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HomeMy WebLinkAboutSWG2023-00140 - SWG Application / Design - 4/18/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 J n BELFAIR:360-275-4467,EXT 400 • � Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00140 APPLICANT KEVIN RAE Phone: Address: 8450 30th AVE NE OLYMPIA, WA 98516 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: 2951 E Pickering Rd Primary Parcel Number: 220041100170 Permit Description: New SFR-3BR OSCAR Permit Submitted Date: 04/18/2023 Permit Issued Date: 04/25/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/24/2026 (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. Q OFFICIAL USE ONLY • C MASON COUNTY PUBLIC HEALTH DATE RECEIVED: L t _ Z-3 (n D ONSITE SEWAGE SYSTEM APPLICATION AMOU RESEliilc ` , RECEIVE . o m 415 N 6th Street,(Bldg 8) Shelton WA,98584 < Cl)cn Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 JVV C G oc) 1.5 - • ,A,O O O x z (n Z D APPLICANT PHONE > KEVIN RAE 3607908530 m m r MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE 8450 30TH AVE NE OLYMPIA WA 98516 z SITE ADDRESS-STREET,CITY,ZIP CODE CO 2951 E PICKERING S H E LTO N WA 98584 I•• NAME OF DESIGNER PHONE I\l ADAM HUNTER 3607531226 111111��J11 NAME OF INSTALLER PHONE ISU TBD v IO CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE C elf NEW CONSTRUCTION 0 RV HOLDING TANK ONLY a PRIVATE INDIVIDUAL WELL O IC ❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z ❑ TABLE 9 REPAIR 0 SINGLE FAMILY ❑ COMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: I ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE ❑ EXISTING FAILURE "Record Drawing required 3 1.25 W for all Installations" r 0 r 0 DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 1 PICKERING EAST TO SITE ON THE LEFT. I`_` b r O t-4 Fs, 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 ❑HOME SALE ['COMPLAINT ❑OTHER, INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 0 Ar4 R.? a *4- ,,; „J./J., -1--y("- Y (..2). au_.... . ,,, . ‘21.-, OTTTOUTO \ '6 °35 D l ~`O APR 18 2023 11 1 / By t�- SOIL CODES: V=V Y G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS DATE APPLICATION EXPIRATION DATE APL AT ON APPROVED BY DATE I P TOR SIGNATURE di (�L(,��, (,� �� _ �.L{ - -N �I''2S".Z3 T S F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITT REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number:d,.42A Q -- 11_ -- Q.G L L L 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 (06 I i-i 0 Designer's Name: ADAM HUNTER Permit Number: SWG �?�-�j 360-753-1226 Applicant's Name: KEVIN RAE Designer's Phone Number: 8450 30TH AVE NE PO BOX 162 Mailing Address: Designer's Address: OLYMPIA WA 98516 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: ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type OSCAR II ❑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 gpd Flow: Design Flow 360 Diameter PER OSCAR in Septic Tank Capacity 1500 gal Number PER OSCAR Receiving Soil Type(1-6) 3 Separation PER OSCAR ft Receiving Soil Appl. Rate 0.4 gpd/ft2 Orifices Required Primary Area 900 ft2 Total Number of Orifices PER OSCAR Designed Primary Area 900 ft2 Diameter PER OSCAR in Designed Reserve Area 900 ft2 Spacing PER OSCAR in Trench/Bed Width 25 ft Manifold Trench/Bed Length 36 ft Schedule/Class 40 Length 36 ft Elevation Measurements Len g Original Drainfield Area Slope 10 % Diameter 1 in New Slope,If Altered 10 % Preferred manifold configuration used? 6ii Yes ❑No Depth of Excavation Up-slope N/A in Transport Pipe from Original Grade Dow11-slope N/A in Schedule/Class 40 Designed Vertical Separation 24 in Length 335+335 ft Gravelless Chambers Required? 0 Yes No 0 Optional Diameter 1.25 in Pump Required? EYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 360 1 gal Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1 I gal Orifice 17.10 ft Chamber Capacity Uppermost Orifice It 0 Lower than Pump Shutoff Pump controls:Please check those required. 