HomeMy WebLinkAboutSWG2023-00110 - SWG Application / Design - 3/24/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
at . BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00110
APPLICANT TERRY ET AL CAROL Phone:
Address: 8553 DORMAR DR PORT ORCHARD, WA 98367
OWNER TERRY ET AL CAROL Phone:
Address: 8553 DORMAR DR PORT ORCHARD, WA 98367
SEPTIC DESIGNER Tim Quayle-Quayle Septic Designs Phone: 360-440-4249
Address: 140 Maple Ln PORT LUDLOW, WA 98365
Site Address: 30 N KINGSWAY NORTH
Primary Parcel Number: 422165200112
Permit Description: New 2bd pressure trench
Permit Submitted Date: 03/24/2023
Permit Issued Date: 04/11/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/05/2026 (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-
DATE RECEIVED:
.."."�` r MASON COUNTY 3 ' 2� ' 3 0 >
' COMMUNITY SERVICES AMOUNT RECEIVED: L/^� RECEIVED BY
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Public Health(Community Health/Environmental Health) SWG
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ON-SITE SEWAGE SYSTEM APPLICATION
m n
APPLICANT PI TUNE m
Carol Terry 360-932-7745 Aaron Anderson z
MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE C
8553 Dormar Dr., Port Orchard, WA 98367 _ co
SITE ADDRESS-STREET,CITY,ZIP CODE
30 N. Kingsway N., Hoodsport, WA 98548
NAME OF DESIGNER PHONE `
Tim Quayle - Quayle Septic Designs 360-440-4249 IltV
NAME OF INSTALLER PHONE _ v 10
unknown
PERMIT TYPE(select one) DRINKING WATER SOURCE C I--
or RESIDENTIAL OSS ti COMMUNITY OSS 11 COMMERCIAL OSS h PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z I
TYPE OF WORK(select ono) 2 PUBLIC WATER SYSTEM Lake Cushman Water Company 1
IDJ NEW CONSTRUCTION I UPGRADES C] REPAIR/REPLACEMENT OTHER DETAILS(select all That apply) 0 TABLE IX REPAIR I ILA
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE co),
11 DESIGN FORM(REQUIRED) wl SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE {�/ r
IN
1t
h WAIVER(S)(IF APPLICABLE) 2 8400 sq +- 0
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.docked gale)
Go up towards Lake Cushman. Turn left toward the lower lake. Turn left on Rainbow Way, R")
right on Chinook Dr., right on Kingsway, lot is on the right. �e o
Ezoz V Z W
H
.SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. A
-- OFFICIAL USE ONLY BELOW THIS LINE-- --
UPGRADE I FAILURE SOURCE(tor reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
ill.1• 0-30" SL
1 I z: 0-P. St
3 it P S r•Il'c f.'', e
N
i It3.. 0- 16st
1 6-, nesfi icfift
711 LI . 0- 7 SL
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY Sr SAND L=LOAM Si=SILT Cr CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
1 .-.-7/.&Nr4V1 Li/51z0B � Ic1ZCi3 t ofIz -3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
INIMInk
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 47 /6 -- � , -- 00 / /
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 2023-00110 Designer's Name: Tim Quayle-Quayle Septic Designs
Applicant's Name: Carol Terry Designer's Phone Number: 360-440-4249
Mailing Address: 8553 Dormar Dr. Designer's Address: 140 Maple Ln.
