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HomeMy WebLinkAboutSWG2025-00046 - SWG Application / Design - 2/13/2025 584 MASON COUNTY 415N6SHELTON: , 0427-970,EXT 400 SHELTON:360-2759 70,EXT 400 BELFAIR:3fi0-275-448],EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2025-00046 APPLICANT MOORE ET AL AMANDA Phone: Address: JUSTIN RYAN CLATSKANIE, OR 97016 OWNER MOORE ET AL AMANDA Phone: Address: JUSTIN RYAN CLATSKAINE, OR 97016 SEPTIC DESIGNER PAULAJOHNSON' Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 Site Address: 111 N Duckabush Loop W Primary Parcel Number: 422095000026 Permit Description: New SFR-2BR Pressure Bed Permit Submitted Date: 02/1312025 Permit Issued Date: 02/24/2025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $555.00 (additonai roes may oa required upon mstaliatun asystam). Permit Expiration Date: 02/20/2028 (6asadon data 0 mapamina) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staffper Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Dmwing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmantaUonsiteloss-inspection-re(luest.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MTEMIDWA )2 - /3 Q25 ® MASON COUNTY COMMUNITY SERVICES ^ 6-154" M&1MYM�(nmmuniry XaXlvEnrircnmwnlelxnitM � N SWG DOaY o A Z fD ON-SITE SEWAGE SYSTEM APPLICATION > A m n RroxE m ARPLII Amanda Moore e� (971)278 3418 r = c MAILINGADCRB irchEEii LLM�$TATE LPCODE O Clatskanie OR 97016 n M 76981 Birch Ln 5111 N DuGGGE ckabush Loop W ^ Hoods—I4 WA 98548 3 a NAME Ci DESIGNER W P.E 3 IIV Arrow Septic Designs 4 (360)898-2255 NM1E OF IN5TAI PXDXE N Maples 6ccavating (360)463-8474 y I o FERMITTYPE(mbtlwM) GIVNNMNQVA7VR50URLE �1 IERESIDENTIALCSS FlOOMEUNRY0S5 liCOMMERCIALOSS IIIPRNATEINDIVIDUPLN£LL Li PRIVATETWD-PARTVVAILL Z I� ry IRI F OPK NRR. RI WATER SYSTEM 1 KNEWCONSTRUCM141UPGRADES LAtREPAIR/REP CEMEM OTXERceTAILSpxFaYtMIePpV9 pTABLEIXPEMIR V � kn SUM"mALs OSURFACINGSEWAGE DIDIWINGFAILURE SHORELINE 91DESIGNFORM(REOUIRED) IUISEMC DESIGN(REQUIRED) SEDRWMS LOT EME oI� ELVIVIVER(5)(IF APPLICABLE) 2 BR .22 acres s I C DYEcnoxsrG srcenxosRE coxwrroxs a.IRx.ep"N/ Go out W Railroad Ave and turn (R)onto the US-101 N ramp to Port Angeles. Merge onto US-101 N.Tum (L)onto WA-119 N/N Lake Cushman Rd. Turn (L)onto Duckabush Way. o I e Turn (L)onto N Duckabush Dr E. Turn (R)onto N Duckabush Dr W. Turn (R)onto N Duckabush Loop W. Destination on (L). Yellow sign: "Moore" ro N 9IE/µ1TKMBPED FRp1YAM'RMPAMP TE9t MOLEB MUdTRE RAGGED IMMIFSTNOLENUM9ERS C0 I0, OFFICIAL USE ONLY BELOW THIS UNE UWRALEIFAILURESOWICENm," 11R,Nu;1 OVOLUNTARY ONAIMENANCE)PUMPING OBUILDINGPERMIT QHOMESALE OGOMPWNT QOTHER'. INSPECTORSDILLCGS CGMMEMSILONgTONS 30 .cs 3i� �s NEI DRMVNGAND INSTAWTION REPORT SOILCWES; V=VERY GIIGRAVELLV 5=SAND L=LOAM S=SILT C-CuY E=ORIEMELY R=ROOTS REQUIRED FOR FINALARNVWAL INSPECTOR SIG TVRE GATE AP0.1LAT0.Y EXRRATgN GATE AWUUTIONAPPRD W1WUEDBY DA 2-10- T 5 MAY BE III AND AVAIL E FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REI+NrzmS DESIGN FORM—PAGE ONE Assessor's Pmcel Number: 4 2 2 0 9 — 5 0 — 0 0 0 2 6 A design will be reviewed when 3 envies of each of the following are submitted: •Completed design farm that has been signed and dated. w Scaled layout sketch,including all applicable items on checklist v Scaled plot plan,including all applicable items on checklist. "Cross-section sketch,including all applicable items on checklist. Thla form may be scanned and available for public viawen tha Mason County Web she.Masimum er sae: 11"X 17" Permit Number. SWG ZOZ�J 'C.2"��(O Designer's Name: Arrow Septic Designs,Inc Applicant's Name Amanda Moore Designer's Phone Number: (360)898-2255 Mailing Address: 76981 Bich Ln _ Designer's Address: 171 E Vuea tat Or Clatskanie OR 97016 than. WA 98592 City State Zi Cl State Zip 'DESIGf4.PABAMETERS Treatment Device O Gieadon Biofma O Sand Filter ❑Mound ❑Sand Lined Dn imfieid ❑Recirculating Filter.Type: ❑Aembic Unit Make/Model ❑Disinfection Unit MakeiModel Other: Draiafield Type O Gravity ofPress. O Trench IaBed O Sub Surface Drip Septic Tank/Drainfeld Specifications Laterals Number of Bedrooms 2 Schedu)e/Class 40 Daily Flow:Operating Capacity 180 gpd Length 30 It Daily Flow:Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,000 gal Number 4 Receiving Soil Type(1-6) 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ftr Orifices Required Primary Area 300 fe Total Number of Orifices 