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HomeMy WebLinkAboutSWG2023-00194 - SWG Application / Design - 5/19/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 WM. ' 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: SWG2023-00194 APPLICANT TOM ROTH Phone: Address: 1537 NW WOODBINE WAY SEATTLE, WA 98177 SEPTIC DESIGNER BLC KY RIEGER- Environmental Design Phone: 360-219-3343 Address: 901 L STREET CENTRALIA, WA 98531 Site Address: 380 E WOOD LN Primary Parcel Number: 320215603021 Permit Description: 3-bedroom pressure system Permit Submitted Date: 05/19/2023 Permit Issued Date: 08/11/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 08/10/2026 (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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED: I + CI , I W D MASON COUNTY / Il C/11 Old .I I. COMMUNITY SERVICES,V C `� AMOUNT RECEIVED:_ �� (-� RECEIVED BV W m r,��-NY—TJ Cl Rl Public Health(Community Heahh/EnvironmentalHealthl cn — cn 360' 415 N.6th Street et Shelf400 n,W278.5114 ext.400 SWG D�� 00 \ —t O 2 415 N.6th Street Shelton,WA 98584 (,'/.!/` (``I1 — Z ui z -u ON-SITE SEWAGE SYSTEM APPLICATION D x m APPLICANT PHONE M Tom Roth 206.295.8589 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE �,1' 3 11�,Sj�C-' g 1537 NW Woodbine Way ` 1 eattle WA 98177 m i xi SITE ADDRESS-STREET,CITY,ZIP CODE 1\ VI ,I 380 E Wood Lane '"I/ v 3 p Shelton WA I CA)' _ NAME OF DESIGNER BY: FHONE I Iv Becky Rieger - Environmental esign --c360.219.3343 NAME OF INSTALLER PHONE a I 00 ` I PERMIT TYPE(select one) DRINKING WATER SOURCE - IV I_v RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS ft PRIVATE INDIVIDUAL WELL b W PRIVATE TWO-PARTY ELL Z RMl TYPE OF WORK(select one) ' PUBLIC WATER SYSTEM 1 Rif NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR (Ti SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE CO Ivt DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE b 0) bWAIVER(S)(IF APPLICABLE) 3 0.19 a I I C] DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate) North on Hwy 3, South on E Agate Road, West on E Crestview Drive, South on E I (."' Panorama Drive to site r- I o IN 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) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER: v5 \ INSPECTOR SOIL LOGS L tNif COMMENTS/CONDITIONS c C TI11: (�- C7 LS RfS1rr t Z6� ► ill it') , -0-le ����" �C7L C SV (\� zp- -, }t rl -� 3Z - Batt Mess } �,`�� �// Qi�� T tr Z 1.` r t L S ICC�7�'�/ °' �{(15 c p(/o to t C�`�'1).54/0 5C to l Tff3 J-- a rneomq oil 2 `.1 ti15rc cI 1745,65oiclk li 1 V4K+(lt i, 33 coupa(1A(1 00 iwv; 3y= 3 I pied) 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. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE , V572 /�a "/00 /zo�6 �711/Zoz. THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 6/6L Ze 5 c.5,cdl . DESIGN FORM-PAGE ONE Assessor's Parcel Number: 3 Q. 2._L -- Q S2 -- _O._3 Q 2_t 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 1?" ,y� PARCEL IDENTIFICATION Permit Number: SWG 70Z3-0 1h Designer's Name: Becky Rieger Applicant's Name: _Tom Roth Designer's Phone Number: 360-219-3343 Mailing Address: 1537 NW Woodbine Way Designer's Address: 901 L Street Seattle, WA 98177 Centralia, WA 98531 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biotilter 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 ® Pressure 0 Trench In Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Schd. 40 Daily Flow: Operating Capacity Z7 if? argpd Length 3- " ft Daily Flow: Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity rao-1100" gal Number 4 Receiving Soil Type(l-6) 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Square Footage 450 ft2 Total Number of Orifices 80 Designed Square Footage 450 ft2 Diameter 1/8 in Percent Reduction Taken 0 °j° Spacing 26 in Trench/Bed Width 10 ft Manifold Trench/Bed Length 45 ft Schedule/Class Schd. 40 Elevation Measurements Length 7.5 ft Original Drainfield Area Slope 0 % Diameter 1.25 in New Slope,If Altered 0 °o Preferred manifold configuration used? MI Yes 0 No Depth of Excavation up-slope 14 in Transport Pipe from Original Grade Down-slope 14 in Schedule/Class Schd.40 Designed Vertical Separation 24 in Length 25 ft Gravelless Chambers Required? 