HomeMy WebLinkAboutSWG2022-00608 - SWG Application / Design - 12/8/2022 et.
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: SWG2022-00608
APPLICANT Crystal Mattson Phone:
Address: PO Box 867 MCKENNA, WA 98558
OWNER RUSSELL COLLIN R Phone:
Address: 310 NE KISSIN TREE LN TAHUYA, WA 98588
SEPTIC INSTALLER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 310 NE Kissin Tree Ln
Primary Parcel Number: 323342400000
Permit Description: 3-bedroom pressure system
Permit Submitted Date: 12/08/2022
Permit Issued Date: 08/09/2023
Issued By: David Anderson
Current Permit Fees Paid: $740.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 12/19/2025 (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.
Ammiatrrm
•
CLEAR FORM OFFICIAL USE ONLY—
•
MASON COUNTY PUBLIC HEALTH DATE RECEIVED 1 , �' lell,
ONSITE SEWAGE SYSTEM APPLICATION AMOU 0 . RECEIVE10 Cn
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415 N 6th Street,(Bldg 8) Shelton WA,98584 ... Tn
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 SWG U22, - b(D O
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SWG x)
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APPLICANT PHONE D >
CRYSTAL MATTSON m 73
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MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE r
PO BOX 867 MCKENNA WA 98558 c
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SITE ADDRESS-STREET.CITY,ZIP CODE CO
310 NE KISSIN TREE LN TAHUYA WA 98588 m
NAME OF DESIGNER PHONE I�
ADAM HUNTER 360-753-1226
NAME OF INSTALLER PHONE 1 i
H2F LLC v IW
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
El NEW CONSTRUCTION El RV HOLDING TANK ONLY El PRIVATE INDIVIDUAL WELL N Ivv
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY II PRIVATE TWO-PARTY WELL Z
El TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: 1
ElUPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE l
❑ EXISTING FAILURE "Record Drawing required 3 1 O W /
for all Installations" r" ' T
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O I I
DEWATTO HOLLY RD NORTH TO A RIGHT ON KISSIN TREE TO SITE AT THE END ON
r.
THE RIGHT. II__
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS IC)
- 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 d -. / l$ I
9 D _ ye,
C) 0 - 'ri
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SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLIC APPROVED BY DATE
G:. tril‘kky I Z1l y/ZOZS �17(WOZ_5
TH FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSI REVISED 12/7(2015
f
DESIGN FORM—PAGE ONE Assessor's Parcel Number:.3_33.4-- ,2 - Q 0 O 0
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 W 72. O ovog Designer's Name: ADAM HUNTER
Applicant's Name: CRYSTAL MATTSON Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 867 Designer's Address: PO BOX 162
MCKENNA WA 98558 OLYMPIA WA 98507
CLEAR FORM
City State Zip City State Zi.
oit #` v.• DESIGN PARAMETERS ..` T,�.-W .,F .•-
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 6i!'Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals f
Number of Bedrooms 3 / Schedule/Class 40
Daily Flow:Operating Capacity 270 gpd. '
pd ✓ Length 50 ft
Daily Flow: Design Flow 360 gpd - Diameter 1.25 /
in /
Septic Tank Capacity 1200 gal ✓ Number 4 ✓
Receiving Soil Type(1-6) 4 V Separation 6 ft
Receiving Soil Appl.Rate 0.6 gpd/ftv Orifices
Required Primary Area 600 ft2 f Total Number of Orifices 68
Designed Primary Area 600 ft2 Diameter 3/16 in
Designed Reserve Area 600 ft2 Spacing 36 in
Trench/Bed Width 3 ft / Manifold
Trench/Bed Length 200 ft t, Schedule/Class 40
Elevation Measurements Length 20 ft
Original Drainfield Area Slope 10 % Diameter 2 in
New Slope,If Altered N/A % Preferred manifold configuration used? "Yes 0 No
Depth of Excavation Up-slope 14 in _t Transport Pipe
from Original Grade Down-slope 10 in `u Schedule/Class 40
Designed Vertical Separation 12 in Length 35 ft
Gravelless Chambers Required? 0 Yes 0 No 'Optional Diameter 2 in
Pump Required? 12(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 09 ft Chamber Capacity 1200 gal
Uppermost Orifice 6'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressur 6 rn M'Timer Et Meter 17'Event Coun r-
