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HomeMy WebLinkAboutSWG2023-00501 - SWG Application / Design / As-Built - 11/28/2023 LTON.WA 584 MASON COUNTY 415"6THELTON: ,S"E7-967 ,EXT 400 4 BELFAIR:360-275-4467, EXT 400 n Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00501 APPLICANT METCALF ERIC A Phone: Address: 5626 E AGATE RD SHELTON, WA 98584 OWNER METCALF ERIC A Phone: Address: 5626 E AGATE RD SHELTON, WA 98584 SEPTIC DESIGNER TORY SYRETT-septic designer for B- Phone: 360-426-4221 line Address: 2971 E Philips Lake Rd SHELTON, WA 98584 SEPTIC INSTALLER DON WOOLLISCROFT B-Line Phone: 360-426-4221 construction Address: 2971 E PHILLIPS LAKE LOOP ROAD SHELTON, WA 98584 She Address: 5626 E Agate Rd Primary Parcel Number 220191104010 Permit Description: 2-bedroom pressure system Permit Submitted Date: 11/28/2023 Permit Issued Date: 01/05/2024 Issued By: David Anderson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 12/19/2026 (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 BE ONSITE DURING INSTALLATION OF 055. 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. -- ---- OFFICIAL USE ONLY--- ---- MASON COUNTY DAILRECEVED%`- 18 1 W D N COMMUNITY SERVICES DBN g b FIECtIVED C CO CO PublicHealth(Community Heal/II/Environmental Health, 7 lcuG 5K6hSure ,.,heir. SWG.ZOa.f! _ r S6t 0 5 A Z N ON-SITE SEWAGE SYSTEM APPLICATION n• n m 0 APPLICANI PHONE m METCALF C/O B-LINE CONST. INC. 360-426-4221 z MAILING ADDS P55-STREET CITY STATE ZIP CODE - a 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 m SITE ADDRESS-5 REET CITY.ZIP CODE A 5626 E AGATE RD. SHELTON WA 98528 I ' t\ NAME OF ESIGNER PHONE TOBY SYRETT © B-LINE CONST. INC. 360-426-4221 I NAME Or NSTALLER _PHONE _ U O DON WOOLLISCROFT @ B-LINE CONST. INC. 360-426-4221 R '� PERMIT TYPE rs&eel one/ DRINKING WATER SOURCE N • (iI RESDENTIAL OSS II COMMUNITY OSS 16 COMMERCIAL OSS II PRIVATE INDIVIDUALWELL IJ PRIVATETWO-PARTY WELL 2 I rvroF'MORK Iaelea one; Cr PUBLIC WATER SYSTEM I Al NEW CONSTRUCTION/UPGRADES ❑ REPAIR/REPLACEMENT._ OTHER DETAILS(select air that apply) 0 TABLE IX REPAIR l SV'emmaL6 0 SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE W r �(4 DESIGN FORM(REQUIRED) i SEPTIC DESIGN(REQUIRED) ' BEDROOMS LOT SIZE 4 WAVER(S)(IF APPLICABLE} 2 , 10 ACRES 0 -IR C o s O 5/1E AND SITE CONDITIONS (m lowed gate) x p TAKE AGATE RD. FROM HWY 3. RIGHT AT AGATE STORE. FROM TIMBERLAKES ENTRANCE, O PROCEED 0.2 MILES TO GRAVEL RD. ON RIGHT SIDE. CLUSTER OF MAILBOXES ON OPPOSITE SIDE INCLUDE #5626. TAKE RIGHT DOWN GRAVEL RD. AND PROCEED -1 500' (PAST 1ST HOUSE) TO NEWLY CLEARED AREA ON RIGHT. THIS IS BEFORE YOU GET TO#5626. FOLLOW ACCESS ALONG WOODEN FENCE TO DRAINFIELD AREA. SITE MUST BE FLAGGED FROM MAIN ROAD AND FEST HOLES MUST BE FLAGGED WITH TEST ROLE NUMBERS. 