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HomeMy WebLinkAboutSWG2025-00283 - SWG Application / Design - 7/14/2025 MASON COUNTY 415"6 H STREET,SHELTON. 584 A . SHELTON: 967 ,EXT400 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: SWG2025-00283 APPLICANT HAWKINS JAMES C & LUCINDA L Phone: Address: 121 E BALMORAL WAY SHELTON, WA 98584 OWNER HAWKINS JAMES C & LUCINDA L Phone: Address: 121 E BALMORAL WAY SHELTON,WA 98584 SEWAGE DESIGNER CINDY WAITE* Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON,WA 98584 SEWAGE INSTALLER TAYLOR TONEY* Phone: 360-489-9169 Address: 2971 E PHILLIPS LAKE RD SHELTON, WA 98584 Site Address: 121 E Balmoral Way Primary Parcel Number: 321225000348 Permit Description: Repair 3BR SFR -pressure Permit Submitted Date: 07/14/2025 Permit Issued Date: 08/14/2025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $825.00 Iadditional fees may be required upon installation of system). Permit Expiration Date: 07/31/2026 (based on dale or inspection) Permit Conditions: 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 2 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17, 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 5 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. 7 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/environmentallonsite/ass-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY A� MASON COUNTY °;`RECEIV`D 0c14 i`inFLVEab_���nn = y - Public Health & Human Services OLALT ME W�5 D`l�2' o "y' m EnvlmnmeSt Heath 60-42? ext 400 or 360-275446I,ext A00 41S N 601Street • Shelton.WA 98584 SWG 2o0-1 - (tad3 Qm z y ON-SITE SEWAGE SYSTEM APPLICATION D A m n APPLICANT PHONE m JAMES HAWKINS CIO B-LINE © 360-426-4221 r MAILING ADDRESS•STREET CTY STATE ZIP CODE C 121 E BALMORAL WAY - HELTON WA 98584 m xi SIE ADDRESS-STREET CTR,ZIP CODE 121 E BALMORAL WAY SHELTON WA 98584 I w NAME OF DESIGNER illriji PHONE I N CINDY WAITE u 360-701-0205 NAME OR INSTALLER Q PHONE O B-LINE CONSTRUCTION m 360-421-4221 < N I N PERMIT'YPE(select one) DRINKING waER SOURCE G.. - Y RESIDENTIAL OSS FICOMMUNITY OSS 1COMMERCIAL OSS Fl PRIVATE INDIVIDUAL WELL LI PRIVATE TWO-PARTY WELL $ IN 7 PUBLIC WATER SYSTEM LAKE LIMERICK TYPE OR vORK!sekKK one) t h NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(selm alt mat apply) 0 TABLE X REPAIR Icn SLDM,TTALS 0 SURFACING SEWAGE IR' EXISTING FAILURE 0 SHORELINE 03 E 5 Ic' y ICa DESIGN FORM IRECUIRED/ NI SEPTIC DESIGN/REOUIREO) BEDROOMS LOTSIZE WAS LOT CREATED AFTER 4nn025+ WAIVER(S)(IF APPLICABLE) 3 .21 ACg ❑ YES El NO n I x CD DIRECTIONS TO SITE AND SITE CONDITIONS.'ex IDexed gale) TAKE MAIN ENTRANCE INTO LAKE LIMERICK, FOLLOW ST ANDREWS DRIVE, TURN I O LEFT ONTO SHETLAND DRIVE, TUR RIGHT ONTO BALMORAL, PARCEL IS ON THE r I La LEFT SIDE OF THE STREET. SOIL LOGS ARE IN THE FRONT YARD CLOSE TO THE RD. -4 TAYLOR TONEY WOULD LIKE TO MEET YOU IF POSSIBLE. HIS NUMBER IS I a 360-489-9169.SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I(.1114 OFFICIAL USE ONLY BELOW THIS LINE CPORADEI FAI JIRE SOURCE(tor repohlns PLPoses) 0 VOLUNTARY E]MAINTENANCE/PUMPING O BUILDING PERMIT ID HOME SALE ❑COMPLAINT (OTHER. INSPECTOR SOIL LOGS COMMEN'S I CONDITIONS 7 L5 RECORD CRAW NG AND INSTAL LOTION REPORT SOIL CODES. v=VERY G=GRAVELLY S=SAND L=LOAM S.