HomeMy WebLinkAboutSWG2021-00651 - SWG Application / Design - 12/1/2021 09 415 N 6TH STREET,SHELTON,WA 98584
�a� MASON COUNTYSHELTON:360-427-9670,EXT 400
1I COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
ELMA:360-482-5269,EXT 400
` N/ auitdinq,PWnnmy,EnvironmenWl Community Health FAX:360-427-7787
On-Site Sewage System Permit: SWG2021-00651
APPLICANT LANDRAM BRUCE M & LORRAINE M Phone:
Address: PO BOX 3166 BELFAIR, WA 98528
OWNER LANDRAM BRUCE M & LORRAINE M Phone:
Address: PO BOX 3166 BELFAIR, WA 98528
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: UNKNOWN
Primary Parcel Number: 122063300060
Permit Description: New two bdrm-pressure drip (DF on 22201-44-00010)
Permit Submitted Date: 12/01/2021
Permit Issued Date: 09/21/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $715.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/07/2025 (based on date of inspection)
1l
Permit Conditions: 2�
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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
I4,50r7'14;tYq\ 415 N 6TH STREET,SHELTON,WA 98584
sR MASON COUNTY SHELTON:360-427-9670,EXT 400
"11. . COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
1 ELMA:360-482-5269,EXT 400
&illding,Planning,EovironmenWlHealth,Community Health FAX:360-427-7787
7 The approval of this project is subject to the recommendations and specifications outlined
in the attached geotechnical report. All applicable recommendations and specifications
shall be applied to the development on this site. Any deviation requires stamped written
approval from the registered design professional responsible for the report and may
require special inspection by the same. Structures and/or land modifications (grading,
cuts, fills, etc.) required in the geotechnical report, may require a separate permit. The
geotechnical report shall remain attached to the approved building plans.
8 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
Z.
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.
CALL Caw(Le— Fo'ck-. A< (—E.-S "
OFFICIAL USE ONLY
.
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: i Z 1 . , I
ONSITE SEWAGE SYSTEM APPLICATION AMO E S RECEIVED CO CO m
415 N 6th Street,(Bldg 8) Shelton WA,98584 <
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Shelton:360.427-9670 ext 400 Belfair:360-275-4467 ext 400 S\A/G at, U - 004 5 t Z N
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APPLICANT PHONE > 71
BRUCE LANDRAM 360-286-7008 rn m
r
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE
PO BOX 3166 BELFAIR WA 98528 3
SITE ADDRESS-STREET.CITY,ZIP CODE CO
XX STATE ROUTE 106 BELFAIR WA 98528 .
NAME OF DESIGNER PHONE (---
ADAM HUNTER 360-753-1226
NAME OF INSTALLER PHONE Ir'
TBD TBD o I
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE C
id NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL !AI
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL 0
❑ TABLE 9 REPAIR Er SINGLE FAMILY Er COMMUNITY/PUBLIC WATER SYSTEM
z Irn
❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: BELFAIR I 1
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE
Vj
❑ EXISTING FAILURE "Record Drawing required 2 1
for all Installations" IT
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) n 1
r P
IC
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS IC
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
3 Ir sL .�c. � s : a��s
N may, �F e�r.