101 -- -- OFFICIAL USE ONLY BELOW THIS LINE ---- -- -- __. UPGRADE/FAILURE SOURCE Foe reporting pry uoceel 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER'. CTOR SOIL LOOS COMMENTS I CONDITIONS TW(:O- 33" (its left c 3 33' w/ +4I1 It wa>i TN2'0- 3d' (itS (Le(f at 301, L' LS' itr3'U-27 ` Ats 9, a-19f of 7 FN w( nri d SOIL CODES: RECORD DRAWNO AND INSTALLATION REPORT V-'✓ERY G=GRAVELLY S=SAND L=LOAM S=SILT C=CLAY E-EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL INSPECT SIGNATLRE DATE • APPLICATION APPROVED(ISSUED BY DATE 2 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7l2015 PAGE I OF IZ GV SEPTIC SYSTEM DESIGN k. • �I4 r A 22t 1 11 - , Cvm 44i/ ; r4 • SITEADDRERS: 5626 E Agate Rd. SITE CITCSTAMBP: Shelton, WA PARCEL NUMBER: 22019-1 1-04010 LEGAL DESCRIPTION: S I/2 WI/2 NE N E OWNER: Brick BATE: 24 November 2023 11-1INE B LI��E CONSTRUCTION, E PHILLIPS LAKE RD. SHELLTON, WA 9 584 360.426.4221 office 360.426.0509 fax b-lineconst(a)msn.coin PACE L OF I Z OWNERSHIP AND USE OF DESIGN DOCUMENTS: 1. This Design Document has been prepared by B-Line Construction, Inc. via its employees, subsidiaries and sub-contractors. 2. This Design Document has been produced in order to attain an on-site septic system installation by B-Line Construction, Inc. for the property indicated herein. 3. This Design Document represents decades of combined experience of B-Line Construction, Inc. its employees, sub-contractors, etc. in construction processes, technical applications and developments as well as interpersonal understandings and relationships with other professionals, manufacturers, suppliers, regulators, and private parties. 4. This Design Document constitutes physical and intellectual property © B-Line Construction, Inc. and may not be used by any other individual, company, contractor, etc. to construct an on-site septic system for this or any other property. 5. This Design Document shall not be construed as a product that stands alone from the achievement of an on-septic system on the specified property for the client by B-Line Construction, Inc. 6. This Design Document remains the sole property of B-Line Construction, Inc. whether the project for which it was made is executed or not. 7. The submission or distribution of this Design Document to meet official regulatory requirements, or for other purposes in connection with the project, shall not be construed as publication in derogation of B-Line Construction, Inc.'s rights regarding this document as physical and© intellectual property. 8. In the event that B-Line Construction, Inc. is not retained for the installation of the system, this Design Document shall not be used by subsequent parties/contractors. 9. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, subsequent parties/contractors wishing to install an on-site septic system on this property must produce their own design documents for use in a separate research/development/design/permitting/installation process. 10. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, client shall be liable to subsequent parties/contractors for new design documents and additional permit fees as required in pursuit of re-inspection, re-design and installation. B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-lineconstOmsn.com 19A0c- 3 of It- DESIGN FORM -PACE ONE Assessor's Parcel Number: 2 2 0 1 9 — 1 1 — 0 4 0 1 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 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' I/'X 17' //��p PARCEL IDENTIFICATION Permit Number: SWG ZVQ1'00,0 I Designer's Name: TOBY SYRETT @ B-LINE CONST- METCALF C/O B-LINE CONST. Designer's Phone Number: 360-426-4221 Applicant's Name: -. — 2971 E PHILLIPS LAKE RD. Designer's Address' 2971 E PHILLIPS LAKE RD. Mailing Address: -. — SHELTON WA 98584 SHELTON WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device 0 Glendon Biofiher 0 Sand Filler 0 Mound 0 Sand Lined Drainlick! 