HomeMy WebLinkAboutSWG2024-00051 - SWG Application / Design - 2/12/2024 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360 427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
m.. C 0 Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00051
APPLICANT POOLE ET AL RONALD Phone:
Address: EDWINA POOLE SHELTON, WA 98584
OWNER POOLE ET AL RONALD Phone:
Address: EDWINA POOLE SHELTON, WA 98584
SEPTIC DESIGNER TOM WEAVER* Phone: 360-620-7054
Address: 3912 STEELHEAD DRIVE NW BREMERTON, WA 98312
Site Address: 360 E Lakeshore Dr E
Primary Parcel Number: 220175000079
Permit Description: New SFR-2BR Nuwater w/foundation and easement waiver
Permit Submitted Date: 02/12/2024
Permit Issued Date: 02/29/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/26/2026 (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 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 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
Mr
.4441 OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: _ `t — 1 —
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ONSITE SEWAGE SYSTEM APPLICATION AMOU ENE . RECENE Ca CA
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415 N 6th Street,(Bldg 8) Shelton WA,98584 V < N
Shelton:360-427-9670 ext 400 Belfair.360-275.4467 ext 400 C` G au -1_ _ C 6 b.- ( O 53
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APPLICANT PHONE >
Ronald Poole 253-740-1622 (Carol) carolpoole@comcast.net ill
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
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38215 42nd Ave. South; Auburn, WA 98001 m c
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SITE ADDRESS-STREET,CITY,ZIP CODE Sr) co
360 E Lakeshore Dr E; Shelton 98584 m xj
NAME OF DESIGNER PHONE I N
Thomas Weaver 360-620-7054
NAME OF INSTALLER PHONE N
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0 I 0
C
❑ NEW CONSTRUCTION 0 RV HOLDING TANK ONLY ❑ PRIVATE INDIVIDUAL WELL I --L
lREPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY El PRIVATE TWO-PARTY WELL Z(n
❑ TABLE 9 REPAIR ❑ SINGLE FAMILY RI COMMUNITY/PUBLIC WATER SYSTEM I V
❑ TANK(S)ONLY ❑ COMMERCIAL Upgrade existing SYSTEM NAME: N I
I ❑ UPGRADE TO EXISTING ❑ OTHER:Repair with expansion BEDROOMS LOT SIZE I (.71
ix EXISTING FAILURE "Record Drawing required
for*II InstallaUons" 2 8,000 Sq Ft °r° I o
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) n I I
7O
Highway 3 North to right on E Agate Rd - 3.8 Miles continue left on E Agate R
1.6 Miles Left onto E Timberlake Dr I O
350' Right onto E Lakeshore Dr W
.3 mile Right onto Timberparkway Dr I— I
-.IA
700'Left onto E Lakeshore Dr E CO I
600' Home is on the right I (..0SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
i UPGRADE/FAILURE SOURCE(tor reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: F C�
INSPECTOR SOIL LOGS r COMMENTS/CONDITIONS �`
� - R 8r2 ?o
CF/V
/1 F�
1101E0T
_,1 FEB X 2 2024 L.
By'
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPE TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
( ;''CS'- . )-5 Midiiiq, Z--26-2 kf
THI F AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSIT REVISED 12n2015
FORM—PAGE ONE Assessor's Parcel Number: -- -- 0 7 9
DESIGN _2 2_� 1 7__ �Q _Oil
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 ma be scanned and available for blic view on the Mason Coun Web site.Maximum a er size: 11"X 17"
Permit Number: SWG a q r UO04 l Designer's Name: Tom Weaver
Applicant's Name: Ronald Poole Designer's Phone Number: 360-620-7054
Mailing Address: 38215 42nd Ave S Designer's Address: 3912 Steelhead Dr NW
Shelton WA 98584 Bremerton WA 98312
Ci State Zi Ci State Zi
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
®Aerobic Unit Make/ModeNUWater BNR500 ❑ Disinfection Unit Make/Model Other: Pressure Beds
Drainfield Type
❑Gravity XI Pressure 0 Trench 111 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class Sch 40
Daily Flow:Operating Capacity 240 gpd Length ft
Daily Flow: Design Flow 240 gpd Diameter 1.25" in
T eosib Tank Capacity Trash Tank 1,000 or 120cal Number 2 in one bed 3 in two beds
Receiving Soil Type(I-6) 4 Separation 42" one bed 40" two beds ft
Receiving Soil Appl. Rate .6 gpd/ft2 Orifices
Required Square Footage 400 ft2 Total Number of Orifices 36
Designed Square Footage 400 ft2 Diameter 3/16 in
Percent Reduction Taken 0 % Spacing 40" one bed 44" two beds in
Trench/Bed Width 7' & 10' ft Manifold
Trench/Bed Length 19'4" & 13'6"ft Schedule/Class Sch40
Elevation Measurements Length ft
Original Drainfield Area Slope 4 % Diameter in
New Slope,If Altered NA % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 14" in Transport Pipe
from Original Grade Down-slope 6" in Schedule/Class Sch 40
Designed Vertical Separation 12 in Length 20 ft
Gravelless Chambers Required? 0 Yes g No 0 Optional Diameter 2 in
Pump Required? VI Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal
