HomeMy WebLinkAboutSWG2024-00035 - SWG Application / Design - 1/28/2004 MASON
PERMIT NO. SWG : � , � a,
COUNTY DEPARTMENT OF HEALTH SERVICES , a
Date f \'
426W CEDAR/P.O. BOX 1666/SHELTON, WA 98584 Receipt No "
PHONE(360) 427-9670 z
Amount$ W
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PROPERTY OWNER: r> DATE: f` f CHECK APPLICABLE ITEMS V 3 <
fii1r
NEW SYSTEM `
MAILING ADDRESS DAYTIME RHONE.
REPAIR SYSTEM
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ZIP
CITY: STATE: TABLE 6 REPAIR
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'✓� " `, t. t .tr r' A t : t t, K MAINTENANCE REVIEW ,.
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PROPERTY ADDRESS: OTHER: 3
SPECIFIC DIRECTION FOR LOCATING.SITE: !PRIVA�TEWELLLL~ ELL/PUBLIC SYSTEM
13� r '''- 4 . S ?;3 3 fi d d a3,
SYSTEM WFI# -
SYSTEM NAME
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APPLICANT
�,m , }z t 'o, NAME "`. ``�w LxC,,'t:..«S .i'.t... ""a4 I��\•
Name of �y x MAILING ADDRESS *�' 3`r+
Lot ra,�_ , . J • • _
Installer d' r � acres r` Ca
Size: TELEPHONE < <
.Name of Number o SIGNATURE , _
Designer f „, :' r, _Lei Bedrooms
OFFICIAL USE ONLY�a BELOW THIS LINE
DEPARTMENTAL SOIL LOGS DEPARTMENTAL COMMENTSICONDITON5
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, FT
n't O
SOIL TEXTURE CODES:
V=Very G=gravelly S=sand L=loam Si=silt C=clay E=Extremely
INSPECTOR(print_name) .. INSPECTION SIGNATURE DATE PERMIT EXPIRATION DATE
All systems require ongoing Operation and Maintenance(O&M)as specified in Mason County On-Site Standards.
•All on-site sewage systems must be designed by a Mason County Certified Designer or a Professional Engineer,unless prior approval is granted otherwise
•All on-site sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted otherwise.In such cases a preliminary on-site
meeting between health department staff and the homeowner is required.
•On-site sewage system design approval does not imply other building site requirements(i.e.RLC,Water Adequacy)have been met.
•Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit.
•This permit expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date.
DESIGN REV EW APPROVAL BY: DATE: INSTALLATION APPROVED BY: DATE:
TOP: Health Dept. Copy MIDDLE: Designer's Copy BOTTOM:Applicant's Copy
DESAGN.FORM- F Ate► v�t�
s are submitted
when of each of the following
A dNlp11 MN be q. taet tltltet+r rat!p�tro.�• +
� atpr»a �a o suetotr.lnok�aNrp aN rppMo
_a_
O Designer's Name: �� r
PennWisivmniber. iw r sa 4 s
Designer's Phone:ll:
Applieasrt's Nimc: i i A tS(0 i) C D L Assessor's pt+roel No.: �wetwe-t asst Mum•).
MailingAddita: �;„ � (u1 ur l
x1 r t i Ina . r il4 `? 110 Subdivision Lo city Stat.t qty S,$ ti Y} .:• A.:. `` �K( " t>x,r •nt�r\ v>r `'`x '�x "k �.
`Treatment Device
D Stud Filtcx O Mound . O Sand Lind ml,
® Qlerlidoa Biofiile r.
