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HomeMy WebLinkAboutSWG2023-00400 - SWG Application / Design - 9/20/2023 MASON COUNTY 415 N 6TH STREET SHELTO70,EXT 400 SH STREET, ,SHE TON, EXT 400 I. 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: SWG2023-00400 APPLICANT Tyler Dalrymple Phone: Address: 16479 SE Windswept Waters Dr Damascus, OR 97089 OWNER Tyler Dalrymple Phone: Address: 16479 SE Windswept Waters Dr Damascus, OR 97089 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO Box 162 OLYMPIA, WA 98507 Site Address: 71 N Quinault PI Primary Parcel Number: 423185100073 Permit Description: 2-bedroom pressure system Permit Submitted Date: 09/20/2023 Permit Issued Date: 11/17/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 09/27/2026 (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 ups/ope 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/onsite/oss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED IR or ,,Q • 2:11110 m a ONSITE SEWAGE SYSTEM APPLICATION AMESP & . RECEDED o co m 415 N 6th Street,(Bldg 8) SheltonWA,98584 < Shelton':36042I9670 ext 400 Belfair:360-275-4467 ext 400 SVVG ,Vl) - 004 N O JVY VA Z 41 APPLICANT PHONE D D TYLER DALRYMPLE 5098424873 m m MAILING ADDRESS-STREET.an STATE ZUR CODE r 16479 SE WINDSWEPT WATERS DR DAMASCUS OR 97089 3 EET,CITY,ZIP CODE to 71 N SITE EQUIRNAULT PL HOODSPORT WA 98548 A NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE .53 TBD c G CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE z e NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL 6 I_- O REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL 0 ❑ TABLE 9 REPAIR 0 SINGLE FAMILY S COMMUNITY/PUBLIC WATER SYSTEM • ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: LAKE Cl/SWIM O UPGRADE TO EXISTING 0 OTHER'. BEDROOMS LOT SIZE IO O EXISTING FAILURE "Record Drswing required 2 019 w for an U.Installations" r DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ox locked galer O LAKE CUSHMAN RD TO A LEFT ON MOUNT CHURCH DR TO A LEFT ON POTLATCH 7 IC TO A LEFT ON QUINAULT TO SITE ON THE LEFT. b 6 p H,-,1` SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I Vkj - - - OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(for repoOnq purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE OCOMPLAINT 0OTHER. INSPECTOR SOIL LOGS COMMENTS/CONDITIONS TN- t 0-16u65( L , �s �rf 36 w7 f h Mai am( M 1 Tltt 0- 931r6s ( viIth (0100fruj. Trr3 6 - 3%'I 65L I, Ae4{iln,4w of ) w'ft &OM«oh SOIL CODES' V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTSIQ INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED 5Y DATE 9/13/7ny Y7 ulzwzc /I_ 11 /17/70?? THS R Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 127/2015 DESIGN FORM-PAGE ONE Assessor's Parcel Number: -4 ,- _/_. -- 5L_ — a G_7'� 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: //"X/7" PARCEL IDENTIFICATION Permit Number SWG 7023-00 WOO Designer's Name: ADAM HUNTER Applicannr��tt''��r . TYLER DALRYMPLE Designer's Phone Number: 360-753-1226 tail t� it.'ress'. 16479 SE WINDSWEPT WATERS Designer's Address: PO BOX 162 V \ L�L� DAMASCUS OR 97089 OLYMPIA WA 98507 ND ity State Zip City State Zip ttcceiE0 DESIGN PARAMETERS Treatment Device ❑Glendon Biollter 0 Sand Filter 0 Mound 0 Sand lined Drainfield 0 Recirculating Filler.Type: ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: �/ Drainfield Type 6]❑ Gravity Pressure (Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 40 Daily Flow: Operating Capacity 180 gpd Length 34 ft Daily Flow: Design Flow 240 gpd Diameter 125 - in Septic Tank Capacity 1000 gal Number 4 Receiving Soil Type(l-6) 4 Separation 6 ft Receiving Soil Appl. Rate 0.6 gpd/H2 Orifices Required Primary Area 400 ft2 Total Number of Orifices 48 Designed Primary Area 408 fh Diameter 3/16 in Designed Reserve Area 408 g- Spacing 36 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 136 ft Schedule/Class 40 Elevation Measurements Length 30 ft Original Drainfield Area Slope 10 /u Diameter 2 in New Slope, [f Altered 10 o/ Preferred manifold configuration used? 'Yes 0 No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Dawn-slope 6 in Schedule/Class 40 Designed Vertical Separation 24 in Length 10 ft Gravelless Chambers Required? 