HomeMy WebLinkAboutSWG2023-00391 - SWG Application / Design MASON COUNTY 416 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670, EXT 400
_ BELFAIR.360-275-4467,EXT 400
Public Health & Human Services ELMA:360-082-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00391
APPLICANT REYNOLDS NICHOLAS C Phone: 360-535-0424
Address: PO BOX 2133 ALLYN, WA 98524
OWNER REYNOLDS NICHOLAS C Phone: 360-535-0424
Address. PO BOX 2133 ALLYN, WA 98524
SEWAGE DESIGNER BRAD SMITH-septic designer Phone: 253-851-2178
Address: PO BOX 1444 GIG HARBOR, WA 98335
Site Address: XXX E Wild Grape Way
Primary Parcel Number: 221144190010
Permit Description: 4-bedroom pressure system
Permit Submitted Date: 09/18/2023
Permit Issued Date: 10/16/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be repured upon mstananoo al system).
Permit Expiration Date: 10/04/2026 (based on date of inspection)
Permit Conditions:
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 Septic design and location must adhere to the buffers depicted in the submitted wetland
delineation report dated 7/15/2021 by Ecological Land Services.
7 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 —
e N COUNTY PUBLIC HEALTH DATE RECEIVE°
r 1 , _ITE S AGE SYSTEM APPLICATION AMOUNT M RECEIVED- q p� CCo
SEP 1814o n0°4T.r 6z b�o BwoeeEn,et oasn o- ,1 s.aB,EKuoo Foci Q 2 y
EKED SWG 3 - 0330 I A
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PHONE
MAIM °DRESS-STREET.CITY,STATE,ZIP CODE — m
O 0��iZ ` d ^ i r
c‘ki I, •,c SITE ADDRESS•STREET art ZIP CODE
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NAME OF fl A
(' IN
1/pNE,3 /� ///7 PH(ON QQ QQ
NAME OF INSTALLER PHONE
CHE�CK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0 Y—
LNIEW�CONSTRUCTION ❑ RV HOLDING TANK ONLY ❑ PRIVATE IN IVIDUAL WELL E I
[' REPLACEMENT SYSTEMOl -
F-
❑ INSTALLATION PERMIT ONLY IVATE TWO-PARTY WELL O
❑ TABLE 9 REPAIR ❑ SINGLE FAMILY ❑ COMMUNITY/PUBLIC WATER SYSTEM 2 L pr
0 TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME:
❑ UPGRADE TO EXISTING 0 OTHER: I�
BEDROOMS LOT SIZE 1❑ EXISTING FAILURE 'NuvNunwlm Wm' L_'
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.IWne pate) I Q
--71�J, `�-T\ ) I)rti71g 071 I-�� � -''7 �h c/�wJ of LI��{ x ��
( sJIId 1r h To stir , Sim ce-J y2rih ,r S l'
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SITE MUST BE RAGGED PROM VAN ROAD AND TBSTHOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I\
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE Pot(elpin pnpoeee)
❑VOLUNTARY 0 MAINTENANCEPUMPING ['BUILDING PERMIT ['HOME SALE ['COMPLAINT Q OTHER:
INSPECTOR SOIL LOGS rt
T*11 G- 90 11 r5 COMMENTSICONDI ON$
PStq+ 40 L./i•I I
Tit II0-36A 61-PC
Pcft q+ 361' 't/ fill
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Res f q+ 411 '-/ 4+1 I I
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SOIL C
V RVERV 0=GRAVELLY BLSAND L=LOAM yeSILT G•CLAY EXTREMELY R.ROOTS V_
INSPEC R SIGNATURE DATE APPLICATION EXPIRATION DATE APPLIUTICNAPPROVED BYDirr2
.LLC2
✓)°/wha73 /0/d(7 ?CZ 66 70 /76(
THIS FORM MAY SE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED I200015
' DESIGN FORM—PAGE ONE Assessor's Parcel Number: 22-1 I 1 _ -T I _ 9_Op / 0
A design will be reviewed when)conies of each of the following are submitted:
v Completed design form that has been signed and dated, Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan, including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available far public view on the Mason County Web sits Maximum paper size: 11"X 17"
r�.�yAYCEL mzNfIFICAnbN '.cr
Permit Number: WG r-3. Csaq I Designer's /
S gner's Name:
Applicant's Name: rL (C14,)0tc$ Designer's Phone Number: 2 ` Sf- y)-)
Mailing Address: U g$�z l Designer's Address: I '4t9-4
City State Zip City State Zip
Treatment Device . ._ ...
