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SWG2023-00004 - SWG Application / Design - 1/6/2023
MASON COUNTY 415 N 6TH STREET, 0427-9 7 ,E 98400 SHETREE ,S 42TON, ,EXT584 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: SWG2023-00004 APPLICANT HINDERS TODD &JORDYN Phone: 3606201738 Address: 20 E OLYMPIC PALISADES DR BELFAIR, WA 98528 OWNER HINDERS TODD &JORDYN Phone: 3606201738 Address: 20 E OLYMPIC PALISADES DR BELFAIR, WA 98528 SEPTIC DESIGNER BECKY RIEGER- Environmental Design Phone: 360-219-3343 LLC Address: 901 L STREET CENTRALIA, WA 98531 Site Address: 351 E Greenberg Ln Primary Parcel Number: 222237600130 Permit Description: New SFR -4BR Nuwater Permit Submitted Date: 01/06/2023 Permit Issued Date: 05/08/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/08/2026 (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 Drainfield 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 .C, OFFICIAL USE ONLY DATE RECEIVED: �� MASON COUNTY _ I I . N 7 COMMUN TY SERVI�C S AMOUNTRECENED ^ RECEIVED BY ^ c v m Public He. munit�-H aitbiinvlarl rlal HEal L i i l liJ /vli/ VI - V) 7 60 275 AM.app r0 ..5 •. st ':On WA 98W[1 1 �. S W G 2Q Z 3 - o O o O� L=, r,. v f.J L.l i Z In I.. Z � 1\ JAN 0 6 2023 SITE SEWAGE SYSTEM APPLICATION v v �lj_ rs�� m n F CfcANT -• -. PHONE I— d rs 360.801 .5002 M .G ADDRESS-STREET CITY,STATE,ZIP CODE g 20 E Olympia Palisades Drive Belfair WA 98528 ca SITE ADDRESS-STREET,CITY,ZIP CODE 351 E Greenberg Lane Belfair WA I N' NAME OF DESIGNER PHONE I N Becky Rieger - Environmental Design 360.219.3343 NAME OF INSTALLER PHONE 0 I fV C rn I N PERMIT TYPE(select one) DRINKING WATER SOURCE O firINp RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS al PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z I W TYPEPEq;OF WORK tsetect one) PUBLIC WATER SYSTEM Ef;NEW CONSTRUCTION/UPGRADES E.REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I co SUBMITTALS CISURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE ZDESIGN FORM(REQUIRED) EISEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE 0 I SWAIVER(S)(IF APPLICABLE) 4 5 DIRECTIONS TO$!'E AND SITE CONDITIONS:(ex locked gate) I O Highway 108; South on Trails Road; West on Greenberg Lane I o O rI _, IW SITE MUST BE FLAGGED FROM MA;N ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I CD OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS [—2.5".2--� COMMENTS/CONDITIONS W es 6 1 k t n/c Orrc 6 '44 I }-0)- bolt w/ , c0 Aro Aft �,o1,f `� y5i, w/� RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CL EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL INSP OR SIGNATURE DATE APPLICATION EXPIRATION DATE AP C TION APPROVED/ISSUED BY DATE 6(.1j i /115. .---;-' 6- 2-1 1,--,2_5- 2-q THI FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7I201 5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 2 3 -- 7 6 -- 0 0 1 3 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. '1 Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. '1 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-- -ra57(96 Designer's Name: Becky Rieger Applicant's Name: Todd &Jordyn Hinders Designer's Phone Number: 360-219-3343 Mailing Address: 20 E Olympia Palisades Drive Designer's Address: 901 L Street Belfair, WA 98528 Centralia, WA 98531 City State Zip City State Zip DESIGN PARAMETERS Treatment Device 0 Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ®Aerobic Unit Make/Model NuWater 0 Disinfection Unit Make/Model Other: Drainfield Type 0 Gravity ® Pressure 2J Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class Schd.40 Daily Flow:Operating Capacity 480 gpd Length 68 ft Daily Flow:Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity 1200 gal Number 4 