HomeMy WebLinkAboutSWG2021-00618 - SWG Application / Design - 11/10/2021 415 N GTH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360427-9670,EXT 400
COMMUNITY SERVICES BELFAIR:360-275d467,EXT 400
mre„yewniyr..o-o,,,,.m.ixmxn.commwiryxe.na, ELMA:360482-5269,EXT 400
FAX:360427-7767
On-Site Sewage System Permit: SWG2021-00618
APPLICANT HOPTON-VARTIA LAND Phone:
DEVELOPMENT LLC
Address: 7002 BAILEY ST SE LACEY,WA 98513
OWNER HOPTON-VARTIA LAND Phone:
DEVELOPMENT LLC
Address: 7002 BAILEY ST SE LACEY, WA 98513
SEPTIC DESIGNER Jim HENRY.Jim Henry Design Services Phone: 360-956-7242
Inc
Address: PO BOX 14531 TUMWATER, WA 98511
Site Address: UNKNOWN
Primary Parcel Number: 421271404010
Permit Description: LOT 4-New 3bd pressure bed
Permit Submitted Date: 11110/2021
Permit Issued Date: 01/26/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $475.00 (aaai6onal fees may W ra9alred upon Inatellanon or system).
Permit Expiration Date: 12107/2024 (Salad on data m inspecuan)
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 Drainfie/d 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 DesignerlEngineer installation approval prior to
backfil/of system components.
6 Mason County Asbu/It 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 REOUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: www.co.mason.wa.us/health/environmentallonsiteloss-inspection-request.php or call:
360.427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH TTRENED l - c. 2C�3
ONSITE SEWAGE SYSTEM APPLICATION p EGUNTnfCENEO LN Y
415N6th StEEpl&dgel Shehon WA,%584 - eD `�J ! N
5hehon:36tr43)-96I0 ex1400 Belfair.3fil}3)Si96]IPA 400 SWG O ;q
APPLICANT PHONE 3. D
KARIN VARTIA 360-789-6781 m m
MaIUNG ADDRESS-STREET.CITY STATE,ZIP CODE r
7002 BAILEY ST SE LACEY WA 98513 c
3
BI7EAODRE55-STREET CITY,2IPCOOE m
UNKNOWN (CALIFORNIA RD) LOT 4 a
NAME OF DESIGNER PHONE I A
Jim Henry 360-507-1267
NAME OF INSTALLER I PHONE I N
CHECK ALLAPPLICABLE ITEMS DRINKING WATER SOURCE 0
p5J
NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY O PRIVATE INDIVIDUAL WELL y IV
[3REPLACEMENT SYSTEM [3 INSTALLATION PERMIT ONLY ItlJ PRIVATE TWO-PARTY WELL O
E3 TABLE 9 REPAIR Sf SINGLE FAMILY ❑ COMMUNITYIPUBLIC WATER SYSTEM Z
E3 TANIUS)ONLY [3 COMMERCIAL SYSTEM NAME'.
❑ UPGRADE TO EXISTING ❑ OTHER'. BEDROOMS I LOTS¢E I
❑ EXISTING FAILURE 'R-HP?warl'THAI. 3 6.73 ACRES M.XXMM moR.^ O A
DI PECTIC NS TO SIT E-BE S PECIT C AN D ADVISE OF ANY N EEDED I NFORMATI ON FOR A.SEE HYII BIN) O 1
FROM SHELTON, NORTH ON HWY 101, LEFT ON CALIFORNIA RD TO SITE ON
RIGHT. A
Nyl ok bol �ti Cu( (vm1U 5 to
I �
A
SITE MOST SE FLAGGED FRGM MAIN ROAD AND TEST NOLES MUST BE FLAGGEG NITS TEST HOLE NUMBERS I0
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADEIFAILURE SOURCE(Mr MpXKWPVr PM)
❑VOLUNTARY ❑MAINTENANCFJPUMPING ❑BUILDING PERMIT OHOMESALE [3COMPLAINT DOTHER'.
