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HomeMy WebLinkAboutSWG2024-00078 - SWG Application / Design - 3/1/2024 MASON COUNTY 415 N 6TH STREET. SHELTON,WA 98584 ea: SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 r:=- Public Health & Human Services ELMA: 360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2024-00078 APPLICANT ALLAN KIRK* Phone: 360-426-0574 Address: 30 E WILCHAR BLVD SHELTON, WA 98584 OWNER PYLE JAMES MATTHEW Phone: Address: 3441 E RASOR RD W BELFAIR, WA 98528 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO Box 162 OLYMPIA, WA 98507 SEPTIC INSTALLER ALLAN KIRK* Phone: 360-426-0574 Address: 30 E WILCHAR BLVD SHELTON, WA 98584 Site Address: UNKNOWN Primary Parcel Number: 220247590044 Permit Description: New 4bd pressure trench Permit Submitted Date: 03/01/2024 Permit Issued Date: 03/11/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/07/2027 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. . OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 3 C /,;-.0)._ ONSITE SEWAGE SYSTEM APPLICATION AMOU EIVED ItECLIVLDEY CO CP 415 N 6th Street,(Bldg 8) Shelton WA,98584 ..---A. < (cif))m Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 JVV C 1 G 10lt--k - 0 OO ts O 79 Z ui Z APPLICANT PHONE D ALAN KIRK 3604903144 mE XI m MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE r 3441 E RASOR RD W SHELTON WA 98584 c SITE ADDRESS-STREET,CITY.ZIP CODE 0 160 E ELIN LN SHELTON WA 98584 m NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE t),-j MASON COUNTY EXCAVATING 3604903144 v CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE _ IC" Er NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL (1) ❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 9' PRIVATE TWO-PARTY WELL 0 ❑ TABLE 9 REPAIR 0 SINGLE FAMILY ❑ COMMUNITY/PUBLIC WATER SYSTEM Z .-.Q.. ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: I( El UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE I ❑ EXISTING FAILURE "Record Drawing required ( p for all Installations" 4 1.26 W Iv i DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) I SOUTH ISLAND RD TO A RIGHT ON HARSTINE ISLAND RD TO A ' H •N ELIN LN TO Ls) SITE ON THE RIGHT ,• � -r ! O SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBER OFFICIAL USE ONLY BELOW THIS LINE— UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS is54 0 - Z C--)SL w1 11013. 5Z--F- /l'"14. SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R-ROOTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE Ate: � �7 (11, ;(� (�--) 3111 THIS FORM MAY BE CANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 ✓ ,DESIGN'FORM—PAGE ONE Assessor's Parcel Number: ,� v1 ---1 5 -- 3 L.L2 f 14 A de:ign 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 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 2ia2-Li-- COO )8 Designer's Name: ADAM HUNTER Applicant's Name: ALAN KIRK Designer's Phone Number: 360-753-1226 Mailing Address: 3441 E RASOR RD W Designer's Address: PO BOX 162 SHELTON WA 98584 OLYMPIA WA 98507 City State Zip City State Zip DESIGN PARAMETERS • Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity ('Pressure Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 360 gpd Length 67 ft Daily Flow: Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity 1200 gal / Number 4 !