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HomeMy WebLinkAboutSWG2025-00085 - SWG Application / Design - 5/7/2025 ea MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON: ,S 42 TON, ,EXT 400 584 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00085 APPLICANT TAHJA REVOCABLE LIVING TRUST Phone: DALE L AND SHARON L Address: DALE L TAHJA & SHARON L TAHJA TRUSTEES SHELTON, WA 98584 OWNER TAHJA REVOCABLE LIVING TRUST Phone: DALE L AND SHARON L Address: DALE L TAHJA &SHARON L TAHJA TRUSTEES SHELTON, WA 98584 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 Site Address: 101 N Arnolds Way Primary Parcel Number: 323312200800 Permit Description: New 3-bedroom pressure system w/sand-lined bed Permit Submitted Date: 03/17/2025 Permit Issued Date: 05/07/2025 Issued By: David Anderson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/26/2028 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED: MASON COUNTY d - /7 2025 0 1. li •!I• COMMUNITY SERVICES AMOUNT RECENEQ:,��� RECEIVED BY: ���Ij O CCI rn . Public Health(Community Heatth/Environmental Health) RECEIVE)? �\ < co 2 41$N,Oh Wtet-Stxllon.WA 98584 S (V� Z U) ON-SITE SEWAGE SYSTEM APPLICATION D > m APPLICANT PHONE r Dale L. Tahja /ALn _ (360) 463-8023 z MAILING ADDRESS•STREET,CITY,STATE,ZIP CODE 3 2450 W. Deegan Rd. W. Q Shelton WA 98584 03 SITE ADDRESS-STREET,CITY,ZIP CODE �/ II 101 N. Amolds Way ,.y fiv Hoodsport WA 98548 I o' NAME OF DESIGNER Q PHONE I N Dale L. Tahja / - - (360) 463-8023 NAME OF INSTALLER ���. PHONE v I CO PERMIT TYPE(salad one) � DRINKING WATER SOURCE O ]RESIDENTIAL OSS '.COMMUNITY OSS IL.IICOMMERCIAL OSS G PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z I TYPE OF WORK(seleU one) Ee+!PUBLIC WATER SYSTEM El NEW CONSTRUCTION/UPGRADES f,REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I IV 1 SUBMITTALS 0 SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE DESIGN FORM(REQUIRED) ffSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE W I N 0 I EWAN 3 1.38 acres ER(S)(IF APPLICABLE) I CD DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.looked gale) North on Hwy 101 past Hoodsport, left on N. Terrace Rd., right on N. Westward Way, right I I o I on Amolds Way, first driveway past Vi-Ken Ln. r Iao O Io SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I I C) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS rtt Ile- ko" F6(ft5 (1' e4� SyS`�M w tg a IiLSf at v �(G / t.-{i .� z -t :c- f' E 6)(o*5 is a4F'. (311('Iv 3) a0P� oN : W W J Z itt3A- m" V6 51- to botbm wt polar of Cr.+�tpac,tro,) (-Iv\ \ sb'4.,l s W �% '4'. RECORD DRAWING AND INSTALLATION R EPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECT R SIGNATURE DATE APPLICATION EXPIRATION DAT APPLI ON APPROVED/ISSUED BY DATE / 3I� 61 ?visAo,oe 5/7/7075- 3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 120 2015 . DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 3 3 1 — 2 2 — 0 0 8 0 0 A design will be reviewed when 3 copies of each of the following are submitted: "Completed design form that has been signed and dated. "Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. Cross-section sketch,including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site. Maximum per size: 11"X 17" PARCEL IDENTIFICATION; ., 2025-00085 Designer's Name: Dale Tahja Permit Number: S WG _ > — — Dale L.Tahja Desi er's Phone Number: (360)463-8023 Applicant's Name: Designer's � Mailing Address: 2450 W. Deegan Rd.W. Designer's Address: 2450 W Deegan Rd W Shelton WA 98584 Shelton WA 98584 Ciy State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound Rr Sand Lined Drainfield 0 Recirculating Filter,Type: if 4 ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: 940 + .r) 4 Irk Drainfield Type �'�t` Yl 7 ❑Gravity 6 'Pressure 0 Trench 'Bed 0 Sub S •• ,;p 1s Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Sch. 40 Daily Flow: Operating Capacity 270 gpd Length 40 ft Daily Flow: Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,250 gal Number 3 Receiving Soil Type(1-6) 1 Separation 3 ft Receiving Soil Appl.Rate 1.0 gpd/ft2 Orifices Required Primary Area 360 ft2 Total Number of Orifices 60 Designed Primary Area 360 ft2 Diameter 1/8 in Designed Reserve Area 360 ft2 Spacing 24 in Trench/Bed Width 9 ft Manifold Trench/Bed Length 40 ft Schedule/Class Sch.40 Elevation Measurements Length 3 ft Original Grainfield Atea Slope 20 % Diameter 1.5 in New Slope,If Altered 7 % Preferred manifold configuration used? t 'Yes 0 No Depth of Excavation Up-slope '5i 5 6" in Transport Pipe from Original Grade Down-slope SQ cI in Schedule/Class Sch. 40 Designed Vertical Separation 24 in Length 150 ft Gravelless Chambers Required? 