HomeMy WebLinkAboutSWG2025-00081 - SWG Application / Design - 3/17/2025 416N6® MASON COUNTY H STREE0427-97 ,EXT 400
SHELTON;
ELTON;STREET.
ON, EXT 400
BELFAIR:360-2754467,EXT 400
Public Health & Human Services ELMA:MOA82-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2025-00081
APPLICANT LEVINE LANCE R Phone:
Address: 351 E SHAMROCK DR SHELTON, WA 98584
OWNER LEVINE LANCE R Phone:
Address: 351 E SHAMROCK DR SHELTON,WA 98584
SEPTIC DESIGNER CINDY WAITE` Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 351 E SHAMROCK DR
Primary Parcel Number: 321275200024
Permit Description: Nonconforming repair 2bd pressure trench
Permit Submitted Date: 03/1312025
Permit Issued Date: 03/17/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: E825.00 (addeann%ea may bem9mred upon lmralM4ao or synemi.
Permit Expiration Date: 03/14/2026 (based on dale of spedlon)
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.
6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 Masan 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/environmental/onsiteloss-inspection4equest.php or call:
360427-9670,extension 400.
OFFICIAL USE ONLY
DATLRECENLD�.
MASON COUNTY m >
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ON-SITE SEWAGE SYSTEM APPLICATION D p
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APPLICANT PHONE m
LANCE LEVINE 360-427-3821 z
MAILING ADDRESS-STREET Llrv,STATE,ZIP LOGE
351 E SHAMROCK DR o SHELTON WA 98584 A
351 E SHASTASMROCK DR iLl SHELTON WA 98584 �'
NAMEOFOESIGNER Q PHONE0 I N
CINDY WAITE Lwl 36 -701-0205
N�AAMpEEOFINSTALLER C m FNONE O
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PEIRMOID P(aWrt mel DRINNINGWATERSOURCE I N
RESIDENTIALOSS I'ICOMMUNITYOSS ❑COMMERCIALOSS GPRIVATEINDIVIDUALWELL 6PRIVATE TWO-PARTYWELL = IV
rvPE OF MRK Ua Ct ) R PUBLIC WATER SYSTEM IAI(E LIMERICK.
ENEW CONSTRUCMONIUPGRADES 9REPMRIREPIACEMENT OTIIERDETMLSIee MMVe ) OTABLE I%REPAIR ICI
SUBMITTALS m SURFACING SEWAGE ®EXISTING FAILURE OSHOREUNE
WDESIGN FORM(REQUIRED) FTSEPTIC DESIGN(REQUIRED) BEDROOMS LOTSUE IN
6WAIVER(S)(IFAPPUCASLE) ivx /,Bf e, ge,"
0(RECTIONS T(151TEAND SITE CANDITICNS:(ev.p[MM pebJ O>jl tiF�>P
TAKE FIRST ENTRENCE INTO LAKE LIMERICK, TURN LEFT ONTO SHAMROCK DR I
(BY THE GOLF COURSE), GO TO END OF SHAMROCK, SOIL LOGS ARE BETWEEN r
THE
7RESIDENCE AND GOLF COUR/SE. o 0
SNEMUSTBE MGGFP iROYWWROAD ANOIEST MOLES MUST BE MGGEO M1TN lE5T Nd.ENUYBEFS. A
OFFICIAL USE ONLY BELOW THIS LINE
PWADEf FUtURESOURCE(IMe bN;,)
®VOLUNTARY ❑MAINTENANCEIPUMPING E3BUILDINGPERMFT CJHOMESALE OCOMPWNT OOTHER.
INSPECTOR ML LOGS COMMENTS I CONDITIONS
MotAllN
2,4
90LLCOYES. RECORD DRAWING AND INSTALurION REPORT
V=VERY G-GRAVELLY S=SAND L-LON.1 B.BILT D=C Y E.EXTREMMY R=ROOTS REQUIRED FOR FINPLAPROVAL.
