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HomeMy WebLinkAboutSWG2023-00442 - SWG Application / Design - 10/18/2023 584 MASON COUNTY 415N6THELTON: ,SHELT967 , EXT 400 SH STREET, 360-02T-9674 EXT 400 BE 360-482-526 EXT400 Public Health & Human Services ELMA::3609, X FAX:S36D-427-7787 On-Site Sewage System Permit: SWG2023-00442 APPLICANT STALEY ET AL, COLE MICHELE Phone: HOLMES Address: 231 NE Waterhill Rd TAHUYA, WA 98588 OWNER STALEY ET AL, COLE MICHELE Phone: HOLMES Address: 231 NE Waterhill Rd TAHUYA, WA 98588 SEPTIC DESIGNER ROD LEFT-Acme Design Phone: 360-698-8488 Address: PO Box 2954 SILVERDALE, WA 98383 Site Address: 231 NE Waterhill Rd Primary Parcel Number: 222064290080 Permit Description: 4-bedroom pressure system Permit Submitted Date: 10/18/2023 Permit Issued Date: 10/30/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/26/2026 {based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmentallonsite/oss-inspection-request.php or call: 360-427-9670, extension 400. u LIJ a - OFFICIAL USE ONLY 182G:3 F, � � � ��. u n MASON COUNTY ` � OD M Public Health(Community nmental Nea,mi to w O .,..,I11Tam Sn.�.maearn SWGoos Lsonseserssess, z y ON-SITE SEWAGE SYSTEM APPLICATION 3 23 APPLICANT I PRONE m m r Michele Holmes & Cole Staley, 3 MAILING ADDRESS-STREET,CMS SEATS,ZIPCODE co231 NE Waterhill Rd Tahuya WA 98588 z SITE ADDRESS-STREET.CITY,ZIP'.ODE 231 NE Waterhill Rd Tahuya WA 98588 I N NAME OF DESIGNERS I N Rod Left ' 360-698-8488 NAME DF INSTALLER 'I` E p I N N to PERMIT TYPE"Deep One) I DRINKING-WATER SOURCE 5 Nx VRESIDENTIAL 55$ C 11COMMUNIY OBS [COMMERCIALOSS 5 PRIVATE INDIVIDUAL WEL aPRIVATE TWO-PARTY WELL Z ICD Pi.PUBLIC WATER SYSTEM Tanya RM1er Valley Water OS*1 ST 15 TYPE On WORN Fee.ra,m I a V'NEW CONSTRUCTION i UPGRADES E REPAIR I REPLACEMENTOTHER DETAILS( M ec,am at aDPIA ❑ TABLE IS REPAIR 0 SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE n ..YY SUBMrrALS L - m I N ','�� 1F.DESIGN FORM(REQUIRED) FSEPTIC DESIGN(REQUIRED) BEDROOMS 4 LOT SIZE QQ p 110,206 11 L�_WAIVER(s)OF APPLICABLE) __ I co �..� OIRECTrorvs-551 c AND SIT.,CONDITIONS.,a texeu gale) O 0 IO ICO .u.EMLSTAE FLAGGED FROM M.IN Ro.DAMD,£�TNMLE-�MNs,DE Fu�DEo L«,N,ESTNDLE NQ.BER= o ,ri ---OFFICIAL USE ONLY BELOW THIS LINE— - UPGRADE.FAILURE SOURCE(for Iexniy purposes) ❑VOLUNTARY 0 MAINTENANCGPUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMP'LAINT ❑OTHER. NAPE ORSOIILLC C COMMENTS DNOIIIONS 4 oci TV: tis)� �¢ L R c 8 F11p1a Fp ihmL'. d cz ' Li_L5 • nest- ofsi'V1.' / / 3 Th3 ; 0 -/� {y� i` hC _ Id Pi lam✓ s •�1 all tl i I 9ECORD DRAWING AND INSTALLATION REPORT S=VERYL GRAVELLY s=SAND L CODES. G =LOAM S.,SILT C=CLAY ==EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. iNS,F.CTDR SIG DATE I APPLICATION EXPIPATFON CPT' AFPL GA�pp _ ISSUED BY DATE aeft 008 /0/2a/70?6 - 7O7Jo7zoz3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE a EYIDED 12712m5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 0 6 — 4 2 — 9 0 0 8 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 an applicable items on checklist Scaled plot plan,including all applicable items on checklist. S 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"X I7" PARCEL IDENTIFICATION.' 