Receiving Soil Type(1-6) 4 Separation 9 ft ' Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Square Footage 800 ft2 Total Number of Orifices 48 Designed Square Footage 800 ft2 Diameter 1/8 in Percent Reduction Taken 0 % Spacing 72 in Trench/Bed Width 4 ft Manifold Trench/Bed Length 68 ft Schedule/Class Schd. 40 Elevation Measurements Length 82 ft Original Drainfield Area Slope 0 % Diameter 1.25 in New Slope,If Altered 0 % Preferred manifold configuration used? ID Yes 0 No Depth of Excavation Up-slope 10 in Transport Pipe from Original Grade Down-slope 7 in Schedule/Class Schd. 40 Designed Vertical Separation -24.. 1Z in Length 45 ft Gravelless Chambers Required? l Yes 0 No 0 Optional Diameter 1.5 in Pump Required? D31 Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 80 gal Orifice 5 ft Chamber Capacity 1200 gal 4 Uppermost Orifice 0 Higher El Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 20.8 gpm ®Timer 0Elapse Meter 0 Event Counter Calculated Total Pressure Head 13.9 ft If Timer: Pump on 3.8 Min ,Pump off 4 Hrs CommentsA p P R O V E MAY 0 8 2023 ASON COUNTY ENVIRONMENTAL 1-IF J EW 1 DESIGN FORM-PAGE TWO Assessor's Parcel Number: 2 2 2 2 3 -- 7 6 -- 0 0 1 3 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ® Test hole locations ® Drainfield orientation and layout Reference depth from original grade: El Soil logs El Trench/bed dimensions and ® Septic tank MI Property lines critical distances within layout ® Drainfield cover O Existing and proposed wells ® D-Box/Valve box locations Reference depth from original grade within 100 ft of property ® Septic tank/pump chamber and restrictive strata: El Measurements to cuts,banks,and locations ® Laterals,trench/bed,top and surface water and critical areas El Observation port location bottom l Location and orientation of PSI Clean-out location 0 Curtain drain collector curtain drain and all absorption El Manifold placement 0 Sand augmentation components DI Orifice placement Other cross-section detail: El Location and dimension of El placement with distance Ea Observation ports/clean-outs primary system and reserve area to edge of bed ® Buildings g Other Information ® Audible/visual alarm referenced Yes No ® Direction of slope indicator ® Scale of drawing shown on scale 0 El Design staked out ® Waterlines bar 0 El Recorded Notices attached El Roads,easements,driveways, 0 ❑ Waiver(s)attached parking ® 0 Pump curve attached El North arrow and scale drawing 0 ® Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation El Yes 0 No Becky Rieger w 01/6/2023 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- ' regulations: En irlh•• -ntal 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: I-• 25 2-3 ✓ 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. A eeis required. Aitttitte and available for public view on the Mason County Web site. Revision Date: 1/12/2010 MAY 0 8 2023 MASON-COUNTY ENVIRONMENTAL HEALTH JBW mow Environmental Design, LLC. • Septic Design o Wetlandsw Site Planning 0Excavation 901 L Street, Centralia, WA 98531 Phone:(360)219-3343 January 5, 2023 Prepared For: �•:. �� Todd &Jordyn Hinders ���► 20 E Olympia Palisades Drive ""4:1,#. Belfair, WA 98528 %�i •.a� II 51 369 •E`' r Site Address: • • �� 3 i 351 E Greenberg Lane, Belfair 3•• 'n lY) County: Mason Tax Parcel Number: 22223-76-00130 Purpose: A site and soil evaluation was completed for the property located at 351 E Greenberg Lane in Belfair on March 17, 2022 by Environmental Design, LLC.The purpose of the site and soil evaluation is to determine the suitability of an On-Site Wastewater system. In order to determine if a site is suitable a minimum of three test pits were dug and evaluated for suitability.The