Orifice 5 R Chamber Capacity 1,200 gal
Uppermost Orifice i6 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 22 gpm SlTimer ElElapse Meter El Event Counter
Calculated Total Pressure Head 10 ft If Timer: Pump on 1 Min 50 Sec,Pump off 4Hours
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2__2 Q Z -- _5_O -- Q Q_O7_9
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
PI Test hole locations DI Drainfield orientation and layout Reference depth from original grade:
cil Soil logs al Trench/bed dimensions and $1 Septic tank
M Property lines critical distances within layout 0 Drainfield cover
NI Existing and proposed wells 1:1 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Dal Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations )(] Laterals,trench/bed,top and
surface water and critical areas Bl Observation port location bottom
❑ Location and orientation of tl Clean-out location 0 Curtain drain collector
curtain drain and all absorption 0 Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
Ji4 Location and dimension of 0 Lateral placement with distance XI Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
lX Buildings 0 Audible/visual alarm referenced Yes No Top&bottom legs staked
N Direction of slope indicator (I Scale of drawing shown on scale 0 Design staked out
IX Waterlines bar 0 N4 Recorded Notices attached
Cif Roads,easements,driveways, El 0 Waiver(s)attached
parking El 0 Pump curve attached
1,4j North arrow and scale drawing IX ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notifi installer at time of installation 0 Yes IA No
/,� _ Februart 12, 2024
Signature of Designer 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 - ite r gulations:
V u l�^ 2��i-a
E it ntal Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: �� .--z_S
✓ 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.
Revision Date: 1/12/2010
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6" washed drainrock under 1 .25" laterals
Clean out Typ.
2" over laterals then filter fabric = 9.25" drainrock
19'4" Valve
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21" / OX
t 38"
7'
42"
21"
Minimum of 6" cover over beds To Pump Tank
Gravel to be covered with filter fabric
Original Grade . ___
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Valve Box
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20"
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Flow (GPM)
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3fi 76 114 151 189 227 265 513 341
liters Per Minute
Liberty 416,Recommend be ty280 Pump ®
4148°41co ic-4-8 2 8 - - e ..,
3/16" Orifices @ 2' residual head = .59 Je NMFNr�1 ay,
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2" Transport line @ 40gpm = .027' head/lineal ft *40-„,
Every 90° = .162' head Every 45° = .07' head
Number of orifices 36 X .59 = 22 GPM
10
Transport loss 2 + Fitting loss 2, + elevation life 4 + 2' residual =
Typical, Not specific for this site
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36'MAX. 1'PVC(TYP) ` .—
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12' RETURN LINE
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' TRASH CHAMBER DIGESTER CHAMBER CLARIFIER 1
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OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER 1
FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS
/ FLOOD:191 GAL.
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74 EW STONE-FREE NATIVE SOIL
OR COMPACTED SAND
INSTALLATION 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 x 9'-2-
4.
out with screed. I-- - - - - -
3)Install tank in center of hole,keeping 1 ft.void space on ��
all sides. 024"RISERS`'ILLTr) 24 BLOWERl4)As tank is filling with water,fill in void space with compact I OUSING CAS?
I N TOP oFugranular(sandy)soil free of large dumps of clay. 15)Install rest of system,8 affix risers to adapters with II 13waterproof adhesive. II I \ I i 4 8•
6)Perform watertightness test in field as required by local \
jurisdiction. I I 12•RISER I I
7)Upon approval to backfill,carefully backfill with native
soils over top of tank. I TRASH CHAMBER I I QSF5IF8 I IPAWFIFgl
8)Final grade the surface to avoid chanelling surface L _ _ _ _ _ !- _ J L _ _ J
NL
water toward tank.
TOP MEW
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AEROBIC TREATMENT TANK DETAIL FOR
Nu WA TER BNR-500 TREATMENT UNIT
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ENVIRO-FLO, INC. REVISED:
• %� I, . Wastewater Treatment Technologies 3/01/12
.....„.,,,r, ,,.,.<N P.O. BOX 321161, Flowood,MS 39232 SCALE:
(877) 836-8476 (601)845-4716 fax 1 n = 1.4 ft.
www enviro-flo.net _
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HIGH WATER ALARM LEVEL . — -- — -_
WORKING VOLUME /811 ` INDEPENDENT
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