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HomeMy WebLinkAboutSWG2011-00064 - SWG Application / Design - 8/9/2011 Mason County Public Health August 09, 2011 Tahja Syrett Designs 223 Cermak Ln Shelton WA 98584 RE: Design for HOESCHE Case No: SWG2011-00064 Parcel No: 223097500330 Your design for the above referenced parcel has been review and is APPRO ED. Please refer to the comments section of this letter for any additional informati n. Please call me at (360) 427-9670, ext. 279 if you have any questions. Sincerely, 4 6'2 Amanda Reynolds Environmental Health Mason County Public Health COMMENTS: 8/9/2011 Page 1 of 1 SWG2011-00064 ONSITE SEWAGE SYSTEM APPLICATION , MASON COUNTY PUBLIC KILALTH offl lal use only 425 W.CEDAR STREET PERT MHBBt SING � [ ( - 0 C�C��� Q MI NI n Po eox,6eS SHELTON,WA 98584 DATE :1 _1 r6 41 AMOUNT RECEIVED:S b 0 O (388)427'-9e70,EXL 352 APPLICANT DATE CKWIX APPL$CABLE rFEW z NEW SYSTEM 3 JDz's;PIa // JvL� let( 0 REPAIR SYSTEM e MALMO ADDRESS DAYTIME PHONE _v O TABLE 8 REPAIR t 'i (I6 o TANK REPLACEMENT 1D CITY STATE LP 0 RV�I NO uim II ONLY 10 05L0 0 INSTALLATION PERMIT DW.Y S SINOLE FAMILY SITE ADDRESS x Z 0 OTHER PWW AseCfbe c ZO4m b3 Ksln7fl OR . 3Or 3 NAME OF DESIONER PIHOIHE NUMBER e -etas - 5� �StC�S See, 4z�. 02Ss DOUNK OWATERSOURCIF NAME OF INSTALLER �{PRIVATE INDIVIDUAL WELL In1 �.�.p 1 0 PRIVATE TWO-PARTY writ 3' 31pM- 4L(i• 42Z( O COMMLI6TYiPUBu1CWATm Sys TEm � IN NUMBER OF BEDROOMS LOT SIZE: ACRES Fr X FT SYSTEM WFI t. I(� SYSTEM NAME: I0 3 5 `4 c SPECMYC DIRECTIONS FOR LOCATING SITE. Zl{c..,dk�l P4Cf (f� -v;tI444 X& �-la e 3 k4- dr o, NE g —ta l t, OF PCs dry d� gam r,.MIc- HW°t 'M L F j AR• ��Iat..1 C�^' `TFI�G 1 f'I" (o/Wtv�- `�-i 21Jk} . 7�IGG Se:COn.� I IU1 }"14 Cow- 4a k �f 4/* v* a It`r Site must be fla from main road and test holes ust be a with,test hole num (0 ros(»elrl e 4*Lelew tlb line0 I s " Iw SOIL rocs COMMENITSCONDMONS ILA la W n 7) I Cam., SOL TEXTURE CODES: V a ywY O= S=swW L-bem Si=iR C clay E_ INSPBCH'OR SI NATURE DATE DF419N EXPIRATION DATE DESIGN APPROVED BY I,DATE t 71261ri y ZO Zc)l (La 4 �/n INSTALLATION AID DATE INSTALLA ON EXPIRATION DATE INSTALLATION APP BY . ATE Rerird V,./m07 PAGEj_ OF rt Db l(.N FORM—PAGE ONE Assessor's Parcel Number 2.2309 A d cs igu 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 itemsjon checklist r Scaled plot plan, including all applicable items on checklist. •Cross-section sketch,including all applicable itemslon checklist. Macirntun r size: 11"X 17" Permi; Number: SWG 2-0 'OCOCo1' Designer's Name: TAHJA-SYRETTDESIGNS A};p!�:t:, 's Name: JOESEPH HOESCHE Designer's Phone Number: 360.427.0255 Mi ili❑, ;Address: 400 TOONERVILLE DR. NE Designer's Address: P.O. BOX 1905 BELFAIR,WA 98528 SHELTON,WA 98 584 city State zip City Sivic zip L:' _ .' ui sam: o.sIN KRiNM «s Treatment Device CLASS B WAIVER(21"+VERTICAL SEPARATION WITH PRESSURE DISTRIBUTION) "Drainfield Type -. .❑ Gravity I,4(Pre sure .. ° Trench ❑ Bed ❑ Su)Surface Drip Scplic Tank/Drainfield Specifications g�� Laterals N❑mbar of Bedrooms 3 Schedtt�*�srlj®V�Alm Dail% viI ,w: operating Capacity 270 gpd Lengthts.�. ralt,t.7l le, l-FIZ4'f ft Deik i'mW: Design Flow 360 gpd Diameter 'iUG 0 9 2011 L25" in Septic 1ankCapacity 1200 gal Number 2 Reeciving'Soil Type(1-6) 4 Separation ADR 10' MIN ON CENTER ft Reccicing Soil Appl.Rate 0.6 gpd/ft" Orifices Rcquirnd Square Footage 600 fe Total Number of Orifices 34 1),�wncd Square Footage 600 ft, Diameter 3/16" in Pc;ccni Reduction Taken 0 % Spacing 72" in TrcncIVRed Width 3' It Manifold "french'M, I_cn<uh 200' ft Schedule/Class 40 Elevation Measurements Length 12" it Ori-innl Drainfield Area Slope 5-8 % Diameter 1.25" in N,.. ';I oc,If A tiered SAME % Preferred manifold configuration used? CK Yes No Depth of Excavation Up-s41x 9" in Transport Pipe I from Original Gradc noµ„->Ir,P� 6" in Schedule/Class SCH 40 D sry t,d V :.il Separation 2111+ in Length 100'MAX R C➢ravcllc�s(-iiambers Required? ❑ Yes 0No (XOptional Diameter 2" in Puma Required? 