HealtltER E�L$/.L7/20.L71TION: sign is stumped"Apeane Sewage Pemmthasnotexpired,the Permit Expiration Date is:ld 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. 3 An Installation Fee ids es .p the Mason County Web sit ublic view on 6eThis formm all,. Dnle: 17172015 ; § , � ■ ; | ��a ! [ ! § • � Ksill ! ill 5 � ) . |� _ \ } \` } � � ) ! § , ' ' % . |! , � � § [ ! � , \ � � � � a § , �� | § ; . § 2 ` � ^ \ � | {| ! , ! ! $ : , k }q ! | ( . � $ _ ...._.. _. ......._ gal 3OVyyyd`JNIN3Wjltl { p �o ° 5' ou �� g J h 01 Rq �„ Rn ,R£ 0ygy7 8 I $ $ e { g a j --M3N 9NSJP -- kY V W $ � i I k I L I 1 J N � o g�2g lit ign I9g 3 G ae�N�N �ia o $eak x I' m N1 1— �n HIT HE a