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HomeMy WebLinkAboutSWG2019-00319 - SWG Application / Design - 8/14/2019 (3)Mb t•ra• MASON COUNTY3 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: SWG2019-00319 APPLICANT DANIEL SIDNEY & HOLLYANN Phone: 206-713-0984 WILLIAMS Address: 12126 SE 284TH ST AUBURN, WA 98092-4004 OWNER DANIEL SIDNEY & HOLLYANN Phone: 206-713-0984 WILLIAMS Address: 12126 SE 284TH ST AUBURN, WA 98092-4004 DESIGNER TOBY SYRETT-septic designer for B- SEPTIC Phone: 360-426-4221 line Address: 2971 E Philips Lake Rd SHELTON, WA 98584 SEPTIC INSTALLER DON WOOLLISCROFT B-Line Phone: 360-426-4221 construction Address: 2971 E PHILLIPS LAKE LOOP ROAD SHELTON, WA 98584 Site Address: 151 E Nelson Rd Primary Parcel Number: 122294400020 Permit Description: Upgrade to existing System, 3BR existing SFR and 2 BR ADU Nuwater BNR600 Permit Submitted Date: 08/14/2019 Permit Issued Date: 09/23/2019 Issued By: Jeff Wilmoth Current Permit Fees Paid: $1,030.00 (additional fees may be required upon installation of system). Permit Expiration Date: 09/20/2023 (based on date of inspection) Permit Conditions: 1 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 2 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 3 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 4 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. N 9..42-0\JE %( (1)(V --— OFFICIAL USE ONLY— MASON COUNTY DATE RECEIVED: 1 ' 3-() O ` � N D �N - .= COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVE CO m cn Public Health(Community Health/Environmental Health) ,,. ins N.6th Ste et 400ltrxWA 54467.ext.400 SWG 10l Y 66130 0 41S N.6th Street�$helton,WA 98584 — i O Z oi ON-SITE SEWAGE SYSTEM APPLICATION 3 73 m n APPLICANT PHONE � WILLIAMS CIO B-LINE CONST. INC. 360-426-4221 N z O C MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE GI E 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 S CO I— xi SITE ADDRESS-STREET.CITY,ZIP CODE o 151 E NELSON RD. GRAPEVIEW WA 98524 I NAME OF DESIGNER PHONE p I N TOBY SYRETT @ B-LINE CONST. INC. 360-426-4221 NAME OF INSTALLER PHONE — vm I IV DON WOOLLISCROFT @ B-LINE CONST. INC. 360-426-4221 R cn PERMIT TYPE(select one) DRINKING WATER SOURCE I N II RESIDENTIAL OSS U] COMMUNITY OSS f COMMERCIAL OSS LVI PRIVATE INDIVIDUAL WELL U PRIVATE TWO-PARTY WELL Z I CO TYPE OF WORK(select one) CT PUBLIC WATER SYSTEM WI NEW CONSTRUCTION/UPGRADES b REPAIR/REPLACEMENT OTHER DETAILS(select all(hat apply) 0 TABLE IX REPAIR I SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE CO tgr rDESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I- I tip,WAIVERS)(IF APPLICABLE) 4 2.8 ACRES 0 I o DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) Take Hwy 3 to north end of Grapeview Loop Rd. Follow south to left on Nelson Rd. At end I o veer left through gate to 151. Drain field is on right side of drive in trees as you approach r I o cleared property with existing home and buildings. o IN SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I Q -------- -- OFFICIAL USE ONLY BELOW THIS LINE—UPGRADE/FAILURE SOURCE(lot reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COM SNI tofipinstn nn (-' LA-1c ) . ) �et---- JUL 2 0 2023 r y 2,6 S L v A' By kiV SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT 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 A CATION APPROVED/ISSUED BY DATE q .