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HomeMy WebLinkAboutSWG2022-00016 - SWG Application / Design - 1/25/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 elint: SHELTON:360-427-9670,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: SWG2023-00016 APPLICANT ELLIOTT KENNETH P & AMANDA M Phone: 1.360.338.2198 Address: 20 W HAMMA HAMMA DR ELMA, WA 98541 OWNER ELLIOTT KENNETH P & AMANDA M Phone: 1.360.338.2198 Address: 20 W HAMMA HAMMA DR ELMA, WA 98541 SEPTIC DESIGNER KEVIN HUGHES-septic designer Phone: 253-256-5486 Address: 4015 104th Ave SW OLYMPIA, WA 98512 Site Address: SE Trillium Ln Primary Parcel Number: 320264190143 Permit Description: NEW 4BR -OSCAR XO2 Permit Submitted Date: 01/25/2023 Permit Issued Date: 02/29/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/07/2026 (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. OFFICIAL USE ONLY — DATE RECEIVED: - n 5 - a. MASON COUNTY O[ C Cl) cn COMMUNITY SERVICES AMOUNT REIVEO: - RECEIVED 9 rn li'JY��). < � Public Health(Community Health/Environmental Health) � fn 413 m.6th Street et-400 or 3r WA ext.400 S • i G /- 2 _ O`'�,._ 1 ( 2 a15N.61h Street-sheMon WA 98584 V\V/ O(1_(v� /�-�r'/l /L � �) z (A ON-SITE SEWAGE SYSTEM APPLICATIONg xi m n 1 PHONE/n 2 Z m APPLICANT � �{ I /V1-� 5(o0- 30-, ,t �6 Z C MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE 3 Q 0 C/3 (ik t& " (-4,9041 - PY el rvvl, kAik 14osql co Po SITE ADDRESS-STREET,CITY,ZIP CODE Xxk 5c Tc' (( .,t,. Le\- 5 ke-c`k-v4, t,,)F., . ) I s-S4-( NAME OF DESIGNER PHONE I6fn ,,, 14,,,y1A es 9,53- (0- 5--(--i5(0 NAME OF INSTALLER PHONE C PERMIT PE(select one) 0 INKING WATER SOURCE NIA O ._ RESIDENTIAL OSS COMMUNITY OSS 'COMMERCIAL OSS PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL Z I ., TYPE OF VvORK(select one) Q PUBLIC WATER SYSTEM 4EW CONSTRUCTION!UPGRADES ff REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I (- SUBMITTALS LOT SIZE r f 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CO DESIGN FORM(REQUIRED) k, SEPTIC DESIGN(REQUIRED) BEDROOMS O �j WAIVER(S)(IF APPLICABLE) oG{(��. ` - ALr[.) n DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I0 O r I✓ Imo ` SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS ! COMMENTS!CONDITIONS 4., ....t„,...„ D --- j dC gic' / I IEGLE0 U ' r JAN 2 0 cu43 11 - mift(i54-y 439 By 40/2_ V 1 (- L ) RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: REQUIRED FOR FINAL APPROVAL. V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT Co CLAY E=EXTREMELY R=ROOTS CTOR SIGNATURE CP) DATE APPLICATION EXPIRATION DATE APPLI ATION APPROVED!ISSUED BY DATE T IS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE E'VIS 12 7/20t5 r DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 6 — 4 1 — 9 0 1 4 3 A design will be reviewed when 3 copies of each of the following are submitted: "Completed design form that has been signed and dated. 'I 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 may be scanned and available for public view on the Mason County Web site. .Vlaximum paper size: I 1",1 1 Permit Number: SWG 2023-00016 Designer's Name: Kevin Hughes Kenneth&Amanda Elliott Designer's Phone Number: 253-256-5486 Appl icant'sName: Mailing Address: 527 Cascade Ave Designer's Address: 4015 104th Ave SW Shelton WA 98584 Olympia WA 98512 Cit State Zip Ciy State Zip - ^ r.. . r..s'a";4 ji-4. ", '.of ,; j.ii t:. '. •;;: DESIGN PARA1 TElft ;WASW:`,% Pf ait&W> Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Draintield IifRecirculating Filter,Type:Oscar X02 I 'Aerobic Unit Make/Model Oscar X02 ❑ Disinfection Unit Make/Model Other: ___ Drainfield Type ❑Gravity RI Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 - Schedule/Class OS-50 Coils Daily Flow:Operating Capacity 480 gpd Length ft Daily Flow:Design Flow 480 gpd Diamet i_r, (1in Septic Tank Capacity 1000 gal Number � -1j , 1 , ! ! 8 Coils Receiving Soil Type(1-6) 4 Separation:i U ft Receiving Soil Appl. Rate .6 gpd/ft2 \1�' Orifice ttm Required Primary Area 800 ft2 Total NberofOrifices Designed Primary Area 807.5 ft2 Diameter in Designed Reserve Area 807.5 ft2 Spacing in Trench/Bed Width 17 ft Manifold Trench/Bed Length 47.5 ft Schedule/Class Elevation Measurements Length ft Original Draintield Area Slope 20 % Diameter in New Slope, If Altered n/a % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 4 in Transport Pipe from Original Grade Dm..II-slope 4 in Schedule/Class Sch 40 Designed Vertical Separation 12 in Length 60 each supply/return ft Gravelless Chambers Required? 