12 gpm prim fid er Elapse Meter ®'Event Counter Capacity @ Total Pressure Head3MIN138SEC Calculated Total Pressure Head 30.788 ftA PrPerRtO V 2 ,Pump off Comments APR 2 5 2023 MASON COUNTY ENVIRONMENTAL HEALTH J6w DESIGN FORM-PAGE TWO Assessor's Parcel Number:62 s}L 4 -- 11 -- _Q 110 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch la Test hole locations El" Drainfield orientation and layout Reference depth from original grade: la Soil logs [ ' Trench/bed dimensions and la Septic tank a Property lines critical distances within layout E ' Drainfield cover la Existing and proposed wells a D-Box/Valve box locations Reference depth from original grade within 100 ft of property a Septic tank/pump chamber and restrictive strata: la Measurements to cuts,banks,and locations la Laterals,trench/bed,top and surface water and critical areas l ' Observation port location bottom Et Location and orientation of a Clean-out location 0 Curtain drain collector curtain drain and all absorption 1321 Manifold placement 0 Sand augmentation components a Orifice placement Other cross-section detail: la Location and dimension of 121 Lateral placement with distance igil Observation ports/clean-outs primary system and reserve area to edge of bed Other Information Eg Buildings l ' iliiiviiiia,10140referenced Yes No E� Direction of slope indicator ed c�i s _ 0 Design staked out a Waterlines ❑ 0 Recorded Notices attached a Roads, easements,driveways, APR 2 5 2023 Ili ❑ ❑ Waiver(s)attached [� ❑ Pump curve attached parking MASON COUNTY ENVIRONMENTAL HEALTH ❑ ❑ Evaluation of failure la North arrow and scale drawing shown on scale bar JBW Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must •• •• .•• sy installer at time of installation VYes CI No 4/17/23 Oof Designer Date The undersigned has reviewed this de ign on behalf of Mason County Public Health and determined it to be in compliance with state and local on- ite regulations: l'il[ l-2 . -23 E i e .`.ental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. c L -;._Y JZ� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: T ✓ 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 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#:220041100170 DATE SUBMITTED:4/17/2023 LEGAL/LOT#: SUBMITTED BY: ADAM HUNTER APPLICANT: KEVIN RAE ADDRESS: 8450 30TH AVE NE OLYMPIA,WA 98516 I.CALCULATIONS NUMBER OF BEDROOMS= 3 RESIDENTIAL GPD FLOW= 360 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.4 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 900 FT2 TRENCH LENGTH OR BED CONFIG.= 25'X 36' PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1500 GAL-CONCRETE NEW OR EXISTING= SEPTIC TANK III.DRAINFIELD CROSS SECTION SAND DEPTH= 0'-6" IV.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 335.00 1.25 12.000 6.8439 RETURN 335.00 1.25 12.000 6.8439 TOTAL= 13.6879 TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 13.688 2)ELEVATION DIFFERENCE = 17.100 TOTAL= 30.788 0 j �' ••- 7 ^'`i, 4/17/23 APPROVE : .o '4 APR 2 5 2023 :`,•'.4-'.4 V•• MASOfV CpNN7YENVIRONME y t "''� NTAL "Ti- "% •Ji JBW HEALTH i' SI00412 '•"� i-:'• AMU J.HUNTER _ t Cl'r;sl�ti l�1s?ir4'"Zt. . 24 1.)N.4s L,, ,. PA22E 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 30.79 STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES APPROVE APR 2 5 2023 MASON COUNTY ENVIRONMENTAL HEALTH JBW 4, I ...,.. wa�vr 4/17/23 .0 r. �•.fG .......„.....t...,,...)...., ..e.:;.,1 r. r � tit- .N++ r'� 5100412 { '1 i s?'• ADAM J.HUNTER •'�# r •I rr►;5 T.2Z.V.W.W.- ►,. 24 L • ....I: cam. n Kf. P. is Pim PICKERING RD • PROP.,Sp& 3Bp vEl mn co �; x �N n mEli v r 1 cCn"= z mu) w-co _ G-) O70< .. 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