/ Receiving Soil Type(1-6) 4 ✓ Separation 6 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices 68 Designed Primary Area 804 ft2 t� Diameter 3/16 in Designed Reserve Area 1200 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 268 ft Schedule/Class 40 Elevation Measurements Length 18 ft Original Drainfield Area Slope 8 y Diameter 2 in New Slope,If Altered 8 % Preferred manifold configuration used? lg'Yes 0 No Depth of Excavation Up-slope 18 in Transport Pipe from Original Grade Down-slope 14 in Schedule/Class 40 Designed Vertical Separation 24 in Length 90 ft Gravelless Chambers Required? 0 Yes 0 No 'Optional Diameter 2 in Pump Required? dYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost/ Dose quantity 80 gal Orifice 6 ft (// Chamber Capacity 1200 gal Uppermost Orifice dHigher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 39.860 gpm tittimer I Elapse Meter Ga'Event Counter Calculated Total Pressure Head 11.387 ft A R'?RR .,E,El GAL ,Pump off 4 HRS Comments MAR 1 1 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET • DESIGN FORM—PAGE TWO Assessor's Parcel Numbera(. _ -- Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 6 ' Test hole locations ' Drainfield orientation and layout Reference depth from original grade: 621 Soil logs 62f Trench/bed dimensions and 62f Septic tank a Property lines critical distances within layout ®' Drainfield cover lg Existingand proposed wells Er D-Box/Valve box locations P P Reference depth from original grade within 100 ft of property 63' Septic tank/pump chamber and restrictive strata: a Measurements to cuts,banks, and locations 0 Laterals,trench/bed,top and surface water and critical areas 62t' Observation port location bottom V Location and orientation of 62t Clean-out location 0 Curtain drain collector curtain drain and all absorption 6' Manifold placement 0 Sand augmentation components V Orifice placement Other cross-section detail: Location and dimension of V Lateral placement with distance 6 ' Observation ports/clean-outs primary system and reserve area to edge of bed 67 Buildings Other Information 6� Audible/visual alarm referenced Yes No 62f Direction of slope indicator 62f Scale of drawing shown on scale 6� 0 Designstaked out 67' Waterlines bar 0 0 Recorded Notices attached g Roads,easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached 62f North arrow and scale drawing 0 ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation 0 Yes ErNo 3 I 'a 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 on-site regulations: 3/c Environmental Hepecialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. /� V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 17---7 ✓ 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 PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 220247590044 DATE SUBMITTED: 02/28/24 LEGAULOT#: SP#2815-LOT 4 SUBMITTED BY: ADAM HUNTER APPLICANT: ALAN KIRK ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 4 RESIDENTIAL GPD FLOW= 480 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPD/FT2 REDUCTION=LEAVE BLANK IF NOT USED DRAINFIELD SIZING ABSORPTION AREA= 804 FT2 TRENCH LENGTH OR BED CONFIG.