HomeMy WebLinkAboutSWG2023-00492 - SWG Application / Design - 11/20/2023 rit MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 98584
SHELTON:360 427-9679670 EXT 400
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BELFAIR:360-275-4467, EXT 400
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9 Public Health & Human Services ELMA:360-482-5269, EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00492
APPLICANT HEALEY CONSTRUCTION Phone:
Address: 9934 SE SCATTERWOOD LN PORT ORCHARD, WA 98366
OWNER MCKAGUE DIANA P &TRUDI M Phone:
MCKAGUE
Address: 433 DEARBORN AVE SHELTON, WA 98584
SEPTIC DESIGNER Jim Zimny -Advantage Perc & Design Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380
Site Address: 3370 E AGATE RD
Primary Parcel Number: 320147600040
Permit Description: New 3bd ATU to pressure trench
Permit Submitted Date: 11/20/2023
Permit Issued Date: 12/15/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $525.00 (additional fees may be requ,red upon installation of system).
Permit Expiration Date: 11/27/2026 (based on date of inspection)
Permit Conditions:
1 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 Drainfield 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 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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATE RFmv®
. MASON COUNTY l l I a- 9- co D
ion • COMMUNITY SERVICES AMOUNT RE•=�� W�I�I,Y- o CO
Public Health(CommunRyHeaItI EnvironmentalHeakh) iii
SWG
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41315 14.6th Street k A 360-275-4467,96564 ext.G00 ✓- t V 10),3
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION z
APPLICANT PHONE m m
Healey Construction 253-514-0351 Z
C
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE
9934 SE Scatterwood, Port Orchard WA 98366 00
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SITE ADDRESS-STREET,CITY.ZIP CODE •
3370 E Agate Rd, Shelton WA 98584 I(j
NAME OF DESIGNER PHONE
Jim Zimny 360-516-7287 I N
NAME OF INSTALLER PHONE v I O
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PERMIT TYPE(select one) DRINKING WATER SOURCE N I_
114 RESIDENTIAL OSS f'i COMMUNITY OSS Pi COMMERCIAL OSS Q W
PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL z
TYPE OF WORK(select one) e.
a PUBLIC WATER SYSTEM ' ;
PI NEW CONSTRUCTION/UPGRADES ❑ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIRki
SUBMITTALS 0 SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE W
if DESIGN FORM(REQUIRED) PI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r
❑WAIVER(S)(IF APPLICABLE) 3 6.65 Acres o
DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate) 0
From Hwy 3 take E Agate drive South 3.2 miles to driveway marked one the Right with C
pink Ribbons. Park to the right of the gate and walk down shared driveway to pink ribbons
and follow to the test holes o 0
.s
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLA6Y4F0 WITH TEST HOLE NUMBERS O
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for repcxing purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER:
L
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS >..
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RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR ANAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
_AlAlviltl\A \ \i,-1 1/23 k\\771 .2.1t, ((6\cLin/5/6n1 1-2*K f2,
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE EVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 320147600040-
A design will be reviewed when 3 conies of each of the following are submitted:
toinpleted 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: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2023-00492 Designer's Name: Jim Zimny
Applicant's Name: Healey Contraction Designer's Phone Number: 360 516 7287
Mailing Address: PO Box 2007 Designer's Address: 7178 Windflower PI NW
Beltair WA 98528 Seabed( WA 98380
CLEAR FORM
City State Zip City State Zip __
DESIGN PARAMETERS
Treatment Device
❑Glendon Bioflter ❑Sand Filter ❑ Mound 0 Sand Lined Drainfield Cl Recirculating Filter,Type:
Enviro flo BnR 500
'Aerobic Unit Make/Model Er Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity 0 Pressure 0 Trench ❑Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCh 40
Daily Flow: Operating Capacity 270 gpd Length 40 ft
Daily Flow: Design Flow 360 gpd Diameter 1 1/4 in
Septic Tank Capacity(working) 1000 gal Number 5
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices 55
Designed Primary Area 600 ft' Diameter 1/8 in
Designed Reserve Area 600 ft2 Spacing S'kk 48 in
Trench/Bed Width 3 f '
ft ' t� Manifold
Trench/Bed Length 200 ft Sche�`� �a-T. III, sch 40
Elevation Measurements L.. :�I 2 ft
1. ' .;,
Original Drainfield Area Slope 12 % 1�cnrn�,e) 2 in
New Slope,If Altered 12 a pre::
/o � 'fold configuration used? Ef'YCS 0 No
Depth of Excavation Up-slope 12 in I Transport Pipe
from Original Grade Down_Slope 9 in Schedule/II lass sch 40
Designed Vertical Separation 18+ in Length I 25 ft
Gravelless Chambers Required? 0 Yes 0 No to'Optional Diameter 2 in
Pump Required? El Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number o doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice _8� ft Dose q . ;ty 45 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber b!.pacity(flood) 1000 gal
Uppermost Orifice 0 Higher Lo'Lower than Pump Shutoff Pump con a ls:Please check those required.
