HomeMy WebLinkAboutSWG2025-00042 - SWG Application / Design - 2/11/2025 584
MASON COUNTY 415NBSHELTON: , 0427-97WAr8400
SHELTON:3fi0<27-9670,EXT 400
BELFAIR:360-275-0 67,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:3604427-7787
On-Site Sewage System Permit: SWG2025-00042
APPLICANT DUNNINGTON TONY C &TREENA K Phone:
Address: P O BOX 655 SHELTON, WA 98584
OWNER DUNNINGTON TONY C &TREENA K Phone:
Address: P 0 BOX 655 SHELTON,WA 98584
SEPTIC DESIGNER DALE TAHJA` Phone: 360-463-8023
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
SEPTIC INSTALLER TJ GODS* Phone: 360490-0217
Address: 150 E MARISA PL SHELTON, WA 98584
Site Address: 20 E Balmoral Way
Primary Parcel Number: 321225000308
Permit Description: Repair-3BR OSCAR II
Permit Submitted Date: 02/12/2025
Permit Issued Date: 0211912025
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $825.00 (additional fees may 1,e required upon msuileton or system).
Permit Expiration Date: 0 211 8/2 0 2 6 lowed on dare a msaemw)
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 specked 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 OS&
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/environmentaVonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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OFFICIAL USE ONLY
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DIRECTDNS TO SRE AND SNE CCNMBOIIB:(u.I y )
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onto Balmoral Way. Property on the comer of Shetland Rd. and Balmoral Way.
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 2 2 — 5 0 — 0 0 3 0 8
A design win be reviewed when 3 copies of each of the following are submitted:
•Completed design forth that has been signed and dated. Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This form be scanned and euaaable for Ovivaroothe Mason web slbe.Maximum size: 11"X 17"
Permit Number: SWG�7i'+7'S- 2 Designer's Name: Dale Tahla
Treena g Tony Dunnington Designer's Phone Number (�)463-8023
Applicant's Name: t;M '
Mailing Address: P.O.Box 655 Designer's Address: 2450 W Deegan Rd W
Shelton WA 985a4 Sheltan WA 98584
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Treatment Device
O Glendon Diofilter ❑SandFiher ❑Mound ❑Sand Lined Drainfield ❑Recirculating Fiber,Type:
❑Aerobic Unit Meke'Model ❑Disinfection Unit MakaModel Other; N/A
Drainfield Type
❑Gravity ❑Pressure ❑Trench Rf Bed Elf Sub Surface Drip
Septic Tank/Dminfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class OS-100 Coils
Daily Flow:Operating Capacity 270 gpd Length 80 It
Daily Flow:Design Flow 360 gpd Diameter Netafim Bioline in
Septic Tank Capacity(working) 1,000 gal Number 4
Receiving Soil Type(1-6) 4 Separation 1 It
Receiving Soil Appl.Rate 0.6 Spd/ftt Orifices
Required Primary Area 600 11" Total Number of Orifices 400 emitters
Designed Primary Area 600 ftr Diameter Netafim Bioline in
Designed Reserve Area 600 ft2 Spacing 100 emitters/00il in
Trenched Width 19 ft Manifold
Traench/Bed Length 32 ft Schedule/Class Sch.40
Elevation Measurements Length 80 B
Original Drainfield Area Slope 9 01 an 1 in
Slope,If Altered 8Mild G lion used? ❑Yes Rf No
Depth of Excavation UPdI 0 ����Fy�E,�Bdr�11/99C12025 Deport Pipe
from Original Grade n°wa-slaps 0 40
0s, C Ulvrl"ttJ kgr„EWAL HEALTn S �
Designed Vertical Separation 24 in L eft W 5 ft
Graveness Chambers Required? ❑Yes No O Optio Diameter 1 to
Pump Required? 111Yes ONo Dealing and Pump Chamber
Pump/Siphrm Specifications Number ofdosestday 360
Diff.in Elevation Bemwn Pump&Uppemost Orifice 6 Dose quantity 1 gal
Drainfield Squirt Height/Selected Residual(head) drip 1t Chamber Capacity(flood) 1,000 gal
Uppermost Orifice If Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity®Total Pressure Head 30 gout E(fT'uner Utapse Meter StEvent Counter
Calculated Total Pressure Head 50 it If Turner: Pump on 0.36 min. ,pump off 3.64 min.
Cornmetns
Install AudioNisual Alarm. Install Jute Matting. JC com/kL,if jd 01 akf
•DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 2 2 — 5 0 — 0 0 3 0 8
Permit Number: SWG
DESIGN QHECKtdSTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
id Test hole locations lil Drainfield orientation and layout Reference depth from original grade:
m Soil logs 56 TrenclJbed dimensions and lif Septic tank
Is Property lines critical distances within layout SO Drainfield cover
66 Existing and proposed wells R1 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 91 Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and locations 9 Laterals,trench/bed,top and
surface water and critical areas id Observation port location bottom
m Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain dmin and all absorption 56 Manifold placement E6 Sand augmentation
components fig Orifice placement Other cross-section detail:
19 Location and dimension of Elf Lateral placement with distance ❑ Observation ports/cleanouts
primary system and reserve area to edge of bed Other Information
m Buildings 56 Audible/visual alarm referenced Yes No
m Direction of slope indicator 56 Scale of drawing shown on scale G7f ❑Design staked out
111 Waterlines but ❑ ❑Recorded Notices attached
lid Roads,easements,driveways, [30 Waives attached
parking y A FE8 t 9 2025 P P R O V E E6 ❑Pump curve attached
10 North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justification
MASON COUNTY ENVIRONMENTAL HEALT ❑ ❑Waste strength
JBW ❑ ❑Flow
DESIGN 1PPI'tOVAL'
The undersigned designer m be notified b taller time of installation Ef Yes ❑ No
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Signature of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and Rio be btu'
compliance with state and to o -site regulations: y
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n ' enrol HeRtH Specialist
CAUTION: DESIGN AP ROVAL IS VALID ONLY UNDER THE FOLLOWING COND .yn
✓ The design is stamped"Approved"by Mason County Public Health.
✓ 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 are.
Updated Date: 12/7/2015
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Thermoplastic
Reinforced Thermoplastic motor bracket and discharge with built-in guide bearing.This 1/2 HP pump has a stainless
steel top bearing and motor coupling.These are assembled with our ILY.McDonald stainless steel motors.Two wire
single phase models include pump,motor,and 10'lead.
This four inch submersible issupplied with grounded leads meetingthe National Electrical Code(N.E.C.)specifications.
The performance curve below will assist you in choosing the pump that meds your needs.
MODELS E-30GPM 00
E - 306PM
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SUBMITTAL INFORMATION
- Stainless steel pump shell and pump shaft - - Powered by A.Y.McDonald submersible mature 1/2 HP.
- Reinforced Thermoplastic diffusers and impellers - 11/4"FNPTDIscharge
- Thermoplastic Intake screen and cable guard
NO-LEAD:The weighted average of the wetted surface of this no-lead product contacted by consumable water contains less then one quarter of one
percent(025%)lead.
jilgeJogigigglik Lawddge Onstte Technologies,Inc. Toll Frak I-87747fi-8823 daveOImwndeetech.com
P.O.Box 1179 Faze 1425-335-3622 ascaronsde.com
Lake Stevens,WA 98258
A.Y.MLbawld cmiam the Information on thla asmmbh drawled cmrectwhen published.item and option avellability,including spardfnamamq are sub!W b change wimw,d notice
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