0(Yes ❑No Dosing and Pump Chambl r Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 45 + gal Orifice 20' MAX ft Chamber Capacity 1200 gal t it p most O "I:ce X Higher O Lower than Pump Shutorf Pump controls: Please check those requi C it c (a i oral Pressure Head 20.06 gpm Wrimer D[Elapse Met ��- t Event Counter Ce4ulated'folal Pressure:Head 30 ft I Tinier: Pump on 2min14sec m T, t in46s C, 1 :i,,ts 4 1 SQl11RT=2.0 f=0.74 FITTINGS LOSS=5 ELEVATION DIFFERENCE=20 TOTAL=97.74 =130a.dk ,bG1(11+1 PAGE 7-- OF DESIGN FORM—PAGE TWO Assessor's Parcel Number: ,_,.__ZZ3A3_ __75 00330.__. Permit Number: SWG DESIGN CHIECIM TS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch N Test hole locations gl Drainfield orientation and layout Reference depth from original grade: Soil logs Trench/lwd dimensions and Septic tank p0 Property lines critical distances within layout $1 Drainfield cow r (& Existingand proposed wells D-Bemfvalve box locations P P Reference depth from riginal grade within 100 11 of property II Septic tank/pump chamber and restrictive strata: Measurements to cuts,banks, and locations gl Laterals,trenc fbed,top and surface water and critical areas IN Observation port location bottom i, - - 4 C9 Clean-out location B en tail.di mill 4 aileet"I QQ Manifold placement E3 a �RINpoRan IX Orifice placement Other cross-section de il: A Location and dimension of IX Lateral placement w1f� M Observation its/clean-outs primary system and reserve area Other Information Buildings M Audiblelvisual alarm referenced Yes No A Dirraion of slope indicator IN Scale of drawing shown on scale gl ❑ Design staked ut X Waterlines bar ❑ Recorded Noti es attached X Roads,easements,driveways, WILL SUBMIT BEFORE DESIGN ❑ Waiver(s)attached Parking APPROVAL ❑ Pump curve at shed �l North arrow and scale drawing ❑ IN Evaluation of bilure ,shown oil scale bar Non-residential justi cation ❑ IX Waste strength gl Flow AL ' The undersigned designer must be notified by in me o1 i lation jI Yes ❑ No f, Signature [Desi" Date s. oe"1 II Tue undersigned has reviewed this design on bebalfofMason�ouhfy Public Health and determined it be in compliance with estate and local on-site regulations: 364�&& Environmental Health Speciatist 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: 20 2,01 LI i ✓ Drainfield site conditions have not been altered to adversely affect conditions ofaesign approval Please Note. The system must be installed by a certified installer, unless prior authorization isiobtained from Mason County Public Health. An Installation Fee is required. Bevis on Date:8/28107 s"'T 3. �F _rm . _, Pf o � � m � � Z � .Zo 'w w z c� o !!S (f 2011 0 ui AOR w Q w � z 2 w Q BLACKSMITH DRIVE --- w F- --------- w x x 0 IL w ... ¢.. z � w w U Z_ O .Z o p D < F' W p O x O ;R O z. f w _ n o Q W EL N_ LU / o p U) I M J� LL II - -_ _ _ W i yti Q (� w b / 3 " z Z w U) N Q w o x o M O O z Z u C7 `\ O �� o u ca 0zw In w O \ N n Of N 7 U N W 0 of Oa0 zi W In o 0 amz � � }\ \ /RUVEO � � ( ~ w . .S 2 ,m m gezawe / § b b f \\(\ \ 2 ( ^ a§ n@ 93 § § § � 2 # 60R j § G m ± wo > j= c ' k � . \\ ° � wR Z2 4 § ± E \ ) 6 m � ° dk \ z k § B } d\ \ N /^ § \ \\ \ oww�ui zwoa ) \ ]\\ � j c 2 \ ) n ww� ! o q%R z § 7 Gba @ ƒE U) \w E ° \#\ C) ® � ) z ^ ^ � % \ \r2 e k \ § � \/)oh § u � z m [ � -_` » k § � z /// m \ k \ ° ( // \ ? § /\/ \ © TAHJA-SYRETT DESIGNS Z z v Qa iv K F of w Q a w (V N 0. z 0 II a O aD O U f0 � a Z p W O N Q } o d WZ _ U) C7 O w W z o >>c~i w o Z a U KUU O OW»zCD zz O O ¢=Q JQ Wa w > U) x m O Q mz co U K Z NU w F- W o U 3 j �.x O , Via . . > w �vUi Z Z Ix '.. v w �' Q W Q a ': ~ oz Z z 'TH z 20" 0 O OZ5Z po� .