HomeMy WebLinkAboutSWG2025-00026 - SWG Application / Design - 1/30/2025 415 N 6TH STREET,SHELTON.WA 98584
MASON COUNTY SHELTON:360427- .EXT 400
BELFAIR:360-275-44674487,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2025-00026 0Vr�'1
APPLICANT STEPHENS CHARLES&JULIE Phone:
Address: 18004 SE 282ND CT KENT,WA 98042
OWNER STEPHENS CHARLES&JULIE Phone:
Address: 18004 SE 282ND CT KENT,WA 98042
SEPTIC DESIGNER DALE TAHJA' Phone: 360463-8023
Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584
SEPTIC INSTALLER CRAIG SHOCKMAN Phone: 206-734-1869
Address: 90 Quetilquasoon Road MANSON,WA 98831
Site Address: 221 N WEBSTER LN
Primary Parcel Number: 224065100008
Permit Description: Repair 2bd Oscar II
Permit Submitted Date: 02/03/2025
Permit Issued Date: 02/19/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (abditional fees rear be regwned upon matalmon O "on.
Permit Expiration Date: 02113/2026 (based on dale a 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
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.govlhealthlenvironmentallonsiteloss-Inspection-request.php or call:
360.427-9670, extension 400.
OFFICIAL USE ONLY
MASON
mmu=nCOUNTY
nlM NNIB,I
�SWG
TMOW eD "- OOOZO
COMMUNITY SERVICES ao
A
w
ON-SITE SEWAGE SYSTEM APPLICATION
m PHONE
Charles es Stephens (206)510-1431 c
NAILwaAmREss-srflEET,clrv.sTATe,m \h 1 WA 98042 = M
18004 SE 282nd Ct. iJ
m A
SITEMgtE66-BTPEET LT',31P COO"
221 N. Webster Ln. o Lilliwaup WA 98,555 { ("
HMIEOF CESIONER O
Dale L. Tahja m (360)463-8023 N
NWE OF MSTPI u- PHONE {
Craig Shockman (509)449-3232
FFFNIITIE(M _) CC IXtINKING WATER SOVRCE O I O
9RESIDENTIFLOSS L.NCC11 COMMUNRYOSS F11COMMERCU1066 EIPRNATEINDNIDUALW U. EOFRNATETNOPARTYWELL 2 { 0)
TYPCE O1P WORK fraa arnl PUBLIC WATER SYSTEM TMN^ne. .
EA, ,
NEWCONSTRUCJDNIUPGRADEs ®REPAIRIREPIACEMENT OTNIJI pETALR(NNd NxwaxHl 0WLE IX REPAIR I IT
SUBcMI�I'TMS OSURFACINOSEWAOE OEXISTWOFAILURE 064ORELINE
PSDESKSN FORM(REGU WED) �EPTIC DESIGN(REQUIRED) EEDRCONS LOTaIEE 0 I
CC�T �
SyiWANEIi(6)(IF APPLICABLE) 2 0.73 acre x { O
OIFECTKPAS TO BIIENIO AlECIX1DIfION6:0c AxlieCpb)
Go north on Hwy 101, right on Webster Lane, property on the left, directly across from N. CD
Bow Tree Lane. c I o
ti
O
00 co
MEYUDIBEMOOEDFRONMAM ROAD A/Y11EdTXNETW615EiLA40E01Ml1ITEYT/KKENWMERA
OFFICIAL USE ONLY BELOW THIS LINE
IIPORPDEUNTARE SONWE(b NI.aINB MF MPI
O VOLUNTARY OMAINTENPNCEDRIMPING OBNLDING PERMIT OHOME SALE OCOMPLAINT DOTHER'.
INSPECTON601LLOGs CCT.M.',,ONORIQYS
r ✓6 `{ W
2 Z
Ti= 0-zA ESL vA V, v�3
7M
S an.k 0„5
RECDRD DRAwwo ANG lrvsTsaLAnaN REPGRr
aO eaoec
y-y GIGRAVELLY S=SMO L=LOM1 NzSILT C=IXAY E=EXTREMELY ft=flWTS REWIRED FIXiFMLLAPPRMPL.
