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HomeMy WebLinkAboutSWG2023-00437 - SWG Application / Design - 10/16/2023 MASON COUNTY 415 N 6TH STREET,SHELTON, , E 98584 SHELTON:360 427-9679670 EXT 400 BELFAIR:360-275-4467, EXT 400 �`' ' Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00437 APPLICANT PENN MICHAEL & NATALIE Phone: Address: 23133 NE 14TH CT SAMMAMISH, WA 98074 OWNER PENN MICHAEL & NATALIE Phone: Address: 23133 NE 14TH CT SAMMAMISH, WA 98074 SEPTIC DESIGNER TOBY 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 Site Address: 240 E DUCK COVE RD Primary Parcel Number: 221324190033 Permit Description: Replacement 3bd ATU to pressure trench Permit Submitted Date: 10/16/2023 Permit Issued Date: 12/15/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/26/2026 (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/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. I MIN OFFICIAL USE ONLY OCT1 8 2024' DAF RECEIVED. MASON COUNTY 1,0 - i G - 23 cn D WI COMMUNITY SERV ESE A. L CD c cn RECEIVED W CO - Public Health(Community Health/Environmental Health) 0 lA • 360 427 9670.e.t.400 or 360 275 4467,evt.400 y� 415 N.6t6 Street•Shelton,WA 98584 S /G " t () - /1^�i \5-4 O 53 V V I�,�� [\f�`�/ z di ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE Rl m PENN C/O B-LINE CONST. INC. 360-426-4221 0 z r c MAILING ADDRESS-STREET,CITY STATE.ZIP CODE _, g 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 o co SITE ADDRESS-STREET CITY.ZIP CODE 240 E DUCK COVE RD. SHELTON WA 98584 D I N it NAME OF DESIGNER PHONE CO TOBY SYRETT @ B-LINE CONST. INC. 360-426-4221 4, ( N) NAME OF INSTALLER PHONE NI o DON WOOLLISCROFT @ B-LINE CONST. INC. 360-426-4221 co PERMIT TYPE(select One) DRINKING WATER SOURCE - i-VT RESIDENTIAL OSS COMMUNITY OSS Fri COMMERCIAL OSS h PRIVATE INDIVIDUAL WELL Gf PRIVATE TWO-PARTY WELL Z N TYPE OF S%CRK(select one) L7 PUBLIC WATER SYSTEM I I Pl NEW CONSTRUCTION/UPGRADES tir REPAIR/REPLACEMENT OTHER DETAILS(select all(hat apply) ❑ TABLE IX REPAIR I -P SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 10 SHORELINE 07 Irl DESIGN FORM(REQUIRED) VSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE O I -/ YWAIVER(S)(IF APPLICABLE) 2 0.69 ACRES o I I co DIRECTIONS TO SITE AND SITE CONDITIONS'(en locked gate) FROM PICKERING, TAKE PHILLIPS LAKE RD TO RIGHT ON DUCK COVE RD. I o FOLLOW TO 240 E ON RIGHT. o I D H IW SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I (A) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT- 0 OTHER. OCT INSPECTOR SOIL LOGS I /� C> COMMENT ON c a24?3 `A • -/ 5 li "C\V-1 ' b -71 q(zli 6 (2‘-t- I OCT 16 2023 3 -,. 4. l8Y . ,,,,,„ .. ,4 3 b,,,( 6 ,41 Vt— 7,004 SOIL CODES: RECORD DRAVNNG AND INSTALLATION REPORT S oo I l 1 V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL INSPECTOR SIGNATURE DATE PPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSJED BY DATE \t,`c/`ti1 *15;ZJ rip \zJI s/z 3 THISFORM MAY BE SCANN�AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED t.u.. O E SED 2/7f2015 A dommismo- q `_ 6 a �- PAGE I OF 13 6 . :5. '`'''"`k SEPTIC SYSTEM DESIGN ,,, , ,,, , ,PF.t.e ••:^ ' •'' "r• . ji? ."'„,, '1 , . ' ♦.IN � .'�Y f • y • ...,' 1 - : -4- mot L . • 4 ` • Vi , 4. ."` tip. ,.,.., • F . / !s r r,i 4 .i4t POti% �.R ` *' t om JR.,.44_.. ,' «',•'A ..