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HomeMy WebLinkAboutSWG2023-00532 - SWG Application / Design - 12/28/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 ss SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 P Public Health & Human Services ELMA: 360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00532 APPLICANT TURNER REBECCA L & CHRISTIAN A Phone: Address: 413 BEAR CREEK ESTATES SEQUIM, WA 98382 OWNER TURNER REBECCA L & CHRISTIAN A Phone: Address: 413 BEAR CREEK ESTATES SEQUIM, WA 98382 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 Phone: 360-426-4221 Address: 2971 E PHILLIPS LAKE LOOP ROAD SHELTON, WA 98584 Site Address: 413 N Hamma Ridge Dr Primary Parcel Number: 323047590091 Permit Description: 4-bedroom gravity system Permit Submitted Date: 12/28/2023 Permit Issued Date: 01/29/2024 Issued By: David Anderson Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 12/29/2026 (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. - s OFFICIAL USE ONLY— -- DATE RECEIVED: ' {j, MASON COUNTY Q cn D Cn COMMUNITY SERVICES AMOUNT IVED: RECEIVEDB C o a cn U)Public Health(Community Health/Environmental Health) u) 360-427-9670,ext.400 or 160 275.4467,ext.400 /'' /E /' /� ,. ^ O 415 N.6th Street-Shelton,WA96584 S V\1 G Do�5 _/ c) 3. _ Z di ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE m mTURNER C/O B-LINE CONST. INC. 360-426-4221 SHELTON LILLIWAUP z C MAILING ADDRESS•STREET,CITY.SATE,ZIP CODE co 2971 E PHILLIPS LAKE RD. WA 98584 o co SITE ADDRESS•STREET.CITY ZIP CODE C 413 N HAMMA RIDGE DR. WA 98555 70 m �'' ] NAME OF DESIGNER PHONE TOBY SYRETT @ B-LINE CONST. INC. 360-426-4221 N N W NAME OF INSTALLER PHONE CI DON WOOLLISCROFT @ B-LINE CONST. INC. 360-426-4221 PERMIT TYPE(select one) DRINKING WATER SOURCE - I o 0 WI RESIDENTIAL OSS b COMMUNITY OSS ..COMMERCIAL OSS b-;PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z PUBLIC WATER SYSTEM TYPE OF WORK(select one) V NEW CONSTRUCTION(UPGRADES 6 REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I —I SUBMITTALS El SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CO DESIGN FORM(REQUIRED) Wir SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE 'WAIVER(S)(IFAPPLICABLE) 4 8.95 ACRES 0 ci DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) FROM HWY 101 TURN UP HAMMA RIDGE DRIVE. GO APROX 0.5 MILES UP HILL TO I o LEFT TURN ONTO GRAVEL DRIVE. VEER LEFT TOWARD WATER SYSTEM BUILDING r NEXT TO GRAVEL PARKING AREA. FOLLOW FLAGGING PAST BUILDING TO -1 0 DRAINFIELD AND TEST HOLE LOCATIONS (STAKED AND FLAGGED). I CO SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. — OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER: ., ... ,f��� � U INSPECTOR SOIL LOGS� COMMENTS/G Np171ONS0 � �r- Tl-f1:Q '�$N C�� �,� DECG� 23LLLII23L�,i 1i I-V -�� �, �.�5l1 U patQ+ fi By 1, 9 2-g- Li? 6 wl ieViS tv 117 FrsfgF ci? .. tvi mif f( PII DEC C282013 c RECORD DRAWING AND INSTALLATII• -•I:T-D SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. I INSPECT IGNATURE DATE APPLICATION EXPIRATION DATE APPLICAT APPROVED/ISSUED BY DATE I 2/�yl z �Z / /7016 10*7 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 ` t` PAGE ( OF (Z- 99, RNist\ SEPTIC SYSTEM DESIGN .. ., _.,_ , _ _ ., / 1 t I ' 31104 _ ?eel 1 1 ' , i t f, . ,1\ . ....