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HomeMy WebLinkAboutSWG2023-00283 - SWG Application / Design - 6/30/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON: 360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 MA . ' Public Health & Human Services ELMA:360-482-5269,EXT400 $ FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00283 APPLICANT ECKLUND KATIE & ANDREW Phone: 253.380.3496 Address: 1801 DAY ISLAND BLVD W UNIVERSITY PLACE, WA 98466 OWNER ECKLUND KATIE & ANDREW Phone: 253.380.3496 Address: 1801 DAY ISLAND BLVD W UNIVERSITY PLACE, WA 98466 SEPTIC DESIGNER Lawrence Purdum-Apex Septic Design Phone: 253-509-9922 Address: PO Box 801 GIG HARBOR, WA 98335 Site Address: 591 E Mason Lake Dr E Primary Parcel Number: 221055000061 Permit Description: 4-bedroom NuWater BNR500 system Permit Submitted Date: 06/30/2023 Permit Issued Date: 07/14/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 07/06/2026 (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.govlhealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY �� MASON COUNTY PUBLIC HEALTH DATE RECEIVED: / I 0 1 2 �y 23 ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED I/ RECEIVED BY: 1 �� Cn v m 415 N 6th Sheet,(Bldg 8) Shelton WA 98584 cl �a N cn Shelton:360-427-9670ext400 Belfair:360-275-4467ext400 SSA/!' ,a()2,3 - O D2c ? z 2 Y V VOD T, Z di D APPLICANT PHONE > n ANDY ECKLUND 253 380 3496 m m D r MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE �j o Z 1801 DAY ISLAND BLVD W 01.� �� �:/ �� c SITE ADDRESS-STREET,CITY,ZIP CODE L z W 6 Sy[ moil tee Vr JUN 3 0 2023 NAME OF DESIGNER PHONE O LAWRENCE PURDUM BY: � I A 253 509 9922 n ' ) � I NAME OF INSTALLER PHONE O CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE C O ❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY El PRIVATE INDIVIDUAL WELL N I ® REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL 0 01 1 ❑ TABLE 9 REPAIR Pi SINGLE FAMILY CICOMMUNITY/PUBLIC WATER SYSTEM Z ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: I r ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE ( , Record Drawing required ❑ EXISTING FAILURE for all Installations" 4 .51 rw IQ DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O r SEE GOGGLE MAPS TO 591 E MASON LAKE DR E 7 I 0 I IQ I O) w 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) CI VOLUNTARY ❑MAINTENANCE/PUMPING D BUILDING PERMIT ❑HOME SALE ['COMPLAINT El OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 7.µ1: cam peel ec/ v 1-11 cot 33,, 2.7-tIr corfecirj L k/tYh Mai 04 33 11104/ 'Hi 3' 0-13 `(s� �'c �Q i,-33 cep adeq L Gcti ei f, 33-5o 67 A S �(yti56 : 3-2,e( 0 L Ls I). Vt,m5 ___ 50%j t+ 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 71/Z&3Ve00z6 THIS F M 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: 22105_ -- 50 -- _0_0061 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" �12 PARCEL IDENTIFICATION Permit Number: SWG P,c)oc.")- lU�/��2'3 Designer's Name: LAWRENCE PURDUM g Applicant's Name: ANDY ECKLUND Designer's Phone Number: 253-509-9922 Mailing Address: 1801 DAY ISLAND BLVD W Designer's Address: P.O. BOX 801 UNIVERSITY PLACE WA98466 GIG HARBOR WA98335 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter 0 Sand Filter ❑Mound ❑Sand Lined Drainfield 0 Recirculating Filter,Type: O Aerobic Unit Make/Model NU-WATER BNR 500 0 Disinfection Unit Make/Model Other: Drainfield Type ❑ Gravity ❑Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals / Number of Bedrooms 4 Vr/ Schedule/Class 40 Daily Flow: Operating Capacity 480 gpd I Length 28-31 ft Daily Flow:Design Flow 480 gpd 1 Diameter 1.25 int.,/ Trash Tank Capacity 500 gal 1" Number 9 `/ • Receiving Soil Type(1-6) 4 J /Separation 5 ft ii Receiving Soil Appl.Rate .6 gp cyft2 V Orifices Required Primary Area 800 ft2 j Total Number of Orifices 63 Designed Primary Area 804 .ft2 / Diameter 1/8 in Designed Reserve Area 800 ft2 Spacing 48 in Trench/Bed Width 3 ft k/ Manifold Trench/Bed Length 268 ft Schedule/Class 40 Elevation Measurements Length 20 ft Original Drainfield Area Slope 9.5% % Diameter 1.5 in New Slope,If Altered N/A % Preferred manifold configuration used? El Yes 0 No Depth of Excavation Up-slope 10 in Transport Pipe from Original Grade Down-slope 13.8 in Schedule/Class 40 Designed Vertical Separation 12 in Length 271 ft Gravelless Chambers Required? 0 Yes- 0 No °Optional Diameter 2 _ in Pump Required? 0 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 80 gal Orifice 24.6 ft Chamber Capacity 1,250 gal V j Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 31.2 gpm °Timer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head 36.8 ft A PPROVE15 ,Pump off 4 HOURS Comments J U L 1 4 2023 MAbUN GQUN Pi ENVIXONMEN TAL HEALTH DJA DESIGN FORM—PAGE TWO Assessor's Parcel Number: 221115. -- 50 -- 0QQ6_1_ Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ® Test hole locations m Drainfield orientation and layout Reference depth from original grade: 173 Soil logs ❑ Trench/bed dimensions and ® Septic tank El Property lines critical distances within layout m Drainfield cover ❑ Existing and proposed wells ❑ D-BoxNalve box locations Reference depth from original grade 0 Septic tank/pump chamber within 100 ft of property p and restrictive strata: ❑ Measurements to cuts,banks, and locations ® Laterals,trench/bed,top and surface water and critical areas 0 Observation port location collector drain ttom ❑ Location and orientation of 6cl 0 Clean-out location 0 CurtainSand augmentation curtain drain and all absorption p Manifold placement components m Orifice placement Other cross-section detail: ® Location and dimension of ® Observation ports/clean-outs CZ] Lateral placement with distance primary system and reserve area to edge of bed Other Information El Buildings ® Audible/visual alarm referenced Yes No ❑ Direction of slope indicator p Scale of drawing shown on scale ❑ 121 Design staked out G] Waterlines bar 0 ® Recorded Notices attached 0 ®Waiver(s)attached ❑ Roads,easements,driveways, ❑ 0 Pump curve attached parking ❑ p Evaluation of failure O North arrow and scale drawing shown on scale bar Non-residential justification O 0 Waste strength O 0 Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation 0 Yes 0 No 4 A . 1 V1 w 6/21/2023 Signature of Designer Date A PROVED 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 regulations: JUL 1 4 2023 �����t ?(ict/a)?3 MASON COUNTY ENVIRONMENTAL HEALTh Environmental Health Specialist Date DJA 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: / Drainfield site conditions have not been altered to adversely affect conditions of design approval. 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