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HomeMy WebLinkAboutSWG2023-00264 - SWG Application / Design - 6/14/2023 al ': MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR: 360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00264 APPLICANT Melissa Johnson Phone: Address: 1150 E Daniels Rd SHELTON, WA 98584 OWNER BLANCHARD, TIMOTHY P JR & CARRIE Phone: Address: 1170 E DANIELS RD SHELTON, WA 98584 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO Box 162 OLYMPIA, WA 98507 JAKSEPTIC INSTALLER LLCE GOLDY-Goldy Septic Service Phone: 360-490-0649 Address: PO BOX 159 MATLOCK, WA 98560 Site Address: 1150 E DANIELS RD Primary Parcel Number: 320105103014 Permit Description: New 2bd pressure trench Permit Submitted Date: 06/23/2023 Permit Issued Date: 06/30/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/29/2026 (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. 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: )...... 2 ONSITE SEWAGE SYSTEM APPLICATION AMOUN EIVE — RECEIVED W Cn ro 415 N 6th Street,(Bldg8) Shelton WA,98584 0 g3 < N Shelton:360 427 9670 ext 400 Belfair:360 27S 4467 ext 400 JVV C 1 n G �U T - 00 v_� 2�/ O z cn z171 APPLICANT PHONE > > MELISSA JOHNSON 3605287609 m m MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE r' 1150 E DANIELS RD SHELTON WA 98584 c g SITE ADDRESS-STREET,CITY,ZIP CODE co 1150 E DANIELS RD SHELTON WA 98584 m NAME OF DESIGNER PHONE IV) ADAM HUNTER 360-890-2778 (� NAME OF INSTALLER PHONE I.7`' GOLDY SEPTIC LLC 360-490-0649 o IC CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE C le NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL 5 1- ❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL z o TABLE 9 REPAIR CI SINGLE FAMILY COMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: 2 ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE I�) ❑ EXISTING FAILURE "Record Drawing required 036 co/or all Installations" DIRECTIONS TO SITE•BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) o AGATE LOOP TO A RIGHT AT DANIELS TO SITE ADDRESS ON THE RIGHT.. x lc) hJJ 4 O 6 ID Ir SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I£ OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE OCOMPLAINT ['OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS -- C 0 — (O c,S L, 1 O f cZrr►N(24/k7ket -0-b : b " S(Ga (75 LI Sic6+ ' ,4x4e j i ; -1SL— o - 13 _ (3÷-- -.\--=, t\ ( ot,v016‘\) _ _Q JUN 232023 3iii SOIL CODES: = V VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS �i INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION At'I'HUve 8f Y- --DATE (421iz (e fL a/z 6 c ( IZ3 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: 3,2 1i -- 5L -- _C)3 0 t Y 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 2OV5' OO2.‘4 Designer's Name: ADAM HUNTER Applicant's Name: MELISSA JOHNSON 360-753-1226 Designer's Phone Number: Mailing Address: 1150 E DANIELS RD Designer's Address: PO BOX 162 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: grainfield Type ' ❑Gravity Pressure Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 40 II Daily Flow: Operating Capacity 180 gpd Length 4 5, '31 ft Daily Flow: Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity 1000 gal Number 3 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 400 ft2 Total Number of Orifices 48 ' Designed Primary Area 400 ft2 Diameter 3/16 in Designed Reserve Area 600 ft2 Spacing 36 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 134 ft Schedule/Class 40 Elevation Measurements Length 20 ft Original Drainfield Area Slope 16 % Diameter 2 in New Slope,If Altered N/A % Preferred manifold configuration used? l "Yes 0 No Depth of Excavation Up-slope 14 in Transport Pipe from Original Grade Down-slope 8 in Schedule/Class 40 Designed Vertical Separation 24 in Length 65 ft Gravelless Chambers Required? 