❑Glendon Blotter ❑Saud Filter CMonne ❑Sand lamed Dtainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model \ ❑Disinfection Unit Make/Model Other:
��j�' Drainfleld Type
❑Gravity CFPres ❑Trench ❑Bed ❑Sub Surface Drip
Septic TankSrainfield Specifications Laterals
Number of Bedrooms 4- ' Schedule/Class F'l
/^�
Daily Flow:Operating Capacity god Length "7-) ft
Daily Flow:Design Flow gpd Diameter I; C in
Septic Tank Capacity I 2-S—I2 gal " Number >
Receiving Soil Type(1-6) d / Separation _ ft
Receiving Soil Appi.Rate . L7 gpd/ft2 Orifices
Required Primary Area �YXj ft2 -II TotalNumber of Orifices CI-Co
Designed Primary Area --- re Y Diameter 'II L in
Designed Reserve Area E/7OO ttaz S ' /�
Spacing GO in
Trench/Bed Width ? ft - Manifold
Trench/Bed Length -2-7 ) ft , Schedule/Class 4 -
Elevation Measurements,r� Length I ft
Original Drainfieid Area Slope % Diameter
in
New Slope,If Altered % Preferred manifold configuration us(F Y D No
Depth of Excavation Up-slope I :_I) in Transport P{pe
from Original Grade Doavalope 1 in Schedule/Claas s (a
Designed Vertical Separation yt,^ in / Length *3 ft
Gravelless Chambers Required? 0 Yes 0 No faktf Tonal Diameter L in
Pump Required? Eieres 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day .=_
Difference in Elevation Between Pump ShRttoff and Uppermost Dose quantity 679 gal
Orifice �'I'-' ft Chamber Capacity ) 2-5() gal
Uppermost Orifice B'C[igher 0 Lower than Pump Shutoff Pump conm Please check.those required.
Capacity @ Total Pressure Head F-"7 gpm � LYblapse Meter em Counter ff
Calculated Total Pressure Head "At-�? fttp. erktE fa£;`spw�jw-T Pu P off r n)24a,,n J
Comments Pt P
OCT 16 2023
MASON COUNTY ENVIRUnmCd7A_u�t TN
pJA
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 22 I ) 4 _' ' __ ( 0C1 !0
Permit Number: SWG
DESIGN CHECI LISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
<Test hole locations 2fi ainfield orientation and layout Refereniedepth from original grade:
/61 �S it logsench/bed dimensions and
0-"Property lines cal distances within layout Syye in tank
l�'bminfieid cover
Existing and proposed wells Box/Valve box locations
wiit in 100 ft of property teptic tank/pump chamber Reference rive strata:from original grade
ar Measurements to cuts,banks, and pcntions and resiric be
�rface water and critical areas H Observation port location bottom ,trench bed,top and
Location and orientation of r" bottom
lean-out n ❑ Curtain drainm collector
curtain drain and all absorption fold placement ❑ Sand augmentation
omponents
LocationId and dimension of "...Orifice placement Other crpsa-section detail:
bnmary system and reserve area Eriateral placement with distance Observation ports/clean-outs
uildings 'edge of bed Other Information
/Direction of slope indicator Scale visual alarm referenced Yes No
waterlines dScale of drawing shown on scale ❑ �7Jecord staked out
bar ❑ D Recorded Notices attached
Roads,easements,driveways, ❑ ..CI"Waiver(s)attached
/parking ❑I'a¢np curve attached
I9 North arrow and scale drawing 0 Evaluation of failure
shown on scale bar
Non-residential Justification
❑ 0 Waste strength
❑ ❑ Flow
• DESIGN APPROVAL
The undersigned designer must be notified by installer at time of instaliatYop17 ye15,.)No
\..--_--Smnanarc • Tesigner Date 4ppo, /'.,
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to 6etit1.,/VE compliance with state and local on-si gulations: / D
Vd Z j MAsoh-CoLMCCi 16 2023
Environmental Health Specialistialist Date Y EwooNMENTA
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWLNG CONDITIONJA C Hp
✓ The design is stamped"Approved"by Mason County Public Health. /p�✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: /07 YIZo z 6
✓ 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
•
GIG HARBOR-$WA 98335
DATE: - 4- Z n z 'ow/ g2-4--
RE sIm: - it ( LU LL) 'f (
PRESSURE DISTRIBTJITON DESIGN'Worksheet for sues where laterals will be at different
elevations.
