HomeMy WebLinkAboutSWG2023-00243 - SWG Application / Design - 6/12/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
ea 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: SWG2023-00243
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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
pImmi-
OFFICIAL USE ONLY
DATE RECEIVED:
MASON COUNTY ib l .2 I o�-?j
COMMUNITY SERVICES •: RECEIVED BY: CO_ CO
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PublkHealth(Community Health/Environmental Health) CA
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7-%70.e 4�a 27 ,.eti4� SWG a0a--6 - 0���.�.3 ' o
415 N.6N Street-Shelton,WA 98584
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION v
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APPLICANT PHONE ill
Robert Flath 360-277-7206 Z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE K
113E Terrace DR m
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SITE ADDRESS-STREET,CITY,ZIP CODE •�^ '
E MasonLake rd p( ME I v_
NAME OF DESIGNER PHONE
Jim Zimny 360-516-7287 Si JUN 12 2fl23 IN
NAME OF INSTALLER PHONE v I'�
BY: ( r1
DRINKING WATER SOURCE T I v
PERMIT TYPE(select one) O
OK RESIDENTIAL OSS h COMMUNITY OSS f1 COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL g PRIVATE TWO-PARTY WELL Z I
TYPE OF WORK(se ect ate) Q PUBLIC WATER SYSTEM _ r
la NEW CONSTRUCTION/UPGRADES fl REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I(r)
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W
W.
IrI DESIGN FORM(REQUIRED) PI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE
6 WAIVER(S)(IF APPLICABLE) . (3 1% ^ '-' c I
DIRECTIONS TO SITE AND SITE CONDITIONS(ex Iecked gate)
From Hwy 3 go north on E Mason Lake rd. Site is 1 mile north and on the rt. (Just before I C.
1160 E Mason Lake rd) r
Marked with pink ribbons. o I 0'
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST SE FLAGGED WITH TEST HOLE NUMBERS k./
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS 1 CONDITIONS
361
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)IsSt IED BY DATE
� (-22)-) G - T�-^) ��� ��9 i�, 3��-�
T IS MAY BE S VIEW ON AND AVAILABLE FOR PUBLIC VIE ON THE MASON COUNTY WEBSITE REVISED 12J7/2O1S
DESIGN FORM-PAGE ONE Assessors Parcel Number. 3 L I a y - ! I - 0 O v$- O
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: II-X I7"
��1 ,^� PARCEL IDENTIFICATION
Permit Number. SWG a)2-3 - D 09-45 Designer's Name: Jim Zmny
Rath
Applicant's Name: RobertDesigner's Phone Number: 360-513-7287
Mailing Address: 113 F Terrace Dr Designer's Address: 7178 Windflower pl NW
Belfair WA 98528 Seebeck WA 98380
CLEAR FORM
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: I
Drainfield Type
❑ Gravity El Pressure Trench 'Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms Z- Schedule/Class 40
Daily Flow:Operating Capacity / 3C gpd Length Lir ft
Daily Flow:Design Flow 360 gpd Diameter 1 1/4 in
e„ .:,.Tn.-.1.Ca h 1 t 00 l �T t..�
.rvYuv w��va.riiv , g�,, .. :tvva Receiving Soil Type(1-6) LI Separation .', � 1ft
�Receiving Soil Appl.Rate 0' ' gpd/ft2 ,,� "'s, Orifices f
Required Primary Area goo ft2 Total N e � oes._� 3l‘%
•
Designed Primary Areaft2 ':>3.�5. `:rX53�'� 1/8
gn mary Orb Diamete „,.t.,___&avt Z in
Designed Reserve Area WO ft2 Spacing 48 in
'French/Bed Width 3 ft Manifold
Trench/Bed Length / 3 ft Schedule/Class Lid
Elevation Measurements Length 2 ft
Original Drainfield Area Slope 1 % Diameter Z in
New Slope.If Altered 1 % Preferred manifold configuration used? 0 Yes ❑No
Depth of Excavation uP-slope 1 2- in Transport Pipe
from Original Grade Down_slve q in Schedule/Class �6
Designed Vertical Separation Zy in Length 3 0 ft
Gravelless Chambers Required? 0 Yes El No 0 Optional Diameter 2 in
Pump Required? Ef 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 gnnntity 30 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity (flood) 1()00 gal
Uppermost Orifice L'Righer 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity id Total Pressure Head /to gpm ElTimer EB'l✓lapse Meter ®'Event Counter
Calculated Total Pressure Head _)(, ft If Ti pp ri min on ,pump off 4 hrs
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1 MASON CO
Comments if
NVUb0 3 2023NMt)NTvc I
LNTAL HEALTH
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DESIGN FORM—PAGE TWO Assessor's Parcel Number. 3 L 1 S LI — I — U c) U S- O
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan I
Scaled Layout Sketch l Cross-Section Sketch I
