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HomeMy WebLinkAboutSWG2023-00151 - SWG Application / Design - 4/26/2023 MASON COUNTY 415 N 6TH STREET, SHELTON,WA 98584 J(■ SHELTON:360 427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 ---ir Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00151 APPLICANT JOSE MENDOZA LOPEZ Phone: Address: E 40 RHODODENDRON PL SHELTON, WA 98584-9676 OWNER JOSE MENDOZA LOPEZ Phone: Address: E 40 RHODODENDRON PL SHELTON, WA 98584-9676 SEPTIC DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255 Designs Inc. Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: XXX W Wynwood Dr Primary Parcel Number: 420257500090 Permit Description: 5-bedroom pressure system Permit Submitted Date: 04/26/2023 Permit Issued Date: 05/01/2023 Issued By: David Anderson Current Permit Fees Paid: $525.50 (additional fees may be required upon installation of system). Permit Expiration Date: 04/27/2026 (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. cc, OFFICIAL USE ONLY DATE RECENED: . • C N MASON COUNTY r- COMMUNITY SERVICES AMOUNT RECEIVED R• ED: II o m —� Cl) Public Health(Community Health/Environmental Health) ��� / . 0 360-427-9670.e2 400 or 36677567.ert a00 415 N.6Ih Street-Shelton.WA 98584 • Z u ON-SITE SEWAGE SYSTEM APPLICATION 3 m Ph ONE r APPLICANT Jose Mendoza Lopez (360)349-0767 Z MAILINGADDRESS-STREET.CITY,STATE,ZIP CODE Shelton WA 98584 mm � ADDRESS CODE co 40 E Rhododendron PI .. •4� SITE W Wynwood Dr Shelton WA 98584 I '' (3 \1\4° PHONE I IV NAME OF DESIGNER Arrow Septic Designs (360)898-2255 I o ) 4\,\ ` NAME OF INSTALLER PHONE a owner install (360)349-0767 N IN) DRINKING WATER SOURCE 0 fit PERRM�MIT TYPE(select one)RESIDENTIAL OSS ft COMMUNITY OSS ECOMMERCIAL OSS ill PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z l]PUBLIC WATER SYSTEM I TYPE OF WORK(select one) E)NEW CONSTRUCTION/UPGRADES a REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE SUBMITTALS � I LOT SIZE cri LZp DESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS 5 BR 6.53 acres o 0 �WAIVER(S)(IF APPLICABLE) l DIRECTIONS TO SITE AND SITE CONDITIONS'(err locked gate) I Go out Cloquallum Rd and turn (R) onto W Wynwood Dr. At intersection, watch for yellow sign: "Lopez". Drive up driveway to plateau and follow ribbon path to test holes. o I 0 -I I (D SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED IMTH TEST HOLE NUMBERS. I O OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER: COMMENTS I CONDITIONS INSPECTOR SOIL LOGS(t ` Tiff: 0-3 colt ai351I r ,, , \,,, ,,- Tnz_ c -Z61 (CS APR ` 6 207.3 1 11 '1 ►f3: 0— �6 (?tc By ...— (made Q¢ Z6 I. RECORD DRAWING AND INSTALLATION REPORT SOIL COOEST R ��J��jVAL. �+�, v=VERY G=GRAVELLY S=SAND L=LOAM S=SILT C=CLAY E=EXTREMELY R=ROOTS � cs" l DATE DATE APPLICATION EXPIRATION DATE . ION I INSPECTOR SIGNATURE p:-,s " . 07 Y(z 7/001) '( 7izo 76 APR 2 7 2o2 EVISE01?lT12015 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE MASON COUNTY ENVIRONMENTAL HEALTH' DJA DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 .0 2 5 - 7 5 — 0 0 0 9 0 A design will be reviewed when 3 copies of each of the following are submitted: '1 Completed design form that has been signed and dated. Scaled layout sketch,including all applicable items on checklist '1 Scaled plot plan,including all applicable items on checklist. 'l 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" a d ', :- 'uaYi PARCEL IDE1 CATIQIN Designer's Name: Permit Number: SWG � Arrow Septic Designs -- Applicant's Name: Jose Mendoza Lopez Desi er's Phone Number: (360)898-2255 � Mailing Address: 40 E Rhododendron PI Designer's Address: 171 E Vuecrest Dr Shelton WA 98584 Union WA 98592 City State Zip City State Zip %a,,.vw r-r r.DES€l:PARAMETERS ... t. .. _ .... ._.-. . 