Port Orchard WA 98367 Port Ludlow WA 98365
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 G7 Pressure Er Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class 40
Daily Flow: Operating Capacity 240 gpd Length 45 ft
Daily Flow: Design Flow 180 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1000 gal Number 3
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl.Rate .6 gpd/ft2 Orifices
Required Primary Area 400 ft2 Total Number of Orifices 30
Designed Prim MC= 400 ft2 Diameter 1/8 in
Designed Rese Area 00 ft2 Spacing 60 in
Trench/Bed Wit APR 1 0 2fl2 3 ft Manifold
Trench/Bed Lena 135 ft Schedule/Class 40
Elevation Measurements Length 22. ft
Original Drainfield Area Slope 0 % Diameter 1.5 in
New Slope, If Altered N/A % Preferred manifold configuration used? i'Yes 0 No
Depth of Excavation Up-slope 6 in Transport Pipe
from Original Grade Down-slope 6 in Schedule/Class 40
Designed Vertical Separation 24 in Length 40 ft
Gravelless Chambers Required? Er Yes 0 No 0 Optional Diameter 2 in
Pump Required? le Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 7 ft Dose quantity 30 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1000 gal
Uppermost Orifice I 'Higher ❑ Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 12.9 gpm l timer II/Elapse Meter fit Event Counter
Calculated Total Pressure Head 13.7 ft If Timer: Pump on TBD ,Pump off TBD
Comments
See attached site specific designer notes. Must perform a drawdown to determine the on and off times.
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DESIGN FORM—PAGE TWO Assessor's Parcel Number: y a I& -- 5-0.,__ £0 //
Permit Number: SWG 2021300110
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
P1 Test hole locations RI Drainfield orientation and layout Reference depth from original grade:
P1 Soil logs Er Trench/bed dimensions and Ei Septic tank
Er Property lines critical distances within layout la Drainfield cover
Ef Existingand proposed wells El /V D-Boxalve box locations
p p Reference depth from original grade
within 100 ft of property P1 Septic tank/pump chamber and restrictive strata:
El Measurements to cuts,banks, and locations EU Laterals,trench/bed,top and
surface water and critical areas Er Observation port location bottom
El Location and orientation of ' Clean-out location 0 Curtain drain collector
curtain drain and all absorption Er Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
P1 Location and dimension of El Lateral placement with distance Er Observation ports/clean-outs
primary system and reserve area to edge of bed
El Buildings g Other Information
El Audible/visual alarm referenced Yes No
Ei Direction of slope indicator El Scale of drawing shown on scale 0 ei Design staked out
El Waterlines bar 0 L(Recorded Notices attached
P1 Roads, easements,driveways, 0 E1 Waiver(s)attached
parking I9' 0 Pump curve attach
El North arrow and scale drawing 0 0 Evaluation of fail
shown on scale bar Non-residential justif , ion,,
❑ C2 Waste strengt 44 lF, N
❑ la Flow �i +..•,.. ?�
tv, : a {
DESIGN APPROVAL .. Trd��r !f/s�
"1 21C34602 f" .)
The undersigned designer must be notified by ins ler at time of installation 0 Yes 0 No $ TIM QUAV;E
LICENSED DESIGNER /
11-6-- g qj3-
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-site regulations:
vn IllrZ
77
Environmental HealthlSpecialist 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: k S-J( 7
✓ 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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Site Specific Notes/Requirements - 30 N. Kingsbury, Hoodsport -
422165200112
1. This project proposes to construct a new 2 bedroom home.
2. Install 2 concrete Hagerman 1000 gallon septic and pump tanks.There is to be an Orenco
Biotube filter in the outlet of the septic tank.All 4 lids must be risered up to the surface.
3. 135'of pressure infiltrator chambers are required. (3 x 45') Do not use low profile chambers.
Put filter fabric over the louvers. Gravel is not to be used due to the shallow trench depth. The
pipe must be hung in the chambers and not placed on the trench bottom. Install 1/8" orifices on
5'spacing. Orifices are to be at 12:00. 30 total orifices.
4. The trenches are to be installed level and no deeper than 6". It is critical to install no deeper
than 6" in order to maintain the vertical separation of 24". Install during dry weather.Trenches
are to be on 5'centers. Observation ports are required above grade at each end of the chambers—
6 total.The 3 flush ends are to be 4" to 6" combo ports (see drawing).