3 4/ Rod Leg Permit Number: SWG 2a �GQ -1 �� Designer's Name: Mionele Holmes&Cole Staley Designer's Phone Number: 360-698-8488 Applicant's Name _ — 231 NE Waterhill Rd Designer's.Address: PO Box 2954 Mailing.Address: _ Iahuya WA 98588 Silvercale WA 98383 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑ Glendon Biofilter ❑ Sand Filter ❑ Mound 0 Sand Lined Grainfield 0 Recirculating Filter Type. ❑Aerobic Unit Make/Model _ ❑ Disinfection Unit Make/Model( Other_ � Drainfield Type ❑Gravity b]Pressure gTrench ❑Bed ❑ Sub Surface Dnp Septic Tank/Drainfield Specifications laterals Number of Bedrooms 4 — Schedule/Class 40 e Daily Flow.Operating Capacity 3feo gpd Length 50 ft , Daily Flow.Design Flow 480 gild' Diameter 1 in Septic Tank Capacity 1250 gal ' Number 4 Receiving Soil Type(1-6) 0.8 Z Separation 5 ft Receiving Soil Appl.Rate .8 gpdc Orifices Required Primary Area 600 ft2 Total Number of Orifices 50 Designed Primary Area 600 ft', Diameter 1/8 in Designed Reserve Area 600 ft2 Spacing 48 in Trench/Bed Width 3 ft -llManifold Trench,Bed Length 200 ft / Schedule/Class 40 Elevation Measurements Length 40 ft Original Drainfi cid Area Slope 10-15 ro Diameter 1 in New Slope,If Altered 10-15 % Preferred manifold configuration used? DYes D No Depth of Excavation Up slope 12 Transport Pipe from Original Grade 1Jawo-slopc 8 in Schedule/Class 40 Designed Vertical Separation 24 in I Length 135 ft Gravelless Chambers Required', ❑Yes 0 No al Optional Diameter 2 in Pump Required? g Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 8 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 59.47 cal �Z Orifice .12II— Chamber Capacity Ztn� aU OR gal Uppermost Orifice g Higher 0 Lower than Pump Shutoff Pump c�o/ntrols. Please check those required. n'1Timer Elapse Meter g Event Counter Calculated Totalt PressurePessu Headadd 3.1 ft Pump P 3 Pump 3hrs Calculated 33.'f - h If Timer: on�. �n �5�. , off Comments.�—s"R\54'l J cfm,„71,4,,_ kt, IDC PotAzve , C. / , .�tnr,p Ies•AZ 1. 4-u>0 erseaS _ OCT ; 02Ot3 t,r-��,AL HEALTH i.14 DESIGN FORM—PAGETWO Assessor's Parcel Number: 2 2 2 0_ 6 — 4 2 — 9 0 0 8 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 1 Test hole locations Pi Drainfield orientation and layout Reference depth from original grade: O Soil logs g Trench/bed dimensions and 1 Septic tank 921. Property lines critical distances within layout 21 Grainfield cover O Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property iii Septic tank/pump chamber and restrictive strata: 21 Measurements to cuts,banks, and locations g Laterals,trench/bed,top and surface water and critical areas cIf Observation port location bottom ❑ Location and orientation of 0 Clean-out location ❑ Curtain drain collector curtain drain and all absorption g Manifold placement ❑ Sand augmentation components 21 Orifice placement Other cross-section detail: • Location and dimension of Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed