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SWG2024-00454 - SWG Application / Design - 11/26/2024
SHELTON,WA MASON COUNTY 415 N6 SHELTON: , 0427-97 ,EXT 400 SHELTON:360.275 S 70,EXT 400 BELFAIR:360-275-0467,E%T 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00454 APPLICANT LEITZ JOSEPH E Phone: 253-255-3360 Address: 91 E LITTLE BEAR LN SHELTON, WA 98584 OWNER LEITZ JOSEPHE Phone: 253-255-3360 Address: 91 E LITTLE BEAR LN SHELTON, WA 98584 SEPTIC DESIGNER PAULAJOHNSON' Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 SEPTIC INSTALLER JOE FASSIO' Phone: 360-898-7286 Address: 170 E SPRUCE ST UNION, WA 98592 Site Address: 91 E Little Bear Ln Primary Parcel Number: 320057500060 Permit Description: New 3-bedroom pressure system w/sand-line bed drainfield Permit Submitted Date: 1 112 6/2 0 24 Permit Issued Date: 1211612024 Issued By: David Anderson Current Permit Fees Paid: $540.00 (additional Nes may 5e required upon intelltlion or rytlem). Permit Expiration Date: 12/1212027 (based on dale of inspection) 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 Drainfield 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 backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for Anal 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-Inspection-request.php or call: 360.427.9670,extension 400. OFFICIAL USE ONLY MASON COUNTY m D COMMUNITY SERVICES 0 ^�^ Tn wYLMxNM1 ICnmmurtily MaMM�nNONMMeIIWNs G - " SWG 202 - GbgS y °y 2 A O ON-SITE SEWAGE SYSTEM APPLICATION a 'D a m APR ANT VNoxE r Joseph Leitz (253)255 3360 MAILINGADERESS-STREET CRY STATE,LPCODE a 91 E Little Bear Ln Shelton WA 98584 A STE ADDRESS-STREET CITY.vP 000E same 1 Q1 UU NnuE CCOESCi1ER NOV 2 6 2024 Arrow Septic Designs 1 (360)898-2255 NAME OF NSTALIFA CD PRONE O Joe Fassio Excavating By (360k490-5519 y I o PERMITWPE~W) ORINNI NG VNTFA SOURCE S� O ®RESIDENTIALOSS 61COMMUNITYOSS EOCOMMERCIALOSS ELPRIVATEINDIVIDUALNSLL IlWPRNATETvx>RARTYWELL 2 I � TYPEOFMRN WwvmM yU PUBLIC WATER SYSTEM ®NEW CONSTRUCTION/UPGRADES EDREPuR/REPLACEMENT OT1ERDETAILSI~0NNVMP)4 C1TABLE XREPAIR IV SUENIrIIALS p; nSURFACINGSEWAGE r]EXISTING FAILURE ❑SHORELINE ZOESIGN FORM(REQUIRED) fYSEPTICOESIGN(REOUIREO) MEACONS LOi S¢E 0 I � H!VMIVSR(S)(IFAPPUCAB E) 3 BR 5 acres F 10 OIRECTIONSTOSITEANDSR£CONDTONS'.I*,k P.N1 Head north on N 6th St toward W Alder St. Turn (R)onto W Alder St.Att the traffic circle, take C' the 3rd exit. Continue straight onto N 13th St. Turn (R)onto E Johns Prairie Rd. Turn (L)onto r I o E Johns Creek Dr. Turn (R)to stay on E Johns Creek Dr. Continue straight to stay on E Johns Creek Dr.Turn (L)onto E Little Bear Ln. Destination on (R).Yellow sign: "Leitz". Drtve behind rn house near cow pasture.Test holes in back(R)side. UEI BEMUGEO FYORY<MN..A.IEdTMGFe YUITSE ALA.NFTN TE 1 .E NUYBE M.. OFFICIAL USE ONLY BELOW THIS UNE UPGRADE/FAILURE SOURCE Ncv .IIM WIOYMI n VOLUNTARY ❑MAINTENANCE)PUMPING OBUUDINGPERMIT DH MESALE OOOMPLAINT rJOTHER'. INSPECTOR PGIL=8 COMMENTS/CC .TIONS n 9z- rc, r>ni{r �T7(,v_t) +o boffp"1 Tr+t:t1-2V' �i4S EofteiS fn ioilo� RECORD DWIMNGAxo INSTAL4TION REP:NT SCILCODEB: V=VERY G=GRAVELLY 3-SAND L-LCMb S-SILT O=CIAY E-E%TREHELY R=ROOTS RECUIREDFOARNALAPPRWAL IN SGNATIIRE DATE APRIGTION E%RI W PArl DATE AP'UCANOIAPPREPISSUEOBY DATE l 2 2 t IZ Z� 2 (6 Loz THIS FORM MAY BE SCANNED AND AVACASLE FOR