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HomeMy WebLinkAboutSWG2023-00336 - SWG Application / Design - 8/10/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 J` 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: SWG2023-00336 APPLICANT BAYSHORE CONSTRUCTION Phone: 360-866-9200 Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA, WA 98502 OWNER TAHJA YVONNE D Phone: Address: 7611 W SHELTON MATLOCK RD SHELTON, WA 98584 SEPTIC DESIGNER Adam Hunter Jim Hunter and Phone: 360-753-1226 Associates Address: PO Box 162 OLYMPIA, WA 98507 Site Address: 721 N Finch Creek Rd Primary Parcel Number: 422113190050 Permit Description: Repair-2BR SFR -Oscar II Permit Submitted Date: 08/10/2023 Permit Issued Date: 09/06/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 08/31/2024 (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 MASON COUNTY PUBLIC HEALTH DATE RECEIVED: awl /V-' c lg. cn D 1 , TE SEWAGE SYSTEM APPLICATION AM R ED: :11 RECEN D co (n 415 N 6th Street,(Bldg 8) Shelton WA,98584 0 V\'G� cn elton:360-427-9670ext400 Belfair:360-275-4467ext400 S 201117 _ �134 fn Q'lO^L V VO ui Z P�G1 ` Z -u • qr• �� PHONE > > R' = 'SHORE CONSTRUCTION 3608669200 m m MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE r 7611 W SHELTON MATLOCK RD SHELTON WA 98584 c SITE ADDRESS-STREET,CITY,ZIP CODE CO 721 N FINCH CREEK RD HOODSPORT WA 98548 m NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE BAYSHORE CONSTRUCTION 3608669200 h, CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0 I)' C ❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY II PRIVATE INDIVIDUAL WELL (n ❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z J TABLE 9 REPAIR El SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: I ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE 1. ) 11 EXISTING FAILURE "Record Drawing required 2 1.1 8 W for all Installations" r 4--. 0 DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 f SR 119 TO A RIGHT ON FINCH CREEK TO A LEFT ON FINCH CREEK TO SITE AT END x Imo^) ON THE LEFT. le r ID O I(2) SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS r) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT El HOME SALE ['COMPLAINT ❑OTHER. INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 0" 3-\-t 5 0 - L5 - .1.)1, I -N colo.6.tii-.5. . - --, 3 (02 1 . 1)41,5 i AUG 10 2023 l By V61.6 --_J SOIL CODES: V= Y G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS SPEC R I NATURE DATE APPLICATION EXPIRATION DATE AT ON APPROVED BY DATE (A\L\A 1) -)) .13_3 ' /--.3\i cP/')" (i THIS OR BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: _4_tAai_4 -- 31_ -- B. n_60 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 ZO23 —OD j3 Ci Designer's Name: ADAM HUNTER BAYSHORE CONSTRUCTION g 360-753-1226 Applicant's Name: Designer's Phone Number: Mailing Address: 7611 W SHELTON MATLOCK RD 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: OSCAR II Drainfield Type OSCAR II DRAINFIELD (NO PRETREATMENT) ❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class PER OSCAR Daily Flow: Operating Capacity 180 gpd Length PER OSCAR ft Daily Flow:Design Flow 240 gpd Diameter PER OSCAR in Septic Tank Capacity 1200 gal Number PER OSCAR Receiving Soil Type(1-6) 1 Separation PER OSCAR ft Receiving Soil Appl. Rate 1 gpd/ft2 Orifices Required Primary Area 240 ft2 Total Number of Orifices PER OSCAR Designed Primary Area 240 ft2 Diameter PER OSCAR in Designed Reserve Area REPAIR ft2 Spacing PER OSCAR in Trench/Bed Width 10 ft Manifold Trench/Bed Length 24 Rh 101V E PER OSCAR A P Len PER OSCAR ft Elevation Measurements CCpp gTnn Original Drainfield Area Slope 0 3Blani�ti 2023 PER OSCAR in New Slope,If Altered 0 rVIAWN COL Y tif*Re -ration used? "Yes 0 No Depth of Excavation Up-slope N/A in J B W Transport Pipe from Original Grade Down-slope N/A in Schedule/Class 40 Designed Vertical Separation >24 in Length 2 X 140 ft Gravelless Chambers Required? 