HomeMy WebLinkAboutCOM 2023-00064 - COM CD Environmental Health Review - 7/10/2023 (,, . :ti MASON COUNTY COMMUNITY SERVICES PermitNo:L(I ' / `[�. PERMIT ASSISTANCE CENTER: �I V•
BUILDING•PLANNING•PUBIC HEALTH•BRE MARSHAL
- 615 W.Alder Street,Shelton,WA 98584
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� s. p; Phone Shelton:(360)427-9670 ext 352-Far(360)427-7798 Phone J U L 10 2023
„v. Belfair.(360)2754467-Phone Elm:(360)482-5269 •
MIN
BUILDING PERMIT APPLICATION 615 W. Alder S reet
PROPERTY O R T FORMAT VII N: CONTRACTOR INFORMATION: J U L 1 0 2023
(--NICx w,1 /'uYr'Sl
NAME:CAIoYtr '1/ccat kip 3-1,i.( �h, Nam: 1
MAILING ADDRESS: 3-0E-Zic 1,,i Ort MAILING ADD.EESS_-)t- K 1•f ; pj, RECEIVED
CITY:Sk L levi STATEts_YA ZIP:9' Z CITY:,SG STATE:/. LIP:g 3/
PHON #1: _?c-.710-7 7G• PHONES?-,�,td-OLS' ELI.: i i - // -// r
PHONE#2: EMAIL:l ctCK,,c,by t WI q 4 A..'f- I-C.c•r'r‘
EMAIL: S i. t� T RtT REG# J 0 EXP. / / e_
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P�CONTACT• OWNER❑ CONTRACTOR OTHER❑ T T
NAME �, 14 Z�1 3 c E L - -i -.Il
MAILING DRESS ? LJp Rce K 11 i'ect-I P1 CITY Sln 04YrtA STATE(AiC ZIP%-1 2fL rn C':
PHONE 5C{} `971'-(T . CELL // — /! /l Z
• PARCEL INFORMATION:
PAR('FT NUMBER(12 Digit Numbs) 92,(>)'2. )Z —tb Civ t-Aa ZONING Z f n
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT Z
SITE ADDRESS T) ' 1,5 S i es v\e, L-K t 1�(--„ CTTY ,S 1,„LA t or% .."...1
• DIRECTIONS TO SITE ADDRESS N r
r"
IS TICE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO K SNOW LOAD: psf -
. IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWAIJSR❑ LATE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW Pc ADDITION❑ ALTERATION❑r REPAIR] OTHER 0 .
USE OF STRUCTURE(Residence,Garage,CammerriaI Bldg,Etc) ( J L i e- IU L ) 1 i OcY\ m(t A-- (I 110 6L •
IS USE: PRIMARX.a SEASONAL❑ I .l 9 MS-3 NUMBER OF BATHROOMS_ -
HEATED STRUCTURE? AYES(Whole Bldg)K YES(Part[s)ofBldg)❑ NO❑{ ``(IISS y�S
DESCRIBE WORK I 1 E'.1 YAI�,V1.2(1 (e v i>11 ��Oil i VI/ .✓U .-( CI')V f L _
- )UARE FOOTAGE- 3 L/ - (1
I .
1ST FLOOR sq.ft 2ND FLOOR sq.ft 3RD FLOOR sq.ft. BASEMENT sq.fr_ •
DECK sq.fL COVERED DECK sq.ft STORAGE sq.ft. OTHER sq.ft
GARAGE sq.ft Attached❑ Detached❑ CARPORT sq.it.Attached❑ Detached❑
MA F CTURKD B OMT WEFT RMATION: ' *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE CrIIIIIII LENGTH
WID BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC lQ' SEWER❑ / NEW❑ EXISTING '
PLUMBING IN S IIZUCTURE? YES>' NO❑ If yes,attach completed Water-Adequacy Form
PER]METER/FOUNDATION DRAINS PROPOSED? YES, NOD EXISTING SQ.FT.
