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HomeMy WebLinkAboutSWG2022-00163 - SWG Application / Design - 3/30/2022 415 N 6TH STREET,SHELTON,WA 98584 �rff � MASON COUNTY 1 1 SHELTON:360-427-9670,EXT 400 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 „)% Planning,Environmental Iteolth,Community Health FAX:360-427-7787 On-Site Sewage System Permit: SWG2022-00163 APPLICANT NELSON JAN A&CONNIE J Phone: Address: PO BOX 195 WAUNA, WA 98395 OWNER NELSON JAN A&CONNIE J Phone: Address: PO BOX 195 WAUNA,WA 98395 SEPTIC DESIGNER TOBY SYRETT-B-Line Construction Phone: 360-426-4221 INC. Address: 2971 E Phillips Lake Rd SHELTON,WA 98584 SEPTIC INSTALLER DON WOOLLISCROFT B-Line Phone: 360-426-4221 construction Address: 2971 E PHILLIPS LAKE LOOP ROAD SHELTON, WA 98584 Site Address: 401 E Benson Ridge Rd Primary Parcel Number: 221044350200 Permit Description: New SFR-3BR Gravity w/class b waiver Permit Submitted Date: 03/30/2022 Permit Issued Date: 06/28/2022 Issued By: Jeff Wilmoth Current Permit Fees Paid: $740.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/30/2025 (based on date of inspection) 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 Drain field 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/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY— MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 3/C?g/C9C31 ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED:/tD RECEIVED BY: 7 Q� ° N CI Ill PO Box 1666,415 N 6th Street,(Bldg 8) Shelton WA,98584 u Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S\p��-• ��^ - co I O VVV Old { 71 Z Cl) Z APPLICANT PHONE > D I\XL• O 0 C1 v ( '(-alb uu c-1 . C. 43(00 .'-fV 9. '( ( m m MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r Z 9I( 6 PL1'/ Ps L( ,e�- - ! . shy 401-i �.J4- 4e's8�`f c SITE ADDRESS-STREET,CITY,ZIP CODE I' co Liar gewsciN 11-otr- . Griapr✓;C- (--)A- i5Y6 m NAME OF DESIGNER PHONE I w` o6‘1 SYRCTf °C6-LSA C 4 .uc4obf Lrc. 36o• q267• Yzz( IN NAME OF INSTALLER PHONE ()ON WGuAt°Sca.o-4-G' 8 -(. (I444Mcr4-dr,„c.C. 3(.,o. L(Z4. Lftz( _ I CHECK ALL APPLICABLE ITEMS .DRINKING WATER SOURCE 0 NEW CONSTRUCTION 0 RV HOLDING TANK ONLY EtL C X N I ❑ REPLACEMENT SYSTEM El INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z ❑ TABLE 9 REPAIR SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM 1-C ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: 1 ❑ UPGRADE TO EXISTING 0 OTHER: - . BEDROOMS LOT SIZE I-C ❑ EXISTING FAILURE "Record Drawing required /m• /� CO all Installations" �-'r�'G 5 DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 1 M,1So N ?-9• --ro `3Soti R°d R-�. . CGo d,E I vx cc�1 �- • �1 f (4:l( �, Jv, v i st- oc:yr jfill— --11A/1"Ls wt li Vi oaf r ti !v �T L f! 18 o IN Nla SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS In OFFICIAL USE ONLY BELOW THIS LINE O. UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY v MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS r Ln � 1-1-f- vb6trio -; C Mi�- 4 * V 61 5 0,70a\-5- .0 SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS SPE FTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APP ICATION APPROVED BY DATE �ed (A �-33�- 3— 36 -zs � i �g THI-FO- T Pr AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 3/2/2015 PAGE ( OF I OR3rt lloA11(54'4 . ..7. , , , SEPTIC SYSTEM DESIGN fix' ,ti D�d��. '. 's✓c >. / �4..�,yam ..$. iy of 'e . , i t;�1 � t v4 t �,T* � ° as *fi p mx e g'' ' wa a • S/TEIIDDRESS: 401 Benson Ridge Rd. SITE CITY,STATE,I/P: Grapeview, WA PARCEL NUMBER: 22104-43-50200 LEGAL DESCR/PT/ON.• Lot 2 of LLS #20-02 OWNER: Nelson GATE: 26 March 2022 B-LINE CONSTRUCTION, INC. 2971 E PHILLIPS LAKE RD. SHELTON, WA 98584 stalifNE . 360.426.4221 office 360.426.0509 fax b-lineconst@msn.corn PAGE 1 OF I f OWNERSHIP AND USE OF DESIGN DOCUMENTS: 1. This Design Document has been prepared by B-Line Construction, Inc. via its employees, subsidiaries and sub-contractors. 2. This Design Document has been produced in order to attain an on-site septic system installation by B-Line Construction, Inc. for the property indicated herein. 3. This Design Document represents decades of combined experience of B-Line Construction, Inc. its employees, sub-contractors, etc. in construction processes, technical applications and developments as well as interpersonal understandings and relationships with other professionals, manufacturers, suppliers, regulators, and private parties. 