INSPELTORSIGMTURE OATS AP CAQCME%PIRAnm DATE APPLICATION APPROVED ISSUED BY DATE
�T1M ��ly _5 �u Ztv
THIS FORM MAY BE kANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 127R015
DESIGN'FORM-PAGE ONE Assessor's Parcel Number: 3 2 1 2 7 - 5 2 - 0 0 0 2 4
A design will he reviewed when 3 copies of each of the following are submitted:
"Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
Scaled plot plan, including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This form maybe sunned and available for Public view an the Mason County Web sae.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number. SWG Zd Zs -UOCaf/ Designer's Name: CINDYWAITE
Applicant's Name: LANCE LEVINE Designer's Phone Number: 360-701-0205
Mailing Address: 351 E SHAMROCK DR Designer's Address: 80 E PICKERINTG LANE
SHELTON WA ON" SHELTON WA on"
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Dreinfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainfreld Type
❑Gravity fid Pressure ❑Trench ❑ Bed ❑Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCHEDULE40
Daily Flow:Operating Capacity 180 gpd Length 33.25 8
Daily Flow: Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1060 INFILTRATOR gal Number 4
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl. Rate .6 gpd/ft' Orifices
Required Primary Am 400 R' Total Number of Orifices 28
Designed Primary Area 399 W Diameter 3116 in
Designed Reserve Area limited ftz Spacing 60 in
Trench/Bed Width 3 ft ra anifold
Trench/Bed Length 133 ft Schedule/ 'vP ` ' , SCHEDULE40
Elevation Measurements Length 1-2 ft
Original Detailed Am Slope <1 oA Diamet Ci l� Te..
% Prafe -mdMIi6 R. 2 in
New Slope,If Altered RS Ponu EfYes QNo
Depth of Excavation UP-slwe 8 in Transport Pipe
from Original Grade Down-slaps 8 in Schedule/Class SCHEDULE40
Designed Vertical Separation 12-15 in Length 15 R
Gravelless Chambers Required? RfYes O No O 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 7 It Dose quantity 45 gal 1\`,
Dreinfield Squirt Height/Selected Residual(head) 2 R Chamber Capacity(flood) 1287 gal
Uppermost Orifice if Higher O Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 16.52 gpm IdTimer h(Elapse Meter 9f Event Counter
Calculated Total Pressure Head 9.077 R If Timer: Pump on .Pump off
Comments
ALL CLEARING MUST BE DONE IN DRY WEATHER, STUMP HOLES MUST BE FILLED WITH C-33 SAND PRIOR TO INSTALLATION,
PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION, GPD MUST BE SET AT 180 GALLONS,LOW PROFILE IFILTRATORS
TO BE USED, 1060 INFILTRATOR TANKS TO BE USED.
DESIGN FORM—PAGE TWO Assessor's Parcel Number. 3 2 1 2 7 — 5 2 — 0 0 0 2 4
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
16 Test hole locations 1Z Drainfield orientation and layout Reference depth from original grade:
16 Soil logs Ed Trench/bed dimensions and Rf Septic tank
19 Property lines critical distances within layout 9 Dminfield cover
m Existing and proposed wells Ed D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 56 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts, banks, and locations 19 Laterals,trench bed,top and
surface water and critical areas 59 Observation port location bottom
❑ Location and orientation of Z Clean-out location ❑ Curtain drain collector
curtain drain and all absorption R1 Manifold placement ❑ Sand augmentation
components
9 Orifice placement Other cross-section detail:
lid Location and dimension of Ed Observation RI Lateral placement with distance ports/clean-outs
primary system and reserve area
m Buildings to edge of bed Other Information
0 Direction of slope indicator fid Audible/visual alarm referenced Yes No
m Waterlines 56 Scale of drawing shown on scale fff ❑ Design staked out
bar ❑ ❑ Recorded Notices attached
56 Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
lid North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale but Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by
L y installer at time of installation R1 Yes El No
/ �d.. ) 4 / '20 2J
Sign 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 regulations:
Etn Wl.� " � 3 I S—
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. —7 /�
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (_ p
✓ 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. +11 11
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
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ORIFICE SPACING 5
Lateral# Length Length Orifice # Distance from Distance from en End Cap Length#
# (Feet) (Inches) Spacing" rtfice feeder line of end of lateral
1 32 384 60 7 0.5 1.5 1.25 33.25
2 32 384 60 7 0.5 1.5 1.25 33.25
3 32 384 60 7 0.5 1.5 1.25 33.25
4 32 384 60 7 0.5 1.5 1.25 33.25
128 28 1 133
TRANS LENGTH 15
GPM 16.52
K (2"SCHEDULEN
FRICTION LOSS
Squirt T 2
Elevation differen 7
TDH 9.07751
Use low profile infiltrators,effective length 48"(8 infiltrators per lateral=32' plus end cap of 1.25'
equals 33.25'per lateral
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strength through its four center
structural columns.This chamber
