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HomeMy WebLinkAboutSWG2023-00167 - SWG Application / Design - 5/3/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 4 it Public Health & Human Services ELMA:360-482-5269,EXT400 p..�cf�"='r. FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00167 APPLICANT B-LINE CONSTRUCTION Phone: (360)426-4221 Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON, WA 98584 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: 6980 E Grapeview Loop Rd Primary Parcel Number: 122294300010 Permit Description: New SFR-2BR Pressure Permit Submitted Date: 05/03/2023 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: 05/03/2026 (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 CC. DATE RECENED: o2da� MASON COUNTY 5 - cn D _!! COMMUNITY SERVICES AMOUNT REC EIVED RECEIVEDRYse) W � Public Health(Community Health/Environmental Health) �C� v CD 360 427.9670,ext.400 or 360 275«67,ext.400 In C `I 415 N.6th Street,Shelton,WA 98584 W( ,. „Qco 3 -CO 11 U„J 7 F., x ..l z cn ON-SITE SEWAGE SYSTEM APPLICATION 3 m 73 n APPLICANT 1 PHONE m LOFTIS C/O B-LINE CONST. INC. 360-426-4221 z c MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE c K 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 m CD xi SITE ADDRESS-STREET CITY,ZIP CODE `G 6980 E GRAPEVIEW LOOP RD. GRAPEVIEW WA 98524 co I NAME OF DESIGNER PHONE TOBY SYRETT © B-LINE CONST. INC. 360-426-4221 I N) NAME OF INSTALLER PHONE 0 I N DON WOOLLISCROFT © B-LINE CONST. INC. 360-426-4221 < PERMIT TYPE(select one) DRINKING WATER SOURCE Pr �,r - I N) In RESIDENTIAL OSS h COMMUNITY OSS If1 COMMERCIAL OSS n W PRIVATE INDIVIDUAL ELL u4 PRIVATE TWO-PARTY WELL 2 I CO TYPE OF V\ORK(Select one) a PUBLIC WATER SYSTEM 1Y1 NEW CONSTRUCTION/UPGRADES fREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR 14 . SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 21 SHORELINE CO DESIGN FORM(REQUIRED) M SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I (A)inWAIVER(S)(IFAPPLICABLE) 2 6.09 ACRES o 0 DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.locked gate) Take Hwy 3 to north end of Grapeview Loop Rd. Follow Grapeview Loop Rd. to 6980 on o water side. Follow paved driveway toward house. Drainfield staked and flagged near shop. ADU is between shop and main house. o 0 I � D SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. o OFFICIAL USE ONLY BELOW THIS LINE UPGRADE!FAILURE SOURCE(tor reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS \-SI-- ----I'll At! g-,14 „ , 0 o (,,t) II 9 SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V= ERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL I P CT SIGNATURE DATE APPLICATION EXPIRATION DATE APP TION APPROVED/ISSUED BY DATE t,.,)i\w° -, r .fA,��,► �" `�d� TN M MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE r REVISED 12/7/2015 V Asimisommainlimimillusior PAGE / OF iI SEPTIC SYSTEM DESIGN _ „ ,_ )2229-43- 00010 {.ri t v 4.' � • 4 •.. r. - 0, pot SITE ADDRESS: 6980 E Grapeview Loop Rd. SITE CITY STATE ZIP: Grapeview, WA PARCEL NUMBER: 12229-43-00010 LEGAL DESCRIPTION: Lot A of Survey 28/4 OWNER: Loftis DATE: 28 April 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 I ' 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-Iineconst@msn.com r DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 2 2 9 — 4 3 — 0 0 0 1 0 A design will be reviewed when 3 conies of each of the following are submitted: '1 Completed design form that has been signed and dated. v 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" 22 PARCEL IDENTIFICATION Permit Number: SWG Q aJ -004.1.p1 Designer's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: LOFTIS 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 13iotilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,'fype: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity FiS Pressure lifTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 40 Daily Flow:Operating Capacity 180 AVG gpd Length 45 ft Daily Flow: Design Flow 240 MAX gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 EXT gal Number 3 Receiving Soil Type(1-6) 4 Separation 9'+ ft 3 Receiving Soil Appl. Rate 0.6 gpd/f Orifices Required Primary Area 400 ft2 Pap.iqr i ices 21 Designed Primary Area 405 ft2 Diameter vE 3/16 in Designed Reserve Area 405+ ftIAA,,^ S Aftt O'2023 72 in 1 Trench/Bed Width 3 ft NTYENV/ anifold Trench/Bed Length 135 ft Schei�s�ENTAL HEAfriLTH 40 Elevation Measurements Length 1 ft Original Drainfield Area Slope 3-5 % Diameter 2 in New Slope,If Altered SAME % Preferred manifold configuration used? fillies 0 No Depth of Excavation Up-slope 10" MAX in Transport Pipe from Original Grade Down-slope 8" in Schedule/Class 40 Designed Vertical Separation 26" MIN in Length 400' MAX ft Gravelless Chambers Required? 