•i if. " :° ` ` .... - .r t it ®re 1-';;C:Alli SITE ADDRESS: 240 E Duck Cove Rd SITE CITY,STATE ZIP: Shelton, WA PARCEL NUMBER: 22132-41-90033 LEGAL DESCRIPTION: Pei 1 of BLA #98-42 OWNER: Penn DATE: 08 December 2023 I-LINEB-LINE CONSTRUCTION, INC. - 2971 E PHILLIPS LAKE RD. SHELTON, WA 98584 360.426.4221 office 360.426.0509 fax b-lineconst@msn.com PAGE t OF 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-lineconst cni msn.com milk P Q 3 of I3 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 3 2 — 4 1 — 9 0 0 3 3 A design will be reviewed when 3 copies of each of the following are submitted: v 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: 11"X I 7" PARCEL IDENTIFICATION Permit Number: SWG 1,07,3-"DC)93-1 Designer's Name: TOBY SYRETT @ B-LINE CONST. PENN CIO 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. 1. Mailing Address: 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 Drainficld 0 Recirculating Filter,Type: lifAerobic Unit Make/Model NUWATER 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity g Pressure C 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 AVG gpd Length 15-44 ft Daily Flow: Design Flow 360 MAX gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 5 1 Receiving Soil Type(1-6) 3 Separation 6' MIN f 1 ' ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 ft2 Total Number of Orifices 23 Designed Primary Area 450 ft2 Diameter 3/16 in Designed Reserve Area 450+ ft2 Spacing 72 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 150 ft Schedule/Class 40 Elevation Measurements Length 12" ft Original Drainfield Area Slope 5-8 % Diameter 1.25 in New Slope,If Altered SAME % Preferred manifold configuration used? It 'Yes 0 No Depth of Excavation Up-slope 12" MAX in Transport Pipe from Original Grade Down-slope 9" in Schedule/Class 40 Designed Vertical Separation 14" MIN in Length 100' MAX ft I Gravelless Chambers Required? 0 Yes El No 0 Optional Diameter 2 in 1 Pump Required? Ed Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff. in Elevation Between Pump&Uppermost Orifice 8 ft Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) , • 2 ft Chamber Capacity(flood) 1200 gal 't Pum,;':'i o1s:Please check those required. Uppermost Orifice g Higher 0 Lower than Pump Shutoff �t pp g13.57 m �".%`kt',• licElapse Meter lrEvent Counter Capacity @ Total Pressure Head O �, 20 max ft %\ �`�i on 4min25sec ,pump off 3hr55min35sec Calculated Total Pressure Head f4-- �a Comments ' r•;� I "a'1i�- dt . P PROVE D EL = 8.0 + SQUIRT = 2.0 + f= 0.35 + FITTINGS�� r0 — '_s. 20 :�°° ,oi DEC 15 2023 r --'- c,—��_.' --moue wont MASON COU NTY EYV1RONYEN1AL HEALT RET AAb' &( df t 3 DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 3 2 -- 4 1 -- 9 0 0 3 3 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Fil Test hole locations 66 Drainfield orientation and layout Reference depth from original grade: 10 Soil logs fiO Trench/bed dimensions and NI Septic tank Property lines critical distances within layout g Drainfield cover g Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property fig Septic tank/pump chamber and restrictive strata: 121 Measurements to cuts, banks,and locations g Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom 0 Location and orientation of 12i Clean-out location 0 Curtain drain collector curtain drain and all absorption fi Manifold placement 0 Sand augmentation components 66 Orifice placement Other cross-section detail: g Location and dimension of fig Lateral placement with distance 2i Observation ports/clean-outs primary system and reserve area to edge of bed Other Information Buildings It Audible/visual alarm referenced Yes No