INSPECTOR SIGNRTURE WTE MPLICATXHI FJPHUTION WTE APPLILATIONM+ROVEDf ISSUED BY DATE
nI , qA v- LLG Lh2±jW
TNMFORMMAYBE NEDANDAVAILAMLEFORPUBLICVEWOMTNEMABIXICOUMYV1EB61TE REVISED lw.'s
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 4 0 6 — 5 1 — 0 0 0 0 8
A design will be reviewed when 3 coda of each of the following are sal n fitted:
•Completed design form 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. I Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for pudic view on me Mason County web site.Maximum Paper size 11"X 17"
PARCEL IDENTIFICATION
QO -00026 Dcsi er's Name: Dale Tahla
[Applicant's
it Numbtt: SWG 2� � 3604286940
Name: Charier Stephens Designer's Phone Number:ing Address:
18004 3E Mod LY Designer's Address: 2450 W Deegan Rd W
\hqA(\ WA a9042 Siwlbn WA aB580
C' State Zi citystate Z'
NPARAMETERS
Treatment Device
❑Glendon Biofit= ❑Sand Filter ❑Monad ❑Sand Lined Dr unfield ❑Recirmlating Filter,Type:
❑Aerobic Unit MAdModel ❑Disinfection Unit Make/Model Oche: WA
Drainfield Type
❑Gravity ❑Pressure 0 Trench fit(Bed Ef Sub Surface Drip
Septic Tank/Dr tinfseld Specifications Laterals
Number of Bedroom 2 Schedule/Class OS-100 coils
Daily Flow:Operating Capacity 180 god Length 7X7 ft
Daily Flow:Design Flow 240 gpd Diameter Netafim Bioline in
Septic Tank Capacity(working) 1,000 gal Number 3
Receiving Soil Type(1-6) 4 Separation 1 ft
Receiving Soil Appl.Rate 0.6 gpd/ftt Orifices
Required Primary Ara 400 ftt Total Number of Orifices 300 emitters
Designed Primary Ara 400 fit Diameter Netafim Bioline in
Designed Reserve Area 400 ftt Spacing 100 emitters/coil in
Trench/Bed Width 16 ft Manifold
Trench/Bed Length 25 ft Schedule/Clam Sch.40
Elevation Measurements Length 260 ft
Original Dramfield Area Slope 14 % Diameter 1 in
New Slope,If Altered 13 % Preferred manifold configuration used? 0 Yes Iallo
Depth of Excavation U"10a 0 in Transport Pipe
from original Grade gown-slope 0 in Schedule/Class Sch.40
Designed Vertical Separetion 25 in Length 5 ft
Gravelless Chambers Required? ❑Yes id No 0 Optional Diameter 1 in
Pump Required'/ 510 No hosing and Pump Chamber
Pump/Siphon Specifications Number ofdosa/day 360
Diff.in Elevation Between pump&Uppermost Orifice 25 ft Dose quantity 0.67 gal
Drainfield Squirt Height/Selected Residual(head)
drip it Chamber Capacity(flood) 1,000 gal
Uppermost Orifice Of ❑Lower than Pump Shutoff
Pump controls:Please check those required
capacitycapacity(a)Total Pressure
sure R Head 30 gpm Timer Bllifflapse Meter G(Evem Counter
Calculated Total Pressure Head 30 fl If Timer: Pump on 0.32 min Pump off 3.52 min
Comments
Audio/Visual Alarm required. This system replaces the existing system and meets new construction
standards. \ 0.
