HomeMy WebLinkAboutSWG2021-00339 - SWG Application / Design - 6/10/2021 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 400
COMMUNITY SERVICES BELFAIR: 360-275-4467,EXT 400
1' ELMA:360-482-5269, EXT 400
\St Building, Environmental Health,
/;.' FAX:360-427-7787
On-Site Sewage System Permit: SWG2021-00339
APPLICANT LENSEGRAV GILBERT L & LIEN K Phone:
Address: 6304 LAKE SAINT CLAIR DR SE OLYMPIA, WA 98513
OWNER LENSEGRAV GILBERT L & LIEN K Phone:
Address: 6304 LAKE SAINT CLAIR DR SE OLYMPIA, WA 98513
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: E Fox Ln
Primary Parcel Number: 220035000010
Permit Description: New 3bd sandlined df
Permit Submitted Date: 06/10/2021
Permit Issued Date: 06/29/2022
Issued By: Rhonda Thompson
Current Permit Fees Paid: $475.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/17/2024 (based on date of inspection)
Permit Conditions:
I 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 Drainfield 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 Designer/Engineer installation approval prior to
backfill of system components.
6 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: www.co.mason.wa.us/health/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: C _to -.34,
ONSITE SEWAGE SYSTEM APPLICATION AMO _ I RECEIIV : COm
415 N 6th Street,(Bldg 8) Shelton WA,98584 ` < N
l - Ob33 N
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 C`^'G a(� I q �_ 2
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APPLICANT PHONE > D
LIEN LENSEGRAV 360-402-5771 m rn
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
6304 LAKE SAINT CLAIR DR SE OLYMPIA WA 98513 c
SITE ADDRESS•STREET,CITY,ZIP CODE CO
XX EAST FOX LN SHELTON WA m
NAME OF DESIGNER PHONE lc'
HUNTER 360-753-1226
NAME OF INSTALLER PHONE I r
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0 Ie
C
Et NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY ❑ PRIVATE INDIVIDUAL WELL (p IO
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL Z
in TABLE 9 REPAIR El SINGLE FAMILY li COMMUNITY/PUBLIC WATER SYSTEM t"
❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: HARSTINE ISLAND I
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE
❑ EXISTING FAILURE "Record Drawing required for all Installations" 3 0.506 W
r
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex,locked gate) 0 I
r.O
le,
1
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS ICY
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
JUN 1 0 2021
By ` '
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
IZTIVIMph
LIt?k ` (2I171Z4Pc0.111cn-) ! '1ZZ
THIS FORM MAY Elk SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: L�- o -- S 0 -- d o Q 4_ 6
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
'1 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 1_0 L1 03 3 I Designer's Name: ADAM HUNTER
Applicant's Name: LIEN LENSEGRAV Designer's Phone Number: 360 753 1226
Mailing Address: 6304 LAKE SAINT CLAIR DR SE Designer's Address: PO BOX 162
OLYMPIA WA 98513 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Biofilter 0 Sand Filter 0 Mound NifSand Lined Drainfield 0 Recirculating Filter,Type:
0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity 1ifPressure 0 Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class zgeil0
Daily Flow: Operating Capacity 270 gpd Length 45 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity 1200 gal Number 5
Receiving Soil Type(1-6) 3 Separation 2 ft
Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices
Required Primary Area 450 ft2 Total Number of Orifices 75
Designed Primary Area 450 ft2 Diameter 3/16 in
Designed Reserve Area 450 ft2 Spacing 36 in
Trench/Bed Width 10 ft Manifold " ,� 41°
Trench/Bed Length 45 ft Schedule/Class yap LI 6
Elevation Measurements Length 8 ft
Original Drainfield Area Slope 13 % Diameter 2 in
New Slope,If Altered 6 % Preferred manifold configuration used? Pit Yes 0 No
Depth of Excavation Up-slope 48 in Transport Pipe
from Original Grade Down-slope 33 in Schedule/Class X L10
Designed Vertical Separation >18" in Length 55 ft
Gravelless Chambers Required? ❑Yes 0 No filf Optional Diameter 2 in
Pump Required? i 'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 60 gal
Orifice 2 ft Chamber Capacity 1200 gal
