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HomeMy WebLinkAboutSWG2023-00077 - SWG Application / Design - 3/8/2023 04,7" . 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: SWG2023-00077 APPLICANT DILLON JACK A Phone: Address: 81 NE SNOWCAP DR TAHUYA, WA 98588 OWNER DILLON JACK A Phone: Address: 81 NE SNOWCAP DR TAHUYA, WA 98588 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: 81 NE Snowcap Dr Primary Parcel Number: 222065000050 Permit Description: Nonconforming 3BR gravity repair Permit Submitted Date: 03/08/2023 Permit Issued Date: 03/16/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (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. C.G OFFICIAL USE ONLY MASON COUNTY DATERECENED 3...T - 23 VV to D .,1. COMMUNITY SERVICES AMOUNT RE EIVED:: RECENE�Y / CO (A I I't� J 0 M Public Health(Community Health/Environmental Health) ' - CD (D 40.6th She t-Shelton.," orn.0.2)8584 eM.400 SWG 1(��s 6 OV`tl 415 N.6th Street-Shelton.WA 98584 ( TOT N z ON-SITE SEWAGE SYSTEM APPLICATION > z m n APPLICANT PHONE r u►'1-e CorLs I-r Ch.G-1"C o A Co -Li 2 6- �Z-( Z c MAILING ADDRESS STREET,CITY,STATE,ZIE � ^ � ,^ m E `` ` ps +l/ I' l W SITE ADDRESS-STREET,CITY,ZIP CO E • (61 NC LL) Dr , I p NAME OF DESIGNER PHONE I To b re -tl a . LL 3-�0 -- q .-A4-� NAME OF INSTALL PHONE on - I"1'�b_ ( I (; PERMI TYPE(select one) DRINKING WATER SOURCE N ESIDENTIAL OSS 5 COMMUNITY OSS EiCOMMERCIAL OSS IJJ PRIVATE INDIVIDUAL WELL E!PRIVATE TWO-PARTY WELL Z I c TYPE OF VVORK(select one) N.1 PUBLIC WATER SYSTEM 1l E NEW CONSTRUCTION/UPGRADES 51REPAIR/REPLACEMENT OTHER DETAILS(select aft that apply) ❑TABLE IX REPAIR I tfl SUBMITTALS I� 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W b DESIGN FORM(REQUIRED) I(SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE EWAIVER(S)(IF APPLICABLE) P l 0 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I 5I � --1 O I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS ci t s r S 2023 )kitio" By SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REipi11RED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE ,APPL ATION APPR VEDI ISSUED BY DATE JiJ.i 3-iy �� 3 - � � �. h 'X� THIS ORI M1Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/72015 PAGE ' OF i 0 0 °4 N 4 SEPTIC SYSTEM DESIGN 1 4 , 11 :. . 4. 0.3). 61NE SNOW AP DR �' '' ) • i 2206-50- CD 2 MO r f L. , __._ - - • SITE ADDRESS: 81 NE Snowcap Dr. SITE CITY,STATE,ZIP: Tahuya, WA PARCEL NUMBER: 22206-50-00050 LEGAL DESCRIPTION: Tahuya River Vally Div #1 Tr 50 OWNER: Dillon DATE: 03 March 2023 B-LINE CONSTRUCTION, INC. 2971 E PHILLIPS LAKE RD. SHELTON, WA 98584 360.426.4221 office 360.426.0509 fax b-lineconst@msn.com PAGE Z OF 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-lineconst@msn.com PA6c- 3 of ) 0_ DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 0 6 — 5 0 — 0 0 0 5 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. 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 2.0 "4CV9O77 Designer's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: DILLON C/O B-LINE CONST. 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 ❑ Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type l 'Gravity 0 Pressure giTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 3034+ Daily Flow:Operating Capacity 270 AVG gpd Length 30 ft Daily Flow: Design Flow 360 MAX gpd Diameter 4 in Septic Tank Capacity(working) 1200 EXT gal Number 7 Receiving Soil Type(1-6) 3 Separation 6' ft Receiving Soil Appl. Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 ft2 Total Number of Orifices n/a PERF PIPE Designed Primary Area 630 ft2 Diameter n/a in Designed Reserve Area 450+ ft2 Spacing n/a in Trench/Bed Width 3 ft Manifold Trench/Bed Length 210 ft Schedule/Class D-BOX Elevation Measurements Length n/a ft Original Drainfield Area Slope 2-3 % Diameter n/a in New Slope,If Altered SAME % Preferred manifold configuration used? II Yes 0 No Depth of Excavation Up-slope 18" MAX in Transport Pipe from Original Grade Down-slope 17" in Schedule/Class 40 Designed Vertical Separation 30" MIN in Length 30'MAX ft Gravelless Chambers Required? 0 Yes ft No 0 Optional Diameter 4 in Pump Required? 0 Yes 56No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day n/a Diff.in Elevation Between Pump&Uppermost Orifice n/a ft Dose quantity n/a gal Drainfield Squirt Height/Selected Residual(head) n/a ft Chamber Capacity(flood) n/a gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff p controls: Please check those required. Capacity @ Total Pressure Head n/a gpm ❑Timer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head n/a ft , ''r : Pump on n/a ,Pump off n/a Comments 7- 3Mget3 0. AO 299 �e 11.TAItjASmET -j LICFNS[D DESIGNER EXPIRES: 06/07/ , p ACov `i . oP G 10 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 2 0 6 -- 5 0 -- 0 0 0 5 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Eli Test hole locations 171Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and 1 Septic tank 66 Property lines critical distances within layout E Drainfield cover ❑ Existingand proposed wells l� D-Box/Valve box locations P p Reference depth from original grade within 100 ft of property lif Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks,and locations Qf Laterals,trench bed,top and surface water and critical areas 21 Observation port location bottom ❑ Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption lid Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: iii Location and dimension of g Lateral placement with distance l' Observation ports/clean-outs primary system and reserve area to edge of bed 6d Buildings Other Information 0 Audible/visual alarm referenced Yes No • Direction of slope indicator Eli Scale of drawing shown on scale g 0 Design staked out g Waterlines bar 0 l'Recorded Notices attached g Roads,easements,driveways, Bed system 25+ years 0 gWaiver(s)attached parking ❑ Cif Pump curve attached old. Hydraulic load notlid g ❑ Evaluation of failure North arrow and scale drawing spread across slope _� shown on scale bar Non-residential justification causing mounding/failure. ❑ ❑ Waste strength ;,, 0 0 Flow DESIGN PAQVAL — The undersigned designer must be notified by instal -r It ,, • stallation r1 _- 14 No ad ; 4 w m3Mg123 Signature ofl;;:':nar, VII it Date • . • II The undersigned has reviewed this design •"`:'`•"-'''`; ., �� . .�. . �'-P '� ealth and determined it to be in compliance with state and local on :regulations: 0.LerA,._ 3--/6- En ro 0: . 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: / 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. 7- COMMUNITY WATER I z i Y I w APROX a PROPERTY �eft, LINES E a i � _-- r / RESERVE / EXT HOUSE `" AREA i a +I I 1 : I 1 I I SOIL i khoLOGS EXISTING - 1200 GAL 2 9 SEPTIC TANK •` i I I \ i i NEW D-BOX i I I i i 1 I I I I I I I I I L - - - - 1 SHE L L 1� 4- b L-.0— t129' — i I FAILED DRAINFIELD BED PROPOSED R ® V E DRAIN FIELD LATE SOIL LOGS: 1 0-48"MED SAND MAR 1 6 2i]?3 � SMALL POCKETS OF COARSE SAND MASON-COUNTY ENVIRONMENTAL HEALTH , , � L �s�� 2 AND GRAVEL JBW l.. I;*: 03A/ I�Z 3 ;1 vv./ DRAINFIELD SITE PLAN 14: s%41 5100299 -`Ir1 FOR: DILLON JOB #: fro?' TOBY J.TAHJA-SYRETT s-7 PARCEL#: 22206-50-00050 DATE: 03 MARCH 2023 "`_`LICF_IVSCDDESIGNER "`+l• BY: TJS DESIGN PAGE 5 OF Im EXPIRES: 06/07/Zy NORTH ARROW: SCALE: 1" = 30' 0 o' 30' so' © B-LINE CONSTRUCTION, INC. Z 4 Y Q IY QI— z Q = 2 E- p I-- _J o u N Ui- LL 0 a IIZ w c- 0 CL Q W� Q W0-J CD LU NW w Z f- n() N J}Q r 1- ( Q = W Z w C.)m w wW _ Z U U)~ � u�� � w I- m < ZW � z m 0 w �O � LL QZ m w � (A ` 0 Li co (5 p \a i Q WW Lt 0 a \ / w Io ---, -1\-- --/ / O W W w Q ` cc J \ Q f X O ..1 \ a W OL Q t w Q o �� O _ �, I 1 ► VI a.