HomeMy WebLinkAboutSWG2023-00374 - SWG Application / Design - 9/6/2023 ent, MASON COUNTY 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,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00374
APPLICANT JOE HOUSE- House Bros Construction Phone: 360-495-4156
Address: PO Box 1820 MCCLEARY, WA 98557
OWNER FRASER ANTHONY Phone: 360-549-6188
Address: 1020 N COLONY SURF DR LILLIWAUP, WA 98555
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
SEPTIC INSTALLER JOE HOUSE- House Bros Construction Phone: 360-495-4156
Address: PO Box 1820 MCCLEARY, WA 98557
Site Address: 1020 N Colony Surf Dr
Primary Parcel Number: 323095110016
Permit Description: 2-bedroom gravity system
Permit Submitted Date: 09/06/2023
Permit Issued Date: 09/26/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 09/19/2026 (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.
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: (LI • L , Z3
ONSITE SEWAGE SYSTEM APPLICATION AMDUsxs RECEIVEDtit v m
415 N 6th Street,(Bldg 8) Shelton WA,98584 C
N
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S A VV/G 1611 -s� V) O
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APPLICANT PHONE > >
JOE HOUSE 360-470-1707 m m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
PO BOX 1820 MCCLEARY WA 98557 z
SITE ADDRESS-STREET,CITY,ZIP CODE co
1020 N COLONY SURF DR LILLIWAUP WA 98555 A
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226 I
NAME OF INSTALLER PHONE
HOUSE BROTHERS 360-470-1707
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0
C
eir NEW CONSTRUCTION 0 RV HOLDING TANK ONLY ❑ PRIVATE INDIVIDUAL WELL N lO
❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL O
❑ TABLE 9 REPAIR 0 SINGLE FAMILY is COMMUNITY/PUBLIC WATER SYSTEM ZQ
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: cot owe SURF I
❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE
r
❑ EXISTING FAILURE "Record Drawing required 2 0.32 W
for all Installations" r
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 I
HWY 101 TO A LEFT ON KONA TO A LEFT ON COLONY SURF TO SITE ON THE x
RIGHT. b
o IO
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER. _
INSPECTOR SOIL LOGS COM ' ' •\DITIONS
\• Rn
Th 1: o- Z 1 SEP 0�w��
N4 reSrK 5 6 81013
0 -2� RECEIVED
in:0- ?' Lt Zb - 1
fre Ire Ierc kcA S. Ct U o
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPEC SIGNATU E DATE APPLICATION EXPIRATION DATE APPLICATION PROVED BY DATE
//V/0 ? 70 Z6 77167li Z j
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12m2015
DESIGN FORM-PAGE ONE Assessor's Parcel Number:3_23_ -- 5 1 -- I.Q i
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 Designer's Name: ADAM HUNTER
Applicant's Name: JOE HOUSE Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 1820 Designer's Address: PO BOX 162
MCCLEARY WA 98557 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound ❑ Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
'Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications •^
/ Laterals /ism Z7z9 ork#e
Number of Bedrooms 2 v Schedule/Class GRAVITY PERF LINE
Daily Flow: Operating Capacity 180 gpc1-7 Length 34 ft
Daily Flow: Design Flow 240 Zr
gpd Diameter 4 in
Septic Tank Capacity 1000 gal Number 4
Receiving Soil Type(1-6) 4 - Separation 6 ft
Receiving Soil Appl. Rate 0.6 gpd/7 Orifices
Required Primary Area 400 ft2 Total Number of Orifices N/A
Designed Primary Area 408 ft2 Diameter N/A in
Designed Reserve Area 300 ft2 / Spacing N/A in
Trench/Bed Width 3 ft (// Manifold
Trench/Bed Length 136 ft ,/ Schedule/Class N/A
Elevation Measurements Length N/A ft
Original Drainfield Area Slope 4 % Diameter N/A in
New Slope,If Altered 0 % Preferred manifold configuration used? 6'Yes 0 No
Depth of Excavation Up-slope 36 in , Transport Pipe
from Original Grade Down-slope 24 in ,f, Schedule/Class 4340
Designed Vertical Separation 36 in .V Length 10 ft
Gravelless Chambers Required? leYes 0 No 0 Optional. Diameter 4 in
Pump Required? 0 Yes M'No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day N/A GRAVITY
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity N/A GRAVITY gal
Orifice NIA
ft Chamber Capacity N/A GRAVITY gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity C Total Pressure Head N/A gpm ❑Timer ❑Elapse Meter 0 Event Counter
CaAlLy pt( `r�r n N/A ft If Timer: Pump on N/A ,Pump off N/A
Comments
up7F "I„-„
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:32 3 - _b1 -- j_ O Q 1-a0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
6f Test hole locations 62 Drainfield orientation and layout Reference depth from original grade:
12f Soil logs El Trench/bed dimensions and M' Septic tank
62( Property lines critical distances within layout 6' Drainfield cover
12f Existing and proposed wells Ei' D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 62f Septic tank/pump chamber and restrictive strata:
2 Measurements to cuts,banks, and locations 0 Laterals,trench/bed,top and
surface water and critical areas 62. Observation port location bottom
Ei Location and orientation of 0' Clean-out location 0 Curtain drain collector
curtain drain and all absorption &1 Manifold placement 0 Sand augmentation
components Ef Orifice placement Other cross-section detail:
12f Location and dimension of el Lateral placement with distance 0' Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
62f Buildings
Ei Audible/visual alarm referenced Yes No
62f Direction of slope indicator 12f Scale of drawing shown on scale 12( 0 Designstaked out
121 Waterlines bar 0 0 Recorded Notices attached
12f Roads,easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
Pi North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be not'--1 by-installer at time of installation 0 Yes et No
$/21/23 APPROVE'
S. e of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and detern in6Etg fte2023
compliance with state and local on-sit gulations:
f776y7am
COUNTY ENVIRONMENTAL HEAL-H
DJA
E ro ental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. 7/7
• The Onsite Sewage Permit has not expired,the Pert Expiration Date is:
✓ 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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MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 32309-51-10016
DATE SUBMITTED: 8/21/2023 LEGAL/LOT#: LOT 16
COLONY SURF
SUBMITTED BY: ADAM HUNTER D2 BLK 10
APPLICANT: HOUSE BROTHERS
ADDRESS: PO BOX 1820
MCCLEARY.WA 98557
I. CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAIN FIELD SIZING
ABSORPTION AREA= 408 FT2
TRENCH LENGTH OR BED CONFIG. = 136 LINEAR FEET OF TRENCH
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000 GAL-CONCRETE
NEW OR EXISTING= NEW
III. DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= N/A-GRAVELLESS CHAMBERS
ROCK DEPTH BELOW PIPE= N/A-GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION = >3'-0"
FILL DEPTH = 2'-0"
TRENCH WIDTH = 3'-0"
APPROVED
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