5.A timer control panel with an Omron timer is required.A high water alarm, event counter and
hour meter are required in the panel. Mount the panel on a 4 x 4 post near the pump tank.
Install a check valve, gate valve and quick release in the pump tank.A bucket/shroud is required
around the pump. Install 3 floats in the pump tank (redundant off).
6. The 3 valve box riser is to be at the high point. It must have wire mesh below it with gravel on
top to keep rodents out.
7.The pressure system is required to be inspected annually per Mason county.The laterals need
to be flushed out and the effluent filter cleaned.The septic tank and pump chamber also need to
be checked for pumping. This may be performed by the homeowner or an O&M specialist.A
report is required to be submitted.
8.The site plan is not a survey. It is the owners responsibility to verify property line locations
prior to installation.
9. Locate all utilities prior to starting the install.The new water line is to be 10'from any
drainfield area.
10. Storm water is to be designed by others. It must be located 30'from all septic drainfield areas.
Divert any surface water away from septic system components.
11.An additional $350.00 inspection/record of construction fee is required to be paid to the
designer prior to the his final inspection/ROC submittal.This is to be put in the installers bid.
Tim Quayle S ,
Quayle Septic Designs 360-440-4249
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2023 r 21034802 ,
APR 1 l�H j TIM QUAYLE '• 1 /J 2)2
tiV1pNMENSA�NEA UCENSED DESIGNER 1
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DRINKING WATER&ONSITE SEWAGE SYSTEM SPECIFICATION SHEET Assessor Tax Account Number:
422165200112
A. DRINKING WATER SUPPLY INFORMATION
System Nome System ID
[I Public Lake Cushman Water co. N/A
❑ Proposed
0 Private ASSESSOR TAX ACCOUNT NUMBERS FOR PROPERTIES SERVED BY WELL
[kr Existing ❑Individual Water Connection](Parcel with Well) Water Connection 2(Parcel connected to Well)
❑2-Party N/A N/A
B. SOIL EVALUATION PROFILES
Soil Evaluation Dote SOIL LOG NUMBERS MUST CORRELATE WITH SITE PLAN—INDICATE TOTAL
03/21/2023 EXCAVATED DEPTH,SOIL TYPES,WATER TABLE LEVEL&DEPTH OF RESTRICTIVE LAYER
SOIL LoG#1 SOIL LOG#2 SOIL LoG#3 SOIL LoG#4
Downslope Side Measurements Downslope Side Measurements Downslope Side Measurements Downslope Side Measurements
0-30" brown sandy 0-31" brown sandy 0-16" brown sandy loam, 0-27" brown sandy
loam-roots to 20". loam. 17-29" grey slightly loam, 28-36" mottled
comacted sandy
31-41" gray damp 32-42" gray damp Compact below, loam. sandy loam. Compact
sandy loam, compact sandy loam, compact No water. below.
below. below. Water at 33".
Water at 38" Water at 38" Reserve to require an ATU.
