HomeMy WebLinkAboutSWG2023-00333 - SWG Application / Design - 8/8/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
)illt :-... SHELTON:360-427-9670,EXT 400ei)
} BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00333
APPLICANT SHOEMAKER DAVID & KARYLIN Phone: 541-844-4087
Address: 8393 E STATE ROUTE 3 SHELTON, WA 98584
OWNER SHOEMAKER DAVID & KARYLIN Phone: 541-844-4087
Address: 8393 E STATE ROUTE 3 SHELTON, WA 98584
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 8393 E State Route 3
Primary Parcel Number: 221292450010
Permit Description: New SFR - 3BR Pressure
Permit Submitted Date: 08/08/2023
Permit Issued Date: 08/28/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/08/2026 (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
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 53 a\ _ 2
ONSITE SEWAGE SYSTEM APPLICATIO htD EIVEp: RECEI D Y
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415 N 6th Street,(Bldg 8) Shelton WA,98584 < cn
Shelton:360-427-9670 ext 400 Belfair:360-2 . '. ext 40�09113 WG �C0 -15 — 00 �-2, O
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APPLICANT �!`V�O "•NE > >
KARYLIN SHOEMAKER R v 5414994325 M m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
8393 E STATE ROUTE 3 SHELTON WA 98584 a
SITE ADDRESS-STREET,CITY.ZIP CODE co
8393 E STATE ROUTE 3 SHELTON WA 98584 xi
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
-
NAME OF INSTALLER PHONE
VILLINES EXCAVATION
a 1----
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
C
sr NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 111 PRIVATE INDIVIDUAL WELL N
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL Z
❑ TABLE 9 REPAIR El SINGLE FAMILY ElCOMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: t
❑ UPGRADE TO EXISTING ❑ OTHER:._. BEDROOMS LOT SIZE
❑ EXISTING FAILURE "Record Drawing required 3 8.04 W 1'�"'1//�^'�
for all Installations" r 1
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(exi,s_.\
.lock at ® v E 0 11'
SEE DESIGN p x
AUG 2 8 2023 r
MASON COUNTY ENVIRONMENTAL HEALTH o IC
JBW -I
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS P
OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY [(MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT El OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
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SOIL CODES: r```,,
V=V G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS NvG t
I SPE 0 SIGNATURE DATE APPLICATION EXPIRATION DATE AP TION APP- BY DATE
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In1 -22— —ZZ '7— 6It ,. ► *2_3
TH F AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT -EVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number:„52,43 -- e;724 --,5 Q 4 4_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 02(9,23 — 003 33 Designer's Name: ADAM HUNTER
Applicant's Name: KARYLIN SHOEMAKER Designer's Phone Number: 360-753-1226
Mailing Address: 8393 E STATE ROUTE 3 Designer's Address: PO BOX 162
SHELTON WA 98584 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
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 litiPressure 'Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40
Daily Flow:Operating Capacity 270 gpd Length ' 25 ft
Daily Flow: Design Flow 360 gpd Diameter 1 in
Septic Tank Capacity 1200 gal Number 8
Receiving Soil Type(1-6) 4 Separation 6 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices 72
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 Schedule/Class 40
Elevation Measurements Length 40 ft
Original Drainfield Area Slope 6 % Diameter 2 in
New Slope,If Altered 6 % Preferred manifold configuration used? Yes 0 No
Depth of Excavation Up-slope 14 in Transport Pipe
from Original Grade Down-slope 11 in Schedule/Class 40
Designed Vertical Separation 24 in Length 70 ft
Gravelless Chambers Required? 0 Yes 0 No litOptional Diameter 2 in
Pump Required? it 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 fi0 gal
Orifice " ft Chamber Capacity 1200 gal
Uppermost Orifice!'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 42.2 gpm i r ! lapse Meter 'Event Counter
Calculated Total Pressure Head 15.5 ft Rf pl.
