HomeMy WebLinkAboutSWG2023-00350 - SWG Application / Design - 8/21/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
alk: SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
—f' Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00350
0
APPLICANT Osmenio Vonoray Phone:
Address: 682 Nukuwali PI WAILUKU, HI 96793
OWNER Osmenio Vonoray Phone:
Address: 682 Nukuwali PI WAILUKU, HI 96793
SEPTIC DESIGNER Jim Zimny -Advantage Perc & Design Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380
Site Address: 162 NE Dewatto Rd
Primary Parcel Number: 322027500010
Permit Description: 2-bedroom pressure system
Permit Submitted Date: 08/21/2023
Permit Issued Date: 09/21/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/23/2026 (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 Drainfield 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.
7 Septic system location, as depicted in the approved site plan, is located outside of the
wetland buffers. If the system is to be installed more than 40 feet from the approved
location, additional wetland review is required.
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
DATE RE(f1V®: , a \ a�a-3
MASON COUNTY
COMMUNITY SERVICES C ��"�"�
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PublkHrtaltfi(Community Health/Environmental Health) N
36012 7-96 70.ext.400w3b4275-4467.ext.400 SWG UJ23 - i�0350 Z Si
415 N.6th Steel-Shelton,WA 98584
CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION Z
m n
APPLICANT PHONE m m
Osmenio Vonoray 808-250-2596 Z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g
i 682 Nukuwali PI , HI 96793 °0
m
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SITE ADDRESS-STREET,CITY,ZIP CODE
162 NE Dewatto RD, Tahuya Wa 98558
NAME OF DESIGNER PHONE
Jim Zimny 360-516-7287 N
NAME OF INSTALLER PHONE N
v
PERMIT TYPE(select one) DRINKING WATER SOURCE 5 Q a
c r'_.
In RESIDENTIAL OSS El COMMUNITY OSS Ti COMMERCIAL OSS VI PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z
TYPE OF SORK(seled one) L7 PUBLIC WATER SYSTEM___ ni
la NEW CONSTRUCTION/UPGRADES El REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR 1
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE (( v�
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PI SEPTIC DESIGN(REQUIRED) BEDROOMS 2 LOT SZZ_ 0 V)`
DESIGN FORM(REQUIRED) t
5"WAIVER(S)(IF APPLICABLE) P-(`Qf S n
DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate) 0
From Belfair grove down Northshore rd 3.2 miles and go rt on NE Belfair Tahuya rd. Q
Travel 7.4 miles and Take rt on Ne Dewatto rd. Site is .2 miles on Rt marked with Pink
Ribbons along dirt driveway. ° IC)
Tets holes rare marked with pink ribbons on the left as you walk on property access,
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAG FD WITH TEST HOLE NUMBERS- G
OFFICIAL USE ONLY BELOW THIS LINE
•
UPGRADE/FAILURE SOURCE(for reporting purposes)
El VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS 1 CONDITIONS
TH1:0 . 36 V(i ($ God pa 3 / I I
�'J -riCft,E 1-,/ l i b Ohl•v - 11Avi-� Ge WI I'll 1/ 3�/1
►U3: V/01 — (l eo (7
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPE OR SIGNATURE DATE APPLICATION PIRATION DATE APPLIC APPROVED/ISSUED BY DATE
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Tf S FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12)7/2015
I DESIGN FORM-PAGE ONE Assessor's Parcel Number. 322027500010- -
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. 0 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
^^,.) /0 Designer's Permit Number: SWG o�J2�� 0�J gne 's Name: Jim Zimny
Osimenio Vinoray 360-516-7287
Applicant's Name: Designer's Phone Number:
Mailing Address: 682 Nukuwali PI Designer's Address: 7178 wndflower PI NW
Wailuku HI 96793 Seebeck WA 9380
CLEAR FORM
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 Er Pressure ! (Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Y/✓ Schedule/Class sch40 `" /
Daily Flow:Operating Capacity 180 gpd �L.ength 35 ft �/
Daily Flow:Design Flow 240 gpd Diameter 1 1/4 in
Septic Tank Capacity (working) 1000 gal ✓ Number 3 .__--
.....,--
Receiving Soil Type(1-6) 3 Separation 5 ft
Receiving Soil Appl.Rate 0.8 gpd/ft Orifices
Required Primary Area 300 ft2 Total Numb 'fic 27
Designed Primary Area 300 ft2 / Diamete 2 1/8 in
Designed Reserve Area 300 ft2 Spaci , ' Nn 48 in
Trench/Bed Width 3 ft Manifold
3033 i'icy
Trench/Bed Length 100 ft V SchC le - •i, =:..,, sch40 ;•
Elevation Measurements Length 2 /
Original Drainfield Area Slope 5 % l Diameter 2 in
New Slope,If Altered 5 % , Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 10 in,/ Transport Pipe
from Original Grade Down-slope 9 in ` Schedule/Class sch 40
Designed Vertical Separation 24 in Length 50' ft
Gravelless Chambers Required? 0 Yes 0 No l 'Optional Diameter 2�� in
Pump Required? Lo'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 30 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 100e7 94 gal
Uppermost Orifice 0 Higher 'Lower thanP�mp Shutoff Pump controls:Please check those required.