E7HS-'£$d@tlEDROOMS FROFO ROOMS -T TAttst.LIROOMS •
OWNER acknowledges that submission of inaccurate information may result In a stop work order or permt revomfon.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to restive this permit and to do the work as proposed.I have
obtained permission from al the necessary parties,Including any easement holder or parties of interest regarding this project.The owner or legal
representative,represent that the info:mation provided is accurate and grants employees of Mason Catny access to the above described property
and structure(s)for review and inspe on.This permit/application be=nes null&void 6 work or authorized construction is not commenced within 183
days or if construction work is suspended fa a period o`183 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
IT APPLICATION F 180 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
(-'COtlit7 CODE 14.08.42)
X 1 ?—5 'Z3
Sig (Must be sinned by the OWNER) Date
.rDEPARTMENTAL REVIE 4,'i APPRQVYD'- DATE=:.; - DEI.11t.D DATE`_=T_AGS/NOTES/CONDPIIMS: .,
BUILDING DEPARTMENT
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PLANTING DEPARTIv1'TT
FIRE MARSHAL �j�,�r/�'
PUBLIC HEALTH OP- Y/17Z3 C it/t'i7�►i ai1P�•
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TARc,EL ,.12.01'2.-12-60060 'S' ,.
50 E ISLAND LASE oR. jo,`,
Arrow Septic Designs ,,
171 E.Vuecrest Dr —
Union,WA 98592 r
(360)898-2255 ',�
EH SETBACKS N
A) Drainfield/Reserve requires 10'setback from footing/foundations
B)Septic tank(s)requires 5'setback from all footing/foundations EH APPROVED
C) No foundation/perimeter drains within 30'down-gradient of drainfield/
reserve area U.Anderson 08/22/2023
D) No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50'
down-gradient of drainfield/reserve area
Chapter 3: Establishing Treatment System Performance Requirements
Table 3-5.Typical wastewater flow rates from institutional sources'
Flow,gallons/unit/day Flow,liters/unit/day
Facility Unit Range Typical Range Typical
Assembly hall Seat 2-4 3 8-15 11
Hospital,medical Bed 125-240 165 470-910 630
Employee 5-15 10 19-57 38
Hospital,mental Bed 75-140 100 280-530 380
Employee 5-15 10 19-57 38
Prison Inmate 80-150 120 300-570 450
Employee 5-15 10 19-57 38
Rest home Resident 50-120 90 190-450 340
Employee 5-15 10 19-57 38
. School,day-only:
With cafeteria,gym,showers Student 15-30 25 57-110 95
With cafeteria only Student 10-20 15 38-76 57
Without cafeteria,gym,or showers Student 5-17 11 19-64 42
School,boarding Student 50-100 75 190-380 280
`Systems serving more than 20 people might be regulated under USEPA's Class V UIC Program.See http://www.epa.govisatewater/uic.html for more information.
Source:Crites and Tchobanoglous,1998.
residential dwellings. Maximum hourly flows as ness characteristics of the establishment(e.g., hours
high as 100 gallons (380 L/hr) (Jones, 1976; of operation, fluctuations in customer traffic).
Watson et al., 1967) are not unusual given the
variability of typical fixture and appliance usage The peak flow rate from a residential dwelling is
characteristics and residential water use demands. a function of the fixtures and appliances present
Hourly flows exceeding this rate can occur in cases and their position in the plumbing system con-
of plumbing fixture failure and appliance misuse figuration. The peak discharge rate from a given
(e.g., broken pipe or fixture, faucets left running). fixture or appliance is typically around 5 gallons/
minute (19 liters/minute), with the exception of
Wastewater flows from nonresidential establish- the tank-type toilet and possibly hot tubs and
ments are also subject to wide fluctuations over bathtubs. The use of several fixtures or appliances
time and are dependent on the characteristics of simultaneously can increase the total flow rate
water-using fixtures and appliances and the bust- above the rate for isolated fixtures or appliances.