0 Yes 0 No In Optional Diameter 1.5 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 60 gal Orifice 5 ft Chamber Capacity 1200 gal Uppermost Orifice M Higher 0 Lower than Put t Pump_ controls: Please check those required. Capacity a7,Total Pressure Head '�•� inTimer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head 15 8 ft If Timer: Pump on 1.7 Min ,Pump off 4 Hrs Comments A l if I I �O23 - .,, -., "f.'rAt.HEALTH' L,:rA DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 1 -- 5 6 -- 0 3 0 2 1 Permit Number: SWG 7013''oo19L( DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations El Drainfield orientation and layout Reference depth from original grade: O Soil logs IZl Trench/bed dimensions and ® Septic tank ® Property lines critical distances within layout El Drainfield cover El Existingand proposed wells ® D-Box/Valve box locations Reference depth from original grade within 100 ft of property ® Septic tank/pump chamber and restrictive strata: ® Measurements to cuts, banks,and locations ® Laterals, trench/bed, top and surface water and critical areas ® Observation port location bottom © Location and orientation of ® Clean-out location 0 Curtain drain collector curtain drain and all absorption o Manifold placement 0 Sand augmentation components ® Orifice placement Other cross-section detail: ® Location and dimension of ® Lateral placement with distance © Observation ports/clean-outs primary system and reserve area to edge of bed El Buildings Other Information ® Audible/visual alarm referenced Yes No ® Direction of slope indicator ® Scale of drawing shown on scale 0 ® Design staked out El Waterlines bar 0 ® Recorded Notices attached ® Roads, easements,driveways, 0 ❑ Waiver(s)attached parking El 0 Pump curve attached ® North arrow and scale drawing 0 El Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation ® Yes 0 No 6 07.27.2023 S. ature Designer Date //�� The undersigned has reviewed this design on behalf of Mason County Public Health and detAi P compliance with state and local on- regulations: ru V ieb z//(?,az, 06 E vrronmental Health Specialist Date 3 CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITI9N; ✓ The design is stamped"Approved"by Mason County Public Health.✓ /�0 The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (/ / G -_-_ ✓ 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. Revision Date: 1/12/2010 Environmental Design, LLC. Septic Design o Wetlandsw Site Planning *Excavation 901 L Street, Centralia, WA 98531 Phone:(360)219-3343 May 4, 2023 Updated:July 27,2023 • %14 Prepared For: ••' ,+ ';' ;c�ylt Tom Roth WI:- 1537 NW Woodbine Way • Seattle,WA 98177 ',;a Becky)Roger ; � 'i 'A*"i B. 'A*" 1.1 exp..3 •, V Site Address: 380 E Wood Lane,Shelton APPROVED County: Mason �/ AUG 1 1 2023 Tax Parcel Number:32021-56-03021 MASON COUNTY ENVIRONMENTAL HEALTH Purpose: �`IA A site and soil evaluation was completed for the property located at 380 E Wood Lane in Shelton on February 16, 2023 by Environmental Design, LLC.The purpose of the site and soil evaluation is to determine the suitability of an On-Site Wastewater system. In order to determine if a site is suitable a minimum of three test pits were dug and evaluated for suitability.The site was evaluated to determine that the slope and size were suitable and to determine if the proposed on-site wastewater would be able to meet county and Washington