PUBLIC VIEW ON THE MASON COUNTY WEI REVISED1V7W5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 0 5 — 7 5 — 0 0 0 6 0 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 check list vCross-section sketch,including all applicable items on checklist. be seanned and available for public view on the Mason County Web site..4luximum paper s¢e: 11"X17' NTIFICATION Permit Number. SWG — Designer's Name Arrow Sepac Designs, Inc Applicam's Name: Joseph Lett Designer's Phone Number: (360)898-2255 Mailing Address: 91 E Little Bear Ln Designer's Address: 171 E Vuecresl Dr shsano WA 99as1 Uren. WA 98592 city stme Zip ca.--state Treatment Device O Gleadon Biofiher C Sand Filter ❑Mound Sand Lined Drainfield Cl Recirculating Filter,Type: 0 Aerobic Unit MakelModel 0 Disinkcum Unit Make/Model Other: Draiofield Type O Gravity of Pressure O Trench IJG Bed O Sub Surface Drip Septic Tank(Drainfleld Specifications Laterals Number ofBedraoms 3 Schedule/Class 40 Daily Flow:Operaung Capacity 270 gpd Length 45 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(wo&ng) 1,200 gal Number 4 Receiving Soil Type(1-6) 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 112 Total Number of Orifices 80 Designed Primary Arm 450 f12 Diameter 5/32 in Designed Reserve Area 450 ft2 Spacing 28 in TrmchBed Width 10 ft Manifold TrenchBed Length 45 ft Schedule/Class 40 Elevation Measurements Length 7.5 ft Original Drainfield Area Slope 3 % Diameter 1.25 in New Slope,If Altered 3 % Preferred manifold configumfion used? RfYes ❑No Depth ofEscavazion U"kpe 24+24=48 in Transport Pipe from Original Grade o°.,Gpe 20+24=44 in Schedule/Class 40 Designed Vertical Separation 24+ in Length 70 It Gmvelless Chambers Required? ❑Yes ldNo 13Optional Diameter 2 in Pump Required? Itl Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications .t,11, Number ofdoses/day 4 Diff.in Elevation Between Pump&Uppermost OrificeKyIt Dose quantity 90 gal Dminfield Squid Height/Selected Residual(head) S~TQ It Chamber Capacity(Hood) 1,000 gal Uppermost Orifice I(Higber Cl Lower than Pump Shutoff Pump controls:Please check those required. Capacity 2Q Total Pressure Head 512 gpm Iffiriver lifElepse Meter RrEVmt Counter Calculated Total Pressure Head 23.32 8 If Timer: Pump on 2 minutes Pump off 6 hours Comments lyc- 9 DESIGN FORM—PAGE TWO Assessor's Pareel Number:3 2 0 0 5 — 7 5 -- 0 0 0 5 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lid Test hole locations IZ Drainfield orientation and layout Reference depth from origins]grade: fid Soil logs Ef Trench/bed dimensions and Rf Septic tank ig Property lines critical distances within layout B Drainfield cover Existing and proposed wells ❑ D-Box(Valve box locations Reference depth from original grade within 100 ft of property 19 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations GN Laterals,trench/bed,top and surface water and critical areas 16 Observation port location bottom ❑ Location and orientation of 69 Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement fid Sand augmentation components 56 Orifice placement Other cross-section detail: Id Location and dimension of 11f Lateral placement with distance 21' Observation ports/clean-outs primary system and reserve area to edge of bed Ib Buildings Other Information Rf Audible/vis Nmt referenced Yes No R, Direction of slope indicator