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SWG2024-00072 - SWG Application / Design - 2/28/2024
HELTON.WA 584 MASON COUNTY 415N6THELTONSTREET, 0427-97 ,EXT 400 SHELTON:360-027-4467,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00072 APPLICANT CLARK DONALD G & KIYOKO Phone: Address: 21810 E STATE ROUTE 3 BELFAIR, WA 98528 OWNER CLARK DONALD G& KIYOKO Phone: Address: 21810 E STATE ROUTE 3 BELFAIR, WA 98528 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 WINDFLOWER PL NW SEABECK,WA 98380 Site Address: 21810 E STATE ROUTE 3 Primary Parcel Number: 122061490010 Permit Description: Repair 4b OSS for two mobiles home Permit Submitted Date: 02/28/2024 Permit Issued Date: 04/16/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional tees may be required upon installation or system). Permit Expiration Date: 03/18/2025 (ba.ed on data or mspadion) 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 Drainheld 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 DesignenEngineer 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: masoncounlywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427.9670,extension 400. OFFICIAL USE ONLY MASON COUNTY 18 COMMUNITY SERVICES A °" ^ m m p(i[NWM(Canmunry NeaXNFmLmmaYal NeilR) C � SWG A zw ON-SITE SEWAGE SYSTEM APPLICATION D APPLICANT PRONE m r DONALD G & KIYOKO CLARK 360 782-1295 Z c MAUNGAOGR�UGTY MS E➢PCCCE 3 21810 E STATE ROUTE 3 BELFAIR WA 985289692 m z SITEAWRE55 SIREEL UiY,LPCODE ' 21810 E STATE ROUTE 3 BELFAIR WA 985289692 I _ NAMEOr CE9GN92 RpNE Jim Zimny 360-516-7287 N NAMEGF INSTALIFR R1ONE O If FERMITTYPE(eebvt 1 CFIIMING WRER SCVRCE O F RESIMN1 MS Fi CCMRIMWMS �"1 COMAEftCULL055 l6f PMVNTE RpRROIW.WELL 6PRrvPlE TNgMRTY WELL 2 TYPGYA EOFRK(xY9 FI p PUBLIC VWITER SYSTEM NEWCONSTRLICTION/UPGRPOES WREPAIR/REPLACEMENT OTRBt CETNlS(zaanr/u'mM 13 TABLE U(REPMR I� GOBMITTALS OSWtFRCINOsENK3E MmsImrMWRE 13 H EUW m r Fi LTESION raa IRELxnREI» FsEPnc oESIBN(rsauREm amoGl� LOT9rE b •+• ENRIVER(5)QFAPPLICPBLE) 2 +2 4.46acres � I x OIRECLIONST09iEMlO SRECONpIlOM4'(a lx4tl epb) I �l From Shelton , Travel east on Hwy 3 21.1 mlles to address on FIT. I O Please cal Jim Zimny at 360-516-7287 to setup site visit for OSS repair consultation o �C SITE AMf4reEAUGOm RROY MAW ROA➢aMrrrr:ZirNasrrsreEFum®MmlareA)lEAMMM3@ I I C OFFICIAL USE ONLY BELOW THIS LINE uccRAOE{FMLGRE Sr IM,��ym wp PmP�I 0 OwuN1EWWCETIMRNG OBIRILYi('PERMYT OHaRF sue [1CWPWNr poTNER: IN9ECrON ML LOOS cawAalrs/mNGTroNs �� REGGRDGtMMNGAISINSTALUTKMIRFTtlftT V-V Y G=GRAVH.LY S=SWO L=LOAM S=9LT C=fYAY E=EMI✓FA6Y R=ROOTS RECUREDFOR RNLLAFPROVN. INSFECrgt 51GNATWtE dIIE NPLIGTgN EYpptgNMI MIE APFIlrAT10H APFROVE()1G4£0 BY WE ;�S(L1 S�I��7iS Sw1 ���t�Zy TMB roInA MAr se aeANNeoANBRwnAw PDIIRWlIC vaw oN TlE wLsoN CBlwrr weenie REMGEOIM➢MS DESIGN FORM—PAGE ONE Assessor's Parcel Number. ( Z ZO _ Y _ F 0 O I O 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. 0 Scaled layout sketch,including all applicable item on checklist Scaled plot plan,including all applicable items on checklist .Cross-section skelclt including all applicable item on checklist. This form maybe scanned and available for public view on the Mason casinty Web site.Afaximum paper.sw: 11"X 17" ��11 PARCEL IDENTIFICATION Permit Number: SWG UsA"1'1 ' UQQ3.�L Designer's Name: Jim Zimny Applicant's Name: DON CLARK Designer's Phone Number. 