HomeMy WebLinkAboutSWG2024-00147 - SWG Application / Design - 4/12/2024 584
MASON COUNTY 415N6THELTON:SHELTO70,EXT 400
SHELTON:360�275 9470,EXT 400
BELFAIR:360.275-046],EXT 400
Public Health & Human Services ELMA:36"82-5269,EXT 400
FAX:360.427-T787
On-Site Sewage System Permit: SWG2024-00147
APPLICANT EMPIRE HOME CONSTRUCTION Phone: 360-751-1745
Address: PO BOX 241 KELSO, WA 98626
OWNER EMPIRE HOME CONSTRUCTION Phone: 360-751-1745
Address: PO BOX 241 KELSO, WA 98626
SEPTIC DESIGNER PAULA JOHNSON' Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION, WA 98592
SEWAGE INSTALLER ALLAN KIRK' Phone: 360426-0574
Address: 30 E WILCHAR BLVD SHELTON, WA 98584
Site Address: 200 E Lynwood Or
Primary Parcel Number: 320215803011
Permit Description: 3-bedroom pressure system
Permit Submitted Date: 04/12/2024
Permit Issued Date: 04/24/2024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (additional fees may 6e required upon lastanadon or ayslem).
Permit Expiration Date: 04/18/2027 (bawd on date or inspealonl
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department sta%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
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ON-SITE SEWAGE SYSTEM APPLICATION 3
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Empire Home Construciton (360)751-8062 ;= i
MAIURGADMEN STREETCR,,STATE.VPCODE 1a
P.O. Box 241 Kelso WA 98626 'SL z SITEADDRSEE SPEETCITY,LPCOCE F
200 E Lynwood Dr Shelton WA 98584 z G'
IUNE60EBIGNER E
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Arrow Septic Designs 60)898-2255NAMEGF INSTALER 0NEMason County Excavating 60)490-3144 2
PERMITTYPE,R,RR—1 CRWURCE fRESIDENTALOSS LGCOMMUNrt TSS GICOMMERGWLOSE INDIVIDUA IVM_L t]]PRNATE7VIDAIRTYW£LL 0 '
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®DESIGNFORM(REGUIRED) 'SEPTIC DESIGN(REQUIRED) SEOROOMS WTSGE I �
SIIMIVER(5)(IFAPPLICABLE) 3 BR .20 acres 0 I '
R O OIRECM1ONSi05REANO MTE LONORIONE'.
Go out Hwy 3 and turn (R)onto E Agate Rd.Turn (R)onto E Crestview Dr. Turn(L)onto E I DO � w
Hillcrest Dr. Turn (R)onto E Wood Ln. Turn (L)onto E Lynwood Dr. Destination on (R). r
Yellow sign: "Empire Homes 200 E Lynwood Dr" o CD
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OFFICIAL USE ONLY BELOW THIS LINE
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OVOLUNTARY OMMNTENANCEIPUMPING OBUILDINGPERMIT 0H0MESAIE OCDMPLAINT OOTHEF:
INSPECTOR WIL=8 COMMENTS/CONQT*RS
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S)SCOME: RECORC ORFPoNG<NOINSTAl1ATION REPORT
V•VERY G=GRAVELLY S'EAND L-EDAM SI�SILT C=LMY E=EYTREMELY R-ROOTS REQUIRED FOR FINALAPPRGVAL.
INSPEC NATURE DATE I APR_C TON ERPIRATION OATS gppROVEtl 1$UED SY DPTE
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MIS FORM NA BE SCANNEDANO AVAILABLE FOR PUBLIC VIEWON THE MASON COUNTY WEBSTTE REVISED IX7=16
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 — 5 8 — 0 3 0 1 1
A design will be reviewed when 3 copies of each of the following are submitted:
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 nn checklist. �Cross-section sketch.including all applicable item: !1"X/7"
s on checklist.
This form may M scanned and available for public view on Me Mason County Web site.Marimum aer size
" PARCELIDENTDTCATION
_ Artow Septic Deai9na,Inc
�Q Designers Name:
Permit Number: SWG Y ' (360)898-2255
Applicant's Name: Empire Home construction Designer's Phone Number
177 E Vueaeel Dr
Mailing Address: P.O.Box 241 Designer's Address:
Kelso WA 986
Union. WA 99592
CI State 26
Zi CityState Zi..
