HomeMy WebLinkAboutSWG2025-00035 - SWG Application / Design - 2/10/2025 MASONCOUNTY 415 NBSHELTON: 60427-O70,EXT 400
SHELTON:360-2754487,EXT400
BE ELMA 360-276J467,EXT 400
Public Health & Human Services ELMA:380i62-5269,EXT400
4 FAX:360427-7787
On-Site Sewage System Permit: SWG2025-00035
APPLICANT SALAZAR RENE Phone: 1.360.742.6961
Address: 1045 SE STATE ROUTE 3 SHELTON,WA 98584
OWNER SALAZAR RENE Phone: 1.360.742.6951
Address: 1045 SE STATE ROUTE 3 SHELTON,WA 98584
SEPTIC DESIGNER CINDY WARE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 1045 BE STATE ROUTE 3
Primary Parcel Number: 320301490030
Permit Description: New 560GPO septic system pressure trench
Permit Submitted Date: 02/10/2025
Permit Issued Date: 02/12/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (addioonai fees n,ay de Mored won nsmuewn or system).
Permit Expiration Date: 02111/2028 leased on dare or nsoeononl
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staflper 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
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: mesoncountywa.gov/health/environmental/onsite/oss-Inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION i A
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RENE SALAZAR �� 360-742-6951 z
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1045 SE STATE ROUTE 3 o HELTON WA 98584 z
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NNAEOFMIGNER w PIIOIE I N
CINDY WAITE 1�! ICE. 380-701-0205
NAME CF INSTM- ER V PMONE O I O
TBD 00 9
PERMNTVPE(xW aref DRINgNGWATERSOURCE LAW I
®RESIDENTIALOSS EDCOMMUNRYOSB COMMERCIAL OSS 7C_PRIVATE INDIVIDUAL WELL GPRNATETWO-PARTYWELL 2 IO
TYPE OF WORX(sMMps) W PUBLIC WATER SYSTEM DISCOVERY HOMES WE
Ef NEW CONSTRUCTION I UPGRADES ®REPAR I REPLACEMENT OTHER DETMLS h 0ffiW,,W) ❑TABLED(REPAIR I -L
SUBpMI!nALS E3SURFACINGSEWAGE WEXISTINGFNLURE ❑SHORELINE
V,DESIGN FORM(REQUIRED) RSEFTIC DESIGN(REWIRED) BEMOOMS LOT SRE 17 IA
EDWAIVER(S)(IFAPPLICABLE) 38R, 3RV, SHOP 9+gCRES x '
DIRECTIONS TO SITE AND SITE CONDITIONS.Nx.AWSph)
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GO SOUTH ON OLYMPIC HIGHWAY(STATE ROUTE 3), TURN RIGHT DELANTY ROAD, I o
STAY TO THE RIGHT AS YOU START UP THE HILL. SOIL LOGS ARE IN THE TREES. r
ALL LATERALS ARE STAKED. O
Iw
SfTE MUST BE FLAGGED FROMMAR RWDAND TESTIKKES MUST BE FLAGGED MDN ME HOLENUYBEN. I 0
OFFICIAL USE ONLY BELOW THIS LINE
uvGMDE IFNLURE BOIRCE(b,eFubq Pw�l
[]VOLUNTARY []IMINTENANCE/FUMPING ElBUILDING PERMIT []HOMESALE OCOMPWNT ❑OTHER:
INSPECRQ SGL LOOS COMMENTS I CONDITIONS .
ME CODES: �1 � RECORD DRAWING AND INSTALLATION REPORT
V=VERY G-GM Y S=SWD L=LOAM &=SILT C•CAY E•EXTFtEMELY R=ROOTS REDUIREDFORFINALAPPROMM.
INSPECTOR SIGNATURE WlE PF4LIGTICN EXPIMTIGL GTE APPLIGTCN APRIWEDIISSUEp BV RATE
�6Y✓I '�11 (2 � ll 'Zgj S'YV) 7i�f2
THIS FORM NAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY VIEBSITE REVISED IW=15
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 3 0 — 1 4 — 9 0 0 3 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. I Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. �Cress-section sketch,including all applicable items on checklist.
This form may be scanned and avallahlafar public view on the Mason County Web site.Maximum paper size: 11"X 17"
pp IFICATION
Permit Number: SWG 02 Z?-5' �OLj Designer's Name: CINDY WAITE
Applicant's Name: RENE SALAZAR Designer's Phone Number: 360-701-0205
Mailing Address: 1045 SE STATE ROUTE 3 Designer's Address: 80 E PICKERING LANE
SHELTIN! WA 98684 SHELTON WA 98584
city State Zi City State Zip
Treatment Device
❑Glendon Biofriter ❑Sand Filter ❑Mound 0 Sand Lined Drainfield ❑ Recirculating Filter,Type:
0 Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other:
Drainfield Type
0 Gravity lilt Pressure RrTrench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 35R,SHor,3 RV Sires Schedule/Class SCHEDULE40
Daily Flow:Operating Capacity 420 gpd Length 68,61,53,52,66 ft
Daily Flow: Design Flow 560 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1500 gal Number 5
Receiving Soil Type(1-6) 3 Separation 9 ft
Receiving Soil Appl. Rate .8 gpd/ft Orifices
Required Primary Area 700 1(z Total N �r} p s 62
Designed Primary Area 900 1(2 Diam G 3/16 in
Designed Reserve Area 900 ft= Spa - 60 in
Trench/Bed Width 3 ft L c S e,tvpy NER enifold
Trench/Bed Length 300 ft SCHEDULE 40
CFf'IHtS 0910,
Elevation Measurements Length 1-2 ft
Original Drainfield Area Slope 1 / Diameter 2 in
New Slope,If Altered % Preferred manifold configuration used? Eif Yes 0 No
Depth of Excavation UP-slope 24 in Transport Pipe
from Original Grade Dowo-slope 22 in Schedule/Class SCHEDULE 40
Designed Vertical Separation 24 in Length 20 ft
Gravelless Chambers Required? ❑Yes 0 No 0 Optional Diameter 2 in
Pump Required? If Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 7
Diff.in Elevation Between Pump&Uppermost Orifice 75 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(Flood) 14SQ gal `1`
Uppermost Orifice Iff Higher 0 Lower than Pump Shumff Pump controls: Please check those required.
