HomeMy WebLinkAboutSWG2023-00308 - SWG Application / Design - 7/21/2023 rn, ': 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,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00308
APPLICANT NIEBERGALL PATRICK G Phone:
Address: 1421 E VICTOR RD BELFAIR, WA 98528
OWNER NIEBERGALL PATRICK G Phone:
Address: 1421 E VICTOR RD BELFAIR, WA 98528
SEPTIC DESIGNER Brobeck, Christian Phone: 253-312-2315
Address: 4227 South Meridian C582 PUYALLUP, WA 98373
Site Address: 1423 E Victor Rd
Primary Parcel Number: 122164490060
Permit Description: NEW SFR -3BR Nuwater BNR500
Permit Submitted Date: 07/21/2023
Permit Issued Date: 08/21/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/02/2026 (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.
OFFICIAL USE ONLY
DATE RECEIVED C �
. MASON COUNTY + I a k 4��3 to
COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVED BY: CO CD
-: Public Health(Community Health/Environmental Health) 47
360-427.9670.e0.460or 3E6275-4467.02400 �...�/�
415 N.6th Sheet-Sheiton.WA 965a4 S W G )�� 00,( e, Z 2
ON-SITE SEWAGE SYSTEM APPLICATION 3
APPLICANT PHONE mr
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE D 5 [ ft 0 Y 1 3
14 2/ U/�7? 20 al
SITE ADDRESS-STREET.CITY,ZIP CODE
JUL_ 'L 1 2023
1 i% 3 1/f . T,,,.� 774 , ,i
NAME OF DESIGNER PHONE . _ _
/1 A 1 TiA// l'v 1jw�\ ZSZ �/2 -2g/r'-_— .....-
NAME OF INSTALLER PHONE O
C I
PERMIT TYPE(select one) DRIN�KI G WATER SOURCE N
RESIDENTIAL OSS COMMUNITY OSS F COMMERCIAL OSS lid PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z
TYPE OF WORK(select one) a PUBLIC WATER SYSTEM
"NEW CONSTRUCTION/UPGRADES E.REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I
SUBMS ALS ElSURFACING SEWAGE 0 EXISTING FAILURE CISHORELINE 0
PlErDESIGN FORM(REQUIRED) Ifl SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r
(
O
6 WAIVER(S)(IF APPLICABLE) S2 7 L?2 J L 2 ± 0
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
5:1a-0uNlr-, In/+-e O/Y DeS ;i✓J — e/}z(. Oo,PrIrrlr T—,c, /re..C. -I-10 5(1c' 1
,Ar( ire Aaid iviJ 9qk j705 , na lock. frl'mcll 5�n 0
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED 147TH TEST HOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
p.) )_(,, L
1 (-7 5 3.1 57
-E ,‘' -i I {
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS RE D FOR FINAL APPROVAL.
IN OR SIGNATURE
2-2„, DATE APPLICATION EXPIRATION DATE I ON APPR D/ISSUED BY DATE
Si
S ./.../---- ---;) (C)
__,.._. (../........ i kit{:1N- °3../2.i
THIS, Y E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYVVEBSRE REVISED 1 21712 01 5
/
I
•
DESIGN FORM-PAGE ONE Assessor's Parcel Number:± Z Z. / -- `f 4 -- 9 O a 6 v
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"
Permit Number: SWG �- W B Designer's Name: &-17/4- /?3t ' ¢-
Applicant's Name: MI- HI.::: iif IC.o>-.4-c..L.— Designer's Phone Number: G>--31 Z- Z a i c (-'(a U)
Mailing Address: RI 2/ //iL-7Dr f2' Designer's Address: qz.z 7 ,, /'y'47_,GLI'D/,'l•/ LS
f-
A-, l o W.A.WA. 9S_?zg' f-1, y� Lei-- Se373
Ci State Zi. Ci State Zi.
_. _.
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
El Aerobic Unit Make/Model 5/9/Z-S7+c 0 Disinfection Unit Make/Model Other:
Drainfield Type
0 Gravity ItPressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 5% te_,c..p fin
Daily Flow: Operating Capacity 27.C. gpd Length (.� ,c in-' ft
Daily Flow:Design Flow 3(4« d Diameter i t.44') in
Septic Tank Capacity(working) /moo t'1yJG✓"gal Number C PM�.}
Receiving Soil Type(1-6) .� Separation Si d-e. ft
Receiving Soil Appl.Rate U/Co gpd/ft2 Orifices
Required Primary Area ifOe ft2 Total Number of Orifices
Designed Primary Area 060 LA/ft2 Diameter 3/4 4 in
Designed Reserve Area top 966 ft2 Spacing `;/O_L -iuf—
Trench/Bed Width 3 ft Manifold
Trench/Bed Length !Oy//.ttfol ft Schedule/Class j'j a }e. ((v
Elevation Measurements Length Z 1 ft
Original Drainfield Area Slope 9 % Diameter Z. in
New Slope,If Altered ////1 % Preferred manifold configuration used? gYes 0 No s c7'ttJ�'�
-
Depth of Excavation Up-slope l+p a c in Transport Pipe
from Original Grade Down-slope
v rKa4- in Schedule/Class 4�44...44-��
Designed Vertical Separation /Z in Length S-5-' ft
Gravelless Chambers Required? 0 Yes No IA Optional Diameter Z tl in
Pump Required? lR[Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 42
Diff. in Elevation Between Pump&Uppermost Orifice IZ,•5 ft Dose quantity (.t-( gal/face.