Capacity�a?Total Pressure Head 24 gpm err' -r 1littlapse Meter ®'Event Counter
Calculated Total Pressure Head 15 ,eft i- r- , f uppe . I' '' on 1 min 15 ,pump off 4 hrs
It
Comments .ij -
DEC 15 2023
MASON COUNTY ENVIRONMEN 1_HF41 ik
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Nu4nber: 320147600040— —
Permit Number: SWb 2023-00492
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch i Cross-Section Sketch
E1 Test hole locations PI Drainfield orientation d layout Reference depth from original grade:
16 Soil logs P1 Trench/bed dimensions and Lf Septic tank
16 Property lines critical distances withi layout B Drainfield cover
15 Existing and proposed wells 116 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 16 Septic tank/pump chafer and restrictive strata:
0 Measurements to cuts, banks,and locations 4 ®' Laterals,trench/bed,top and
surface water and critical areas ie( Observation port location bottom
le Location and orientation of 0 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption V Manifold placement 0 Sand augmentation
components ®' Orifice placement s Other cross-section detail:
15 Location and dimension of 116 Lateral placement with distance 16 Observation ports/clean-outs
primary system and reserve area to edge of bed
e! Buildings Other Information
15 Audible/visual alarm referenced Yes No
PJ Direction of slope indicator
Er Scale of drawin hown on scale ❑ 'Design staked out
16 Waterlines bar ❑ 0 Recorded Notices attached
V Roads,easements,driveways, �� 0 0 Waiver(s)attached
parking , ,� F Ba' 0 Pump curve attached
16 North arrow and scale drawing �P f0, ❑ ❑ Evaluation of failure
shown on scale bar 2
o r Non-residential justification
LICE :51\ 0 0 Waste strength
Aat:Lrr;Z S 0 ❑ Flow
D.SIGN APPROVAL
The undersigned designer must be notified i, taller at e of installation re Yes 0 No
/Z- 3- PZz3
Signatu • ,f'finer 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:
Environmental Health Specia st Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
The design is stamped "Approved"by Mason County Public Health.V �l �� (��
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
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Advantage Perc & Design
Tt mely•Reasonab'e•30 Years of Local Experience
Construction Notes for ATU to Pressure Distribution 3 Bedroom System:
Pressure Distribution w/graveless chambers (Rock and pipe may be substituted)
Install 5 -40' Laterals of 1 i/4" sch 40 PVC pipe .
Install on 5' foot centers.
1/8" Orifices on 48" centers beginning 24"from the beginning of the lateral and oriented at 12 O'clock.
Install 9"trench depth on low side of trench and maintain 12" of vertical separation
Install level and along contours.
Only Install in dry weather only.
Maintain 100' setback to seasonal stream
Use 1000-Gallon trash tank, 1000 gallon BNR-500, and 1000 gallon pump tank With risers to the
surface.
See pump Chart for Pump Specs
Use Rhombus SJE Control Panel or equivalent w/audible and visual alarms for low and high water.
System designed for typical residential waste strength sewage only.
System designed for 360 Gallons Per Day APPROVED
DEC 15 2023
MASON COUNTY ENVIRONMENTAL HEAL ,11.1
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• DEC 15 2023
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TRASH CHAMBER D10dTER CHARMER CLARIFIER
OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:4M1 GALLONS CHAMBER I
FLOOD CAPACITY:490 GALLONS i FLOOD CAPACRY:4$2 GALLONS le0 GALLON$ i
FLOOD:191 GAL.'
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MASON COUNTY ENVIRCNMENTA , CLILI DIFFUSER BARS(2) 'I
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pimp STONE-FREE NATTVE SOIL
OR COMPACTED SAND
MISTALLATION INSTRUCTIONS OVER STONY SOIL
1)Excavate tank hole with vertical walls to 1 foot larger than
tank on all sides.