0 Yes lii No 0 Optional Diameter 2 in Pump Required? lif Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Duff. in Elevation Between Pump&Uppermost Orifice 21 ft Dose quantity 67.5 gal Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice rif Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 30 gpm EtTimer [Elapse Meter l 'Event Counter Calculated Total Pressure Head 33 ft If Timer: Pump on 2.25 min. ,pump off 5 hrs.57.75 min. Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 3 3 1 — 2 2 -- 0 0 8 0 0 Permit Number: SWG 2025-00085 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch gi Test hole locations 62! Drainfield orientation and layout Reference depth from original grade: Iii Soil logs lii Trench/bed dimensions and g Septic tank Eig Property lines critical distances within layout G2f Drainfield cover 0 Existing and proposed wells fig D-BoxNalve box locations Reference depth from original grade within 100 ft of property Eii Septic tank/pump chamber and restrictive strata: Rf Measurements to cuts, banks, and locations 621 Laterals,trench/bed,top and surface water and critical areas lig Observation port location bottom Pi Location and orientation of lig Clean-out location 0 Curtain drain collector curtain drain and all absorption It Manifold placement lif Sand augmentation components lil Orifice placement Other cross-section detail: RI Location and dimension of fig Lateral placement with distance lig Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 0 Buildings lig Audible/visual alarm referenced Yes No RI Direction of slope indicator Scale of drawing shown on scale It 0 Design staked out 5g Waterlines bar 0 0 Recorded Notices attached 6g Roads, easements,driveways, 0 0 Waiver(s)attached parking Cif 0 Pump curve attached 0 North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified ins er at time of installation Yes 0 No ---- T.....,„4,..._ \. ._,\ '- - -.a-x_%,--- Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and d ibei g compliance with state and 1 on-site regulat ons: ��'�4 4.TO" " .w �1 V1`' In CC 0I Environmental Health Specialist Date M.Y✓c )l14 _ o z CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDI .v ✓ The design is stamped"Approved" by Mason County Public Health. ��� ,finf ✓ 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. 4 • Please Note: The system must be installed by a certified i -r, unless prior authorization is obtained from Mason c ounty pub lb 0: faith. An Installation Fee is required. `S This form may be scanned and available for public 4ILit .. "e1 -� Web site. Iiii l l 1 Updated Date: 12/7/2015 di� MAR 2 8 2025 ;Iv ri4b2 f . -P_ \ atc*.. Y I, d. . ; ' i•ewe {`• • 0?sl-c� bI ; }��S}• / • Q \ 0 . • , 4 .o y • \s• 7- AOyam'. 3 Y `.. C r S• • c\rah oUT 0 • VNo • i•• ` 646..Y_-. - - t ....... ir, ,.).. t r„ .,,- .7Z Z • .. # ii 1 • t‘::( — 0 , • ' .7' ‘i 4 T „,,,,. , .. , , 4111 '0.e , %./ %eV "."---- 7-7-: 411160044/ .31,41. i • m OP ` C- `\ a A1 �` b. I. a� ` 5100214:;, •,-9 11// �,yatl �. •+�y (O / °LICEb1NER .�.VOIv►MMIIMillin.%%%100, MASON COUNTY ENVWRONMENTd1 MAY 07 2025 ^, • �D� -, , r , . 111. \,Lk°> ri� II ``�� \p • _ • f + 'rf:�-,- -,.,.;.:i:•,-r.S..9 .D8�ket:.� ::ntye•' a�ti"y' '.a� �,L,. ,;1'...c.,\. j.. - .._ ... i • • 1 290-SERIES 3/4 hp Sulimetsibie Effluent/Sump Pumps ..--y The Lberty 290 series provides a cast effective"mid- performance 3 `290-Ses4es range"pump for an-site waste water systems, liquid waste transfer and commercial heavy-duty sump pump 47=NN ATam - le applications that require higher head or more flow. ��M1110 aN_ Designed around Liberty's unique"Uni-Body"casting, mm im — m 12 the 200-Series will provide years of reliable pertinence. 