HomeMy WebLinkAboutswg2025-00058 - SWG As-Built - 2/20/2025 SHELTON,WA
MASON COUNTY 415N8THELTON: , 0427-97 ,EXT 400
SHELTON:360d27-9870,FJR 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360482-5289,EXT 400
FAX 360-427-7787
On-Site Sewage System Permit: SWG2025-00058
APPLICANT WESTON JEANNE M Phone:
Address: 321 E PICKERING RD SHELTON, WA 98584
OWNER WESTON JEANNE M Phone:
Address: 321 E PICKERING RD SHELTON, WA 98584
SEPTIC DESIGNER CINDY WAITE• Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
SEPTIC INSTALLER B-LINE CONSTRUCTION Phone: 1.360.489,9169
Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON,WA 98584
Site Address: 323 E Pickering Rd
Primary Parcel Number: 221293190001
Permit Description: New 2-bedroom pressure system
Permit Submitted Date: 02/20/2025
Permit Issued Date: 0311112025
Issued By: David Anderson
Current Permit Fees Paid: $825.00 (additional reel may oe required upon installation or symem).
Permit Expiration Date: 03/07/2028 (oaaea on dare of 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 backfi'll 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/envimnmental/onsiteloss-inspection-request.php or call:
360.427-9670,extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION 3
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MPLILANr — PHONE IT, m
HOFF C/O B-LINE CONSTR ') 360-426-4221 c
MAILING ADDRESS-STREET,CT}STATE,ZIP CODE
PO BOX 1761 PORT TOWNSEND WA 98368 m
SITEA STREET,CITY ZIP CODE ca
DDRFss- •'�'
2 E PICKERING RD SHELTON WA 98584 ^�
NAME OF DESIGNER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTALLER PHONE v
B-LINE CONSTRUCTION 360426-4221 y I ro
FERFNT TYPE R0N.-) DRINKING WATER SOURCE
9RESIDENTIALOSS 6COMMUNITYOSS ECOMMERCIAL OSS 9FT PRIVATE INDIVIDUAL WELL E PRIVATE TWCPARTY WELL =
WPEOFWORX(mk..) C PUBLIC WATER SYSTEM
ff NEWCONSTRUCTIONIUPGRADES 5REPAIRIREPIACEMENT OTHERDETXLSRMA10ftlappq QTABLE IX REPAIR W
SUBMITTALS O SURFACING SEWAGE ❑EXISTING FAILURE O SHORELINE m
DESIGN FORM(REQUIRED) IffSEPIRC DESIGN IREOUIRED) BEDROOMS LOT SIZE p I �
ffWAIVER(S)RFAPPLICABLE) 2 185'X235r I �
DIRECTIONS TO SREAND SITE LONVITICNS:(ei.bcWIPft)
GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO PICKERING RD, TURN LEFT AT 321 10
E PICERING RD(FIRST DRIVEWAY ON THE LEFT), NEW DRIVEWAY GOING UP TO r
THE PROPERTY ON THE LEFT OF DRIVEWAY. SOIL LOGS ARE IN THE NORTHWEST a o
CORNER. o
4?E MUSTIEMDOEO FROMMAM ROAOANO TEST Md.E4YV4T CC F400ED NTIMTE3TMIXENIIY5ER4. I �
OFFICIAL USE ONLY BELOW THIS LINE
UPGPME/FPILIMESWRLE(Iprnpalv,p qvP eel
QVOLUNTARY ❑MAINTENANCEIPUMPING ❑BUILDINGPERMIT OHCMESALE QCOMPINNT OOTHER:
INSPECTOR SOIL LOGS 00MMENTSICONORIONS
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80L OWES: RECORD DRAWING AND INSTAIUTN)N REPORT
V.A L=LOAM Si-SILT C�CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FNNL APPROAL.
&;LICATION EXPIRATgN DATE APPLICATI RWED/ISSUEUSY MTE
TW6,�,�q ✓lCANNEO AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY INESSO'E REVISED 12n 15
u 'iC795L ..