0 Yes VVNo 0 Optional Diameter 1 in Pump Required? ',Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 360 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.667 gal Orifice 6.3 ft Chamber Capacity 1000 gal Uppermost Orifice!Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 12 gpm !Timer ! lapse Meter ®'Event Counter Calculated Total Pressure Head 28.012 ft If Timer: Pump on 22 SEC ,pump off 3MIN 38SEC Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:±tea t L -- a4_ -- 5_Q t o_ Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Er Test hole locations 6a Drainfield orientation and layout Reference depth from original grade: Ea Soil logs 12i Trench/bed dimensions and tgi Septic tank Property lines critical distances within layout la Drainfield cover 121 Existing and proposed wells 12c D-Box/Valve box locations Reference depth from original grade within 100 ft of property 1 ' Septic tank/pump chamber and restrictive strata: a Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas 67 Observation port location bottom a Location and orientation of 6' Clean-out location 0 Curtain drain collector curtain drain and all absorption l2i Manifold placement 0 Sand augmentation components 9' Orifice placement Other cross-section detail: Location and dimension of Ef Lateral placement with distance E' Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information LI Buildings 0' Audible/visual alarm referenced Yes No 12( Direction of slope indicator lif S o�ir i s wn on scale rI l-w Er 0 Design staked out 1 Waterlines 0 V E 0 0 Recorded Notices attached 6� Roads, easements,driveways, ❑ ❑ Waivers) attached parking SEP 0 6 2023 ❑ ❑ Pump curve attached 0 0 Evaluation of failure North arrow and scale drawing MASON COUNTY ENVIRONMENTAL HEAL,h shown on scale bar T Non-residential justification J B W 0 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must notif installer at time of installation ',Yes 0 No 8/8/23 r re of Designer Date The undersigned has reviewed this sign on behalf of Mason County Public Health and determined it to be in compliance with state and local - ite regulations:o 1 W14 � � v, .. �1 ental Health Specialist Date ''I CAUTION: DESIGN APP OVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. t� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 3 1 — / ✓ 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#:422113190050 DATE SUBMITTED:8/8/2023 LEGAULOT#: SUBMITTED BY: ADAM HUNTER APPLICANT: BAYSHORE CONSTRUCTION ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 1 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 240 FT2 TRENCH LENGTH OR BED CONFIG.= 24FTX1OFT PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200GAL.2 COMP.CONCRETE NEW OR EXISTING= NEW III.DRAIN FIELD CROSS SECTION SAND DEPTH= 0'-6" IV.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 140.00 1.00 12.000 10.8560 RETURN 140.00 1.00 12.000 10.8560 TOTAL= 21.7121 "TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 21.712 2)ELEVATION DIFFERENCE = 6.300 PTPARO V E28'°12 SEP 0 6 2023 8/8/23 MA p°INTYENVIRpNr�gEIV Jgw TAi hEAiTH 0 �--.• 11 4 i :� i•r: 'r t. ..„ , 4' > •'.,/ 0 71W112 ''C1/ i-' ADAM J.HUNTER •••'11 1'r17."-r ti l .:kif-.�... 1,. xk-c-cc-ccxlrrccc PA2E 2 • V.CHECK THE PUMP CAPACITY. PUMP: A.Y.MCDONALD 30GPM-1/2HP PUMP(MODEL#22050E2AJ) (PER OSCAR) EXCESS TDH 50.00 (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM 28.01 STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES APpRovE MASON N EP !62023 TV ENVIRONME jaw NTAL HEALTH A 8/8/23 4 , •.0. . iy, I :14' I 4 4S,i%-.11,,;,•-..... ,...1. 7.04,.:.• / 51W312 .•% 1i a. 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