0 Recirculating Filter,'I>pe: ❑ Aeruhic knit Meke/61 del 0 Disinfectien Unit Make/Model Other: Drainfield Type ❑Gravity RI Pressure l4T'rench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals id, to OR Number of Bedrooms sJ, i - Schedule/Class 3b34.4 Daily Flow: Operating Capacity 180 AVG gpd Length 34 ft Daily Flow: Design Flow 240 MAX .- gpd Diameter 1.25 '� in Septic Tank Capacity(working) 1000 V gal Number 3 Receiving Soil Type(I-61 3 / Separation 10' ttti It Receiving Soil Appl.Rate 0.8 ' gpd/ft2 Orifices Required Primary Area 300 ' ft2 Total Number of Orifices 18 Designed Primary Area 306 ft? Diameter 3/16 in Designed Reserve Arca 306 -- f�t2 Spacing 72 in -french/Bed Width 3 !ft Manifold Trench/Bed Length 102 'eft Schedule/Class 40 Elevation Measurements Length 1T It Original Drainfield Area Slope 3-5 % Diameter 1.25 in New Slope, If Altered SAME / Preferred manifold configuration used? fit'Yes 0 No Depth of Excavation Lir Lope 10" MAX in Transport� Pipe ,� from Original Grade oz,;, s ' loPc 8" in Schedule/Class : leittl(ingt Designed Vertical Separation 20" MIN in Length 50' MAX It Oravclless Chambers Required? 0 Yes 64 No 0 Optional Diameter 2 in Pump Required? 0 Yes g No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 z Dill_in Elevation Between Pump& Uppermost Orifice N/A ft Dose quantity 45 gal U nlnfed Squirt Height/Selected Residual (head) _N/A ft amber Capacity(flood) 1000+ / gal ' ',: onlrols. Please cheek those required. L ppermusl Orifice 0 Higher 0 Lower than Pump Shutoff 1'\ Capacity/Total Pressure Head 10.62 gpm , t n imcr fidElapse Meter 6YEvent(Taunter Calculated Pressure Head N/A ft %Ara I'yi ump on 4min14sec ,Pump off 5hr55min46sec / Comments ti i nri �I/ �3 . ,, is �1 Bey 7 NOU :` �--. y , pAbc N or IZ DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 0 1 9 — 1 1 -- 0 . 4 0 1 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ed Test hole locations 61 Drainfield orientation and layout Reference depth from original grade: 66 Soil logs 64 Trench/bed dimensions and Ef Septic tank 66 Property lines critical distances within layout gr Drainfield cover 66 Existing and proposed wells RI D-Box/Valve box locations Reference depth from original grade within 100 ft of property 12f Septic tank/pump chamber and restrictive strata: O Measurements to cuts,banks, and locations Id Laterals,trench/bed,top and surface water and critical areas 12i Observation port location bottom 66 Location and orientation of VI Clean-out location Pi Curtain drain collector curtain drain and all absorption lif Manifold placement 0 Sand augmentation components 121 Orifice placement Other cross-section detail: • Location and dimension of 66 Lateral placement with distance liff Observation ports/clean-outs primary system and reserve area to edge of bed 6 Other Information ® Buildings Ii4 Audible/visual alarm referenced Yes No • Direction of slope indicator Hi Scale of drawing shown on scale 56 0 Design staked out Pi Waterlines bar 12f 0 Recorded Notices attached gl Roads,easements,driveways, lif 0 Waiver(s)attached parking fir! 0 Pump curve attached • North arrow and scale drawing 4-------- 0 126 Evaluation of failure shown on scale bar Non-residential justification a 0 0 Waste strength - /Lit ❑ ❑ Flow DESIG Si/., • vr\. The undersigned designer must be notified by install_•;:�ia,,L 6 •• . 