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HomeMy WebLinkAboutSWG2023-00033 - SWG Application / Design - 2/7/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 rt F . s, BELFAIR:360-275-4467,EXT 400 F I Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00033 APPLICANT GOULDEN CHEREE & MICHAEL Phone: Address: 321 W COUNTY LINE RD MCCLEARY, WA 98557 OWNER GOULDEN CHEREE & MICHAEL Phone: Address: 321 W COUNTY LINE RD MCCLEARY, WA 98557 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: 321 W County Line Rd Primary Parcel Number: 519363200000 Permit Description: Replacement 3BR SFR -Oscar II Permit Submitted Date: 02/07/2023 Permit Issued Date: 02/15/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/13/2029 (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: a i ca3 cn > ONSITE SEWAGE SYSTEM APPLICATION AMOU oc cuicR_ RECEN R co cn 415 N 6th Street,(Bldg 8) Shelton WA,98584 ` va ` `�+J < N N Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S W G 20 3--- _ Boo 3 -3 cn O O X Z 6 APPLICANT PHONE > > CHEREE GOULDEN 360-789-7790 m m MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE 1-- 321 W COUNTY LINE RD MCCLEARY WA 98557 z SITE ADDRESS-STREET.CITY.ZIP CODE co 321 W COUNTY LINE RD MCCLEARY WA 98557 m NAME OF DESIGNER PHONE ADAM HUNTER 360-753-1226 CI\ NAME OF INSTALLER PHONE I HOUSE BROTHERS 360-470-8713 CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 9 C c„ ❑ NEW CONSTRUCTION ❑ 5I^Y RV HOLDING TANK ONLY � PRIVATE INDIVIDUAL WELL N Et REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z El TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM i ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: 1 ❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE IV" ❑ EXISTING FAILURE "Record Drawing required 3 40 co for all Installations" rPJ DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 1 COUNTY LINE RD NORTH TO END OF RD. x O P' O r D J SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS ir, 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 6.6. ,_ ,._� �� rm „ ,ll FEB 0 7 2023 By SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS --) NSVEP I - E TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLI ATI N APP VED BY DATE tii#:14,4 2_ ' li-2-7 2-( 3- 2 6 , L il,v,;-)-. 2 1 --- 1 M MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT REVISED 12/7i2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number:5+_53 c _a_ Lip O_n_c) 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" 7 PARCEL IDENTIFICATION Permit Number: SWG 20 —(960 73 Designer's Name: ADAM HUNTER Applicant's Name: CHEREE GOULDEN 360-753-1226 Designer's Phone Number: Mailing Address: 321 W COUNTY LINE RD PO BOX 162 Designer's Address: MCCLEARY WA 98557 OLYMPIA WA 98507 City 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 Type OSCAR II ❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class PER OSCAR Daily Flow: Operating Capacity 270 gpd Length PER OSCAR ft Daily Flow: Design Flow 360 gpd Diameter PER OSCAR in Septic Tank Capacity 1200 gal Number PER OSCAR Receiving Soil Type(1-6) 5 Separation PER OSCAR ft Receiving Soil Appl. Rate 0.4 gpd/ft2 Orifices Required Primary Area 900 ft2 Total Number of Orifices PER OSCAR Designed Primary Area 900 ft2 Diameter PER OSCAR in Designed Reserve Area 900 ft2 Spacing PER OSCAR in Trench/Bed Width 22.5 ft Manifold Trench/Bed Length 40 ft Schedule/Class PER OSCAR Elevation Measurements Length PER OSCAR ft Original Drainfield Area Slope 8 % Diameter PER OSCAR in New Slope,If Altered N/A % Preferred manifold configuration used? ®'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 160 ft Gravelless Chambers Required? 