-a-3 (A‘L IC)..., ot-u-z5. THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 - i i fr 1 l { �' PAGE ( OF / 0 o ):I .,4 SEPTIC SYSTEM DESIGN .._ . , .. „ 0 . ,.... . - , -. , ift, V IAA- ( * .::? : 1 ''.:.. ' ,,,:,: ::._ : 44 . � T, -mil; SITE ADDRESS: 151 E Nelson Rd. SITE CITY,STATE ZIP: Grapeview, WA PARCEL NUMBER: 12229-44-00020 LEGAL DESCRIPTION: TR 2 of Govt Lot 6 & Tax 411-E OWNER: Williams DATE 14 July 2023 B-LINE CONSTRUCTION, INC. __ BaiINE2971 E PHILLIPS LAKE RD. SHELTON, WA 98584 360.426.4221 office 360.426.0509 fax b-Iincconst(amsn.com PAGE Z. OF I OWNERSHIP AND USE OF DESIGN DOCUMENTS: 1. This Design Document has been prepared by B-Line Construction, Inc. via its employees, subsidiaries and sub-contractors. 2. This Design Document has been produced in order to attain an on-site septic system installation by B-Line Construction, Inc. for the property indicated herein. 3. This Design Document represents decades of combined experience of B-Line Construction, Inc. its employees, sub-contractors, etc. in construction processes, technical applications and developments as well as interpersonal understandings and relationships with other professionals, manufacturers, suppliers, regulators, and private parties. 4. This Design Document constitutes physical and intellectual property © B-Line Construction, Inc. and may not be used by any other individual, company, contractor, etc. to construct an on-site septic system for this or any other property. 5. This Design Document shall not be construed as a product that stands alone from the achievement of an on-septic system on the specified property for the client by B-Line Construction, Inc. 6. This Design Document remains the sole property of B-Line Construction, Inc. whether the project for which it was made is executed or not. 7. The submission or distribution of this Design Document to meet official regulatory requirements, or for other purposes in connection with the project, shall not be construed as publication in derogation of B-Line Construction, Inc.'s rights regarding this document as physical and© intellectual property. 8. In the event that B-Line Construction, Inc. is not retained for the installation of the system, this Design Document shall not be used by subsequent parties/contractors. 9. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, subsequent parties/contractors wishing to install an on-site septic system on this property must produce their own design documents for use in a separate research/development/design/permitting/installation process. 10. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, client shall be liable to subsequent parties/contractors for new design documents and 1 additional permit fees as required in pursuit of re-inspection, re-design and installation. B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-Iineconst@msn.com ' pAo 3 oiF DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 2 2 9 — 4 4 — 0 0 0 2 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 0 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: I I"X 17" PARCEL IDENTIFICATION Permit Number: SWG_ 2 011 —OVAesigner's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: WILLIAMS C/O B-LINE CONST. Designer's Phone Number: 360 426 4221 Mailing Address: 2971 E PHILLIPS LAKE RD. Designer's Address: 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 SHELTON WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device i ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand 1.ined Drainfield 0 Recirculating Filter.Type: ❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other: CLASS B WAIVER Drainfield Type ❑Gravity g Pressure l 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 360 AVG gpd Length 