HomeMy WebLinkAboutSWG2024-00114 - SWG Application / Design - 3/25/2024 ON.
® MASON COUNTY 415 N6 SHELTON: ,SHELT967 ,ENT 400
6HELTON:366d27-86T0,EXT 400
BELFAIR:380-275-0487,EXT 000
Public Health & Human Services ELMA:360-462-5269.EXT 400
FAX:380427-7787
On-Site Sewage System Permit: SWG2024-00114
APPLICANT SELLERS DENNIS RAY&NORMA L Phone:
Address: P O BOX 130 LA PINE,OR 97739
OWNER SELLERS DENNIS RAY&NORMA L Phone:
Address: P O BOX 130 LA PINE, OR 97739
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA,WA 98507
Site Address: 91 SE Ellis Rd
Primary Parcel Number: 319041490030
Permit Description: New SFR-4BR Pressure(oversized)
Permit Submitted Date: 03/25/2024
Pernit Issued Date: 04/04/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $540.00 (addmo„anees may be reused oWn lna(allomm or symem).
Permit Expiration Date: 04/04/2027 (based on data or 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 Dreinfield installation not to exceed designed ups/ope 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 ofsystem 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-inspediona quest.php or call:
360.427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH D.e N31 H D
ONSITE SEWAGE SYSTEM APPLICATION MaN IEOLNED°Y W DO
415N6th StreeLlBIEg8) Sheltm WN98584 < N
ShNton:3684279670 exL400 Bel(eir:360.2754967 ext408 SWG OA
Z 41
APFNCANT -ONE D D
DENNIS SELLERS 7073385305 m m
MAILING ADDRESS-STREET.LRY,STATE.OF CODE r
PO BOX 130 LA PINE OR 97739 a
SITE ADDRESS-STREET Cm,IIP CODE BT
91 SE ELLIS RD SHELTON WA 98584 m
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD
CHECKKLAFPLICABLE DEMS IXUNMW WATER SOURCE 3�
ef NEW CONSTRUCTION O SYMDINGTANKONLY Ef PRIVATEINDIVIDUALWELL 4/A p
E] REPLACEMENTSYSTEM 0 INSTALLATIONPERMITONLY E3 PRIVATETWOAARTYWELL Z
13 TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNRYRUBUC WATER SYSTEM
E3 TANK(S)ONLY [3 COMMERCIAL SYSTEM NAME:
Q UPGRADE TO EXISTING E7 OTHER: BEDROOMS LOT 9U£
EXISTING FAILURE 'RRNMON"ANNe�InN 4 5 77 W Lr
nv.xmY.mmM• IT
DIRECTIONSTO SITE-BE SPELIFICNIDA ISE OFANY NEEDED INFORMATION FORACCESS I8Kb ,N) G I
COLE RD TO NORTH ON ELLIS TO SITE ON THE LEFT. IUjMIMETIC O I^Q
MAR 2 5 2024 I 01
BY-------------
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OFFICIAL USE ONLY BELOW THIS LINE
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R ME&MAY BE SCMNEO AND AVOWABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSTN! REVIs®tNM
DESIGN FORM-PAGE ONE Assessor's Parcel Number:3�-„ Too--50
A design will be reviewed when 3 copies of each of the following are submitted:
I Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
I Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17"
r^� ,,PARCEL IDENTIFICATION
Permit Number: SWG d�• [](_�_ (1 N— Designer's Name: ADAM HUNTER
Applicant's Name: DENNIS SELLERS Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 130 Designer's Address: PO BOX 182
LA PINE OR 97739 OLYMPIA WA 98W7
Ci State Zip city State zip
DESIGN PARAMETERS.,'
Treatment Device
❑Glendon Biofilox ❑Sand Filter ❑Mound ❑Smd Lined Drainfield 0 Recirculating Filter,Type:
❑Aembic Unit Make/Model 0 Disinfection Unit Make/Model Other.
Drainfield Type
0 Gravity dPressure dTmnch ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 (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 6
Receiving Soil Type(1-6) 4 Separation 6 ft
Receiving Soil Appl.Rate 0.6 gpd/ftr Orifices
Required Primary Area 800 fir Total Number of Orifices 102
Designed Primary Area 1200 Rr Diameter 118 in
Designed Reserve Area 1200 112 Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 402 It S dule/Class 40
Elevation Measurements p p R 0 V E 30 h
Original Drainfield Area Slope 0 % eter A�pppp pp..�yJ� ��ppgg�6 2 in
New Slope,If Altered 0 % e ed(�J1Toltl'lbaxgmatio fiYYes 0 N.
Depth of Excavation UPeIo 8 in MASON COUNTY ENVIRONMEjrAiM Vjpe
franc Original Grade Downat. 6 in Schedule/Claji3 W 40
Designed Vertical Separation 24 in Length 60 ft
Gmveiless Chambers Required? ❑Yes D No dOptional Diameter 2 in
Pump Required? I(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 °3 ft Chamber Capacity 1200 gal
Uppermost Orifice RrHigher D Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 42.016 gpm dFinter Stiapse Meter WEvent Counter
Calculated Total Pressure Head 1a.War R I If Timer. Pump on 80 GAL ,Pump off 4 FIRS
Comments
TOTAL OF 6 BEDROOMS OF DRAINFIELD IS BEING INSTALLED FOR POTENTIAL FUTURE USE.