= 4-67FT TRENCHES II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL.CONCRETE NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= 1'-6" ROCK DEPTH BELOW PIPE= 0'-6" SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAL/SEASONAL SATURATION= >2'-0" FILL DEPTH= 1'-0" TRENCH WIDTH= 3'-0" IV.PUMP REQUIREMENT DOSING VOLUME IN GALLONS= 80 NUMBER OF DOSES PER DAY= 6 V.PRESSURE CALCULATIONS USING PIPE CLASS= 40 ORIFICE DIAMETER- 3/16 APPROVED MAR 1 1 2024 2/28/24 MASON COUNTY ENVIRONMENTAL HEALTH RET ADII.'J IIU'1 if;H 4 PAGE 2 LATERAL#1 = SQUIRT HEIGHT(FT)= 2.00 (NOTE(1):ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)S02 X SO ROOT OF(TOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4.0• DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 LATERAL#2= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 LATERAL#3= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 APPROVED LATERAL#4= ! (� (` SQUIRT HEIGHT(FT)= 2.00 MAR 1 1 2024 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 MASON COUNTY ENVIRONMENTAL HEALTH ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" RET NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 90.00 2.00 39.860 2.372 BC 1.00 2.00 19.930 0.007 CD 18.00 2.00 9.965 0.037 DE 67.00 1.25 9.965 0.971 TOTAL= 3.387 TOTAL HEAD LOSS 1)FRICTION LOSS THROUGH SYSTEM= 3.387 2)ELEVATION DIFFERENCE = 5.700 3)RESIDUAL = 2.000 2/28/24 TOTAL= 11.087 ! •?.1: . :...,....,, • 1;::"3 1. 1 A DAI.IJ IIIPITEII .' Q LLB, • • , , . MYERS ME3 Capacity liters per minute 0 50 100 150 200 250 I i - - I I I I 40 . 12 i 1 1 ' I 110 + I 30 •"'' • t In 4- 0 ...r. vi to 20 • 111111 lir. 5 iu • —6 ' RI md A tu ig .I. i, -1 ..- .c 45, . -;-4 43 0 1— I •-•-2 , • — 1 - 1 1 0 0 .....0 10 20 30 40 50 60 70 Capacity galLons per minute APPROVED MAR 1 1 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET 2/28/24 I.1 .., .,- :,-......-, ,:.- ..:.. ..,..-.,... ,,. : ... "4' AMU J HUNTER *::. •1717:TN N.IT.,Jr,}*- :. '''S.1,5.3...>,>:74),N.VNIN.,^• • 167'i N.)NJO • 3�. -NI ' Y y1 J -.,.. \ 41-;A,•'fit •,11' f V A nilf O// \\ 7 S N.) rn co j 1 \ ,z—g------- - 13 \ ' • / I— 33 r 7 ilt o , D CI ' o I I0 I` NI' *• • m C C D ; I I I I I W O - Cd 0 m= o III r Z rl o cn � 33D o I m ' yl I I I I II � 73 o o m 00 ` m 1 III D o 20 DL ID1\ M 1 L. - z m m '1 L._ -41 — -..., .c„, --i p z I K Y i C m 1 _ r O I r �7 I*0 4 H mmx \ ,.., . 1 I I 73 O ` I m I t I0 0 b • \ 13 XI v O0 — - m 0 0 A m m x O v c UTILITY/ACCESS ESM- 0_— — — N ELI LN ➢. 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MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2024-00079 APPLICANT ALLAN KIRK* Phone: 360-426-0574 Address: 30 E WILCHAR BLVD SHELTON, WA 98584 OWNER PYLE JAMES MATTHEW Phone: Address: 3441 E RASOR RD W BELFAIR, WA 98528 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO Box 162 OLYMPIA, WA 98507 SEPTIC INSTALLER ALLAN KIRK* Phone: 360-426-0574 Address: 30 E WILCHAR BLVD SHELTON, WA 98584 Site Address: UNKNOWN Primary Parcel Number: 220247590043 Permit Description: New 4bd pressure trench Permit Submitted Date: 03/01/2024 Permit Issued Date: 03/11/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/07/2027 (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. O1-FICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: /Z ( n ^^ ) C ONSITE SEWAGE SYSTEM APPLICATION AM NI IT Iti:CENEDliY//�� C m 415 N 6th Street,(Bldg 8) Shelton WA,98584 , m S lt 5 o - CO�C( Shelton:360-427-9670 ext 400 Belfair:360-275.4467 ext 400 G O o Z V) 2 - PHONE > > APPLICANT E 0ALAN KIRK 3604903144 m m 1-- MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE SHELTON WA 98584 Z 3441 E RASOR RD W c co SITE ADDRESS-STREET,CITY,ZIP CODE 140 E ELIN LN SHELTON WA 98584 xi PHONE NAME OF DESIGNER ADAM HUNTER 3607531226 56 NAME OF INSTALLER PHONE MASON COUNTY EXCAVATING 3604903144 v CHECK ALL APPLICABLE ITEMS DRINKING