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HomeMy WebLinkAboutSWG2023-00500 - SWG Application / Design - 12/5/2023 44 -- OFFICIAL USE ONLY - --- MASON COUNTY DATE RECEIVED: t• a iii - .I r' COMMUNITY SERVICES A IVEO: cn , WCn y, o m Public Health(Community Health/Environmental Health) - (n <Ico 0S 427 N.6hS70.treet,doeltn.WA ext.400 SWG a -Q6 SOO O 2 <IS N.6th Street�Shehon.WA 9e586 - Z (n ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE m n In BRICK C/O B-LINE CONST. INC. 360-426-4221 al Z MAILING ADDRESS_STREET.CITY.STATE,ZIP CODE — fTl C 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 0 CO SITE ADDRESS-STREET CITY.ZIP CODE 311 NE SCHOONER LP. BELFAIR WA 98528 o I NAME OF DESIGNER PHONE 0 TOBY SYRETT @ B-LINE CONST. INC. 360-426-4221 m N' NAME OF INSTALLER PHONE I (A) DON WOOLLISCROFT @ B-LINE CONST. INC. 360-426-4221 ° PERMIT TYPE(select one) DRINKING WATER SOURCE rn I W Pc RESIDENTIAL OSS H COMMUNITY OSS f COMMERCIAL OSS F--PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z O TYPE OF WORK(select one) Ua PUBLIC WATER SYSTEM BEARDS COVE __ I r7 NEW CONSTRUCTION/UPGRADES 1�1 REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR cr I (JT SUBMITTALS ❑ SURFACING SEWAGE 121 EXISTING FAILURE 0 SHORELINE F71.DESIGN FORM(REQUIRED) WI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE CO I N gWAIVER(S)(IF APPLICABLE) 3 0.18 ACRES O x I O DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gale) FROM BELFAIR, TAKE N SHORE RD TO RIGHT ON SAND HILL RD. LEFT ON LARSON I o BLVD, RIGHT ON NE SCHOONER LOOP AND FOLLOW AROUND TO #311. 6 I o 4, Ul SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. ICTI OFFICIAL USE ONLY BELOW THIS LINE ------- - UPGRADE I FAILURE SOURCE(for reporting purposes) '(—. ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑ROM E SALE ['COMPLAINT ❑OTHER: T J C�y 6 INSPECTOR SOIL LOGS COMMENTS I CONDITIONS ?a T(1 0—6 0" 6 t " S - betto-wi o��c e . �` ��I��DI/ T(a:0- 60 c ►1 s - baYr /►11 o-f htr1P/ 1:°1 —...."`" - SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLI N APPROVED/ISSUED BY DATE AV' 121/Q273 tZ/5/ 7o77 • it/ 11/-70 23 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 i N CAJ Ark PAGE OF l SEPTIC SYSTEM DESIGN • .. •• • • . • • • •• • • • • •' 12330- 52 - Dam*. • •% • r • ig • SITE ADDRESS: 311 NE Schooner Loop SITE CITY,STATE ZIP: Belfair, WA PARCEL NUMBER: 12330-52-00045 LEGAL DESCRIPTION: Beard's Cove Div 5 Lot 45 OWNER: Brick DATE: 24 November 2023 B-LINE CONSTRUCTION, INC._LINE2971 E PHILLIPS LAKE RD. SHELTON,WA 98584 360.426.4221 office 360.426.0509 fax b-lineconst a,msn.com PAGE 2- or lit 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-Iineconst(climsn.com rA 3 oP r 0 DESIGN FORM-PAGE ONE Assessor's Parcel Number: 1 2 3 3 0 - 5 2 - 0 0 0 4 5 A design will be reviewed when 3 copies of each of the following are submitted: ''Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist `'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 1"X I7" PARCEL IDENTIFICATION Permit Number: SWG Z073- 0C)500 Designer's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: BRICK CIO B-LINE CONST. Designer's Phone Number: 360-426-4221 Mailing Address: 2971 E PHILLIPS LAKE RD. Designer's Address: 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 SHELTON WA 98584 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type [I Gravity 0 Pressure EifTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 - - Schedule/Class 3034+ l Daily Flow:Operating Capacity 270 AVG "gpd Length 37.5 ft — Daily Flow: Design Flow 360 MAX -'gpd Diameter 4 in r Septic Tank Capacity(working) 1125 EXISTING gar Number 4 Receiving Soil Type(1-6) 3 r Separation 6' ft - Receiving Soil Appl. Rate 0.8 /gpd/ft2 Orifices Required Primary Area 450 ,.-ft2 Total Number of Orifices PERF PIPE Designed Primary Area 450 ft2 Diameter PERF PIPE in Designed Reserve Area 450 ' ft2 Spacing PERF PIPE in Trench/Bed Width 3 ft/ Manifold Trench/Bed Length 150 ft ' Schedule/Class D-BOX , Elevation Measurements Length D-BOX ft Original Drainfield Area Slope 3-5 % Diameter D-BOX in New Slope, If Altered SAME % Preferred manifold configuration used? lifYes 0 No Depth of Excavation Up-slope 20" MAX ire Transport Pipe from Original Grade Down slope 18" in` Schedule/Class 3034+ Designed Vertical Separation 40"MIN in Length 25'MAX ft Gravelless Chambers Required? 0 Yes f No 0 Optional Diameter 4 in Pump Required? 