� K W Ww to -Z.0 U' JO -2z C �� L N O OFW z K QF OO W 1 I� O SZYZ�O F NJQFyr pLLOU' (` rU''6WZaQ FW zWZZ- ZOZ ppWppp¢¢OS W r II U I2LLWOQ% aFOQ HooZO molo UZU'OSF2 w6N y y Fq X1X0(Oy ZQYZQ U.Z...1122YZa YZqZQ ymLLZQYZ0 6aJWQQLLFW(7¢ �FZSM1ZFe- ��', NU z�pu`CZ' 't�F 7NNNW WNW M!oUU2JFFLLc 7,ZD W LU f g Q J O Q O Q F w 8 W o w f w nMMURRM g k p O O (� w Z • Ee l p..e: N I� w Q CL N iwnn INN I Io W Y Q U e F- (9LU mzz H F LU J 0 w J 7 2' L a O Q = w a W Y ¢ ¢d IX 3 w w 133�NI�VIN gY101 , Z H w N SAll O Y a mx_2 0 a 3YF0Y1N N m y Z 0 N MANIFOLD 2"TRANSPORT LINE �( LL r _ AEn4 , � O II _ 1.25"FEEDER LINES c r� -rr „U, Fl ?0 � Jw U EL u xr O 104 M 111 L � co o _ Lb � ay _ 1 \ \ C \\ \\ \\ tJ� 7 uu „ i 'E..m L1, t '. p I 32' 1� u' v v v v v v w M \ \ \ = N O — 36" 1ST ORIFICE r \ \ \\ \\ \\ \\ p L) N \\ \\ \ \ \ \ W w iIi Q LL O —1 \ \ \ \\ \\ \ Z = Lu ' 2 72"ORF. \ \ \ \ \ \ O O SPCING E \ \ \ \ \ \\ LL71 \ \ \ \ \ v v v v T PRIMARY TRENCHES \\ \ \\ \ \ \\ \ \ \ \ V) Z ERVE TRENCHES \ \ \ \ \ \ w MANIFOLD DETAIL: \ \\ \\ \ \\ 1.2S FEEDER LINES 1.25"CHECK VALVES 125`LATERALS \ \ \ \ LLI 3/16"ORIFICES \ \\ \ \ \\ \ 1.25°MANIFOLD \ 12:00 W/SHIELDS \ \ 1 \ } ^- 1.25"BALL VALVES \ \ 1 \ \ \ REDUCER 2"TRANSPORT CLEANOUT/OBS PORTSIj I.._. 0 O N N W WQ I I 6"PVC CLEANOUT/OBSERVATION PORT W FINISHED GRADE W J FILTER FABRIC OVER DRAINROCK W W W U 0.5'TO 2.5'DRAINROCK > U) o U) W d --- ORIGINAL GRADE ly Z SANDY LOAM 12"+ I W 2 FILL I O 07 Q W J O 0 I i fA W co _ s ERAL PIPE � 7' '+; I �"`d t" W �Cq ! < LD 36:, nUGfe -42011 WW it TRENCH BOTTOM y (9 W I F H TEE ON BOTTOM OF PORT TO ANCHOR a 0- d m Z NATIVE SOIL Z/ i f n RESTRICITVE LAYER ��= --�=-�= VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW oor FINISHED GRADE THREADED CAP ORIFICE SHIELDS FLEX HOSE OR SWEEPING EL 1.25'LATERAL PIPE ve'v� BRING LAT INTO- PORTTHROUGH _ DRILLED HOLE TRENCH BOTTOM ORIGINAL GRADE TEE ON BOTTOM OF PORT TO ANCHOR © TAHJA-SYRETT DESIGNS AGE `I OF /m PRESSURE DISTRIBUTION SYSTEM Installation Notes: 1. The prepared site plan is not a survey. It is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the designer immediately. 2. Install drainfield during dry weather and soil conditions. 3. Keep wheeled vehicles off the drainfield area before, during and after installation —tracked vehicles only. 4._ All ground and surface water(including roof drains) must be diverted away from the drainfield and tank areas. Ensure that final grade slopes away from these areas and that water does not pool around/behind them. Use swales, berms,along with catch-basins and tight-lines, curtain drains, etc. to divert ground and surface water. 5. Curtain drains can be no closer than 10' uphill or 30'downhill from the drainfield. 6. '' Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' dowr hill from the drainfield. 7. Use Schedule 40 pipe in inlet/outlet of tanks to ensure proper water-tight fil with flexible couplers/gaskets. 8. Install two 24" risers on septic tank and two 24" risers on pump chamber. - 9. Make sure risers are epoxyed to cast-in riser rings on tanks. 10. Lids must form water and gas-tight seals with the risers and use RLAs to attach to lids—tapping screws in riser ribs is not acceptable. 11. Install effluent filter specified in this design at the septic tank outlet. 12 Install control panel specified in this design. 13. Install check valve/ball valve/quick-disconnect in pump outlet line to prevent transport line drain-back and to facilitate maintenance, 14. If drainfield is lower than the pump tank install an anti-siphon valve or siphon TAHJA-SYRETT DESIGNS P.O. BOX 1905, SHELTON,WA 98584 360.427.9277 (OFFICE) 360.239.9901 (MOBILE) tahjasyrettdesigns@hotmail.com RAGE 0 OF 1� breaker in the pump discharge line above high-liquid level. 