HomeMy WebLinkAboutSWG2023-00252 - SWG Application / Design - 6/16/2023 MASON COUNTY 415 N 6TH STREET SHELTON,
967 ,E 98584
(1.riyi ...: 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: SWG2023-00252
APPLICANT SCHANKEL SALEM & ERIN Phone: 1.360.490.6770
Address: 161 E FROG ACRES SHELTON, WA 98584
OWNER SCHANKEL SALEM & ERIN Phone: 1.360.490.6770
Address: 161 E FROG ACRES SHELTON, WA 98584
SEPTIC DESIGNER JAMES MEDCALF-Active Underground Phone: 360-426-9277
Address: PO BOX 1552 SHELTON, WA 98584
JARSEPTIC INSTALLER LLCED HANSON- Hanson Excavation Phone: 360-239-6792
Address: 86 SE BANJO LANE SHELTON, WA 98584
Site Address: 100 E TIMBER RIDGE
Primary Parcel Number: 420014090060
Permit Description: Renewal 4bd pressure sand lined bed
Permit Submitted Date: 06/16/2023
Permit Issued Date: 06/22/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/22/2026 (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.
IFINAL 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 `-X '
DATE RECEIVED: /_ 7 2
'>:, MASON COUNTY u)
-, COMMUNITY SERVICES AMOUNT RECEIVED: 760
RECEIVED BY: ✓'
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-�~ Public Health(Community Health/Environmental Health) 90,43
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365 N.6th 70,Streext t-r00an,WA98_584 e.t.400S\� �( a O O--- 4t5 N.6th Street-Shrlton,WA 9858a Uf (.�_/}✓�/`)�.
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ON-SITE SEWAGE SYSTEM APPLICATION D
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APPLICANT PHONE
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Salem Schankel 360-490-6770 z
MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE 3
161 E Frog Acres /�s' Shelton Wa 98584 �,, m
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SITE ADDRESS-STREET CITY.ZIP CODEi ' 99 N)
100 E Timber Ridge
Shelton Wa 98584 I ..4.NAME OF DESIGNER N 16 2023 I PHONE I N
James Medcalf By 360-426-9277
NAME OF INSTALLER PHONE 0 I C
Hanson Excavating 360-239-6792 _
PERMIT TYPE(select One) DRINKING WATER SOURCE �7 - 0
wr RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS b PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z I —
TYPE OF WORK(select one) Q PUBLIC WATER SYSTEM I
PT NEW CONSTRUCTION/UPGRADES H REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
CrIDESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE X 0 O
EWAIVER(S)(IF APPLICABLE) 4 100' 120' 0
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DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate)
Re-Submittal Of Expired Sewage System Permit SWG2020-00057 (No Changes) I O
r O
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0)
0)
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 I FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT [HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
0 v`Wk S a .J I 100
7
7Z-o� ocoST
0
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
......--- & IT/L(4S ( jc-7 N4irif Call\ 6(7,747/---:
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 0 0 1 — 4 0 — 9 0 0 6 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. 'I 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 I7"
PARCEL IDENTIFICATION
Permit Number: SWG ao - QOa5c 2 Designer's Name: JAMES MEDCALF
Applicant's Name: SALEM SCHANKEL Designer's Phone Number: 360�26-9277
Mailing Address: 650 E HIAWATHA BLVD Designer's Address: P.O.BOX 1552
SHELTON WA 98584 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biolilter 0 Sand Filter 0 Mound lr Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:__
Drainfield Type
❑ Gravity Vi Pressure 0 Trench I 'Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class 40
Daily Flow:Operating Capacity 36;0 gpd Length 48 ft
Daily Flow:Design Flow 1-{S1 gpd Diameter 1.25 in
Septic Tank Capacity 1200 gal Number 3
Receiving Soil Type(1-6) 1 Separation
BED ft
Receiving Soil Appl.Rate 1.0 gpd/ft2 Orifices
Required Primary Area 480 ft2 Total Number of Orifices 72
Designed Primary Area 480 ft2 Diameter
1/8 in
Designed Reserve Area 480 ft2 Spacing 24 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 48 ft Schedule/Class 40
Elevation Measurements Length 8 ft
Original Drainfield Area Slope 0-1 % Diameter 2 in
New Slope,If Altered SAME % Preferred manifold configuration used? l'Yes 0 No
Depth of Excavation Up-slope 48 in Transport Pipe
from Original Grade Down-slope 45 in Schedule/Class 40
Designed Vertical Separation 12+ in Length 120 ft
Gravelless Chambers Required? 0 Yes Ffi No 0 Optional Diameter 2 in
Pump Required? 66 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 58.4 gal
Orifice 8 ft Chamber Capacity 1200 gal
Uppermost Orifice El Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @Total Pressure Head 29•2 gpm [�Elase Meter l Event Counter Timer p
Calculated Total Pressure Head 15.8 ft If Timer: Pump on 2MIN ,pump off 3HOUR 58MIN
Comments
FIELD SET TIMER AFTER FLUSHING LATERALS AND PERFORMING DRAW DOWN
1/it
1
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 0 1 — 4 0 — 9 0 0 6 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations g Drainfield orientation and layout Reference depth from original grade:
El Soil logs Iii Trench/bed dimensions and L Septic tank
64 Property lines critical distances within layout g Drainfield cover
g Existing and proposed wells ❑ D-Box/Valve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts.banks, and locations 1;6 Laterals,trench/bed,top and
surface water and critical areas Z Observation port location bottom
❑ Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement g Sand augmentation
components g Orifice placement Other cross-section detail:
g Location and dimension of E71Lateral placement with distance L Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildings g Other Information
64 Audible/visual alarm referenced Yes No
O Direction of slope indicator g Scale of drawing shown on scale d 0 Design staked out
g Waterlines bar 0 0 Recorded Notices attached
Ei Roads,easements,driveways, hAir .1 ❑ ❑ Waivers)attached
parking -. .•�I� C� 0 Pump curve attached
9�I 0 0 Evaluation of failure
• North arrow and scale drawing ifT A
shown on scale bar 1, Non-residential justification
Hof . t_ •?S 0 0 Waste strength
h�• 41I 0 0 Flow
The undersigned designer must be n• ted b:•'•r� ��y' '7��►1c1� "'�''�''.":4'. 'IC Yes 0 No
_// 6/LJijz3
i :ire of II• igner 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-site regulations:
Environmental Heal 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: 6 f2Zf
0 ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
i Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public Health.