Uppermost Orifice it Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 43.964 gpm Iiltrimer EitElapse Meter Fit Event Counter
Calculated Total Pressure Head 6.102 ft If Timer: Pump on 60 GAL ,Pump off 4 HRS
Comments
'DESIGN FORM-PAGE TWO Assessor's Parcel Number: 2- 2-- v o 3 -- S n -- 0 0 0 1 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
lig Test hole locations iOr Drainfield orientation and layout Reference depth from original grade:
lig Soil logs fig Trench/bed dimensions and Ft Septic tank
V Property lines critical distances within layout Ifr Drainfield cover
V Existingproposed wells ❑ D-BoxNalve box locations
and Reference depth from original grade
within 100 ft of property V Septic tank/pump chamber and restrictive strata:
big Measurements to cuts,banks, and locations Ift Laterals,trench bed,top and
surface water and critical areas V Observation port location bottom
le Location and orientation of it Clean-out location 0 Curtain drain collector
curtain drain and all absorption St Manifold placement II Sand augmentation
components
Orifice placement Other cross-section detail:
fir Location and dimension of V Lateral placement with distance V Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
iir Buildings f Audible/visual alarm referenced Yes No
V Direction of slope indicator le Scale of drawing shown on scale ($ ❑ Design staked out
fig Waterlines bar 0 0 Recorded Notices attached
V Roads, easements, driveways, 0 0 Waiver(s) attached
parking 0 0 Pump curve attached
fig North arrow and scale drawing ❑ 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notif by installer at time of installation it Yes 0 No
Sig tune of Designer 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:
l<1\--ISQl
<61" L(7.-q (-1.1--
Environmental Health Spe .alist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: L' (-7 I DA
✓ 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
PAGE1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 220035000010
DATE SUBMITTED:6/7/2021 LEGAULOT#: LOT 10
HARTSTENE RETREAT
SUBMITTED BY: ADAM HUNTER
APPLICANT: LIEN LENSEGRAV
ADDRESS: 6304 LAKE SAINT CLAIR DR SE
OLYMPIA,WA 98513
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.8 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 450 FT2
TRENCH LENGTH OR BED CONFIG.= 10FT X 45FT
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 0'-9"
ROCK DEPTH BELOW PIPE= 0'-6"
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAUSEASONAL SATURATION= >1'-6"
FILL DEPTH= 1'-0"
TRENCH WIDTH= 10'-0"
IV.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 60
NUMBER OF DOSES PER DAY= 6
V.PRESSURE CALCULATIONS ^�,,� 4Y
USING PIPE CLASS 3e1
ORIFICE 3/16
�,1 PROVED
��
4<:• �r qv
JUN 2 9 2022 :` +,J ,-t
MASON COUNTY ENVIRONMENTAL HEALTH c ' } 4 U,
RET C . 5100412
ADAM J.HUNTER '
i.M',RES 07l I2. 7L
PAGE 2
LATERAL#1=
SQUIRT HEIGHT(FT)= 2.00
(NOTE(2):ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X
SQ ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 45.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 45.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL#3=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 45.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL#4=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 45.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL#5=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 45.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
Al!,
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APPROVED
J U N 2 9 2022 •S4/0
Of�•
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MASON COUNTY ENVIRONMENTAL HEALTH // 5100412 ft+
ADAM J.HUNTBK r
RET / ..L'irEr�+``.l' t. F 7?� 1 .�
I>:i HCs 07:1_:=v
PAGE 3
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 55.00 2.00 43.964 1.4378
BC 1.00 2.00 26.378 0.0102
CD 2.00 2.00 17.585 0.0096
DE 2.00 2.00 8.793 0.0027
EF 45.00 1.25 8.793 0.3421
TOTAL= 1.8023
**TOTAL HEAD LOSS **
1)FRICTION LOSS THROUGH SYSTEM= 1.802
2)ELEVATION DIFFERENCE = 2.300
3)RESIDUAL = 2.000
TOTAL= 6.102
APPROVED ;, ��¢ ., /, /�- f
JUN 2 9 2022 �` •,Y" `'
MASON COUNTY ENVIRONMENTAL HEALTH `'
RET 5100.11
6.:. ADAMJ.HUNTER' j
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