01 Test k.,l., locations tons mf T.......ficid t.,t;.,., ,1 1.,,..mt
e.,a..,,., %J #Wu,,.AO -• �.µ.....,,.�;,::/:. u,,..w:.,..�.�..�.• Reference depth 11om original grade:
El Soil logs I Trench/bed dimensions and Er Septic tank
LI Propor y luiw critical dictan'.Pc within layout ri Tir.ai-'-' wvci
d Existing and proposed wells 0 D-BoxlValve box locations Reference depth from original grade
within 100 ft of property El Septic tank/pump chamber and restrictive strata:
O Measurements to cuts,banks,and locations Laterals,trench/bed,top and
surface water and critical areas 0 Observation port location bottom
0 Location and orientation of 0 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Lv( Manifold placement ' Sand augmentation
components E( Orifice placement Other cross-section detail:
0 Location and dimension of pJ Lateral placement with distance Fr Observation ports/clean-outs
primary system and reserve area to edge of bed
O Buildings Other Information
0 Audible/visual alarm referenced Yes No
0 Direction of slope indicator11 0 Scale of drawing sh.wn on scale 0 0 Design staked out
Ef Waterlines bar ,�'ot In 0 Recorded Notices attached
D'I Roacic easements,driveways. .. .14 00 Waiverlc)attar_heri
parking h' Ii. Ili ❑ Pump curve attached
El North arrow and scale drawing "-iP ; 2 ❑ ❑ Evaluation of failure
�: NI
shown on scale bar �' • 2,;., ���� Non-residential justification
LICE"Eli'ESCNER ❑ ❑Waste strength
t Er;�,-Ir:; 2 5 .❑ 0 Flow
DESIGN APPROVAL
The undersigned designer must be notified; y ins er at time of installation 0Yes Cl 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:
L.)�1/t 7-3---2-
Environ ealth Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
if The design is stamped "Approved"by Mason County Public Health_
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 6 -Z��----2(p
✓ 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,
iinitcc prior ctithori79tion is ohta�in.Pd from 't tit Pnhl.ii Health
µ111V 1✓V 1✓11V1 N.N V1a V L 1uN•.i VtL is VVVKLLI�/V► fro 'at , I'' � �Y�VtLV Health.
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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 Ma ltdei 1t We• -411
JBW I-�t�{ Date: 12/7/2015
Advantage Perc & Design
Tirnely•Reasonable•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
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.DBW/
Pump Selection for a Pressurized System-Single Family Residence Project
Parameters
Discharge Assembly Size 2.00 inches 150 r I ' i . • I ' ' i f
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Transport Length 30 feel i►> 'aeras
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Transport Pipe Class 40 u iiiniiiiiiiI
Transport Line Size 2.00 inches
Distributing Valve Model None
Max Elevation Lift 10 feet
Manifold Length 2 feet 125 fIII
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Manifold Pipe Class 40 i { i
Manifold Pipe Size 1.25 inches ! r
Number of Laterals per Cell 3 ;
Lateral Length 45 feet ,
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Lateral Pipe Class 40
Lateral Pips Size 125 inches 1 1IIIIIIII
Orifice Size 118 inches a) 11111
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ResMISpacing 4 feet } NUIJOPJI
Reidsidual Read 5 feet = :
Flow Meter None inches ,I �,�
'Add-on'Friction Losses 0 feet t i
Calculations III
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Minimum Flow Rate per Orifice 0.43 gpm W
Number of Otifsas.per Zone 36 e
Total Flow Rate per Zone 15.6 gpm f 4
Number of Laterals per Zone 3 .i 0
%Flow Differential 1st/Last Orifice 0.6 % H
50
Transport Velocity 1.5 fps
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Frictional Head Losses 1!1111!11 flu 11n!""„I'/ri f1111
Loss through Discharge 0.5 feet 11111 !'11!! i111„11
Loss in Transport 0.1 feet gal 11111���'i
Loss through Valve 0.0 feet 25
Loss in Manifold 0.0 feel _
Loss in Laterals feet "!C'111111k1
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Loss through Flowmeter 0.0 feet III— _ jjIIIII1 1I1
'Add-on'Friction Losses 0.0 feet 111111 11111111111111111111111111
Pipe Volumes t t . r i f I i
Vol of Transport Line 5.2 gals 00 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 1l2HP,115V 10
O(' izr u ". J%t't Pump Curve:
r; �t+ Pump Optimal Range:
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, _i 1. , s! Operating Point:
�y! Design Point:._
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