State WAC 246-272A regulations. Proposal: The client is proposing a 3-bedroom residence on the site to be served by an on-site septic system. For a 4-bedroom system the estimated wastewater produced is 360 gallons per day based on the calculation of each bedroom producing 120 gallons per day. Site Description: The site is currently vacant land.The site is in Section 21 Township 20 North of Range 03 West. Hydrology: The site appears to be well drained.There did not appear to be any areas of ponding at the site or in the area of the proposed drainfield. Water Source: The water source will be a proposed community water connection.The water line will be located 10 feet away from the proposed On-Site Wastewater system or the transport line will be sleeved to meet the requirements of WAC 246-272A. Soil Description: According to the Natural Resources Conservation Service (NRCS)the property soil is mapped as Alderwood Gravelly Sandy Loam.The test pit profile did not appear to be consistent Nith the Alderwood Gravelly Sandy Loam series. l Job Number:2023-020 Client Name: Wood The NRCS describes the Alderwood Gravelly Sandy Loam as very dark brown gravelly sandy loam about 6 inches thick.The subsoil is dark brown gravelly sandy loam for the upper 9 inches and is dark brown very gravelly sandy loam for the lower 15 inches.The following layer is a cemented hardpan at a depth of about 30 inches.The hardpan is strongly compacted and crushes to very gravelly loamy sand.The depth of the hardpan ranged from 20 to 40 inches. Test Pit Descri tp ion: In order to complete a site and soil evaluation according to WAC 246-272A a minimum of three test pits need to be evaluated. For this site a total of 3 test o its evaluatedand labelbeloed in the field for the locations of the On-Site Wastewater System.Thepits are as described Test Pit#1 0-25" Brown loamy medium sand, moderate subangular blocky structure 25-42" Gray coarse sand, cemented, common distinct medium mottles Restrictive at 25"due to seasonal high water APPROVED Test Pit#2 0-22" Brown loamy medium sand, moderate subangular blocky structure AUG 1 1 2023 22-44" Cemented, common distinct medium mottles Restrictive at 22"due to seasonal high water MASON COUNTY ENVIRONMENTAL HEALTF Test Pit#3 DJA 0-17" Brown loamy medium sand, moderate subangular blocky structure 17-34" Gray coarse sand, cemented,common distinct medium mottles Restrictive at 17"due to seasonal high water Test Pit#4 0-38" Brown loamy medium sand, moderate subangular blocky structure 38-45" Gray coarse sand, cemented, common distinct medium mottles Not restrictive Soil Loading Rate: The type of soil appears to be Type 3 with a soil loading rate of 0.8 according to WAC 246-272A. System Requirements: The site appears to be suitable for pressure bed system in the proposed drainfield location.The system requirements are concluded based on the suitability of the soil,the slope of the site and the site conditions. Conclusion: The site described as 380 E Wood Lane in Shelton appears to have a slope of about 0-5%in the proposed drainfield area.The site has a suitable soil depth of 42" in the proposed drainfield location and is suitable for a pressure system to serve the proposed residence. :111 Report Completed by: ;�•• ^ply . . �11 Eakey Racier Becky Rieger (�� '`'/ h 51 189 '.�11 Licensed Designer Becky J.Rieger L.,• 1 / V Job Number:2023-020 Client Name: Wood , -o 0 0 u) 73 m0 HP m A m m mm m y O A x u0 ,3 O Om �'' 0� x0 0 Ap AUG 1 12013 13 A� p� o oN Op m mn ,3 No >�'i MA 0 0 0w v D •rnmU a N 3 Nif • N��U �E/YORp� co 0o N� `�� ;� MENT O m A m m ��A AC NEACTN m n0 n0 m m e - n. co O O- dIM ��r�\\\ \� a®N o II C �\ \ O 1' \\ . .• . )./ . • . . . • . • • : •. • •..• , .iv X - A. .... \ \ o®- \ M c \ o 0 \\\y\\\ m m -- -aNn aan� doaa I A g c m o =�I-,moc�con ,`' < p .. 