Waterlines 16 Scale of we on scale Ef ❑Design staked out bar re ❑ 9 Recorded Notices attached R1 Roads,easements,driveways, 4J., ❑ If Waivers)attached parking I1 1 ❑Pump curve attached Ib North arrow and scale drawing ❑ Evaluation of failure shown on scale bar ` Non-residential justification a"{' P JOY JOHNSON 'I' ❑ Rf Waste strength L70 8 I !'K" ❑ Rf Flow DESIGN APPROVAL The undersigned designer must be h ed by installer at time of installation 56 Yes ❑ No Zs- Signature of Defigskr Date PR The Undersigned bas reviewed this design on behalf of Mason County Public Health and deternine�it tto be �/�/ itl'� compliance with state and local on-site latiore: En rr erual Heal h�//t DateASONCO�Nry��A MF � CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: �' The design is stamped"Approved"by Mason County Public Health ✓' The Omite Sewage Permit has not expired,the Permit Expiration Date is: 7 les(� � 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: 12/72015 i . F I a S Y a } i 0 ; 0 o n z z z }:i �: .� 1 it J J di � �•S tfS � {• � ` L'' � i >3 � . �� � eilS • �= • . G s IT a _ ... ,F.,"... - � m $ 1� �• Qua&� Y 0 � see; F _ APPR VE m DEC 16 2024 F s • 0 9 - MASONCbbNry S EA'YIROHMFryjgµ 2�� 2 S✓� '�ToP��7s . 9 �.�� / 75 90071 SP 1120 7500050 7500080 7f590060 7690100 Oak Pork 75 90072 Nip 2 No.6 - // SP 1970 1694 Sur ,x ri/9 7500060 . 75 90073 7$90091 `596101 SP 443', 1 o OAK PARK N // ' 7590010 a7 I 7500040 T500030 7500020 j 17500150 I i 75 9000 1 . 2390 2390 2390 2300010 roams name am. 040 041 042 s-37 J1 1 2 P 2360 .wool I L _ - _ SF 046 SP 4-10 P300000 �8300vP I 1169006E 169006 S031 Sura9 3/5• 8P 2631 �320052400000 1 S 3B8 2390047 1 1A90093 32 90030 i 2300030 S 7/47 11 $ $ SP 3 1 1t0- nowd own -La;n. �— x ia I 6 9oen az n 11 m000lo - _ - S 26/147 _ _ 42 900F 31000e0 310.40I LA 93-39 31D0000 420( f # n $ 0 + e 3100010 4 -90012 e aff0110 'w b 3sa� 6 30 S 2929 06 _ y, 040 3100080 9004 77 ?' cn f4' t� hpc 3rJ 044 90031 A "/�--J :Oa.O $ eo -- - - f3290013� —�- ,� fi4o °p `, C9Ye e0 3190120 g I 42 77 90022\���`006 SP 72 SP 695 Tr. B 1 90014 77 90052 9u 94.1" I 302410 ac/117 SP SP 549 199 77 90024 F 90051 M 9a-N >f 31 SP 13139 n 90111 90112 .9 Ol'J. 09� x 26 1 9014 a2014 3100100 1 r 77 90033 dl I OGC �3,OOS4 _- - ------ Q a♦'t - 9N _ 8196 . AS01 UNry' '6?01y It _ o1w i4 1 FN�jRON PnntCO iT9i" F _ Vn Gat,711 -- _ ___ I PJq 'HENTq(yyA 3:imntvf p . ie .1— !J� 1 p Sp p70 ISO Zdv `P-eT Pl�r1 c�oSEpt{ �.EITZ PAk cJEe.�3�-"�S Uo0 60 3az.Z6' 0jl E Lim-E$£Pc�K. LN -ief / 4= Sr H ✓/ // ° 10+46'snnd # nM Lp6tm� [Auaa df. b.d uiitb If f swe Ftt / E�MS / C � ef�� vs:u .• mWio-vanw uum I ExyPK .`I>nUTA JOV JOMNSON'., © omnou� \ w BR !SE Yt IGN © I2MGeYnn&ptic Tfv¢ \ n<:®v p�z IN © IOCO Mif.n P.wP m•m� I JHo• ` ^ t ^ v � F {_ rtt.f E.uTfLE E behQAQ LAroLANE:— APPRO — DEC 16 2014 VET MASONCouw vl,ROlif DJA A7At H fA[TH 4a�q y „ o is' r PAULA JOY JO JOHNSON 5u.as--- l�= f0' LiC SS p 5i Fc�J ts' m _uY,x.yc" a `•�p� o.;311..{ s„ APPRO 241 � 1 DEC 16 2024 NASONCONNTYENVIRONMENI HEALT. sc.9e.: SCREW ON CALF 5 DEGREE ELBOW OR -.Tm SW MPT.G 9ti NOTE O�OSBSRVATSON WATS--TG � 4 END OF PPC PIPE FROM BOTTOM OF T8E-NCH TO PINISRRD GRADE. RE407"LE DZ DETAIL CAP SHALL BE INSTALLED OR CLEAN OIIT ON OBSERVATION PORT PMTP� "o T- ` T' iNr $pTtsM of o8`+� NOTE, ryEANOgT TO BE FROM 0 TO 6 TOTAL OF 1F IN SYSTEM. FNCEES SELOW 'FINISEED GRADE. 