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HomeMy WebLinkAboutSWG2022-00464 - SWG Application / Design - 8/19/2022 415 N 6TH STREET,SHELTON,WA 98584 / � y; MASON?7�CTO�U/NTYT� T C SHELTON:360-427-9670,EXT 400 aI' .: COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 rv' Building,Planning,Environmental Health,Community Heald, FAX:360-427-7787 co_ On-Site Sewage System Permit: SWG2022-00464 APPLICANT HUNZIKER BENJAMIN JOHN & Phone: CAROLYN KAY Address: 768 COUNTRY ROAD 2317 MINEOLA, TX 75773 OWNER HUNZIKER BENJAMIN JOHN & Phone: CAROLYN KAY Address: 768 COUNTRY ROAD 2317 MINEOLA, TX 75773 SEPTIC DESIGNER MICAH HALVERSON-M. Halverson Phone: 360-490-6365 Design LLC Address: PO BOX 1519 SHELTON, WA 98584 Site Address: 41 SE CHANNEL POINT RD Primary Parcel Number: 320245100028 Permit Description: New three bdrm-Glendon (DF on 31 SE Channel Pt) Permit Submitted Date: 08/19/2022 Permit Issued Date: 09/06/2022 Issued By: Luke Cencula Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system). Permit Expiration Date: 08/16/2025 (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. 7 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 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 DATE RECEIVED: _ 0 MASON COUNTY c( -� C U) COMMUNITY SERVICES ^MOUN Vb, ` RECENjUgY: r L\ o m PublicHealth(Community Health/Environmental Health) �� C 3ti0427.9670,ext.400a360.275-0467,ext.400 ��� '`�� !^ (n o 415 N.6th Street-Shelton,WA 98584 `✓'�-�1.J\ U xi Z ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHONE m r Benjamin Hunziker 903-698-6366 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g 768 County Rd 2317 Mineola TX 75773 co SITE ADDRESS-STREET,CITY,ZIP CODE 41 SE Channel Point Rd Shelton Wa 98584 It NAME OF DESIGNER PHONE In` Micah Halverson 360-490-6365 1 NAME OF INSTALLER PHONE v Ici Jerry Upson 360-480-3571 < PERMIT TYPE(select one) DRINKING WATER SOURCE - RESIDENTIAL OSS h COMMUNITY OSS ihl COMMERCIAL OSS PRIVATE INDIVIDUAL WELL Of PRIVATE TWO-PARTY WELL Z TYPE OF WORK(select one) II PUBLIC WATER SYSTEM r On NEW CONSTRUCTION/UPGRADES F7 REPAIR I REPLACEMENT OTHER DETAILS(soloct all that apply) 0 TABLE IX REPAIR SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 0 R.DESIGN FORM(REQUIRED) PI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r0 b WAIVER(S)(IF APPLICABLE) 3 .62 0 I Ic DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) Meet With Luke 8/16/2022 0 r D O IN SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I W 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 I CONDITIONS 71>lk II ltr AUG 19 2022 1 4../ By RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE S FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT REVISED 1217/201S pmemmF DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 Z O Z 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 items on checklist 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?1Y}' —O c 4 toy Designer's Name: Micah Halverson Applicant's Name: Benjamin Hunziker Designer's Phone Number: 360�390 6365 Mailing Address: 768 County Rd 2317 Designer's Address: PO Box 1519 Mineola TX 75773 Shelton Wa 98584 City State Zip City Zip DESIGN PARAMETERS NO i% ca.