HomeMy WebLinkAboutSWG2023-00249 - SWG Application / Design - 6/14/2023 (2) MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
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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: SWG2023-00249
APPLICANT PARKHURST JAMES J Phone:
Address: 3403 STEAMBOAT ISLAND RD NW PMB 358 OLYMPIA, WA 98502
OWNER PARKHURST JAMES J Phone:
Address: 3403 STEAMBOAT ISLAND RD NW PMB 358 OLYMPIA, WA 98502
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 360 SE Fuchsia Ave
Primary Parcel Number: 319045400032
Permit Description: New SFR -3BR Oscar II
Permit Submitted Date: 06/14/2023
Permit Issued Date: 07/05/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 06/26/2026 (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/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: D I LI /G2O, -,3
ONSITE SEWAGE SYSTEM APPLICATION AMOU TRECEI'� Vb RECEIVED BY: Cn
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415 N 6th Street,(Bldg 8) Shelton WA,98584 `�` �✓✓'� � < r�
Shelton:360 427 9670 ext 400 Belfair:360 275 4467 ext 400 m
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APPLICANT PHONE > >
JAMES PARKHURST 3604904919 m E,ZIP CODE rn
MAILING3403 STEAMBOAT TISLAND RD NW OLYMPIA WA 98502 c
SITE ADDRESS-STREET.CITY.ZIP CODE CO
360 FUCHSIA AVE SE SHELTON WA m
NAME OF
PHONEAM HUNTER 3607531226 7 MIVW-1__ (PI NAME OF I�
TBDINSTALLER PHONE LC-1U N 14 2023 L,
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CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE BY: C
PRIVATE INDIVIDUAL WELL 5 I�
NEW CONSTRUCTION 0 RV HOLDING TANK ONLY ❑ O
❑ REPLACEMENT SYSTEM El INSTALLATION PERMIT ONLY CI PRIVATE TWO-PARTY WELL 0 I f
❑ TABLE 9 REPAIR 0 SINGLE FAMILY a' COMMUNITY/PUBLIC WATER SYSTEM 'C`
❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: FAWN LAKE r
I }
CI UPGRADE TO EXISTING 0 OTHER: —__ BEDROOMS LOT SIZE
, ❑ EXISTING FAILURE "Record Drawing required 3 0.25 0
for all Installations" O
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 (C
FAWN LAKE, TO LEFT AT "T" FOLLOW CRESCENT UNTIL IT TURNS INTO FUCHSIA, C.
FOLLOW FUCHSIA TO LAST LOT ON THE RIGHT. I-
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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 I FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
COMMENTS/CONDITIONS
INSPECTOR SOIL LOGS
2 `l 5
u V
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
ZQ{,TE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY0 b til
DATE
I CTOR SIGNATURE /'„ � 5
AL/
�' ��
T S F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT-
REVISED 1217/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 g L t ''-- -- O v fZ� ,
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 aoa3- Dat6 Designer's Name: 360-753-1226
ADAM HUNTER
JAMES PARKHURST Desi
Applicant's Name: '`�` PO BOX 162
Mailing Address: 3403 STEAMBOAT ISLAND RD N Desig}
OLYMPIA WA 98502 a, JUN 1 4 2023 OLYMPIA WA 98507
City State Zi, Ci State Zi
r i .,-
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 OSCAN II-NO PRE I REA I MEN I
❑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 1500 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 20 ft Manifold
Trench/Bed Length 30 ft Schedule/Class 40
Elevation Measurements Length 25 ft
Original Drainfield Area Slope 1 o/u Diameter 1 in
New Slope,If Altered N/A % Preferred manifold configuration used? llYes ❑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 25 ft
Gravelless Chambers Required? 0 Yes itNo 0 Optional Diameter 1 in
Pump Required? It Yes 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 5.5 ft Chamber Capacity 1200 gal
Uppermost Orifice IltHigher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity C Total Pressure Head 12 gpm Timer tlapse Meter 6 'Event Counter
Calculated Total Pressure Head
11.703 ft If Timer: Pu n RIM,Vio IN 38SEC
Comments
JUL 05 2023
MASON-COUNTY ENVIRONMENTAL HEALTH
JBW
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:L1_1 Q -- 59 -- v 4 ().7
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
RI Test hole locations a Drainfield orientation and layout Reference depth from original grade:
12( Soil logs f21 Trench/bed dimensions and 12i Septic tank
12( Property lines critical distances within layout a Drainfield cover
f� D-Box/Valve box locations
El Existing and proposed wells Reference depth from original grade
within 100 ft of property 1' Septic tank/pump chamber and restrictive strata:
12 Measurements to cuts,banks, and locations ®' Laterals,trench/bed,top and
surface water and critical areas a Observation port location bottom
11 Location and orientation of ' Clean-out location 0 Curtain drain collector
curtain drain and all absorption 2i Manifold placement ES Sand augmentation
components II Orifice placement Other cross-section detail:
II Location and dimension of EZi Lateral placement with distance 1 ' Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
1i Buildings fil Audible/visual alarm referenced Yes No
121 Direction of slope indicator 1I Scale of drawing shown on scale 0 Design staked out
121 Waterlines bar 0 0 Recorded Notices attached
12f Roads,easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
121 North arrow and scale drawing
0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
i ESIGN APPROVAL
The undersigned designer mu- be .tifie. by ' '.taller at e of installation ofYes 0 No
5/29/23
S gna.( e of " Designer Date
The undersigned has reviewed thi• desi a on behalf of Mason County Public Health and determined it to be in
compliance with state and local on sit- -1-1 lations:
�, . L \A,..- 7- S-2-3
Enviro. nit I ft alth Specialist Date
CAUTION: DESIGN APPROVAL S 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: G--2. _2
✓ 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 f nitt tQublic Health.
An Installation Fee is required. JUL 0 5 2023
This form may be scanned and available for public vieIppipUp
JBW dated Date: 12/7/2015
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MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 319045400032
DATE SUBMITTED:5/29/2023 LEGAULOT#: FAWN LAKE#5
TR 32
SUBMITTED BY: ADAM HUNTER
APPLICANT: JAMES PARKHURST
ADDRESS: 3403 STEAMBOAT ISLAND RD NW
OLYMPIA,WA 98502
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD= ,
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=t F4VE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 20FT X 30FT
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1500 GAL-CONCRETE
NEW OR EXISTING= SEPTIC TANK
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 40.00 1.00 12.000 3.1017
I RETURN 40.00 1.00 12.000 3.1017
TOTAL= 6.2035
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 6.203
2)ELEVATION DIFFERENCE = 5.500
TOTAL= 11.703
fo A
of, 5/29/23. . ....,,.,,. APPROVE
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JUL 0 5 2023
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O S: ADAf,I J.HUNTER et.
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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 11.70
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
IApoi
5/29/23 P P R O V E
JUL 0 5 2023
�� MASON-COUNTY ENVIRONMENTAL HEALTH
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