15. Install pump in a vault designed to draw effluent from 18-24" off the bottom bf the i pump tank. 16. This system must be installed by a contractor licensed in Mason County. Far a list of approved installers go to i http://www.co.mason.wa.us/envhealth/septic/index.php Tahja-Syrett Designs recommends: B-Line Construction, Inc. (360) 426 - 4221 17. Deviation from this design without prior approval from the Designer and CoL my Health Department will make this design null and void. System Owner Responsibilities: 1. Operation & Maintenance is required by the state of Washington and the county for all septic systems. 2. A current list of certified O&M technicians is available from the County. 3, System Owner is responsible for having maintenance performed according tot e schedule set forth by Mason County. 4. System owner/operator is responsible for responding to alarms in a timely man ler and alerting maintenance personnel as needed. 5. System owner/operator MUST NOT change settings in the control panel. Only n authorized maintenance person may alter settings in the control panel. 6. System owner/operator agrees to read and abide by information regarding thei system in USER MANUAL provided by Mason County. I TAHJA-SYRETT DESIGNS P.O. BOX 1905, SHELTON, WA 98584 360.427.9277 (OFFICE)360.239.9901 (MOBILE) tahjasyreftdesigns@hotmaii.com MASON COUNTY DEPARTMENT OF HEALTH SERVICES _ - -, ' smtrnxntemta111eolth wour O ato ealth ON, WX PO BOX 16M 31HiHMLUN LO (360)427-9670 Application for Waiver/Appeal ,3E TOLL PM ism F (360)427-7798 Amount Paid• Receipt Number:. \\ instructions z . PART 1: Applicant/Parcel identification NameofApplicaut JOESEPH HOESCHE Date 11 JULY201 Mailing Address 400 TOONERVILLE DR. NE Telephone BELFAIR,WA'98528 Assessor's parcel Number 22309-75-00330 Subdivision Name and Lot TR 33 OF SURVEY 7/17 PART2s Nature of Waiver/Appeal X oil-Site Sewage Requirements ❑ Food Sanitation Requirements a 8uils8ng permit review polictes ❑ Solid Waste Raquitrotents e Location, WAC 246-272-09501 ❑ Croup 0 Water System Regtt �S a Holding tank WAC246-272-12501 O Water AdequacyRtgairemen XOn,SHeStandards ❑ Enforcement11metines a Certywation contractor(pumper, ❑ Departmental Determinations !If designer,installer, O&Mspee)requirements ❑ Other Description of WaivertAppeat(include justification,additional material may be imached): HE APPLICANT WISHES TO REDUCE THE NEEDED AMOUNT OF VERTICAL SEPARATION FOR PRESSURE DISTRIBUTION FROM 24"TO 21"+.THE SITE QUALIFIES FOR THE CLASS B WAIVE CRITERIA,AND MITIGATION MEASUREMENTS WILL BE PROVIDED AS APPROPRIATE,TO INC DE 50' DOWNSLOPE HORIZONTAL ATTENUATION ZONE, RECORDED ON THE PROPERTY DEEa THIS DOWNSLOPE AREA WILL NOT BE DEVELOPED. Applicant Signature: Date: /L tl� N..twoAr4wxcit1fmwirrutwP. updmu A0Is.1"7 PART 3: Health Department Evaluation(Staff Use Only) IA. Type of Detemrination Required: I B. Type of On-Site Waiver(if applicable): Cl Appeal Waiver ❑None required ❑Class A ❑Class B XCla#s C 2. Identificaton of Specific Code/Standard/Determination(include date of determination or latest coddstandard revision): w NC-24G -- 2-72?r 3. Na (Appeal: 4. Hearing Official: ❑Board of Health ❑Health Officer ❑Pollution Control Hearing Board ❑Health Services Director ❑ Certified Contractor Review Board KAvironmentat Health Manager 5 ;tigating F tors: , V \ \ 5 _ /0 6\ G: f have reviewed this waiverivariance request. It is complete.and mitigation required by state and local policy has been submitted. Statl: Date: PART 4: Determination of the Hearing Official I The hearing official has deternined that approval of this request will not adversely affect public h m1th,and is hereby granted. This decision is based on the following findings and conditions: The hearing official has determined that approval of this request could potentially have an adversely affect public health and is hereby denied: Ills decision is based on the following