V/ATER SOURCE - a NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL N PRIVATE TWO-PARTY WELL ❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY Z ❑ TABLE 9 REPAIR ElSINGLE FAMILY CICOMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE P ❑ EXISTING FAILURE "Record Drawing required 4 1.26 co W l� for all Installations" ❑ i\ DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 I� SOUTH ISLAND RD TO A RIGHT ON HARSTINE ISLAND RD TO A RIGHT ON ELIN LN TO SITE ON THE RIGHT � Io �•, r }� �' A 4�( -I • aa. T SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WtT LE NUMBS OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(tor reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE El COMPLAINT El OTHER: COMMENTS/CONDITIONS INSPECTOR SOIL LOGS 1\AVL-3 -. (-)A\iN(., "A"1- .- O .-',\(-- L Hu‘ A- Nvo-o- SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE THIS FORM MAY BE /CANNED AND AVAILABLE FOR PUBLIC VIEW ON HE MASON COUNTY WEBSITE REVISED 1 21712 01 5 • • Z 1 2 2 -( C) C) Z D -0 -1 C D D m 0 D 0 D �1 Z `i' 0 73 o m m C I 0 z v r >i m m m m Z C o - O Z Z C) 0 0 U) O W -♦ -1 -I 0 O 1 m cnn 0 m cm) m -r ➢o -n 0 0 < m D m < 20 cn , �- O -I OC K K 10 D O fll m m fll Z -•imm °° cn mc)i0 - --I -1 0 m , c2 mZ D rr- A0 C m m _1 -1 c o m -'1 O 0 C) Q m 1 Z = A D Z a 1 0 p p D z 20 ➢ m 2 2 m 0 73 -0 ,„> v Z O Z A 2 O K m x _ D 3 O 1 O r1 1 D m 1 -cnx m m r 0 1 0 co ClD O -I D mi C7 r- r= S S 2 2 R = A O O <n > o o O -+ c0i cz) r n D m 0m �' oo r S O S -1 m () ➢ 2 r m m m ➢ - cn m r r cn C m n m 0 D D , (D C7 r- 2 ;U r D 1 p m m m 1 z D m m m D m Z w m m - m r z m m o z A y z o O o f 00 O = v> r- O7 A > -ml C Z /� m 2 m 1 = r- -0 m O D O 0 D 2 = p C) D f<ft -I n• ' 70 '- -Dp S S J O m 1 ➢ m m r cn D 1 X Z ' 2 N m > I ' Scp O D O p o m m r 0 O O 2 0 O Z m cKT 1 m -1 0 m0 m < ' m ' �7 -I Z z D < > C D T 0 1 co p m m (� m N m m m m m O m N o m Zr- 0 = n G) > C ` r 0 0 D N) X 7) - O< O . 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A < z 1 = o N a m 0 F -ZI T` -NI ,Tm) •m-I X A G m Z7 n 2 D m Dm m o >M 1- m p m 2 0 m o O - r x m z co r➢ z D D 0 m () C 0 y 1 r A m CDi z �I O 1 m D > W C -1 TZ. m mLl 0Z C T m C D .� 0 1 r x 1 0 A Q 2 z (n r (/) m co C m O m m { m m O �) Z D m m .'C D o m 0 o m m m D W Fmn 0 A 0 � o r O �' p Z Z D -� O Z m W D_ O m 1 o m 0o m y w z m Z O O r I r- cn 0 O T 0 Z D K cn m D '� -i 1 m .Z) m TI -I 1 0 1 O 2 cn 1 m 0 M 0 1 m O --<CO z -Di 'n C) A D 2 c z m --{ 1 Z c 0 Z cn 0 m 1 1 -Di m ={ D C o > G) m 1 o O m m ➢ � cn m 1 0 r- O cn Z 2 2 73 Do O A m ,� D 0 -4 c C 1 cn C Z D D 1 0 G) z 0 0 1 0 m K _ -Di A 1 co D A -n 1 m m 1 m 7)) <O n o -n 0 _ C) m •Z-4 7( m z D 0 m z Z 0C m m O '-' -< ` cn r- cn 1 O o z 0 --I m z cn p 0 co 1 2 C H m 3 W 0m cn m c , 2 r Z > C Z > A N 2 m M r C T D W 1 m 0 01 m o z m m 0 G) 0 > m mr O D Z c0j m m z m 0 1'-6" / / 0'-9" e ti .f ai =I�p,�'.� •''•i'e 24" :.:;;)'-=? , 1 :.• \/ , r\);%;-; •r:4` \ x 1e / 'OQO -��- N) 0 N .00 00-.k°Oc I_ I— ea......., m , . \ iOOg° p I I—I p / 9 0o1J.0 5O1iJ.a I l I - Z 0 ..� m 0 Zl -4til. O mo /a Z o ��!