IAn 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
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// BY:JM DESIGN PAGE 11 OF (0
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OTE: 6 INCHES OF SIDE SAND REQUIRED PRESSURE BED CROSS SECTION
IF SAND AND DRAINROCK INTERFACE IS FOR:Sehankel,Salem PROJECT#Lot#6
BELOW LOAMY SANDY MATERIAL AND OR
INTO SOIL TYPE 1. PARE#42001-40-9006o DATE: 06/14/2o23
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Pump Selection fora Pressurized System -Single Fanyy Residence Project
Schankel,Salem/Parc#42001-40-00000 Lot#6
Parameters
DscitmeAsserrt9ySze zoo idle, 50
i .
Tras{z7tti gt 120 fee
TrasportPipeClass 40
TrasattUreS¢e 200 idles
Dstrt k ValvfiVIcdel Ncre
Max Bataan Lit 8 feet
lAsnicldLglgt 8 feet
WtribdFipeClas 40 40
MerthdPipeSize 200 riches
NurberdL ds PerCdi 3 f
eal L Lerch 48 fad 1
Latral RpeClass 40
LahralPceS¢e 125 inches
Dike See to `Ales 0
OrikeSpaarg 2 fad
ResiielHead 4 feet S 30 '
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FbwMeer Ncre tdt,
Ad3cri Fri tat Lcsses 0 fed -p
to
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Calculations =U . — .
MnrnmFbwRatcerOrike 039 gm c
m
NurtxrdOcikxtepe-Zae 75 >,
TdalFbwRab par Zone 232 con O 20\�' f
NurtudL als per Zcre 3 I ��IL�
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%FbvDllfrrelal1sftastOri a 28 % I—
TrarsLiort\bat y 28 IDS ii
Frictional Head Losses
Loss troutitDischarge 17 fed
LcssinTraspc t 1.8 feet 10
Lcsstrag1Vthe 00 fed
lrssinMarifdd 0A fad
Loss inlay-As03 fad
I mstracji Flormatar 0A fed .
'Add-cri FrictonLcssEs 0.0 fad
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Pipe Volumes _ !
Vd dTrd rthfie 20.9 gals 0 0 20 40 60 80 100 120 140
VddL paZcz 112 ill, Net DisJct at ►ge(gpm)
Tdal Vdure 33.5 gas �. •9�
d Fyn` /.
Minimum Pump Requirements Pum•■-ta Q y� Legend
DesigiFbvRat 232 gprn PSE40SBAKePur #4-- /'- SyslanCdye
Tcti Dyranc Head 158 bat 4l1CHF11523 V1Q���: r; ,1
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4 UNDERC3ROUN0, LL_C
P.O. Box 1552. Shelton, Wa 98584
Office: (360) 426-9277
INSTALLATION NOTES
Pressure Distribution System:
1. The prepared site plan is not a survey. It's the owners responsibility to verify property lines
prior to installation.
2. Install system during dry weather and soil conditions.
3. Time of installation final inspection and as-built stamp will need to be completed by the
designer.A fee of$300.00 for this service will apply. Only includes one site visit for final
inspection.
4. Keep wheeled vehicles off the drainfield area before,during and after installations.Tracked
equipment only with caution.
4 5. All ground, surface water and roof drains must be diverted away from the tanks and
drainfield. Ensure the final grade slopes away from these areas and water doesn't pool on or
around them. Use swales,berms, along with catch-basins and tight-lines, curtain drains, ect.
to divert ground and surface water.
6. Curtain drains can be no closer than io' uphill or 30' downhill from the drainfield.
7. Exposed restrictive layers, cuts,banks, ect. can be no closer than 50' downhill from the
drainfield.
8. Install two 24" access risers on both the septic tank and pump tank.
9. Make sure access risers are epoxyed or caulked to cast in riser rings on tanks.
10. Lids must form a water and gas-tight seal with the access risers.
ii. Install effluent filter specified in this design at the septic tank outlet.
12. Install control panel specified in this design.
13. Install check-ball valve with union (checkmate) on pump discharge in pump tank riser.
14. If drainfield is lower than the pump, install an anti-siphon valve in the pump discharge
above the high level mark.
15. Install pump in a vault/ pump silo designed to draw effluent from 18" off the bottom of the
pump tank.
16. This system must be installed by a licensed septic systems installer.
17. Deviation from this design without prior approval from the Designer and County Health
Department will make this design null and void.
System Owner Responsibilities:
1. Operation and Maintenance is required by the State of Washington and the County for all
septic systems.
2. A current list of certified O&M technicians is available from the County.
3. System owners are responsible for having maintenance performed according to the schedule
set forth by the County.
4. System owner is responsible for responding to septic issues and alarms in a timely manner.
5. System owner shall not at any time change or alter setting in the control panel, Only certified
maintenance providers should perform these changes.
6. System owner agrees to read and abide by information regarding their system in User
Manual provided by the County. APPROVED
JUN222023
MASON COUNTY ENVIRONMENTAL HEALTH /0/fo
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