Loading...
HomeMy WebLinkAboutSWG2025-00203 - SWG Application / Design - 6/2/2025 MASON COUNTY 415 N 6TH STREET,SHELTON.WA 98584 SHELTON: 360-427-9670,EXT 400 (■ BELFAIR 360-275-4467, EXT 400 Public Health & Human Services ELMA: 360-482-5269, EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00203 APPLICANT Russell, Eric Phone: 3607893607 Address: 5015 NORTH 26TH STREET TACOMA, WA 98407 OWNER PANZERA JOSEPH JR & DARLENE A Phone: Address: PO BOX 1876 BELFAIR, WA 98528 Site Address: 1541 E TRAILS END DR Primary Parcel Number: 222235102062 Permit Description: New 3bd pressure trench Permit Submitted Date: 06/02/2025 Permit Issued Date: 06/25/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/16/2028 (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. r OFFICIAL USE ONLY A, MASON COUNTY DATE RECEIVED: 6/5/2025 c � AMOUNT RECEIVED: RECEIVED BY: CA Public Health & Human Services $555 online CO m en Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 C 415 N.6th Street-Shelton,WA 98584 SWG 2025-00203 o z z ch ON-SITE SEWAGE SYSTEM APPLICATION a , m rn C)m APPLICANT ,� PHONE —� a')5 es) � 3630: <.—�-5, o—;4, 70 z MAILING ADDRESS-STREET,CITY,STATE.71P CODES 4> 3 co r m SITE ADDRESS-STREET,CITY,ZIP CODE � ,,/)w1k Ck SS 42. Z NAME OF DESIGNER PHONE '7 I 0 NAME OF INSTALLER PHONE 0 I 3 uNi-- .)o�&.) ` I c� PERMIT PE(select one) DRINKING WATER SOURCE 7 I�VRESIDENTIAL OSS COMMUNITY OSS ILIlCOMMERCIAL OSS Net PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z I( ,� TYPE OF 'ORK(select one) nl PUBLIC WATER SYSTEM J44L . V NEW CONSTRUCTION I UPGRADES 6-REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR t`i. I C11 SUBM rALS ❑ SURFACING SEWAGE El EXISTING FAILURE 0 SHORELINE DJ DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? 0 I.r ,1 WAIVER(S)(IF APPLICABLE) 3 0..3 i A ❑ YES NO n I I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gale) �- t©(U i D CA,,-1-7 1 1 K f ��)v� !�� S i•�T'Q A E 0 7'c' (J I r .AT —C�1lS vNr •.1 Q.-) ' -- Act tJt JC (5A710 1 Lehi' o I Q H� ,,1(o,To . - �•� a,) ��L->�i , 5,i c:, Is J Le.f of c, k rf4 6-1-�-�I �x_�JSIi y , ��� 16. ',V SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. N I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS TH1: 0-43 VGSL, 43+ till TH2: Same as TH1 TH3 (reserve): 0-34 VGSL, 34+ till RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE c14110-11VVi9 6/16/25 6/16/28 EH APPROVED Rhonda Thompson 06,25,2025 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 DESIGN FORM-PAGE ONE Assessor's Parcel Number 22223-51 -02062 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. 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 paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 2025-00203 Designer's Name: i--7,t,-.u.."i--.1S.S .ts- �0 Designer's Phone Number: J t 'i ?4'Jn Applicant's Name: � ���,�� _ �ti c Address: O Ls- eJ -Tie J Mailing Address: `� h-'7< < 3-7 Designer's c Lt> City State Zip -44t- N.t L 4-D City State Zip Designer's Email v-.