Calculated Total Pressur If Timer: Pump on 60GAL ,pump off 4 HRS
Comments
AUG 0 9 2023
MASON COUNTY ENVIRONMENTAL HEALTH
C.!A
DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2,,3_3±--ad-- c_0 O O i
Permit Number: SWG 2aZ —06 6C'8
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
tg Test hole locations a Drainfield orientation and layout Reference depth from original grade:
Soil logs M' Trench/bed dimensions and &' Septic tank
g Property lines critical distances within layout a Drainfield cover
g Existingproposed ' D-Box/Valve box locations
and p p wells t Reference depth from original grade
within 100 ft of property EC Septic tank/pump chamber and restrictive strata:
g Measurements to cuts,banks,and locations l' Laterals,trench/bed,top and
surface water and critical areas El Observation port location bottom
a Location and orientation of a Clean-out location 0 Curtain drain collector
curtain drain and all absorption Er Manifold placement 0 Sand augmentation
components a Orifice placement Other cross-section detail:
12( Location and dimension of g Lateral placement with distance Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
g Buildings Ei Audible/visual alarm referenced Yes No
611 Direction of slope indicator ' Scale of drawing shown on scale 0 g Design staked out
g Waterlines bar ' 0 Recorded Notices attached
g Roads,easements,driveways, t ' 0 Waiver(s)attached
parking t' 0 Pump curve attached
g North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
N
The undersigned designe' .e noti i •. . • installer at time of installation E Yes 0 No
11/11/22
re of Designer Date A pp
The undersigned has reviewed t, . design on behalf of Mason County Public Health and determine lie
compliance with state and local on-si gulations: �®
MASoN AUG u92023
Environmental Health Specialist Date "'EN!AN/EA/7.ALHEALTH
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: f 1 / Y( 26(75
✓ 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
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 323342400000
DATE SUBMITTED: 11/11/22 LEGAULOT#:
SUBMITTED BY: ADAM HUNTER
APPLICANT: CRYSTAL MATTSON
ADDRESS: PO BOX 867
MCKENNA,WA 98558
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NOT USED
DRAINFIELD SIZING
ABSORPTION AREA= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 4-SOFT TRENCHES
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 1'-2"
ROCK DEPTH BELOW PIPE=
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAUSEASONAL SATURATION= >2'-0"
FILL DEPTH= 1'-0"
TRENCH WIDTH= 3'-0"
IV.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 60
NUMBER OF DOSES PER DAY= 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 3/16
• 11/11/22
•-;fir AUG092023
.r
i::' .
MASON COUNTY ERONMENTAL HEALTH
•
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�•1 ADAMJ.HUNTER '/•
24
• PAGE 2
LATERAL#1=
SQUIRT HEIGHT(FT)= 2.00
(NOTE(1).ORIFICE DISCHARGE RATE_(11.79)X(ORIFICE DIAMETER)SO2 X
SO ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 50.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'0.,
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 9.965
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 50.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'0"
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 9.965
LATERAL#3= @7
SQUIRT HEIGHT(FT)= 2.00 IL..Pp�
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 50.00 E.®
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'0" AUG 0 9 20
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 9.965
MASpNpppA„..,, Rp 3
SQUIRT LATERAL tHEIGHT(FT)= 2.00 DJA NMENTAL HEALTH
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 50.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 1'0"
4 NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 9.965
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 35.00 2.00 39.860 0.923
BC 1.00 2.00 19.930 0.007
CD 20.00 2.00 9.965 0.041
DE 50.00 1.25 9.965 0.724
TOTAL= 1.695
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 1.695
or/ 2)2l ELEVATION DIFFERENCE = 0.900
. fovit
alv t„ 11/11F.2 UAL = 2.000
'��1♦ TOTAL= 4.595
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CAPACITY LITERS PER MINUTE
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