HomeMy WebLinkAboutSWG2023-00263 - SWG Application / Design - 6/23/2023 at .: 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: SWG2023-00263
APPLICANT Mackenzie Stevens Phone:
Address: 141 SE Cook Plant Farm Rd SHELTON, WA 98584
OWNER Mackenzie Stevens Phone:
Address: 141 SE Cook Plant Farm 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: 220322490010
Permit Description: New 4bd pressure trench with Class B waiver
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 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/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
e
CLEAR FORM
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED(40 Oa, 3 - �3
ONSITE SEWAGE SYSTEM APPLICATION AMOUNIRE VED RECEI Y: W 0)
415 N 6th Street,(Bldg 8) Shelton WA,98584 < cn
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S G _ c 3 (1 O
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APPLICANT PHONE D D
MACKENZIE STEVENS 360-490-4205 m 0
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r—
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141 SE COOK PLANT FARM RD, SHELTON, WA 98584 c
SITE ADDRESS-STREET,CITY,ZIP CODE W
7590 SE LYNCH RD, SHELTON, 98584 m
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NAME OF DESIGNER PHONE (%
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ADAM HUNTER 360-753-1226
NAME OF INSTALLER PHONE Dt
TBD TBD
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CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 9
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is NEW CONSTRUCTION 0 RV HOLDING TANK ONLY IIIPRIVATE INDIVIDUAL WELL (Z IU
❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL Z 1
❑ TABLE 9 REPAIR 0 SINGLE FAMILY ElCOMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: 1
❑ UPGRADE TO EXISTING ❑ OTHER. BEDROOMS LOT SIZE
❑ EXISTING FAILURE "Record Drawing requiredco
for all Installations" 4 4,90 W ,,.-iil///������`
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 1
LYNCH RD NORTH TO SITE ON THE RIGHT.
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
- . 0 ,3`1 6 S L , 3(4 f
3 : 0 , 3(,. h s L; 36-/ uwt-,p -f
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
(22\--Ywv\k ` b( iAtv5 Co ( z (z- o crc6r ( I Z3
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: a O & -- g• -- I Q£4-
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 -2-OZ,'5— O02-63 Designer's Name: ADAM HUNTER
Applicant's Name: MACKENZIE STEVENS Designer's Phone Number: 360-753-1226
Mailing Address: 141 SE COOK PLANT FARM R�esigner's Address: PO BOX 162
CLEAR FORM 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
❑Gravity IS1 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class 40
Daily Flow: Operating Capacity 360 gpd Length 34 ft
Daily Flow: Design Flow 480 gpd Diameter 1 in
' Septic Tank Capacity 1200 gal Number 8
Receiving Soil Type(1-6) 4 Separation 6 ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 800 ft2 Total Number of Orifices 96
Designed Primary Area 816 ft2 Diameter 1/8 in
Designed Reserve Area 800 ft2 Spacing 36 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 8 X 34-. 2.1 Z ft Schedule/Class 40
Elevation Measurements Length 50 ft
Original Drainfield Area Slope 3.5 % Diameter 2 in
New Slope,If Altered N/A % Preferred manifold configuration used?IQ Yes 0 No
1 Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Down-slope 10 in Schedule/Class 40
Designed Vertical Separation 12 in Length 155 ft
Gravelless Chambers Required? 0 Yes 0 No ISI,Optional Diameter 2 in
Pump Required? NYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 80 gal
Orifice b.4 ft Chamber Capacity 1200 gal
Uppermost Orifice D.Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 39.545 gpm .Timer 'RElapse Meter is Event Counter
Calculated Total Pressure Head 15.976 ft If Timer: Pump on 80 GAL ,Pump off 4 HRS
Comments
• DESIGN FORM—PAGE TWO Assessor's Parcel Number:t5;),eR 6 �_,c2‘,-- :- _7_04LA_
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
NI Test hole locations El Drainfield orientation and layout Reference depth from original grade:
6 Soil logs 13NTrench/bed dimensions and Er Septic tank
ID Property lines critical distances within layout ®' Drainfield cover
ID Existing and proposed wells la D-BoxNalve box locations Reference depth from original grade
within 100 ft of property la Septic tank/pump chamber and restrictive strata:
'El Measurements to cuts,banks,and locations ®' Laterals,trench bed,top and
surface water and critical areas l ' Observation port location bottom
13 Location and orientation of f ' Clean-out location 0 Curtain drain collector
curtain drain and all absorption l ' Manifold placement 0 Sand augmentation
components la Orifice placement Other cross-section detail:
El Location and dimension of ' Lateral placement with distance 12. Observation ports/clean-outs
primary system and reserve area to edge of bed
9 Buildings g Other Information
f� Audible/visual alarm referenced Yes No
El Direction of slope indicator Eir Scale of drawing shown on scale Er 0 Design staked out
'a Waterlines bar 0 0 Recorded Notices attached
M. Roads,easements,driveways, M' 0 Waiver(s)attached
parking la 0 Pump curve attached
IS, North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
0 0 Waste strength
0 ❑ Flow
DESIGN APPROVAL
The undersigned designer must - no' 1-: s y installer at time of installation la Yes 0 No
( 5/19/23
lit .re of Designer DateThe undersigned has reviewed this -esign on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
4.011
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: "� 1' 1 '^6
I 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
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 220322490010
DATE SUBMITTED: 5/19/2023 LEGAL/LOT#: LOT 1 OF SP#3030
SUBMITTED BY: ADAM HUNTER
APPLICANT: MACKENZIE STEVENS
ADDRESS:
I.CALCULATIONS
NUMBER OF BEDROOMS= 4
RESIDENTIAL GPD FLOW= 480
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= 816 FT2
TRENCH LENGTH OR BED CONFIG.= 8-34FT TRENCHES
II.WATERPROOF SEPTIC TANKS
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= PROPOSED
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 1'-0"
ROCK DEPTH BELOW PIPE= 0'-6"
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION= >1'-0"
FILL DEPTH= 1'-0"
TRENCH WIDTH= 3'-0"
IV. PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 80
NUMBER OF DOSES PER DAY= 6
APPROVED
fr 519/23 JUN 3 0 2023
+ 0.'• p; MASON COUNTY ENVIRONMENTAL HEALTH
.:.111 .} RET
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PACE 2
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 1/8
LATERAL#1 =
SQUIRT HEIGHT(FT)= 5.00
(NOTE(2)..ORIFICE DISCHARGE RATE=(I 1.79)X(ORIFICE DIAMETER)SQ2 X
SO ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#2=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#3=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#4=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
ILATERAL DISCHARGE RATE= 4.943
APPROVED
JUN 3 0 2023
MASON COUNTY ENVIRONMENTAL HEALTH
ill'
I .. we Tn.4,4; 519/23 RET
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• i. : ADAM J.HUNTER ,w#
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LATERAL#5=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#6=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#7=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#6=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 34.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
APPROVED
JUN 3 0 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
111
519/23
ff
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•s' ADAM J.HUNTER "' f�
PAGE 4
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (Fr)
AB 155.00 2.00 39.545 4.0262
BC 1.00 2.00 19.772 0.0072
CD 1.00 2.00 14.829 0.0042
DE 1.00 2.00 9.886 0.0020
EF 50.00 2.00 4.943 0.0277
FG 34.00 1.00 4.943 0.5110
TOTAL= 4.578
TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 4.578
2)ELEVATION DIFFERENCE = 6.400
3)RESIDUAL = 5.000
TOTAL= 15.978
APPROV
JUN 3 0 2023
MASON COUNTY ENVIRONMENTALED HEALTH
RET
519/23
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APPROVED
JUN 3 0 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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