HomeMy WebLinkAboutSWG2023-00402 - SWG Application / Design - 9/20/2023 MASON COUNTY 415N6THSTREET,SHELTON, EXT 400
,EXT98584
400
SHELTON:360-42 967
I. 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: SWG2023-00402
APPLICANT WEXLER JENNIFER Phone:
Address. 430 W HOMER ADAMS RD ELMA, WA 98541
OWNER WEXLER JENNIFER Phone:
Address: 430 W HOMER ADAMS RD ELMA, WA 98541
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 430 W Homer Adams Rd
Primary Parcel Number 620181400020
Permit Description: 3-bedroom pressure system w/sand lined bed
Permit Submitted Date: 09/20/2023
Permit Issued Date: 11/17/2023
Issued By: David Anderson
Current Permit Fees Paid. $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/10/2026 (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 Codified Installer unless prior written
authorization from Mason County is obtained.
3 Drain field installation not to exceed designed upslope and downs lope 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 ONSI E 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/environmentallonsiteloss-inspection-request.Php or call:
360-427-9670, extension 400.
•
--- OFFICIAL USE ONLY--
` MASON COUNTY PUBLIC HEALTH °"'E""E"` 9 ail 0 • CO a
ONSITE SEWAGE SYSTEM APPLICATION its
RECEIVE En
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415 N 6th Street, 8} Shelton WA,98584 � 'fF ` R '"
Shelton:3604279670 ext 400 Belfair:360,27539467 ext 400 SWG 10la - d., Fn O
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APPLICANT PHONE D
JENNIFER WEXLER 9099933705 m x
MAILING ADDRESS-STREET CITY STATE.ZIP CODE
430 W HOMER ADAMS RD ELMA WA 98541 s
SITE ADDRESS-STREET.CITY ZIP CODE 03
430 W HOMER ADAMS RD ELMA WA 98541 A
NAME OF DESIGNER PHONE I_
ADAM HUNTER 3607531226 MV
- r
NAME OF INSTALLER PHONE
TBD o IC)
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE C
rit NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL 41 r
O REPLACEMENT SYSTEM ❑ INSTAL LATION PERMIT ONLY Et PRIVATE TWO-PARTY WELL 0 ,pc)
▪ TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM Z \
▪ TANK(S)ONLY 0 COMMERCIAL
SYSTEM NAME.
❑ UPGRADE TO EXISTING 0 OTHER _ —I BEDROOMS LOT SIZE
"Record Drawing requite LB
▪ EXISTING FAILURE for all(neralla:ions" 3 8.8 O
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS let locked gale) 0 �,
DECKERVILLE RD TO A LEFT ON HOMER ADAMS RD TO SITE ON THE RIGHT.
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H
k
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST SE FLAGGED WITH TEST HOLE NUMBERS
P T
-_ -_. - --_ --- OFFICIAL USE ONE BELOW I HIS LINE-- -- - _ ---- ----
UPGRADE)FAIT ORE SOURCE to reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER. _-.-.
INSPECTOR SOIL LOGS COMMENTS CONDITIONS
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SOI CODES
i=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY H=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATI PROVED BY DATE
gr /ON I0/(0/1ez6 % - Mil t7ildz3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED I2M2015.
