HomeMy WebLinkAboutSWG2023-00059 - SWG Application / Design - 3/1/2023 A
MASON COUNTY 415 N 6TH STREET,SHELTON,967 ,E 98400
SHELTON:TREE ,36 42 ,EXT 400
584
4111
BELFAIR:360-275-4467,EXT 400
P Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00059
APPLICANT BAIMETOV ET VIR ILYA Phone:
Address: DILBAR MURTAZINA REDMOND, WA 98052
OWNER BAIMETOV ET VIR ILYA Phone:
Address: DILBAR MURTAZINA REDMOND, WA 98052
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 271 E Linda Vista Ct
Primary Parcel Number: 322325300013
Permit Description: 3-bedroom NuWater BNR500 system
Permit Submitted Date: 03/01/2023
Permit Issued Date: 03/17/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/15/2026 (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.
• ' . cn D
ONSITE SEWAGE SYSTEM APPLICATION AkiclialS ii, R C114.
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415 N 6th Street,(Bldg 8) Shelton WA,98584 Cl)< cp
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 JVV C p G *Lb
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APPLICANT PHONE > D
DILBAR MURTAZINA 425-785-5518 m m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
7600 142ND AVE NE REDMOND WA 98052 C
SITE ADDRESS-STREET,CITY.ZIP CODE CO
271 E LINDA VIST CT SHELTON WA
NAME OF DESIGNER PHONE ( P
ADAM HUNTER 360-753-1226
NAME OF INSTALLER PHONE
TBD TBD o (�
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
C IV Mr NEW CONSTRUCTION 0 RV HOLDING TANK ONLY El PRIVATE INDIVIDUAL WELL !n
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL z I n
El 'TABLE 9 REPAIR 0 SINGLE FAMILY COMMUNITY/PUBLIC WATER SYSTEM XJ
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: UNION t
❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE I V'I
❑ EXISTING FAILURE "Record Drawing required `� w
for all Installations" `) r
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gale) O I
E LINDA VISTA CT TO SITE AT THE END. x H.
IC
O le
I--
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS 0
OFFICIAL USE ONLY BELOW THIS LINE---
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
JI1 : 0- Z3 (7c.
TIfiL-. d—Z 1 6 S(_ *um li 2n2
tiIO
T:4 3 : 0-3! 6,3 ' BJ - - -
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSP R SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
fills/zoo; - /I 3ii01E
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Numbe A ✓ o� -- 3 -- O Q.013
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 Designer's Name: ADAM HUNTER
Applicant's Name: DILBAR MURTAZINA 360-753-1226
Designer's Phone Number:
Mailing Address: 7600 142ND AVE NE PO BOX 162
Designer's Address:
REDMOND WA 98052 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:
grAerobic Unit Make/Model NUWATER BNR-500 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity 0 Pressure 0 Trench 0 Bed 'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class PER DRIP
Daily Flow:Operating Capacity 270 gpd Length 108-140 ft
Daily Flow: Design Flow 360 gpd Diameter 1/2 in
Septic Tank Capacity BNR-500 gal Number 4
Receiving Soil Type(1-6) 4 Separation 2.5 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 675 ft2 Total Number of Orifices 474
Designed Primary Area 1110 ft2 Diameter PER DRIP in
Designed Reserve Area 1000 ft2 Spacing 12 in
Trench/Bed Width 30 ft Manifold
Trench/Bed Length 35-38 ft Schedule/Class 40
Elevation Measurements Length 30 ft
Original Drainfield Area Slope 22 % Diameter 1 in
New Slope,If Altered N/A % Preferred manifold configuration used? I 'Yes 0 No
Depth of Excavation Up-slope 8 in Transport Pipe
from Original Grade Down-slope 8 in Schedule/Class 40
Designed Vertical Separation 12 in Length 120(SUPPLY)+120(RETURN) ft
Gravelless Chambers Required? 0 Yes VNo 0 Optional Diameter 1 in
Pump Required? iYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal
Orifice N/A ft Chamber Capacity 1200 gal
Uppermost Orifice 0 Higher it Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 12.8 gpm Meter 'Event Counter
Calculated Total Pressure Head 117.5 ft If r:in3u0 0 erf ,Pump off 2HRS
Comments MAR 1 5 2023
MASON COUNTY ENVIRONMENTAL HEALTH
uJA
DESIGN FORM—PAGE TWO Assessor's Parcel Numbers, ,23a -- s -- s?S.?5013
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
FA Test hole locations ' Drainfield orientation and layout Reference depth from original grade:
g Soil logs ' Trench/bed dimensions and M' Septic tank
g Property lines critical distances within layout EX Drainfield cover
a Existing and proposed wells Ef D-BoxNalve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
g Measurements to cuts,banks, and locations 13 Laterals,trench/bed,top and
surface water and critical areas El Observation port location bottom
g Location and orientation of ' Clean-out location 0 Curtain drain collector
curtain drain and all absorption El Manifold placement 0 Sand augmentation
components
g Orifice placement Other cross-section detail:
g Location and dimension of gLateral placement with distance & Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Ef Buildings El Audible/visual alarm referenced Yes No
Direction of slope indicator Q( Scale of drawing shown on scale of ❑ Design staked out
g Waterlines bar 0 0 Recorded Notices attached
g Roads, easements,driveways, 0 0 Waiver(s) attached
parking 12. 0 Pump curve attached
F North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
O 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be 1 • • •► .nstaller at time of installation 0 Yes If No
2/20/23
Si, atur of Designer Date
The undersigned has reviewed this de . on behalf of Mason County Public Health and determined it to be in
compliance with state and local ones' regulations: MAR 5 2023
?//s/2&z3 MASON COUNTY ENVIRONMENTAL HEALTH
ironmen Health Specialist Date DJA
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:
✓ 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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Orenco Technical Data Sheet
''S Y S T EMS
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 1 , 1 1 400 i 1 1 I 1 I
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t - ' • i`.` 6i COUNTY ENVIRONMENTAL HEALTI-'
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Flow in gallons per minute (gpm)
NTD-PU-PF-5 Orenco Systems®•800-348-9843•+1 541-459-4449•www.orenco.com
Rev.3®01/21
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