*. (_„ Treatment Device Vil.110 'Glendon Bi lter l nd Filter 0 Mound 0 Sand Lined Drainfield iroslating Filt ,wtt .,*.1 ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model rjV-\) O ther: 1p\• Drainfield Type 0\24\ ❑ Gravity 0 Pressure 0 Trenchiiii out ' (C 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Glendon Daily Flow: Operating Capacity 270 gpd Length ii ft Daily Flow: Design Flow 360 gpd Diameter " in Septic Tank Capacity(working) 1200 4 gal Number Receiving Soil Type(1-6) Separation ft Receiving Soil Appl.Rate 6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices Designed Primary Area 612 ft2 Diameter ii in Designed Reserve Area 834 ft2 Spacing in Trench/Bed Width Glendon ft Manifold 1 Trench/Bed Length ft 1 Schedule/Class I. Elevation Measurements Length ft Original Drainfield Area Slope 17-20 % Diameter ii in New Slope, If Altered same % Preferred manifold configuration used? 0 Yes E'No Depth of Excavation Up-slope Glendon in Transport Pipe from Original Grade Down-slope in Schedule/Class 40 Designed Vertical Separation 24 in Length 280 ft Gravelless Chambers Required? 0 Yes le No 0 Optional Diameter 1 in Pump Required? le Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Glendon Diff.in Elevation Between Pump&Uppermost Orifice 40 ft Dose quantity gal Drainfield Squirt Height/Selected Residual(head) N/A ft Chamber Capacity(flood) 1300+ gal Uppermost Orifice ErHigher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head N/A gpm FiTimer 18'Elapse Meter 10'Event Counter Calculated Total Pressure Head N/A ft If Timer: Pump on Glendon ,pump off Glendon Comments Set Dosing to Operating Capacity DESIGN FORM-PAGE TWO Assessor's Parcel Number: 3 Z C). Cf -- S I -- O O f2 L 3 Permit Number: SWG ')rC ?- - co'-i(oy -DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch a Test hole locations Drainfield orientation and layout Reference depth from original grade: ZI, Soil logs Trench/bed dimensions and Septic tank ai Property lines critical distances within layout 0 -I ie€ie}d-to er X.A. 17L Existingand proposed wells Q .H-Be Valve box locations P p Reference depth from original grade within 100 ft of property GI. Septic tank/pump chamber and restrictive strata: 61 Measurements to cuts,banks, and locations 0 ed,topand surface water and critical areas a Observation port location bettrifir— Location and orientation of c Clean-out location AL Curtain drain collector curtain drain and all absorption iq Manifold placement 0 Saildituffnentaritur- components ❑ Drif___ce-placemeatL Other cross-section detail: 511. Location and dimension of 0 ith distance 913sereation-portS/clean-outs primary system and reserve area Buildings (°tepc See_ t� Other Information !a_ Audible/visual alarm referenced Yes No 1.1 Direction of slope indicator Scale of drawing shown on scale 0 IXDesign staked out �- Waterlines bar Gil recorded Notices attached PZ Roads, easements, driveways, 0 ONWaiver(s) attached parking ' 0 Pump curve attached li. North arrow and scale drawing 0 0 e shown on scale bar Non-residential justification ❑ ❑ ❑ ❑ Pere- DESIGN APPROVAL The undersigned designer must b otified by installer at time of installation AtYes 0 No 0 9 itC) ,z., Signature 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: �-�,.-- q(( J ) ')- ironmental 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: tr5kr I V t �ti"5 ✓ Drainfield site conditions have not been altered to adversely affect conditions of de ign 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 DJ CC OQ CO � vO O No Wells Found within 100'of Proposed 6Iendon Blo-Filter 22cr +1- Cl) C o 0 s CO N 7 — — — — — —z 1 U) ( ill (D (D ( 3 O n O O > Cll P °�• j D - N D 1...) n cD O N o K \ 5 0l ©. to '^„s°do-eiAG �Y� .+ NN -n0 � 7 n m � NO \ i ''.. `' an Lots? O O co 7 co N C C7 W IFe- �+ Jd• + OrdM1eW d Reserve iS 3 5.W �: O (D Q 1� rn cn CO 01 //// \ _ w. (D fltI ry o ID I to N to - O o O c► / N W O (OJt / 1 00' +/- N / ii nr Trees Rcai / il Unnamed Road 3 m / T N. o Fi filio 4't I / I a 1: "---- \E. _ I T iii / I A \ o0FA ^1 I at� I toO3f_ Lt. O ©� Wa. 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