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SWG2023-00092 - SWG Application / Design - 3/16/2023
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 M : SHELTON:360-427-9670,EXT 400 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: SWG2023-00092 APPLICANT NYE TIDES LLC Phone: Address: 6249 OLD OLYMPIC HWY SW OLYMPIA, WA 98512 OWNER NYE TIDES LLC Phone: Address: 6249 OLD OLYMPIC HWY SW OLYMPIA, WA 98512 SEPTIC DESIGNER Jim Hunter and Associates Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 SEPTIC INSTALLER DARIN OGG- Royal Flush Septic Phone: 360-790-3021 Address: PO BOX 1336 HOODSPORT, WA 98548 Site Address: 23022 N US HIGHWAY 101 Primary Parcel Number: 422235000006 Permit Description: Table 9 repair 3bd OscarXO2 Permit Submitted Date: 03/16/2023 Permit Issued Date: 05/09/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/17/2024 (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/environmentallonsite/oss-inspection-request.php or call: 360-427-9670, extension 400. MASON COUNTY PUBLIC HEALTH DATE RECEIVED: OFFICIAL USE ONLY 44. , 33 ONSITE SEWAGE SYSTEM APPLICATION AMOUN VJ RECEI B W N • o m 415 N 6th Street,(Bldg 8) Shelton WA,98584 C cn N Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 V C` G 1O �� - 60 Oi NO � O .7VVti/ z cn z D APPLICANT PHONE > SCOTT KRAMER 360-791-2368 m m MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r 6249 OLD OLYMPIC HWY SW OLYMPIA WA 98512 c SITE ADDRESS-STREET.CITY.ZIP CODE W , 23022 N HWY 101 HOODSPORT WA 98548 m NAME OF DESIGNER PHONE L(` ADAM HUNTER 3607531226 IT NAME OF INSTALLER PHONE ROYAL FLUSH �j CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 9 C P ` ❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL UJ I}cJ ❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY IS PRIVATE TWO-PARTY WELL z [2( TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: r ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE r"� IS EXISTING FAILURE "Record Drawing required 3 0.76 for all Installations" r DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O t HWY 101 TO DRIVEWAY ON THE RIGHT FOR 6249 - LOCKED GATE, CALL DESIGNER IC TO MEET ON SITE. r I,) O 1� rilnil W rm SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I`- OFFICIAL USE ONLY BELOW THIS LINT)1 ' I Zo23 ^ UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT CI HOME SALE ❑CLAINT INSPECTOR SOIL LOGS COMMENTS/CONDITIONS D - - -f11io(Ts4w4=2-6,eg 12 - t v q c S (-NecA) SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE �m fill iv � 1n fiA • 51a/z3 THIS FORM MAY B SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2._,,2 a -- ..O -- 1 j.u 0_30 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 3� ��yy����-- Permit Number: SWG OZ w�- :i Designer's Name: ADAM HUNTER Applicant's Name: SCOTT KRAMER 360-753-1226 Designer's Phone Number: Mailing Address: 6249 OLD OLYMPIC HWY SW PO BOX 162 Designer's Address: OLYMPIA WA 98512 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: fid'Aerobic Unit Make/Model OSCAR X02 0 Disinfection Unit Make/Model Other: Drainfield Type OSCAR X02 ❑Gravity 0 Pressure ❑ 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 Daily Flow: Design Flow 360 gpd Diameter PER OSCAR in Septic Tank Capacity 1200 gal Number 3 Receiving Soil Type(1-6) 1 Separation PER OSCAR ft Receiving Soil Appl. Rate 1.0 gpd/ft2 Orifices Required Primary Area 360 ft2 Total Number of Orifices PER OSCAR Designed Primary Area 378 ft2 Diameter PER OSCAR in Designed Reserve Area N/A ft2 Spacing PER OSCAR in Trench/Bed Width 14 ft Manifold Trench/Bed Length 27 ft Schedule/Class 40 Length 27 ft Elevation Measurements Len g Original Drainfield Area Slope 8 % Diameter 1 in New Slope,If Altered 0 % Preferred manifold configuration used? lS'Yes 0 No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope 0 in Schedule/Class 40 Designed Vertical Separation 36 in Length 120 ft Gravelless Chambers Required? 