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 4 0 8 — 5 1 — 0 0 0 0 8
Permit Number. SWG
': DE9I(iN L"�UkYf.Ih :� .
rd Plot Plan Scaled Layout Sketch Cross-Section Sketch
st hole locations 19 Drainfield orientation and layout Reference depth from original grade:
il logs 56 Tranch/bed dimensions and � Septic tank
operty lines critical distances within layout 19 Draintield cover
ig D-Box/Valve box locationsxisting and proposed wells Reference depth from original grade
ithin 100 ft of property R1 Septic tank/pump chamber and restrictive strata:
1Z Measurements to cuts,banks,and locations l5 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
m Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 56 Manifold placement 19 Sand augmentation
components 19 Orifice placement Other cross-section detail:
Location and dimension of R1 Lateral placement with distance Sf Observation ports/cleanouts
primary system and reserve area to edge of bed Other Information
Id Buildings 1f AudibleMsual alarm referenced Yes No
1J Direction of slope indicator E6 Scale of drawing shown on scale 21 ❑Design staked out
m Waterlines bar ❑ ❑Recorded Notices attached
Ib Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking E6 ❑Pump curve attached
Id North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑ Flow
DE$16NAPP$(1�i1(+
The undersigned designer` b�e nottiified b ''nsi'ali�`at time of installation Yes ❑ No
Signature ofDesigner Date
The undersigned has reviewed this design on behalf of Mason County Public Health and � i-
compliance with state and local on-site regulations:
Environmental Health Specialist
M cwi
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COND %Yp
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
✓ Dminfield 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.
dated Dart: 17/72015
2�` \�l•�eb�Er L.�n
I y
1
e 51002
02 'Jak L Tahje
LICFNSED DESIGNER .�
O
7J7`
1 y
� 4
ON
_ . fi.__S1ITCVV �t�\V
APPROVED
FEB 19 2025 J
MASON COUNTY ENVRONMENTALHEAUN
RET �
FEB 19 2025
MASON COUNTY E AR NMENTAL HEALTH
�c
AS�c �'l C• 33 Say 4
a
1
bale L WO
LICENSED DESIGNER
mioo Coil Datell:
mom
{ 1 5y
\ � / 1 1 °°°• �� 51
0021
Dak L.Tahja
LICENSED DESIGNER
The OS-10D OSCAR GMt M taha faD 0.42 yph NeWM emitters in a SD sq. ft. fact
prmL Emitter cwmmw ton ls 2 emitters per sq. ft. Desipn flow for each Osf 00 is
too gpa.
x
NSF
APPROVED
FEB 19 2025
MASON COUNTY ENVIRONMENTAL H
RET
Thermoplastic
Reinforced Thermoplastic motor bracket and discharge with bui77:
p has a stainless
steel top bearing and motor coupling.These are assembled with our A.Y.McDonald stainless steel motors.Two wire
single phase models include pump,motor,and 10'lead.
This four inch submersible is supplied with grounded leads meeting the National Electrical Code(N.E.C.)specifications.
The performance curve below will assist you in choosing the pump that meets your needs. I
MODELS E-36 GPM 00
e - 30OPM
lair IIItL NPSL
IN _j- _ _ T_
i I L
re 1N IJ2me•4STA�GT
I
1
e u N 40 N N Ft N
FWON a N N N N dN tN tN in
FLOW GPM APPROVED
Specifications FEB 19 2025
Lora' trz Plank 115 1 1 1 10.94 1 953 1 211ASON COUNTY ENVIRONMENTAL HEALTI'
RER,s
SUOMFFTALINFORMATION
- stainless steel pump shell and pump shaft - Powered by A.Y.McDonald submersible matins lU2 HP.
- Reinforced Thermoplastic diffusers and impellers - 111V FNPT Discharge
- Thermoplastic intake screen and cable guard
N04L O:The weighted average of the wetted surface of this na-lead product contacted by consumable water contains less than one quarter of one
percent(0,25%)lead.
Lowridge Onsite Technologies,to. Tall Free: daveFFiawridgetech.com
P.O.Box 1179 Fat 1.425-335-3622 oscaronsite.com
Lake Stevens,WA 98258
AY.McDonald c miden the imnNnN enthb"sunbb drung Nnat when WblishW.aem and on.arelleerity,1"Uh illwIhudNA ere-inlab'hang'wi[W n-fm
Submitted by: MOM