Loading...
HomeMy WebLinkAboutSWG2025-00205 - SWG Application / Design - 6/2/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 0,7a ': 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: SWG2025-00205 APPLICANT TURNER DENNIS M &VICKI L Phone: Address: 18125 - 150TH AVE E ORTING, WA 98360 OWNER TURNER DENNIS M &VICKI L Phone: Address: 18125- 150TH AVE E ORTING, WA 98360 SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 581 N Fairway Dr W Primary Parcel Number: 422095100071 Permit Description: Repair: 2-bedroom pressure system with sand-lined bed drainfield Permit Submitted Date: 06/02/2025 Permit Issued Date: 07/09/2025 Issued By: David Anderson Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/20/2026 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY / MASON COUNTY DATE RECEIVED: yA/ _ 0 ^— 2026 N D J L U'Y/J` L C (n f AMOUNT RECEIVED �� RECEIVED BY: /�� CD Cn 0 Ri `1-� Public Health & Human Services m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 C N 415 N.6th Street - Shelton,WA 98584 SING 2o25 2— 005 IEi 0 Z fn ON-SITE SEWAGE SYSTEM APPLICATION D ov E m nm APPLICANT PHONE r DENNISNICKI TURNER ,�.♦ 253-380-8335 c MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE V/�R ^ E 18125 150TH AVE E ORTING WA 98360 m SITE ADDRESS-STREET.CITY,ZIP CODE © N 581 N FAIRWAY DR W LL► \r HOODSPORT WA 98548 14" NAME OF DESIGNER , PHONE CINDY WAITE ' !, N 360-701-0205 NAME OF INSTALLER , PHONE I N © o >1 PERMIT TYPE(select one) • DRINKING WATER SOURCE (4 I O 141 RESIDENTIAL OSS COMMUNITY OSS ECOMMERCIAL OSS b- PRIVATE INDIVIDUAL WELL b-PRIVATE TWO-PARTY WELL Z I CO I:{ PUBLIC WATER SYSTEM LAKE CUSHMAN WS TYPE OF WORK(select one) f] NEW CONSTRUCTION/UPGRADES Pr REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I cn SUBMITTALS 0 SURFACING SEWAGE EXISTING FAILURE 0 SHORELINE co q LOT SIZE WAS LOT CREATED AFTER 4/1l2025? !v1 DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS ;�;, or I —1 bWAIVER(S)(IFAPPLICABLE) 2 731X126 ❑ YES Q NO n I X I O DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate) GO TOWARDS LAKE CUSHMAN, TURN LEFT ON CLUBHOUSE WAY, TURN RIGHT I o ONTO FAIRWAY DR W, LOT IS ON THE RIGHT SIDE OF THE ROAD, SOIL LOGS ARE o I o ON THE LEFT OF THE PROPERTY. -a I " 1 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I -1 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(tor reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: I OIL LOGS COMMENTS/CONDITIONS I00 -fdCEr/p6a5ka Cr � 1 73'14 w. 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 APPLICATIO PROVED/ISSUED BY DATE .1 �' 6h N1ns 6/ 01ZOM 77Nozs THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 ' [41 J 101915` 1I-01010I7I 11 DESIGN FORI♦i-PAGE ONE Assessor's Parcel Number: 2 2 A design will be reviewed when 3 conies 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 paper size: I "X 17" PARCEL IDENTIFICATION Permit Number: SWG 2025-00205 Designer's Name: CINDY WAITE Applicant's Name: DENNIS TURNER Designer's Phone Number: 360-701-0205 Mailing Address: 18125 150TH AVE E Designer's Address: 80 E PICKERING LANE ORTING WA 98360 City State Zip SHELTON WA 98584 City State Zip Designer's Email cindyewaite@msn.com DESIGN PARAMETERS Treatment Device ❑ Glendon ❑ Sand Filter 0 Mound liSand Lined Drainfield 0 Recirculating Filter 0 ATU 0 Other Treatment Level (check all that apply): ❑ A ❑ B ❑C ❑ BL I YJ BL2 ❑ BL3 ❑ E ❑N Drainfield Type ❑Gravity 0 Pressure 0 Trench "Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 ( Schedule/Class SCHEDULE 40 Daily Flow: Operating Capacity 180 gpd Length 24 ft Daily Flow: Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 4 Receiving Soil Type(1-6) \ 1 flh Separation 2 ft Receiving Soil Appl. Rate 1. gpd/ft2 Orifices Required Primary Area 240 ft2 ra t� Number of Orifices 48 Designed Primary Area 240 . ft2 ` • � 0 is �i4er 3/16 in Designed Reserve Area 240 ft2 o eSpac ;'j 24 in /* .C+As i. i Trench/Bed Width 10 ft .