,;;;. ;, DESIGN PARAMETER.4
Treatment Device
❑Glrndon Biofilmr ❑Sand Filter ❑Mound ❑Send Lined Dminfield ❑lteciroulating Filter,Type:
❑Aerobic Unit Makc/Modei
❑Disinfection Unit Make/Madel Other:
J7n,
Dminfield Type [3 Sub Surface Drip
0 Gravity R Pr [if OBed
Septic TauWDrainLatersDNumber of BedroomsSchedule/Cless 40Length (1)z0(2)30(1)M(IM0(1p5 ft
Daily Flow:Opereting Capacitygpd 25 in
Daily Flow:Design Flowgpd Diameter 6Septic Tank Capacity(welding) gal NumberReceiving Soil Type(1-6) Separation 5 ft
Receiving Soil Appl.Rategpd/ft Orifices
Required Primary,Area 600 Tom]Number of Orifices 40
Designed Primary Ares 600 ft Diameter 3/16 in
Designed Reserve Area 600 R2 Spacing 60 in
TrenchBed Width 3 ft Manifold
TrenchBed Length 200 i ft Schedule/Class 40
Elevation Measurements Length header it
Original Drainfield Area Slope
2 % Diameter 1.25 in
New Slope,If Altered 2 % preferred manifold configuration used? Iif Yes 0 No
Depth of Excavation uPslnpe 9 in Transport Pipe
from Original Dade Down-slope 8 in Schedule/Class 40
Designed Vertical Separation 24+ in- Length 40 ft
Gravelless Chambers Required? Oyes 0No dDptional Diameter 2 to
Pump Required? d Yes 0 No Dosing and Pomp Chamber
Pump/Siphon Specifications Numberofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 90 gal
2 R Chamber Capacity(flood) 1,000 gal
Drainfield Squirt Height(Selected Residual(head)
Pump Shutoff Pump controls:Please check those required.
Uppermost Orifice Of Higher O Lower than
Capacity®Tend Pressure Head 23.6 gpm 9-rimer on n Meter �6 boo Counter
Calculated Total Pressure Head
13.2 ft If Timer: Pump on 2 Monona ,Pump off 8 hours
Comments
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 1 — 5 3 — 0 3 0 1 1
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
fid Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
56 Soil logs Rf Trench/bed dimensions and 111 Septic tank
5d Property lines critical distances within layout 19 Drainfield cover
❑ Existing and proposed wells 19 D-Box/Valve box locations Reference depth from original grade
within 100 R of property Rf Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations 19 Laterals,trench bed,top and
surface water and critical areas 19 Observation port location bottom
❑ Location and orientation of 19 Cleanout location ❑ Curtain drain collector
curtain drain and all absorption III Manifold placement ❑ Sand augmentation
components Iff Orifice placement Other cross-section detail:
91 Location and dimension of Ed Lateral placement with distance Rf Observation ports/cleanouts
primary system and reserve area to edge of bed
9 Buildings � S Yes Noer Information
Audible/visual referenced Yes No
Sd Direction of slope indicator fig Scale of draw' h on scale out
Ed Waterlines Ed ❑ Design Staked
bar ¢• ❑ Ef Recorded Notices
attached
R1 Roads,easements,driveways, ❑ lif Waiver(s)attached
parking .°tj 51 ❑Pump curve attached
66 North arrow and scale drawing ❑ Evaluation of failure
shown on scale bar Non-residential justification
oww PAULA JOY JOHNSON't e1I
❑Waste strength
2f ❑Flow
DESIGN APPROVAL
The undersigned designer most time on Rf Yes ❑ Nobfi
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 gulations:
`l1Ay_1 edy
:cvcoJAPR141024
Environmental Health Specialist Date JTyENVIR01yryrENTq(
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITIJ A ACT,
✓ The design is stamped"Approved"by Mason County Public Health✓ �/ n
The Onsite Sewage Permit has not expired,the Permit Expiration Date is: L
✓ 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 Detc 12/7 2019
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Tyowi ttww sm P,,; Detailed Drainfield Layout
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a �l pw' ^ Arrow S��� as eptic; Designs
On W,M • C_<M1'M Ten
e�:nea of (, Told R....a ^ SYat. 446-8 (360) 898-2255
Length Length Orifice # Distance from Distance from
Lateral# (In.) (Ft.) Spacing Orifices Feeder Line In.) Cleanout(In.)
1 360 30 60 6 30 30
2 540 45 60 9 30 30
3 480 40 60 8 30 30
4 420 35 60 7 30 30
5 360 30 60 6 30 30
6 240 20 60 4 30 30
Total Lateral Length _ 200
Total#Orifices -- 40 GPM= 23.6
Dynamic Head Calculations
Selected residual pressure: 2 ft.
Length (Ft) #Orifices
Transport Pipe 40 40 0.40 ft.
Feeder Total
Lateral Line Length
Lateral#1 30 2 32 6 0.07 ft.
Lateral#2 45 7 52 9 0.24 ft.
Lateral#3 40 12 52 8 0.19 ft.
Lateral#4 35 17 52 7 0.15 ft.
Lateral#5 30 22 52 6 0.11 ft.
Lateral#6 20 27 47 4 0.05 ft.
Total Elevation Lift 10.00 ft.
Total Dynamic Head 13.20 ft.
' Nr
' COVED
PAULA JOY JOHNSON';
e ws APR 2 4 2024
I�SON COUNTY ENVIRONMENTAL HEALTH
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5� 6
Bronu wnstrumon available(139 series)
High head version available(145 series)
" Doubts shaft net versions available for added protection
Flow—Mate °"m°deli 14°/145-
Formare information,see Technical Data Sheets FM228Z FM2183.
In high head dewatenng or effluent
applications where pumping s
performance is critical this robust _ __ w.rua"
familyofpumpsisknownforreliabitity, 1soclurar.
durability and performance. These
pumps are especiafly suited for harsh
emrironments.ZmUe/scoot run design
and corrosion-resistant powder coated
epoxy finish add up to a long-lasting
trouble-free product.