ftadingc Hearing otGctat Date: o t1 i H:OVDATAURCHIVEWAIMAWP Update:April 25,.1997 On-Site Sewage Systems (Chapter 246-272 WAC) Request For Waiver From State Regulations SEMON 1, 1 COMPLETED BY APP4CANr i Name:(1) JOESEPHHOESCHE Local Health Department/District ) Address: 400 TOONERVILLE DR. NE BELFAIR WA 98528 Telephone:�) 'Signawre: Property Identification:(3) 22309-75-00330 SECTION 11: COME ED BY APPLWAM WAC Number:(4) WAC Requirement:(5) Waiver Sought:(6) 124"VERTICAL SEPARATION FO1"+VERTICAL SEPARATION246.272- 0230 2 �1 VERTICAL DISTRIBUTION PRESSURE DISTRIBUTION Subsection. TABLE VI Justification(Mitigation measures to be provided):(7) 50' HORIZONTAL DOWNSLOPE ATTENUATION ZONE RECORDED ON DEED AS PER MITIGATION GUIDELINES. SECTION 61,. 13Y)FALTHOFt7 ER Review Criteria{8) 2 MitlgatioaiKeasara(mad tottwte ;{9) Comments/Conditions:(10) Type of Waiver.(11) OCIasA CK3=B C•RequertD0!lrevkvarfantrW"V7Yes_ No� Neighbor Notification:(12) Itequimd? Yts_No rreedeQ are agreenrerur,eptemerrU,ek.properfyfikdl Yet OOlaTEIED BYITAI.TH.OFFICFR i Roqum For Walm applkd,aa State m1&VAn6,me�propokwAawarding ar moulted htveban u 246-WACO rids 6V ha[y*ffd' .prottedon at lean equal to nut provided by this dupter WAC. Approved/Granted-Subject to all comments,conditions and requirements noted in Section It Bad IIt. Denied _. Local It Officer(13) Date: MASON COUNT' , WASH[NGTON N A�7 h Fi. a tl _f+�l/1lM� � R.`uk 33es t{fig, 1 �� y��� ♦?�.�j� APPENDIX A CLASS B WAIVER OFON-SITE SEWAGE REGULATIONS WAC 246-272 AND WORESMET FOR DETERMUMG A REDUCTION IN VERTICAL SEPARATION ibis wotksheetis used to determine if asite qualifies for a reduction is Vatieai uparuioo tmder the Class B Waives Please fill out the woeaheet in its entirety. incomplete worksheets are returned to you and will can=delays in your pamit application. Part I.-AppUcant Information MONSOONS Name of Applicant: JOESEPH HOESCHE Date: 11 JULY 2011 Site Address 2040 NE BLACKSMITH DR. MalIingAd&ess: 400 TOONERVILLE DR. NE City BELFAIR State: WA Zip: 98528 Assessor's Parcel#: 22309-75-00330 SWG# Part 2.Checklist I) Check the soil structure. So1lSeria 3) m Shigle Citalned orWeak................... .... x Wellsuucbnvd .......................... .... Aw«aeod Gravelly sand Loam .................DQ Odw ... .... EWmti eGravellySandiaam ................... 0 4) Check percent slope of the prl dralafold HoodspoctOmwellySsodEmm.................. ❑ area. won Omv ft Sand Laam,......., mnastrocavdly sand Loam......... ....... 0 oar ........ t] 2) Cheek the sell type: Less tha 11% .......I.................. . .0 .3 3%-13% .............................. �....X Otesterd=30SG ......... Q 16%-30% II 5) Ckockthewp4to everUplSeearaBos. ' Loam ...................................... ❑ LoamySmd ................................. ❑ \ Paomt Gmvet by Volume: 0 Lets d m cs ot[ed to 6iN/. ................. has thsa 12' ...i.... tartowd=60%.... ......... .......... 0 12-18................................ 0 Ckcderytld��s�a 19. ........................ .... Duamloed by: Depth to Hardpan .• .......••X Depth to Mottelht8 ........... (3 < 0 Both .................................... ��F '�,��''W��� zvv4Ly:: � - •,����`� t ':Fz gKtf''%`at y 4'�{�Vtt� �•e3 '� <d,S,.,A I s'. • a ✓. w r � z • ■ 6'� � � t:"S Y'r'7�37 r^y Y�.r* r z � I r. � ■ ■ le •• ■ ' r � TTIMM RISITI'Ll ' . a Eel 1.4 IN 1616111:8 z c ' 11 i t9a'�.x,. .a.