0 Yes it No 0 Optional Diameter 1 in Pump Required? eYes 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 gal Orifice 3.8 ft Chamber Capacity 1200 gal Uppermost Orifice lrHigher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 12 gpm !timer ®'Elapse Meter !'Event Counter Calculated Total Pressure Head 24.67 e4 f� I i er: Pump on 22 SEC ,pump off 3MIN 38SEC P Comments r R 0 FEB 15 2023 MASON COUNTYENVIRONMENTAL HtAL►Fi JBW I DESIGN FORM—PAGE TWO Assessor's Parcel Number: ti_t_ 10-- 3,2, -- t_osp_o Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 9' Test hole locations a Drainfield orientation and layout Reference depth from original grade: 9' Soil logs 9' Trench/bed dimensions and 9' Septic tank ' Property lines critical distances within layout a Drainfield cover 9' Existingand proposed wells 9' D-Box/Valve box locations P P Reference depth from original grade within 100 ft of property 9' Septic tank/pump chamber and restrictive strata: E Measurements to cuts,banks,and locations ®' Laterals,trench bed,top and surface water and critical areas 0' Observation port location bottom 0' Location and orientation of a Clean-out location 0 Curtain drain collector curtain drain and all absorption 9' Manifold placement 0 Sand augmentation components 0' Orifice placement Other cross-section detail: • Location and dimension of 9' Lateral placement with distance EC Observation ports/clean-outs primary system and reserve area to edge of bed Buildings g Other Information Ef Audible/visual alarm referenced Yes No 9' Direction of slope indicator II Scale of drawin show n e ❑ Design staked out • Waterlines A p p R b V ❑ ❑ Recorded Notices attached V Roads,easements,driveways, ❑ 0 Waiver(s)attached parking FEB 1 5 2023 ❑ ❑ Pump curve attached 9' North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar MASON-COUNTY ENVIRONMENTAL HEALTH Non-residential justification JBW ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be no -d .y ' staller at time of installation If Yes 0 No 2/6/23 1•• of Designer Date The undersigned has reviewed this s .ign on behalf of Mason County Public Health and determined it to be in compliance with state and local on- 4 lations: Envi r ,1t H ealth 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: 2— '26 ✓ 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 RIM • PAGE '. MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 519363200000 DATE SUBMITTED:2/6/2023 LEGAULOT#: SUBMITTED BY: ADAM HUNTER APPLICANT: HOUSE BROTHERS P R 0 V ADDRESS: ■■ E FEB 15 2023 I.CALCULATIONS MASON COUNTY ENVIRON NUMBER OF BEDROOMS= �� MENTA(� gLTH RESIDENTIAL GPD FLOW= IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.4 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 900 FT2 TRENCH LENGTH OR BED CONFIG.= 22.5'X 40.0' PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL.-CONCRETE NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION SAND DEPTH= 0'-6" IV.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 160.00 1.00 12.000 12.4069 RETURN 160.00 1.00 12.000 12.4069 TOTAL= 24.8138 "TOTAL HEAD LOSS 1)FRICTION LOSS THROUGH SYSTEM= 24.814 01 2)ELEVATION DIFFERENCE = 3.800 TOTAL= 28.614 #� 2/6/23 FT/ Y.2 l •' �• , 511,3412 J`• ADAM J.HUNTER '•: �+ AS.SSZS�. SS�.SJ.SS.��1'5�l � 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 SYSTEM28.61 STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES 4 ?ftoyEO'1/coONr 15?423 Al Jew MFNr4L itiz. LAtTii : � r` 2/6/23 �� f ii. • I � 1 i s76,+t2 •.ct�f /`�. ADAf.1J.HUNTER � " n: 2, a 31 • A rig a3 sp,k,?- T • pO :;:i.::::.• : ♦ ;r:: BASAL WIDTH 22.5' '�t•,c. { fir ::........".:::•.•:,, :.......:,. ..i..-.....::...:-..::::....;.:.:-.:1•;..-::..;•.::::::::.:::::•::-:...::-. Fiffl„71...:.... ....]...:.:::.... ...:::.:;...:;;::.,..::,:.::..i:........::!......:::::.....,.:.::::3.:..-... kvido .:;:. . k51::::.:,..,..,;:::. , ....... i.„....:(....:::,...,..:::::.„:„..... .:::::?.?..:::::::::.: :.::::: :::::::,:: .::::... ::.:.....:::::..........:.:..........*:.,.::::.:::,:. ... E 0 :......:.•:..:*:I.:L.:.:L'LLS. :..:.....:,.:-.1:'.:..*:..::;;::: ::i...:..::.'. ....:.....:.';';'..'....: th, .....:. 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