0 Yes VNo 0 Optional Diameter 1 in Pump Required? lllfYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 412 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.8738 gal Orifice 5.8 ft Chamber Capacity 1500 gal Uppermost Orifice or Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 12 gpm Timer 6iElapse Meter 6 'Event Counter Calculated Total Pressure Head 24.410 ft If Timer: Pump on 30 SEC ,Pump off 3 MIN Comments I DESIGN FORM—PAGE TWO Assessor's Parcel Number: 11-„2.02_,:; , -- 5-0 -- S2 Q 40 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch (if Test hole locations ' Drainfield orientation and layout Reference depth from original grade: 121 Soil logs ' Trench/bed dimensions and Etc Septic tank If Property lines critical distances within layout O. Drainfield cover • Existin and proposed wells i D-Box/Valve box locations g p p Reference depth from original grade within 100 ft of property Er Septic tank/pump chamber and restrictive strata: a Measurements to cuts,banks, and locations 0 Laterals,trench/bed,top and surface water and critical areas Ef Observation port location bottom II Location and orientation of Clean-out location 0 Curtain drain collector curtain drain and all absorption ' Manifold placement 0 Sand augmentation components 1 Orifice placement Other cross-section detail: g Location and dimension of Lateral placement with distance l� Observation ports/clean-outs primary system and reserve area to edge of bed Buildingsg Other Information 121 Audible/visual alarm referenced Yes No Direction of slope indicator ES Scale of drawing shown on scale l' 0 Design staked out g Waterlines bar 0 0 Recorded Notices attached ES Roads,easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached I2 North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must it i t d b :uu staller at time of installation ❑ Yes ❑ No 3/15/23 a , designer Date The undersigned has reviewed this a es ;! on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: kitt\0,0/1. WI ‘ 1 git-t Environmental H alth 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: 3I 17 ✓ 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 i PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#:422235000006 DATE SUBMITTED:3/15/2023 LEGAL/LOT#: SUBMITTED BY: ADAM HUNTER APPLICANT: SCOTT KRAMER ADDRESS: 6249 OLD OLYMPIC HWY SW OLYMPIA,WA 98512 I.CALCULATIONS NUMBER OF BEDROOMS= 3 RESIDENTIAL GPD FLOW= 360 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 1 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING I ABSORPTION AREA= 378 FT2 TRENCH LENGTH OR BED CONFIG.= 14FTX27FT PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200GAL-X02 TANK NEW OR EXISTING= NEW 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 120.00 1.00 12.000 9.3052 RETURN 120.00 1.00 12.000 9.3052 TOTAL= 18.6104 -TOTAL HEAD LOSS 1)FRICTION LOSS THROUGH SYSTEM= 18.610 2)ELEVATION DIFFERENCE = 5.800 APPROVED TOTAL= 24.410 MAY 0 9 2023 4/28/23 MASON COUNTY ENVIRONMENTAL HEALTH fp � r "- --. I IA 0 . RET �P _ �,, �N MAY 0 4 LIiL) • ifj.:.... il V.:...,. IIIIIIIIIIIIII 1 H' -'. AD.1L1 J HUM1Et '' , • PAGE 2 V.CHECK THE PUMP CAPACITY. PUMP: A.Y.MCDONALD 30GPM 1I2HP PUMP(MODEL#22050E2AJ) (PER OSCAR) EXCESS TDH 50.00 (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM 24.41 STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES 111 APPROVED 1.•A• 4/28/23 MAY 0 9 2023 MASON COUNTY ENVIRONMENTAL HEALTH RET p . s- o .• • I ADA f.1 J.HUNTER \I' •1.rft: : • SAN:N/2.4vC.N.-N.N.1:• • 1� If s ° 1 H y 1� •, ____Z_____ . ---18- ----- O 4 7'+ I- D "' m a 42't ,— _ , ® © o _ J -_.. . __._....--- (w) o • e C . - ),-----N 0 A 0 c z 0 m • 0 0 0 0 0 0 O 0 0 OOC o m �" m x 7J 73 Xi A X X X X 0 (n -o - - -a - (4 --4 -4 N_-I H-i -4 0 m0 Am m m z C) 0 000 HOOD u 0 O O O Co O O N 0 iv A m CANAL O 17; mD < D mC (n CO o ` Z 0D 0n o o -n O D 04 ZDC D m m I m O .. . — r I- > * 0 o Gnx • 0 Z o CI r- O Nm (02 o N0 0 TI 0 m O O H I > c-) > v > m 1 D n o m o G) a Q 0 Z D O Z m m z 7 -4 m -I Z x o a D m m p m --4 - OZ mxi O m O Z7 rn S o CD m Co A 2 m Vl A A -1 .-TJ CO O '" !WI x CO m 0 p _ .>> •Y.: o m 0N m p o / �: < <ft. � ry \ is y,, o -I D < r m ? W ;J` ..� i.• .��� m m rn�•� e . Z o r D 1 1 _ ,EcN ...,,,,:o. A .1 �,•Pmt •tiSCA 2 ➢ 7:'i"5 Z > r `• •4 A ? 0, > --1 i :a m m O Y 11 • X• i 0-T. Z A 0:. 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