Capacity Qa Total Pressure Head 36.58 gpm RITimer G'fElapse Meter [if Event Counter
Calculated Total Pressure Head 17.44 ft If Timer: Pump on ,Pump off
Comments
CONCRETE TANKS REQUIRED, TWO RISERS ON ALL TANKS, GRAVEL BASE DRAINFIELD REQUIRED, PUMP
CONTROLS TO BE SET AT TIME OF INSTALL AT 420GPD, SEE PAGE#2A FOR DETAILS ON DEVELOPMENT
DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 3 0 — 1 4 -- 9 0 0 3 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations 59 Drainfield orientation and layout Reference depth from original grade:
is Soil logs Ed Trench/bed dimensions and Ed Septic tank
m Property lines critical distances within layout ❑ Drainfield cover
m Existing and proposed wells R D-Box/Valve box locations Reference depth from original grade
within 100 ft of property R1 Septic tank/pump chamber and restrictive strata:
la Measurements to cuts,banks,and locations p/rf iwar 66 Laterals,trench bed,top and
surface water and critical areas 19 Observation port location bottom
m Location and orientation of [9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption E6 Manifold placement ❑ Sand augmentation
components 61 Orifice placement Other cross-section detail:
m Location and dimension of Ed Rf Observation Lateral placement with distance ports/clear-outs system and reserve area
to edge of bed
m Buildings Other Information
Audible/visual alarm referenced Yes No
m Direction of slope indicator 56 Scale of drawing shown on scale
❑ Waterlines S 0 ❑ Design staked out
bar ❑ ❑ Recorded Notices attached
❑ Roads, easements,driveways, ❑ ❑ Waiver(s)attached
parking 69 ❑ Pump curve attached
❑ North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residentialiustirrcation
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be n tied by installer at time of installation P Yes ❑ No
l (a &. , I ( y �2�
Signatu of Designer Date
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 r�Ifei;ullattmnns r
P�YV1
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. ., I
✓ 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
Rene Salazar
1045 SE State Route 3
Shelton, We. 98584
Parcel #32030-14-90030
This parcel is 9 plus acres. Mr. Salazar wants to build a shop with one bathroom, bring
in a three bedroom manufactured home and have three recreational vehicle hookups for
when family visits.
I have a septic tank at the shop location and one for the proposed manufactured home
and the three ry hookups all going to a large pump tank to an oversized drainfield.
3 bedroom manufactured home 360 GPD
3 RV hookups @ 50GPD 150 GPD
Shop 50 GP
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Total GPD 560.00 COMM
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APPROVED
FEB 12 2025
MASON COUNTY ENRET NMENTAL HEATH
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ORIFICE SPACING 5
Lateral Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) S acing" Orifices feeder line of end of lateral
1 68 816 60 14 1.5 1.5 68
2 61 732 60 12 2.5 2.5 60
3 53 636 60 11 1.5 1.5 53
4 52 624 60 11 0.5 1.5 52
5 66 792 60 14 0.5 0.5 66
300 62
305
TRANS LENGTH
GPM
K (2"SCHEDULEN 40 ,-
FRICTION LOSS
Squirt 2
Elevation difference 15
TDH 17.449758
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FEB 12 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
DRAINFIELD LAYOUT
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FEB 12 2025
MASON COUNTY ENVIRONMENTAL HEALTH
1050SR & 1050SR-HW
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MASON COUNTY ENVIRONMENTAL HEALTH
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APPROX. WEIGHT 12,000 LBS.
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1585 GAL. FLOOD CAP.
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Installation Notes
Pressure Distribution System:
1045 SE State Route 3 32030-14-90030
1. This system will be serving a three bedroom residence, one shop with one bathroom and
possible three ry site for family visits.
2. 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.
3. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only
4. Concrete tanks required with two risers on all tanks
5. Gravel based drainfield required.
6. 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.
7. Curtain drains can be no closer than 10' upgradient and 30' dawn gradient of the
drainfield
8. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
9. Install access risers on the septic tanks, valve box and ends of laterals.
10. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
11. Lids must form a water and gas tight seal with the access risers.
12. Install effluent filter specified in this design at the septic tank outlet.
13. This system must be installed by a Mason County Certified installer.
14. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
15. 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.
16. Install laterals with contour of the ground.
17. Install trench bottoms level and always maintain a minimum of six inches into native
soil..
18. 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 show on diagram.
19. Install audio/visual alarm.
20. Filter fabric required over drain rock prior to bac ng. the drain rock extends above
the original grade, run the filter fabric at least 2 as n the trench wall into original
grade.
APPROVED 3 = g m IIIAO
FEB 12 2025 iND. N UCEN ER
MASON COUNTYENVIRONMENTALHEALTH EXPIRES
' I'
RET
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.
6. 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 system.
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APPROVED �ryapYYyWfK6 S�
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FEB 12 2925 DESIGNER
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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