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HomeMy WebLinkAboutSWG2023-00134 - SWG Application / Design - 4/12/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 J L 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: SWG2023-00134 APPLICANT BAYSHORE CONSTRUCTION Phone: 360-866-9200 Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA, WA 98502 OWNER PENSULA JOSEPH F & MAE ROSE Phone: Address: 2731 113TH WAY SW OLYMPIA, WA 98512 SEPTIC DESIGNER Jim Hunter and Associates Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 SEWAGE INSTALLER BAYSHORE CONSTRUCTION Phone: 360-866-9200 Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA, WA 98502 Site Address: 71 E Probert Rd Primary Parcel Number: 221337590031 Permit Description: 6-bedroom OSCAR XO2 system Permit Submitted Date: 04/12/2023 Permit Issued Date: 05/08/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/04/2026 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. • OFFICIAL USE ONLY- t-- MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 4 y too` . • ONSITE SEWAGE SYSTEM APPLICATION AM E _ RECEIVEDA Q] N 415 N 6th Street,(Bldg 8) Shelton WA,98584 < Vm) Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 s q G �U Z, _ Oo I & N O V1! O 73 z 6 APPLICANT PHONE > D BAYSHORE CONSTRUCTION 360-866-9200 rn m MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE r 2103 HARRISON AVE STE 2774 OLYMPIA WA 98502 z SITE ADDRESS-STREET,CITY,ZIP CODE CO 71 E PROBERT RD SHELTON WA 20 NAME OF DESIGNER PHONE IN ADAM HUNTER 360-753-1226 C--1NAME OF INSTALLER PHONE I BAYSHORE CONSTRUCTION 360-866-9200 CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 9 C ❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY In PRIVATE INDIVIDUAL WELL (7 I(/4 Elf REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z O TABLE 9 REPAIR 0 SINGLE FAMILY 13' COMMUNITY/PUBLIC WATER SYSTEM IV') ❑ TANK(S)ONLY In COMMERCIAL SYSTEM NAME: r In UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE Iri ❑ EXISTING FAILURE "Record Drawing required 3+3 0.46 I� for all Installations" r DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O r n PICKERING TO A LEFT ON PROBERT TO SECOND DRIVE ON THE LEFT. x I—_D to O ID -1 Iw 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 ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 11o(e5 need le kt fc-c1vy . ! II1/Zot3 CA .�� y�� CS fo �L'� SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSP CTOR SIGNATURE DATE APPLICATION EXPIRATION DATE LTGATION APPROVED BY DATE TH F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COU TY WEBSIT REVISED 12/7/2015 • DESIGN FORM-PAGE ONE Assessor's Parcel Number: Z- 2 i 3 3 -- S -- g 0 O 3 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 V Scaled plot plan,including all applicable items on checklist. v 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" v . PARCEL IDENTIFICATION Permit Number: SWG 2.. 2 3 - 0'13 ti Designer's Name: ADAM HUNTER Applicant's Name: BAYSHORE CONSTRUCTION Designer's Phone Number: 360-753-1226 Mailing Address: 2103 HARRISON AVE STE 2774 Designer's Address: PO BOX 162 OLYMPIA WA 98502 OLYMPIA WA 98507 City State Zip City State Zip ESIGN:PARAMETERS :;"7 Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: g(Aerobic Unit Make/Model X02 0 Disinfection Unit Make/Model Other: Drainfield Type OSCAR X02 ❑Gravity ❑Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3+3 Schedule/Class PER OSCAR Daily Flow: Operating Capacity 540 gpd Length PER OSCAR ft Daily Flow:Design Flow 720 gpd Diameter 1/2 in Septic Tank Capacity 1500 X 2 gal Number 4 Receiving Soil Type(1-6) 4 Separation PER OSCAR ft Receiving Soil Appl.Rate 0.6 gpd/ft2rifices Required Primary Area 1200 ft2 Total Number of Orifices PER OSCAR Designed Primary Area 1200 ft2 Diameter PER OSCAR in Designed Reserve Area N.A ft2 Spacing PER OSCAR in Trench/Bed Width PER DESIGN ft Manifold Trench/Bed Length PER DESIGN. ft Schedule/Class 40 Elevation Measurements Length 50 ft Original Drainfield Area Slope 0 % Diameter 1 in New Slope,If Altered 0 % Preferred manifold configuration used? ®'Yes 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 >24 in Length 140 ft Gravelless Chambers Required? 