24 Designed Primary Area 300 Is Diameter 3116 in Designed Reserve Area 300 ftr Spacing 80 in TrenchBed Width 10 ft Manifold Trench/Bed Length 30 ft Schedule/Class 40 Elevation Measurements Length 7.5 ft Original Dreinfield Area Slope 0-1 % Diameter 1.25 in New Slope,If Altered (1-1 % Preferred manifold configuration used? bl(Yes ❑No Depth of Excavation ❑palepe 12 in Tansport Pipe from Original Grade Oo--snipe 10 in Schedula/Class 40 Designed Vertical Separation 26+ in Length 75 ft Gmvellcm Chambers Required? ❑Yes Id No D Optional Diameter 2 in Pump Required? Id Yes ONo Dosing and Pump Chamber Pump/Siphon Specifications Number ofdosesrday 4 Diff.in Elevation Between Pump&Uppermost Orifice 12 ft Dose quantity 60 gal Denivfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1.ono gal Uppermost Orifice Of Higher ❑Lower than Pump Shtnoff Pump controls:Please check those required. ure Capacity @ Total Press Head 14.16 gpm fYJTimer I(Elapse Meter R(Event Counter Calculated Total Pressure Head 14.57 B If Timer: Pump cn 2 mintuma ,pump off 6 hours Comments P W Y so sings, t of B MCI) FEB 14 2025 UNTVENVIR0N41ENT41 HEq(TH Jgw DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 0 9 — 5 0 — 0 0 0 2 6 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 16 Test hole locations la Drainfield orientation and layout Reference depth from original grade: 66 Soil logs Rf Trench bed dimensions and Rf Septic tank 16 Property lines critical distances within layout 9 Drainfield cover ❑ Existing and proposed wells ❑ D-Box[Valve box locations Reference depth from original grade within 100 ft of property 16 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations E9 Laterals,trench/bed,top and surface water and critical areas 16 Observation port location bottom ❑ Location and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation components 19 Orifice placement Other cross-section detail: la Location and dimension of ld Lateral placement with distance Ed Observation ports/cleanouts primary system and reserve area to edge of bed H Buildings g Other Informalloa 19 Audible/vis 1 need Yes No 16 Direction of slope indicator 16 Scale of ale Ed ❑ Design staked out 111 Waterlines bar ❑ Rf Recorded Notices attached lid Roads,easements,driveways, ` O ❑ fif Waiver(s)attached parking f 19 ❑ Pump curve attached 16 North arrow and scale drawing '•a?) if Evaluation of failure shown on scale bar iI . 51 OUe PAMA JOY JOHNSON Noss-residential justification L 8E 1:5i 1 ❑ Rf Waste strength 1 ❑ fif Flow ♦♦♦♦♦♦ '''' DESIGN PROVAL The Lnde ust be o ed by i Ile at time of installation Id Yes ❑ No OVA Vv 2-t yrs Qik EPA Signature of Designer Date T%ft rrevviewed this desk on behalf of Mason County Public Health and determined it to be in co t and local on--siteEnve tit Specialist Date CAUTION: DESIGN APPROVD ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. Qv ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 2—,?i0,L O ✓ 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 I a, U S 3 s I a P m t r � 0 WE 8 ifs✓ % I: .. " -EW L '� ni J F tr �f yt �rtit Ri tip i i5 i ypy � f 1C Al."�.. ♦ �' 's r C s a ie r 'a L 2oF8 ' Sc�le: l"=26 so 40 [• O Dlat Plarl 1� o • ^? JJ3109309 Amanda MenrP ` PP LA l°T JOHH500 . �i.v,l#`12209-5�-Ooo26 r ' s3wms I)136WbLfit, LDD� W. 2'l L' ZS Pre WA 9854E pO OaMul �o #1:3y CIS Ir to Or gqs C�m�c1 0,s" iescrw- I #52:37"c�\Ssr to R4 Compack V6 5 a / ©Q Rev: � 1 QAudio-Visual Alarm P�p° © Ckanout ® 1000 Gallon Septic Tank 2-Compartmmt with Effluent Filter O4 1000 Gallon Pump Chamber O APPROVE D, FEB 2 4 2029 NASONCCUNTYE�WRCP,'d--'F,:, -F,, Jsw a� 3 � 0 petaled �.a,nfi�;d L_agow�'. -(Y�iGal Observa"r��n 2y�YaK5�0/1" Wry b -TylptCal SGAL� : 1°=gyp' 30" (O o s /�' Za ' 30 . e �u Or. fps •PAULA JOY,JOHNS ON' . fi I I erFabr e Sandy IaaN Cove If;ll i` ' Jr a1 �. La{ C>Y-ads- �, 41 lot J 25+ RESTR\CTLV� UkYEl2 ,� SCALE ps..•--SCREW ON CAP - S �ramy�2l�Cross- f"7,oh V ,ew 45 DEGREE ELBOW OR Nmc (rypieet Bed layaed) Srr-&LSK'EEPING 90 O=tJh$araPort-ml.ec pafaatvf PVC pipe free bom 4fbedto fMMW WD OP grad--.A teaorai mp eial be bmmlted m ' DITC� obswv2tim poet Opp Ghm-r"m botran DETAIL wp4mcm-tbeeemoyai CLEAN OUT Armbtmm ar ba$'aem.ooe in each case. NOTE, CLEApODT TO BE FROM 0 TO 6 Awn 7 INCHES BELOW PINISEED GRADE. -' MARK ENDS KITE REBAR. CLEAN OUT FEB 24 AN REQUIRED AT END OF EACE LATERAL. MASON COUNTY ENVIRONMENTAL HEALTH 4 cr- s Jaw