HomeMy WebLinkAboutSWG2023-00464 - SWG Application / Design - 10/27/2023 MASON COUNTY 4,5N6THELTON: ,SHELT9670,E96564
SH STREE ,SHE 7A67q EXT584
L 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: SWG2023-00464
APPLICANT COBLE JAMES& LORI Phone: 253-377-5566
Address: P 0 BOX 63 WILKESON, WA 98396
OWNER COBLE JAMES & LORI Phone: 253-377-5566
Address: P 0 BOX 63 WILKESON, WA 98396
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 51 W Kamilche Trl
Primary Parcel Number: 519175500036
Permit Description: 2-bedroom OSCAR X02 system wl OS-50 coils
Permit Submitted Date: 10/27/2023
Permit Issued Date: 12/04/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/01/2026 (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 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BF 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: mason(ountywa.govlhealth/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
- — OFFICIAL USE ONLY -- -
MASON COUNTY PUBLIC HEALTH DATE RECEIVED `C_) aS
ONSITE SEWAGE SYSTEM APPLICATION ^D RECEIVED {mil co Co
415 N 6th Street,(Bldg 8) SheltonWA,98584 �T� .. ` / 0
Shelton 360-427-9670ext400 BeKain36O-275-4467eet400 sw 3 _ (30 0q Z !-
APPLIC1T JVV �- J`'� Y-1 PHONE D D
JAMES COBLE 2533775566 m m
MAILING ADDRESS-STREET.CITY STATE,ZIP CODE r
PO BOX 63 WILKESON WA 98396 3
SITE ADDRESS-STREET CITY.ZIP CODE 01
51 W KAMILCHE TR ELMA WA 98541 z
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226 N I—I
NAME OF INSTALLER --- PHONE H
TBD
1-0
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 2
▪ NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL N I—
O REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL 0
O TABLE 9 REPAIR 0 SINGLE FAMILY IJ COMMUNITY/PUBLIC WATER SYSTEM
O TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: I AKF ARROWHEAD I T�
O UPGRADE TO EXISTING 0 OTHER: .. BEDROOMS LOT SIZE ,.LIB• 0
❑ EXISTING FAILURE "Pecan: G Drawing required O 0.16 Q1 11�
..J��iii for all Installations"
r
DIRECTIONS TO SITE-6E SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.lacked gaze) 0 k
SEE DESIGN
DIG
Iu( 11
SIZE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS •\I CP
\.
- - OFFICIAL USE ONLY BELOW THIS LINE - - - w
UPGRADE r FAILURE SOURCE Oar reporting purposes) 1W
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0OTHER. .
,Vail
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
A-
i HZ:0 -ZIl C �� nwl S`
fey1- a{- II"
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. _ .,,9.-
SOIL CODES'.
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECT NATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
�l///1023 /I / I / 7 0 Z 6 3) -- /2/ %/tou
THIS FOR MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12m2016 '
DESIGNFORM-PAGEONE Assessor's Parcel Number:.rj 1 2L1 -- let -- U (iliciz13/31
A design will he reviewed when 3 copies of each of the following are submitted: 3(p
Q Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
r 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 for public view on the Mason County Web site.Maximum paper size: I I"X/7"
PARCEL IDENTIFICATION
Permit Number: SWG adaltt ' Designer's Name: ADAM HUNTER
Applicant's Name: DAMES COBLE Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 63 PO BOX 162
- Designer's Address:
WILKESON WA 98396 OLYMPIA WA 98507
City State Zip City State Lip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Riotilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Modal 0 Disinfection Unit Make/Model Other: X02 AERATOR
Drainfield Type OSCAR X02 DRAINFIELD
❑ Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number f Bedrooms 2 _ Schedule/Class PER OSCAR
Daily Flow: Operating Capacity 180 gild- Length PER OSCAR ft
Daily Flow: Design Flow 240 gpd ` Diameter PER OSCAR in
Septic Tank Capacity 1000 gal r Number 4
Receiving Soil Type(I-6) 4 Separation PER OSCAR ft
Receiving Soil Appl. Rate 0.6 gpd/ftk Orifices
Required Primary Area 400 ge _ Total Number of Orifices PER OSCAR
Designed Primary Area 423 ft1— Diameter PER OSCAR in
Designed Reserve Area 423 fE - Spacing PER OSCAR in
Trench/Bed Width 18 ft Manifold
Trench/Bed Length 23.5 ft Schedule/Class 40
Elevation Measurements Length 18 It
Original Drainfield Area Slope 1 / Diameter 1 in
New Slope,If Altered 0 % Preferred manifold configuration used? 'Yes 0 No
Depth of Excavation Up-slope N/A in Transport Pipe
from Original Grade Dorn-slope N/A in Schedule/Class 40 i
Designed Vertical Separation 18 in Length 45 ft
Gravelless Chambers Required? 0 Yes *No 0 Optional Diameter 1 in
Pump Required? WYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 411 .