0 Yes it No 0 Optional Diameter 1 in Pump Required? 1eYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 411 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1.75 gal Orifice 6.3 ft Chamber Capacity 1500 gal Uppermost Orifice VHigher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 12 gpn► nerA 74- *se Meter 11'Event Counter Calculated Total Pressure Head 28.012 ft I t o' '0 i ,Pump off 3MIN Comments MAY 0 V 2023 ', DESIGN'FORM—PAGE TWO Assessor's Parcel Number: `2.2 t ' .. -- 1 5 -- a 0_al Permit Number: SWG DESIGN CHECKLIST$ Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Test hole locations 12' Drainfield orientation and layout Reference depth from original grade: 1 i Soil logs Er Trench/bed dimensions and Ei Septic tank 12i Property lines critical distances within layout la Drainfield cover 12f Existing and proposed wells 9' D-Box/Valve box locations Reference depth from original grade within 100 ft of property EC Septic tank/pump chamber and restrictive strata: 121 Measurements to cuts,banks,and locations 9' Laterals,trench/bed,top and surface water and critical areas la Observation port location bottom 1:5 Location and orientation of Er Clean-out location 0 Curtain drain collector curtain drain and all absorption Q( Manifold placement l' Sand augmentation components 9' Orifice placement Other cross-section detail: E2( Location and dimension of 9' Lateral placement with distance MI Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 9' Buildings 9' Audible/visual alarm referenced Yes No 12( Direction of slope indicator 9' Scale of drawing shown on scale E( 0 Design staked out 12r Waterlines 0 0 Recorded Notices attached � Roads,easements,driveways, AbP P R o v E Do ❑ Waiver(s)attached parking 0 0 Pump curve attached Ei North arrow and scale drawing MAY 0 4 2023 I/ 0 Evaluation of failure shown on scale bar MASON COUNTY ENVIRONMENTAL HEALTH Non-residential justification J BW ❑ ❑Waste strength ❑ ❑ Flow DESIGN APPROVAL • The undersigned designer m st be no i•d b, ns •11er at time of installation IltYes 0 No 3/29/23 i ye ',, - of Designer Date behalf of Mason County undersigned has reviewed this des _y! on Public Health and determined it to be in compliance with state and local so. - egulations: (,) 1(mA),-, 6 - f -2-3 Envi-.• l;51 i;1 Health Specialist Date r CAUTION: DESIGN APPR t AL I ALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"A!•roved"by Mason County Public Health.✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1-1.-1-1.- f 5 r ✓ 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 PACE 1 • MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 221337590031 DATE SUBMITTED:3/29/2023 LEGAL/LOT#: . SUBMITTED BY: ADAM HUNTER APPLICANT: BAYSHORE CONSTRUCTION ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 6 RESIDENTIAL GPD FLOW= 720 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPO/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 1200 FT2 TRENCH LENGTH OR BED CONFIG.= PER DESIGN II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1500GAL-X02 TANK NEW OR EXISTING= 2 NEW III.DRAINFIELD CROSS SECTION 0 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 140.00 1.00 12.000 10.8560 RETURN 140.00 1.00 12.000 10.8560 TOTAL= 21.7121 ``TOTAL HEAD LOSS ** 1)FRICTION LOSS THROUGH SYSTEM= 21.712 2)ELEVATION DIFFERENCE = 6.300 P i TOTAL= 28.012 3/29/23 ,c-i 110 o-„ •i-?v; '.4 A . . %4 � 0. -. AoAra J.HUNiER 1 PAGE 2 • V.CHECK THE PUMP CAPACITY. 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