B1 Direction of slope indicator g Scale of drawing shown on scale d 0 Design staked out g Waterlines bar 0 Ci Recorded Notices attached Pi Roads,easements,driveways, This is a voluntary 0 i I Waiver(s)attached parking upgrade to existing < fig 0 Pump curve attached —'--� i Evaluation of failure tid North arrow and scale drawing system, due to change in shown on scale bar building plumbing & Non-residential justification -footprint 0 0 Waste strength �� 0 0 Flow i 11 DESI ' .44 VAL The undersigned designer must be notified by inst..: �'i�.."._-':,•��3..11ation Eg Yes 0 No l=% ''�l 'I�"i m gp c Z3 s - • Signature o J.T STRUT - Date •_ . .. . SIGNEJt !/ The undersigned has reviewed this design on beha (lk 7.' •?►bk%oly p is Health and determined it to be in compliance with state and local on-site regulations: k-- I IS I2 -- Environmental Health Specatlist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. I V (Z�/, ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: l• / ✓ 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 I)A-.&t 5 0� (3 g r FOUND UNDGREN BAR do CAP f (� —4L 3' EAST OF EDGE OF U' 0. 1�; BLA •��•\ • UNE OF n\, ,;. 7.7 Tre . .. 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W. 0.. .. cn 1_ _ix ��-- RE J 0 al 0 °W I D Ft o 2 0 W z ��r IL O Q Q () O < c.1==1 v pi1-o p lc! 0 ' ,:141?----1 Q _ iZw a Z tii J o prJ o 7 ,, 00 0 Q v ccLL> W R = w R Z J Z W o I- w J Z < wa wQo U �— WCO Q Z X� E o m R o 0 U W Q a`, CC -J Cl. 2 150' RESERVE TRENCHES /41' 6' 9' E h 44 72"ORF SPC // // // / // / / // / // / // / / / / / 3/16"ORIFICES // // // / / / / / / // / / // / @ 6:00 � / / / / / / 6' / // / // / , /1 / /1 //1 ii //7 :71 /i /1 / , ' / / / / /o / / N / / / / / / / / i ill / r/ / / :aa r i / %tt / / / / /�' / / / / CLEANOUT/OBS // // // / // / // / / PORTS r / / / / / // / // i / / / 1.25"LATERALS 1.25"FEDDER LINES ` / //1 _ GRAVEL TRENCHES MANIFOLD(IN VALVE BOX) ..----' 2"TRANSPORT LINE --f MANIFOLD DETAIL: 36"TO1STORIFICE 7- 1 25" FEEDER LINES 1 1.25"MANIFOLD -r, -- APPROVED _-ri r•r-rt REDUCER a 1.25" BALL VALVES DEC 15 2023 2"TRANSPORT MASON COUNTY ENVIRONMENTAL H -'''t, RET ', ,okt: liret. '•�tt" . r-Z3 DRAINFIELD LAYOUT DETAIL - ' '• )4' ���� FOR: PENN JOB#: .; I T" Sl'RtTT "y,1� PARCEL#: 22132-41-90033 DATE: 08 DECEMBER 2023 �`=e= ` =`=""t,* BY: TJS DESIGN PAGE (( OF ( '� EXPIRES: 06/07/,Z4 NORTH ARROW: SCALE. 1 - 10 O o' 10' 20' © B-LINE CONSTRUCTION, INC. 6"PVC CLEANOUT/OBSERVATION PORT FINISHED GRADE FILTER FABRIC OVER DRAINROCK DRAINROCK SANDY \ i ORIGINAL GRADE LOAM 12"+ FILL 1 25"LATERAL PIPE - ie _ _ _ _ _ _ `i „ APPROVED ` 1 DE C C 15 2023 1- A I MASON COUNTY ENVIRONMENTAL HEALTH 36" • T TRENCH BOTTOM / I91 i1 Ar ( e0 r r:'Ci d A-:;.4 t. �r�DZZ3 ie I NATIVE SOIL " PA r'' �QS•: `► f11f i O .TO_BY J.TAHJA-SYRETT 11 r ENSED DESIGNER 1 EXPIRES: 06/07/z f ES 19 LA ER VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW /7 FINISHED GRADE if i \\ THREADED CAP 3/16"ORIFICE @ 6:00 1.25"LATERAL PIPE I FLEX HOSE J OR SWEEPING EL I-.4111 q-j'ORIFICE SPACING ►{ �>- TRENCH BOTTOM PRESSURE TRENCH - GRAVEL - MEDIUM DEPTH FOR GENERAL USE REVISED DECEMBER 2023 BY: TJS DESIGN PAGE 12- OF (3 NORTH ARROW: NO SCALE © TAHJA-SYRETT DESIGNS PAGE (3 Of- (3 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. APPROVED DEC 15 2023 B-Line Construction, Inc. MASON COUNTY ENVIRONMENTAL HEALTH 2971 E Phillips Lake Rd., Shelton, WA 98584 RET 360.426.4221 (office) 360.426.0509 (fax) b-lineconst anmsn.com 1