„:,,,,,,. .„, s' „I._ - N. 1i ., 1 ♦L. wim w -I li ram ,110/0 MUM INy. .1b� L air j � 1 I 1 ! f 1 { SITE ADDRESS: 413 N Hamma Ridge Dr. SITE CITE STATE,ZIP: Lilliwaup, WA PARCEL NUMBER: 32304-75-90091 LEGAL DESCRIPTION: Tr 9-B of Survey 13/237 OWNER: Turner DATE 22 December 2023 B-LINE CONSTRUCTION, INC. --- B-LINE --- 2971 E PHILLIPS LAKE RD. SHELTON, WA 98584 360.426.4221 office 360.426.0509 fax b-lineconst@msn.com APPROVED JAN 2 9 2024 MASON COUNTY ENVIRONMENTAL HEALTH I } PAGE R- OF ,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. APPROVED B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 BAN 2 9 2024 360.426.4221 (office) 360.426.0509 (fax) MASON COUNTY ENVIR®NMENTA b-Iineconst@msn.com 0JA L HEALTH f 3 o F «- . , DESIGN FORM-PAGE ONE Assessor's Parcel Number: 3 2 3 0 4 - 7 5 - 9 0 0 9 1 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. 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 201,-0053 L Designer's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: TURNER C/O 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 Biotilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: 0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: CLASS B MITIGATION Drainfield Type 'Gravity 0 Pressure 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 ,- Schedule/Class 3034 Daily Flow:Operating Capacity 360 AVG i gpd Length 50 ft Daily Flow: Design Flow 480 MAX f? pd Diameter 4 e- in Septic Tank Capacity(working) 1200 r/ gal Number 4 - Receiving Soil Type(1-6) 3 " Separation 9-10' MIN -ft Receiving Soil Appl.Rate 0.8 ...- gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices NA PERF Designed Primary Area 600 ` ft2 Diameter NA PERF in Designed Reserve Area 600+ ft2 Spacing NA PERF in 1 Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ' ft Schedule/Class NA D-BOX Elevation Measurements Length NA D-BOX ft Original Drainfield Area Slope 12-15 -% Diameter NA D-BOX in New Slope,If Altered SAME -- % Preferred manifold configuration used? II Yes 0 No Depth of Excavation Up-slope 16"MAX in Transport Pipe from Original Grade Down-slope 10" — in Schedule/Class 40 Designed Vertical Separation 24" MIN ✓ in Length 120' MAX - ft Gravelless Chambers Required? 0 Yes 66 No 0 Optional Diameter 4 in Pump Required? 0 Yes lif No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day NA GRAVITY Diff. in Elevation Between Pump&Uppermost Orifice NA ft Dose quantity NA GRAVITY gal Drainfield Squirt Height/Selected Residual(head) NA ft Chamber Capacity(flood) NA GRAVITY gal Uppermost Orifice 0 Higher [Lower than Pump Shutoff o.t mp controls:Please check those required. Capacity @ Total Pressure Head NA gpm , ��� OTimer ❑Elapse Meter 0 Event Counter I Calculated Total Pressure Head NA ft I .3. 4 Pump on NA APPROVED Comments NA Comments -V 1!.