Drainfield Squirt Height/Selected Residual (head) 7 ft Chamber Capacity(flood) //S2) gal
PUppermost Orifice*Higher 0 Lower than Pump Shutoff p controls:Please check those required.
Capacity @ Total Pressure Head 2 S,4 gpm OTimer * gtlapse Meter Event Counter
Calculated Total Pressure Head /b, -- ft If Timer: Pump on 2,3j1 ,Pump off 5Zak)
Comments P P R
a R 'il Lfir,i✓>t�-T,ens —
/�/ o / %u2 r 3:1-..t jc. ,94,i ,
1.
AUG 2 1 2023 .� ,
MASON COUNTY ENVIRONMENTAL HEAL T r
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number: / Z Z-J (c -- `� - 9 O O
Permit Number: SWG
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
EKTest hole locations l 'Drainfield orientation and layout Reference depth from original grade:
Cr-Soil logs GY Trench/bed dimensions and p/Septic tank
OK-Property lines critical distances within layout Er Drainfield cover
W Existing and proposed wells ��-Box/Valve box locations Reference depth from original grade
within 100 ft of property GYSeptic tank/pump chamber and restrictive strata:
CI'Measurements to cuts,banks,and locations l3—Laterals,trench/bed,top and
surface water and critical areas CV Observation port location bottom
l3'.--Location and orientation of EY Clean-out location 0 Curtain drain collector flta
curtain drain and all absorption 12' Manifold placement 0 Sand augmentation Al!.
components G]iOrifice placement Other cross-section detail:
Location and dimension of 0--lateral placement with distance Er-Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
EY Buildings B'Audible/visual alarm referenced Yes No
[Direction of slope indicator LI Scale of drawing shown on scale IIK 0 Designstaked out
D Waterlines bar 0 0 Recorded Notices attached$II
ErRoads,l easements,driveways, Cl 0 Waiver(s)attached,'I/'
parking Q/ 0 Pump curve attached
C3-"North arrow and scale drawing 0 ❑Evaluation of failure i//4
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑Flow
The undersigned designer must be noti d taller at time of ins lation 'E1 Yes 0 No
ignature of Designer ate
The undersigned has reviewed thi s esign on behalf of Mason County Public Health and determined it to be in
compliance with state and loca on-s e regulatio s:
tkOrt-- 4g '2
E rrvs. tal Health Specialist Date
CAUTION: DESIGN APP'OVAL 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: Z- `e
✓ 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
fa '°i"0 `f°ram` 3seocoom p. A/!L gArc-
DraiaaidDodgeGowhpatalioas C7■etMaraae / t72GAG( Data L5//7/' 023
LSibitte
• 3 Bedroom home with 120 gal/day/bedroom
• soil type:loam/sandy loam with application rate of 0.6 gal/ft2/day
• use pressure distribution design guide
2.
• Absorption area a design flow/loading rate a 3'120 pi/day / 0.6 gal/lt2/day•600 Yt2
• With 3 ft wide trenches 4 600 ft2/3 ft a 200 linear feet(LF)of trenches
• Minimum length of lateral:25',maximum length 55'for any lateral.Total length of as
laterals in system shall be 200 LF.
3.
• Max lateral lengt ha60'
• End Manifold
• Orifices pointing ti:i up at 2:00 position 0 up at 12:00 position O down at 6:00 position
• 2'transport line
• Design for level site and use plastic glove valves to adjust distal head.
• AI pipe to be ta schedule 40 Uclass 200 O class 160
4. 5vstem Deslan(see sheet 2/2 fpr oumo curve and oumo selectloni
• Choose orifice spacing of 5'for sandy loam/loam.
• Maximum N of orifices:25'laterals:25/5=5 orifices,50'lateral:50/5*10 orifices
• Select 3/16"diameter orifices,distal head 2"
Alt It Orifice diameter Lateral diameter Orifice spedng Max.lateral
length
1 3/16" 1-1/4' 5'
With distal head as shown below.The following flows must be designed for.Minimum of 2'must be
maintained In each lateral at the site.Design requires contractor to adjust each lateral to equal had
with no less than 2'distal head.
Discharge rate per lateral for 3/16"orifice diameter
2'head 6'head
Length a of Orifice Discharge Length I of Orifice Discharge
of orifices discharge rate/lateral of orifices/ discharge rate/lateraf
lateral /lateral rate[gpml [gpm] lateral lateral rate[gpm] (gpm]
(ft] [ft]
25 5 0.59 2.95 25 5 1.02 5.1
50 10 0.59 5.9 50 10 1.02 10.2
For entire system(200 LF) Discharge/ For entire system(200 LF) Disc harge/sys
sYstem tern
200 40 0.59 23.6 200 40 1.02 40.8
APPROVE
AUG 2 1 2023 110
'°SON COUNTY ENVIRONMENTAL HEALTH
8
• N.A
• From table with lateral discharge of 5.9 gpm max,lateral sparing of 1'ok,manifold of+-5
max ok.