(30" usable) (31" usable) .:
01
Type 4 0 ,,�
Type 4 Type 4 Type 4 j��� •� -�•
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C. DAILY FLOW—TANKAGE—TREATMENT
DESIGNED MAX SEWAGE FLOW TRASH/SEPTIC/PUMP TANKS ADVANCED TREATMENT INFOR j i 'A ,
240 Type Size(Ralf gTv ❑Proprietary Advanced Treatment F . 21034802 d`� �
Gallons Per Day 0 Trash Tank Manufacturer. N/A f TIM QUAYLE
PROPOSED RESIDENTIAL BEDROOMS LICENStD DESIGNER
1000 1
2 [ Septic Tank Model: • '
Maximum Bedrooms 1000 1 ❑Non-Proprietary Advanced Treatment
PROPOSED TREATMENT LEVEL Pump Tank
Device Type: N/A
TL E ❑Other —
D. DISPERSAL COMPONENT CONSTRUCTION
DISPERSAL COMPONENT SIZING 0 % TRENCH CONSTRUCTION PROFILE
A.Slope in Primary
Hydraulic Loading
Rate of Dispersal Area: 6 A.Percent Slope in Primary: 0 %
I E.Additional Cover Required 18 inches
Minimum Dispersal 6
Area(Sq.Ft.)In Primary: 400 D.Trench Width A B.Maximum Trench Depth: M
36 (Downslope Side Measurements)
Minimum Linear B.Maximum
' Trench depth
Feet or Dimensions: 135 Dispersal 6 inches 24
Component C.Vertical Separation: ,«
DISTRIBUTION METHOD .______Infiltrative
< < < < < < < < Surface 36
0 Gravity Distribution '<'<'<'<'<'<'<'<' D.Trench Width: rc�a
iPressure Distribution
Native ><><><><><><><><> C.Vertical
< < < < < < < <
Soil ><><><><'<><><><> Separation
> > > > > > > > > 24 inches 18
❑Drip Irrigation >:><><>< <><><><� > E.Additional Cover Required:
APPROVE < < < < < < < < rnOws
0 Other: .•Reetrlctive Layer OR Hlkhest Seasonal Water Tabk- .
APR 1 1 ZUZ3
MASON COUNTY ENVIRONMENTAL HEALTH
RET
•
Quayle Septic Designs Pagel
General Construction Notes— 30 N. Kingsbury, Hoodsport
422165200112
1. This is not a survey.All property lines have been demonstrated by the property owners or their
agents. It is the responsibility of the owner or their agent to provide any and all information
pertinent to the development of the septic feasibility/design including gray/black water lines,
utility locations, property lines, easements, buffers, and any other setbacks as determined by
governmental agencies. If easements exist and are not shown, it is the responsibility of the
client to disclose easement locations and the client assumes all liability for any damages
resulting from their omission.
2. Any topography shown is per publicly available GIS data.
3. Water line disclaimer: If the water line needs to be re-located for any reason, the homeowner
assumes all financial responsibility. The installer must verify that the water line location at the
time of installation meets all setbacks.All potable water lines must be at least 10'from all septic
components or be sleeved in accordance with all applicable regulations.
4. All known wells that impact the subject property are shown to the best of our knowledge and
the knowledge of the property owner/client.
5. Dry weather installation and site preparation is required.
6. Protect the primary and reserve drainfield areas from vehicular traffic and storage of building
materials. No foundation spoils are to be placed on any drainfield areas. No burning in any
drainfield areas.
7. Curtain drains may be required or desired at the time of installation, even if it is not shown on
the design.Any costs, including re-design fees are the responsibility of the property
owner/client.
8. Direct all downspouts/surface water away from the drainfield areas.The final grade must direct
surface water away from the drainfield.
9. Storm water systems/I-pits are the responsibility of the client.All setbacks must be maintained.
10. A new design may be required if the house footprint and drainfield are not compatible, if
vertical separation cannot be maintained, or if the soils in the drainfield areas are disturbed or
encroached upon.
11. Tank locations may be re-located as long as all setbacks can still be met.
12. Downslope footing drains must be 30'from any drainfield area. Follow all county setbacks for
stormwater. Stormwater is to be designed by others.
13. Do not make any cuts more than 5'in height within 50'of any drainfield area.
14. Cover material must be sand or type 3 soil and must be seeded after cover.A good type 4 soil
could be used in some cases with designer approval.
15. Winter check inspections, pre and post cover inspections, certification set ups, and the record of
construction drawing are not covered in the design fees.
16. Garbage disposals are not permitted, and this designer is not responsible for any damage that
may result.
17. Waste strengths are not to exceed normal residential waste as determined by local/state
regulations.Actual flows should not exceed 70% of the design flows on a regular basis.