� a Z _1 I m m - 0 O j / 1'-0�� r 0 z r m w O O 0 � 0 0Z 13 C) Z z > 0 o < 0 0 172 0 C) m Z c 2 U) 3 Z H _ 0 -Oi 0 0 10-1 70 n o mr Z x < cn _ cn C70 < m c -I X r m rOZ m 0 r CO m CJ Z -< H m m v n - A Q > I- N mQ m a O o D r- -o t ` \I m Az N m N > r- m -0 0)_ N cn rC Z 0 /� I d N r D Q 1 T o • (0 z K -H v -n x - m co T EN 2Nrn cDo -0 cn o 1= 1 • m �� m D o o > m _ O m j w "z c co -co<< i V m t� �t G� m ^d v m D_ = D �rn _ _ a '� m t- • z X = n f sO m a -mI CD y0 -` om O G) tY x ^' o v m 0 o m N ` D H A z -- Al o 0) n M - m T O r- Iv D ^ -4 �.A m DESIGN FORM—PAGE ONE Assessor's Parcel Number: 49. oa -- — IQ 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. " 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.Maximum paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 9/0-Sk" 000 c Designer's Name: ADAM HUNTER Applicant's Name: ALAN KIRK Designer's Phone Number: 360-753-1226 Mailing Address: 3441 E RASOR RD W Designer's Address: PO BOX 162 SHELTON WA 98584 OLYMPIA WA 98507 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑ Sand Filter 0 Mound 0 Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other: Drainfleld Type ❑Gravity Pressure l 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow: Operating Capacity 360 gpd Length 67 ft Daily Flow: Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity 1200 gal Number 4 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices 68 Designed Primary Area 804 ft2 Diameter 3/16 in Designed Reserve Area 1200 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 268 ft Schedule/Class 40 Elevation Measurements Length 18 ft Original Drainfield Area Slope 8 % Diameter 2 in New Slope,If Altered 8 % Preferred manifold configuration used? 12'Yes 0 No Depth of Excavation Up-slope 18 in Transport Pipe from Original Grade Down-slopc 14 in Schedule/Class 40 Designed Vertical Separation 24 in Length 90 ft Gravelless Chambers Required? 0 Yes 0 No IStOptional Diameter 2 in Pump Required? m 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 80 gal Orifice e ft Chamber Capacity 1200 gal Uppermost Orifice EdHigher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 39.860 gpmA [� ©� ' er 6dtlapse Meter 67'Event Counter Calculated Total Pressure Head 11.387 ft M P I'f TPttFferD 80 GAL pump off 4 HRS Comments MAR 1 1 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET N Iv \\ r >1200FT2 DRIP R/A lk,. Q — — — (IE-•-95.41— -� jr•AIL v \ C p 1. ® v, CO yy EEviw. r .-•• .4. otIn 0 „ <7) ..P •.'" •;"--"4.4,- .,-'):2;4" sed 1z..--� 4• J v (IE.-94.8) o G ' e m N - \ 0 N 0 m 00 2 A m IV x v o Dxi ti z m o X 0 D 53 co Z < $. M C m u O N 0 m x Op XIm A \ —1 \ m Uo _ \ 0) o I- \ m n \\ g Dcn \::ITO c r m z T rn.\ n V \ v rn T \ 0 II rn -. /w \\ O o ---1 \ O rn o 2 IV O \ .9 v t iliOrn _ \ v = O vi v —1------ M W O cvn I m C -O -El en C Q n I r I: I \ o :C A m� I , 0 la 0 I m / I . 1 / '/ o 0 A 0 O UIIUTY-/-ACCESS ESMT v cn _ _ m . ELIN LN am 7, E tozxmWQ05 v oZms -< � < rin-- iii zo 0, r p 0m0 OS OM/lSl 3N1StMi y y = ti j c S C Z 9 m0 > q6�m < a v fn Am � mmm m z UHF o O o rG] rr 1ZvZ < E <Tr Tr-.< z {us cn Im ;rji @ I i A O Z I �iG 1,,, D o z T m N O A Z �t N T 0 O mO K m q O Z o1 m 4 mpp m O 3 Z1Tm o n z X< Z Z r H t m 51 ; 16 F s g y t� m p x < m - > 0 j 0 m G j r r -� N yN z O N Z � Ni Z N? Z m i z Ei ICI �� �p Z z 0 r 7C ; D O C O m`^� O IR 1 a } .s- S O r C N Z m fZ m o c x m y R[it ■Z g 0 N m§ rL^ s� nmZpmP y II� D O o Z m v o-�o !