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HomeMy WebLinkAboutSWG2022-00542 - SWG Application / Design - 10/25/2022 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 !' �' 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: SWG2022-00542 APPLICANT SCOTT BOYER Phone: 1.206.235.0935 Address: 12216 CORLISS AVE N SEATTLE, WA 98133 OWNER SCOTT BOYER Phone: 1.206.235.0935 Address: 12216 CORLISS AVE N SEATTLE, WA 98133 SEPTIC DESIGNER TOBY SYRETT-septic designer for B- Phone: 360-426-4221 line Address: 223 SE Cermak Ln SHELTON, WA 98584 SEPTIC INSTALLER DON WOOLLISCROFT B-Line Phone: 360-426-4221 construction Address: 2971 E PHILLIPS LAKE LOOP ROAD SHELTON, WA 98584 Site Address: 281 NE Snowcap Dr Primary Parcel Number: 222065200039 Permit Description: New three bdrm-shallow pressure trench Permit Submitted Date: 10/25/2022 Permit Issued Date: 11/04/2022 Issued By: Luke Cencula Current Permit Fees Paid: $900.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/31/2025 (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 (6-8') depth specified on design form. 4 /nstaller 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: ` "'` MASON COUNTY 0 D COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVED BY: CO 0) o M -;i - c. Public Health(Community Health/Environmental Health) -- gj \U,_ 0,.' 360-427-9670.mt.4004 360275.4461,ext.400 4I5N lath Street Vy 5helton,WA 98584 �,A,G ( 0 a,Zz -no SV2, °z cn ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE m IT1 SALTY GULCH LLC C/O B-LINE CONST. INC. 360-426-4221 v z = C MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE C 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 v 03 SITE ADDRESS-STREET.CITY.ZIP CODE '� 281 NE SNOWCAP DR. TAHUYA WA 98588 <- (" NAME OF DESIGNER PHONE C v fV TOBY SYRETT @ B-LINE CONST. INC. 360-426-4221 CD NAME OF INSTALLER PHONE I N DON WOOLLISCROFT @ B-LINE CONST. INC. 360-426-4221 PERMIT TYPE(select one) DRINKING WATER SOURCE N Pr RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS Il PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z 7 PUBLIC WATER SYSTEM TAHUYA RIVER VALLEY TYPE OF WORK(select one) I Mf NEW CONSTRUCTION/UPGRADES 6 REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR N I C31 SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 03 DESIGN FORM(REQUIRED) IiSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I IV 5 WAIVER(S)(IFAPPLICABLE) 3 0.35 ACRES on I DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) I o Take North Shore Rd. to NE Belfair Tahuya Rd. Turn Left onto NE Tahuya River Dr. Follow 1 o to right turn onto NE Snowcap Dr. Go aprox 0.3 mile to gravel driveway on left that leads to 1— 281 (bare lot) and 291 (with existing mfg home). o 0 w IW co 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) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE 0 COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS til Arm R t' 8 2023 111(1111 11 ,..0 By Ll:%�� RECORD DRAVNNG AND INSTALLATION REPORT SOIL CODES: V= .-Y G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. I: TOR SIC A URE DATE APPLICATION EXPIRATION DATE AP TION APPROVED/ISSUED BY DATE I l -2) --f23 3-�-,2 ( J 3-l5-2T SAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 PAGE___I_OF ( e • vfLi ,Nit4.Q. SEPTIC SYSTEM DESIGN M ' r - n • 4 s;} f, „ f f v lot XF\N(W(APM �' i • rc i 4' 41 e MI NF.N(W(CAP AR & ,gg Jli NE 4P Ok SITE ADDRESS: 281 NE Snowcap Dr. SITE CITY,STATE,ZIP: Tahuya, WA PARCEL NUMBER: 22206-52-00039 LEGAL DESCRIPTION: Tahuya River Vally Div #2 Tr 39 OWNER: Salty Gulch LLC DATE 03 March 2023 B-LINE CONSTRUCTION, INC. 2971 E PHILLIPS LAKE RD. __IIIII_LIFNE SHELTON, WA 98584 j 360.426.4221 office I 360.426.0509 fax b-lineconst[),msn.com PAGE Z OF 14) OWNERSHIP AND USE OF DESIGN DOCUMENTS: 1. This Design Document has been prepared by B-Line Construction, Inc. via its employees, subsidiaries and sub-contractors. 2. This Design Document has been produced in order to attain an on-site septic system installation by B-Line Construction, Inc. for the property indicated herein. 3. This Design Document represents decades of combined experience of B-Line Construction, Inc. its employees, sub-contractors, etc. in construction processes, technical applications and developments as well as interpersonal understandings and relationships with other professionals, manufacturers, suppliers, regulators, and private parties. 4. This Design Document constitutes physical and intellectual property © B-Line Construction, Inc. and may not be used by any other individual, company, contractor, etc. to construct an on-site septic system for this or any other property. 