O A�ertlbk Unit•Make/Model O Disinfection:Unit • MakcIModet:
DreinfietdType
=ock
les Chambers
�X
Septic TanWOralnflaid Specifications ed Laterals
S `
Number of Bed uldclass rooms ` Length L/ )v
ft Flow -Diameter /, d in
Septic Tank Capacitya.o d eat Number
R
ReMWIng Soil Type( ) --- , Separation ft
Soil A .Rste Qnd/ft
Receiving ppl
Regtnh+ed Sgtnre.fo a 4LSø _J t' Orifices
Desipied Squa a Foo'tlae U Total Number of Orifices 4Paoeitt Reduction Taken �• Diameter - 1� in
TtenthfBed Width ft Spacing 7 in
Thach Bed Le"o o ft
Elevation Measurements Manifold
S5tszdiilelClass o
LA b ft
New Slope
Draiefkld Anna Slope l� %
New opeaf x tt•...{ �* Diameter / : in
Preferred Manifold Configuration Used? C Yes O No
Depth of Excavation from ,t in
Original Grade (Upilope)
/ in Transport Pipe
(Downitope) Sthechzle7Class
Length
Designed Vertical Separation ? ft
/ in :Diameter % in
Grsvelless Chambers Required? ,O Yes CJ No 0 Optional Dosing end Pump Chamber
t�tur►p Required? L�J Yes C)No Number of Doses/Day . � at
Pump/Siphon Specifications Chao be Ca it
Chamber Capacity' ��� �� �t
Difference in Elevation Between Pump Shutoff and Uppermost Pump Controls: Timer(or) Elapse Time Meter(ctrcie tt rsqutred)
If Timer: Pump On Pump Off_______
Uppermost Orifice b tr Higher, O Lower than Pump S3 to Chock•the following ponents ifthey drain between doses:.
Capedty @ ToWrewum Head: Laterals LJ Manifold Transport
Cskltlmed Tvta Pressure Heed: h''?
(Attach Pump Curve)
/i' //k/7 W&'—L L... '" I-.c O 3-v O U oft Li?\f
AGE/OF 1'nt:r c
•p w.•T____
ID
DESIGN FORM-PAGE TWO o /�q{��io/�
�+ acHEcKUS
Scaled Layout Sketch E Cross
.SecUon Sketch
Scaled Plot Plan
' fell orientation and layout Referenced depth from original grade:
CI Pest hole locations
t 'Dram
�,.proposed wells within T hibdd dimensions end.critical icP�tank lid and drein f eld cover
IIbS distances within layout depth
® D-80xr''1 rL"locations
JOO R pf P Lance tank/pump chamber location Reference depth from origintil grade
t d measurements to cuts, and estrictiva strata:
and smfaee water O-i5bservation port location *n4 Strsls,:trestrat od top and bottom
of curtain ' out location Cuaid rtainsdrain collector
oil absorption eanponents tr'3'" anifold plaCement CI Sand augmentation
CI ion and dindtsion of primary' p 't)' tifice placement
Q"�I,aieral placement,with distances to tDtberGross-section detail:
�°and reserve area edge of bed lJ Other
cro Observation ports and clean-outs
CAttdt alarnt rtl'er+enced
'Diroctlttrt of elope indicator � o fd�ing shown on Seale bar a
f 'Wttteriins C�ross.,W ion lafotr�taatlo�fat tngnnd
W-Kos&esstmentsifdriveways/ .,..,..,,_-----------_--
ant: sytetat•
1
y p¢Information'for mound st
ing: 6:`Settled cap depth at center and
4dhcaIreS0Ul
uce ands(if applicable) ®` '111111 dintt4fiofls '� ; ` b7
d ojth,w ow and scale.of drawing edge cf
d lrlp�al0pe:doevnatope,Ptd endsiape :
fill width Sidewali sictlPe
shown on scale bat :
fl ^I sin and dowttsl bed etevattoot
A
ditlonaI Information
staked out ,t/c
�' � I7 Operation and Main Notice
Attached
Cl Waiver(s)Attached
mtdeM d designer does, does not,waive the requirement to be notified by the installer of the installation and given 48
itms to perform a final inspection prior to co
gna re of igner 1, Date
"i rundersigned has reviewed this des' on :If of M County Dep ant of Health Services and determined it to be in
c o"liance with state and local on-si regulations:
Envi�runmentsl Haw Speceatist Date
anflon: DESIGN APPROVAL is VAUD ONLY UNDER THE:FOLLOWINMason CoNGty NDm N:
ent of Health Services.
./ The design is stantpod by the Permit Expiration Date is
The On-site Sewage permit has not expired,
./ The system is installed by a cettifted installer,unless prior authorization is obtained from Mason County
Depettrtent:of Health Services.
./ Drainfield site conditions have not been altered to adveaaely tifl'cct conditions of design approval
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1
0 iI * iEEEEHHHH: :
(r1 O5VPT�0N pORT o i Gam ' MD of L I T L f CH
SCREW ON CAP NOTE,
O=OBSERVATION PORTS--TO BE 4"
45 DEGREE ELBOW PVC PIPE FROM BOTTOM OF TRENCH
TO FINISHED GRADE. REMOVABLE
LATERAL CAP SHALL BE INSTALLED ON
END OF OBSERVATION PORT PIPE.& Tee on
_,_
DITCH- bottom (glued) .