03 T' i>J aTnti A7'gaR On cK C 335a*+il -y,ARE ENDS OZTH REEAR. CLEAN OUT '*LATERALS ARE TO BE C2NTERED REOQIRED AT END OF FACE LATERAL- IN TRENCHES. U�6,� 0) Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft. S acin Orifices Feeder Line In.) Cleanout In.) 1 540 45 1 28 20 4 4 2 540 45 28 20 4 4 3 1 540 1 45 1 28 20 1 4 1 4 4 1 540 1 45 1 28 1 20 1 4 14 Total Lateral Length 180 Total#Orifices 80 GPM= 51.2 (with 5132 orifices) Dynamic Head Calculations Selected residual pressure: 5 ft. Length (Ft.) #Orifices Transport Pipe 70 80 2.52 ft. Feeder Total Lateral Line Length Lateral#1 45 4 49 20 0.97 ft. Lateral#2 45 2 47 20 0.93 ft. Lateral#3 45 2 47 20 0.93 ft. Lateral#4 45 4 49 20 0.97 ft. Total Elevation Lift 12.00 ft. Total Dynamic Head 23.32 ft. c q PAULA JOY JOHNSON m��l L ar n i HEfl rHRES APpRoVED RAS01V DEC 161014 COUNT yENJA NMENTA(HEALTH b +q vbgtyPUMPS' DR EQ)IVALENT Pump Specifi!a FL50 Series 1 /2 hp Submersible Effluent Pump Flow(Liters Per Minute) 0 38 76 114 151 189 227 265 303 341 379 60 18 50 15 40 12 0 30 9 f x q pp,�j 20 6 �igsory�o DEC�6 O�F 3 Gryn,FNu/ry 2(Il/ �✓q NMPN7q�yFq(�0 0 0 10 20 30 40 so 60 70 80 90 100 Flow(GPM) mso_eia 17 ........... ............. AeCM AMM, 4 pummw Lj p=M=NAM I I AS, mar SOUR= MAS DEC 16 2024 COUNTY ONAfENT DJA ALHEAjr-,F=� - r_-ssmm Ma= 'M DRAZMFZMD ViL'vf -mve-FROW. *OWALTD=W6vM STM son r.=- W-Monmw 9Fflb5W CRB=VALW= AS NEMM C MURK Septk 8nan j , v 24f,272 . =- 2 IS e mos—mrsd se�age- rj avww Septic D"i9m, 9nc. r , e • I INSTALLATION & MAINTENANCE Pressure Distribution Systems—Sand Lined Bed 0 3 PAULA JOY JO JOHNSON ; 1. Install Laterals with contour of the ground. 'L�tS8 gsi o 2. Install bed bottom level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required in each corner of the bed. Two with bottom extending to the bottom of the draimock and two extending to the sand/native soil interface. Glue"T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions;any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals (cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. Redundant off switch required. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area, not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 10.Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue), after pressure test and Environmental Health Dept.approval,turn orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 11. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 12.Encase all water lines within 10' of drainfield and under any driveway/parking areas. 13. Divert all storm water runoff away from on-site sewage system. 14.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 16.No vehicular traffic over drainfield area. 17. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 18.All materials and workmanship most meet County and State regulations. 19.Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 20. All manhole lids and access, sampling or inspection ports most have locking covers and be located at ground level. 21. All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down/away from tank opening. 22.All transport lines under driveways or parking areas must be encased to prevent crushing. 23. Homeowner is responsible for all property lines and easements. APPROVED q DEC 16 2024 �� I MASON COUNTY ENDVIIR NMENTAL HEALTH