0 0 0 N= n d6 ti O. m ;V O C� 3 OQ' �Z i I. 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AUG 1 1 2023 Design Point: MASON COUNTY ENVIRONMENTAL HEALTH DJA Orenco ITT Residential Water Systems Goulds Pumps /� Submersible APPROV PE Effluent Pump r. AUG 1 12023 FE E LINTY NVIRON T ■ Corrosion resistaptjgionstrucrf tALT!' 1.11° ■ Cast iron body. a ■Thermoplastic impeller and cover. • Upper sleeve and lower heavy duty ball bearing construction. • Motor is permanently lubricated for extended service life. ■ Powered for continuous operation. •All ratings are within the working limits of the motor. • Quick disconnect power cord, 20' standard length, heavy duty 16/3 SJTW with 115 or 230 volt grounding plug. •Complete unit is heavy duty, portable and compact. • Mechanical seal is carbon, ceramic, BUNA and stainless steel. • Stainless steel fasteners. �p GOULDS PUMPS Goulds Pumps is a brand of ITT Water Technology, Inc. -a subsidiary of ITT Industries, Inc. www.goulds.com Engineered for life ITT GOULDS PUMPS Residential Water Systems APPLICATIONS MOTOR Specially designed for the following uses: General: • Mound Systems • Single phase • Effluent/Dosing Systems • 60 Hertz • Low Pressure Pipe Systems • 115 and 230 volts • Basement Draining • Built-in thermal overload protection with automatic reset. • Heavy Duty Sump/ • Class B insulation. Dewatering • Oil-filled design. • High strength carbon steel shaft. SPECIFICATIONS PE31 Motor: Pump—General: • .33 HP 3000 RPM • Discharge: 1'W NPT • 115 volts • Temperature: 104°F(40°C)maximum,continuous when ' Shaded pole design fully submerged. PE41 Motor: • Solids handling:'/'maximum sphere. • .40 HP 3400 RPM • Automatic models include a float switch. • 115 and 230 volts • Manual models available. • PSC design • Pumping range:see performance chart or curve. PE51 Motor: PE31 Pump: • .50 HP,3400 RPM • Maximum capacity:53 GPM • 115 and 230 volts • Maximum head:25'TDH • PSC design PE41 Pump: • Maximum capacity:61 GPM AGENCY LISTINGS • Maximum head:29'TDH PE51 Pump: r)® • Maximum capacity:70 GPM • Maximum head:37'TDH c us Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Assodation METERS FEET File#LR38549 40 MODELS'PE31,PE41.PE51 PE51 HP..33,.40 50 35 10- 2 GPM Goulds Pumps is ISO 9001 Registered. 30 PE41 1 FT 0 25 PE31 z 20 APPROVED 15 AUG 1 1 2023 10 MA3ON COUNTY ENVIRONMENTAL HEALTH 5 DJA 0- °0 10 20 30 40 50 60 70 GPM 80 0 5 10 15 m3/h CAPACITY ITT GOULDS PUMPS Residential Water Systems PERFORMANCE RATINGS DIMENSIONS PE31 PE51 (All dimensions are in inches.Do not use for construction purposes.) Total Head Total Head (feet of water) GPM (feet of water) GPM 5 52 10 67 • 10 42 15 59 6.4 (fru 01")cs 15 29 20 50 '. 20 16 25 39 \ 25 0 30 26 2.2 35 8 9.6 PE41 I Total Head GPM (feet of water) ta 8 61 Jt 10 57 =pal= 15 46 20 33 25 16 15.4 12.0 i1'>i'NPT DISCHARGE ./ 3.1 WM 1.6 PUMP INFORMATION Minimum Minimum Maximum Shipping Order No. HP Volts Amps Circuit Phase Float Switch Cord Discharge Basin Solids Weight Breaker Style Length Connection Diameter Size lbs/kg PE31M 0 33 12 20 Manual/No Switch PE31P1 115 Piggyback Float Switch PE41 M 7.5 15 Manual/No Switch PE41 Pt 0.4 Piggyback Float Switch PE42M 230 3.7 10 1 Manual/No Switch 20' 1.5" 18" .5" 31/14.1 PE42P1 Piggyback Float Switch PE51 M 115 9.5 20 Manual/No Switch PE51 P1 0.5 Piggyback float Switch PE52M 230 4.7 10 Manual/No Switch PES2P1 Piggyback Float Switch APPROVED AUG 1 1 2023 MASON COUNTY ENVIRONMENTAL HEALTH DJA I T T Residential Water Systems p 4 APPROVED GOULDS PUMPS AUG 1 1 ?023 p MASON cowry NEAITN Goulds Pumps and the ITT Engineered Blocks Symbol are DJA registered trademarks and tradenames of ITT Industries Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. BPE February, 2006 ©2006 ITT Water Technology, Inc. Engineered for life