� t Er,�,�a~ s>c t gs,� 3�> �� 8 =•' •' ,I e first, as9 s zr m'a *. vy/�3+` „ 1 1• I I I N r (,�i� •• MUMe ✓ i3;ya r` •: • ) 4 �h • • • �f� �� tz 'vl S" q .p,3.: ✓, x ",y Part3: Certification and Approval Applicant Certification: l eadfy..to the beat of my knowledge,gat the above information is true and coronet. l ackmwledge that i am aokiy responsi for ma ntainiog the integrity of die primary and reserve drainfield areas;and that destruction or damage to the dninfield area my result in Immodia le rewinding of the onsite sewage permit. W -ZL tJ L Per ... Date d IL Q �) /Jv 1 Appli t Date Health Department Review: Preliminary Review For Design Submission: 0 Approved 0 Denied Environmental Health Sanitarian Date Waiver is 0 Approved 0 Denied Environmental Health Sanitarian Date Comments: ONSITE SEWAGE SYSTEM APPLICATION MASON COUNTY PUBLIC HEALTH Official use only a 426 W.CEDAR STREET PERMIT NUMBER: SWG Rb 11 G L 6 G PO BOX 6 SHEL ON,WA98584 DATE RECEIVED: AMOUNT RECEIVED:$ J� � 0 (360)427-9670, Ext 352 % o is 7 -4 APPLICANT DATE CHECK APPLICABLE ITEMS Z f y 'B'NEW SYSTEM m m J O S EYE/-F r} O G S C N L //� /// 0 REPAIR SYSTEM m m MAILING ADDRESS DAYTIME PHONE 0 TABLE 9 REPAIR L/0D TOflNE `VILL& I, Z ✓ 31oD"393, f7 0 TANK REPLACEMENT i m CITY STATE ZIP 0 RV HOLDING TANK ONLY I T (requires waiver) m (>L_L FA I/Z. --;Iy0 SINGLE FAMILY SITE ADDRESS 0 OTHER Please describe: I Z 20`/© NLz- (3L�4-cKS�ryITN- �J2 / �t-'�GAIIZ Now I c 3 NAME OF DESIGNER PHONE NUMBER Record Drawing(Asbuilt)required fot allinsf I Q m J IM � I E'A;4y 3100 QSIo"�Zf2 DMNKING�WAATERSOURCE I� <_ NAME OF INSTALLER 015RNATE INDIVIDUAL WELL m N 0 PRIVATE TWO-PARTY WELL p 1 0 COMMUNITY/PUBLIC WATER SYSTEM IN NUMBER OF BEDROOMS LOT SIZE: ACRES FT X FT SYSTEM WFI#: ( IW 3 Je' X 3V, SYSTEM NAME: SPECIFIC DIRECTIONS FOR LOCATING SITE. I I� lt7hway_ 3 +- 1 eft- -�-v CJlit 0,. d'Iof I f m IPFF o e>Psr ('��rlt [ ecw-, ffc Rel +o (-e Ij ` x 0� G/ u�KS� ifl/ Ur //ow 4 Sire ch riyhY , I(� 0 Io Site must be flagged from main road and test holes must be flagged with test hole numbers I w Official use only bcloH this line I I� I SOIL LOGS COMMENTS/CONDITIONS � 2 G-7 � - ZCo C-rSL SOIL TEXTURE CODES: \ V =very G=gmvelly S=sand L-loam Si=silt C=day E=extremel INSPECTOR SIGI7IATURE DATE DESIGN EXPIRATION DATE DE O/VBY BATE Revised 4/4/200 Mason County Public Health May 20, 2011 Jim Henry PO Box 14531 Tumwater WA 98511 RE: Design for HOESCHE Case No: SWG2011-00064 Parcel No: 223097500330 Your design for the above referenced parcel has been review and is APPROV D. Please refer to the comments section of this letter for any additional informatio . Please call me at (360) 427-9670, ext. 353 if you have any questions. Sincerely, Cindy Waite Environmental Health Mason County Public Health COMMENTS: 5/20/2011 Page 1 of 1 SWG2011-00064 DESIGN FORM-PAGE ONE Assessor's Parcel Number: _r7a 3 C 9 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 itemson checklist Scaled plot plan, including all applicable items on checklist. Cross-section sketch,including all applicable items on checklist Maximum paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 20�j - 000(o1A Designer's Name: Jlr"t 6.n/ y Applicant's Name: �jc-sFP + /90&5cNS Designer's Phone Number: 31zz)- y50 -'7J.yZ Mailing Address: Yda TooluLcuiL, DR n/b Designer's Address: �0 6 cSe Iv53 i 0 CL FN Ig GvA A5, --d MWp7i�r2 44 qk t;1/ city State Zip City Sta zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type:_ ❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other: Drainfield Type ❑ Gravity 10ressure ❑ Trench Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 10 Daily Flow:Operating Capacity 36 O gpd Length 3 k ft Daily Flow:Design Flow gpd Diameter I , aim in Septic Tank Capacity gal Number Receiving Soil Type(1-6) Separation 3 ft Receiving Soil Appl.Rate (, gpd/ft2 Orifices Required Square Footage �,p-,) ftz Total Number of Orifices Designed Square Footage 113 ftZ Diameter in Percent Reduction Taken % Spacing �2 in Trench/Bed Width q ft Manifold Trench/Bed Length L-lc ft Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope I % Diameter Z in New Slope, If Altered % Preferred manifold configuration used? O'Ws No Depth of Excavation Up-slope in A 'py IR uE from Original Grade Dow❑_s,ope in Schedule/Class m`` EA N Designed Vertical Separation 3(o r in Length It Gravelless Chambers Required? Q Yes ❑No ❑Optional Diameter '-Z in Pump Required? 