26'-74' ft Daily Flow: Design Flow 480 MAX gpd Diameter 1.25" in Septic Tank Capacity(working) 1500 gal Number 5 Receiving Soil Type(1-6) 4 Separation 6' MIN 0/C ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices 44 Designed Primary Area 804 ft2 i:! P R 0E2 gV 72" in Trench/Bed Width 3 ft SEP 1 1 2023 Id Trench/Bed Length 268 ft W/s6 Mmilms„ 40 tuIRONMENTAL HEA�I H Elevation Measurements Length JBw 12' ft Original Drainfield Area Slope 3-5 % Diameter 1.25" in New Slope,If Altered SAME % Preferred manifold configuration used? gYes 0 No Depth of Excavation Up-slope 10" MAX in Transport Pipe from Original Grade Down-slope 8" in Schedule/Class 40 Designed Vertical Separation 16" MIN in Length 450'MAX ft Gravelless Chambers Required? 0 Yes g No 0 Optional Diameter 1.25" in Pump Required? g Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff. in Elevation Between Pump&Uppermost Orifice 18 ft Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1500 gal Uppermost Orifice g Higher 0 Lower than Pump Shutoff Pu f•ontrols: Please check those required. Capacity @ Total Pressure Head 25.96 gpm �!� imer l 'Elapse Meter 1 Event Counter • Calculated Total Pressure Head 35 ft ;• "riie IP. ump on n/a ,Pump off n/a _1`Comments •• Total Head = 5.0 fittings loss + 18 elevation + • f 'gja .,, ^ei, 0 . - ________ . 2 1. .. . . ti i9 Coe- —4.— uF ..— DESIGN FORM-PAGE TWO Assessor's Parcel Number: 1 2 2 2 9 -- 4 4 -- 0 0 0 2 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: g Soil logs 2 Trench/bed dimensions and Ed Septic tank g Property lines critical distances within layout I2f Drainfield cover g Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property Ig Septic tank/pump chamber and restrictive strata: O Measurements to cuts,banks, and locations 121 Laterals,trench/bed,top and surface water and critical areas Ig Observation port location bottom O Location and orientation of 21 Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components Orifice placement Other cross-section detail: Location and dimension of lid Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information WI Buildings g Audible/visual alarm referenced Yes No El Direction of slope indicator g Scale of drawing shown on scale g 0 Design staked out g Waterlines bar g 0 Recorded Notices attached g Roads, easements,driveways, g 0 Waiver(s)attached parking g 0 Pump curve attached 21 North arrow and scale drawing �__r_----❑ lir Evaluation of failure shown on scale bar Non-residential justification 0 0 Waste strength ', El ElFlow DESKA A' .OVAL ram ,, The undersigned designer must be notified by i �At tc oi,.L l? m 4 tallation Yes 0 No .I( Si nature •�1%F,'�' II ate g w a.. �sia►t�t , The undersigned has reviewed this design on behal€ sHi bunty Public Health and •etermined it to be in compliance with state and local -sit regulations: nv enta Health Specialist Date 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: C(20`2_3 ✓ 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 l • ww 0 J W cc W CO C)? = CO mN M O LL 11 C9� 0 I \ - - _ _ Q x Z() Z 2 • _ O M 1,� •- ��a �� .III m W 0 J CIO 0 w xm , O .— 3 N Q QWl4 WN //I .i' �. I \ Z J W U W Ii X v w I m ¢ W b I i I, /� i Z O 42 o 0 \ I ' (-NI-Ia o O T� I , 1- 4 H \ i / I (� N J Q CO P b X X / + a N 0. m H ° ZU I Q 0 I=- �Zzww 0 w woo z I ; P R H z w t . SEp R 1 1 ?0 w w . < ZvfINTVFNviRON 23 0 o w m Jed/ Mf NtAL HEALTH ri4r4i _..,. ' ,i OW tie, VP.fr . O N I- ^3 h 1 - - -i w. I I • 41110 _` 1::(:).--- t. 