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CD 3I�:-�-_,. , - - I d
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Dry Oi 2021
114"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
1 HI)5 7-V rec.A....,•‘..- -1 ,
T FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON T�MASON COUNTY W BSI REVISED 12nr2015
ri"-- -Wiln '
J C A l-L-_ '9 ; , it- ''i"--- C i. l- '5
DESIGN FORM—PAGE ONE Assessor's Parcel Number:i 'L-"L 0 G -- a L. -- 0 0 0 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. '1 Scaled layout sketch,including all applicable items on checklist
`V 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 C>V% OC)e5 I Designer's Name: ADAM HUNTER
BRUCE LANDRAM Designer's Phone Number: 360-753-1226
Applicant's Name:
Mailing Address:
PO BOX 3166 PO BOX 162
Desi er's Address:
BELFAIR WA 98528 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device V ED
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 atin Filt , pC
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model ssEPtlibr1 7322 1sL1
Drainfield Type a� 1EN�P��D•
❑Gravity 0 Pressure 0 Trench � N COUt4 tC Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 e(cJa� O \yj E DRIP TUBE
Daily Flow:Operating Capacity 180 gpd 1t�r} 11 151.-)
ft
Daily Flow:Design Flow 240 gpd �i et j E P 1 3 2022 0.5 in
Septic Tank Capacity 1000 gal ber
Receiving Soil Type(1-6) 4 Sgfration 3 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices
Designed Primary Area Cli ft2 Diameter DRIP EMITTERS in
Designed Reserve Area 605 ft2 Spacing 12 in
Trench/Bed Width 36 ft Manifold
Trench/Bed Length VA ft Schedule/Class SCH 40
Elevation Measurements Length VARIES ft
Original Drainfield Area Slope 28 % Diameter 1 in
New Slope,If Altered N/A % Preferred manifold configuration used? l'Yes Cl No
Depth of Excavation Up-slope 8 in Transport Pipe
from Original Grade Down-slope 6 in Schedule/Class SCH 40
Designed Vertical Separation 24 in Length 1400 ft
Gravelless Chambers Required? 0 Yes P1 No ❑Optional Diameter 1.25 in
Pump Required? E'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 20 gal
Orifice 8 ft Chamber Capacity 1000 gal
Uppermost Orifice l 'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head l gpm RrTimer lliftlapse Meter r. -' • •
t
Calculated Total Pressure Head , Q%1 ft If Timer: Pump on 10 M �1'Fo g F I ��tl _
CommentsIti,
TIMER SETTINGS WILL BE ADJUSTED AT STARTUP BASED ON THE DRA I'OW FTE$12022
CALL owt-i k-(1- FL(L Ac_c-- . 5
DESIGN FORM-PAGE TWO Assessor's Parcel Number: / 1- L c> 6 -- I a - c U 0 _a__Q
Pennit Number: SWG 'a7)")-1 -0 0(4,31
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
P1 Test hole locations la Drainfield orientation and layout Reference depth from original grade:
LI Soil logs Lot Trench/bed dimensions and L( Septic tank
Ll Property lines critical distances within layout Er Drainfield cover
g Existing and proposed wells Eo1 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property L( Septic tank/pump chamber and restrictive strata:
Q Measurements to cuts,banks,and locations Ed Laterals,trench/bed,top and
surface water and critical areas 0 Observation port location bottom
O Location and orientation of Et Clean-out location 0 Curtain drain collector
curtain drain and all absorption tv( Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
P1 Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
O Buildings g Other Information
Lot Audible/visual alarm referenced Yes No
PJ Direction of slope indicator g Scale of drawing shown on scale lEi 0 Design staked out
g Waterlines bar 0 0 Recorded Notices attached
g Roads,easements,driveways, 0 0 Waiver(s)attached
parking FY 0 Pump curve attached
g North arrow and scale drawing 0 ❑Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be n• ' 1-• •y installer at time of installation EI Yes 0 No
�l►Zz�
I 1
Si .►•re of Designer Date
The undersigned has reviewed this •esign on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
- , fr
,1200?-9.-
nvironmental 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: Ta...c 4. 1 ' ' 7-S
✓ Drainfield site conditions have not been altered to adversely affect conditions of design apval.
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
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Orenco Technical Data Sheet
SYSTEMS
Using a Pump Curve
A pump curve helps you determine the best pump for your system.Pump curves show the relationship between flow and pressure(total dynamic
head or"TDH"),providing a graphical representation of a pump's optimal performance range.Pumps perform best at their nominal flow rate.These
graphs show optimal pump operation ranges with a solid line and flow rates outside of these ranges with a dashed line.For the most accurate pump
specification,use Orenco's PumpSelect'"software.
Pump Curves
500 , 400 i I 1
PF10 Series,60 Hz,0.5-1.0 hp PF20 Series,60 Hz,0.5 1.5 hp
400 . . --- • - 350 jPF2015J .
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= 300 — PF2010
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Flow in gallons per minute(gpm) SGp 2 1 2022 �^
ENV1NM�N�P`N
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NTD-PU-PF-5 Orenco Systems®•800-348-9843•+1 541-459-4449•www.orenco.com
Rev.3 C 01/21
Page 4 of 5
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