—ff��.5 c -:ov pm :z0 — - I T NIMI t mw zZ Z D O,jm �1-��1" I g �. re 4 W o 0 mmDO0 $ aI I �, 0 cn w w � _ 0 'O p W f Q r Fig N DESIGN FORM-PAGE TWO Assessor's Parcel Number: _a�_c2 Z -- -Z 3 -- ,q 0 0143 • Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0' Test hole locations t' Drainfield orientation and layout Reference depth from original grade: 0' Soil logs 0' Trench/bed dimensions and 12i Septic tank 0' Property lines critical distances within layout 0' Drainfield cover 0' Existingand proposed wells t' D-Boxalve box locations p p /V Reference depth from original grade within 100 ft of property 0' Septic tank/pump chamber and restrictive strata: 0' Measurements to cuts,banks,and locations 0 Laterals, trench/bed,top and surface water and critical areas Observation port location bottom 0' Location and orientation of a Clean-out location 0 Curtain drain collector curtain drain and all absorption t' Manifold placement ❑ Sand augmentation components a Orifice placement Other cross-section detail: 0' Location and dimension of Lateral placement with distance EX Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information Buildings tic Audible/visual alarm referenced Yes No 0' Direction of slope indicator tic Scale of drawing shown on scale d ❑ Design staked out 0' Waterlines bar 0 0 Recorded Notices attached Roads,easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached Pi North arrow and scale drawing 0 ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of--installation 0 Yes 13 o ao — 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 on-site regulations: Environmental 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: 3I 7Ih -7 ✓ 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 MYERS ME3 Capacity titers per minute 0 50 100 150 200 250 1 I I . 1 I 40 12 444, ��11 • ---10 • 30 .-24,�T, In ,a+ , - ' ' --- ' i c E MI to i t 1 6p — O ii- ---2 i 0 ._0 0 10 20 30 40 50 60 70 Capacity gallons per minute 2/28/24 APPROVED •'''• MAR 1 1 2024 ;' :.; MASON COUNTY ENAONMENTAL HEAL% A1UJUUTIR • PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 220247590043 DATE SUBMITTED: 02/28/24 LEGAULOT#: SP#2815-LOT 3 SUBMITTED BY: ADAM HUNTER APPLICANT: ALAN KIRK ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 4 RESIDENTIAL GPD FLOW= 480 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPD/FT2 REDUCTION=LEAVE BLANK IF NOT USED DRAINFIELD SIZING ABSORPTION AREA= 804 FT2 TRENCH LENGTH OR BED CONFIG.= 4-67FT TRENCHES II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL.CONCRETE NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= 1'-6" ROCK DEPTH BELOW PIPE= 0'-6" SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAL/SEASONAL SATURATION= >2'-0" FILL DEPTH= 1'-0" TRENCH WIDTH= 3'-0" i IV.PUMP REQUIREMENT DOSING VOLUME IN GALLONS= 80 NUMBER OF DOSES PER DAY= 6 V.PRESSURE CALCULATIONS USING PIPE CLASS= 40 ORIFICE DIAMETER— 3/16 ,,. ',.1/.;O:f...:'1: 2/28/24 APPROVED .;•f MAR 1 1 �'`► 2024 2.4' _ MASON COUNTY ENVIRO,NMEh'TAL HEALTj °" i:: RET NI l :1�:1I % :is �: pptt.IJ II,tHtE12 PAGE 2 LATERAL#1 = SQUIRT HEIGHT(FT)= 2.00 (NOTE(1):ORIFICE DISCHARGE RATE_(11.79)X(ORIFICE DIAMETER)S02 X SO ROOT OF(TOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 LATERAL#2= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 4 LATERAL DISCHARGE RATE= 9.965 LATERAL#3= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 LATERAL#4= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 90.00 2.00 39.860 2.372 BC 1.00 2.00 19.930 0.007 CD 18.00 2.00 9.965 0.037 DE 67.00 1.25 9.965 0.971 TOTAL= 3.387 "TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 3.387 2)ELEVATION DIFFERENCE = 4.800 3)RESIDUAL = 2.000 TOTAL= 10.187 2/28/24 ,..,::. APPROVED o'. MAR 1 1 2024 r{. MASON COUNTY ENVIRONMENTAL HEALTH :it' RET ADAr.1J',ten .;: l�tiY\S11'\S i1...2.4CU