14 Yes ❑No Dosing and Pebe Pump/Siphon Specifications Number ofdoses/day Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity (0 0 gal Orifice `1,5 ft Chamber Capacity 1 �--o+� gal Uppermost Orifice Q Higher ❑ Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head .'�$,3tf gpm 9T'imer 0E apse Meter Event Counter Calculated Total Pressure Head 7" fy ft If Timer: Pump on I M1N yz 5ec ,Pump off Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: Z Z 3 O 9 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sk�tch Test hole locations ff�Drainfield orientation and layout Reference depth from original grade: 13"Soil logs ❑ ' Trench/bed dimensions and Q' Septic tank O'�Pro e lines critical distances within layout P rtY 13' Drainfield cover Ear Existing and proposed wells ❑ D-BoxNalve box locations Reference depth frojn original grade within 100 ft of property El-Septic tank/pump chamber and restrictive stratak ❑ Measurements to cuts, banks, and locations EKLaterals,trepch/bed, top and surface water and critical areas Observation port location bottom I C�Location and orientation of 2r'�Clean-out location E3'�Curtain drain collector curtain drain and all absorption p' Manifold placement E3'�Sand augmentation components 121'�Location and dimension of 12'Orificeplacement Other cross-section etai1: primary system and reserve area 113�Lateral placement with distance El'-Observation ports/clean-outs to edge of bed Other Informatio E� Buildings Audible/visual alarm referenced Yes No Direction of slope indicator E3__�Scale of drawing shown on scale 0' ❑ Design staked out ET Waterlines bar ❑ ❑ Recorded Notices attached Id/Roads, easements, driveways, ❑ ❑ Waiver(s)attached parking Ir ❑ Pump curve ttached North avow and scale drawing ❑ ❑ Evaluation o failure shown on scale bar Non-residential jusi ification ❑ ❑ Waste stren h ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation E3"Yes ❑ No �l� Date S' nature of Desi 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-sit egulations Environmental Pealth Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITI N: ✓ The design is stamped"Approved" by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired, the Permit Expiration Date is: S / ✓ 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 i obtained from Mason County Public Health. An Installation Fee is required. Revision Date: 8/18/07 c� JIM HENRY DESIGN SERVICES, INC. MASON COUNTY DEPARTMENT OF HEALTH SERVICES ON-SITE WASTEWATER DISPOSAL SYSTEM DATE: April 12, 2011 APPLICANT: JOE HOESCHE 400 TOONERVILLE DR NE BELFAIR, WA 98528-2909 C� P� LEGAL: TR 33 OF SURVEY 7/17 �l-l�-a PARCEL#: 223097500330 5 s 000121 �F o� JIM HEN .� LICENSED D'SIGNER PROJECT#: Utz zz EXPIRES: OS/1141 DESCRIPTION: NEW CONSTRUCTION PROJECT DETAILS: NUMBER OF BEDROOMS 3 GALLONS PER DAY (GPD) FLOW 360 APPLICATION RATE 0.60 DRAINFIELD -Absorption Area Required 600 SQ.FT -Absorption Area Designed 1134 SQ.FT -Trench/Bed Length 40 FT -Trench/Bed Width 9 FT DRAINFIELD CROSS SECTION APPR® ED - Bed Depth 12 INCHES MC PUBLIC ALTO - Graveless Chambers 12 INCHES MAY 2 U 20il - Sand under Trench/Bed 12 INCHES -Vertical Separation 36+ INCHES CrEW - Fill Depth 12 INCHES SEPTIC TANK - Size &Composition 1200 GAL CONCRETE - New/Existing New J L � f f �JIM HENRY DESIGN SERVICES, INC. APPLICANT: JOE HOESCHE DATE: April 12, 2011 PARCEL #: 223097500330 PRESSURE SYSTEM - 3 LATERALS System Parameters Pressure Calculations Orifice Size 3116 inches Minimum Orifice Discharge Rate 0.62 gpm Residual Head at Last Orifice 2 feet Total Lateral Length 114 feet Orifice Spacing 2 feet Number Orifices Lateral 1 19 Number Orifices Lateral 2 19 Number Laterals 3 Number Orifices Lateral 