5. This Design Document shall not be construed as a product that stands alone from the achievement of an on-septic system on the specified property for the client by B-Line Construction, Inc. 6. This Design Document remains the sole property of B-Line Construction, Inc. whether the project for which it was made is executed or not. 7. The submission or distribution of this Design Document to meet official regulatory requirements, or for other purposes in connection with the project, shall not be construed as publication in derogation of B-Line Construction, Inc.'s rights regarding this document as physical and © intellectual property. 8. In the event that B-Line Construction, Inc. is not retained for the installation of the system, this Design Document shall not be used by subsequent parties/contractors. 9. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, subsequent parties/contractors wishing to install an on-site septic system on this property must produce their own design documents for use in a separate research/development/design/permitting/installation process. 10. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, client shall be liable to subsequent parties/contractors for new design documents and additional permit fees as required in pursuit of re-inspection, re-design and installation. B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-Iineconst@msn.com POE d r 10 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 0 6 — 5 2 — 0 0 0 3 9 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: I I"X I 7" PARCEL IDENTIFICATION Permit Number: SWG 202-Z— (1°` '5Y Designer's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: SALTY GULCH CIO B-LINE CONE Designer's Phone Number: 360-426-4221 Mailing Address: 2971 E PHILLIPS LAKE RD. Designer's Address: 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 SHELTON WA 98584 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: Drainfield Type ❑Gravity lit Pressure l 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 AVG gpd Length 25'-50' ft Daily Flow: Design Flow 360 MAX gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 4 Receiving Soil Type(1-6) 3 Separation 9' ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 ft2 Total Number of Orifices 25 Designed Primary Area 456 ft2 Diameter 3/16 in Designed Reserve Area 450+ ft2 cing 72 in Trench/Bed Width 3 ft F pQ Manifold Trench/Bed Length 152 f Schedul8�l� jI ' 40 Elevation Measurements 4148041 Li i 15 3 ft Original Drainfield Area Slope 2-3 % COtiin New Slope,If Altered SAME % Pr R�at i 1 hr,ation used? l'Yes 0 No Depth of Excavation Up-slope 13" MAX in i ansport Pipe from Original Grade Down-slope 12" in Schedule/Class 40 Designed Vertical Separation 29" MIN in Length 75'MAX ft Gravelless Chambers Required? 0 Yes It No 0 Optional Diameter 2 in Pump Required? lif Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal Uppermost Orifice tif Higher 0 Lower than Pump Shutoff/ Pump controls: Please check those required. Capacity @ Total Pressure Head 14.75 g.T , liTimer gElapse Meter l'Event Counter Calculated Total Pressure Head 22.31 41 `' ' \If Timer: Pump on 4 MIN ,Pump off 3HR 56MIN (Comments = m3 4a-Z ,� 3 ?' TA:JA�Yncrr '� LICENSE.D DES:GNIER EXPIRES: 06/07/y P'6c m 4 d f" —IS_ DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 2 0 6 -- 5 2 -- 0 0 0 3 9 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Eil Test hole locations g Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and Ig Septic tank g Property lines critical distances within layout RI Drainfield cover ❑ Existingand proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property 10 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks,and locations Gi'f Laterals,trench/bed,top and surface water and critical areas 17i Observation port location bottom ❑ Location and orientation of RI Clean-out location 0 Curtain drain collector curtain drain and all absorption EZi Manifold placement 0 Sand augmentation components 66 Orifice placement Other cross-section detail: g Location and dimension ofEIS gObservation ports/clean-outs primary system and reserve area Lateral placement with distance to edge of bed Other Information Buildings g Audible/visual alarm referenced Yes No EZI Direction of slope indicator ig Scale of drawing shown on scale d 0 Design staked out g Waterlines arP P R ® V ❑ Ef Recorded Notices attached Ig Roads,easements,driveways, 0 g Waiver(s)attached parking ❑ gPump curve attached Ed North arrow and scale drawing MAR 1 5 2023 ❑ gEvaluation of failure shown on scale bar COUNTY ENVIRONMENTAL H TH Non-residential justification JBW o o Waste strength ❑ ❑ Flow D .