site was evaluated to determine that the slope and size were suitable and to determine if the proposed on-site wastewater would be able to meet county and Washington State WAC 246-272A regulations. Proposal: The client is proposing a 4-bedroom residence on the site to be served by an on-site septic system. For a 4-bedroom system the estimated wastewater produced is 480 gallons per day based on the calculation of each bedroom producing 120 gallons per day. Site Description: The site is currently vacant land.The site is in Section 23 Township 22 North of Range 02 West. Hydrology: The site appears to be moderately well drained.There did not appear to be any areas of ponding at the site or in the area of the proposed drainfield. Water Source: The water source will be a proposed well.The well will be located 100 feet away from the proposed On- Site Wastewater system or the transport line will be sleeved to meet the requirements of WAC 246- 272A. 4 Soil Description: According to the Natural Resources Conservation Service (NRCS)the property soil is mapped as Alderwood Gravelly Sandy Loam. The test pit profile did not appear to be consistent with the Alderwood Gravelly Sandy Loam series. The NRCS describes the Alderwood Gravelly Sandy Loam as very dark brown gravelly sandy loam about 6 inches thick.The subsoil is dark brown gravelly sandy loam for the upper 9 inches and is dark brown very 1 Job Number:2021-335 Client Name:Hinders 5 z 8 22111 c ti D C9�P ta O S _c i 0 00 COO W m C' z m z co 'O 0 o -n o 0 0 0 1) m m O o 0 m - 7 o rn �.GR. mA o m � Nes W co 7 �Rc O 0 o �d ° / 8�86 !V �1� m• K . ,._4IllIlliePllit V -.„ A ..,\lip .1. ... .„;0111 •. _ _ _ . . _ _ _ _ . k k x _ k k O O .— k k ,� �® m k k / r — —.— — / Zl ._____ . k k k —.—.— D — o —• k k k k k C co _____ k k k k k k — — k k kick k k k k k k . k • • — k k k k k — — k k k k k -- k k k k k k — k k k k --k k k k k XN' i. k k k k k k .— — k '— • < m D N 1 3 .r.. r m -n 3 <X'1 T O T m m pT q I- o z 3 W Z D D D -I „�, ♦` co < 3 3 7, coo 0 m 2 2 ��.y — W O0 N T A .. 73 m 73 CD z7 N. j p N O 0 O O z n' 0 CO —pir N O o mo I1�;•1„ OXO 0 b U W X o r m 9. / ,,frz” .41 -U l a O m m D O o r,i_;• �`�� m D m o ^ S �- W Z o x0 •• S• Cm � Co � m fp o 3 o co m N ���� �R?`R��� CD D Z Z • O co O D Z -0 •<- o R% mZr Om �� .� -• i.71, Nam m U) X 9iy" y-a D rn 0 e 1 W 0) A T m i CO2 Z Aoo '' �. 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W 2 O m 1 U PPROVE O 0 I AD wx no o �„ MAY 08 2023 �0,0 � �} MASON COUNTY ENVIRONMENTAL HEALTH r,'' J B W i 7� J V r lbCC J o --- w a ,,`__mil 411* Pump Selection for a Pressurized System -Single Family Residence Project • . 2021-335: HINDERS Parameters Discharge Assembly Size 1.50 inches Transport Length 45 feet Transport Pipe Class 40 Transport Line Size 1.50 inches Distributing Valve Model None Max Elevation Lift 5 feet Manifold Length 82 feet Manifold Pipe Class 40 Manifold Pipe Size 1.25 inches Number of Laterals per Cell 4 Lateral Length 68 feet Lateral Pipe Class 40 Lateral Pipe Size 1.25 inches Orifice Size 1/8 inches Orifice Spacing 6 feet Residual Head 5 feet Flow Meter None inches 'Add-on'Friction Losses 0 feet Calculations Minimum Flow Rate per Orifice 0.43 gpm Number of Orifices per Zone 48 Total Flow Rate per Zone 20.8 gpm Number of Laterals per Zone 4 %Flow Differential 1st/Last Orifice 0.9 % Transport Velocity 3.3 fps Frictional Head Losses Loss through Discharge 1.3 feet Loss in Transport 1.2 feet Loss through Valve 0.0 feet Loss in Manifold 1.3 feet Loss in Laterals 0.1 feet Loss through Flowmeter 0.0 feet 'Add-on'Friction Losses 0.0 feet Pipe Volumes Vol of Transport Line 4.8 gals Vol of Manifold 6.4 gals PumpData Legend Vol of Laterals per Zone 