3 19 Lateral 1 Length 38 feet Total Discharge Rate 35.34 gpm Lateral 2 Length 38 feet Lateral 3 Length 38 feet Friction Loss Pipe Class 40 Tightline Friction Loss 1.27 feet Lateral Line Size 1.25 inches Manifold Friction Loss 0.13 feet Lateral Elevation 104.5 feet Lateral Friction Loss 0.75 feet Friction Loss through System 2.14 feet Manifold Length 6 feet Manifold Size 2 inches Dynamic Head Residual Head at Last Orifice 2 feet Elevation Difference 4.5 feet Add-on Friction Loss 0.2 feet Elevation Difference 4.5 feet Tightline Length 60 feet Total Dynamic Head Loss 8.84 feet Tightline Size 2 inches Total Discharge Rate 35.34 gpm Add-on Friction Loss 0.2 feet Total Dynamic Head 8.84 feet Drain Down Calculation: If orifice orientation is 12 O'clock,the following calculation does not PUBLIC ED Orifice Orientation 12 O'Clock MCr��L,Ls a �LT� Length of Pipe 114 feet Liquid Volume in Pipe 8.89 gal MAY 2 0 �011 Drain Down Volume 4.45 gal 7 Volume 31.12 gal Dose Volume 60 sF s Dose volume meets 7X rule: N/A 100 121 p JIM HENRY ucF11gD r s EXPIRES II Performance t ' Wholesale ProOucts Pagr.6220-I Data Section:Perfornwnce Dolor Dated:April 2002 RPM: 1750 Discharge: 1-1/2" Solids: 5/8" Supersedes:Jar ry 2001 r 12 40 9 30 W � 6 20 � OSPSO AB pP 5 3= s y�lq—cl o 0 q' siooa1zi ,e Copadty-U.S.G.P.M. 10 20 30 40 SO '. 60 70 - 02" JIM HENRY E,INSM V GN EXPIRES: OP/11/1 liters/Semnd 0 1 2 3 4 The arrves reflect maximum performance characteristics without exceeding full bad(Nameplate)horsepov{er. AN pumps have a service factor of 1.2 Operation is recommended in the bounded area with operational point within the curve limit. Performance curves are based on actual tests with clear water at 70-F.and 1280 feet site elevation. Conditions of Service: GPM: .-�5,3 T TDH: g S`'F' IrL190 HYDR MATIC® SEALM;W0STO=MFAM PPR. VED �HC; P IBUC HEALTH TOArARM&POVVER oj•ar. MAY 2, 012011 G--tls:_crc v.s�V / u:a,c cns+xiR _ 1200 -&AL- PUMP (fiiAAAk-NL �+ AIARNSINnaI (,o -GALL It3 o 5 t-7 5 Pussrorfi T)ME—Yt_ Rcak-) ,2en�, D os � C of, )JT�12 LLAP�D Tills= mE T�Z Pcsra�I �3+ J ti C Q m LL � J W I m Z16 N 1 h > WW C7 m N '1 0 J N ¢ �I p Z (D F Q O o o N W W w o r C�x( W P W O NY 8 m O Q Q W E 44 IFER N p O� F W ti 0 1 SSE , p E p ¢ i Y Z FQ- U a (T m U � uj w APPROVED "C PUBLIC HEALT14 c Z Z MAY 2 0 2011 co 0 6 y I w _/ z 5W C. J U JIM HENRY DESIGN SERVICES, INC. APPLICANT: JOE HOESCHE DATE: 4/12/11 PARCEL #: 223097500330 MOUND SYSTEM SLOPING SITE Mound Parameters Constants Calculated Fields Upslope Depth 1 Ft Gradient 3.00 Ft Bed Length 40 Ft %Slope/100 12 % Bed Depth 1.00 Ft Downslope Der th 2.08 Ft Application Rate/Soil 0.6 Bed Center 1.50 Ft Downslope Width 19.34 Ft Number of Bedrooms 3 Bed Edge 1.00 Ft Endslope Widtf 12.12 Ft GPD/Bedroom 120 DownSlopeCorrection 1.58 Ft Upslope Width 6.66 Ft Bed Width 9 Ft UpslopeCorrection 0.74 Ft Fill Width 35.00 Ft Fill Length 64.24 Ft Mound Sizing Calculations Sand Under Bed Depth Depth of sand under upslope edge of bed 1 Ft Depth of sand under downslope edge of bed Upslope Depth+(%Slope/100 x Bed Width)= 2.08 Ft Sand Upslope of the Bed (Upslope Depth+Bed Depth+Bed Edge)x Upslope Correction x Gradient= 6.66 Ft Sand Downslope of the Bed (Downslope Depth+Bed Depth+Bed Edge)x Downslope Correction x Gradient= 19.34 Ft Total Mound Width 51000121 Downslope Width+Upslope Width+Bed Width= 35.00 Ft JIM HEN LICENSED prS�GNFR Sand Endslope from Bed EXPiREs: 0s 11/ ((Upslope Depth+Downslope Depth)/2)+Bed Depth+Bed Center)xGradient= 12.12 Ft APPROVED PUBLIC HEALTH Total Mound Length MAY 2 2011 (Endslope Width x 2)+Bed Length= 64.24 Ft Basal Area Required 600 Ft 2 Basal Area Available-Level Site NA Basal Area Available-Sloping Site Bed Length'(Bed Width+Downslope Width)= 1134 Ft 2 Is basal area satisfactory for a level site? 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