4. This Design Document constitutes physical and intellectual property © B-Line Construction, Inc. and may not be used by any other individual, company, contractor, etc. to construct an on-site septic system for this or any other property. 5. This Design Document shall not be construed as a product that stands alone from the achievement of an on-septic system on the specified property for the client by B-Line Construction, Inc. 6. This Design Document remains the sole property of B-Line Construction, Inc. whether the project for which it was made is executed or not. 7. The submission or distribution of this Design Document to meet official regulatory requirements, or for other purposes in connection with the project, shall not be construed as publication in derogation of B-Line Construction, Inc.'s rights regarding this document as physical and © intellectual property. 8. In the event that B-Line Construction, Inc. is not retained for the installation of the system, this Design Document shall not be used by subsequent parties/contractors. 9. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, subsequent parties/contractors wishing to install an on-site septic system on this property must produce their own design documents for use in a separate research/development/design/permitting/installation process. 10. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, client shall be liable to subsequent parties/contractors for new design documents and additional permit fees as required in pursuit of re-inspection, re-design and installation. -r APPROVE JUN 2 8 2022 B-Line Construction, Inc. MASON-COUNTY ENVIRONMENTAL HEALTH 2971 E Phillips Lake Rd., Shelton, WA 98584 JBW 360.426.4221 (office) 360.426.0509 (fax) b-lineconst@msn.com PAGE 3 OF It DESIGN FORM PAGE ONE Assessor's Parcel Number: 22104 -- 43 -- 50200 A design will be reviewed when 3 copies of each of the following arc submitted: 'i 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. hlu.vinaum paper si_e: 11"X 17" PARCEL IDENTIFICATION' Permit Number: SWG ,Z))-Z — OCAC Designer's Name: B-LINE CONSTRUCTION Applicant's Name: NELSON C/O B-LINE CONST. Designer's Phone Number: 360-426-4221 Mailing Address: 2971 E PHILLIPS LAKE RD. Designer's Address: 2971 E PHILLIPS LAKE RD. _SHELTON, WA 98584 SHELTON, WA 98584 City State Zip City State Lip DESIGN PARAMETERS Treatment Device EN/A-24"+VERTICAL SEPARATION WITH PRESSURE DISTRIBUTION Drainfield Type 0 Gravity X Pressure X Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of'Bedrooms 5 Schedule/Class 40 Daily Flow:Operating Capacity 450 gpd Length 62.5' It Daily Flow: Design Flow 600 gpd Diameter 1.25" in Septic Tank Capacity 1500 gal Number 4 Receiving Soil Type(1-6) 3 Separation 10'+ li Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Square Footage 750 ft2 Total Number of Orifices 40 Designed Square Footage 780 ft2 Diameter 3/16" in Percent Reduction Taken 0 % Spacing 72" in Tlrefich/Bed Width 3' ft Manifold "14ettefeBed Length 250' ft Schedule/Class 40 Elevation Measurements Length 12" ft Original Drainfield Area Slope 10-15 % Diameter 1.25" in New Slope,If Altered SAME % Preferred manifold configuration used? J»Yes 0 No Depth of Excavation Up-slope 18" MAX in Transport Pipe from Original Grade Down-slope 12" in Schedule/Class SCH 40 Designed Vertical Separation 18"+ in Length 500' MAX It Gravelless Chambers Required? $ :es X No l kmytt. Diameter 2" in Pump Required? Clit Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose yiNantity 75 gal Orifice 8 MAX ti Chaft:th apacity 1500 gal Uppermost Orifice X Higher 0 Lower than Pump Shutoff fi'fm eirtit :Please check those required. Capacity @ Total Pressure Head 23.6 gpm 1 tm r?, XE 4e L' 'ter QQ Event Counter Calculated Total Pressure Head 25' ft ,' ..l Tin cr: Pump on 1min i c a•t ' 5� �in06sec Comments >O '• It O A ' 15 r �� : o` Torl ��' ilc sE MqS{/�Jj.