21.1 gals Total Volume 32.3 gals System Curve:— Minimum Pump Requirements Pump Curve: Design Flow Rate 20.8 gpm Pump Optimal Range:— Total Dynamic Head 13.9 feet Operating Point:O O Design Point: Orenco S Y S T E M S I ITT Residential Water Systems Goulds Pumps P E Submersible Effluent Pump FEATURES • Corrosion resistant construction. ■ Cast iron body. )- •Thermoplastic impeller and cover. ■ Upper sleeve and lower heavy duty ball bearing construction. ■ Motor is permanently lubricated for extended service life. ■ Powered for continuous operation. ■All ratings are within the working limits of the motor. • Quick disconnect power cord, 20' standard length, heavy duty 16/3 SJTW with 115 or 230 volt grounding plug. •Complete unit is heavy duty, portable and a compact. ■ Mechanical seal is carbon, ceramic, BUNA and stainless steel. • Stainless steel fasteners. ri, GOULDS PUMPS Goulds Pumps is a brand of ITT Water Technology, Inc. - a subsidiary of ITT Industries, Inc. www.goulds.com Engineered for life 4 ?, I T T GOULDS PUMPS Residential Water Systems APPLICATIONS MOTOR Specially designed for the following uses: General: • Mound Systems • Single phase • Effluent/Dosing Systems • 60 Hertz • Low Pressure Pipe Systems • 115 and 230 volts • Basement Draining • Built-in thermal overload protection with automatic reset. • Heavy Duty Sump/ • Class B insulation. Dewatering • Oil-filled design. • High strength carbon steel shaft. SPECIFICATIONS PE31 Motor: Pump—General: • .33 HP,3000 RPM • Discharge: 1'/z"NPT • 115 volts • Temperature: 104°F(40°C)maximum,continuous when • Shaded pole design fully submerged. PE41 Motor: • Solids handling:1/2"maximum sphere. • .40 HP 3400 RPM • Automatic models include a float switch. • 115 and 230 volts • Manual models available. • PSC design • Pumping range:see performance chart or curve. PE51 Motor: PE31 Pump: • .50 HP 3400 RPM • Maximum capacity: 53 GPM • 115 and 230 volts • Maximum head:25'TDH • PSC design PE41 Pump: • Maximum capacity:61 GPM AGENCY LISTINGS • Maximum head:29'TDH PE51 Pump: • Maximum capacity:70 GPM • Maximum head:37'TDH c us Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association METERS FEET File#LR38549 40 MODELS PE31,PE41.Pt',1 PE51 HP.33,40, SO 35 + 10 2 GPM _a_: Goulds Pumps is I50 9001 Registered. T' 30 PE41 --- 1 w PE31 • 7 : ..i. ..}-- ;s_. Q 20 Z O 'f + -.Eta- . 10 -t- 5 - — i _ { o_ o0 10 20? 1 _ I _ 30 40 50 60 70 GPM 80 0 5 10 15 m3/h CAPACITY ITT GOULDS PUMPS Residential Water Systems PERFORMANCE RATINGS DIMENSIONS PE31 PE51 (All dimensions are in inches.Do not use for construction purposes.) Total Head Total Head (feet of water) GPM (feet of water) GPM 5 52 10 67 10 42 15 59 6.4 film—tt, ` 15 216 20 39 20 16 25 39 25 0 30 26 `- 2.2 35 8 9.6 PE41 I Total Head GPM s (feet of water) . 8 61 = 10 57 =.:J1- 15 46 20 33 25 16 15.4 12.0 1'/:"NPT DISCHARGE -� 3.1 IMWPIE t.6 PUMP INFORMATION Minimum Minimum Maximum Shipping Order No. HP Volts Amps Circuit Phase Float Switch Cord Discharge Basin Solids Weight Breaker Style Length Connection Diameter Size lbs/kg PE31M 0.33 12 20 Manual/No Switch PE31P1 115 Piggyback Float Switch PE41 M 7.5 15 Manual/No Switch PE41 P1 0.4 Piggyback Float Switch PE42M 230 3.7 10 1 Manual/No Switch 20' 1.5" 18" .5" 31/14.1 PE42P1 Piggyback Float Switch PE51 M 115 9.5 20 Manual/No Switch PE51 P1 0.5 Piggyback Float Switch PE52M 230 4.7 10 Manual/No Switch PE52P1 Piggyback Float Switch ITT Residential Water Systems [J, GOULDS PUMPS Goulds Pumps and the ITT Engineered Blocks Symbol are registered trademarks and tradenames of ITT Industries Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. BPE February, 2006 ©2006 ITT Water Technology, Inc. Engineered for life