=SILT C=CI AY E EXI REMELY R=ROOTS REQUIRED FOR FINAL APPROVA_ NSP PSINATURE DATE APPLICATION EXPIRATION DAI E - APPROVE ISSUED BY DATF PP TION -3I2s TH-ASO-2Nv E6,ALL,15, e ,4/-�5 THIS OR BE SCANNE AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised'.4/14/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 2 2 5 0 0 0 3 4 0 A design will be reviewed when 3 conies of each of the following are submitted: "Completed design form that has been signed and dated. a Scaled layout sketch,including all applicable items on checklist. e Scaled plot plan,including all applicable items on checklist. e 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 I"XI 7" 1 PARCEL IDENTIFICATION Permit Number: SWG Designer's Name: CINDY WAITE Applicant's Name: JAMES HAWKINS Designer's Phone Number: 360-701-0205 Mailing Address: 121 E BALMORAL WAY Designer's Address: 80 E PICKERING LANE SHELTON WA 98584 City State Zip SHELTON WA 98584 City State Zip Designer's Email cindyewaite@msn.com 1 DESIGN PARAMETERS Treatment Device ❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU 0 Other Treatment Level(check all that apply): 0 A 0 B ❑C ❑ BLI 0 BL2 0 BL3 ❑ E ❑N Drainfield Type ❑Gravity iPressure 0 Trench 0 Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class SCHEDULE 40 Daily Flow:Operating Capacity 270 gpd Length 37,35,35,35,22 ft Daily Flow: Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 5 Receiving Soil Type(1-6) 3 Separation 5 ft Receiving Soil Appl.Rate .8 gpd/ft2 Orifices Required Primary Area 450 ft2 Total NumberRf Orifices - 34 Designed Primary Area 450 ft1 Diameter 3/16 in Designed Reserve Area VERY LIMITED (2- g ft' Spacing -; ,2 60 in Trench/Bed Width 3 ft ` Manifold Trench/Bed Length 150 ft Schedule s ..,t[,; SCHEDULE 40 Elevation Measurements Lengt �l -y ;/� 1-2 ft Original Drainfield Area Slope <1 a/o r' etpre/:, L'.u��s,:\iC��27 .,( 2 New Slope,If Altered ��UC NSE0 DE11GNER ( tit., in P % 'rg fZ-` .. ........ �y�_d), sed? fi'd Yes 0 No Depth of Excavation up-slope 11 in LA✓IWLS uSla Transport Pipe from Original Grade Down-slope 11 in Schedule/Class SCHEDULE 40 Designed Vertical Separation 24 in Length 45 ft Gravel-based Drainfield Required? Ifti Yes 0 No Diameter 2 in Pump Required? WI Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Duff. in Elevation Between Pump&Uppermost Orifice 6 ft Dose quantity 45 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1036 gal Uppermost Orifice ficHigher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 20.06 gpm [Sf Timer 11 Elapse Meter V Event Counter Calculated Total Pressure Head 6 ft If Timer: Pump on ,Pump off Comments \ \� CONCRETE TANKS REQUIRED,PUMP CONTROLLO pE��Ty1 • ,psi STALLATION. -\ AUG 14 zU.i% 4 r f. .at:f Revised:6/11/2025 .1 f?4P,t -_ -._ DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 2 2 5 0 0 0 3 4 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lid Test hole locations ' Drainfield orientation and layout Reference depth from original grade: Of Soil logs WI Trench/bed dimensions and Septic tank iii Property lines critical distances within layout li Drainfield cover IX Existing and proposed wells li D-Box/Valve box locations Reference depth from original grade within 100 ft of property Qr Septic tank/pump chamber and restrictive strata: Vi Measurements to cuts,banks,and locations ,N/,/ ,,.,,,,,. Ri Laterals,trench/bed,top and surface water and critical areas Observation port location bottom WA:Location and orientation