18. Installer and client must verify the location of all stub outs before determining the Vt.
installation depths. g P PRO
O
19. All new irrigation lines must have back flow prevention installed. APR 11 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
20. All access enclosure lids must remain at the surface and be watertight. Use stainless steel
screws where applicable.
21. Do not use the soil logs as a benchmark.
22. Installer to verify soil depths have not changed prior to install.This is to ensure that vertical
separation can still be met.
23. This design does not guarantee building permit approval or if the proposed building location is
in compliance with building codes.
24. The designer is not liable for construction practices during installation or erosion control
problems.
25. Installation of all proprietary products/treatment products must follow the manufacturers
guidelines carefully.
26. A septic tank outlet filter is required to be installed if shown on the design. It should be cleaned
every 6 months.
27. Septic system additives can cause damage and should not be used. Their use will void all
warranties. Only toilet paper and human waste are to be flushed down the toilet.
28. Garbage disposals are not permitted, and this designer is not responsible for any damage that
may result.
29. The client assumes responsibility for filling in the soil logs after the necessary inspections have
been made.
APPROVED
APR 11 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
(5e 1/411 DeSig n5
Pump Selection for a Pressurized System- ��Single Family Residence Project
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Parameters
Discharge Assembly Size 2.00 inches 100
Transport Length 40 feet .
Transport Pipe Class 40
Transport Line Size 2.00 inches 90
Distributing Valve Model None I PFEF100E I
Max Elevation Lift 7 feet '
Manifold Length 22 feet 80
\\
Manifold Pipe Class 40
Manifold Pipe Size 1.25 inches
Number of Laterals per Cell 3
Lateral Length 45 feet 70 \\,\ k -
Lateral Pipe Class 40
.:
Lateral Pipe Size 1.25 inches y
Orifice Size 1/8 inches LL
Orifice Spacing 5 feet x 60 I PFEF50-8 I
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Residual Head 5 feet I—
Flow Meter None inches rho
'Add-on'Friction Losses 1 feet = 50
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Calculations c NA,\\IN. _:\
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Minimum Flow Rate per Orifice 0.43 gpm CI 40 '
Number of Orifices per Zone 30 0
Total Flow Rate per Zone 12.9 gpm I— I PFEF,1O.8 I I t { - \
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Number of Laterals per Zone 3 30
IL%Flow Differential 1st/Last Orifice 0.5 %
Transport Velocity 1.2 fps -+
1
Frictional Head Losses 20 /
Loss through Discharge 0.3 feet \ 1
Loss in Transport 0.1 feet
Loss through Valve 0.0 feet 10 )3
Loss in Manifold 0.1 feet
Loss in Laterals 0.1 feet
Loss through Flowmeter 0.0 feet
'Add-on'Friction Losses 1.0 feet 00 20 40 60 80 100 120 140 160
Net Discharge(gpm)
Pipe Volumes
Vol of Transport Line 6.9 gals
Vol of Manifold 1.7 gals PumpData Legend
Vol of Laterals per Zone 10.5 gals
Total Volume 19.2 gals PFEF50 Effluent Pump System Curve:—
1/2HP,115/230V 10
Minimum Pump Requirements Pump Curve:
— PFEF40 Effluent Pump
Design Flow Rate 12.9 9Pm 4/10HP,115/230V 10 Pump Optimal Range:—
Total Dynamic Head v 13.7 feet
PFEF100 Effluent Pump Operating Point:
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SYSTEMS RONMENT.A�, '`�'LICENSED DESIGNER 1
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APPROVED
APR 11 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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FINISH GRADE _ VALVE'
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EMERGENCY STORAGE ANTI SIPHONVALVE`
HIGH WATER ALARM LEVEL M ——
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FLOAT STEM
NORMAL TIMER OFF LEVEL F
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6"Pipe Cap
Graveeess Chamber
6'Riser Pipe
Oeanout
(inside of monitoring port)
4"to 61 Conversion
Pressure Distribution Line
NOTE:The cap to the surface must be removable.
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