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 ❑Gravity Q'Pressure fi'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 5 V Schedule/Class 40 Daily Flow:Operating Capacity 450 gpd t/ Length 50 ft Daily Flow:Design Flow 600 gpd\/ Diameter 1.25 in Septic Tank Capacity(working) 1,500 gal✓ Number 5 Receiving Soil Type(1-6) 3 V Separation 9 Receiving Soil Appl.Rate 0.8 gpd/ft2/ Orifices Required Primary Area 750 ft' ✓ Total Number of Orifices 50 Designed Primary Area 750 ft2 / Diameter 3/16 in Designed Reserve Area 750 ftz Spacing 60 in Trench/Bed Width 3 ft ✓ Manifold Trench/Bed Length 250 ft ✓ Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 5 % v Diameter 1.25 in New Slope,If Altered 5 % ✓ Preferred manifold configuration used? n0 Yes 0 No Depth of Excavation up-slope 13 in Transport Pipe from Original Grade Down-slope 11 in Schedule/Class 40 Designed Vertical Separation 13+ in Length 250 ft Gravelless Chambers Required? 0 Yes 0 No Eir Optional Diameter 2 in Pump Required? 55 Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Duff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 150 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,500 gal Uppermost Orifice h1 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 29.5 gpm BiTimer CiElapse Meter I 'Event Counter C:::Total Pressure Head 12.48 ft If Timer: Puma.an 2 minut s 6 hours :. P R VU APR 272023 MASON COUNTY ENVIRONMENTAL HEALTH t9C- 8 DJA DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 2 5 — 7 5 -- 0 0 0 9 0, 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch E6 Test hole locations It Drainfield orientation and layout Reference depth from original grade: O Soil logs lI Trench/bed dimensions and g Septic tank g Property lines critical distances within layout E2' Drainfield cover g D-Box/Valve box locations Reference depth from original grade g Existing and proposed wells p within 100 ft of property 1t Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks, and locations It Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom gLocation and orientation of g Clean-out location 0 Curtain drain collector❑ Sand augmentation curtain drain and all absorption gManifold placement components g Orifice placement Other cross-section detail: Et Location and dimension of l Observation ports/clean-outs 1t Lateral placement with distance primary system and reserve area to edge of bed Other Information i F11 Buildings g Audible/visual al. m referenced Yes No lZI Direction of slope indicator gScale of drawi i` Awn on scale g 0 Design staked out 0 Waterlines bares- % (if 0 Recorded Notices attached Et Roads,easements,driveways, � : g ❑ Waiver(s)attached -- .4h 1� 0 Pump curve attached parking .► o. wa,, '� � v 0 Evaluation of failure E� North arrow and scale drawing shown ,��, .;.. `'`, shown on scale bar i� ,.4 .'dam, Non-residential justification ;`� • s.ac34, ' 1� 0 Ef Waste strength }' PAUTA JOY JOHNSON .?y( 0 gFlow DESI undersigned designer must be no 'feed by installe at time of installation gYes 0 No Q4- 2.5-Z'3 Signature of Designer Date �.� :, f The undersigned has reviewed this design on behalf of Mason County Public Health and etermined it to be in compliance with state and local o 'te re ulations: APR 2 7 nvironmen_ Health Specialist Y/z7z9z_ii N LOUNTY EN:: .:ALTN, DJN CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped "Approved"by Mason County Public Health. V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ 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. 0 An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web sit pdated Date: 12/7/2015 -. . . . * - _ .. ._. .... _•. v - r . . . . ! • . _f . . • - 23,20 0)1 i I Viet . IL 4>0 rli; r i ° \ o. •• I-- fli'4 a .. .. : o NI ' ... ...... § ... sa ,.... •• • • /04.:t4, N. 4 x U i Um' .ct Brie, clical. 0 .4. 0 t4 §0 3-to 0 . i > c-f, - u.Sit,c1 Ogqt,••• 5 - .- .I.C\.• r•••••- cc --)t='cj P.-; < ila 6: ; • „,..;:,,,,......-........:s . 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W th LOT PLP,N \\ 1'\`�\\.� tia ) r1 s�r vt h{fw�tn• JosE MENDOZA LOPtZ \`\;\\ • • \v PP�RtB.#4l al5-15-MAD V\I w`iNwooc) D2. ..