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HomeMy WebLinkAboutSWG2025-00392 - SWG Application / Design - 9/29/2025 al! IO 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: SWG2025-00392 APPLICANT CAREAGA ET AL JEREMY D Phone: Address: AUTUMN K GOLDEN LILLIWAUP, WA 98555 OWNER CAREAGA ET AL JEREMY D Phone: Address: AUTUMN K GOLDEN LILLIWAUP, WA 98555 SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON, WA 98584 SEPTIC INSTALLER THAD BAMFORD* Phone: 360-790-2364 Address: 301 WALLACE KNEELAND BLVD STE 224-332 SHELTON, WA 98584 Site Address: 200 N Schaufler Ln Primary Parcel Number: 324347590101 Permit Description: Repair 4BR SFR -Gravity Bed Permit Submitted Date: 09/29/2025 Permit Issued Date: 10/14/2025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/09/2026 (based on date of 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/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY eAl. . MASON COUNTY DATE RECEIVED: q - ,,, ' ^Qa„ D AMOUNT RECEN _/v[_i'1 �_(/,RECEIVED BY: C 144Q0e ----.:.-_ . Public Health & Human Services day �VLDBY r= 0�v-Q- o co Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 (p 415 N.6th Street -Shelton,WA 98584 /\/G S aoa.5 - 0O3gt O 0 Jvvvv - xi Z N ON-SITE SEWAGE SYSTEM APPLICATION v APPLICANT PHONE m m JEREMY CAREAGA 360-551-9626 Z MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE W 200 N SCHAUFLER LANE ILLIWAUPSITE ADDRESS-STREET.CITY.ZIP CODE 4: , WA 98555 m 200 N SCHAUFLER LANE `� LILLIWAUP WA 98555 NAME OF DESIGNER PHONE CINDY WAITS � 360-701-0205 �" � xi NAME OF INSTALLER 4 PHONE I -I'BAMFORD SEPTIC 360-790-2364 a PERMIT TYPE(select one) DRINKING WATER SOURCE - I W Pi RESIDENTIAL OSS [COMMUNITY OSS Fri COMMERCIA OSS E PRIVATE INDIVIDUAL WELL b-PRIVATE TWO-PARTY WELL Z I TYPE OF WORK(select one) 7PUBLIC WATER SYSTEM oLYMPIC TRAILS I F NEW CONSTRUCTION/UPGRADES V REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I �l SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CO DESIGN FORM(REQUIRED) FI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/20257 r 0 I _1F7�' CP 5WAIVER(S)(IF APPLICABLE) 4 1.5 AC ❑ YES Q NO n I X ICO DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) GO NORTH ON 101, TURN LEFT ONTO JAKE BRAKE LAND(TURN OFF RIGHT AFTER I c) JORSTED CREEK TURN OFF), GO UP HILL, TURN RIGHT ONTO SCHAUFLER LANE, r- DRIVEWAY IS ON THE RIGHT(SERVES TWO HOMES), STAY TO THE LEFT, SOIL o LOGS ARE ON THE FRONT OF THE RESIDENCE. I o / Y/1 , / lr/' 1 n SITE MUST BE FLAGGED FROM MAIN ROAD AND TE THOLES MUSH LAGrED WIT EST HOLE NUMBERS. �m 4,4 "L Z,1-„�-,/t, I -� OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS - " CL t.LAO SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL I P CT R SIGNATURE DATE APPLICATION EXPIRATION DATE A L ATION APPROVED/ISSUED BY DATE �b-�" �s to- °1- �(a r,�•- I.� 10-t((--2 T S MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE / Revised:4/14/2025 r — T DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 121 3 4 71 519io1o1i1 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 paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG AC)af — c 34 Designer's Name: CINDY WAITE Applicant's Name: JEREMY CAREAGA Designer's Phone Number: 360-701-0205 Mailing Address: 200 N SCHAUFLER LANE Designer's Address: 80 E PICKERING LANE LILLIWAUP WA 98584 City State Zip SHELTON WA 98584 City State Zip Designer's Email cindyewaite©msn.com DESIGN PARAMETERS Treatment Device 0 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 ❑ B 0 C 0 BL I 0 BL2 0 BL3 YJ E 0 N Drainfield Type Gravity 0 Pressure 0 Trench 