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chambers, allowing for shallower
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applications installed mid-trench
••Reduces imported fill needed -Mid-trench connection feature allows
for cap and fill systems center feed inletting of chamber rows
-Four center structural columns -Center-feed connection allows for
Maximum Strength offer superior strength easy Installation of serial distribution
-Advanced contouring connections systems
0uick4 Plus -Latching mechanism allows --Variable pipe connection options
Standard for quick Installation allow for side, end or top inletting
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INFILTRATOR' 1a
• strong Injection molded polypropylene
construction
• Lightweight plastic construction and
Inboard lifting lugs allow for easy
delivery and handling
Integral heavy-duty green lids that
Interconnect with NJ*N risers and pipe
near solutions
• structurally reinforced access ports
eliminate distortion during installation
ROVrtd pump-outs
einforced structural ribbing and
MAR 17 Q fibs glass bulkheads offer additional
OUNTYEN'VIRO YE T„ 'ngth
RET • `� be Installed with a"to 48•
of cover
The Infiltrator IM-1060 is a lightweight strong and durable septic tank. can be pumped dry during
This watertight tank design is offered with Infiltrator's line of custom-fit pump-outs
risers and heavy-duty lids. I Rrator injection molded tanks provide a suitable for use as a septic tank,pump
revolutionary improvement astic septic tank design, offering long-te tank,or rainwater(non-potable)tank
exceptional strength and to htnesS. No special water filling requirements
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IM-1060 General Specifications and Illustrations
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gasket design utilizes technology from the water Industry u,
to deliver proven means of maintaining a watertight sealIlml
The two-piece design is permanently fastened using a 49"�
series of non-corrosive plastic alignment dowels and
locking seem clips.The IM-10601s assembled and sold
through a network of certified Infiltrator distributors. waenxen[Xbduxuw
Must be backfilled and installed in accordance with TOP VIEW
Infiltrator Water Technologies, Infiltrator IM-Series Septic
Tank General installation Instructions and for shallow
ground water conditions reference the Infiltrator IM-
Sxles Tank Buoyancy Control Guidance. c
Please visit www.infiltratomater.com/images/pdf/ new
ManualsGuldes/TANK01.pdi for the latest information. New,
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Total Capacity 1287 gel(4672 L) END VIEW
Airspace 16.5%
Length 127"(3226 m111) I rvednoa o>mwuassaNex¢vmmlaoowrduw
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Length-to-width Rato 2.3 to 1 rw
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Malamwn ended Depth 48"(1210 mm) SIDE VIEW
Minimum Burial Depth B"(162 mml
Maximum Pipe Diamekr 6"(162 MM)' �" TAW TOP CONneuous
Weight 320Ibs(1 ,x, 4, F LF 5A6xET
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Installation Notes
Pressure Distribution System:
32127-52-00024 351E Shamrock Dr
The prepared site plan is not a survey. It's the owners responsibility to verify property lines,
utility lines (water, sewer, power, phone and gas) prior to installation.
1. This is a non-conforming repair pressure system. Increse =of a conforming system
can not be done at this time.
2. Low profile infiltrators
3. 1060 Infiltrator septic and!pump tank will be used due tc accessibift✓
4. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only
5. 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.
6. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
7. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
8. Install access risers on the septic tanks, valve box and ends of laterals.
9. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
10. Lids must form a water and gas tight seal with the access risers.
11. Install effluent filter specified in this design at the septic tank outlet.
12.This system must be installed by a Mason County Certified installer.
13. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
14. 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.
15. Install laterals with contour of the ground.
16. Install trench bottoms level and always maintain a minimum of six inches into native
soil..
17. Install threaded clean outs at the ends of all laterals (ca must extend to within six
inches of finish grade and be in a valve box as shown iagram.
18, Install audio/visual alarm.
19. Filter fabric required over drain rock prior to backfil ' If th rain rock extends above
the original grade, run the filter fabric at least 2 i "@,de4y�c trench wall into original
grade.
9 APPROVED
18
s I� l 11
MAR 17 2025 Y4CENo E.
MASON COUNTY ENVIRONMENTAL HEAL a
RET
i
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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51U041B
p CINDY E WAITE. .
LICENSED DESIGNER
LYn,9ES as ia,
APPROVED
MAR 17 2025 111
MASON COUNTY ENVIRONMENTAL HEALTH
RET