HomeMy WebLinkAboutSWG2025-00153 - SWG Application / Design - 4/28/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
a: 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: SWG2025-00153 L61/4/ IJj
APPLICANT HARRISON RUTH A Phone: 360-426-0334
Address: P 0 BOX 116 SHELTON,WA 98584
OWNER HARRISON RUTH A Phone: 360-426-0334
Address: P O BOX 116 SHELTON, WA 98584
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
SEPTIC INSTALLER BRAYDEN SCHOENING* Phone: 360-742-2982
Address: 121 W GRIZDALE DRIVE SHELTON, WA 98584
Site Address: 1610 E SPENCER LAKE RD
Primary Parcel Number: 221323390090
Permit Description: Replacement 2bd pressure trench
Permit Submitted Date: 04/28/2025
Permit Issued Date: 07/11/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/01/2028 (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 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.
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
DATE RECEIVED: `� /`�O n�
MASON COUNTY V( G
CATCOMMUNITY SERVICES c
AMOUNT RECEIVE V
Qn RECEIVED Br'. 1. ,n W U)
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Public Health(Community Health/Environmental Health) 'A N
450 N th570,rat.<00lt 360. 446 ext 400 ^, • '( 0 26 bo 15 n V/ T
415 N.6th Street.Shelton.WA 98584 `J W S'/+/. S O N
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT C"." 1. '� PHONE m
RUTH HARRISON I 360-426-0324 z
MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE S` W
PO BOX 116 ---'"' SHELTON WA 98584 m
S1610ITE EE SPE CITY
NCER LAKE RD Z'' SHELTON WA 98584 I iv
NAME OF DESIGNER L V/ Q PHONE I N
CINDY WAITE c_ 360-701-0205
NAME OF INSTALLER •e v PHONE
v
SCHOENING SEPTIC LLC 360-4-742-2982
cn w
PERMIT TYPE(select one) DRINKING WATER SOURCE 0
Pir RESIDENTIAL OSS h COMMUNITY OSS COMMERCIAL OSS El PRIVATE INDIVIDUAL WELL If PRIVATE TWO-PARTY WELL Z I N
a PUBLIC WATER SYSTEM LAKE LIMERICK WS
TYPEPE OF WORK(select one) '
yr NEW CONSTRUCTION/UPGRADES b REPAIR I REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I W
SUBMITTALS [ 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINEco
DESIGN FORM(REQUIRED) NI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE b I CA)
2 212'X391'X125'X380' C) '
�WAIVER(S)(IF APPLICABLE) X I CD
DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate)
GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO PICKERING RD, TURN RIGHT ONTO I o
SPENCER LAKE RD, TURN LEFT AT ADDRESS, GO DOWN DRIVEWAY, STAY TO THE r I
LEFT, SOIL LOGS ARE IN FRONT OF THE LITTLE CABIN. RESERVE SOIL LOG IS IN ° o
THE GARDEN AREA I o
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O
OFFICIAL USE ONLY BELOW THIS LINE f
UPGRADE 1 FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS 1 CONDITIONS
— t$ at,I(k o1/4-S 7-- t b` -U-r n
Q 77,cpCL i2C 4-` Akt-
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
44 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
W5,1,\AN\vo jy\ 4:S" Ati� ' ( `2.?) Q-1- ,,,,,,,,fvvi iJi tlzc
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 3 2 — 3 3 — 9 0 0 9 0
A design will be reviewed when 3 conies of each of the following are submitted:
'1 Completed design form that has been signed and dated. '1 Scaled layout sketch, including all applicable items on checklist
'1 Scaled plot plan, including all applicable items on checklist. '1 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 2c7Z5. -OU/53 Designer's Name: CINDY WAITE
Applicant's Name: RUTH HARRISON Designer's Phone Number: 360-701-0205
Mailing Address: PO BOX 116 Designer's Address: 80 E PICKERINTG LANE
SHELTON WA 98584 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity lif Pressure [Trench 0 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 50 ft
Daily Flow: Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1200 gal Number 2
Receiving Soil Type(1-6) 3 Separation / c Q-C. ft
( 31
Receiving Soil Appl. Rate .8 gpd/ft2 Orifices
Required Primary Area 300 ft2 Total Num f Orifices 20
Designed Primary Area 300 ft2 Diameter 3/16 in
Designed Reserve Area 300 ft2 Spacin 4�� .% 60 in
Trench/Bed Width 3 ft �P F "A, i1
0 Manifold
Trench/Bed Length 100 ft S e%CJ h SCHEDULE 40
Elevation Measurements t 51oA;7t4 s'FITE y 1-2 ft
Original Drainfield Area Slope <1 % 1an NSEDDY CDDEEyS?IGµER 2 in
New Slope, If Altered % re erre 41814 d configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 9-12 in Transport Pipe
from Original Grade Down-slope 9-12 in Schedule/Class SCHEDULE 40
Designed Vertical Separation 24 in Length 50 ft
Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in
Pump Required? Fitl Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff. in Elevation Between Pump& Uppermost Orifice 10 ft Dose quantity 4 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal `\,,
Uppermost Orifice &1 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 11.8 gpm lifTimer l 'Elapse Meter l 'Event Counter
Calculated Total Pressure Head 12.13 ft If Timer: Pump on , Pump off
Comments
DESIGNER TO RESTAKE WHEN CLEARING IS COMPLETED, PUMP CONTROLS TO BE SET AT
TIME OF INSTALL
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 3 2 -- 3 3 -- 9 0 0 9 0
,
Permit Number: SWG
1, DESIGN CHECKLISTS