11111111111 IIIIIIIIIIIIIIIII 9 i All Models Feature: 1 1111110.111111 e •S ii-Open impeller permitting passage of solids s up to%" 10 3 •416 stainless steel rotor shaft 5 •Pelmanentiy lubricated upper and lower ball bearing o 0 •Epoxy powder coat finish o 10 ao tm vico tag n so m ea ex► •Ali fasteners-corrosion-resistant stainless steel ► t tt 41 t • l •1 A 88 TC !1S u*1M Ysrll Y to tiT tlfn SOS 84! n •Stainless steel bottom screen-easily removable Din ens1 al Coto •Maximum fluid tempera1ure:140'F. Weight 31 lbs. •2904eries Cord Lengths . 13" Model 10' 264(4) 3514 50'f8) Maar Width:10"(model 297) 290 Standard Optional .Optional Optional minimum sump.t /n61e0'..' 291 Standard Optional Optional OPflo Model 291,293...146 .293 Standard Optional Optional WA Model 297 VMF...14' .---• 297 Standard Optional WA N/A1 Factory switch Model 291,293 Model 297 10'cord length standard on all models.For optional lengths, settings add"-2,-3 or-6'suffix to model number: , VW Example:for model 290 with 36'cord.Order 290-3 Um an level 13' 9.5" Turn eat level 7" 4.0" Motor Spa 'kiar %hp t30 Hz 3450 RPM A/ The Model 293 features a fully adjustable wide-angle float. Differential aciustmenta can be made essly by the float 011 filled,thermally protect , to not ltrela or other mounting poir wrtio� o&float model 115 V.Models 10.4 ann0 -q` , 208/230 V.Models 5.3 amps 'cc'jy sJ 'S®,� -le Jr y�' '1 law Model 200 ql, , Model 291 1 aiu,f Model 293 �;.; Model 297 Manual, l�'i Wide angle Wide angleI - 11MF9ertes no switch '' 4. float switch -�,' float switch __ Vertical mag- i with quick- with series ; netic float for girl, disconnect .rrt (piggy-back s+,m i smaller Pits- srri=w p *AC. :iii Amami!!1 plug +ii • pp will operate in 1, ii `" I 1. '.' a 10"diameter sump fia,- rt: --4 kb .....,, -,:ti _ _ '4.. ' c us Certified epscIora aro subject to Gunge wldwut notice. Liberty Minos•7000 Apple Due Avenue• New Ibrk 14416•Phone aaa a 00 nix(885)494-1839 winitawitypunw&com oornnonc°Liberty Pu•nva tyro.2011 Alf rights rea rt.d. LLlT 6681 noa/11 Installation/Maintenance Pressure Distribution/Bed Systems 1. Install bed bottom level and in contour with the ground. 2. Install drainfield during dry weather and soil conditions.Any soil smearing must be eliminated by hand raking any areas that get smeared. 3. Install audio/visual high-water alarm. 4. Install effluent filter in septic tank outlet or pump vault with 1/16-inch maximum filtration mesh size. 5. Install check valve in pump outlet line to prevent back-flow into the pump chamber. 6. Install 1/8-inch orifices on 21-inch centers. Install the orifices pointing straight down (6:00 o' clock). 7. Divert all storm water run-off away from septic system components. 8. No curtain (french) drains allowed within loft. of the up-slope edge of the drainfield and reserve area. 9. No curtain (french) drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 10.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 11.Inspect and clean pump screen as needed. 12.Inspect floats and test high water alarm every 6 to 12 months or as needed. 13.All material and workmanship must meet County and State requirements. 14.Install risers on septic tank and pump chamber. 15.Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 16.The prepared Site Plan is not a survey, it is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the Designer immediately. 17.Locate all utilities prior to starting installation. 18. The installer must notify the designer at least 24 hours prior to starting installation. 19. The Designer may have additional charges for redesign work and final inspection. • N//IV t n Pitt ��sq,40 ir ,c IY4i �+ e eN o O `\ # 0*I8.# <<s /** t `P 51/00214 A,tlt O Dale L.Tahja t LICENSED DESIGNER t wommliv►m����tommk‘vw t. �Z-,•. 9'Cg- \ a/A064'k1 1 • ,; 4ft o\\ \ a � G : 5 4 t 9�', o \ - , %\'G _\l / ���lr �, to.+ l c i 5100214 t �\ _�x 1 i O� NMI.Tahja 1+ 0-`. ld � `C�� .g'ctv e\\ c 5� • LICENSED DESIGNER .i `l _ \ y+ .-- C t _- ( _ e„X-Nc \r\\k,k 5 c. \' \COY c\ ..P o 44 It yo.. • - <` ^aye, ti`' -=?W. L'i ' , -0" 0 _ cl\a5Na."4-- . ;'. i --,...f 4 7 or 1 C © /../ ,tee% N �, i Li aS Q9 - L ' • -- \ vi i - �t \ W +, •00 " ,c,. 6 C\-e--- ?\OA\ \v --fig:HI 1i0. • \)`ram.4. .._32 -3.1- - 00140 o \A Lr,o_\cis Wa