INSPECTORSOILLOGS COMMENTSICONDITIONS
G�\ 5ar to V
2'TJ ti`1 h �
SOILCODES:
V=VERY G=GRAVELLY SPRANG L=LOAM So-SILT C-CLAY E=EXTREMELY R=R00TS
INSPECTOR SIGNATURE DATE I APPLICATION EXPIRATION DATE APPLICATION APPROVED BY q� � DATE
121'1�Zi (2171 \I1,4.17�"1'
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 129rz015
• DESIGN FORM—PAGE ONE���� QpQ '`Q��- Assessor's Parcel Number: 4 2 1 2 7 — 1 4 — 0 4 0 1 0
A design will be reviewed whenxTNdles of each of the following are submitted:
a Completed design form that has$een signed and dated. o Scaled layout sketch,including all applicable items on checklist
o Scaled plot plan,including all applicable items on checklist. v 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. Sfarimum paper sire: /V V/
PARCEL IDENTIFICATION
2021-00618 Designer's JIM HENRY
Permit Number: SWG gner's Name: _
Applicant's Name: K/ARIN VARTIA Designer's Phone Number: 360-507-1267
Mailing Address: 7002 BAILEY ST SE Designer's Address: PO BOX 14531
LACE WA 98513 TUMWATER WA 98511
City Slate Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Mother ❑Said Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity 56 Pressure ❑Trench h(Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40
Daily Flow:Operating Capacity 270 glut Length 49 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity 1200 gal Number 3
Receiving Soil Type Q-6) 3 Separation 3 ft
Receiving Soil Appl.Rate .6 gpd/ft' Orifices
Required Primary Area 450 ftr Total Number of Orifices 75
Designed Primary Area 450 ftr Diameter 1.8 in
Designed Reserve Area 450 ft'- Spacing 24 in
Trench/Bed Width 9 ft Manifold
Trench/Bed Length 50 ft Schedule/Class 40
Elevation Measurements Length 6 it
Original Drainfield Area Slope 0 % Diameter 2 in
New Slope,If Altered NA % Preferred manifold configuration used? IZ Yes ❑No
Depth of Excavation Up-slope 36 in Transport Pipe
from Original Grade Dawnslove 36 in Schedule/Class 40
Designed Vertical Separation 24+ in Length 200 ft
Grivelless Chambers Required? Ef Yes O No I7 Optional Diameter 2 in
Pump Required? Rf Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 67.5 gal
Orifice ' It Chamber Capacity 1200 gal
Uppermost Orifice Rf Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.J
Capacity @ Total Pressure Head 31.5 gpm Q1TImer 6'(Elapse Meter Event Counter
Calculated Total Pressure Head 10.5 it If Timer: Pump on 28 ,Pump off 6 HOURS
Comments
REVISION TO CORRECT LATERAL LENGTH, CHANGE OF GPM AND HEAD, CHANGE OF TIMER
SETTING.
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 1 2 7 -- 1 4 -- 0 4 0 1 0
Permit Number: SWG 2021-00618
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
RJ Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
A Soil logs Rf Trench/bed dimensions and Rf Septic tank
19 Property lines critical distances within layout [,f Drainfield cover
19 Existing and proposed wells ❑ D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Ed Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and locations
IX Laterals,trench bed,top and
surface water and critical areas E6 Observation port location bottom
❑ Location and orientation of 1Z Clean-out location ❑ Curtain drain collector
curtain drain and all absorption R1 Manifold placement ❑ Sand augmentation
components [9 Orifice placement Other cross-section detail:
9 Location and dimension of Ed Lateral placement with distance Rf Observation ports/cleamouts
primary system and reserve area to edge of bed
0 Buildings Other Information
R1 Audible/visual alarm referenced Yes No
Direction of slope indicator ❑ Scale of drawing shown on scale d ❑ Design staked out
Waterlines bar ❑ ❑ Recorded Notices attached
Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking [if ❑ Pump curve attached
North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN %PPROV%L
The undersigned designer must be notified by installer at time of installation fd Yes ❑ No
Q - 1Z _ /-/7—zz
gnature of Dest r 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:
Qh wwn 14(.12Z
Enviromncntal 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.
