HomeMy WebLinkAboutSWG2023-00031 - SWG Application / Design - 2/6/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
ea:
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00031
APPLICANT Jim Belleville Phone:
Address: PO Box 3158 SHELTON, WA 98584
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: SE Ashley Rd
Primary Parcel Number: 320357590052
Permit Description: new 4br SFR -Glendon
Permit Submitted Date: 02/06/2023
Permit Issued Date: 02/15/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/09/2026 (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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY— -
MASON COUNTY PUBLIC HEALTH DATE RECEIVED h (47' al cn D
ONSITE SEWAGE SYSTEM APPLICATION Amouw.BE RECEIVE o rn
415 N 6th Street,(Bldg 8) Shelton WA,98584 5 0 r�
cn
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S G h 0 ',3 -7 I c_ O
V V O(� O x
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APPLICANT PHONE > D
JIM BELLEVILLE 3604811507 rn m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
PO BOX 3158 SHELTON WA 98584 c
SITE ADDRESS-STREET.CITY,ZIP CODE W
XX ASHLEY RD SHELTON WA 98584 m
NAME OF DESIGNER PHONE 1(isi
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
10
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE W
< IVle NEW CONSTRUCTION ElRV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL 51
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY IS PRIVATE TWO-PARTY WELL Z r`_
❑ TABLE 9 REPAIR 0 SINGLE FAMILY ❑ COMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY ❑ COMMERCIAL
SYSTEM NAME: I
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE ki
❑ EXISTING FAILURE "Record Drawing required 4 2.5 coI V,
for all Installations" r
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O0 I
PHILLIPS RD TO A LEFT ON WILLOW RIDGE LN TO SITE ON THE LEFT. x Imo'
p
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS II)
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
IT,
I
-7o,- xe a, (i 3 cu
5 ./ 1E-_ ___________--
BY
c.d
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Sr=SILT C=CLAY E=EXTREMELY R=ROOTS
I PE TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APP • ION APPROVED BY DATE
2 �tk n�. --'t'►�.3 -A- GI - thk, ,(4,4-, 2'15 Z3
THI FO AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number:3_ Z a_3 4. -- 11 -- 3 Q fL,5--L-
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
'' 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 a.c32_3 —000 3 l Designer's Name: ADAM HUNTER
Applicant's Name: JIM BELLEVILLE 360-753-1226
Designer's Phone Number:
Mailing Address: PO BOX 3158 Designer's Address: PO BOX 162
SHELTON WA 98584 OLYMPIA WA 98507
Ci State Zip City State Zip
' ' DESIGN PARAMETERS
Treatment Device
❑ Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: OSCAR II DRAINFIELD
Drainfield Type OSCAR II DRAINFIELD
❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class PER OSCAR
Daily Flow:Operating Capacity 360 gpd Length PER OSCAR
Daily Flow: Design Flow 480 gpd Diameter PER OSCAR in
Septic Tank Capacity 1200 gal Number PER OSCAR
ft
Receiving Soil Type(1-6) 4 Separation PER OSCAR ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 800 ft2 Total Number of Orifices PER OSCAR
Designed Primary Area 800 ft2 Diameter PER OSCAR in
Designed Reserve Area 800 ft2 Spacing PER OSCAR in
Trench/Bed Width 20 ft Manifold
Trench/Bed Length 40 ft Schedule/Class 40
Elevation Measurements Length 40 ft
Original Drainfield Area Slope 4 % Diameter 1 in
New Slope,If Altered 4 % Preferred manifold configuration used? l 'Yes 0 No
Depth of Excavation Up-slope N/A in Transport Pipe
from Original Grade Down-slope N/A in Schedule/Class 40
Designed Vertical Separation >24 in Length 60 ft
Gravelless Chambers Required? 0 Yes ilifNo 0 Optional Diameter 1 in
Pump Required? ',Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1.333 gal
Orifice 7.B0 ft Chamber Capacity 1200 gal
Uppermost Orifice',Higher 0 Lower than Pump Shutoff Pump c of • P se hec those required.
Capacity @ Total Pressure Head 12 gpm e 1 s 6�"Event Counter
17.11 22 E ff 3MIN 38SEC
Calculated Total Pressure Headft If Ti ump on ,
FEB 15 2023
Comments
MASON COUNTY ENVIRONMENTAL HEALTH
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number:a 0 Om-- 15-- _,Q a
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations a Drainfield orientation and layout Reference depth from original grade:
g Soil logs £ Trench/bed dimensions and Ei Septic tank
g Property lines critical distances within layout ®' Drainfield cover
g Existing and proposed wells M' D-BoxNalve box locations Reference depth from original grade
within 100 ft of property Ef Septic tank/pump chamber and restrictive strata:
12' Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and
surface water and critical areas Observation port location bottom
Es Location and orientation of EC Clean-out location 0 Curtain drain collector
curtain drain and all absorption £ Manifold placement 0 Sand augmentation
components a Orifice placement Other cross-section detail:
Location and dimension of E Lateral placement with distance l' Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Ef Buildings
a Audible/visual alarm referenced Yes No
0' Direction of slope indicator 0' Scale of drawing shown on scale Ld ❑ Design staked out
0' Waterlines bar 0 El Recorded Notices attached
0' Roads,easements,driveways, ppROVE
❑ ❑ Waiver(s)attached
parking ❑ 0 Pump curve attached
North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar FEB 5 2�3 Non-residential justification
MASON COUNTY ENVIRONMENTAL HEALTH 0 0 Waste strength
JBW 0 0 Flow
DESIGN APPROVAL
The undersigned designer must be no • ie b7Mttr at time of installation of Yes 0 No
2/2/23
Signatu o 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- ' e egulations:
titLO-)
2-- IS- --3
Envi n 1 Health Specialist Date
CAUTION: DESIGN APPR AL 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: 2—67—2
✓ 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
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 320357590052
DATE SUBMITTED:2/2/2023 LEGAULOT#: LOT 2
SP2819
SUBMITTED BY: ADAM HUNTER
APPLICANT: JIM BELLEVILLE
ADDRESS: SHELTON,WA 98584
I.CALCULATIONS
NUMBER OF BEDROOMS= 4
RESIDENTIAL GPD FLOW= 480
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 800 FT2
TRENCH LENGTH OR BED CONFIG.= 20'X 40'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= SEPTIC TANK
III.DRAINFIELD CROSS SECTION
SAND DEPTH= 0'-6"
IV.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE NETAFIM DRIPLINE
111
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 60.00 1.00 12.000 4.6526
RETURN 60.00 1.00 12.000 4.6526
TOTAL= 9.3052
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 9.305
1
2)ELEVATION DIFFERENCE = 7.800
TOTAL= 17.105
14 -. 2/2/23 P P R 0 VE
y�++ FEB 15 2023
0.
MASON COUNTY ENVIRONMENTAL HEALTH
A
i;• sir,
40
'1 51JW1.2 •.R�+
i`'•' ADAMJ.HUNTER '
24
V.CHECK THE PUMP CAPACITY.
PUMP A.Y.MCDONALD 30GPM-1/2HP PUMP(MODEL#22050E2AJ) (PER OSCAR)
EXCESS TDH 50.00 (PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM 17.11
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
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