�,� 1P ROVED _ ►;, n.' ,. ,<<22WC23 %4,) , ,;,�y ,NO 4�e JAN 2 9 2024 „. � ;/1����1, MASON COUNTY ENVIRONMENTAL HEALTH . PP( - 9 op IZ DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 3 0 4 -- 7 5 -- 9 0 0 9 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations Gd Drainfield orientation and layout Reference depth from original grade: Iili Soil logs EZi Trench/bed dimensions and g Septic tank B1 Property lines critical distances within layout 0 Drainfield cover O Existingand proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: O Measurements to cuts, banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas Q( Observation port location bottom 64 Location and orientation of 0 Clean-out location g Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: • Location and dimension of lif Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed IZ1Buildings Other Information 0 Audible/visual alarm referenced Yes No lZ1 Direction of slope indicator lid Scale of drawing shown on scale d 0 Design staked out Eli Waterlines bar g 0 Recorded Notices attached 1 Roads,easements,driveways, i 0 Waiver(s)attached parking 0 g Pump curve attached g North arrow and scale drawing 0 g Evaluation of failure shown on scale bar Non-residential justification _ 0 0 Waste strength -:�' 0 ❑ Flow DESIG ;' '.'I1,VAL . . The undersigned designer must be notified by install:,;' ri :f i,•,ti lation It Yes 0 No . _,Lam.` :I F 4. / ` ~ ,i f 2 i-3 Signature of D;=;��• _. 14 Date The undersigned has reviewed this design o �' ''; -, %'.� •alth and determine compliance with state and local on-site regulations: Z R® ED 1 /77/7/ Z JAN 2 9 202� En ronmental Health Specialist Date MASONCOUNTy ENVlRONMEN SAL HEALTH CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: DJq ✓ 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. 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ONON zA( RESTRICITVE LAYER -/ 7 VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW '7- FINISHED GRADE 1 \ 1_ FILTER FABRIC 12" i • 4"SCH 40 PERFORATED LATERAL PIPE O O O O O O O O O 0 0 0 0 0 0 0 0 0 0 0 0,0 0 0 0 0 0 0 0 0 0,0 0,0 0 0 0 0,0 0 0 0 TRENCH BOTTOM ROVE TRENCH CROSS-SECTION, GRAVITY, GRAVEL FOR: GENERAL USE JOB #: JAN 2 9 '"'n4 PARCEL#: DATE: REVISED SEP 02 MASON CC •'• BY: TJS DESIGN PAGE /0 OF (Z NORTH ARROW: SCALE: 1" = 1' © TAHJA-SYRETT DESIGNS o' 1' 2 • ORIGINAL/FINISHED GRADE , , GR TO S RFA E TION L 30'MIN FROM UPHILL DRAINFIELD 10'MIN TO DOWNHILL DRAINFIELD 18"MINIMUM DRAIN WIDTH —.Po^ FILTER FABRIC OPTIONAL FILTER FABRIC REQUIRED ON TOP OF GRAVEL ON SIDES OF GRAVEL \ ____ _-I\ 6MIL PLASTIC SHEETING O 0 OPTIONAL ON DOWNHILL O` �. SIDE OF GRAVEL *7/8 GRAVEL GRAVEL 18-24" I 0 0 �• * 1-1/4"DRAINROCK MINIMUM ABOVE *PEA GRAVEL RESTRICTIVE LAYER pogimitia.c9c1 *EZ-LAY, ETC. 0 0 00 gib oo� REi74/1 AO , Ois NOTCH 6-12"INTO 4"MINIMUM DIA. 0 / RESTRICTIVE LAYER SLOTTED/PERFORATED /CORRUGATED PIPE / PIPE IN BOTTOM OF TRENCH APPROVED JAN 2 9 2024 I I* `�� • MASON COUNTY ENVIRONMENTAL NEALT,' ''F- � 22� 3,Vj GJ ; i " :`'- ' ' i� '.,, CURTAIN DRAIN DETAIL: i" stool � FOR: GENERAL USE JOB#: _Toav1.TAPP. ,. '.. PARCEL#: REVISED: SEPTEMBER 2022 i EN • • .....�....��...�....-���1, BY: TJS DESIGN PAGE /i OF 12_ (XP REsc owl NORTH ARROW: SCALE: 1" = 1' © TAHJA-SYRETT DESIGNS NO o' 1' 2' PAGE (Z OF t2— GRAVITY 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 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. APPROVED B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 JQN 2 9 360.426.4221 (office) 360.426.0509 (fax) 2024 b-lincconst(cimsn.com N,ASO,ti'COUNTY , ENVIRONMENTAL HEALTH