HomeMy WebLinkAboutSWG2023-00190 - SWG Application / Design - 5/17/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON: SHE TON, ,EXT 400
584
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00190
APPLICANT Barber, Mike Phone:
Address: 1420 Cloquallum Rd SHELTON, WA 98584
OWNER Barber, Mike Phone:
Address: 1420 Cloquallum Rd SHELTON, WA 98584
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: UNKNOWN
Primary Parcel Number: 320303290011
Permit Description: New SFR -3BR OSCAR II
Permit Submitted Date: 05/17/2023
Permit Issued Date: 06/05/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/02/2026 (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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY -
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 5 ow , i '11 c >
ONSITE SEWAGE SYSTEM APPLICATION A.95IVE� RECEN%.0,0‘ Wv m415 N 6th Street,(Bldg 8) Shelton WA,98584 CShelton:360-421-9670 ext 400 Belfair:360-275-4467 ext 400 JVV CG v _ 5
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APPLICANT ^G PHONE > D
MIKE BARBER ''_.0 3606284929 m o
MAILING RESS-STREET.CITY,STATE,ZIP CODE m
1420CLOQUALLUM RD SHELTON WA 98584 3
SITE ADDRESS-STREET.CITY.ZIP CODE CO
XX CLOQUALLUM RD SHELTON WA 98584 m
NAME OF DESIGNER PHONE ( ,]
ADAM HUNTER 3607531226 /
NAME OF INSTALLER PHONE
TBD TBD
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0
N r NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY ❑ PRIVATE INDIVIDUAL WELL (n IV)
❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY isfPRIVATE TWO-PARTY WELL Z
❑ TABLE 9 REPAIR ❑ SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY El COMMERCIAL SYSTEM NAME: Q
El TO EXISTING CI OTHER: BEDROOMS LOT SIZE I v
❑ EXISTING FAILURE "Record Drawing required3 1. N
07
for all Installations" O I'_
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) C) I
CLOQUALLUM RD TO A RIGHT AT DRIVE FOR 1420 x I'�
farfit of' <<r 20 hr ((Olvoviti td I
o Ic'
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS r-
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT El OTHER.
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
\( L 5 � Lord � 0 �'
2C� \Tt,' C� � ° '� C
2_, MAY• 17 ZOZ3
a)
SOIL CODES;
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
I PE TOR SIGNAT RE DATE APPLICATION EXPIRATION DATE APPLIC 1Otif APP OVED BY DATE
i / ,
^ ( LICV54(\, -.7-3 ‘-_- - ,,
T S'C AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
AM.
DESIGN FORM—PAGE ONE Assessor's Parcel Number:3eg L 3_0, -- 3 -- 9 O 014
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
''Scaled plot plan,including all applicable items on checklist. 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 A.,q 2-3- LO 1 61 O Designer's Name: ADAM HUNTER
Applicant's Name: MIKE BARBER 360-753-1226
Designer's Phone Number:
Mailing Address: 1420 CLOQUALLUM RD PO BOX 162
Designer's Address:
SHELTON WA 98584 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:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type OSCAR II (NO PRETREATMENT)
❑Gravity 0 Pressure 0 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 PER OSCAR
Receiving Soil Type(1-6) 4 Separation PER OSCAR ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices PER OSCAR
Designed Primary Area 600 ft2 Diameter PER OSCAR in
Designed Reserve Area 600 ft2 Spacing PER OSCAR in
Trench/Bed Width 15 ft Manifold
Trench/Bed Length 40 ft Schedule/Class 40
Elevation Measurements Length 37 ft
Original Drainfield Area Slope 6 % Diameter 1 in
New Slope,If Altered 6 % Preferred manifold configuration used? I '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 50 ft
Gravelless Chambers Required? ❑Yes ilNo 0 Optional Diameter 1 in
Pump Required? 1iYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1 gal
Orifice 5.3 ft Chamber Capacity 1200 gal
Uppermost Orifice',Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 12 gpm Timer i Elapse Meter IVEvent Counter
Calculated Total Pressure Head 20.033 ft If Timer: P o 0 VuE 3MIN 38SEC
Comments
JUN Q,,2023
VASON COUNTY ENVIRONMENTAL HALT'
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number:a ® 3 ,-- 342-- i_oQ Li_
Permit Number: SWG
DESIGN CHECKLISTS
f
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations Ur Drainfield orientation and layout Reference depth from original grade:
• Soil logs E21 Trench/bed dimensions and B( Septic tank
' Property lines critical distances within layout ®' Drainfield cover
62f Existing and proposed wells EX D-BoxNalve box locations Reference depth from original grade
within 100 ft of property V Septic tank/pump chamber and restrictive strata:
Eif Measurements to cuts,banks,and locations a Laterals,trench/bed,top and
surface water and critical areas a Observation port location bottom
II Location and orientation of liCr Clean-out location 0 Curtain drain collector
curtain drain and all absorption F' Manifold placement 0 Sand augmentation
components g Orifice placement Other cross-section detail:
• Location and dimension of ' Lateral placement with distance M' Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
g Buildings M' Audible/visual alarm referenced Yes No
Direction of slope indicator E Scale of drawing shown on scale l21 ❑ Design staked out
12f Waterlines APPROVED
❑ 0 Recorded Notices attached
Roads, easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ 0 Pump curve attached
North arrow and scale drawing JUN 0 2 2023 o o Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HEALTH Non-residential justification
J B W ❑ ❑ Waste strength
❑ ❑ Flow
ih DESIGN APPROVAL
The undersigned designer must b: n. by installer at time of installation lit Yes 0 No
5/8/23
Si; e of Designer Date
The undersigned has reviewed this .-sign on behalf of Mason County Public Health and determined it to be in
compliance with state and local on- ' e regulations:
=. Alt �,1<< 5� (1):2 -23
E ir• " 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: —30 Z(e
✓ 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
PAGE 1
f
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#:320303290011
DATE SUBMITTED:5/12/2023 LEGAL/LOT#:SP#2542
L� pRO
SUBMITTED BY: ADAM HUNTER
APPLICANT: MIKE BARBER
ADDRESS: 1420 CLOQUALLUM RD
SHELTON,WA JUN 0 2 2023
I.CALCULATIONS = MASON COUNTY ENVIRONMENTAL HEALTH
NUMBER OF BEDROOMS 3
RESIDENTIAL GPD FLOW= 360 JB W
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 40'X 15'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200GAL.2 COMP.SEPTIC TANK
NEW OR EXISTING=
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 95.00 1.00 12.000 7.3666
RETURN 95.00 1.00 12.000 7.3666
TOTAL= 14.7332
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 14.733
2)ELEVATION DIFFERENCE = 5.300
TOTAL= 20.033
5/8/23
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`.7. ADAM J.HUNTER 1
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PACE 2
r
V.CHECK THE PUMP CAPACITY.
PUMP: A.Y.MCDONALD 30GPM-1/2HP PUMP(MODEL#22050E2AJ) (PER OSCAR)
EXCESS TDH 50.00 (PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM 20.03
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
i
APPROVE
JUN 0 2 2023
MASON COUNTY ENVIRONMENTAL HEALTH
JBW
I5/8/23
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