Other Information IZI Buildings 0 Audible/visual alarm referenced Yes No EZI Direction of slope indicator 1 Scale of drawing shown on scale ❑ E0 Design staked out O Waterlines bar ❑ g Recorded Notices attached g Roads, easements,driveways, ❑ g Waiver(s)attached parking Gti ❑Pump curve attached O North arrow and scale drawing ❑ 2i Evaluation of failure shown on scale bar Non-residential justification ❑ RI Waste strength ❑ gFlow DESIGN APPROVAL The undersigned designer must be notified by",at time o£urstallation PJ Yes ❑ No 6 ocIsrr zz ature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it tu3#ux i- c , compliance with state and local on-sit lations: a i 1 R yyq -. (0/ / OCT80 °� - Environmental Health Specialist ate (/))f CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION //yd si The designis stamped"Approved"byMason CountyPublic Health. PP lO(z6/307c /`l( / The Onsite Sewage Permit has not expired,the Permit Expiration Date is: it 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 Pump Selection fora Pressurized System -Single Family Residence Project H OLM E S/72906-42-90080 Parameters 160 DertawPserce See 2 c res Paosrx 40 —, [ RE Tray tUre r Zm 1 I T rem- ee I I T DstbJegVawMoa Noe 140 Ntxoa/4EAL a l, 1 11 Menticl II r Rr2Sae ,EC Norte- ort-a Cel 4 120 I [ 1 I 1 1 Lena x �, I ��4� Ins La8NPreSee ,m 24 I I I erre� 4e m 100 1 I �1 I I 11 II II I ' 1 I I Reale Head 5 L 2 --napr [_ F� Nce IAdd crIF-robm, c 'Er ii Calculations 80III1 I I 1 I I 1 III I I I 11 1] r NurtaeomosPrAre 52 c — I - TeaFavRaraZrre 27 2m 0 60I II rtL Zae - Hid_ I I 1 1 1 a rbeDareLflSk�O� et F- r r HI 1 II I I Pocfiowl Head Losses 40 1 - �43---j ) III l tsrrri,00cae m Nesml'msyr s fed I - - rr I _rrruenVae Cr Ed I I CRnrvarue 28 I 1 I ��C m 20 1 1 F 1 ) 1 � 1 ��I l�eragFlo.pa aC m I L - C I I II 1 1 aural Frvxl 2C m I Pipe Volumes 611 W 1 I l I I. 1 I I I I I 1 , C 10 20 30 40 50 60 70 80 ea m L 283 as V u/Matt is Os Net Discharge(gpm) Vert,Ne s(82aE 82 gas Tc4tlwe 3l] ps Minimum Pump Requirements PumpData Legend 27 �^ PFsasHgH�IHuxRrtp S^C'"E- — Tc Dyr rtH :ncrn 1,3-IP T�DyP+1cH� 3]] Rrtcuve fl9�/10�IZ�'�dli z P.rpOcir Rage gsarorta 0 50 ea DRrt O Z i .. p ly v 403 N% ,r ¢ , v c •ii- OC T ?• i _ u ',72? \gyp � a 4F0-ry CO II rraacai�ebm� h T.ENS ilcorpce ~so H/O///6 vw .w� rile 121 151� Mason County WA GIS Web Map I J- 3 i2 , ;a I `l` M ' � _ _ " 1 is k \. rl f' I ,, I ,fr � % I ---;a.'� 1 1 y , A• a l I I/" ll41 .,/, I 4 l Y . t l a I- —F c _ �� T , ; 9/13/2023, 2:5949 PM U. o.i 1:z 237 3 ii 2323 0 04 mi 1171 County Boundary h';-�� , ,r 0 0.is 0.3 06 km r L NEACN LiNo Filled `)J4 Tax Parcels (Zoom in to 1:30,000) Ee�, HERE. �.mn. =1 Opens €etMap mn�duIrra and ae GIs use, community Mason County WA GIS Web Map Aooicator County o!Ktcap,Bureau of Land Manapemenf.Esn.HERE,Gamin.GeoTxL gies nolo .Inc..USGS EPA I Ean.HERE'. 1 ZYya In a zrm3ZZI r@ Mr, M X 0 C C> (� O o I 5 Dmm5 � >i1- n - A - ap3 ziz —I D D a—� a ` 1 "4' u za CH Ds y (n m rn m `a 8 m r r�. a 1. �. mD ZZr rnDD z o r '. 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