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.584 • gat
Orifice 5.2
ft Chamber Capacity 1000 gal
Uppermost Orifice Ilif Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity C Total Pressure Head 12 gpm timer UElapse Meter Er Event Counter
Calculated Total Pressure Head 12'1J9 R If Timer: Pump on 30SEC ,Pump off MIN
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: b 1511 -- i_ - o 0 j1 a - 33l
Permit Number: SWG Sip
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
VI Test hole locations a Drainfield orientation and layout Reference depth from original grade:
1 Soil logs Er Trench/bed dimensions and Er Septic tank
Er Properly lines critical distances within layout Er Drainfield cover
Er Existing and proposed wells El D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Ell Septic tank/pump chamber and restrictive strata:
ES Measurements to cuts,banks, and locations 0 Laterals,trench bed, top and
surface water and critical areas 0' Observation port Location bottom
1 Location and orientation of Er Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ES Manifold placement ❑ Sand augmentation
components Er Orifice placement Other cross-section detail:
Er Location and dimension of M' Lateral placement with distance Kf Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
0' Buildings 0' Audible/visual alarm referenced Yes No
Er Direction of slope indicator 0' Scale of drawing shown on scale Ef ❑ Design staked out
Er Waterlines bar 0 0 Recorded Notices attached
Er Roads, easements, driveways, ❑ ❑ Waiver(s)attached
parking 0 0 Pump curve attached
Er North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ 0 Flow
DESIGN APPROVAL
ir
The undersigned designer must b --d b installer at time of installation Yes ❑ No
10/20/23
t to of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-s regulations:
/Z /W10Z _
Environmental Health Specialist Da
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ' I / I/Za 76
✓ 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: 1 2/7/2015
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL N: 51917-55.00036
DATE SUBMITTED:10/20/2023 LEGAL/LOT if:LAKE ARROWHEAD
#6 TR 36
SUBMITTED BY ADAM HUNTER
APPLICANT: JIM COBLE
ADDRESS'. PO BOX63
W ILKESON.WA 98396
I.CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
IF NON-RESIDENTIAL-GPO FLOW
WILL BE AS FOLLOWS.
GPD=
APPLICATION RATE= 0.6 GPD/FT2
DRAINFIELD SIZING
ABSORPTION AREA= 400 FT2
TRENCH LENGTH OR BED CONFIG.= 23.5'X18'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000GAL-X02 TANK
NEW OR EXISTING= NEW
III.DRAINFIELO CROSS SECTION
SAND DEPTH=
IV.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE VETAFIM DRIPLINE
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 45.00 1.00 12.000 3.4894
RETURN 45.00 1.00 12.000 3.4894
TOTAL= 69789
TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 6.979
2)ELEVATION DIFFERENCE = 5.20D
TOTAL= 12.179
10/20/23
C _ �1
J (,
,
V.CHECK THE PUMP CAPACITY.
PUMP. A .MCDONALD 30GPM-12HP PUMP(MODEL tl 22050E2AJ) (PER OSCAR)
EXCESS TDH 50.00 PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM 12.18
STANDARD PUMP CONFIGURATION IS SUFFICIENT', YES
10/20/23
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