0 Be 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class �q ASTM 2729 Daily Flow: Operating Capacity 360 gpd Length s oc*AS.9� 30 ft ti�44, �,f. 10 • Daily Flow: Design Flow 480 gpd Diameter .11 7,, 4 in Septic Tank Capacity(working) 1200 gal Number :4' 6 n!s Receiving Soil Type(1-6) 3 Separa cENs (E41.4\ 3 ft Receiving Soil Appl. Rate .8 gpd/ft2 i .04HLS Lib'u Required Primary Area 600 ft2 Total Number of Orifices ASTM 2729 PERF Designed Primary Area 600 ft2 Diameter in Designed Reserve Area 600+ ft2 Spacing _ in Trench/Bed Width TWO BEDS 10 ft Manifold Trench/Bed Length 30 ft Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope 5 D/o Diameter in New Slope, If Altered 5 % Preferred manifold configuration used? 0 Yes WiNo Depth of Excavation Up-slope SEE PAGE 4 PAGE 4 FOR DGDEPTHS in Transport Pipe from Original Grade Down-slope SEE PAGE 4 FOR DIG DEPTHS in Schedule/Class 3034 Designed Vertical Separation 38-66 in Length 40 ft Gravel-based Drainfield Required? g Yes ❑No Diameter 4 in Pump Required? 0 Yes EZ1No Dosing and Pump Chamber t`Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump& Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual (head) ft Chamber Capacity(flood) gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head gpm 0 Timer 0 Elaps etPp � vV G�@u !,, Calculated Total Pressure Head 12.56 ft If Timer: Pump on u o all Comments i p P�N 2'65 47 m!SS,,, e _/.c j t- �1 '� .. ( I OCT 14 2025 : :: MASON COUNTY ENVIRONMENTAL HEAL T JRIn( Revised: 6/1 1/2025 DESIGN FORM-PAGE TWO Assessor's Parcel Number~ 3 ! 2 ; 4 1 314 1I71 5 1 9 I 0 I 11 0 i 11 Permit Number: SWG a.O. :5 - 003'Ia DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ie Test hole locations iX Drainfield orientation and layout Reference depth from original grade: ie Soil logs lif Trench/bed dimensions and critical distances within layout l� Septic tank {� Property lines Y il Drainfield cover ❑ Existing and proposed wells WI D-Box/Valve box locations Reference depth from original grade within 100 ft of property ii Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks, and locations 10 Laterals, trench/bed, top and surface� water and critical areas OO�servation port location bottom AM.ocation and orientation of k,� lean-out location 0 Curtain drain collector curtain drain and all absorption Ithklanifold placement 0 Sand augmentation components Ibrifice placement Other cross-section detail: 1 Location and dimension of iti Lateral placement with distance if Observation ports/clean-outs primary system and reserve area o edge of bed Other Information WI Buildings OtjAudible/visual alarm referenced Yes No 1 Direction of slope indicator Scale of drawing shown on scale i 0 Design staked out it Waterlines bar 0 0 Recorded Notices attached VI Roads, easements,driveways, Gi Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components 0 0 Pump curve attached if North arrow and scale drawing Y B R n°ins- _______—.0 &Evaluation of failure shown on scale bar Non-residential justification 405->lir4 �.Hdt Cyrne y, 0 0 Waste strength ,e_ 01 boc..4. 0 0 Flow ` DESIGN APPROVAL AePncrsteegr4istbe notified by installer at time of installation 0 Yes 0 No O C T 14 202- k, ' C k C-1 G.-i! 91 Zq 0 za 2x MASON COU NTY ENVIRONMENTAL HEALTH Signatur of Designer Date ��11 The undersn�ed"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: lea a (D -1`l-,S' Envi o u al Health Specialist Date CAUTION: DESIGN APPRO AL 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: lQ - q - 2-04 ✓ 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: 6/11/2025 I , ♦ 1 I i i L 1 i 1AP i T r •, el . \ p nt L4 1 , ♦ •, (tj G .