0 Yes 0 No PitOptional Diameter 2 in Pump Required? et Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal Orifice '°°°° ft Chamber Capacity 1000 gal Uppermost Orifice Ft Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity c Total Pressure Head 26.137 gpm timer EiPAapse Meter ®'Event Counter Calculated Total Pressure Head _ s'°33 ft If Timer: Pump on 40 GAL Pump off 4 HRS Comments 'all '`i,..LL''-.1L` a D�Y.�. DESIGN FORM—PAGE TWO Assessor's Parcel Number: 'If>L c -- `J i -- L; ( 73 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch d Test hole locations a Drainfield orientation and layout Reference depth from original grade: g Soil logs 0 Trench/bed dimensions and 0 Septic tank O Property lines critical distances within layout ® Drainfield cover g Existing and proposed wells M D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: g Measurements to cuts, banks, and locations Laterals,trench bed,top and surface water and critical areas g Observation port location bottom a Location and orientation of g Clean-out location ❑ Curtain drain collector curtain drain and all absorption M Manifold placement 0 Sand augmentation components g Orifice placement Other cross-section detail: 12( Location and dimension ofef Observation ports/clean-outs primary system and reserve area Lateral placement with distance to edge of bed Other Information Buildings 0 Audible/visual alarm referenced Yes No Fif Direction of slope indicator 0 Scale of drawing shown on scale ❑ Designstaked out g Waterlines bar 0 0 Recorded Notices attached ' Roads, easements,driveways, 0 0 Waiver(s) attached parking 0 ❑ Pump curve attached g North arrow and scale drawing 0 ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be ylt:fled r•r ler at time of installation 0 Yes I No 4 9/18/23 #r t ' of Designer — Date The undersigned has reviewed this rf gn on behalf of Mason County Public Health and determined it to be in compliance with state and local on-st gulations: Environmental Health Specialist Date 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: ✓ 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 A PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#'. PARCEL#: 423185100073 DATE SUBMITTED: 11/08123 LEGAULOT#: LAKE CUSHMAN 44 TR 73 SUBMITTED BY: ADAM HUNTER APPLICANT: TYLER DALRYMPLE ADDRESS: 16479 SE WINDSWEPT WATERS DR DAMASCUS,OR 97089 I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPO FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPD/FT2 REDUCTION=!F4VF R1 ANK IF NOT USED DRAINFIELD SIZING ABSORPTION AREA= 408 FT2 TRENCH LENGTH OR BED CONFIG.= 4-34FT TRENCHES II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1000 GAL.CONCRETE NEW OR EXISTING= NEW III.DRAINFIELO CROSS SECTION DEPTH TO DRAINROCK BOTTOM= ROCK DEPTH BELOW PIPE= SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAL/SEASONAL SATURATION= FILL DEPTH= TRENCH WIDTH= IV.PUMP REQUIREMENT DOSING VOLUME IN GALLONS= 40 NUMBER OF DOSES PER DAY= 6 V.PRESSURE CALCULATIONS USING PIPE CLASS= 40 ORIFICE DIAMETER= 3116 Eh11/8/23 fill .N • ID I- CSrd.'r ' L f d -h >'1,, . ).23 PAGE 2 LATERAL#1 = SQUIRT HEIGHT(FT)= 2.00 (NOTE(I):ORIFICE DISCHARGE RATE_(i 179)X(ORIFICE OIAMETER)SQ2 X SQ ROOT OF(TOTAI PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 34.00 ORIFICE SPACING= DISTANCE FROM END CAP= NUMBER OF HOLES= 12 LATERAL DISCHARGE RATE_ 7.034 LATERAL#2= SQUIRT HEIGHT(FT)= 200 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 3400 ORIFICE SPACING= DISTANCE FROM END CAP= NUMBER OF HOLES= 12 LATERAL DISCHARGE RATE= 7.034 LATERAL#3= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 34.00 ORIFICE SPACING= DISTANCE FROM END CAP= 0'6' NUMBER OF HOLES= 12 LATERAL DISCHARGE RATE= 7.034 LATERAL#4= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 3400 ORIFICE SPACING= DISTANCE FROM END CAP= NUMBER OF HOLES= 12 LATERAL DISCHARGE RATE= 7.034 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 10.00 2.00 28.137 0.138 BC 1.00 2.00 14.068 0.004 CD 30.00 2.00 7.034 0.032 DE 34.00 1.25 7.034 0259 TOTAL= 0.433 TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 0.433 2)ELEVATION DIFFERENCE = 3.500 3)RESIDUAL = 2.000 .. 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