%t-®'" -U jia,.1,'A&JQti r,Lc'4t> - , DESIGN PARAMETERS *fib Treatment Device 0 Glendon 0 Sand Filter ❑ Mound 0 Sand Lined Drainficld 0 Recirculating Filter 0 ATU LI Other Treatment Level(check all that ap ly): 0 A 0 B ❑C ❑BLI E BL2 ❑ BL3 I 0 N Drainfield Type ❑ Gravity Pressure 5i Trench ❑ Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Au Daily Flow:Operating Capacity 4.,0 gpd Length DO ft Daily Flow: Design Flow ?�,(7) gpd Diameter 1 �•Z 5 in Septic Tank Capacity(working) -2-oc, gal Number t Receiving Soil Type(1-6) `-A Separation e i ft 0 Receiving Soil Appl.Rate C_)..(o gpd/ft2 Orifices Required Primary Area bc_30 ft2 Total Number of Orifices 6-C42 Designed Primary Area (. 4.)(.. ft2 Diameter ` /1,(0 in Designed Reserve Arca vc_.7 ft2 Spacing '(,p in Trench/Bed Width ft Manifold Trench/Bed Length '-'2.-e )r., ft Schedule/Class '`NCO Elevation Measurements Length VAF-1 SC ft Original Drainfield Area Slope 2-5- 7 b % Diameter l ,'Z-J in New Slope,If Altered (Y0 Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 1 5 in Transport Pipe from Original Grade Dow -slope (�' in Schedule/Class O n. Designed Vertical Separation ZA in Length 4 ft Gravel-based Drainfield Required? ❑ Yes'it,No Diameter n in Pump Required? ' es 0 No Dosing and PummChamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump&Uppermost Orifice Z'4 ft Dose quantity 9,v gal Drainfield Squirt Height/Selected esidual(head) N1�^) ft Chamber Capacity(flood) i OC.-c"� gal Uppermost Orifice 0 Higher Lower than Pu Shutoff Pump contr Is:Please check those required. Capacity @ Total Pressure I-lead '3 a „1 gpm LiJ Timer 0 Elapse Meter 0 Event Counter Calculated Total Pressure Head t .4- ft If Timer: Pump on��''/ ,Pump off $6 I Comments rJ,.SZ'AU -- I IQ S-rvi ta. EH APPROVED Rhonda Thompson 06/25/2025 Revised:4/14/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Numbei 22223_51 -02062 Permit Number: SWG 2025-00203 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: ❑ Soil logs 0 Trench/bed dimensions and 0 Septic tank ❑ Property lines critical distances within layout 0 Drainfield cover ❑ Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas Cl Observation port location bottom ❑ Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: ❑ Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information O Buildings 0 Audible/visual alarm referenced Yes No O Direction of slope indicator 0 Scale of drawing shown on scale ❑ ❑ Design staked out ❑ Waterlines bar 0 ❑Recorded Notices attached ❑ Roads,easements, driveways, 0 Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components 0 0 Pump curve attached ❑ North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer m t be n ti ii)'y installe t time of installation Yes 0 No 1 Signature of Designe 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: � ,� °R-Ai`"�r'_T'Sti`l'I- 6/25/2025 Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 6/16/2028 I The Onsite Sewage Permit has not expired,the Permit Expiration Date is: I 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. Revised:4/14/2025 4 a M n �Q OO •'r, a M Mt° of M M i ` t \, , 1 ion i a i I ! f / wzo I I I J _ j i )11; ' 12, ! !ith- Is f- 4.,«y 1� I 1 i • VI ` t /! ' , ; j ii I i vs vpp i M a) 8 r F Z • 4 } 1-6 r G 2, a., s--3 Z Z L '3:,• 1 i v e '�4 the0, nca 1 1 1 1 I u' N v Mce i U U v) AT co rt n ZO o wos a W4 to E. m d N x W VA , o >. @W Pi N iJFQe L] C� `a c. ._ N 9' x3 $ p9 w L) o� aoN W > o W r-ti V) y E� l' d 6; f. ct v6i QWR OG F 0x a o zc -) vi Ir. F �< Pi 0cnZ vv)i t a x : r 3 ., ; 1 _ z j u 1 r., 1 r l gN U Saz ;1 II t § 44 - g qVlacn R. - I ; I Fl If 0,EI- IIJ ge Tit . - R . 