I.DESIGN DISTRIBUTION NETWORK:
A DAILY DESIGN FLOW= 4- 3) ppd.
B_APPLICATION RATE,based on soil type - V
- _ C.REQUIRED en____SORBZI_NTaaA r SiPr2
r va as TRENCH OR BID WIDTH= 3R
TAL BID OR TREv(EI LENGTH= _ ',1� 8.
F CRIPTION OF PROPOSED D RALI,D CONFIGURATION:
tinterNiFOLD.�. 1 pA
ZNETWORtc-09FtFicti itig: / ROVA
A LATERAL LENGTH= fJMd,B o0T• —_t . U 7 6 2023
B.LATERAL SPACING= = ft. ' nfr/Rav
C. TRANSPORT PIPE I F'NGT'Hm {� 8 ✓A MENIq(NrA/
AND DIAMETER— 2"
D.MANIFOLD LENGTH- 2ft
LATERAL RESIDUAL ORIFICE LATERAL NO CES ORIFICE
NUMBERS PRESSURE DIS. DIS. - SPACING
(FT) (GPM) (GPM) LA (FT.)
2.C" . 191, . � I
4
Page 1
L SELCECT THE MANIFOLD DIAMETER,USE APPENDIX 4:• 2"
I.WITH INFILTRATOR TRENCHS, ORIFICES TO BE FACING UP:
I. RECOMMENDED DOSING FREQUENCY/DAY= G'J DOSES/DAY.
2. RECOMMENDED DOSE VOLUE= W GAL.
i3. REQUIRED PUMP CAPACITY= al°V; TOTAL GAL.
(sum of all discharge razes from all literals)
3 TOTAL FFICTJN LOSS BJ THE NETWORK
A. TRANSPORT PIPE LOSS . 9 1 F_
PIPE PIPE FLOW FRICITON LOSS PER PIPE FRICTION LOSS
MATERIAL DIAMETER (G'M) 100 FT.OF PIPE LENGTH IN PIPE
5ck-A SI' 4-0 bZa
a CALCULATE TEE TOTAL ELEVATIONLIF.= FL
4.DEIEMIENE THE TOTAL DYNAMIC HEAD:
• SET-ACTED RESIDUAL PRESSURE + 2.,5p ,TT.
• TRANSPORT PIPE ERICTIONLOSSES + , 17i Til.
• MANIFOLD ASSY.LOSSES + L 2-•J FT.
• MANIFOLD AND LATERAL FRICTION LOSSES + 1.0 FT.
• TOTAL FT EVATION LIFT + Z•T(J// FT.
TOTALTLYNAMIC LEATI= I I . 5Z FL
S SELECT PUMP:
REQUIRED CAPACITY 31 GPM ��aaT,,��OTAL DYNAMIC HEAD 2O FT.
CJG
USt PUMP OR EQUIVALENT L I -2.t( 2-1
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