‘ L\=-TEs-t VI oLE \' -347" COLS 4- P.oSTS To c.,ocv\2AC,T10 N *),-- 2$"GLS +-RooTS To 7 c,om?W.:110Ni ' —2-(2"GLS-- QooT 5 TO 020 A. • PROV rr,`� 5oxio' APR 2 7 2023 proQoced 'ASON COU NVIRON ,ENTAL HEALTH Shop A') A 0 /• O Key. l - O Audio-Visual Alarm r 6� 0 Cleanout 16 3 1500 Gallon Septic Tank 2-Compartment with Effluent Filter I 04 15 00 Gallon Pump Chamber 40`1:50` T cz O Valve Control Box a Proposed 10e M;n to d fi 7-1 in ` 1A-°u 5e Dr i V a � q . > c ivct 4 �v� In - `y �50 mitt\ilk 'k, ,' SICC349 •.�r} ?r,Q„y1PAULA JOY JOHNSON ". l4t .5 W. wyNwoo� o9--" fC�NS> tSir_ION Eft 2 fronSpor-t• lint, Of") oily( Corrrroi bOk w/ 1.2s" ball va 1Ves. f ( 7- 0 i 1.2 ' _cadet- livu,S 910.C, Tpitg1 y c,rgyyvuf / . ,, F .,,TyP, . 6( ..beau obsfrog-;o n par-, 1 o1 125• Lateral i 3° �rr • I i ! I i ! I I ' or L, , �9 APR 2 7 2023 pOVEI 60� • T� :%'4)`R' �^^ '` ?N COUNTY ENVIRONMENTAL HE, . C DJA Typical Observotior, Port Detailed Drainfield Layout t/ Fncl'Grade Scale: 1' • 10' 1 Lv Q 1 I I Cover Sandy / Fitl Loamoam Filter Fabric // (.)1"i O. 10' 20' r Z, (5) 50' 1 .25" Schec. 40 .._aterals • 3/4• to 11,, 2-t/2• Off— 125. Lateral 13 C 10) 3/ 16 Orifices a 6C1 O.C. 1 Rock oran — — 5' Per Lateral. 1st & Last Or.fice i' / 30" from End of Trench. 4' 36 I 1 ,, 15 + d� p i_ I�r Screw-On Cap . 45 Degree EDow Drainfield Cross-Section View Le!erol Not To Scale End of Ouch 4..4%p �I Det:it - Clean OutNote 0 • .. Observation Port y�,� . To Be 4' PVC Pipe from Bottom of Trench .•* .�,4., Note C.feeriout to be from 0 to 6 Qnc es oefow To Fr fished Grade. Removable Cap shall be '�l i •�Z�tti%. Finished Grade. Marc ends with Rebar. Clean Out Installed on Observation Port Pipe. , w �1. .Anchor 0 I' •.cP,.;% Required at the End of Each Lateral. On Bottom with Glued-On Tee. i;`: M,' 41 Mtn6nt+n of 5 Total Required.in System. ..,'�' 51oo34s ?o- PAULAJOYJOHNSON ?'� Arrow Sept c Designs A., )giON ��� l (3 6 0) 898-2255 Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout(In.) 1 600 50 60 10 30 30 2 600 50 60 10 30 30 3 600 50 60 10 30 30 4 600 50 60 10 30 30 5 600 50 60 10 30 30 Total Lateral Length 250 Total#Orifices 50 GPM = 29.5 Dynamic Head Calculations Selected residual pressure: 2 ft. Length (Ft.) #Orifices Transport Pipe 250 50 3.78 ft. Feeder Total Lateral Line Length Lateral#1 50 2 52 10 0.29 ft. Lateral#2 50 7 57 10 0.31 ft. Lateral#3 50 12 62 10 0.34 ft. Lateral#4 50 17 67 10 0.37 ft. Lateral#5 50 22 72 10 0.40 ft. Total Elevation Lift 5.00 ft. Total Dynamic Head A 12.48 i l. yr% 5!O0349 PAULA JOY JOHNSON .ly RES Sr,P APPROVE): APR 272023 MASON COUNTY ENVIRONMENTAL HEALTH DJA 37 191 14 �Y 151, 1 ate --- _ Dose-Mateo,, e µu r.„......_ De- Flow M q, In high head dewatering or effluent This is our fastest growing line of effluent y� applications where pumping pumps.The 150 series is truly a workhorse performance is critical, this robust designed for reliability under extreme family of pumps is known for reliability, conditions in an effluent environment.150 durability and performance. These series pump curves cover a wide range pumps are especially suited for harsh f-" of applications. They are well suited to environments. Zoeller's cool run design -- applications with low pressure pipe (LPP) and corrosion-resistant,powder coated t� and enhanced flow STEP systems.Zoeller's epoxy finish add up to a long-Lasting, cool run design and corrosion-resistant, • trouble-free product. powder coated epoxy finish,in addition to H ,... the hermeticallysealed,oil-filled motorand Z non-clogging vortex impeller add up to a r W d long-lasting,trouble-free product.u., t �e —J Q MADE INTHE USA J`•r'; o Li. ur.rsmrumrawo MADE IN THE USA 2 W 2 APPLICATIONS: APPLICATIONS: A P P R®\'E G STEP or onsite applications • STEP or onsite applications = Water transfer • Light commercial dewatering • Light commercial dewatering SPECIFICATIONS: APR 2 7 2023 SPECIFICATIONS: • 1-1/2"NPT discharge MASON COUNTY ENVIRONMENTAL HEALTH • 1-1/2"NPT discharge • 3/10 HP through 1/2 HP • 1/2 HP through 