1' '.. ri Yes 0 No rSignature of LJII ,t'' r// Dalc The undersigned has reviewed this design on behalf of ICr 2 • c Health and cletermiin Pt ta'be t . compliance with state and local on-stt US /Zr/Zy ul A. � ' � All 052'7'24 Environmental Health Specialist Date r. CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING C&NDITIOry A ✓ The design is stamped"Approved"by Mason County Public I Iealth. ) .—L7 i 9 .1 The �� 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 1I I `(�//��/�� NEW DRIVE/ I 1 l/ // PARKING II I a 1PPIOPOSED / ER INFIELD -- PROPOSED SHOP o K / w 2 I / PROPOSED TANKS < F WELL s 1 I cc 1 II m w w � � kxT GARAGE -- r, V ' J , 0 1 EXISTING HOME i� / t tir4 S• TOW°l.TMMiys 14 / / p ENSW DESIGNER S. - EXPIRES: 06/O7/2N 1 _ 660' - .. ._ --/� I / i nm e , /' / Pat' 6 `� d "" SITEPLAN -OVERVIEW FOR: METCALF JOB #: JAN 0 5 2024 PARCEL#: 22019-11-04010 DATE: 24 NOVEMBER 2023 I';.:- l l My l',,I) ALHELLiT BY: TJS DESIGN PAGE S OF 12 DJ NORTH ARROW: SCALE: 1" = 80' © B-LINE CONSTRUCTION, INC. 0 0 80' 160' co, Oi 31VDV WO21d AVM SS3O0V w - I cot.-11 N NN o 11 1 CO 41 Lai 2 J V Q o> Li w O N z a O N z Z_ i! w• • O w , ' 0 0 o\ o O \ 1 o 2 , C( I \ h o J 1- LL O N 0 t-L,. Q __ 0 Q N cc \__ z F it X \ a Q � U\ F F or a `' wu_ amz w I IL On N z cc iii 0 w o f z U I 1. I 6 1 i W �_�y5.2 �� � N 2 o QQN ay 16 S \. '� co 0 _ o I Nil CY \ � \ U O s '�\� � U y d1 Ftt m> an> Z a 00 00 dZ N CO O a o 1 < agA-S yEIT DESIGNS | / _ \ \_ - `®/\= \�K , : , : \ II \_ ® w Illfr win - _ _- ! ` \ / ^ 11421_4 _ Z ^ z iiiiitiiir \ - °(r In TJ / � i- ik. . al LIJ z : P. p/ \ \. z !_ . _\ \_ a. \ im Fr ( \\ 1- - - § _ . . \ \\ : �\ ; t @ a , \ ) ( .51 d ^ lo r : : I m r ;. a , : : . i moll » \ 3© - ;!� « 3t 9 ( % t AT IT t ` \ II, !OHMIj \ 4| §\\ \ £22 6 _' )/ S4\j! j; » : [ m : :; :, < u4. l ; .' }! Ex1. : :: 0. : ,_. . .c. . . , . -- - - - \ �. 1_ \ 7 . > § ' E , - y .. % y . . _ \ \ q1 / ` ^ • ' 11 . \ � � _ � � \ e ^ !H;Itin5 � \ I_ \ \Q : /max- ( : . k \ \ \ ( ! - ® ° \ , , @ : C \ ; ±0 » / , , L - : t - co D CC I-LIJ \ \CC_F \ � � — ( ) / L ! ® ® | i n , lli { \ 0 kal C \ \ • ^ cy ) & : � } % / ¥ j , j ` \ \ , 2 \ t} \ ® `9 Gj H ; \ \f ! /1 \ / w i \/ �1 \ g \ \ £ i _ / \ \ \ \ \» \ «_ _ — / LA d\co ° } / e -I, il o" ,r.5.:;,, NO t 3 CLEANOUT/OBS PORTS 4; is Y T $YRETT ,'�, S LICENSED�SILNFR -� ��I / l EXPIRES: O6N7/J is C. 04 ` 3/16"ORPICES @soo 72'ORF SPACING 1.25"LATERALS ----Th 1ST GRAVEL TRENCHES - `\ ' RESERVE LATERALS ` MANIFOLD = I W/SURFACE ACCESS \ 1.25" FEEDER LINES MANIFOLD DETAIL: 1.25"FEEDER LINES— 1.25"CHECK VALVES 1 25"MANIFOLD- 125"BALL VALVES REDUCER - -- 2"TRANSPORT LINE IN i2"TRANSPORT f nr F1 Cp... ..n, DRAINFIELD LAYOUT DETAIL JAN 5 2Ji4 FOR: METCALF JOB#. , ,-. PARCEL#: 22019-11-04010 DATE: 24 NOVEMBER 2023 U JA BY'. TJS DESIGN PAGE 9 OF 12 NORTH ARROW: SCALE: 1" = 10' © B-LINE CONSTRUCTION, INC. O O' 10' 20' 0 O N N CC w , m w r w p II 6"PVC CLEANOUT/OBSERVATION PORT d FINISHED GRADE W O W r J - FILTER FABRIC OVER DRAINROCK —I 0 Q ��� w W w U / DRAINROCK > W0 Cl)w w a SANDY / /r ORIGINAL GRADE p D: Z LOAM 12"+ it 0 FILL / / i U m Q W ii J O' 0 0 / Q CO -!