0 Yes gNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day N/A Diff. in Elevation Between Pump&Uppermost Orifice NIA ft Dose quantity N/A gal Drainfield Squirt Height/Selected Residual (head) N/A ft Chamber Capacity(flood) N/A gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Puy$ controls:Please check those required. Capacity @ Total Pressure Head N/A m *Timer+ gp ❑Elapse Meter ❑ Event Counter Calculated Total Pressure Head N/A ft � t4 hum on N/A N/A /_ P ,Pump off ComnkPPROVE ; `. n t s1' c� � a l'(N1 3- DEC 1 1 2023 :� �''4 ,.'4, MASON COUNTY ENVIRONMENTAL NEALTt' � • !1'! � *1 J� O6IOar/ DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 3 3 0 -- 5 2 -- 0 0 0 4 5 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch RI Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and Q( Septic tank Q1 Property lines critical distances within layout lid Drainfield cover ❑ Existing and proposed wells 6i1 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 6d Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks,and locations g Laterals,trench/bed,top and surface water and critical areas 6g Observation port location bottom ❑ Location and orientation of Gd Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components 0 Orifice placement Pi Location and dimension oftif Other cross-section detail: primary system and reserve area Lateral placement with distance gObservation ports/clean-outs 0 Buildings to edge of bed Other Information 0 Audible/visual alarm referenced Yes No g Direction of slope indicator g Scale of drawing shown on scale g 0 Design staked out g Waterlines bar 0 t Recorded Notices attached g Roads,easements,driveways, Existing system filled with 0 g Waiver(s)attached parking ❑ fib Pump curve attached fid North arrow and scale drawing roots and soil, tonding in Q( 0 Evaluation of failure shown on scale bar laterals unable to clearE'"`�� Non-residential justification ❑ 0 Waste strength_ j ❑ ❑ Flow DESIGN ,, The undersigned designer must be notified by installegi.,1104.,,.. ;:•.),,, ••n I�Yes 0 No 1C+1� 41c �. ZI f N�123 sit; 4' Signature of D-,f;. er •• 1.T. li:, i Date The undersigned has reviewed this design on be a o +::' , •dQItyIPZ Health and dete r compliance with state and local on-si gulations: L � 1.2 /1/M? DECD EC Environmental Health Specialist Dat6Mgs ��13 �N��UNTY CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CON°D18I NMENTq�HEA�Ty V The design is stamped"Approved"by Mason County Public Health. V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: I z/5/702 L/ V 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 0-60"+GLS 1 WATER LINE 0-68"+GLS Q 2 O'N9° Z ADD G3O / 83' / EXISTING 3-BDRM MOBILE HOME / / • PORCH / 110' DRIVE/PARKING \4 PROPERTY LINES \ 0 RESERVE DRAINFIELD / / 44VA, BACKFILL OLD SYSTEM , WITH C-33 IF ENCOUNTERED i / //ioge3ir ., i\ APROX EXISTING DRAINFIELD(DASHED) \ l D-BOX 4/Il ts::: kpeAort60' r �� E f�v1 2 F SOIL LOGS . 11'I1f4'i1'kP':.'L',l;io4•l c7:y'e't'.Ac.P �' �^ NCIV21 "?So �" s t4 o _TOBY J. - SYRETT '1,44 do, li. NEW DRAINFIELD LATERALS � i ENSED DESIGNER - I. •l���w w �w . EXPIRES: 06/07/ AppR SITE PLAN: O�ED FOR: BRICK JOB#: DEC 1 12023 PARCEL#: 12330-52-00045 DATE: 24 NOVEMBER 2023 MASONCO BY: TJS DESIGN PAGE S OF I UN�E p�A NMENTAL HEALTH NORTH ARROW: CDSCALE: 1" = 20' 0' 20' ao' © B-LINE CONSTRUCTIO N, INC. 4 w N co 1-I-J Q O II §-Ow CC CO 7- F-m Z o o� ui CNJ _I 0Li 0W I I- W < N �ww Z W U x O w 1 O= F- Q (n OW b , tx W Z H #t w O r CO W W ' CC 0 �� Y Z Q H ,_- �— U W a (o \ w D 0) J N. 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RESTRICITVE LAYER Exr t�ES: 06/07/ MASON COUNTY ENVIRONMENTAL HEALTH DJA VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW / .7- ior FINISHED GRADE 1 \ 12" FILTER FABRIC 4"SCH 40 PERFORATED LATERAL PIPE 0000 00000000000o0000000000000000000000000o fj;i`(1 ?' Xy/,7(/7c"f ) /:/, ;K,r Z [ Cl s )1 Ky 'j/ 1 S).':i`,/ TRENCH BOTTOM TRENCH CROSS-SECTION, GRAVITY, GRAVEL FOR: GENERAL USE JOB #: PARCEL #: DATE: REVISED SEP 02 BY: TJS DESIGN PAGE 9 OF /a) NORTH ARROW: SCALE: 1" = 1' © TAHJA-SYRETT DESIGNS 0' 1' 2 PAGE /m OF GRAVITY DISTRIBUTION SYSTEM APP D System Owner Responsibilities: DEC 1 1 2023 MASON COUNTY ENVIROv`;ii`�, HEALTH 1. The prepared site plan is not a survey. It is the owner's responsibility to verify prdRiMty 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 malfunctions/backups in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT make changes on settings to the system. Only authorized maintenance personnel may alter/adjust system. 11. System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) h-linccUn.I(/msn.cum