Capacityt.T , 1 z gpm Lo1`I'imer IB'i✓lapse Meter FtEvent Counte-'
11 dED pumpoft
Calculated o s 16 ft If Timer: Pump on 1 min , 4 Hrs
Comments SEP 2 1 2023
MASON COUNTY ENVIRONMENTAL HEALTh
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 322027500010— —
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations VP1 Drainfield orientation and layout Reference depth from original grade:
El Soil logs E Trench/bed dimensions and E( Septic tank
Ef Property lines critical distances within layout V Drainfield cover
er Existing and proposed wells Er D-Box/Valve box locations Reference depth from original grade
within 100 ft of property El Septic tank/pump chamber and restrictive strata:
E Measurements to cuts,banks,and locations V Laterals,trench/bed,top and
surface water and critical areas er Observation port location bottom
B Location and orientation of V Clean-out location V Curtain drain collector
curtain drain and all absorption E Manifold placement 0 Sand augmentation
components V Orifice placement Other cross-section detail:
El Location and dimension of Er Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildings g Other Information
Pl Audible/visual alarm referenced Yes No
El Direction of slope indicator E Scale of drawing shown on scale 0 ❑ Design staked out
El Waterlines bar 0 0 Recorded Notices attached
El Roads,easements,driveways, ❑ 0 Waiver(s)attached
parking i 0 0 Pump curve attached
El North arrow and scale drawing P ,� 0 0 Evaluation of failure
shown on scale bar g _ `�N Non-residential justification
- '•nZhn.ry 0 0 Waste strength
LICEN..: DESIGNER v, ' 0 0 Flow
P ESIGN APPROVAL
The undersigned designer must be notifie 8 . . stall- at time of installation er Yes El No
Sign. e i Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and detnt to be in
el
compliance with state and local o;O regulations: f"r�7R 0
VED 7/ /(2°03
Environmental Health Specialist Date SEP 2 1 2023
MASON CO_�LL! �
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONiNMENTAL HEALTH
✓ The design is stamped "Approved"by Mason County Public Health. j DJA
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 322,J(/ZO 26
✓ 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
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fimely•Reasonable•30 Years of Local Experience
Construction Notes for Pressure Distribution 2 Bedroom System:
Pressure Distribution w/graveless chambers (Rock and pipe may be substituted)
Install 3—35' Laterals of 1 1/4" sch 40 PVC pipe .
Install on 5' foot centers.
1/8" Orifices on 48" centers beginning 24"from the beginning of the lateral and oriented at 12 O'clock.
Install max 10"trench depth on low side of trench and maintain 24" of vertical separation
Install level and along contours.
Install in dry weather only.
Use 1000-Gallon septic and 1000 gallon pump tank.
See pump Chart for Pump Specs
Use Rhombus SJE Control Panel or equivalent w/audible and visual alarms for low and high water.
System designed for typical residential waste strength sewage only.
System designed for 240 Gallons Per Day PR0N/ED
AP
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Pump Selection for a Pressurized System-Single Family Residence Project
Parameters
Discharge Assembly Size 2.00 inches 100 I
Transport Length 50 feet I 1 J
Transport Pipe Class 40
Transport Line Size 2.00 inches 90 ,
Distributing Valve Model None
Max Elevation Lift 10 feet ,
Manifold Length 2 feet
Manifold Pipe Class 40 80
Manifold Pipe Size 1.25 inches
Number of Laterals per Cell 3 1
Lateral Length 35 feet
Lateral Pipe Class 40 70
Lateral Pipe Size 1.25 inches
Orifice Size 1/8 inches m
Orifice Spacing 4 feet Lt.
Residual Head 5 feet I 60 ' t
Flow Meter None inches
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Add-on'Friction Losses 0 feet 17
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Calculations o 50
Minimum Flow Rate per Orifice 0.43 gpm A _ I
Number of Orifices per Zone 27 c
Total Flow Rate per Zone 11.7 gpm 0 40 ,
Number of Laterals per Zone 3 o
%Flow Differential 1st/Last Orifice 0.3 % 1-- .oat
0 Transport Velocity 1.1 fps 30
Frictional Head Losses 4..
0 Loss through Discharge 0.3 feet 1
Loss in Transport 0.1 feet 20 --N.Loss through Valve 0.0 feet
Loss in Manifold 0.0 feet
Loss in Laterals 0.0 feet
Loss through Flowrneter 0.0 feet 10
'Add-on'Friction Losses 0.0 feet
Pipe Volumes
Vol of Transport Line 8.7 gals 00 20 40 60 80 100 120 140 160
Vol of Manifold 0.2 gals Net Discharge(gpm)
Vol of Laterals per Zone 8.2 gals
Total Volume 17.0 gals
Minimum Pump Requirements PumpData Legend
Design Flow Rate 11.7 gpm PFEF40 Effluent Pump System Curve:
Total Dynamic Head 15.5 feel 4/10HP,115/230V 10
Pump Curve:
Pump Optimal Range:
Operating Point:
rif'fl Design Point:
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ncoS V S T E M S Expire;:.:8/.// Zlommommiso i SEP 2 1 2023
MASON COUNTY ENVIRONMENTAL HEALTH
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