� A ROVAL The undersigned designer must be notified by ink;': tit? tnstallati.1 r4 - M No 4ga b:si ► 03INL23 Signature a'41,'-'sig isI-, 9 '*)F°/ Date i O TO'' T. A-SYREIT �NF .11s The undersigned has reviewed this d- '' Ari:a A9'E �� 4o,..'.�f,is Health and determined it to be in compliance with state and local o, = regulation4:^''IRE-s O6/O7/_ (1i 1,ki ItArr9_, -2)—( S— ..---, Env roe 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: 3-- % _2- co ✓ 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 • NE SNOWCAP DR. iWATER LINE L l______r 1200 GAL PUMP TANK I 1200 GAL SEPTIC TANK APROX 2 FUTURE HOME b +i �- TRANSPORT LINE I I PARKING APROX PROP LINES ---____ i MANIFOLD I / , I / ACCESS EASEMENT I / /'� /� /'/ I , 111 20' rill— F`DVo ,�./,, _ PRIMARY&RESERVE ° DRAIN FIELD IIIIMMIllsommus 1_ ±100' SOIL LOGS: A0-42"GMS WITH POCKETS OF CSG OVER TILL SOIL LOGS P P R 0 V EAD ,0 ' + 0-48"GMS ,•. A OWITH VER TILL I LKETS OF CSG MAR 1 5 2023 .0 +�i 2 �. . 1 3 MASON COUNTY ENVIRONMENTAL HEALTH Q+�C 1 , ��'i3 JBW `s�1 �ih7 F�+' SEPTIC SYSTEM SITE PLAN 00O .3Y 6 iAlv,-sYRErr 1 FOR: SALTY GULCH LLC JOB #: =_�����SE DESt:��R"`� 1�' b. PARCEL#: 22206-52-00039 DATE: 03 MARCH 2023 EXPtRESI 06107/2 1 BY: TJS DESIGN PAGE 5 OF 10 _ NORTH ARROW: SCALE: 1" = 30' 0 0' 30' 60' © B-LINE CONSTRUCTION, INC. 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QO W ccU 0 Q IQ 1 Q i 1- Jl z "' PJ a E LU y U Z X ! 0 0, m o - CC JU Q 3 -w a 2"IN FROM PUMP TANK - MANIFOLD W/SURFACE ACCESS 1.25"FEEDER LINES 111 36"TO1STORF '< / / / 72"ORF SPACING1, ,/ 3/16"ORES ' @6:00 // ; CLEANOUT /IOBS PORTS\4 y V 3./K ,' RESERVE TRENCHES / C4 \(/ PRIMARY TRENCHES sI., .= ale 9'\ PPROVE �, b4:�.f., 1��.�L,, MAct23 MAR 1 5 2023 ,0299 �1�F+��� MASON COUNTY ENVIRONMENTAL HEALTH j/0? TOBY I.TAHJA-SYRETT _, +i / LICENSED DESIGNER t 'LBW MANIFOLD DETAIL: EXPIRES: 06/07/2,1,� 1.25"FEEDER LINES 1.25"CHECK VALVES cLL•1TL-IL1 �cn.1 V ual• • DRAINFIELD LAYOUT DETAIL 1.25"MANIFOLD 125"BALL VALVES FOR: SALTY GULCH LLC JOB#: PARCEL#: 22206-52-00039 DATE: 03 MARCH 2023 REDUCER Al 2"TRANSPORT BY: TJS DESIGN PAGE a OF I NORTH ARROW: SCALE: 1" = 10' J 0 0' 10' 20' © B—LINE CONSTRUCTION, INC. 6"PVC CLEANOUT/OBSERVATION PORT FINISHED GRADE', — FILTER FABRIC OVER DRAINROCK DRAINROCK SANDY \ i--. ORIGINAL GRADE LOAM 12"+ FILL 4PPROy A . _ _ _ _ _ _ _ _ --r- ------t i Mtis No 1 1.25"LATERAL PIPE — ��e - - - - - - 13 " Nix °tllvrrEiVim.,423 Mf N Jell, rA(LfE447 - 36" �11- TRENCH BOTTOM --1 ��`111 � t r 't. s, 1 NATIVE SOIL ZI M:N iik- • Ari►K+1t23 �riD Or ,O ' .By_).TAI-IJA-S av LICENSED DESIGNERYRETT _ EXPIRES: 06/07/L EITRICI LA LIR VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW /7 FINISHED GRADE \\ THREADED CAP - FLEX HOSE OR SWEEPING EL 1.25"LATERAL PIPE / Li �� 2"ORIFICE SPACING TRENCH BOTTOM PRESSURE TRENCH — GRAVEL — MEDIUM DEPTH FOR GENERAL USE REVISED OCTOBER 2009 BY: TJS DESIGN PAGE I OF (0 NORTH ARROW: NO SCALE © TAHJA-SYRETT DESIGNS PAGE if OF le PRESSURE DISTRIBUTION SYSTEM System Owner Responsibilities: 1. The prepared site plan is not a survey. It is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the contractor immediately. 2. Keep wheeled vehicles off the drainfield area before, during and after installation — tracked vehicles only. 3. All ground and surface water (including roof drains) must be diverted away from the drainfield and tank areas. Ensure that final grade slopes away from these areas and that water does not pool around/behind them. Use swales, berms, along with catch-basins and tight-lines, curtain drains, etc. to divert ground and surface water. 4. Curtain drains can be no closer than 10' uphill or 30' downhill from the drainfield. 5. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 6. Operation & Maintenance is required by the state of Washington and the county for all septic systems. 7. Please contact B-Line Construction for periodic Operation & Maintenance service of your system. 8. System Owner is responsible for having maintenance performed according to the schedule set forth by Mason County. 9. System owner/operator is responsible for responding to alarms in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT change settings in the control panel. Only authorized maintenance personnel may alter settings in the control panel. 11. System owner/operator agrees to read and abide by inforri their system in USER MANUAL provided by Mason County. 0 41 Mq lit 5 2423 N1//RG JQ� MFNTA1 HFA[Ty B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-lineconst(a�msn.com