360-516-7287 Mailing Address: 21810 E ST RTE 3 Designer's Address: 717 WINDFLOWER PL NW ® SELFAIR WA 98380 SFABECK WA 98380 city State Zip city stale zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofdter ❑Sand Filter ❑Mound ❑Said Lined Drunfidd ❑Recirculating Fiber,Type: ❑Aerobic Unit Mskelmodel ❑Disinfection Unit Make/MoM Other. Drainfneld Type 0 Gravity ff Pressure !'?Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 + 2 Schedule/Class SCH 40 Daily Flow:Operating Capacity 360 gpd Length 70 ft Daily Flow:Design Flow 480 gpd Diameter 1 1/4 i❑ Septic Tank Capacity(working) 1250 gal Number 4 Receiving Soil Type(1-6) 4 Separation 5' CTC it Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 800 ft' Total N us 72 t . Designed Primary Area 800 ft' it g 1/8 in Designed Reserve Area 800 eE'_ir,A,ra 60 in Trench/Bed Width 270 ft o.rtq Manifold Trench/Bed Length 3 ft Schedde/Clsss SCH 4 Elevation Measurements Length 2 fr Original Drainfield Area Slope 5 aj Diameter 2 in New Slope,If Altered 5 % Preferred manifold configuration used? ItYes 0 No Depth of Excavation Uo-sloe 8 in Transport Pipe from Original Grade ,I, 6 in Schedule/Class SCH 40 Designed Vertical Separation 12 in Length 21^'L(e 0 ft Gravelless Chambers Required? Of Yes 0 No 0 Optional Diameter 2 in Pump Required? 14Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 6 Dill.in Elevation Between Pump&Upperrmst Orifice'4� ft Dose quantity 60 gal Drainfield SquirtSquirtHeight/ 5 Selected Residual(brad) ft Chamber Capacity(flood) 1250 Bd Uppermost Office O Higher dLower than 3PJmm Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 2 - gpm Brfimer B$lapse Meter B'Eved Counter Calculated Total Pressure Head 22 fl ff Timer. Pump n 2 MIN p�off 6 HRS Comments APR 09 2024 TAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number. 1 22 o o Permit Number SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch d Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: M Soil logs 16 Trench/bed dimensions and pj Septic tank 0 Property lines critical distances within layout IN Dminfield cover 0 Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade within 100 8 of property P1 Septic tank/pamp chamber and restrictive strata: 0 Measurements to cuts,banks,and locations B Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom 0 Location and orientation of 0 Clean-out location ❑ Curtain drain collector curtain drain and all absorption FT Manifold placement ❑ Sand augmentation components 0 Orifice placement Other cross-section detail: 0 Location and dimension of 0 Lateral placement with distance Iff Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 0 Buildings 0 Audible/visual alarm referenced Yes No 0 Direction of slope indicator ❑ Scale of drawing shown on scale ❑ Ef Design staked out 0 Waterlines bar ❑ ❑ Recorded Notices attached 0 Roads,easements,driveways, ❑ ❑Waiver(s)attached parking I8 ElPump curve attached 0 North arrow and scale drawing ❑ ClEvaluation of failure shown on scale bar N on-residential justification g m ❑ ❑Waste strengthtcEMe�: IS,,:cNen ❑ ❑ Flow =2 D)gSIGN APPROVAL The undersigned designer must be notified stall at time of installation N!Yes ❑ No 3 z . zy Si o esigner 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: �/ y YWI Environmental H�alist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 3/1 C6 f 2� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ Dminfield 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 maybe scanned and available for public view on the Mason County Web site. Updated Date: 12n2015 Rhonda Thompson From: Wendy Thompson Sent: Tuesday, March 19,2024 10:18 AM To: Rhonda Thompson Subject: RE: Repair septic design Belfair Hi