of gi Clean-out location ❑ Curtain drain collector curtain drain and all absorption it Manifold placement 0 Sand augmentation components ii Orifice placement Other cross-section detail: V Location and dimension of 0 Observation primary system and reserve area It Lateral placement with distanceports/clean-outs to edge of bed Other Information of Buildings liii Audible/visual alarm referenced Yes No RI Direction of slope indicator w .v Scale of drawing shown on scale Br 0 Design staked out of Waterlines bar 0 0 Recorded Notices attached of Roads,easements,driveways, Vf Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components if ❑ Pump curve attached of North arrow and scale drawing G!' 0 Evaluation of failure shown on scale bar Oteig,. l i G.,,4e, Non-residential justification i c,ii, • 4,.t,, iiefJ-a 0 0 Waste strength arty Vt- 0 ❑ Flow DESIGN APPROVAL The undersigned designer must be r7ptilfied by installer at time of installation.g1 Yes 0 No lr L J „J., 1 I i 6 ( 2 u'Z,/ Sig rarfure of Designer Date 5-r 1S/ 2,rzr 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: Environmental Health 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 expired,the Permit Expiration Date is: ✓ 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. P P P 0 *3 This form may be scanned and available for public view o MaAUGson County14 W2025e s' e•evised:6/11/2025 MASON COUNT?ENoissN,r,E,Msi szmis JIMP,r W -ITN a W N -• • OC < - 0 < NN0C K j m tiut< 3 o o o N 03 nr u o"S = v > D ID en co a M 0 m (� N 2, 9 N N 0 m \ n n you a -0 3 2 �J m g F N F i w e f� %� K 0 v 0 4 a ': F co A GI 4 ,, \.<, ` n II Ma c I to �- t_o „.. •-.. , c._ al N 0 'N t coocr000rn x Y g• > > 0 > n s z m A A xm F hi O D J •p n 1T OD tn o J �71r• n.a , O � LJDY• ° Ai� � ES ` a LICENSED DES ! A � PL AUG 14211.1 9. : .CON r 3 r ORIFICE SPACING 5 Lateral# Length Length Orifice # Distance from Distance from end Length# # (Feet) (Inches) Spacing" Orifices feeder line of end of lateral 1 37 444 60 8 1 1 37 2 35 420 60 7 2.5 2.5 35 3 35 420 60 7 2.5 2.5 35 4 35 420 60 7 2.5 2.5 35 5 22 264 60 5 1 1 22 164 34 165 TRANS LENGTH 45 GPM 20.06 K (2"SCHEDULEN 40) 284.5 FRICTION LOSS 0.3330217 Squirt I 2 Elevation difference 6 TDH 8.3330217 9qI, Ada G0 /MP r __ AK 6� id" 7' I2" Lob 6u ., Lr'DTc jf —1, ? y'; I JV WIv -- Ur" .._. ._ l� 11 r 1a/r44( S' S' I /u ' i _LI 1 TRENCH CROSS SECTION • ' "" -5, F.✓4'r f� 4W $. c 4 o., .fin y�, 4i'' 4 F, /eet Fay,.,, a ' cii �opa,��e ea lip di LICENSE')DE G L iv No6 , 13 _ 1 PPRo1lE AUG a 20?5 LS L3 !RW DRAINFIELD LAYOUT 2 x, 1I \\" 01 _ Ji / • _ /O• 3 ICry pt, yr N 'o �1,n y.0�n . Sc' ENS E.WA Fn. LICENS NCIS X1=CLEANOUT/OBS PORTS651 X2=D BOXNALVE BOX (0 ' t. X3=Check Valves( i) pu..,n vo<..II X4=FIow Control Valves {S) V../,�< X5 Soil Logs .., Or) , '- nt.,;) APPROV � �; �5�1 �3 AUG 1 4 2025 'a J€iw Value - i ; RISERWnH LOCKING LID j i PRESSURE LAT TOORAINRELD 1 ERAL j A '�' irl - 7I N. 4... RAW CONTROL VALVE ' ' _ry US atom AS _ . h- REQUIRED LI 1 1 4 — _- ie l l I RA ECK VALVE I F LONG _ y OEORffELBOW SOW _ )4 . ._ — SECTION,;A 11 WASHED ROCK / 4 DRAIN SUMP tie � 11 at i 's ‘PIPE M �: TRAPUMPNBPOoHAMan ' , it: 111 \-7A k I 'IA, C A1'fr 14115 i DRAINFIELD CONTROL BOX (SLOPING GROUND: MANIFOLD BELOW LATERALS) v { j -Th uf, THREADED CAP OR PLUG P1l ✓a44 / 6"PVC LAST ORIFICE;WITH ORIFICE SHIELDS IF ORIFICE ORIENTATION IS BACKFILL UPWARD MATERIAL Na _ } <) !eg \\��0 o° Oc4op0o �- PRESSURE LATERAL PVC HOSE OR - °o 0, $�000 AS SPECIFIED LONG SWEEP \/ ELBOW / \\/ , �\\� DRAIN ROCK;6"MIN. ‘/\/r \/.