HomeMy WebLinkAboutSWG2023-00243 - SWG Application / Design - 6/14/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHETREE 42 T 967 ,EXT 400
BELFAIR:360-275-4467,EXT 400
4< ` Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00243
APPLICANT ROBERT FLATH Phone:
Address: 113 E TERRACE DR BELFAIR, WA 98528
SEPTIC DESIGNER Jim Zimny -Advantage Perc & Design Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380
Site Address: 1161 E Mason Lake Rd
Primary Parcel Number: 321343100050
Permit Description: New SFR -3BR Pressure
Permit Submitted Date: 06/12/2023
Permit Issued Date: 07/03/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (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 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.
OFFICIAL USE ONLY
DATE RECEIVED:
MASON COUNTY 12 I --3 c N
COMMUNITY SERVICES ..I.REC- � `�`E"EDBY: � o N
PublicHealth(Community Health/Environmental Health) �— C (n
4156thSt,t 4�a 360-275-4467,93584 .� SWG oSDa) - �� 14 C3 �' °
415 N 6th Sbett-Shctton,WA 98584
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION Z
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APPLICANT PHONE m
Robert Flath 360-277-7206 z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE 3
113 E Terrace DR m
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SITE ADDRESS-STREET,CITY,ZIP CODE •('•
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E MasonLake rd Q /ME V IC"")
NAME OF DESIGNER PHONEr I
Jim Zimny 360-516-7287 �1 JUN 12 ?fl?_3 il
NAME OF INSTALLER PHONE v I`�
BY:
PERMIT TYPE(select one)
DRINKING WATER SOURCE - I V
Of RESIDENTIAL OSS hi COMMUNITY OSS n COMMERCIAL OSS frl PRIVATE INDIVIDUAL WELL B PRIVATE TWO-PARTY WELL Z I i
a PUBLIC WATER SYSTEM __ t
TYPE OF WORK(select one)
la NEW CONSTRUCTION/UPGRADES h REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I Cr')
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE co
hr DESIGN FORM(REQUIRED) PI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r0
r--
5 WAIVER(S)(IF APPLICABLE) L_, G - I 0 I I
DIRECTIONS TO SITE AND SITE CONDITIONS(ex ticked gate)
From Hwy 3 go north on E Mason Lake rd. Site is 1 mile north and on the rt. (Just before I G
1160 E Mason Lake rd) r ID
Marked with pink ribbons. o
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Irk
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS 1.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reportng purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ['OTHER:
, INSPECTOR SOIL LOGS COMMENTS CONDITIONS
569'
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.
IN ECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE A I ATI APPROVED/ISSUED BY DATE
f I /1 1 -� i�j
T 1S MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1Z17n(f15
DESIGN FORM—PAGE ONE Assessors Parcel Number Z I 3 �l - .L I __ U O O S- 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. 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 p9er size: 1I"X 17"
��1 ,^� PARCEL IDENTIFICATION
Permit Number. SWG a�2-3 -Q 0 -j Designer's Name: Jim Zimny
Robert Flath 360-513-7287
Applicant's Name: Designer's Phone Number:
MailingAddress: 113 F Terrace Dr 7178 Windflower pl NW
Designer's Address:
Belfair WA 98528 Seabeds WA 98380
CLEAR FORM
City State Zip City State Zip
DESIGN PARAMETERS
'T'reatment Device
0 Glendon Biofilter 0 Sand Filter 0 Mound Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type I
❑ Gravity Er Pressure 'Trench 'Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2. Schedule/Class 40
Daily Flow:Operating Capacity / bC gpd Length 95 ft
Daily Flow:Design Flow 360 gpd Diameter 141,
"1 1 1/4 in
Septic T...,4.Capacity(working) ��U 1f�a,m1��� r ,1 Z
u ptic Tank.Capacity • " 'c �• ,(•+
Receiving Soil Type(1-6) � Separation � 2. '7 ft
Receiving Soil Appl.Rate 0• l d/ftz t
gp .� , 1 ' %:+tOrifices
Required Primary Area 1/ ft2 Total N et * ",c"osa, 3
Designed Primary Area 4�UL' ft2 Diamete'F •L Z" '� 1/8 in
Designed Reserve Area ZOO ft2 Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length / g S ft Schedule/Class L/U
Elevation Measurements Length 1 ft
Original Drainfield Area Slope 1 % Diameter Z in
New Slope. If Altered 1 % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation up-slope I Z in Transport Pipe
from Original Grade Down_slope Cf in Schedule/Class ya
Designed Vertical Separation 2y in Length 3 0 ft
Gravelless Chambers Required? 0 Yes S No ❑Optional Diameter 2 in
Pump Required? Er Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 6 ft Dose gnnntiry 36 oal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity (flood) 10 00 gal
Uppermost Orifice 'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head ie, gpm efimeI :213apse Meter Ef'Event Cottnrer