0 Yes 0 No ItOptional Diameter 2 in Pump Required? ',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 40 gal Orifice ° ft Chamber Capacity 1000 gal Uppermost Orifice 0 Higher ilfLower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 28 gpm /timer elapse Meter Er Event Counter Calculated Total Pressure Head 3 5 ft If Timer: Pump on 40 GAL ,Pump off 4HRS Comments • DESIGN FORM—PAGE TWO Assessor's Parcel Number:Jcg_at -- 61 -- U 3 0 1. - • Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch It Test hole locations E' Drainfield orientation and layout Reference depth from original grade: g Soil logs 12( Trench/bed dimensions and El Septic tank 6l Property lines critical distances within layout ®' Drainfield cover g Existing and proposed wells Eif D-Box/Valve box locations Reference depth from original grade within 100 ft of property El Septic tank/pump chamber and restrictive strata: a Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas l' Observation port location bottom g Location and orientation of a Clean-out location 0 Curtain drain collector curtain drain and all absorption M' Manifold placement 0 Sand augmentation components a Orifice placement Other cross-section detail: 62i Location and dimension of a Lateral placement with distance a Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information El Buildings Audible/visual alarm referenced Yes No El Direction of slope indicator Ei Scale of drawing shown on scale I2( 0 Design staked out El Waterlines bar 0 0 Recorded Notices attached E Roads, easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached g North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification o ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer mus •:noti e y installer at time of installation 0 Yes et No 6/21/23 re of Designer Date The undersigned has reviewed this dI gn on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: Environmental 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: 6(2-14U ✓ 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 MASON COUNTY HEALTH DEPARTMENT ON—SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 32010-51-03014 DATE SUBMITTED:06/21/23 LEGAULOT#: CEDAR GROVE #2 BLK3—LT 14 SUBMITTED BY: ADAM HUNTER APPLICANT: MELISSA JOHNSON ADDRESS: 1150 E DANIELS RD SHELTON,WA 98584 I. CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW = 240 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= 400 FT2 TRENCH LENGTH OR BED CONFIG. = 134FT OF TRENCH II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1000 GAL.CONCRETE NEW OR EXISTING= NEW III. DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= 1'—2"(UPSLOPE) ROCK DEPTH BELOW PIPE= 0'—6" SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAUSEASONAL SATURATION= >2'—0" FILL DEPTH= 1'—0" TRENCH WIDTH = 3'—0" IV.PUMP REQUIREMENT DOSING VOLUME IN GALLONS = 40 NUMBER OF DOSES PER DAY= 6 V. PRESSURE CALCULATIONS USING PIPE CLASS 200 ORIFICE 3/16 APPROVED ;4; 4 ..I 17. 6/21/23 JUN 3 0 2023 `` MASON COUNTY ENVIRONMENTAL HEALTH ' . RET S•, , ►► �. .; Ii ..,.. -' A DAf.IJ.IIUNTER �', 1.,_-."1Fa is N • 2AGF: 2 LATERAL#1 = SQUIRT HEIGHT(FT) 2.00 (NOTE(2):ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X SQ ROOT OF(TOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 42.00 ORIFICE SPACING= 3'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 14 LATERAL DISCHARGE RATE= 8.207 LATERAL#2= SQUIRT HEIGHT(FT) 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 57.00 ORIFICE SPACING= 3'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 19 LATERAL DISCHARGE RATE= 11.137 LATERAL#3= SQUIRT HEIGHT(FT) 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 45.00 4 ORIFICE SPACING= 3'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 15 LATERAL DISCHARGE RATE= 8.793 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 65.00 2.00 28.137 0.744 BC 1.00 2.00 19.930 0.006 CD 20.00 2.00 11.137 0.041 DE 57.00 1.25 11.137 0.671 TOTAL= 1.463 —TOTAL HEAD LOSS 1)FRICTION LOSS THROUGH SYSTEM= 1.463 2)ELEVATION DIFFERENCE = 0.000 3) RESIDUAL = 2.000 TOTAL= 3.463 4 6/21/23 •*TA71-" V;. APPROVED a` r JUN 30 2023 • MASON COUNTY ENVIRONMENTAL HEALTH ,10,112 %cl•' ADAM J.HUNTER '+ RET ; MYERS ME3 Capacity liters per minute • 0 30 100 150 200 250 I I I I I I �..12 40 1 � , I tI I 3 +0 ► ---10 t 30 . '*yA4 I is r is 20 ; i -6 ^ ._ :6": m 1 a -4 o I- 10 + - -2 0 ---0 0 10 20 30 40 50 60 10 Capadty gallons per minute APPROVED JUN 3 0 2023 11 P0I MASON COUNTY ENVIRONMENTAL HEALTH RET 6/21/23 ia'f� i 1 �ArvS 1, tip:' I,I/ 0 AO u''4.4 . r4.4 4', •.•.•.J+,' r. . f .s' r La N.:I. •••F.T 0'....: ADAfd J.FIUMIER IPf Z m2 2 -i 0 0 z D 'V 1 C D D MO D O D 1 m D Z Op m D Z c.o K z0 y r N m m 0 r 5 ��mn * { H z H O ^ O 0 2 cn O -i n m -1 0 Om n OO mm •D m < c 0 2 m U J -�i m mo Q° cDn m - p O O-c m _g o N p �, m Z xl m D i Z O O 0 C C (/) ,-[�j D 7] T! 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