APPLICATION&
STEP oronsits apptiwrions 9. `
• Waterviewfer [�
Light commercial dewarering
SPECIFICATIONS:
1-1/2-NPT discharge
1/2 HP Nrough1HP �f N EIN THE USA
Available in automatic or nonautomatic INiANaNnii OIlllAll
Model 137,139.140:1/2'(12 tom)spherical solids ,
capacitywithvorteximpetler •
• Model 145:3/4-(19 mm)spherical solids capacity with
vottevimpeller "'•'°""' +szse
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( PUMP PENFO CE CURVE
Dose-Mate tkft wk. * MooE 15 15Z/t53
Po
This is ourfastest growing line of effluent H m I
pumps.The 150 series is truly a workhorse
designed for reliability under extreme la ao
conditions in an effluent environment
150 series pump curves cover a wide range m m as
of applications. They are well suited to as
applications with low pressure pipe(LPP) S 1 es Is,
and enhanced flow STEP systems.Zoeller's
cool run design and corrosion-resistant
powder coated epoxy finish, in addition a m
to the hermetically sealed,oil-filled motor Is
and non-clogging vortex impeller add up to °
a Long-lasting muble-free product 10
APPucAnoxs: °
5TEPoronMteapptioW.ns NM�_ o
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Light commercial dewatering ®iAWN11101 GN110Ne
SPECIFICATION& NIENa 0 /0 01 tm lal x0 NO ai0
• 1.1/2'NPT discharge `'� RO PER MINIM oars
• 3/10HP through L2HP �g APPn
• Awibbm in nonautomatic or with a variable level UMVED
piggyback mechanlat mi%h
• 1/1"(ll rim)sphedcaisotids capacity with wrtex APR 242024
thermoplastic impetter
Formate informatory we Technical Data Sheet FM3284 'SON COUNTY Ep;y;n0iyWEh'iAl.HEAL7
OAUrightsreserved. ZOELLER PUMP CO. I502-TTa-2T3119atr928-T86T 1 metterpump .,mt
SECURED LLD ISIM GAE;rWT SEAL
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Note: Septic Tanks must meet standards required by WAC chapter 246-272C FIGUItE 2
and manufacturer mug be on.the Deot of Health list,of registered sewage tanks.
[UWW Septic 1` wigw
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WSTALLATION g MAl—NOM—NCE Nei
Pressue Distribution Systems
PAULA JOY JOHNSON
1. lastall Laterals with contour of the ground. «tines
2. Install trench bottoms level.
3. Install locator tape or reber at each end of all drainfield laterals.
4. Tnstall observation ports as indicated on the plot pan. One required at distal end of each
lateral in drainfield with bottom extending to the d ainrock/native soil interface. Glue
-7 to bottom so Observation Port cannot be easily removed from ground. Irstall
removable cap on top of port at final grade level.
_ 9, Install drainfield during dry weather and soil conditions;any soi smearing must be
eliminated by hand raking.
6. Install threaded clean-outs at the end of all-laterals(cap mast extend to within six inches
of finished grade end be marked with locator tape or rebar).
7. Install audio/visual high water level alann.
8. Install 1/8"mesh non-corrosive pimp screen(min. 12 sq. tt surf cefa area,not to interfere
with controls or floats.) Or pimp screen may be substittred with Bio-Tube in septic tank.
Pull bio-tube every 6-12 months and flush back into tank. -
9. Install anti-siphon valve above pump in p.mp chamber to prevent the pump chamber
from siphoning into the drainfield.
10.Install check valve in pump cutler line to Prevent system from draining back into the
pump chamber.
11. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock.
Install laterals to the manifold with the orifices at 12 o'clock; (do not glue),after pressure
test and Environmental Health Dept approval,ran Orifices down(6 o'clock)and glue
laterals to manifold_ Orifice shields may be used with onfices in the 12 o'clock position
in lieu of turd the orifices down to the 6 o'clock position.
12-Tilter fabric required over drain rock prior to back filling- Lf the drain rock extends above
natural grade,run the filter fabric at least 2 inches down the trench waL.
13.Encase all water lines within 10' of dmiafield and under any driveway/parking areas.
14.Divert all storm watat runoff away from on-site sewage system.
IS.No cumin drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area
16.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years.
17.No vehicular traffic over drainfield area
18.Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed.
19.Al materials and workmanship must meet County and State regulatioas-
20.Deviation£rom this design without prior approval from the Designer and Mason County
Environmental Health Department will make this design nuIl and void,
21.All manhole iiels and access, sampling or inspection ports mutt have locking covers and
be located=ground leveL
22.All pressure systems with a pump chamber audet higher tbah the drainfield must have a
1/8"hole drilled in the discharge pipe above the pump to prevent siphon ug-
23.All transport lines under driveways or parking areas man be encased to prevent crushing.
24.Homeowner is responsible for all property lines.
APPRpvm
APR 2 4 2024
f1j p& MASON COUNTY ENVIRONMENTAL HEALTH