Calculated Total Pressure Head _/C ftIfT 1P On ,pumpoff4 hrS
Comments V��� 0 3
MAN
CO(INrvr✓r�o►o 1
MEIUTAC HEALTH
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DESIGN FORM—PAGE TWO Assessor's Parcel Number. 3 L- i . '`i — 3 1 — U C-) 0 S 0
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan I Scaled Layout Sketch I Cross-Section Sketch
P1 Ted hole 1 t rt Drainfield +.,t:,,.. d layout c.^ ecµUVSS) :,::.s:I4.a,,..and a;:.::.. Reference depth from original grade:
0 Soil logs Lot Trench/bed dimensions and lg
Septic
- Se tic tank
I-. P1__1.1ty11___ nritina dict""n-ee within lavnnt or 1,p:_c_u
it 1J30.1111V1L _4J Y VI
✓ Existing and proposed wells F D-BoxfValve box locations Reference depth from original grade
within 100 ft of property V Septic tank/pump chamber and restrictive strata:
El Measurements to cuts,banks,and locations ®' Laterals,tench bed,top and
surface water and critical areas V Observation port location bottom
0 Location and orientation of le( Clean-out location ❑ Curtain drain collector
curtain drain and all absorption V Manifold placement V Sand augmentation
components V Orifice placement Other cross-section detail:
Ef Location and dimension of V Lateral placement with distance V Observation ports/clean-outs
primary system and reserve area to edge of bed
fib Buildings Other Information
t»1 Audible/visual alarm referenced Yes No
PJ Direction of slope indicator V Scale of drawing shown on scale 0 0 Design staked out
El Waterlines '
bar 'h� ❑ ❑ Recorded Notices attached
P t Roads easements,drivewavc_ eit 0 0 Waivers)attached
parking �. , fill 0 Pump curve attached
12 ..
❑ ❑ Evaluation of failure
�( North arrow and scale drawing %P ' • ��'shown on scale bar o? 3 Fyr, Non-residential justification
0 ..vi'zw.,.i
' LIC ED IES;GYER 0 0 Waste strength
t n,(.,:•• 'z., � B ID Flow
DESIGN APPROVAL
The undersigned designer must be notified; y insta er at time of installation EVYes 0 No
Signatu 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-site re ulations:
``i (� `� Z 7-3-�
Environ ,�1 • ealth 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: (' - ;-7-_-z(0
✓ 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 - �,irci
'. t<i PKhlic Health.
unless prior authorization V L1 fJ N.►A.V£a is VV VKaSSVM from �
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An Installation Fee is required. JUL 0 3 2023
This form may be scanned and available for public view on the (4a ltcSiIitifWe• -4:-.
JBW 11.1.:ted Date: 12/7/2015
Advantage Perc & Design
i nneiy-Reasonabe•30 Years of Local Experience
Construction Notes for Pump to gravity 2 Bedroom System:
Install 3 -45' laterals w/graveless chambers (Rock and pipe may be substituted)
Install 1%"Sch 40 pressure laterals with 1/8" orifices on 48" centers
Install on 9'foot centers.
Install max 12"trench depth on low side of trench and maintain 24" of vertical separation
Install level and along contours.
Install in dry weather only.
Use 1000-Gallon septic and 1000-gallon pump tank.
Use Rhombus SJE Control Panel or equivalent w/audible and visual alarms for low and high water.
System designed for typical residential waste strength sewage only.
System designed for 240 Gallons Per Day
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APPROVE
JUL 0 3 2023
MASON COUNTY ENVIRONMENTAL HEALTH
JBW
Advantage Perc&design • APDdesigns(c icloud.com 0 (360) 516-7287
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Pump Selection for a Pressurized System-Single Family Residence Project
Parameters
Discharge Assembly Size 2.00 arches 150 i ' 1 .
Transport Length 30 feel '
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Transport Pipe Class 40 - - I
Transport Li Siz
e ze 2.00 inches li -
Distributing Valve Model None II.
Max Elevation Lift 10 feet
Manifold Length 2 feet :: Jjfl'
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� 1111�111i11� 11111111
Calculations2
Minimum Flow Rate per Orifice 0.43 gpm E 1 I igpmaftt1iii1I
%:::
Head Losses '�/�
Discharge 0.5 feet Hill H 1111111111� Ii 1i 1.111 iiill
Loss in Transport 0.1 feet !i I
Loss through Valve 0.0 feet 25 I� I.
l IlilhIIllhI1IIIP
Loss in Manifold 0.0 feet h r
Loss in Laterals 0.1 feet . [ t jmilli 1
Loss through Flowmeter 0.0 feet
'Add-on'Friction Losses 0.0 feet
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Pipe Volumes t i 1 i 11 . {1 � I ( I III I
Vol of Transport Line 5.2 gals Q 5 10 15 20 25 30 35 40
Vol of Manifold 0.2 gals Net Discharge(gpm)
Vol of Laterals per Zone 10.5 gals
Total Volume 15.9 gals
Minimum Pump Requirements PumpData Legend
Design Flow Rate 15.6 gpm PED 2005 System Curve:
Total Dynamic Head 15.7 feet 1/2HP,115V 10
Or
Lq v f+ Pump Curve:
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