HomeMy WebLinkAboutSWG2023-00036 - SWG Application / Design - 2/9/2023 M. , MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SBE HELTN:360-427-9670,EXT 400
FAQIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00036
APPLICANT RJ PEABODY INC Phone: 1.206.229.5117
Address: PO BOX 565 BURLEY, WA 98322
OWNER RJ PEABODY INC Phone: 1.206.229.5117
Address: PO BOX 565 BURLEY, WA 98322
SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255
Designs Inc.
Address: 171 E VUECREST DRIVE UNION, WA 98592
Site Address: NE Galley Way
Primary Parcel Number: 123305100010
Permit Description: New SFR -3BR Pressure + Sand Lined Bed
Permit Submitted Date: 02/09/2023
Permit Issued Date: 03/02/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/02/2026 (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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATE RECEIVED: 2 �.���� If fin D
MASON COUNTY RFCEN AVi CO rn
COMMUNITY SERVICES AAEOUNSI
--�_ - public Heahh(Community Heath/Environmental Health) 1,114 (p �
,65 hs 6th;net-<heol,W7941584 c2 G00 SWG 201,
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{75\.61n Street WA 98584 Z (n
ON-SITE SEWAGE SYSTEM APPLICATION
PHONE
APPLICANT
RJ Peabody, Inc Megan Gjertsen (253) 514-3915 co z
CDMAILING ADDRESS-STREET,CITY;STATE,ZIP CODE Burley, WA 98322 cu co
N rn
SITE
PO Box 565ET CITY.ZIP CODE
NE Galley Way Belfair WA 98528 o I -'
PHONE ` I CD N
NAME OF DESIGNER. PHONE
898-2255 PHONE Arrow Septic Design co
NAME OF INSTALLER Final Vision - Jason Schauer (360) 801-5681 N I w
DRINKING WATER SOURCE
PERMIT TYPE(select one) �
WI RESIDENTIAL OSS ECOMMUNITY OSS I i COMMERCIAL OSS E PUBLICE INDIVIDUAL WATER SYSTEMWELL
ff PRIVATE TWO-PARTY WELL A I I
TYPE OF WORK(select one) I i
lENEW CONSTRUCTION/UPGRADES O REPAIR/REPLACEMENT OTHERSURFACING DETAILS(select all that 0 SEWAGE0 EX) ISTING NG F TABLEA IX
REPAIR
CI SHORELINE Ul
SUBMITTALS r I
LOT SIZE I
DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS 3 .23 Acre 6 I o
to WAIVER(S)(IF APPLICABLE)
DIRECTIONS TO SITE AND SITE CONDITIONS'(en locked pate) I 0
Take Highway 3 towards Belfair. Turn left onto Old Belfair Highway. Turn left onto NE State
Route 300. Turn right onto NE Sand Hill Rd. Turn left onto NE Larson Blvd. Turn right onto r 1
CD
NE Galley Way. "Div 4 - Lot 10" is written on a yellow sign. It will be the first lot on the right. o
o I
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(for reporting Purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE 0 COMPLAINT 0 OTHER:
C COMMENTS/CONDITIONS
il
INSPECTOR SOIL LOGS 1J
1� tddt
V3 .1M
BY
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES: FINAL APPROVAL
V=VERY G=SPETOR SIGNATURE GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED
•TIONQUIRED FOR OR OVED!ISSUED BY DATE
DATE APPLICATION EXPIRATION DATE AP-
Ut th i`� 2 z— 23--2 �' 3 2 z.7
THI F R 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: 1 2 3 3 0 — 5 1 — 0 0 0 1 0
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. v 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 peer size: 11".l 1'"
,, :t ES CAT,ION''
Permit Number: SWG 120X3—( X)369 Designer's Name: Arrow Septic Designs, Inc
Applicant's Name: RJ Peabody, Inc Designer's Phone Number: (360)898-2255
Mailing Address: PO Box 565 Designer's Address: 171 E Vuecrest Dr
Burley, WA 98322 Union, WA 98592
City State Zip City State Zip
. IEGN1 TERS .