• Dose Volume for loam/sandy loam with 2 doses per day=180 gal/dose
• Check pipe volume:
o 2"manifold: $I(p./141)(aS)s r n)4-42 5V7 G o6"4 ElDoSe.—
O 1 X"laterals: &o r(t.,p70)68,5)' G,�•+ n'' i
O r transport lines': t 1'0 jo,17 S 2J 1
•0 for sites where transport line does not discharge
• Friction loss:Use 10'equivalent length of 1/1/4"pipe for globe valves
2'head 6'head
Manifold }} Manifold
/ // S
/ (d.33l=a.ol4S �, �,12& '�►.�`a.73)=0 05
Late'al 401(- �i.i C0 33>'-a,/G � lateral 90(� l/.F(0,33).:0,4•1401-'
Transport E Transport /
tine /��23l I) : /,1/ 9'{ line /SDI/- tAk..0, ) _'1./z}
total SFri Zr /4)79/ total Sp"l5 y16ug ,
• Total Dynamic Head
2'head 6'head
Distal 2,0 t Distal G I
Friction loss Friction loss h
/U S Lift /2i
total total 23,5
Lateral invert elevation: 9145-
/
Pump discharge point
Difference: /ZiSi
S. Size Wet well
1 day + 0.75 day + pump submersion - tank flood
360 gal + 270 gal + 414 gal - 253 gal = 791 gal
Use//50 gal tank
F.Zo40v_4 CAPiKii1)
APPROVED
AUG 2 1 2023 2/3
JB1IV
SON COUNTY ENVIRONMENTAL NEALTr
•
• owl*Mit.souot sr sanas- MO ISM
•
Ell _i 1 J . 1 ' OSP33
z- 1 r t• •Completely submersible with pump, ,
w i '+._L _ _ motorr and level control M one compact
Ito ;. r
1 » --L-4'__ 1, •
- t I. a Non-clog bronze trrtpeller operates with
-
i ., higher capacities and heads. Capable of
�,—iI-..-L.. t handling S/ltrinch spherical solids and
I is ..._... __.. I lint without Clopping.
•No suction*alleles to clean. •
f t ,,.. ., i ._ 1 •011ed.double ball bearing motor with • III ilfibuilt-in overload protection.
. •Reliable diaphragm switch.
- ,� ••• ,. _ •Completely field serviceable.
• _ Is Heavy-duty stainless steel shaft.
4 I
�—` •Choice of cut iron or bronze.
o t►
•_ >.4 . 1 i � 1 I I
r .4rt• se so. ea 3Ztle+(b•p»)=2S,6 a pm� 23,06-Pm... 5t1.C-77
♦ I7. O5t'33 Kp_t c�e•rrZ Is d ePI
I/aa sate°Arita—MAIL . „-11►11EIIE—Sim RN t�f Y v*,'-sr/e /�/..f fJ are,r�q.L�
• bIIIIIIIIIIIIIIIIIIIIIMIMMIMIIINII SPSOH/SP100H (High Head)
r►\EIIIu i ■■ •Open twOvane sewage type trnpeller
to •I•'.■ MI . passes 3/4-inch solids.
���'�� ■wi+a., "io.o a Pump shaft is corrosion-Protected steel
p • ■„■. - ` NEI , •T w new
and all fasteners are stainless steel.
���■■� i� rIe 'Single and three phase 1/2 HP PSO
II • "JAW: and . HP(SP 100H)motors. Sall bearing
s�R�� -- se•"«'r 7t0 -I•- construction.Oil filled for-long life and
--� cool running.
.tri. 's.0.• --f. IC: Ilk ' - •Exclusive oil•isolated switch for reliable
I. 1 control.
. vas.:i aa•:as 1116.111111nlal •2-inch or 3-inch NPT discharge.
oMo
•
i !IIIIIIIII
• /•p q'0 lM
•.e SKUOS, want .
vex mem 7 NAIL MUDS We 1114.411E—SW RN
__..____�r _ SKH 15O
`w~ •Non-clog Impeller passes 3/4-inch solids.
i •Oil-filled motor for coolest running and
1 •e ' • i �_ �"w. �_� •loPngest
life of aft and grin f1•ners e motor.
_ _ . ~•+�• stainless steel.
» —� r ��'� a 1-1/2-inch NPT discharge '
• •1•.sn. •Spring loaded mechanical seat with
1"'- I •I 900 v_"' ___ carbon and ceramic laces.
. -' •Pump put vanes on rear shroud of
• se tie se se so w A so help prevent build up of stringy
•s SALLOW PIP w,nrt material and girl in sea area.
APPROVE
AU6 2 1 2023 . '-
ARSON COUNTY ENVIRO h
NMENTAL
JBW HEALTh 5.
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