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
L '
1
JIM HENRY DESIGN SERVICES, INC.
ON-SITE WASTEWATER DISPOSAL SYSTEM
DATE: January 13, 2022
APPLICANT: KARIN VARTIA
7002 BAILEY ST SE
LACEY, WA 98513
LEGAL: PROPOSED LOT
PARCEL#: 42127-14-04010 a' tCENsE bE9GNEH
EXPIRES: 08I11/4.i
PERMIT#: SWG2021-00618
DESCRIPTION: NEW CONSTRUCTION FOR RESIDENCE (REVISION)
PROJECT DETAILS:
NUMBER OF BEDROOMS 3
GALLONS PER DAY (GPD) FLOW 360
OPERATING CAPACITY (GPD) 270
APPLICATION RATE 0.80 APPROVED
DRAINFIELD JAN 26 2022
- Absorption Area Required 450 SQ.FT MASON COUNTY ENVIR ON MENTAL HEALTH
- Absorption Area Designed 450 SQ.FT RET
Trench/Bed Length 50 FT
Trench/Bed Width 9 FT
DRAINFIELD CROSS SECTION
- Bed Depth 36 INCHES
- Graveless Chambers 12 INCHES
- Sand under Trench/Bed 0 INCHES
- Vertical Separation 24+ INCHES
- Fill Depth 24 INCHES
SEPTIC TANK
-Size &Composition 1200 GAL CONCRETE
- New/Existing New
c '
� S JIM HENRY DESIGN SERVICES, INC.
APPLICANT: KARIN VARTIA
DATE: January 13, 2022
PARCEL #: 42127-14-04010 PRESSURE SYSTEM - 3 LATERALS
System Parameters Pressure Calculations
Orifice Size 118 inches Minimum Onfice Discharge Rate 0.42 gpm
Residual Head at Last Oufics 5 fast Total Lateral Length 147 feet
Orifice Spacing 2 feel Number Offices Lateral 1 25
Number Orifices Lateral 2 25
Number Laterals 3 Number Ofices Lateml 3 25
Lateral 1 Length 49 feet Total Discharge Rate 31.5 gpm
Lateral 2 Length 49 feat
Lateral 3 Length 49 feet Friction Loss
Pipe Class 40 Tightline Friction Loss 3.41 feet
Lateral Line Size 1.25 inches Manifold Friction Loss 0.10 feet
Lateral Elevation 316 feet Lateral Friction Loss 0.78 feet
Friction Loss through System 4.30 feet
Manifold Length 6 feet
Manifold Size 2 inches Dynamic Head
Residual Head at Last Onfice 5 feet
Elevation Difference 1 feet Add on Fncbon Loss 0.2 feet
Elevation Difference i feet
Tightline Length 200 feet Total Dynamic Head Loss 10.50 feet
Tightline Size 2 inches
Total Discharge Rate 31.5 gpm
Add-on Friction Loss 0.2 feet Total Dynamic Head 10.50 feet
Drain Down Calculation: If orifice orientation is 12 O'clock,the following calculation does not apply
Onfice Orientation 12 O'Clock
Length of Pipe 147 feet
Liquid Volume in Pipe 11.47 gal
Drain Down Volume 5.73 gal
7XVolume 40.13gal APPROVED
Dose Volume 68 .!ff
JAN 26 2022 0 1'17-Lz
Dose volume meets 7X mle: NIA MASON COUNTY ENVIRONMENTAL HEAL
RET IIM HENRY
LICENSED MSIGNER
EXPIRES: 08l111 7. -
ZOELLE�P ���
PUMP COMPANY
X
rn
K
tGALLONS
ERFORMANCE CURVE
MODEL 98
In
64
2
00 40 50 60 70 80
LITERS 0 80 160 240
31's FLOW PER MINUTE W9971
APPROVED
JAN 2 6 2022
MASON COUNTY E.NVIRONNENTALHEALTH 'I-LZ
RET
�' JIM HENRY
` Oc€Nseo b[swH[a
EXPIRES: 08/11/L2.
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