2)If bottom of hole is stony,Install 3'of compact sand&level k S'Z' 4'
out With screed. — — -— \
3)Install tank in center of hole.keeping 111.void space an f-—— —-1 r _,
all sides. I 24. rp) era SOWS l
4)As tank is filling with water,fill In void space with I I1' TOP of
granular(sandy)soil free of large clumps of clay. I I i I
5)Install rest of system,&affix risers to adapters with
waterproof adhesive. Pt £ I I I ..ijfPI3 4'4E'
8 Perform watertightness test In field as required by local i� It 1 iOr RISER
7)Upon
onap ofval backfill,carefully backfill with native ';,:,, --,I I i I I II
p `1 • . 'I; __ fdid6�_ I I QOM= 1124619821
dwelling Final grade the surface to avoid dwelling '
lg surface j• abb. L __J
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A/ W Treatment T INC. REVISED: 3/0
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(877)836.8476 (601)845-s716 fax VI = 1 4 ft
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PARTS LIST NuWater NR Assembly Diagram I I
A DUAL PORTAERATOR M POLY DIFFUSER BAR(2) K I•41
B 3/8"RUBBER 90'W/CLAMPS(2) N 1"PVC(3 1;2-SECTION) I
C 3/8"BARBED ADAPTOR X 1/2"NPT(2) 0 1"SLIP CAP A rn
D 1/2"SLIP X U2"NPT ADAPTOR P Mr PVC HOSE(OPTIONAL 5') e: I t►
E 1"STREET X 112"NPT BUSHING(3) O.112"PVC PIPE(BY INSTALLER) �c e
F 1/2"90'ELBOW(3) R t"PVC PIPE(BY INSTALLER) i a st I
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G 1"X 1"X UT TEE S 2"PVC PIPE(BY INSTALLER) i•i ) / s�1 ••
H 1"90'ELBOW(3) T 1/8"BARBED ADAPTOR TO 1.4"NPT(2)i C J o't.. 31,,, �.I/ I
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12"X 1"BUSHING U 112'STREET X 1:4"NPT BUSHING(2) UC:' :Si�7ESIGkER
J 2"SANITARY TEE V 112"PVC COUPLER(2) Expiro=6417/z 1:4 (�
K 1"PVC CROSS W 2"COUPLER(BY INSTALLER)
L 1"COUPLER(BY INSTALLER)
Revised 2/25/12
Pump Selection for a Pressurized System-Single Family Residence Project
Parameters
Discharge Assembly Size 2.00 inches 100 i 1 II
{
Transport Length 60 feet !!
Transport Pipe Class 40
Transport Line Size 2.00 inches 90
Distributing Valve Model None 1 1 1 }
Max Elevation Lift 8 feel -I.•-
Manifold Length 2 feet '
Manifold Pipe Class 40 80
Manifold Pipe Size 1.25 inches
Number of Laterals per Cell 5 •
Lateral Length 40 feet
Lateral Pipe Class 40 70 . ,
Lateral Pipe Size 125 inches l i 1 i i
Orifice Size 1/8 inches m - ----•---- i - i • 1
Orifice Spacing 4 feet 7 ! 4 r 1
Residual Head 5 feet S 60 o 1 ` t
Flow Meter None inches 0 f /I
I-- } f ,
'Add-on'Friction Losses 0 feet •p
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Calculations 50 j 1 r 1 5 t
Minimum Flow Rate per Orifice 0.43 gprn 1 1
Number of Orifices per Zone 55 a •
Total Flow Rate per Zone 23.8 gpm 0 40 i ,
Number of Laterals per Zone 5 .! I '
} # r '
%Flow Differential 1sVLast Orifice 0.5 % i-- ' . ,
Transport Velocity 2.3 fps i
30 1..4 I . . ,
Frictional Head Losses I
Loss through Discharge 1.1 feet
Loss in Transport 0.6 feet 20 ( , '
Loss through Valve 0.0 feet
Loss in Manifold 0.0 feet _.r._--.- } } 1 i
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Loss in Laterals 0.1 feet1Loss through Flowmeter 0.0 feet 10 i If \.it.'
'Add-on'Friction Losses 0.0 feet 1 f 1
Pipe Volumes i } , ,
Vol of Transport Line 10.5 gals 00 20 40 60 80 100 120 140 160
Vol of Manifold 02 gals Net Discharge(gpm)
Vol of I alerals per Zono 15.5 gals
Total Volume 26.2 gals
Minimum Pump Requirements PumpData Legend
Design Flow Rate 23.8 gpm PFEF50 Effluent Pump System Curve:
Total Dynamic Head 14.8 feet 1/2HP,/15/230V 10
Pump Curve:
%? ( ./6 c v
Pump Optimal Range:
Operating Point:0
APPROVED S., DesignPoint:0
DEC 15 2023 ,4� t't
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