HomeMy WebLinkAboutSWG2024-00449 - SWG Application / Design - 11/21/2024 HELTON,WA
MASON COUNTY 415NBSHELTON: , 0427-97 ,EXT 404
SHELTON:360-2754467,EXT 400
BELFAIR:3fi0-2]5-446],EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00449 ( body
APPLICANT SUSAN HARRIS Phone: 1.360.490.26G6
Address: 24 SE DRIFTWOOD LN SHELTON, WA 98584
OWNER SUSAN HARRIS Phone: 1.360.490.2606
Address: 24 SE DRIFTWOOD LN SHELTON,WA 98584
SEPTIC DESIGNER MICAH HALVERSON* Phone: 360-490-6365
Address: PO BOX 1519 SHELTON, WA 98584
SEPTIC INSTALLER LOGAN SPEAR` Phone: 360-239-1541
Address: 2000 W SHELTON VALLEY RD SHELTON,WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 319011390032
Permit Description: New 6bd shared OSS pressure trench with 319011390031
Permit Submitted Date: 11/21/2024
Permit Issued Date: 0111 4/2 0 2 5
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 (addmonal mw may ee required upon mstallalon 0 system).
Permit Expiration Date: 11/2612027 (Msedondateofmspefion)
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 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/envimnmentaVonsiteloss-inspection-request.php or call:
3604279670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY DMLR /�'Z� ' 2`/
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/ APPLKC PHONE m
Susan M Hams & Stacey D And I 360-490-2606 In z
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24SE DRIFTWOOD LN
SHELTON WA 98584 z
sIIEADDREss-STREET CItt,➢PCODE
( 200 & 202 SE DRIFTWOOD LN SHELTON WA 98584 N �0
NAME OF DESIGNER k5=v O PRomF _
„ MICAH HALVERSON �1 Z 360-490-6365
NAME OF INSTALLER 0 - m I PHONE
LOGAN SPEAR Z
PERM?ttPE(atlsYapl DR I NjNLG�VMTERN9DOflCE O lO
RESIDEAL OSS GCOIAMUNITYOSS MJ C MM COERCIAL O55 TI'�^T4�. DUAL WELL I�PRRMTETWO WWELL
NTI z
TYPEOI VMRN(MM .) ` L SYSTE/A
If NEW CONSTRUCTION I UPGRADES GRERAIR I REPIAGEMENT OTN R DFTAILS( "v*) ❑TABLE X REPAIR I-+
SUBMITTALS [ISURFACING SE E O EXISTING FAILSIRE 13 SHORELINE m
L� DESIGN FORM(REGUIRED) 11c 5EPTIC DESIGN(REQUIRED) BEDROOMS LOTSIZE r IW
ffMivER(S)OFAPPUCABLE) 6 (d&Abin bd)3.B1AC r0j
DIRECTIONS TO SITE AND SITE CONMTIONS:(n.bcWLWJ Y �vy
From HWY 101 (taylor town)turn onto SE Lynch Rd, turn rig ttt nto SE Driftwood fr�i 10
approx 5mi. stay straight on driftwood. Driveway is on the left Itch a comer. driveway has o
wood post with a chain across. perk holes are marked with pink ribbon. I1G1_L0
&TEMUST PF FLAGGED FROM MAW RO*D 1 TESTNOLE9 MUSTY RAGGED LNM TESTINNEMI/918. l 11 10
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILWESWRCE Ifa,MVlNp pupar+l C
❑VOLUNTARY OMAINTENANCEIPUMPING [3BUILDINGPERMIT E]xOMESALE OCOMPLAINT OOTHER: NNW
INSPECTOR SOIL LOW /I' I'Z / twn'C Fsz COMMENTS/CONDITIONS
Nq : 0-60 L' M/Sf Go i-'W'A ny
BgLC00PE. RECORD DRAWNGAND INST LL TION REPORT
V=VERY G-GINVELLY S-WD L=LOML &-SILTi C=CLAY E-EXTREMELY R-ROOTS REDUIREDFORFIIMAPPROVAL.
iNSPECTORSIG MJRE SATE I APPLICATION URINATION DATE APPLICRTpNP➢PROVEWRISUEDRY DATE
���ZID � � Z7 YN� t�ltih-f
THIS FORM MAY BE SC NED ANO AVAILABLE FOR PUBLIC VIEWOTB THE MASON COUNTY WEBMTE REVISEDMYFROI5
DESIGN FORM—PAGE ONE Assessor's Parcel Number: i g O I -• l 3 9 !z f� 3
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.