� to— A K AA = w U ' LATERAL PIPEE b.- D 1 Z rcQ F ¢ O 36" — W W CC K Z it w' TRENCH BOTTOM W 0 j "" Z / co U 12 F- cc �J / TEE ON BOTTOM OF PORT TO ANCHOR n W 0 Q >- 0 71 a ' NATIVE SOIL .. •1 R W d CO z i 11 or tf If PQ49 it I ir.�/y� ' _ ";,S A tE ow l:� e RESTRICITVE LAYER i 10Rt4ITT. t/t, EXPIRES: 0E/D1/Z / VALVE BOX ASSEMBLY SECURED SHUT WITH k2 STAINLESS SCREW FINISHED GRADE A 2"..- \_ — THREADED CAP ORIGINAL GRADE I FLEX HOSE OR SWEEPING EL II 1 26"LATERAL PIPE I BRING LAT INTO � _� - r PORTTHROUGH --- _ . DRILLED HOLE I a 72"ORIFICE SPACING �VTRENCH BOTTOM j' �L a ' TEE ON BOTTOM OF PORT TO ANCHOR JAN 0 5 2G24 © TAHJA-SYRETT DESIGNS "'5., i�,,.P,i`_s v .JI,uN,Au t;,:H DJA /c ORIGINAL/FINISHED GRADE k GR&/ L TO SURFACE OPTIONAL DP MNN FROM UPHILL LL DRgINFIELD ] r: _INFlELO 'NC -----+ F 10 Ah NN TODOw-INHI DR 7 18"MINIMUM DRAIN WIDTH _.. FILTER FABRIC OPTIONAL FILTER FABRIC REQUIRED ON TOP OF GRAVEL ON SIDES OF GRAVEL - MIL�� OPTIONAL PLASTIC ONSH DOING WNHILL O OO — SIDEO E I O�IOFd SIDE OF GRAVEL ( *7/8 GRAVEL GRAVEL I8-24" 1 0 0 0 % .pEA GRAVEL DRAINROCK MINIMUM ABOVE /1/,_�/ RESTRICTIVE LAYER pow / 0 'EZ-LAY, ETC. O O _/ es pJ RES • 9 r5 0 V 0, 1 •� NOTCH 6-12"INTO 4"MINIMUM DIA / • RESTRICTIVE LAYER SLOTTED/PERFORATED ' / o �__ (CORRUGATED PIPE /i )4 i - rN R PIPE IN BOTTOM OF TRENCH � L L Ozx✓ ' IAN 0 5 2324 /E 67 \: D.i ii ' -1,, 11E ' CURTAIN DRAIN DETAIL: w '���� FOR: GENERAL USE JOB #: Cf• e. 1.1AHY --• 0I PARCEL#: REVISED: SEPTEMBER 2022 S'n, it..... • 1E' ��_ BY: TJS DESIGN PAGE 1f OF /2 E1WRES: oMo7/z�/ 1 NORTH ARROW: SCALE: 1" = 1' © TAHJA-SYRETT DESIGNS 0 o' 1• 2' PAGE ft OF (2 PRESSURE DISTRIBUTION SYSTEM System Owner Responsibilities: 1. The prepared site plan is not a survey. It is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the contractor immediately. 2. Keep wheeled vehicles off the drainfield area before, during and after installation — tracked vehicles only. 3. All ground and surface water (including roof drains) must be diverted away from the drainfield and tank areas. Ensure that final grade slopes away from these areas and that water does not pool around/behind them. Use swales, berms, along with catch-basins and tight-lines, curtain drains, etc. to divert ground and surface water. 4. Curtain drains can be no closer than 10' uphill or 30' downhill from the drainfield. 5. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 6. Operation & Maintenance is required by the state of Washington and the county for all septic systems. 7. Please contact B-Line Construction for periodic Operation & Maintenance service of your system. 8. System Owner is responsible for having maintenance performed according to the schedule set forth by Mason County. 9. System owner/operator is responsible for responding to alarms in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT change settings in the control panel. Only authorized maintenance personnel may alter settings in the control panel. 11. System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. e� Th IC) 052rit B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-lineconst@msn.com