1 HP • Available in nonautomatic or with a variable level DJA • Available in automatic or nonautomatic piggyback mechanical switch • Model 137,139,140:1/2"(12 mm)spherical solids • 1/2"(12 mm)spherical solids capacity with vortex capacity with vortex impeller thermoplastic impeller • Model 145:3/4"(19 mm)spherical solids capacity with For more information,see Technical Data Sheet FM2784. vortex impeller • Bronze construction available(139 series) • High head version available(145 series) • Double shaft seal versions available for added protection on models 140/145. For more information,see Technical Data Sheets FM2782,FM2783. E -- PUMP PERFORM ¢ URVE i !I PJMPPERFORMANCECURVE MODEL 15 /152/1)3 MODEL 137n40n45 50 :: ,o i•UUU■.■. 14 45 153 ,■■■■■■.■. :0a ■,........ 12— 40 11111........ 2 35 ` '• w ■.,I....... = 10— 152 . u ,"....111.... 2 30 8— 757 3 ..,�,■■■ 0 25 . p ■■■`■■■■.■ 1- 6— 20 8g'° MI..(,....11 e :, . .,1.. ,..■. 4— t5 , F .'''■"■.■ 10 111...\AREME 2_ , ■....,',`.. 5 II....I1.E . o ■....®...® GALLONS 10 20 30 40 50 60 70 80 90 100 ' m m x K u u u ro 'a LITERS 1 1 I 1 1 1 1 c.,u"s 0 40 80 120 160 200 240 280 320 360 :yens: x a :< >h 152556 FLOW PER MINUTE �usae „v.-c•wv.� G, 8 ©All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoellerpumps.com • _� sod Guidance IEffbadva Die Jtdy S.2007 - SECURED uD WITH GAS Miff SEAL 24•DIAMETER \ - • . FMK GRADE: - AXON .61. _ 4L''''"'"' '.---\j' k L, _ / • . --,.-4, . :. .1.::... ..., . 1 ... .... _... .:._ _ row---•L FOOS WHAM/SOURCE FLOATING MAT ' / • .A-------N"----- Nam- KOVED SEPTIC TANK rY"` � �`- APR 2 7 2023 if C'�.9.wrb•2 v `` `` �.1- MASO Ty FN�IRONMENTAL H ALTH_ av up wmt GAS TIGHT SEAL C. ILS 24.oLviEsER • JA ACCESS MEER sNl1MCE FaUSN GRADE [ - _ VALVE• 1 li 1 ` • TO Owuwt:LO N wea.Tr --� ;� di . \ E . tSTORAGE +car { . ANTI SWOON VALVE• . NM WATER ALARM LEVEL - s ..0 NORMAL TREK OFF LEVEL WORKING vOLUNE 1 ♦~' -- - FOR*OAT ( J U vENDLOSED PUMP SeIA • �`}_". ` � .CFIECK VALVE• • F .4.q•- kCi-sean , SEDDIENTS -A-4 trinr .-:' suamosas CENTRIPINIAL EUM OMANIER ICALI 'AO MINED Septic Tanks must meet standards required by WAC chapter 246-272C and _ manufacturer must be on Dept of Health list of registered sewage tanks. FIGURE.2 14 N -� gir ep �n S tic 1`�e�s" i,t Cbut �.w % INSTALLATION & MAINTENANCE .• 510039 ti�} Pressure Distribution Systems '�o? PAULA JOY JOHNSON . 1. Install Laterals with contour of the ground. 2. Install trench bottoms level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the drainrockinative soil interface. Glue "T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals (cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. 8. Tnstall 1/8"mesh non-corrosive pump screen (min. 12 sq. ft. surface area, not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank. Pull bio-tube every 6-12 months and flush back into tank. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 10. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue), after pressure test and Environmental Health Dept. approval, turn orifices down (6 o'clock) and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade, run the filter fabric at least 2 inches down the trench wall. 13. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 14. Divert all storm water runoff away from on-site sewage system. 15.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 16. Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. • 17.No vehicular traffic over drainfield area. 18. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet County and State regulations. 20. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 22. All pressure systems with a pump chamber outlet higher than the drainfield must have a 1/8" hole drilled in the discharge pipe above the pump to prevent siphoning. 23. Al transport lines under driveways or paring areas must bP,erppl '"ping. 24. Homeowner is responsible for all property Lines. r°' APR 2 7 2023 LT66-6 MASON COUNTY ENVIRONMENTAL HEF.I DJA