-41 V co N A W N , 1 ' 2025 OCT � � � vNnm • i I U r ASON COUNTY ENVIRONMENTAL HEA'. X O• a' 3 3 0 0 6 g. J 1 PO c a, — 4 0.7 �� at ti , N n Z C� n 4` d O y N c O ; CD 0 m n t Oga r t r M 0 t 1• It t t 1 .' + r ,1 1 1 .', A W N -1 0 Q. To <71 1 • t ► / / m co coo r y 4.,_ d 1 t vlcn000 r�P AA , � t oistiho , �\ sst' j 1 ,' N e CTN j.',Ai,��p 1, t OW 1• / t.i UCF.' ,J:o�UNFR ' { 1 0 i , r Y C , O 1 , i. f `,, 1 '1 ' C ' 1 1 , i t IS s ID it It 1 1 O / �1 A t r` '0 ...e. ., 0 ,, re. 3-,... ...-- O 1, 1 1 •`♦ , AO r t , i t 1 r ` ! • r ` ,� t �� �, as ;.• t� p m ♦♦ ♦1 O .pro, / `cg 4414„ / ' N a Qi Q• W 1 AI `• p �, ` I 10♦ �i� ♦ i �I ♦ • ' N kt. 1% 0 .a • • O .� p / o� ti • `.. I `. ♦ . ♦ • •♦ > •S. ,• O ' ♦� • • a ♦.N. p♦ O 3 U ?� z> p , , t. -.., `, fib„ • APPROVE iiii OCT 14 2025 IV MASON COUNTY ENVIRONMENTAL HEALTH JBW Corner# Depth of excavation DRAINFIELD LAYOUT 1 6 inches 2 18 inches X9 3 34 inches 4 13 inches • 5 19 inches 6 33 inches 7 6 inches ,C - L— d cif .�-i'r r 8 28 inches y K, m e, ,' 4 i \10/ 2 0 •0 ..? \ 2- . . 2 • 1 3d �Z ( - �Asti I 51ana• L2 Zd�p CINDY E W�(I}� LICENSED DESIGNER CeQ4,i4 ec„) -- 7d ` s'yr rn., X1= 'OBS PORTS(/) X2=D BOX/VALVE BOX (3 ) I p 8 �r / / X3=Check Valves y/� ` �- s'off,1, Tv.�� 6 «�/tit X4=Flow Control Valves Ale., if �� �o�•ebs, p tic aC a" X5=Soil Logs �a e 3 ; �'� '^�9 S ©•t,r rdQ Gc �- lea SSA �Cc��',.. q% e I-/ i cc )146-0e D peY-4 o‘ S'co�1���,. _ r '�,Co Lief,�,,� U .r— i. .- �A 1 s Pa re APPROVE ' _ ipit OCT 14 2025 7 MASON COUNTY ENVIRONMENTAL HEALTH JBW Les Riser To Gr S. Inlet vaith 45 8 Facing Down— % Leveik19 Pact.---� l `A i 4„ i 5 a I5Y LICENS DE'I' , �� Distribution Box(No Scale) • • 04, k 0 �d1 / D —4,er 64,4. L .. �o e es G Ne 1 . . . APPROVE : ,.: -''' ' OCT 14 2025 MASON COUNTY ENVIRONMENTAL HEALTH ��� —Tank lidl�-�� JBW V • I V V._ V___ ,,ov --.,.."-,11.4•••••a: ...1 t/rZ 1 Inlet H . I n r�arn�► • _ Mewl n •a--: • - 1-- 1 outlet t House Sc- - umr I Inlet Tee Tee Outlet Tee 2nd with 1st Compartment Compartment den -•, f 2 0 o Aa/' - T'aA.k- 0 i 01 ii, 1`''sc�, <Ct_ Q 1Ona)g: v # CI vE w `L.,= LICE SEP DESK} ER r Z C.i.K.SuS10, C° 1c5 Installation Notes Gravity Distribution System: 200 Schaufler Lane 32434-75-90101 1. The 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. 2. Install cleanout between residence and septic tank 3. Gravel based drainfield required 4. Follow dig depths for the two beds(Page 4) 5. Install system during dry weather with acceptable soil conditions 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 tank, D-box and observation ports. 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 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 flow is ninety gallons per bedroom per day. 17. Install laterals or bed with contour of the ground 18. Install trench bottoms level and always maintain a minimum of six inches into native soil 19. Filter fabric required over drain rock prior to backfilling. If the 'n rock extends above the original grade, run the filter fabric at least 2 inches the trench wall F ts5 LICE y DES GNER .� � �S u5.10, System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed every three years as per WAC246-272A. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owner agrees to read and abide by information regarding their system in the User Manual provided by Mason County Public Health. 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. IAC( (�LS�m9��i 0 5,� . e a12 �-7 C2 i'(.cw F J DEIGNER ` )1 l _5 •i