" . ' DETAIL TOTAL OF 4- IN SYSTEM
CLEAN OUT
"LATERALS ARE TO BE CENTERED
NOTE, CLEANOUT TO BE FROM 0 TO 6 IN TRENCHES
INCHES BELOW FINISHED GRADE.
MARK ENDS WITH REBAR o CLEAN OUT
REQUIRED AT END OF EACH LATERAL.
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PAGE SOF 8PAGES ll�.L W
DETERMINE THE TOTAL DYNAMIC HEAD:
Selected residual pressure: 2.00 ft.
} r Transport pipe friction losscss: ',g'� ft.
i.ine# I ft. ......... 9-� ft.
Line#2 ft........... ft.
Line 03 1 / tt...........
Line#4 ff............ ft.
Line#5 1t............. �.
Total elevation lift................ //.Oo ft.
TOTAL DYNAMIC HEAD:...... . -� Fr.
erK7Rl a wr artw em "t trarRam weo»
Aas>rss wwlc te.wcr lr
_ rrRA'// Y/riN• MC
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OSIQ1990
Y EFFLUENT PUMPS p`2
..20'OSI f 5 HH 10 ! 1 Stage ..•6..�.. ...... .«. ..i.. «i•..:.«:w ...i•..2•..i,. .. 6J�
350 .. r.. ............... .....
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?' . ...•,•:.•. 4...,...;...;...; ;:: SINGLE PHASE,60 Fib Sept.
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I�. 250 ;......••..............;...
I .,
4 ..{........:.....••:r..i...4..
W 0 OS107 HR 6Stage
200 .. .............:..:...
:
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>- HN 5 Stag ,:.....+...:---�..... •.........
20 OSI 05 g a
i50 ..h...i.. ..<.. ..4.......:...:... ..H..1........:...:...:...{...Ss..f.. .t
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R.*« 20OSIs05HH 5 Sfa e
rnrlth 1/4"Flow controller 30 OSI 051*! 3 Stag
0 10 20 30 40 50 60
NET DISCHARGE, GPM
2826 Colonial Road Rosaburg,OR 97470 503/673.0165
PAGE /OF tAGES
:1
InstallationIMainten anca
Pressure Distribution Systems/IM f►Lr M s
1. Install laterals with contour of the ground.
2. Install trench bottoms level.
3. Install locator tape or rebar on top of all drainfield laterals.
4. Install observation ports as indicated on the plot plan (minimum-2 per L AT i R A4
drainfield with bottom extending to the /native soil interface).
5. Install drain field during dry weather and soil conditions, any soil smearing must be
eliminated by hand raking.
6. Install threaded clean-outs at the ends of all laterals ( cap must extend to
within 6 inches of finished grade and be marked with locator tape or rebar.)
7. Install audio/visual high water alarm. Redundant off switch i/o r 7( alit i/(E tD
8. Install 1/8 inch mesh non-corrosive pump screen (min. 12 sq. ft surface area, not to
interfere with controls or floats.) Or Pump screen may be substituted with Bio tube in
septic tank.
9. Install check valve,in pump outlet line to prevent system from draining
back into the chamber.
10. Tee to Tee construction between laterals and manifold with orifices oriented at
/ O'clock. Install laterals to the manifold with orifices at 12 O'clock,
(ti) Filter fabric required over drain rock prior to backfilling. If the drain rock
extends above natural grade run the filter fabric at least 2 inches dsy e trench
wall.
12. Encase all water lines within 10' of drainfield area.
13. Divert all storm water run-off away from on-site sewage system. `#
,14. No curtain drains allowed within 10' of the up-slope edge or 30' of the dow,i-'stope
edge of the drainfield and reserve area.
15. have the septic tank and pump chamber pumped or inspected every 3 to 5 years.
16. Inspect and clean pump screen every 6-12 months as needed .
17. Inspect floats and test high water alarm every 6-12 months as needed.
IS. All materials and workmanship must meet County and State regulations.
19. Deviation from this design without prior approval from the Designer and Mason
County Health Department will make this design null and void.