Treatment Device
❑Glendon Wordier 0 Sand Filter 0 Mound Gt''Sand Lined Drainfield 0 Recirculating Filter.Type:
0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity l 'Pressure 0 Trench CiBed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40
Daily Flow:Operating Capacity 270 gpd Length 45 It
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,200 gal Number 4
Receiving Soil Type t 1-6) 3 Separation 2.5 ft
Receiving Soil Appl. Rate 0.8 gpd/ft` Orifices
Required Primary Area 450 if Total Number of Orifices 76
Designed Primary Area 450 112 Diameter *5/32* in
Designed Reserve Area 450 ft'- Spacing *28*
in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 45 ft Schedule/Class 40
Elevation Measurements Length 7.5 ft
Original Drainfield Area Slope 3 % Diameter 1.25 in
New Slope.If Altered 3 % Preferred manifold configuration used? giYes 0 No
Depth of Excavation Up-slope 22+24=46 in Transport Pipe
p from Original Grade Down-slope 18+24=42
in Schedule/Class 40
Designed Vertical Separation 14+ in Length 40 % ft
Gravelless Chambers Required? ❑ Yes Fa No 0 Optional Diameter 2
in
Pump Required? RS Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff, in Elevation Between Pump& Uppermost Orifice a ft Dose quantity 90
gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1,000 gal
Uppermost Orifice 0 Higher ❑Lower than Pump Shutoff Pump controls: Please check those required.
Capacity(a Total Pressure Head 48.64 gpm 1t�Timer lit lapse Meter 6e'Event Counter
Calculated Total Pressure Head 17.77 ft If Timer: Pump on 1 min ,Pump off 6 hr
Comments APPROVEj:
MAR 0 3 2023
ti MASON COUNTY ENVIRONMENTAL HEALTH
" JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 3 3 0 — 5 1 -- 0 0 0 1 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan
Scaled Layout Sketch Cross-Section Sketch
Fti Test hole locations lifDrainfield orientation and layout Reference depth from original grade:
66 Soil logs El Trench/bed dimensions and g Septic tank
critical distances within layout Qj Drainfield cover
g Property lines
6d D-Box/Valve box locationsfili gReference depth from original grade
withiniin 100 ft of propertpropertyP
Exig and proposed wells tic tankipump chamber and restrictive strata:
Septic
fil Measurements to cuts.banks.and locations Q1 Laterals,trench/bed,top and
surface water and critical areas g Observation port location ❑ bottom
drain collector
0 Location and orientation of 6d Clean-out location 0 Curtinand drain collector
curtain drain and all absorption It Manifold placement
ion
components 6d Orifice placement Other cross-section detail:
g Location and dimension of gObservation ports/clean-outs
g Lateral placement with distance
primary system and reserve area to edge of bed Other Information
O Buildings Audible visual r e ced Yes No
g Direction of slope indicator g Scale of dray a Er 0 Design staked out
Waterlines bar 0 g Recorded Notices attached
of AA• '• 1r 0 Waiver(s)attached
• Roads,easements.driveways, j_� .. ,
iv ?3, 0 Pump curve attached
parking :'{. •d,�•' Evaluation of failure
North arrow and scale drawing ,h" , .
'"'... 'YJO Non-residential justification
shown on scale bar Ya PAULA JOY JOHNSON'
sasz
L� t�'iG1ai— 0 It Waste strength
REs / ❑ 136 Flow
DESIGN APPROVAL
The undersigned designer must be noti by in lle at time of installation El Yes 0 No
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- regulations:
M of 3-�z3
Envi nit.1 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: 2-'23�-gca
i 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
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5 DEGREE ELBOW OR SON COUNTY ENVIROh 'Noss--T
-TERAL SWEEP I NG 9 u E4LTH
4 B{=OBSERVATION PORTS--TO BE 4" SOCi a-
END OF. PVC PIPE PROM BOTTOM OP TRENCH
DITCE. J TO FINISHED GRADE. REMOVABLE
y�- �-l1 O CAP SBALL BE INSTALLED
CLEAN ON OBSERVATION PORT PIPE.