�4.4, o�k,ti. Manifold �• IA Trench/Bed Length 24 _ k, ••S %_:�'� SCHEDULE 40 Elevation Measurements o ,N . ' 4ir 111 6 ft Original Drainfield Area Slope 3 = o UCEN'P3D,ESI9VF R i' 2 in —1 .iS.'_ - . mig\\\ 4 New Slope, If Altered % ' ' '. Piefdrred manifold configuration used? 0 Yes fi1'No Depth of Excavation Up-slope 3 3'>n in Transport Pipe J from Original Grade Down-slope 30 in Schedule/Class SCHEDULE 40 Designed Vertical Separation 36 with sand in Length 20 ft Gravel-based Drainfield Required? mf Yes ❑No Diameter 2 in Pump Required? Ile Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff. in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 45 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal k`-k Uppermost Orifice FeHigher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 28.32 gpm g Timer 121 Elapse Meter 1i1 Event Counter Calculated Total Pressure Head 7.28 ft If Timer: Pump on ,Pump off Comments CONCRETE TANKS REQUIRED, GRAVEL BASED DRAINFIELD REQUIRED, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION. Revised: 6/1 1/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number 2 ' 2 f0 t 9! 51 11 01 01 01 71 1 Permit Number: SWG 2025-00205 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch if Test hole locations li Drainfield orientation and layout Soil logs y Reference depth from original grade: wf g if Trench/bed dimensions and Fir Septic tank g! Property lines critical distances within layout ix Drainfield cover IX Existing and proposed wells Ur D-Box/Valve box locations Reference depth from original grade within 100 ft of property lit Septic tank/pump chamber and restrictive strata: V Measurements to cuts,banks, and locations p to F- m,yt, 91 Laterals,trench/bed,top and surface water and critical areas Ql Observation port location bottom V Location and orientation of iar Clean-out location 0 Curtain drain collector curtain drain and all absorption fill Manifold placement V Sand augmentation components gr Orifice placement Other cross-section detail: RI Location and dimension of V Observation primary system and reserve area ill Lateral placement with distance ports/clean-outs to edge of bed gf Buildings Other Information ilf Audible/visual alarm referenced Yes No V Direction of slope indicator pID '71 gl I Scale of drawing shown on scale if ❑ Design staked out V Waterlines !bar 0 0 Recorded Notices attached fir Roads,easements,driveways, gl Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components IX 0 Pump curve attached V 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 must be notified b installer at time of installation V.Yes 0 No r.. L /A-1, 1 1 2_/ 2r)2.-1" Signature o esigner 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: 75--r? ? 4 ,; "ye? o / , % S fog , N. N� 4 9 Z025 Environmental Health Specialist Date T'EN CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION!4 1/6-40.f, ✓ The design is stamped"Approved"by Mason County Public Health. � ��72D ?C ✓ 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. Ct 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: 6/11/2025 ,, \ f my'4 • 183cmO i 0b �• $ giii - g (A �O 'AO ' pp Qpy O _, '�� �.,'. tic �F s ,r Z ,y 51 O • CM. E W TE• Ali O ,'' r • LICF 4SED DESIQ(JER ,11 11, 1g g 73 e. L • a „b i i S1 N. .„.',s ,. I � 1 v t‘ •:..)‘%, Iqq ,00 wa — t ' ss coo i ,s 1)... o � r\s„ c �i , lb G . , ‘-.1.:. , .., 4.1; 1\lb"-'u N ki 01 Q N aa)i co�., , G O 4 .1/4 v.? , . 32 OCOOaVCOC714GOIV -L elS TT _ ID ; (T) MoN3Qa m` �So � b 'b• � 3 cr S. � o r' N a f a ,� 3 3 a 0d G. a ® A --- Qua . ;o _`_ a. n 0 , JUG. 0 9 2025 rt 1 h �. I �N COUNTY E�fRONP,IENTAIt jA C NEACTN a I • r r h ---\. r Z> c ORIFICE SPACING ORIFICES SPACING 2 Lateral# Length Length Orifice # Distance from Distance from end Length# # (Feet) (Inches) Spacing " Orifices feeder line of end of lateral 1 24 288 24 12 1 1 24 2 24 288 24 12 1 1 24 3 24 288 24 12 1 1 24 4 24 288 24 12 1 1 24 48 TRANS LENGTH 20 GPM 28.32 K (2" SCHEDULEN 40) 284.5 FRICTION LOSS 0.280124 Squirt 2 Elevation difference 5 TDH 7.280124 y IN. 0 mo pvc Vclvt)"ed 1e e reties/4 shrrf- C(iTt4r%' l'il i y pc 1 So,- /. Pvc rnvs l- et femd,ion, ar'( bed ' 5 k (61 reties rev yracc.