~ ~ I ♦ \ ry COO w ♦ • Ir ♦ ,` e O z ' Uj w W 1, z ���t1` LL 0 \ .. cr ZO N \ w @ ,C\', c u/o w 40 • 6t�� O; y H/b 4 \ no �♦ \ � w!yOw, � ' J\ �� ' N 4%`04 $ 8** py ---- c y \ Ad 4,7 49 p z 1 \ .,, NTy b C9 o FNk� �0,3 u� �Pp w co 0 Y �e���FNT9 ti41, 0 W 0 0 I— J 0CC � H mow~ zz z F9lLij Ty W U w I-Un C Z wQ ? Z�N Q> O� >- Ei wcan< �i ow w wrzo D Q tY CO J Z U) C\I D z0Q w Z I z W= 0 Q w U H 1PAOPg. ..20af ta _ , TIE•TITIE ' ,,, 9-Hole Distribution Box ..___ _ _ . .. ,. Providing a simple,reliable,:`: permanent means for dividing tank effluent flow. i. e — t(1 , • 1= <� r L s,-. TUF-TITE Solution A strong,stable,permanent, ' non-corrosive Tuf-Tile Distribution Box,with a Tuf-Tite Speed Leveler -'<In each outlet. ) I/. � j. s ,.. ....,....,..„,,,.....-,,,, ,:if-i,t-,,,,, (71./49 ,dp - , l� ar'yl ,JTa 'N Tuf-Tite® 44414: '• • Distribution Bo ::.a THE TOUGH ONE ; a iW Illiii I. Injection molded HDPE E Easy to level In a septic environment,no other Snap-in pipe seals They're permanent material can match High Density They're patented.Simply insert your Unlike cement-based pipe grout, Polyethylene in delivering a lifetime PVC pipe and push it through the Tuf-Tite seals will not crack or corrode of trouble free service.Tuf-Tite flexible, polyethylene Tuf-Tite seal. in septic conditions.They stay pliable Distribution Boxes are injection Pipes fit watertight.Installation couldn't and watertight permanently _molded,using only premium HDPE be easier. which contains no fillers or foam. ' O I i I I GRAVEL TRENCHES 1 I I i I I 4"PERF PIPE LATERALS 1 I I I I I O I M I I I I I I 4"NON-PERF FEEDER LINES I I I I 7 OUTLET D-BOX I I W/SURFACE ACCESS 4"IN FROM TANK i I � I I I I I I I I , I I , � I I i I I I I I I I I I i 1 I , , I I I 1 I I I I i I I , I I I I I I I I 1 I . . ' I I 4144, I I I keio 0 tiolif 4/47, y I O p p p FglTy s • I f ire:L.F WAS/ 7 ? L3 •1CO 9 DRAINFIELD LAYOUT DETAIL TO: 1• • JA-SYRE T 2'+f FOR: DILLON JOB #: i L NSED DESIC,I�IER �/ 111611.1%. N "� ay, PARCEL#: 22206-50-00050 DATE: 03 MARCH 2023 EXPIRES: 06/07/ d • BY: TJS DESIGN PAGE Q OF le NORTH ARROW: SCALE: 1" = 10' © B-LINE CONSTRUCTION, INC. g 0' 10' 20' r VALVE BOX COVER i / ,r 4"OBSERVATION PIPE W/ANCHOR / FINISHED GRAD // FILTER FABRIC 0.5"TO 2,5"DRAINROCK , SANDY LOAM FILL ORIGINAL GRAD li ;` rw � T C 1 �=may., •%- :�•;c 6 " ;'� 1C �'''� 4', ;4"DIA.PERF PIPE''. 1 1yir NJ _ 36' TRENCH BOTTOM - IL„ 4 NATIVE SOIL XI M,(r c 4. II APPROVE �' � A MAR 0 2U23 1,', _ ' ,' �tI ' 23 ��„, „ram 1 '- ham, 100299 '"•III MASON COUNTY ENVIRONMENTAL HEA H 0 OBY J.TAHJA-SYREIT , II JBW RESTRICITVE LAYER 2 , LICENSED DESIGNER , EXPIRES: 06/07/2 VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW 7- FINISHED GRADE r / FILTER FABRIC 12" r 4"SCH 40 PERFORATED LATERAL PIPE 1 I 0000 00000000000000000000000000000000000000 S., �••4;c x•;C�,•1`,, 'r /, 1 7 DRAINROCK TRENCH B OTTOM TRENCH CROSS-SECTION, GRAVITY, GRAVEL FOR: GENERAL USE JOB #: PARCEL#: DATE: REVISED SEP 02 BY: TJS DESIGN PAGE 9 OF I rp NORTH ARROW: SCALE: 1" = 1' 0 TAHJA-SYRETT DESIGNS o' 1' 2 • PAGE Im OF J 0 GRAVITY 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 malfunctions/backups in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT make changes on settings to the system. Only authorized maintenance personnel may alter/adjust system. 11. System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. B-Line Construction, Inc. Pp ri et 2971 E Phillips Lake Rd., Shelton, WA 985 360.426.4221 (office) 360.426.0509 (fax4/42nA, Mq,•Q a b-lincconst n,sn.conn -47k,'� b ?0,2 IRON ✓e� MFNT�C i9L,