0 Yes lid No 0 Optional Diameter 1 in Pump Required? V Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Oscar X02 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal Orifice 73 ft Chamber Capacity gal Uppermost Orifice 1if Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 30 max gpm ❑Timer 7 Ela �.• t 0 Event Counter Calculated Total Pressure Head 50 max ft If Timer: Pump on 0 , X' • 'u cf. • 's ` /,. Comments ti FEB 2 8 2024 MASON COUNTY ENVIRONMENTAL HEALTH JuW DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 6 — 4 1 -- 9 0 1 4 3 Permit Number: SWG fr faead-ov° j'i�C 5eyl('^„�l"p '• ^ ..-, wF t4 y�y4 '} ,e..tioi"3a P ', " j dls:, ±.S�'. > _ r A, :' . . i k DESIV!\• 1UAS •f7 . {t w ,� r, Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Eiti Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: 0 Soil logs Trench/bed dimensions and Er Septic tank Property lines critical distances within layout 0 Drainfield cover 0 Existingand proposed wells 0 D-Box/Valve box locations P P Reference depth from original grade within 100 ft of property lid Septic tank/pump chamber and restrictive strata: 121 Measurements to cuts,banks,and locations RI Laterals,trench bed,top and surface water and critical areas Er Observation port location bottom O Location and orientation of 6d 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: • Location and dimension of 0 Lateral placement with distance l ' Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information FM Buildings Er Audible/visual alarm referenced Yes No Direction of slope indicator Qf Scale of drawing shown on scale ❑ 21 Design staked out Er Waterlines bar 0 Er Recorded Notices attached O Roads,easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached 0 North arrow and scale drawing 0 Q(Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow vq, Mxl :�. t'Mil3i f, :RESIGNAPPROV L The undersigned designer must be notified by installer at time of installation 0 Yes M ' No 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 - le regulations: TO vi .'' eta Health Spe t 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: 2---- -7- 24 ✓ 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. P P R 0 VE This form may be scanned and available for public view on the Mason Co eb eifif32 82fl24 mAsoN C U date a e. 12/7l f)liNTYENVIRONMENTAL HEALTH JBW SEPTIC DESIGN REPORT ELLIOTT RESIDENCE -ONSITE SEWAGE DISPOSAL SYSTEM- APPLICANT: SITE ADDRESS: Kenneth &Amanda Elliott XXXX SE Trillium Ln 527 Cascade Ave Shelton, WA 98584 Shelton, WA 98584 Parcel#: 320264190143 360-338-2198 DESIGNER: Kevin Hughes, PE 4015 104th Ave SW Olympia,WA 98512 (253) 256-5486 \\.4. ROY Hoc J of wAsA, 'S; -o v.'y �tJ �,n l�G 4522.7 isT �4 ASS/Ot\LM DATE: February 24, 2023 "I certify this design meets all rules and regulations of Washington State Department of Health and Tacoma- Pierce County Health Department." REPORT CONTENTS PROJECT SPECIFICATIONS AND CALCULATIONS l'APROVE F B 2 8 2024 ' ' SAS COUNTY ENVIRONMENTAL HEALTH JBW I PROJECT SPECIFICATIONS AND CALCULATIONS PROJECT DESCRIPTION This project includes the installation of a new 4 bedroom septic system utilizing an ATU septic tank, pump chamber and a Oscar X02 drain field. PROJECT DETAILS: -NUMBER OF BEDROOMS 4 -SOIL TYPE 4 -APPLICATION RATE 0.6 -GALLONS PER DAY 480 -SYSTEM TYPE PRESSURE DISTRIBUTION -TREATMENT LEVEL A SEPTIC TANK: REQUIRED SIZE 1,000 GALLONS MIN. (X02 tank) PUMP CHAMBER: REQUIRED SIZE 1,000 GALLONS MIN. (X02 tank) OSCAR III DRAINFIELD PARAMETERS: -COIL TYPE &AMOUNT OS-50 (8 COILS) -DEPTH TO ABSORPTION AREA 4 INCHES MAX. WITHIN NATIVE SOIL -MINIMUM SHOULDER LENGTH 44.5 FEET -MINIMUM BASAL LENGTH 47.5 FEET -MINIMUM BASAL WIDTH 17.0 FEET -DESIGN BASAL AREA 807.5 SQUARE FEET -REQUIRED BASAL AREA 800 SQUARE FEET -SAND UNDER COILS 6 INCHES -VERTICALSEPERATION 12 INCHES MIN. OSCAR III PUMP CHECK: HEAD LOSS -SUPPLY LINE LENGTH 60 FEET 2.73 FEET -RETURN LINE LENGTH 60 FEET 2.73 FEET -PUMP ELEVATION 84 FEET -HIGHEST SYSTEM ELEVATION 97 FEET -ELEVATION DIFFERENCE 13.00 FEET -TOTAL HEAD LOSS IN SYSTEM 18.46 FEET VOLT TURBINE PUMP, MODEL LOT-30(ALLOWABLE HEAD LOSS) 50 FEET Total system head loss is less than 50 feet STANDARD PUMP IS SUFFICIENT FOR SYSTEM DESIGN E FEB 1 1112,4 PPRO V VASON COUNTY ENVIRON MENTAL HEALTH JBW/ woyeuauLt.gw,olOunal ZLS96'M',4W/40 fPIQ6tt9ZOZ[ alm..d f9K-95LIC5Z1 .MS any Wfot SIC> »�3y % g�o .KT6.“.11 $ Ma-M-09E f•9 ul wr�al]6lob0f fq3..u.aN T�O.I.,.31 JNILI3ANIJN3 1+i� ■,,=1+■■ It;`,7,.. • I 1 1.1fij .... ,e.. .,.,.�. .0 ».mw„s 5~55 $) H 1 we. *moo VM'Nunod uoxyl 1��+■ ��1. g l wai .no Mo wn ..W.a S3HJfl Wb'3 ` N.� u6!saa �!;daS 330!113 1 P' -..1 .. 1 1 a_ _ -- _ — $ f I w e .d /� . Jr4 -..... .,. 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