(/5 /e ,t,AS,'y9to oy>� N r rr ',4:. r `' s1 0 .1 �� , ' d C ITE 11 .-6—•lc 'Ll/ r•• LICENSED DE IGNE t 4 EXPIRES 0510, TRENCH 0 BOSS SECTION lip . •p.J.Ai ‘4.31e, F4..; (:)1/&). 4111-"\ ----- G„ ' � 6'� J o-�„ JU 02; 3 .4fgsQN 09 2025 Fr1�c�; FaG,v Ct Al / p COUN�fNV�RO 3 o d� iJ c"c1- DJq NMFNTA(H G ® .o I, . ckTH \q /l/o r '1 S'IN c-f� DRAINFIELD LAYOUT I ,� 4,„,„ /of (s-e.... . L S( /0 ' , fSi 1 s, APPRO V ) .�A,1 t ue JUL 0 9 2025 0 `'. MASON COON ", - S,.:., . e 5t E AITE �'� COUNTY ENVIRONMENTAL h" - LICENSED DE IGNERIk DJA 01/41'IRLS J5.10, X1=CLEANOUT/OBS PORTS ?-,� Poi 1/4-4.0/IJ.( er) X2=D BOXNALVE BOX nit oc_ X3=Check Valves(, ) %N p`4t el^p V a.0 / X4=Flow Control Valves ei i _TA, p'-v4,,o_r X5=Soil Logs / _ U-SS-'v L � 1 b ..er1f-ii u/ So,/ /a 9 4 1 SECURED LID WITH GAS TIGHT SEAL / 24"DIAMETER ACCESS RISER )1"'"'•,*• •••,16- -/-------\1 .1 FINISH GRADE 6I 12 ' -.42:H. / A -21- _y TO PUMP CHAMBER FROM SEWAGE SOURCE FLOATING MAT *— APPROVED EFFLUENT FILTERS - or/,I SEDIMENTS / N"-------_________ 0 4- .A T i v t o'' 1 at:s4 46 SEPTIC TANK aJ 2, fI " 5100418 iv`oe 2 CINDY E WAITE• ,i . / LICENSED DESIGNER i i, SECURE7ID WITH GAS TIGHT SEAL Ca_ " W.041.11k. •t,or aa.i mamma mow(6'0' f 24"DIAMETER i ACCESS RISER FINISH GRADE -- �/ �. SERVICE VALVE* I I lk FROM SEPTIC G //2 /- /111• IIt TANK I / H imp mi. TODRAINFIELD i • li — EMERGENCY STORAGE ANTI SIPHON VALVE* HIGH WATER ALARM LEVEL _� WORKING VOLUME ' INDEPENDENT FLOAT STEM NORMAL TIMER OFF LEVEL - --0 FOR FLOAT ENCLOSED PUMP MOUNTING SEDIMENT SHROUD• CHECK VALVE* 18" SEDIMENTS 1 ' SUBMERSIBLE CENTRIFUGAL APp PUMP ., V Et PUMP CHAMBER G Jilti ISAL) ! k" e%ecic. (AI MQ 09 2025 *AS NEEDED / -4oa qd-//0 � pu.,� - .uk. oNC��NryfNVIRO DJA MFNtq[Hr, , . e. IiI1! iPu1npG =le) Pump Specifications �� I 250-Series Submersible �; i>>\ Sump / Effluent Pump II `__ ►-W LITERS PER MINUTE 0 20 40 60 80 100 120 140 160 180 25 4 I I I I I 1 I I 7 Pp t. 20 � +. l:,. Fl i,l MASON' 6 JUL 0 9 2025 �OONn ENVIRONMFNTgL DJA. HEA1.77, 15 w 40, ix� H 4• F FFF w c c y fs /) )4 11V 0.Z . U 4 ,Clvil_ y� 5100 8 �F` 1 Or LI LtY E AITE y ` 0 10Cr AP LICENS.D SIGNER i -iF - 2 I- 5 5 .. — 1 1 \ct 01 -- -- 0 0 10 20 30 40 50 GALLONS PER MINUTE 250 PI RI/17/2018 (:Copyright 2018 Liberty Pumps Inc. All rights reserved. Specifications subject to change without notice. lillEtR Installation Notes Pressure Distribution System: 42209-51-00071 581 N FAIRWAY DR E 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. 1. Concrete tanks required 2. Gravel base drainfield required 3. Timer to be set at 180 GPD 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 Thurston County Certified installer. 13. Deviation from this design without prior approval from the designer and Thurston 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 (caps must extend to within six inches of finish grade and be in a valve box as shown on diagram. 18. Install audio/visual alarm. 19. Filter fabric required over drain rock prior to backfilling. If the drain rock ex ends above the original grade, run the filter fabric at._Ieast_2 inches down the trench 'nto original grade. JUL 09 2025 � ►sx'yc9�?'R` q MASON COUNTY ENVIRONMENTAL F. !' tea. DJA � s1 ��� � 8 e �1!!r Y E LICE S- S Lss'04t5 05 iqi System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Thurston 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. Keep the flow of sewage at or below the approved design operating capacity. 7. Keep waste strength at residential waste strength parameters. 8. Spread loads of laundry through the week. 9. Do not use excessive bleach or detergents with added whiteners. 10. Do not shower, do laundry and dishwasher at the same time 11. Antibiotics can kill or impair the biological process in the septic tank. 12. Leaky plumbing can hydraulic overload your on-site septic system. APp ix 0 M4SONCO U� 59 ?425 UNryCO/ON A MCNrA H Facr�., • P ' �4 43k 4 0 s A 2 p CINDV AIT� ). LICENSED D v ,