nv,rtE L ,Pump off 4 HRS
Comments AUG 2 8 2023
MASON COUNTY ENVIRONMENTAL HEALTH
JBW
4
DESIGN FORM-PAGE TWO Assessor's Parcel Number: _i_A —� -- , O 2L Q
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations E Drainfield orientation and layout Reference depth from original grade:
' Soil logs g Trench/bed dimensions and Ed Septic tank
Property lines critical distances within layout la Drainfield cover
g Existingand proposed wells /V D-Boxalve box locations
Reference depth from original grade
within 100 ft of property ' Septic tank/pump chamber and restrictive strata:
if Measurements to cuts,banks,and locations Laterals,trench/bed,top and
surface water and critical areas E Observation port location bottom
a Location and orientation of 0' Clean-out location 0 Curtain drain collector
curtain drain and all absorption ' Manifold placement 0 Sand augmentation
components
g Orifice placement Other cross-section detail:
0' Location and dimension of Observation ports/clean-outs
primary system and reserve area Lateral placement with distance
to edge of bed Other Information
0' Buildings
tif Audible/visual alarm referenced Yes No
Direction of slope indicator Er Scale of drawing shown on scale l� 0 Designstaked out
g Waterlines APPROVED
❑ ❑ Recorded Notices attached
12i Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ 0 Pump curve attached
g North arrow and scale drawing AUG 2 8 2023 o ❑ Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HEALTH Non-residential justification
J BW ❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be nott t
b n• al •rat time of installation llifYes ❑ No
li
7/7/23
Signatu = of Iesigner 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 o it re: lations:
,/ 1 3 /If•i911_,
3 '2 '-'23
Env' o :l Health Specialist Date
CAUTION: DESIGN APPRO AL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. p�
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: S. -2Z—Z 0
✓ 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
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 221292450010
DATE SUBMITTED: 7/7/2023 LEGAL/LOT#: LLS 0606
LOT 1
SUBMITTED BY: ADAM HUNTER
APPLICANT: KARYLIN SHOEMAKER
ADDRESS: 8393 E SR 3
SHELTON,WA 98584
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 NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 600 FT2
TRENCH LENGTH OR BED CONFIG.= 8-25FT TRENCHES
II.WATERPROOF SEPTIC TANKS
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III. DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 1'-2"
ROCK DEPTH BELOW PIPE= 0'-6"
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL 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
7/7/23 APPROVED
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AUG 2 8 2023
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MASON COUNTY ENVIRONMENTAL HEALTH
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V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 3/16
LATERAL#1 =
SQUIRT HEIGHT(FT)= 2.00
(NOTE(2).ORIFICE DISCHARGE RATE_(11.79)X(ORIFICE DIAMETER)S02 X
SO ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
LATERAL#3=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
LATERAL#4=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
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LATERAL#5=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
LATERAL#6=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
LATERAL#7=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
LATERAL#8=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 25.00
ORIFICE SPACING= 3'0"
DISTANCE FROM END CAP= 0'6"
NUMBER OF HOLES= 9
LATERAL DISCHARGE RATE= 5.276
.1APPROVE
AUG 2 8 2023
MASON COUNTY ENVIRONMENTAL HEALTH
I7/7/23 J B w
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i ' ADAr.t 1 livTER ,'•,
?AGE 4
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 70.00 2.00 42.205 2.0510
BC 1.00 2.00 21.102 0.0081
CD 1.00 2.00 15.827 0.0048
DE 1.00 2.00 10.551 0.0023
EF 40.00 2.00 5.276 0.0250
FG 25.00 1.00 5.276 0.4238
TOTAL= 2.515
"TOTAL HEAD LOSS **
1)FRICTION LOSS THROUGH SYSTEM= 2.515
2)ELEVATION DIFFERENCE = 11.000
3)RESIDUAL = 2.000
TOTAL= 15.515
7/7/23 jpPROVE
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U U U U LT. W O U f I- ° ¢ (n o Q m o > Z c~n w z ° ° ¢ ( U U co x x
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IY M CC Ce Q W > > 0 O O 1- = x ° z ° O F- z ¢ z '-
z
WI I- H- 1- I- m C� cn d d U) Z Z w x N j z> w • w O c� LL ° F- w U O (n w x m
z Q ¢ O Q O w J a W = C - Z Oz o g ? 6 = oo
¢ F- d _ U U x x 1- z