However, attenuation occurring in the residential
drainage system tends to decrease peak flow rates
Figure 3-4.Peak wastewater flows for single-family home observed in the sewer pipe leaving the residence.
15 4 T- TOILET D DISH WASH Although field data are limited, peak discharge
L- LAUNDRY W-WATER SOFTENER rates from a single-family dwelling of 5 to 10
B- BATH/SHOWER 0- OTHER gallons/minute (19 to 38 liters/minute) can be
= 3 expected. Figure 3-4 illustrates the variability in
= 10- a ��� 4,,
peak flow from a single home.
a (III \ \ �
4 • 2 17111111,11,, �•� ���,� ;i��I ` 3.4 Wastewater quality
5_ , The qualitative characteristics of wastewaters
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j •, generated byresidential dwellings and nonresiden
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'•!1W - o tial establishments can be distinguished by their
0- 0 - physical, chemical, and biological composition.
MN 3 6 9 N 3 6 9 MN
TIME OF DAY Because individual water-using events occur
Source:University of Wisconsin,1978. intermittently and contribute varying quantities of
3-8 USEPA Onsite Wastewater Treatment Systems Manual
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Arrow Septic Designs, Inc
�,�� MAR2L023 LJ 171 E. Vuecrest Dr.
Union, WA 98592
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By February 21, 2023
Mason County Department of Health Services
415 N 6th St
Shelton, WA 98584
RE: Calvary Fellowship(Parcel #42012-12-60040) Flow Calculations& Reserve Drainfield
Dear Inspector:
The Calvary Fellowship property located at 50 E Island Lake Dr, Shelton, WA 98584 has an existing
church. There is a proposed new structure to house the children's and youth ministry. There is no
immediate planned change of use or increase in flows,although if the church attendance continues to
grow,the septic system has plenty of capacity.
There is a gravity flow septic system currently serving the church that was installed in 1983. It consists of
(2) 1,200 gallon septic tanks followed by 250 If x 36"wide = 750 s.f. of drainfield.
The system was inspected 2-1-23 by Bamford Septic Repair and checked out with no deficiencies noted.
The drainfield passed a 20-minute water test at that time.
The church was approved in 1983 with a drainfield size of 750 s.f. for a total of 900 GPD(using a 1.2
application rate). See attached flow calculations for the current usage which averages 174 gallons per day
using a conservative estimate of 5 gallons per visit per person. Actual water usage(avg approx. 300 cubic
feet/month)shows even less average flow than calculated. The plot plan attached shows a designated
reserve drainfield area for the future if needed. The area soils are a very gravelly medium sand so we
have designated 1,125+s.f. sand-lined pressure bed reserve area(900 gpd avg @ 0.8 ap rate).
A"Notice of Operation and Maintenance of On-Site Sewage System" has been notarized and filed on the
property deed. A copy is attached.
The property owner's contact information is as follows:
Calvary Fellowship
P.O. Box 432
Shelton, WA 98584
(360)280-8634 -Robin Williams
If you need further information, please feel free to contact my office at(360) 898-2255.
Sincerely, A
f-� ,G APPROVED
Paula -- .::n MAR 03 2023
Lice On�aste� dr Treatment System Designer MASON COUNTY ENr1RONMENTAL HEALTH
5,L0749 ) RET
a-,' PAULA JOY JOHNSON '
ImmbrSi
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Printed 1=ror , County DMS
Printed from Mason County DMS
•
Calvary Fellowship Arrow Septic Designs, Inc
Parcel#42012-12-60040 2/21/2023
50 E Island Lake Dr
Shelton,WA 98584
Number of Duration Gallons Total Gallons
Average Usage: Attendees (Hours) per person per Week
Sunday-Early Service 50 1.5 5 250
Sunday- Late Service 100 2.0 5 500
Sunday-Children 30 2.0 5 150
Sunday-Youth Group 12 2.0 5 60
Wednesday-Bible Study 40 2.0 5 200
Total Average Flow per Week 1160
Average Flow per Day 166
Existing Septic Tank Size:
1,200 Gallon Tanks x 2 each = 2,400 gallons
Using 2.2 days retention time (2,400/2.2 days) 1,091 GPD
Existing Drainfield Size:
250 lineal feet x 3 ft wide = 750 s.f.