r DESIGN FORM-PAGE ONE Assessor's Parcel Number: Ii2 E) 1 9, -- _i_4 -- (ln a U
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. 8 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 sire' 11"A'/7"
PARCEL IDENTIFICATION
Permit Number: SWG r'Z3"6040Z — Designers Name: ADAM HUNTER
JENNIFER WEXLER Deli Designer's Phone Number. 360-753-1226
Applicant's Name: g -
430 W HOMER ADAMS RD Designer's Address: PO BOX 162
Mailing Address: . g
ELMA WA 98541 OLYMPIA WA 98507
_ City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Rlofilter 0 Sand Filter 0 Mound 121Sand Lined Drainfield 0 Recirculating Filter,Type:
❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity M'Pressure 0 Trench Et Red 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40 '
Daily Flow: Operating Capacity 270 gpd Length 36 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in 1
Septic Tank Capacity 1200 gal ' Number 4
Receiving Soil Type(I-6) 1 - Separation 2.5 ft
Receiving Soil Appl. Rate 1.0 gpd!lie Orifices
Required Primary Area 360 ftr - Total Number of Orifices 60
Designed Primary Area 360 ft' ' Diameter 3/16 in
Designed Reserve Area 600 ft2 - Spacing 28 in
Trench/Bed Width 10 ft - Manifold
Trench/Bed Length 36 ft Schedule/Class 40
Elevation Measurements Length 7.5 ft
Original Drainfield Area Slope 0 / Diameter 1.25 in
New Slope,If Altered 0 % Preferred manifold configuration used? 'Yes 0 No
Depth of Excavation Up-slope 36 it Transport Pipe
from Original Grade Down-sope 36 in/ Schedule/Class 40 '
Designed Vertical Separation 12 in Length 50 ft
Gravellcss Chambers Required? 0 Yes 0 No PeOptional Diameter 2 in
Pump Required? ?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 s0 gala
Orifice 53 ft Chamber Capacity 1200 gal
Uppermost Orifice ItHigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity(rn Total Pressure Head 35.171 gym !timer 12Elapse Meter ErEvent Counter
Calculated'rota' Pressure Head 8.771 ft If Timer: Pump on 60 GAL ,Pump off 4 HRS
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: (cia,O_( L -- j LI- -- Sl Q 02'
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations I/ Drainfield orientation and layout Reference depth from original grade:
✓ Soil logs g Trench/bed dimensions and f Septic tank
✓ Property lines critical distances within layout a Drainfield cover
❑ Existing and proposed wells V D-Box/Valve box locations Reference depth from original grade
within 100 ft of property (f Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts, banks, and locations 0 Laterals, trench/bed, top and
surface water and critical areas 61 Observation port location bottom
✓ Location and orientation of ❑ Clean-out location 0 Curtain drain collector
curtain drain and all absorption 121 Manifold placement 0 Sand augmentation
components
V Orifice placement Other cross-section detail:
12( Location and dimension of V Lateral placement with distance Y Observation ports/clean-outs
primary system and reserve area to edge of bed
Other Information
❑ Buildings ES Audible/visual alarm referenced Yes No
• Direction of slope indicator V Scale of drawing shown on scale d 0 Design staked out
✓ Waterlines bar 0 0 Recorded Notices attached
ES Roads, casements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
✓ North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must15, fled b installer at time of installation 0 Yes Rif No
, 9/14/23 _
•
Si irture 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-site regulations:
2'� •
Envtron ental Health Specialist Date
CAUTION: DESIGN APPROVAL 1S 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: 12/72015
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE if: PARCEL#: 620181400020
DATE SUBMITTED: 09/14/23 LEGALILOT#
SUBMITTED BY: ADAM HUNTER
APPLICANT: JENNIFER WEXLER
ADDRESS: 430 W HOMER ADAMS RD
ELMA.WA
I.CALCULATIONS
NUMBER OF BEDROOMS= 3/ '
1 i �,;_3
RESIDENTIAL GPO FLOW= 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS'
GPD=
APPLICATION RATE= 1 GPD/FT2
REDUCTION=LEAVE BLANK IF NOT USE0
DRAINFIELD SIZING
ABSORPTION AREA= 360 FT2
TRENCH LENGTH OR BED CONFIG.= 10'X 36'SAND UNDER BED
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD 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= 60
NUMBER OF DOSES PER DAY= 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 3/16
9/14/23
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PAGE 2
LATERAL#1=
SQUIRT HEIGHT(FT)= 2.00
(NOTE(1):ORIFICE DISCHARGE RATE l 79)X(ORIFICE DiAMETER)S02 X
SO ROOTOF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 36.00
ORIFICE SPACING=
DISTANCE FROM END CAP=
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 36.00
ORIFICE SPACING=
DISTANCE FROM END CAP=
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL#3=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 36.00
ORIFICE SPACING=
DISTANCE FROM END CAP 12 / 1
NUMBER OF HOLES= 15 /
LATERAL DISCHARGE RATE= 8.793
LATERAL#4=
SQUIRT HEIGHT(FT)= 2.00 -)((
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 36.00
ORIFICE SPACING= 2 4'
DISTANCE FROM END CAP= 1'Y
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 50.00 2.00 35.111 1.045
BC 1.25 2.00 17.585 0.007
CD 2.50 2.00 8.793 0.004
DE 36.00 1.25 8.793 0.414
TOTAL= 1.471
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 1.471
2)ELEVATION DIFFERENCE = 5.300
3)RESIDUAL = 2.000
I9/14/23 TOTAL= 8.771
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