HomeMy WebLinkAboutSWG2023-00093 - SWG Application / Design - 3/16/2023 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: SWG2023-00093
APPLICANT NICHOLSON PROPERTIES LLC Phone:
Address: 1802 BLACK LAKE BLVD OLYMPIA, WA 98512
OWNER NICHOLSON PROPERTIES LLC Phone:
Address: 1802 BLACK LAKE BLVD OLYMPIA, WA 98512
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 401 W GOLDEN PHEASANT RD
Primary Parcel Number: 320323300090
Permit Description: Repair 3bd OscarXO2
Permit Submitted Date: 03/16/2023
Permit Issued Date: 03/20/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 03/17/2024 (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.
C. C,
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— OFFICIAL USE ONLY— -- -
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: . ` . �;
ONSITE SEWAGE SYSTEM APPLICATION AMD n
' RECEIV W415 N 6th Street,(Bldg 8) Shelton WA,98584 O R. cCinl
Shelton:360 427 9670 ext 400 Belfair:360 275 4467 ext 400 \I C` G U�� - Ci 3 g O
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APPLICANT PHONE > >
NICHOLSON PROPERTIES LLS 3608901119 m rn
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
1802 BLACK LAKE BLVD OLYMPIA WA 98512 C
SITE ADDRESS-STREET,CITY,ZIP CODE CO
401 GOLDEN PHEASANT RD SHELTON WA 98584 m
NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 Ik0
rii
NAME OF INSTALLER PHONE
TBD 0 Id
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY Eai PRIVATE INDIVIDUAL WELL Pn
IJ\I
rir REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL z `, ,
❑ TABLE 9 REPAIR El SINGLE FAMILY ElCOMMUNITY/PUBLIC WATER SYSTEM
pu
❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: 1
O. UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE I W
1J/ EXISTING FAILURE "Record Drawing required 3 1.74 co
for all Installations" r' I(J
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O I
GOLDEN PHEASANT RD TO A LEFT AT DRIVEWAY FOR 401 IC.
IC
o 10
I -0
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS IC
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
D vb5 \� Aid- 1- 1 / 5, N E
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Z; p-Z I Z 11- 7/9 fvf-A itle-S MAR 16 2023
By lit
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
/111,‘AAAf titV\ ()?1 kl 17/ i 11 itj\ Q+1\kMeiliti 5/-16h,
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DEIGN FORM—PAGE ONE Assessor's Parcel Number: 3 o�Q J . -- 3 3-- C) C7 C7 g o
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. '1 Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. '1 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 ' 9.- ?—tOD 61 3 Designer's Name: ADAM HUNTER
Applicant's Name: NICHOLSON PROPERTIES LLS 360-753-1226
Designer's Phone Number:
Mailing Address: 1802 BLACK LAKE BLVD PO BOX 162
Designer's Address:
OLYMPIA WA 98512 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:
El/Aerobic Unit Make/Model OSCAR X02 0 Disinfection Unit Make/Model Other:
Drainfield Type OSCAR D.F.
❑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 3
Receiving Soil Type(1-6) 4 Separation PER OSCAR ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices PER OSCAR
Designed Primary Area 601 ft2 Diameter PER OSCAR in
Designed Reserve Area N/A ft2 Spacing PER OSCAR in
Trench/Bed Width 16.7 ft Manifold
Trench/Bed Length 36 ft Schedule/Class 40
Elevation Measurements Length 36 ft
Original Drainfield Area Slope 7 % Diameter 1 in
New Slope,If Altered N/A % Preferred manifold configuration used? 121Yes 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 >18 in Length 100 ft
Gravelless Chambers Required? 0 Yes fit No 0 Optional Diameter 1 in
Pump Required? EYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 412
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.8738 gal
Orifice 5.8 ft Chamber Capacity 1200 gal
Uppermost Orifice fitHigher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 12 gpm i1 Timer elapse Meter l 'Event Counter
Calculated Total Pressure Head t2.2 ft If Timer: Pump on 30 SEC ,Pump off 3 MIN
Comments
•
RESIGN FORM—PAGE TWO Assessor's Parcel Number: 4. a+ O 3 -- a a -- QO v ci_O
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
EZI Test hole locations E3' Drainfield orientation and layout Reference depth from original grade:
g Soil logs E2' Trench/bed dimensions and Ea' Septic tank
g Property lines critical distances within layout Er Drainfield cover
Existing and proposed wells lif D-BoxNalve box locations Reference depth from original grade
within 100 ft of property E1' Septic tank/pump chamber and restrictive strata:
Eif Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and
surface water and critical areas a Observation port location bottom
9' Location and orientation of El' Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement a Sand augmentation
components 63' Orifice placement •
Other cross-section detail:
!2f Location and dimension of E ' Lateral placement with distance E' Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
1 Buildings E' Audible/visual alarm referenced Yes No
g Direction of slope indicator RI Scale of drawing shown on scale El ❑ Design staked out
1 Waterlines bar 0 0 Recorded Notices attached
9' Roads,easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
V North arrow and scale drawing 0 ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must .- .• ' -d by installer at time of installation llfYes 0 No
3/14/23
1 : -i of Designer Date
The undersigned has reviewed this d. ign on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
COV1 /2C-)/23
Environmental Health S ecialist 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: 31 1-7 j 2i
✓ 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
PA:F
MASON COUNTY HEALTH DEPARTMENT ON-SITE
SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#:320323300090
DATE SUBMITTED:3/14/2023 LEGAL/LOT#:
SUBMITTED BY: ADAM HUNTER
APPLICANT: NICHOLSON PROPERTIES
ADDRESS: 1802 BLACK LAKE BLVD
OLYMPIA,WA 98512
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
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= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 36'X 16.7'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200GAL-X02 TANK
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
SAND DEPTH= 0'-6"
IV.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE VETAFIM DRIPLINE
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 40.00 1.00 12.000 3.1017
RETURN 40.00 1.00 12.000 3.1017
TOTAL= 6.2035
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 6.203
2)ELEVATION DIFFERENCE = 6.000
TOTAL= 12.203
fl 3/14/23 A p
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sue:.„!III MAsay co MAR 2 2023
.J Y.1vA ':\�/1. IT RE1' NMEhTAL HEALTH
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i` ADAMJ.HUNTER ll
a .I' �l,f?iiR S''i.IE' I .
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PAST 2
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 12.20
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
.4.
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