Scaled Plot Plan Sc ed Layout Sketch Cross-Section Sketch
O Test hole locations RI Drainfield orientation and layout Reference depth from original grade:
0 Soil logs lt 'Trench/bed dimensions and It Septic tank
It Property lines critical distances within layout 61 Drainfield cover
it Existing and proposed wells 5g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Et Septic tank/pump chamber and restrictive strata:
It Measurements to cuts, banks, and locations Qiet mu, It Laterals,trench bed,top and
sifts rface water and critical areas It (Observation port location bottom
ocation and orientation of 0 Clean-out location 0 Curtain drain collector
curtain drain and all absorption It Manifold placement 0 Sand augmentation
components
It rifice placement Other cross-section detail:
lt Location and dimension of It ateral placement with distance It Observation ports/clean-outs
primary system and reserve area
o edge of bed Other Information
6d Buildings
lt udible/visual alarm referenced Yes No
0 Direction of slope indicator *'Ir/ ~00
Iil cale of drawing shown on scale IA 0 Design staked out
6Q Waterlines ar 0 0 Recorded Notices attached
O Roads, easements,driveways, 0 0 Waiver(s) attached
parking 0 0 Pump curve attached
Et 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 no ' ed by ins
g taller at time of installation Eg Yes 0 No
...) 1.4k qlarl 202f
Si gnat o 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:
(I ii--0;
Environmental Heal h Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved" by Mason County Public Health.
✓ The Onsite Sewage Permit has not expire'�l,the Permit Expiration Date is: C l 17_22
✓ Drainfield site conditions have not been altered to adversely affect conditions o design approval.
Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public Health.
*1
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
Cindy E. Waite
80 E Pickering Lane
Shelton,WA. 98584
360-426-2113
360-701-0205
4/28/2025
RE: Parcel #22132-33-90090
1610 E Spencer Lake Rd
The existing system has no records and the laterals are on the adjoining property. The owner wants to
get the system on her property prior to selling. Old system will be decommissioned. Drainfiled is located
on the water side of the cottage and reserve is in the garden area
Respectfully submitted;
Clk
Cindy E. Waite
Washington State Licensed Designer
App,
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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 50 600 60 10 2.5 2.5 50
2 50 600 160 10 2.5 2.5 50
100 20 95
TRANS LENGTH 50
GPM 11.8
K (2" SCHEDULEN 40) 284.5 _
FRICTION LOSS 0.1386435
Squirt 2
Elevation difference 10
TDH 12.138644
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X1=CLEANOUT/OBS PORTS(a) APPROVED
X2=D BOX/VALVE BOX (1-1 JUL 1 1 2025
X3=Check Valves CDC l'N V 6, $•c. MASON COUNTY ENVIRONMENTAL
X4=Flow Control Valves (a) v*to{ 8G4 HEALTH
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MASON COUNTY E',`,i ,OINYENTAL HEALTH
DRAINFIELD CONTROL BOX RET
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APPROVED
J U L 1 1 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
THREADED CAP OR PLUG
P — 6"PVC
LAST ORIFICE;WITH
ORIFICE SHIELDS IF
ORIFICE ORIENTATION IS
BACKFILL UPWARD
MATERIAL
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EFFLUENTS. • it,
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APPROVED „' Nq •° °I�,'
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Pump Specifications
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Sump / Effluent Pump4 Pr
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LITERS PER MINUTE
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Installation Notes
Presspre Distribution System:
22132-33-90090 1610 E Spencver Lake Rd
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 180GPD
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, mitts, banks, etc. can be no closer than 50' downhill from the
drainfield.
8. Install access risers on the Optic tanks, valve box and ends of laterals.
9. Make sure septic tank risers Ore 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 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 makeithis 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 133. 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 ofthe 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 d rock extends above
the original grade, run the filter fabric at least 2 inches down tr ch wall into original
grade. ��
APPROVED Pcw,s,I9�
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JUL 11 2025 ^'`� V
51Cc'J18 E
MASON COUNTY ENVIRONMENTAL HEALTH ° LICCINDY it
RET
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 throOgh the week.
9. Do not use excessive bleacli or detergents with added whiteners.
10. Do not shower, do laundry aid 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.
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LICENSE S NER
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APPROVED
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J U L 1 1 2025
7iASON COUNTY ENVIRONMENTAL HEALT
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