\\\,\ /- BELOW PIPE UNDISTURBED SOIL --/ --- 6"PVC WITH D'Ai IN . HOLES; EXTE r-i. BOTTOM OF G- 'E III O MONITOR ' •;'.4IN°I! �1 fi L INFILTRATIVE SURFACE v''P o .-is �' .• MONITORING/CLEANOUT PORT ;e' I :�,I4Si (EXAMPLE) LICENSED EEDEESIGE 1 l t�J IICEvSED DESIGNER �I MT'i'..A S a 4-AalAa --APPPOV AUG 1 4 2029 L-...;) - sovC:_', N P, ,L JaV4 I O T In N 70 -co co ad t_____n_r__,- , Cr p N O w o C\I o N N r N O. J 850 fte>ictS., it is,,, ? 1 \.3 u l ��a v��5 4, It e. N futry • Q '�� ioaaA.i‘ . 9441 LICENSED GESIG QS, • =--I _ N N r CO m / — sc 0 SF 0 0 i i v i{ Hi— o -•. .F-1 .7 f-ro _ O W to s •s�0 ci O ,/ in \ 1 0 E 5 . '" m 1• xi s✓' \'V y� mA i. iz. siao ie F,4 ld 7 0 ovrvi WAI "i uq-•--�-o' NER 1AA 50 N. 117 La ` y 1 \3 AVPPOVE AUG 14 2025 m1 iBW 1 tie Cn N 1 - 1 In 1 ad 0 � Tzz O O p _ ' ___ N w o k g _ > ; w } C N 1`^mil" rF y_ ;I4 V I , ,� N I ; �1 �'I 111 co or, Sic 1B �� �� o � . vAl E Y�Ti; pp �r. seo oesicrvEa dot': • '1 l0�i' '1> , fps MIN ' PPROVE 1 3 AUG 14 2025 4,. w w. ,➢BW Ln U) r cl c% 0 0 1 I I 0 v —,I 141 --- Ory) C\_ H Z CD V W L NW (7 - Ill• ill— J 4 10 0a- A. a O ti.°r�'s�• J 0/5y \'nYp Ceti ,YA p "��, S pPSIGNER N a < 1 1‘, pDOVE 13 5 AUG 14 VS �✓ p ,r. 3e9 • Installation Notes Pressure Distribution System: 32122-50-00348 121 E Balmoral 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. Water line may need to be rerouted if reserve drainfield area is used. 2. Location of failing drainfield not know. We dug three soil logs and did not encounter any existing laterals. 3. Concrete tanks required 4. Gravel base drainfield required 5. Timer to be set at 270 GPD 6. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked equipment only 7. 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. 8. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 9. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 10. Install access risers on the septic tanks, valve box and ends of laterals. 11. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 12. Lids must form a water and gas tight seal with the access risers. 13. Install effluent filter specified in this design at the septic tank outlet. 14. This system must be installed by a Mason County Certified installer. 15. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 16. 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%;t, is ninety gallons per bedroom per day. 17. Install laterals with contour of the ground. it trp • 18. Install trench bottoms level and always maintain a minimum of six inc of: to <;+ e soil.. 4 aF xl� 1 I. 19. Install threaded clean outs at the ends of all laterals (caps must ex:-• truigipy' inches of finish grade and be in a valve box as shown on diagra ry- a,nna. .it• IY y) 20. Install audio/visual alarm pt, I/ �F LICENSED�ES1 E tttt AUG 1 4 2025 ict LAPIRLS J3W 21, Filter fabric required over drain rock prior to backfilling. If the drain rock extends above the original grade, run the filter fabric at least 2 inches down the trench wall into original grade 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. 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. x8 51 • 448 �t� O' CtNOV E.WAOtE' LICENSED DESIGNER S Lx AUG 14 11125 Ati ,,,6 t gin?