0e a y °4 o i P,'d G a s t61 gi p Q e5 F0.�F' l n H ! .j� tip. ~I n [ 90 -. \ i»:�v •J!c I y.• I)4. .oho. c tn ,,,.�. s �.., ;L:fit:i: ..,,. .o i W E J - < ..�t. / W 5. _ it 11 t� a _ a CME.1-__A--, '' a II £!, 0 xi, 4 ,�Cl l l t�l. PA Wealgriag"."-mv 4rc Wmz a ooce= H �, HN VI w K mO 17,., wz0 mis< W S3 �w� F Zm 0 �S Q W J]m U d r m W W W 7 < y F <F > U Q m yWj a 0: Y .g5 ZC ' 4ummmi i-.r N aWh oWrc 0 �N R wzJN l oR q` g m goE Kmw l_ a Z Waw O+ 0 oog ❑a y pG1 F�i+aowc (��]1Q,��'Am �° 1l°1 o y q n . ;q i < ° o <a $ < <W W j 4 Z yz~ F O J% 1333-OY31311WNAO WW1 O e . U U O {Gard°U O ',EL S OJ O. 1W� O J s W 7 z i LL g 2 I-• i r0 F m L " '4 2 0 O Z i g Nm Er V(;i 5 xgW WJO di JIII xO 1 w m ,.. in W NII ga aMarc ° l= Illi ml' o a wm7K'a mJ zi Jz F 8?rc Oci N 5 a 1U rgn N1' UW LLK; zw O wsm 5 KLxc Wmmemm a A n v m .c ad m1 • z ❑ W !- W N Z w 5 9 = W 0 z z K m� a mO 2 OO W Oz I s S U"' m N ug QK2°a �a Ph o b $ IHI aO 4 O UJ I WW II .042 .Ngj W F. 6' m ``2 / O x T0Pc Z °LL Jrcrc KFina<3m KU wZ W m0 O°WW w7 NW- -10 O K O 0xw<W <<K0,12 LL¢�O ayOLLAptt=jQ �a uµ.¢ 2QZQZV z ,`p pQ PP' z W =J 0 ; u-ceOce nC o g 2-mz W Yaa�� .'o m Z WK 80-,OW N ww 03 KKK'i 0‹.. mLL O�K m O'. 6 J l W O cl_ a z7�0 5<K ma LL7 W Y 5K 2, 4 W0 7 W U'' Kr, F W Z f M x J Vn a LL 7O1�m1Ow �,aQC OFO Ozoo 0_zozw0 0- ,KC FyZK� O WWmW �N pa O 8 y W qm ,` xa L ill ZwyyggK��W'K�'x ,T (>0° t� ZO.bozxa iti ga)FO ZO _LW 1Tw Vc2 nje Ati `i 8a 2 ? a 0 W ao IT 1- 0°60 O U- LL",LL'Oom7K, � y O��JWFLLj K� <1'AU Mi., m�OWO ml- O m ~ 7 < 'U W C Z -aa{{ 91� ty pp QQ O� 11y1 WW ryry�1 Z z SymZOK �OmLIT <m❑wZZ KEWKQww 0 Om ,Laaw. uJEW. Ky W .0 IN F J g 6W o 0 W m'"wO1- igN wgw cPJwh51 1mu� 'nW50W W F-1 FJ OW KW° W 2 3Ep ry N <7 OwK .0-"M 2 ❑W giLL 05T UZF'•' 00 Z f K2 _f Z O W o S U F1O . a`2 f �> W < z 'A- .K. <-m W ZwK O W (7 y m -, xwciEO7 AK(in.W Kxg< < mw.‹ <O NJg Zwmw Jj� z OwOQ 0 K m m LL Q 1"5°OFKF Fp., 0 w8 gm maWW.74 Da =W'A QJLL❑ O7W9 Uw'0 ~wW W < . ° ° O� w FS WZ .Wm /-g= 0 m71iZ Wu. U O U01 i' Ww �=CR' Z g 'N W W J eS W �wyUO �70:5� �U7J ,,,°d OwF $ ZWO awDW � �J�' OU �ul-wmO p � � p� 'y O Z ,v wU 7aj� LT,S mCSrK<r 2F �y1 5-w _ FS LL 3 O •W 00w WVi aril 0,WO y wwWZ Wa @Q '' A� Qo7�m zo ,,0�i1 O Z m If aQr7 7 Qoz WTA z <<Or7 3f ❑°Z �3zw -'As NQ KZ7< m F .;,- 2 I§ _^ ON 0z Z z O O.fO <o fnO m J LL 0Qz(� c (� c, 1 W . zz_. IN-G2'-' F' W� Q .Qy.WW1O my1- Z '- W coFa W K<� W�U ymlyZy OS1 s > (�\ F'- UOa W Z,_, OzwUK 7Q¢rWr Fx JQKKQ 9 <U ZZ '- 2 W rm a�Z 0 F-7 O_12U F CZ../ E ° p ' 00 y N fS.a'oZ cQ Wim T. UCWO WJZU0,.A Um R'mZ a.$p N2 Z2KWk yLL awww ) 0 tF� JJQ N U17< w mr<f5 ,OK w2o Ka-w FF 0a0 WQmm VQ=7 O Uw03 m O a (}�( µ <W6' m U ZOa-W ywa'~<<a K 11K,ZU WZU¢¢¢y<WF Wm w0 FOOOC�1-. wYUW'30 mN Ow1O To x J' 4] b'< d OUKOI$ <NQON 2OKW 1x-�OJtU/1K Ff/)3 f/l2 FFam 3UUa C-mKO C-7 ZIF-U C K Ue41 U' a5 2 O N n o i .o n m a - -