HomeMy WebLinkAboutSWG2024-00040 - SWG As-Built - 2/7/2024 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
yl r BELFAIR:360-275-4467,EXT 400
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:-0 Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00040
APPLICANT David Stokes Phone:
Address: 2910 SE Duchess Ct PORT ORCHARD, WA 98367
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 40 E CASCARA COVE LN
Primary Parcel Number: 220202390051
Permit Description: New SFR -3BR Gravity
Permit Submitted Date: 02/07/2024
Permit Issued Date: 03/14/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $540.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/22/2027 (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 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.
Of I ICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED. ca - q , 4
ONSITE SEWAGE SYSTEM APPLICATION AMOUNI RECEIVED: e-- D RFCFNFOBY 0,-
/9 CO
N 6th Street,(Bldg 8) Shelton WA,98584 0 CD
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S W G c2 a c L) - 001/61 - O
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APPLICANT PHONE >
DAVID STOKES 3608509171 rn m
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
2910 SE DUCHESS CT PORT ORCHARD WA 98367 c
SITE ADDRESS-STREET,CITY,ZIP CODE ` CO
40 E CASCARA COVE LN �� �` .,� SHELTON WA 98584 23
NAME OF DESIGNER 49 PHONE
ADAM HUNTER \\ h 3607531226
NAME OF INSTALLER PHONE
153
TBD -!--
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 9
C I9❑ NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY El PRIVATE
PRIVATE INDIVIDUAL WELL
L9 REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY IS( PRIVATE TWO-PARTY WELL z
❑ TABLE 9 REPAIR El SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM I-
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: 1
❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE 1/J
❑ EXISTING FAILURE "Record Drawinrequired 1'
3 1. �J for all Installations" r-
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 1
AGATE RD TO A RIGHT ON HAMMERSLEY REACH TO STRAIGHT ON CASCARA COVE x II h�
LN TO SITE ON THE RIGHT. GATE CODE: 1033#
O ! f
IU\
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 OCOMPLAINT ❑OTHER:
INSPECTOR IL LOGS COMMENTS/CONDITIONS
(..---3 0 ,.._ Li b -1-0 liA-:
0 GO L ii-.6 ry-‘
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
S CTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
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\—.., U ,\ r— )'-- )_2_-2..\- .2_--;2_z,-.-2_7
THI FO AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE II REVISED 12/7,2015
•
DESIGN FORM—PAGE ONE Assessor's Parcel Number:o a_ciao -- _a') -- 9_Q 1
A design will be reviewed when 3 copies of each of the following are submitted:
'1 Completed design form that has been signed and dated. '1 Scaled layout sketch,including all applicable items on checklist
'1 Scaled plot plan,including all applicable items on checklist. '1 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 :1
Permit Number: SWG e)vat( —eve,Il j Designer's Name: ADAM HUNTER
Applicant's Name: DAVID STOKES Designer's Phone Number: 360-753-1226
Mailing Address: 2910 SE DUCHESS CT PO BOX 162
Designer's Address:
PORT ORCHARC WA 98367 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 0 Pressure M'Trench //`f,'wj 0 Bed 0 Sub Surface Drip
F
Septic Tank/Drainfield Specifications ' Laterals
Number of Bedrooms 3 Schedule/Class GRAVITY
Daily Flow:Operating Capacity 270 gpd Length 38 ft
Daily Flow: Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity 1200 gal Number ' 4
Receiving Soil Type(1-6) 3 >47aration 6(MINIMUM) ft
v
Receiving Soil Appl.Rate 0.8 gpd/ft2 "". Orifices
Required Primary Area 450 ft2 ` tal Number of Orifices N/A
Designed Primary Area 456 ft2 Di eter N/A in
Designed Reserve Area 450 ft2 Spaci N/A in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 152 ft Schedule/ GRAVITY
Elevation Measurements Length 18 ft
Original Drainfield Area Slope 5 % Diameter 4 in
New Slope,If Altered 5 % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 'L -•. 1 in Transport Pipe
from Original Grade Down-slope DSO_ 1 !_+ in Schedule/Class GRAVITY
Designed Vertical Separation 36 in Length 10 ft
Gravelless Chambers Required? cif Yes 0 No 0 Optional Diameter 4 in
Pump Required? 0 Yes RiNo Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day N/A
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity N/A gal
Orifice N/A
R Chamber Capacity N/A gal
Uppermost Orifice 0 Higher ❑ Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head N/A gpm ❑T r ma ❑ apse Meter 0 Event Counter
Calculated Total Pressure Head NIA ft If Time mronlw RN VEu N/A
Comments MAR 14 2024
11ASON COUNTY ENVIRONMENTAL HEALTH
JIM
DESIGN FORM-PAGE TWO Assessor's Parcel Number:,.Q Qa. -- o_.3 -- _0 4_
Permit Number: S W G
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
lif Test hole locations V Drainfield orientation and layout Reference depth from original grade:
V Soil logs EC Trench/bed dimensions and l' Septic tank
lg Property lines critical distances within layout a Drainfield cover
g Existingand proposed wells Er D-Box/Valve box locations
P P Reference depth from original grade
within 100 ft of property M' Septic tank/pump chamber and restrictive strata:
Z Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas It Observation port location bottom
a Location and orientation of a Clean-out location 0 Curtain drain collector
curtain drain and all absorption Pi Manifold placement 0 Sand augmentation
components ' Orifice placement Other cross-section detail:
✓ Location and dimension of l' Lateral placement with distance E ' Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildingsg Other Information
f� Audible/visual alarm referenced Yes No
Direction of slope indicator tif Scale of drawing shown on scale col gn 0 Desi staked out
( Waterlines bar 0 0 Recorded Notices attached
g Roads,easements,driveways, ❑ 0 Waiver(s)attached
ppROVE parking ❑ 0 Pump curve attached
lg North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar MAR 14 2024 Non-residential justification
MASON COUNTY ENVIRONMENTAL HEALTH ❑ ❑ Waste strength
J BW 0 ❑ Flow
DESIGN APPROVAL
The undersigned designer must be no ' -d by ins •ller at time of installation a Yes 0 No
Wan2/6/24
9Ve
of Designer Date
The undersigned has reviewe sign on behalf of Mason County Public Health and determined it to be in
compliance with state and local . i regulations:
(, (4_,R_ ? —/y--_z_
._ ,A__
E' ir,r7 al Health Specialist Date
CAUTION: DESIGN AP• 'OVAL 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 `.2- --.::› V
✓ 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 obtai 1 popinsanCounty Public Health.
E
An Installation Fee is required. #, MAR 1 4 2024 I
This form may be scanned and available for public view o t P ili Web site.
JBw ,EAL H Updated Date: 12/7/2015
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 220202390051
DATE SUBMITTED: 2/6/2024 LEGAULOT#: LOT 1
SP#2384
SUBMITTED BY: ADAM HUNTER
APPLICANT: DAVID STOKES
ADDRESS: 2910 SE DUCHESS CT
PORT ORCHARD, WA 98367
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW = 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.8 GPD/FT2
REDUCTION =LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 456 FT2
TRENCH LENGTH OR BED CONFIG. = 4-38FT TRENCHES
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL-CONCRETE
NEW OR EXISTING= NEW
III. DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM = N/A-GRAVELLESS CHAMBERS
ROCK DEPTH BELOW PIPE= N/A-GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTT TpMpFirOlif
MATERIAL/SEASONAL SATURATI E >3'-0"
FILL DEPTH =
TRENCH WIDTH = MAR 1 4 2024ur'I 3' 0"
MASON COUNTY ENVIRONMENTAL HEALTH
JBW
• 2/6/24
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