V' A-? £ott$M of a8SLPV*nau poeT•
NOTE, CLEANOUT TO BE FROM 0 TO 6 TOTAL OF *E IN SYSTEM.
INCHES BELOW FINISHED GRADE. CI) V isJSTRtt AT`BtrtoPt oc' E-33 Sia.z4D
MARK ENDS NIT& REBAR. CLEAN OUT **LATERALS ARE TO BE CENTERED
REQUIRED AT END OF EACH LATERAL. IN TRENCHES.
—6c9C\
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Length Length Orifice # Distance from Distance from
Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout(In.)
1 540 45 28 19 18 18
2 540 45 28 19 18 18
3 540 45 28 19 18 18
4 540 45 28 19 18 18
Total Lateral Length 180
Total#Orifices 76 GPM = 48.64
(with 5/32 orifices)
Dynamic Head Calculations
Selected residual pressure: 5 ft.
Length (Ft.) # Orifices
Transport Pipe 40 76 1.31 ft.
Feeder Total
Lateral Line Length
Lateral#1 45 4 49 19 0.88 ft.
Lateral#2 45 2 47 19 0.85 ft.
Lateral#3 45 2 47 19 0.85 ft.
Lateral#4 45 4 49 19 0.88 ft.
Total Elevation Lift A'''' 8.00 ft.
Total Dynamic Head A Q�
17.77 ft.
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I ,i • LIaNS'Eti'OES�GNI "
EXPIRES /1�
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MENTAL HEALTH
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TECHNICAL SPECIFICATIONS
EXTERNAL CONSTRUCTION: FL50-Series
Pump Volute and legs-Gray iron casting class 25 PERFORMANCE CURVE 60 Hz.
Motor Cover-Gray iron casting class 25.All Per Minutecastings shall be powder coated for corrosion 1 341
resistance prior to ascpmbfy. 0 38 114 21.3
Fasteners-all fasteners shall be 300-series 70 � � . I 18.3
stainless steel. I ��
MOTOR �•■■■1MvI11111111111111111111 15.2
Submersible 3450 RPM,oil filled and hermetically 50 III-7 I i I IIII-•
MIll
sealed.Class B insulation rating.17-4 PH stainless LL ' 11.11.112111.11111111=1111111111.1 12.2 i
steel rotor shaft..Thermally protected on single s 40 1111■ I , 1 i C a
phase models.Three phase models shall have I •
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overloads incorporated into the control panel, s 30 9.1 2
properly sized for the horsepower and 12 ( 1.����
amperage of pump. IMMIIMIEMIlla\NIE 6.1
2°111.1 H1111[011111.V■
IMPELLER 1111.11 ®:� 3.0
Cast iron-class 25,semi-open design capable 10 ,
of passing a minimum 3/4"solids. ■� 1■■
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SHAFT SEAL 10 20 30 U.S.40 50 60 Gallons Per Minute 70 80 90 100
Carbon/ceramic unitized design with BUNA N
elastomers and stainless steel housing.
FL50-Series
POWER CORD Model HP Volts Ph Amps comb Switch Plug-End WO
10'cord length-Standard.Quick-disconnect FL51A 1/2 115 1 12 10' Automatic Series Plug 62
design allows for easy field replacement. FL51 A-2 1/2 115 1 12 25' Automatic Series Plug 64
Optional lengths available per chart. FL51 A-3 1/2 115 1 12 35' Automatic Series Plug 66
FL51 M 1/2 115 1 12 10' Manual Plug 61
LEVEL CONTROL FL51M-2 1/2 115 1 12 25' Manual Plug 62
FL51M-3 1/2 115 1 12 35' Manual Plug 63
Automatic models shall be controlled by an FL51 M-5 1/2 115 1 12 50' Manual Bare Lead 65
adjustable wide-angle style switch sealed in FL52A 1/2 208-230 1 6.5 10' Automatic Series Plug 62
a polymeric float.A series piggy-back style FL52A-2 1/2 208-230 1 6.5 25' Automatic Series Plug 64
plug shall be provided to allow for manual FL52A-3 1/2 208-230 1 6.5 35' Automatic Series Plug 66
bypa%s operation.Not available on 50'models FL52M 1/2 208-230 1 6.5 10' Manual Plug 61
FL52M-2 1/2 208-230 1 6.5 25' Manual Plug 62
and 3-Phase. FL52M-3 1/2 208-230 1 6.5 35' Manual Plug 63
FL52M-5 1/2 208-230 1 6.5 50' Manual Bare Lead 65
DISCHARGE
2°FNPT with a 1-1/2"FNPTthreaded cast iron
flange provided_
DIMENSIONAL DATA:
Height:16.4" Width: 11.2" °'.