DESIGN FORM—PAGE TWO Assessor's Parcel Number:L�.LjQq - L�(- 4011 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
E9 Test hole locations EX Drainfield orientation and layout Reference depth from original grade:
ig Soil logs E� Trench/bed dimensions and R( Septic tank
69 Property lines critical distances within layout 17 Drainfield cover
V Existing and proposed wells Ed D-BoxNalve box locations Reference depth from original grade
within 100 ft of property E9 Septic tank/pump chamber and restrictive strata:
IX Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas EZ Observation port location bottom
IZ Location and orientation of V Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components Ir( Orifice placement Other cross-section detail:
1g Location and dimension of R( Lateral placement with distance 1f Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
9 Buildings 19 Audible/visual alarm referenced Yes No
0 Direction of slope indicator Ef Scale of drawing shown on scale Rf ❑ Design staked out
Rf Waterlines ar ❑ ❑ Recorded Notices attached
Y Roads,easements,driveways, P P R 0 V E ® ❑ ❑ Pump c❑ ❑ Pump cury attached
parking e attached
E9 North arrow and scale drawing APR 0 4 2024 ❑ ❑ Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HEALTH
Non-residential Justification
JBW ❑ ❑Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer in st be tiled by ^i er at time of installation E Yes ❑ No
3/21/24
esigner Date
The undersigned has reviewed this wi on behalf of Mason County Public Health and determined it to be in
compliance with state and local on- gulations:
-2-
Env' I 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: V— V—Z'
✓ 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 Daze: 12/7/2015
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITEW PARCEL*319041490030
DATE SUBMITTED: 03121124 LEGAULOT* LOT 3OF
S 157
SUBMITTED BY: ADAM HUNTER
APPLICANT: DENNISSELLERS
ADDRESS: PO BOX 130
LA PINE,OR 9TT39
(.CALCULATIONS
NUMBER OF BEDROOMS= 4
RESIDENTIAL GPD FLOW= 480
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPDIFT2
REDUCTION=LFAVE BLANK IFW REO T*N TAKEN
DRAINFIELD SONG
ABSORPTION AREA 1206 FT2
TRENCH LENGTH OR BED CONFIG.= 6-67FT TRENCHES
IL WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 12M GAL CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= P.8'
ROCK DEPTH BELOW PIPE= U-6'
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION= 2-0'
FILL DEPTH= 1,01
TRENCH WIDTH= S-0.
N.PUMP REQUIREMENTS
DOSING VOLUME IN GALLONS= 80
NUMBER OF DOSES PER DAY= 6
# 3/21/24
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MASON COON�RNOlR �T4
ONMENTALNEALFH
I
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 1/6
LATERAL#1
SQUIRT HEIGHT(FT)= 6.00
(NOTE(2),ORIFICE DISCHARGERATE=(11.791 X(ORIFICEDNMETER)SW X
SO ROOTOF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= OA11W
LATERAL LENGTH IN FEET= 67.0D
ORIFICE SPACING= 4-0-
DISTANCE FROM END CAP= V 6'
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 7.003
LATERAL =
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= OA1193
LATERAL LENGTH IN FEET= 67.00
ORIFICE SPACING= 4'O'
DISTANCE FROM END CAP= 1'w
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 7.0(0
LATERAL 0=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= OA11M
LATERAL LENGTH IN FEET= 67A0
ORIFICE SPACING= 4'0'
DISTANCE FROM END CAP= 1'r
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 7.003
LATERAL"=
SW IRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0,111%
LATERAL LENGTH IN FEET= 67.00
ORIFICE SPACING= 4'IT
DISTANCE FROM END CAP= 1'W
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 7A03
pp�OVE
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(ATERAL#5=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 67,00
ORIFICE SPACING= 4'0•
DISTANCE FROM END CAP= 1'6•
NUMBER OF HOLES= 17
LATERAL DISCHARGE RAM= 7.003
LATERA =
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= DA110
LATERAL LENGTH IN FEET= 67.00
ORIFICE SPACING= 4 0'
DISTANCE FROM END CAP= 1.6•
NUMBER OF HOLES= 17
LATERAL DISCHARGE RATE= 7A03
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS 60.00 2.00 42016 1.7435
BC 1.00 I 21.008 0.0272
CD 1A0 I 14.005 0.0128
DE W.00 I 7A03 0.1088
EF 67A0 125 7A03 0.5054
TOTAL= 2.3957
••TOTAL HEAD LOSS ••
1)FRICTION LOSS THROUGH SYSTEM= 2.3951
2)ELEVATION DIFFERENCE = 8.2000
3)RESIDUAL = 5.0000
TOTAL= 15.5957
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