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 2 9 — 3 1 — 9 0 0 0 1
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been signed and dated. v 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 may be sunned and available for public view on the Mason County Web aft.Maximum a er sire: 11"X 17"
t -+ PARCEL IDENTIFICATION
Peltnit Number: SWG 2QZS - C QQ0 Designer's Name: CINDY WAITE
Applicant's Name: HOFF C/O&LINE CONST Designer's Phone Number: 360-701-0205
Mailing Address: PO BOX 1761 Designer's Address: 80 E PICKERINTG LANE
PORT TOWNSEI,WA gem SHELTON WA 88884
city State Zip city State Zi
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofiher ❑Sand Filter ❑Mound ❑ Sand Lined Dminfield ❑Recirculating Filter,Type:
❑Aerobic Unit MekcJModel ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity Ef Pressure ❑Trench ❑ Bed ❑ Sub Surface Drip
Septic Tank/Drainfteld Specifications Laterals
Number of Bedrooms 2 - Schedule/Class SCHEDULE 40
Daily Flow: Operating Capacity 180 gpd Length 30',36,35' ft
Daily Flow: Design Flow 240 - gpd Diameter 1.25 in
Septic Tank Capacity(working) 1250 gal Number 3 '
Receiving Soil Type(1-6) 3 Separation [vQ„ 9 r ft
Receiving Soil Appl.Rate .8 gpd/ftt p y,sy$ rifices
Required Primary Area 300 ft Total Numb ° A 20
Designed Primary Area 300 ft Diameter 5 1y�oswoaw 3116 in
�
Designed Reserve Area 300 ftt Spaci - LICE Y E V*-k 60 in
ER
Trench/Bed Width 3 - ft 'a(1
W 5 IOi
Trench/Bed Length 100 ft Schedule/Class SCHEDULE 40 —
Elevation Measurements Length 1-2 ft
Original Drainfreld Area Slope 3 % Diameter 2 in
New Slope,If Altered % Preferred manifold configuration used? Sf Yes O No
Depth of Excavation Up-slope R in Transport Pipe
from Original Grade Down-alopc �rVol inSchedule/Class SCHEDULE 40
Designed Vertical Separation in Length 80 / ft
Gravelless Chambers Required? O Yes O No ❑Optional Diameter 2 in
Pump Required? ❑Yes O No Dosing and Pump Chamber -
Pump/Siphon Specifications - Number ofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 20 ft Dose quantity 45 gal 1
Drainfreld Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1296 < gal `\
Uppermost Orifice 11f Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 11.8 gpm I (Timer G(Elapse Meter lif Event Counter
Calculated Total Pressure Head 2222 ft If Timer: Pump an Pump off
Comments
INSTALLER AND DESIGNER TO MEET ON SITE AT TIME OF CLEARING TO STAKE OUT GRAINFIELD LATERALS.CONCRETE
TANKS AND GRAVEL BASE DRAINFIELD REQUIRED.PUMP CONTROLS TO BE SET AT TIME OF INSTALL AT 18OGPD.
i
DESIGN FORM—PAGE TWO Assessor's Parcel Number.2 2 1 2 9 — 3 1 -- 9 0 0 0 1
Permit Number: SWO
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
16 Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
m Soil logs Ed Trench/bed dimensions and Sf Septic tank
19 Property lines critical distances within layout Gil Drainfield cover
RI Existingandproposed wells 19 D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property 56 Septic tank/pump chamber and restrictive strata:
Owileasurements to cuts,banks,and locations Pivit *top 65 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
VlikLocation and orientation of fiL Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 91 Manifold placement ❑ Sand augmentation
components 69 Orifice placement Other cross-section detail:
Ia Location and dimension of R1 Lateral placement with distance 51 Observation ports/clean-outs
primary system and reserve area to edge of bed
lb Buildings Other Ieformatioo
� Audible/visual alarm referenced Yes No
6d Direction of slope indicator pt•t rn•P
9f Scale of drawing drown on scale ❑ Ef Design staked out
m Waterlines bar ❑ ❑ Recorded Notices attached
id Roads,easements,driveways, ❑ ❑ Waivers)attached
parking 59 ❑ Pump curve attached
IL North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notif d by in ller at time of installation Id Yes ❑ No
7 � 2d& ajtqj -z0-."-
Signaturelot Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined ii to be ip"9
compliance with state and local on-site Sol ions;
// o r •/
Environ�ealth/S 1 .C'ist[/ � J Date SONCO�N�NA J �ZOZS
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CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:dfNTq�H
✓ The design is stamped"Approved"by Mason County Public Health. ?? ry
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is:�7 F�x Z D
✓ 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: 12/72015
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ORIFICE SPACING 5
Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 30 360 60 6 2.5 2.5 30
2 35 420 60 7 2.5 2.5 35
3 35 420 35 7 2.5 2.5 35
4
1001 1 20
TRANSLENGTH 80
GPM 11.8
K (2"SCHEDULEN 40) "'284.5
FRICTION LOSS
Squirt 2
Elevation difference 20
TDH 22.22183
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MATERIAL
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Installation Notes
Pressure Distribution System:
22129-31-90001 XXXE Pickering Rd
1. 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.
2. Gravel base drainfield required„ h„
3. Concrete tanks required 24
4. Tanks required to have two'V" risersl
5. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only
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' down 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 shown on diagram.
19. Install audio/visual alarm.
20. Filter fabric required over drain rock prior to backfilling. If the drain ro ,,exte above
the original grade, run the filter fabric at least 2 inches down the tre wall " riginal
grade
LIC Ad dssIGNER
Mgq � � 2015
MgSONOOUNIY DRO✓ N
A ueNT4k RSA[?P
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.
S. 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. E
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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