20. All manhole lids and access, sampling, or inspection ports must have locking covers.
21. All pressure systems with pump chamber higher than drainfield must have a 1/8" hole
drilled in the discharge pipe above the pump to prevent siphoning.
22 . All transport lines under driveways must be encased, to prevent
crushing.
PAGE4OF6'PAGES
BLD2026-00184 UPDATED SITE PLAN
PROJECT SUMMARY:
CUSTOMER IS LOOKING TO REPLACE EXISTING COVERED DECK W/NEW&
*DRAINFIELD NEEDS DESIGNATED RESERVE AREA.WAIVER SUBMITTED TO REDUCE
DEPTH IS 30" SETBACK FROM DECK FOOTINGS TO EXISTING DRAINFIELD.ALSO
PER ASBUILT EXISTING HOME FOUNDATION TO NEW RESERVE DRAINFIELD AREAS.ALL
FOUNDATIONS APPEAR TO BE"UP-GRADIENT" PER 246-272A-0210(3).
EH SETBACKS
SLOPE Applicant/Owner assumes all responsibility if On-site Sewage
��— EH APPR VED A Components are encumbered.
FAIRWAY A.) Drainfield/Reserve requires a 2-6ft setback from all
1--i-145i
I Rhonda Thompson 04/15/2026 I DRIVE footing/foundations with WA12025-00066.
B.)Septic to k(s)requires 5ft setback from all footing/foundations.
C.)No foun anon!Perimeter Drains within 305,down gradient of
D.)Nfleld/ eserve)area.
(grey t
D.)No Cu Bank(s)(greater than 5fl and over 45 degrees)within
50ft,dow gradient of Drainfield/Reserve area.2+ 1I QRIV
PARKNGY
MAINTAIN 2'+ FROM DRAINFIELD
TO NEW DECK FOOTINGS. I I
EXISTING
GARAGE
ek t~M"*ag I
`' 6t 6391 / / e)
oALEX L.PQY E�S
LIGENSEQ OE$IQNER
fiFir±E$ � XIS ii '
2-Ho RC7 M 5,
/ / ME o
I
- rs/1 `RESERVE AREA
EXISTING f� 1
. ,,/7 P4MAY REQUIRE
SEPTIC TANK 9 PRE-TREATMENT
G�sulw
/ 7Ti PROP
COVER�D DEC . s+ HAND-DUG HOLE
K
f C EXISTING SHED, TO BE
4p � REMOVED IF RESERVE
SPACE NEEDED
" _ m , RESERVE AREA
APPROXIMATE EXISTINGJ 1f
450 SQFT/300 LNFT
DRAINFIELD AREA: 120LNFT (RESERVE DOWNSLOPE r
(PER OS RECORDS,OWNER PROVIDED OF HOME FOUNDATION).
INFO,&FIELD OBSERVATIONS) 2'min drainfield to deck
footings with WA12025-00066
CUSTOMER:LISA KRAMER TEST HOLE 1 • 1979 0SS PERMIT FOUND 36"+ N
..,. 0-24+GSL • 2007 PERMIT ON NEIGHBORING /
ALPINE
�...... ...:...••, PARCEL: 4 2 2 0 9 - 6 1 -0 0 0 1 3 TH 24 LOT FOUND 40'+OF LOAM A
PIN SEPTIC
--DESIGN SITE:61 N FAIRWAY DRIVE NO RIL FOUND
MLEX L PAYSSE.DESIGNER = O,$CLAUIER: 710$IS.NOT A SURVEY. REFERE}CES I5 t(OE APPi1CANt/000V1Y PROVIDED PLATS OR
S EET`SITE PL
eeN SCAL '. 1" 2 '
Q f1 `"`S ,W`" SURVEYS.FIEIA MEASURELTj4TS AND OWiTY CIS. DESIGN WTEN`DED FOR SE M.PURPO5E8 Os.7.Y.
D°i! rya W J,, ' 4 A$ '. PROPOSED DEMOPNEIiT h+AY EE SUWECT TO OTHER DEPARTMENVAOENOY RENEW. 0ESi0WER NOT
1 I 1�•I, - 7• 11 ii 0 05 1 ,, RESPONSIBLE FOR SETBACKS WMELATEO TO SEPTIC MAPCREMS..