Tlaa form mry he conned and avallaMs for blic view on the Mason County Web alto.M¢rimamCover size: /1"X/7"
Permit Number: SWG � Designer's Name: MICAH HALVERSON
Applicants Name: Susan Hams 8 Stacey Anderson Designer's Phone Number: 360-490-6365
Mailing Address: 24 SE DRIFTWOOD LN Designer's Address: PO BOX 1519
SHELTON WA 98584 SHELTON WA Sew
Ci State Zi Ci State Zi
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Treatment Device
❑Glendon Biofilter ❑ Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other. SEPTIC TANK
Drainfield Type
❑Gravity Rf Pressure fiftrench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfleld Specifications Laterals
Number of Bedrooms 6 Schedule/Class 40
Daily Flow:Operating Capacity 540 gpd Length 75 ft
Daily Flow:Design Flow 720 gpd Diameter 1 1/4 in .�
Septic Tank Capacity(working) 2(a) 1200 ea. gal Number 4
Receiving Soil Type(1-6) 3 Separation 9'+On-center ft
Receiving Soil Appl.Rate .8 gift' Orifices
Required Primary Area 900 if Total Number of Orifices 60
Designed Primary Area 900 ft, Diameter 1/8 in
Designed Reserve Area 900 ft= Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 300 ft Schedule/Class 40
Elevation Measurements Length preferred ft
Original Drainfield Area Slope 18 % Diameter 2 in
New Slope,If Altered same /° Preferred manifold configuration used? RfYes 0 No
Depth of Excavation Upsote 28 in 4 Transport Pipe
from Original Grade Duwn-slope 211/1
.52 in Schedule/Class 40
Designed Vertical Separation 24+ in Length 150 ft
Gmvelless Chambers Required? ❑Yes 16 No 0 Optional Diameter 2 in
Pump Required? 9 Yes 0 No Dosing and Pump Chamber /
Pump/Siphon Specifications Number of doses/day 8 ✓
Diff.in Elevation Between Pump&Uppermost Otifice 35 ft Dose quantity 67 gal
Drainfleld Squirt Height/Selected Residual(head) 5+ it Chamber Capacity(flood) 1800 min gal
Uppermost Orifice lif Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 27.8 gpm 9finter G(Elapse Meter 9 Event Counter
Calculated Total Pressure Head 43.8 ft If Timer: Pump n TBD 3hrs
Comments
" SHARED SEPTIC" JAN 14 2025
MASON COUNTY ENVIRONYEN LTH
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 q 0 -• -- —10011
Permit Number. SWG �+ fl c o z L
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
lid Test hole locations 69 Drainfield orientation and layout Reference depth from original grade:
Id Soil logs it Trench/bed dimensions and Ed Septic tank
It Property lines critical distances within layout 61 Drainfield cover
0 Existingandproposed wells Ed D-BoxlValve box locations
Reference depth from original grade
within 100 ft of property Elf Septic tank/pump chamber and restrictive strata:
m Measurements to cuts,banks,and locations la Laterals,trench bed,top and
surface water and critical areas 19 Observation port location bottom
0 Location and orientation of 16 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components
66 Orifice placement Other cross-section detail:
ld Location and dimension of if Lateral placement with distance ❑ Observation ports/clear-outs
primary system and reserve area to edge of bed
m Buildings Other Infotwatioa
56 Audible/visual alann referenced Yes No
6d Direction of slope indicator 59 Scale of drawing shown on scale Design
� ❑ staked out
lid Waterlines bar ❑ Rf Recorded Notices attached
la Roads, easements,driveways, ❑ Rf Waiver(s)attached
parking 6if ❑Pump curve attached
66 North arrow and scale drawing ❑ [9 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be fied by installer at time of installation Bl Yes ❑ No
bz /I �ZO/Z Z4
7 c Signature of Designer Dl te
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:
� IILriz�
Environmental Health Speciali ate
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Pemrit has not expired,the Permit Expiration Date is: 11�7I7i_1
✓ 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.
Cpdated Date:12'7 201i
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