47 0 lif P
(manual models)
Maximum Fluid Temperature: "K" }
100°F,40°C Continuous Duty MA MAR 3 3 2023
140°F,60°C Intermittent SON COUNTYFNVIRON,�4 JQ f NTg L,Li
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Specifications are subject to change without notice.
Ube Pumps• 7000 Apple Tree Avenue •Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839
G 1 www.libertypumps.cOM Copyright J Liberty Pumps,Inc.2017
All rights reserved. LLlT 6762 R08/17
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INSTALLATION & MAINTENANCE f: --."1")'`:• -..��°i{)��
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Pressure Distribution Systems—Sand Lined Bed .-;� �����JOY JOHNSON .�
'; .1.1041SEii[)ESiGi401**
1. Install Laterals with contour of the ground. .
2. Install bed bottom level.
3. Install locator tape or rebar indicated on the plach end of all ot plan. One required in each comer of the
nfield laterals.
4. Install observation ports
bed. Two with bottom extending to the bottom of the drainrock and two extending to the
sand/native soil interface. Glue"T"to bO °o o Oof port at final grade lePort cannot veleasily
removed from ground. Install removablecaptop must be
5. Install drainfield during dry weather and soil conditions; any soil smearing
eliminated by hand raking.
6. Install threaded clean-outs at the end of all laterals (cap must extend to within six inches
of finished grade and be marked with locator tape or rebar).
7. Install audio/visual high water level alarm. Redundant off switch required.
8. Install 1/8" mesh non-corrosive pump screen(min. 12 sq. ft. surface area, not to interfere
with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank.
Pull bio-tube every 6-12 months and flush back into tank.
9. Install check valve in pump outlet line to prevent system from draining back into the
pump chamber.
10. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock.
Install laterals to the manifold with the orifices at 12 o'clock, (do not glue), after pressure
test and Environmental Health Dept. approval, turn orifices down(6 o'clock) and glue
laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position
in lieu of turning the orifices down to the 6 o'clock position.
11. Filter fabric required over drain rock prior to back filling. If the drain rock extends above
natural grade, run the filter fabric at least 2 inches down the trench wall.
12. Encase all water lines within 10' of drainfield and under any driveway/parking areas.
13. Divert all storm water runoff away from on-site sewage system.
14. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area.
15. Have the septic tank and pump chamber pumped or inspected every 3 to 5 years.
16. No vehicular traffic over drainfield area.
17. Inspect floats, clean filters,and test high water level alarm every 6-12 months as needed.
18. All materials and workmanship must meet County and State regulations.
19. Deviation from this design without prior approval from the Designer and Mason County
Environmental Health Department will make this design null and void.
20. All manhole lids and access, sampling or inspection ports must have locking covers and
be located at ground level.
21. All pressure systems with a pump chamber outlet higher than the drainfield must have a
1/8"hole drilled in the discharge pipe above the pumpEto prevent siphoning.
22. All transport lines under driveways or parking areas must be eridased to prevent crushing.
23. Homeowner is responsible for all property lines. # - :� . ,, • wi dm fit
v ••
iiiiiiMAR G 3 22tl
MASON COUNTY ENVIRON,yIENTAI HEALTH
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