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Q + • , 2 '-c W Y 0 Q®D j a !o .115` ►- J Q w w 1331 HI OV3H 1tl101 d ' w ? a w cc U r Q� Y a w ma� 0. 58313WOV3H 0 U z "v w I- u_U a , MANIFOLD DETAIL: 1.25"FEEDER LINES MANIFOLD 2"TRANSPORT IN VAL VE LVE BOX LINE IN 1 �rr, r,r 1.25"MANIFOLD REDUCER A 1.25"BALL VALVES 2"TRANSPORT T 1.25"FEEDER LINES 1.25"LATERALS 36"TO 111 1ST ORF *--c\s, I GRAVEL TRENCHES ry an w w 1 N 3/16"ORIFICES @ 6:00 ,` T 1_ � O i 1 :7 CO 15 ✓ + .:;". —grk• s 1 ral- ,, J `� Yz. n' 3. • Jc5,,/: _ � i+01'fY I TA*-Sl'I�TT � >) r : i rise)DESK 4a (a /‘/, : ' / , .. • ��-v. ...Cam% .1�.•.•%�,. h � OTEq.iu z o 3 I • SEP 1 12023 I MASON COUNTY ENVIRONMENTAL HEAT TH DRAINFIELD LAYOUT DETALI W 'MIN LA" 0 i FOR: WILLIAMS JOB#: SPACING PARCEL#: 12229-44-00020 DATE: 14 JULY 2023 BY: TJS DESIGN PAGE OF ,/o CLEANOUT/OBS PORTS NORTH ARROW: SCALE: 1" = 10' © B-LINE CONSTRUCTION, INC. O 0' 10' 20' i Or N E W m W o n - 6"PVC CLEANOUT/OBSERVATION PORT W FINISHED GRADE J FILTER FABRIC OVER DRAINROCK I Q j / DRAINROCK Q COQ - ORIGINAL GRADE W ri/>/ i SANDY i U Z LOAM 12"+ I r W FILL I i / m F- (n p i 9 i Ti II Q �j— _ _ _ - - - - - - - /litX 2 W V 1.2f."LATERAL PIPE Z I- Ill _i 1 i Q CC - 36" - i ►� cc z it ct TRENCH BOTTOM - W J (./) Q '-• TEE ON BOTTOM OF PORT TO ANCHOR R' 0 < >- 0 NATIVE SOIL iv: s il a , off� .r; .511kAik itOiLy' f • RESTRICITVE LAYER �I4 To r1.TAIV441 r ,\ 'MIRES:,04/07/1 , a - VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW �/ / FINISHED GRADE 1 // THREADED CAP ORIGINAL GRADE --) rf?'4--- FLEX HOSE OR SWEEPING EL 1 / j-- 1.25"LATERAL PIPE I BRING LAT INTO - -I i 1 PORT THROUGH - - DRILLED HOLE I/ hill 72"ORIFICE SPACING I•d - \\ \ PPROVE :44 \-- TRENCH BOTTOM `-- TEE ON BOTTOM OF PORT TO ANCHOR SEP 1 1 2023 \1ASON COUNTY ENVIRONMENTAL HEALTH © TAHJA-SYRETT DESIGNS JBW PAGE 10 of /m PRESSURE DISTRIBUTION SYSTEM System Owner Responsibilities: 1. The prepared site plan is not a survey. It is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the contractor immediately. 2. Keep wheeled vehicles off the drainfield area before, during and after installation — tracked vehicles only. 3. All ground and surface water (including roof drains) must be diverted away from the drainfield and tank areas. Ensure that final grade slopes away from these areas and that water does not pool around/behind them. Use swales, berms, along with catch-basins and tight-lines, curtain drains, etc. to divert ground and surface water. 4. Curtain drains can be no closer than 10' uphill or 30' downhill from the drainfield. 5. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 6. Operation & Maintenance is required by the state of Washington and the county for all septic systems. 7. Please contact B-Line Construction for periodic Operation & Maintenance service of your system. 8. System Owner is responsible for having maintenance performed according to the schedule set forth by Mason County. 9. System owner/operator is responsible for responding to alarms in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT change settings in the control panel. Only authorized maintenance personnel may alter settings in the control panel. 11 . System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. APPROVE ` = k SEP 1 1 2023 -:, MASON COUNTY ENVIRONMENTAL HEALTH B-Line Construction, Inc. JBW 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-lineconstmsn.com PAGE-____ a F,. , w:l : s s.-}� soi ( M �i r ' * r'..$ r,V . • t - : fl 14 r 4 +rai. y`. fi , 3 �)�}� K i.w^ v}f ., a 3R r i ,, ,. . - Qg • ' b ;, ldt���a� . . 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