�'7� I' N 2 8 2022 EXPIRE—: e, 7'C. vry ENVIRflA) .N7 SQUIRT= 3.0 f= 5 FITTINGS LOSS = 5 ELEVATION DIFFERENCE = 8 TOTALJ �/=25 H�HEgLTH . - , . PAGE it OF t i DESIGN FORM-PAGE TWO Assessor's Parcel Number: 22104 -- 43 -- 50 00 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch JKI Test hole locations tt Drainficld orientation and layout Reference depth from original grade: M Soil logs il Trench/ dimensions and ........, ISJ Septic tank Pg Property lines critical distances within layout XI Drainfield cover IX Existing and proposed wells .....rg D•44ereiValve box locations Reference depth from original grade within 100 ft.of property gi Septic tank/pump chamber and restrictive strata: CISI Measurements to cuts,banks, and locations N Laterals,4rerieli/bed, top and surface water and critical areas IN Observation port location bottom 0 LuLation wid lfl;t..I tillt:Nlet a IX Clean-out location 0 Clictait. di.if. L.,11,,,t,,, ‘..t.n Lain dict;ii culd liii al.,:sorptifta Iii Manifold placement 0 Saild au-imAilatikm ' e(41+140444144.6.- Orifice placement Other cross-section detail: Etil Location and dimension of IX Lateral placement w4k41:iouilaco XI Observation ports/clean-outs primary system and reserve area tl)%.%.16,... UNJ Other Information g) Buildings IN Audible/visual alarm referenced - Yes No FM Direction of slope indicator Cg Scale of drawing shown on scale N 0 Design staked out IX Waterlines bar 0 Recorded Notices attached cil IN Roads,easements,driveways, TO BE SUBMITTED BEFO El Waiver(s)attached parking DESIGN APPROVAL Dil 0 Pump curve attached it North arrow and scale drawing 0 fit Evaluation of failure shown on scale bar Non-residential justification 0 of 1 0 [X Waste strength I ,',-,•,\I 0 It Flow Q,,. DESIGNAP . . .. , ., ' S,.I. - /•.-7 , . . 0-(,), The undersigned designer must be notified by inst.4_11 t in ‘o 1st, . on rA Y- • .... • ,14' i Pr7'.4.4 MeV?? ,,, 0 i B ,... )• ' " t "' • , CE ih r. S ignature ot-4;'-,.,-....4...-401. W.:/.i......... .........my, 1....iate llipta. 06/07/Z Z The undersigned has reviewed this design on behalf . ason County Public Health and determined it to be in compliance with state and local o -site regulations: -./tAill tvir n 1 lealth Specialist Date CAUTION: DESIGN APr ROYAL 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: V 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. 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Ali1,4-SYRETT _ Y ICEI'dSED DESIGNER ,' = .- EYMRES: 06/07/2 2 a 1.25"FEEDER LINES ocaCi DRAINFIELD LAYOUT DETAIL: FOR: NELSON JOB #: MANIFOLD (IN PARCEL#: 22104-43-50200 DATE: 26 MARCH 2022 VALVE BOX) BY: TJS DESIGN PAGE °f OF 1I 2"TRANSPORT LINE NORTH ARROW: SCALE: 1" = 10' Oo' 10' 20' © B—LINE CONSTRUCTION, INC. y - 6"PVC CLEANOUT/OBSERVATION PORT FINISHED GRADE FILTER FABRIC OVER DRAINROCK - DRAINROCK SANDY I ORIGINAL GRADE LOAM 12"+ FILL _ _ - - - — ___÷-- .25"LATERAL PIPE - - - - ig n Pria x ! -- - 36" i 0.1. TRENCH BOTTOM /t,, ,1 Q A,, i of. '�. .�� i,; ZZ NATIVE SOIL 10 /�� 4 f i). 'L Z ,is`+ii :s sus+ 0 1 co299 >F111 or• *VI.TAH)A-SYRM _, t ' LICENSED DESIGNER + ‘6„7s� o 04 — I _ EXPIRES: 06/07/2 RESTCIT�7k LAY 41441,F4Q VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW,-7 FINISHED GRADE _1.\\ * go 41:t 4,t) e* THREADED CAP Ck C J ti J.. tO FLEX HOSE OR SWEEPING EL Z- 1.25"LATERAL PIPE ' 0 1-2- "ORIFICE SPACING --► R \- TRENCH BOTTOM PRESSURE TRENCH - GRAVEL - MEDIUM DEPTH FOR GENERAL USE REVISED OCTOBER 2009 BY: TJS DESIGN PAGE f e' OF /I NORTH ARROW: NO SCALE © TAHJA-SYRETT DESIGNS 9 PAGE / ( OF I r �►: S ar l * i System Owner Responsibilities: 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 contractor immediately. 2. Keep wheeled vehicles off the drainfield area before, during and after installation — tracked vehicles only. 3. 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. 4. Curtain drains can be no closer than 10' uphill or 30' downhill from the drainfield. 5. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 6. Operation & Maintenance is required by the state of Washington and the county for all septic systems. 7. Please contact B-Line Construction for periodic Operation & Maintenance service of your system. 8. System Owner is responsible for having maintenance performed according to the schedule set forth by Mason County. 9. System owner/operator is responsible for responding to alarms in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT change settings in the control panel. Only authorized maintenance personnel may alter settings in the control panel. 11. System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. PPRovE MASON CONNT uN 1_� 2022 V ENVIRO B-Line Construction, Inc. LBW MFNrAt yFACty 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-lineconstmsn.com