Original Design Flow Capacity(using 1.2 ap rate) 900 GPD
Reserve Area DF Sizing(using 0.8 application rate) 1,125 s.f.
Use 9' wide beds 125 I.f.
RESERVE AREA: Use(2)9'wide x 65' long reserve drainfield beds = 1,170 s.f.
Ai
APPROVED �► aC).
MAR 03 2023 „� . . ;!
•
MASON E'+`‘'iRONME'+TAL HEALTH &Axplor.3.:MLSVoll>egiaitflti.),
e+ooa<9PAULAJOYJOHNSONRET
Printed From Mason County DMS
Printed from Mason County DMS
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5o E l SLAM) LAKE D(Z, >o 'MASON CGUNiYF,yyjRONM�NTA�HEAIt�
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AULAJOYJOHNSON •.yPrinted From MasonaT ' -
Printed from Mason County
2194377 MASON CO WA
03102/2023 09.08 AN NOTCE
Return To
IIIIIfl1�IIII9�IHNulllll'AU1LI3NUII IW P's" 2
Calvary Fellowship
P.O. Box 432
Shelton, WA 98584
Grantor(s): (1) Calvary Fellowship , (2)
Grantee(s): (1) PUBLIC
Legal Description (1) TR C OF SP #311 AF#348098 Ptn TR 4 OF W1/2 NE1/4 SURVEY 14/47
(DOR #13000-001), SEC12, TWP2ON, R4W (Abbreviated form: i.e. lot, block, plat or section,
township, range)
Assessor's Tax Parcel: (1) 42012-12-60040
NOTICE OF OPERATION AND MAINTENANCE OF ON-SITE SEWAGE SYSTEM
I (We) the undersigned grantor, hereby place this notice on record that the described real estate
situated in Mason County, State of Washington; to wit the described real estate is served by an
on-site sewage system that was approved and permitted on the condition that it would receive
on-going operation and maintenance to assure it would continue to function in a manner that
provides adequate treatment and disposal of sewage.
Operation and maintenance of the on-site sewage treatment and disposal system must be done
in accordance with the Mason County On-Site Standards, the Mason County Board of Health
On-Site Sewage Regulations and Washington State Administrative Code: 246.272A On-Site
Sewage Systems.
These covenants shall run with the land and shall be binding to all parties having or acquiring
any right, title, or interest in the land described herein or any part thereof, and shall inure to the
benefits of each owner thereof.
Dated on this 07 2 day of ?4f/i!�(/ , 200?3. 'APPROVED
MAR 0 3 2023
Signs rantor : .,ASO'4 CUJ: i T EWIRONMENTAL HEALTH
(1) , (2) RET
Page 1 of 2
Printed From Mason County DMS
Printed from Mason County DMS
r
State of Washington
County of Mason )
I, the undersigned, a Notary Public i and for the above named County and State, do hereby
cert'fy,that on this �27 Siay of - , 20..2 3 ,
êJY{4AL,f ok,Q perso Ily appeared before me, who is known to be
signer of the above instrument, and acknowledged that he (she) (they) signed it.
GIVEN under my hand and official seal the day and year last abo written.
NOTARY PUBUC Not Pub in 3otan�d for OStat of ash' otn
C3i ►S 115
STATE OF WASHINGTON
residing at '.Q rkt
KALEY B. MACKIE My commission expires:G /(p
Lic. No.22020372
My Appointment Expkee
JUNE 18,2026
APPROVED
MAR 0 3 2023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
Page 2 of 2
Printed From Mason County DMS
Printed from Mason County DMS