0 Yes Elf No 0 Optional Diameter 2 in Pump Required? lid Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff. in Elevation Between Pump& Uppermost Orifice 20 ft Dose quantity 40 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 12.39 gpm efTimer lit lapse Meter figittyent Counter Calculated Total Pressure Head 35 ft If Timer: Pump on 3min 14sec ,pump uffIllr•Ornip 46sec Comments -- --- S(.14C-----4, squirt = 2, f= 1.21, el = 20, fittings = 5 > total pressure head = 28.21 = 35 i tyi✓ 1eWV l o PI 4-o b L13�= ��f� t?4/C �� Z� w PA6,-i- ' 4P 1l DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 2 2 9 -- 4 3 -- 0 0 0 1 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 10 Test hole locations RI Drainfield orientation and layout Reference depth from original grade: Et Soil logs It Trench/bed dimensions and it Septic tank RI Property lines critical distances within layout Q( Drainfield cover EZi Existing and proposed wells It D-Box/Valve box locations Reference depth from original grade within 100 ft of property Eig Septic tank/pump chamber and restrictive strata: IZ Measurements to cuts, banks,and locations Q( Laterals,trench bed,top and surface water and critical areas 0 Observation port location bottom 0 Location and orientation of Qi Clean-out location 0 Curtain drain collector curtain drain and all absorption L Manifold placement 0 Sand augmentation components lil Orifice placement Other cross-section detail: It Location and dimension of Lateral placement with distance It Observation ports/clean-outs primary system and reserve area to edge of bed l� Buildings Other Information Q1 Audible/visual alarm referenced Yes No 66 Direction of slope indicator It Scale of drawing shown on scale It 0 Design staked out lt Waterlines ❑ It Recorded Notices attached c I • i y — _' —"'"' "� 0 l Waiver(s)attached Roads,easements,drivewa s, parking ' l� 0 Pump curve attached Ig North arrow and scale drawing R MAY O 8 2023 ❑ 0 Evaluation of failure shown on scale bar rASON ENVIRONMENTAL HEALT Non-residential justification ❑ 0 Waste strength ,� S 4.S 0 0 Flow /�„ I DESI _%oPIev.• L /; The undersigned designer must be notified by instal anc!•l�t`'-� r••s 71 Yes 0 No •.v, . : ' 23 -SO sr J. )A-SYREII Signature • .•-sig - I f Date K�-FUN DEIGN�i2 � ���IP. - .% Imam 'I t, The undersigned has reviewed this design on behalf o 0£•ii e&thif N.I. •lic Health and determined it to be in compliance with state and local on- •te regulations: °. , 1 Wile S`6 --z3 E ental I-ealth 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: 5_3 2 Q. _ ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. 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W 0 II I- 6"PVC CLEANOUT/OBSERVATION PORT FINISHED GRADE J J FILTER FABRIC OVER DRAINROCK 1-1-10 W 0 ( DRAINROCK > U) Q cn LI ce 0_ORIGINAL GRADE ° ( Z SANDY I ' LOAM 12"+ ?? L!J C FILL I O m O I I J -) 0 0 Q I I = - - - - IV AA /1 = W 1.25"LATERAL PIPE Z �F I- w O 36„ W L1I CC et Zk TRENCH BOTTOM 0 I j Z W C TEE ON BOTTOM OF PORT TO ANCHOR 4Ce d 0 QD_ m 0 26' ( - NATIVE SOIL '," or ow ttt z -fir: N'Pit.. ;l ;'r tli 23 _ 3 , 4 t , ..o.-or 10299 J:t,t` i r O TOBY f.TAHJA-SYRETT ,1 tt , / RESTRICITVE LAYER ' i LICENSED DESIGNER . E ES: 06/07/ 2 FPRVED VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SC v FINISHED GRADE �ll��l 0 O 2023 MASab c ,y // r NV/RONMDNrAL HEALTH CAP ORIGINAL GRADE Jaw I , � FLEX HOSE OR SWEEPING EL f- 1.25" LATERAL PIPE i BRING LAT INTO -‘ / . : 1 ._ _ PORT THROUGH I - - DRILLED HOLE t 72"ORIFICE SPACING - 11.1 \ / TRENCH BOTTOM TEE ON BOTTOM OF PORT TO ANCHOR © TAHJA-SYRETT DESIGNS PAGE (1 OF II PRESSURE 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 alarms in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT change settings in the control panel. Only authorized maintenance personnel may alter settings in the control panel. 11. System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. APPROVE MAY 0 8 2023 MASON COUNTY ENVIRONMENTAL HEALTH B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 JBW 360.426.4221 (office) 360.426.0509 (fax) b-lineconstQmsn.com