HomeMy WebLinkAboutSWG2023-00009 - SWG Application / Design - 1/17/2023 MASON COUNTY 415 N 6TH STREET, SHELTON, ,,WA 00 984
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SHELTON: 42 T EXT967 84
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: SWG2023-00009
APPLICANT David Solte Phone: 1.206.963.0302
Address: 10814 NE 190TH PL BOTHELL, WA 98011
OWNER David Solte Phone: 1.206.963.0302
Address: 10814 NE 190TH PL BOTHELL, WA 98011
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 801 E Anchor View Ln
Primary Parcel Number: 320103150180
Permit Description: New SFR -3BR gravity trench revision
Permit Submitted Date: 01/17/2023
Permit Issued Date: 02/02/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/31/2026 (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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED:
CP D
ONSITE SEWAGE SYSTEM APPLICATION
AMOUNT RECEIVED: RE LIVED BY: v m
4)S N 6th Street,(Bldg 8) Shelton WA,98584 N O
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Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 C wG /( )- S — 00009 2
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PHONED X
APPLICANT
m
DAVE STOLTE 206-914-0299 m r
z
MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE BOTH ELL WA 98021 r
21808 31ST DR SE CO
SITE ADDRESS-STREET,CITY,ZIP CODE S H ELTON WA 98584
' 801 E ANCHOR VIEW LN PHONE
�
NAME OF DESIGNER 360-753-1226
ADAM HUNTER
PHONE 9-3
NAME OF INSTALLER In
v
DRINKING WATER SOURCE C
CHECK ALL APPLICABLE ITEMS lit �
NEW CONSTRUCTION 0 RV HOLDING TANK ONLY ❑ PRIVATEO
0 PRIVATE INDIVIDUAL WELL TWO-PARTY WELL
❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY CO YIPUBLIC WATER SYSTEM Z
❑ TABLE 9 REPAIR El SINGLE FAMILY �
COMMERCIAL SYSTEM NAME: somot FRS COVE
❑ TANK(S)ONLY 0 LOT SIZE
II ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS
❑ EXISTING FAILURE "Record Drawing required 4 5.46 -I--,/or allInstallations" 0
0 t
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0
`
AGATE LOOP TO A RIGHT ON DANIELS RD TO A LEFT ON SWINDLERS DR, GATE AT
ENTRANCE CALL FOR CODE 1 IC
1--
Or
-I y
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IC'
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER:
COMMENTS!CONDITIONS
INSPECTOR SOIL LOGS /�'
fr- (X 1� 4-7 �/(
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 DATErn
(-7 (.„
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3201031504-80
'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 /1/01/4 66 01�u Designer's Name: ADAM HUNTER
DAVE STOLTE Designer's Phone Number: 360-753-1226
Applicant's Name:
21808 31ST DR SE PO BOX 162
Mailing Address: Designer's Address:
BOTHELL WA 98021 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 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 4 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 GRAVITY
Designed Primary Area 804 ft2 Diameter GRAVITY in
Designed Reserve Area 480 ft2 Spacing GRAVITY in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 268 ft Schedule/Class 40
Elevation Measurements Length 20 ft
Original Drainfield Area Slope 12 % Diameter 4 in
New Slope,If Altered 12 % Preferred manifold configuration used? ISiYes 0 No
Depth of Excavation Up-slope 30 in Transport Pipe
from Original Grade Down-slope 25 in Schedule/Class 40
Designed Vertical Separation 36 in Length 70 ft
Gravelless Chambers Required? 0 Yes 'No I 'Optional Diameter 4 in
Pump Required? P Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day N/A 1 .
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity N/A gal
Orifice N/A
ft Chamber Capacity N/A gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head N/A m n❑\T (� ❑Elapse Meter 0 Event Counter
Calculated Total Pressure Head N/A A P F R'�it r'1tP mp�e'n N/A ,Pump off N/A
Comments MAR 1 1 2024 ,,,; V , =,
MASON COUNTY ENVIRONMENTAL HEALTH •
RET �,.w
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3204031501-80
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
EZi Test hole locations IT1 Drainfield orientation and layout Reference depth from original grade:
lg Soil logs &( Trench/bed dimensions and Q( Septic tank
12C Property lines critical distances within layout a Drainfield cover
g Existing and proposed wells Er D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Er Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and locations El Laterals,trench/bed,top and
surface water and critical areas l' Observation port location bottom
g Location and orientation of 1t Clean-out location 0 Curtain drain collector
curtain drain and all absorption M' Manifold placement 0 Sand augmentation
components ' Orifice placement Other cross-section detail:
Location and dimension of g Lateral placement with distance f ' Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
Buildings lirAudible/visual alarm referenced Yes No
g Direction of slope indicator 12iScale of drawing shown on scale g 0 Design staked out
g Waterlines bar 0 0 Recorded Notices attached
g1 Roads,easements,driveways, 0 0 Waiver(s)attached
parking E 0 Pump curve attached
Ef 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 b; notifi:iti taller at time of installation 0 Yes (lit No
2/28/24
Si: - PI
• Designer Date
The undersigned has reviewed this deli:o -,n behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
IQ ( vv) ; ( 1 i I-?}-f
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.✓ �' 1 (�The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ( J
✓ 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#: 320103150180
DATE SUBMITTED: 2/28/2024 LEGAL/LOT#: LLS#21-04
LOT 8
SUBMITTED BY: ADAM HUNTER
APPLICANT: DAVID STOLTE
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 NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 804 FT2
TRENCH LENGTH OR BED CONFIG. = 268 FT
SIZED AT 100%
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200GAL. CONCRETE
NEW OR EXISTING= NEW
III. DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM = 2'-6"
ROCK DEPTH BELOW PIPE= 0'-9"
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION = >3'-0"
FILL DEPTH = 1'-9"
TRENCH WIDTH = 3'-0"
APPROVED
2/28/24 MAR 1 1 2024
Y a MASON COUNTY ENVIRONMENTAL HEALTH
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