Rhonda, There is currently no sewer service available to that parcel. Thanks for checking with us. We idy Tbo'n9 sav4office Specialist Utilities&Waste Management Mason County Public Works 100 W Public Works Drive Shelton,WA 98584 (360)427-9670 ext. 199 From:Rhonda Thompson<RThompson@masoncountywa.gov> Sent:Tuesday,March 19,2024 8:53 AM To:Wendy Thompson<wthompson@masoncountywa.gov> Subject:Repair septic design Belfair Hi Wendy, I have a septic repair situation forthe two mobile homes towards the back of Parcel 12206-14-90010. 1 think sewer may run by here so wanted to check in with you guys to see if you would require connection before the designer puts in a lot of effort on a design. Thankyou, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N e St.Shelton,WA 98584 360-427-9670 ext.581 Rthomoson(ilmasoncountvwa 2oy 1 4 z 743, s. STRTF3 m o wl o O O y� N x n A w HOME R3 163' 3 r S O � v i0 90gmi �D i n w w w NOS N 0 -1 m DTZ + N N + N N Lp w 3 J 3 N O N o w N + 3 N n � n � 3 APPROVED � 3 03 K APR 09 2024 ° w 0 MASON COUNTY ENVIRONMENTAL HEALTH o n RET ^ 3 w ° 3 3 n y p ' w ^PO D yy y � .., p w r nNi Mmo v b o gy m w w m orgy O w03 '^ z � N 0 N c � ' o DD 5 O o O �c b � m 8 O1 3 m I o � ID n iA n T m i N O � _ o ' J0 6ulll?A ; .. I w �v I APPROVED Q a a x $ ° N N 3 3 APR 09 2024 Q MASON COUNTY ENVI RON MENTAL HEALTH RET �3 a -�!, OZH 7.._.._..�..1 ,OlL In O NM1Ov W2 _ o II ro D to q�q z N wg9j�r m m B w P p Advantage Perc & Design Timely•Reasonable•30 Years of Local Experience Construction Notes for Pressure Distribution 4 Bedroom System: REPAIR Pressure Distribution w/graveless chambers(Rock and pipe may be substituted) Install 4—70'and 1-60' Laterals of 11/4"sch 40 PVC pipe. Install on 5'foot centers. 1/8"Orifices on 60"centers beginning 30"from the beginning of the lateral and oriented at 12 O'clock. Install 6"trench depth on low side of trench and maintain 12" of vertical separation Install level and along contours. Install in dry weather only. PUMP OUT AND DECOMMISION EXISITNG SETPIC TANK Use 1250-Gallon septic and 1250-gallon pump tank. See pump Chart for Pump Spec Use Rhombus S1E Control Panel or equivalent w/audible and visual alarms for low and high water. System designed for typical residential waste strength sewage only. System designed to OPERATE at 360 Gallons Per Day System designed for 480 Gallons per day APPROVED APR 09 2024 ,,,ONCoQvT Ewnhlll` F-W RET A 3- zq_ 27 Advantage Perc&design APDdesiens(dicloud.com (360)516-7287 | r ! } � . ! � ! ] � # I � | # 7 | � � q > E|| © | , | � \ � � � | § � � ` -- / ■ C | ! } , i | { �| | � ■ f2 / \ | 0 - 9 _ / \ ! | ~ | ! . { ` APPROVEbAPR 7 f MASON 2024 COUNTY �mm\HEALTH � \ m | ! 3 l \ � \ � v . SECURED LID WITH OAS TIGHT SEAL 1 BP DIAMETER ACCESS RISER FNIIBHORADE TO PUNCHAMBDi FRDM SEVTAOE SOURCE FLOA711ID SMT APPROVED EFFLUENT FILTER SEDIMENTS SEPTIC TANK SECURED LID WITH GASTIGHT SEAL THREADED UNNI K X ESS ETER SWINAM AOCROM SERVICE FORSHORADE VALVE` FROM SEPTIC TO DRARIFIFID TANK EMEROENOYSIORAOE AMTI WHOM VALVE* HIGH WATER ALARM LEVEL — — — — — — INU9BIoorr WORKING VOLUME FLOAT STEM NORMALTWEROFFLEVEL — — — — FOR FLOAT ENCLOSEDPUYP AKNBlIIN6 BV=ENr W*WUD• OH=VALVE- �r SUBVA AMLE eEwFerrB 0ENTR000AL KW 12 SC> PUMP 11 Gv\ •AS NFL® (TLyVI APPROVED FIGURE z APRp LICENSED .SIGNER Y^S1Yi>T' MASON COUNTYENARONMENTALHEALTH �Z4 2� RET Pump Selection for a Pressurized System-Single Family Residence Project Parameters DschaMe AsembN Size 200 knhes 1� Trenspod Length 260 feet TramrspmtPyecias 40 Transpod Line Sae 2 00 .Mel DD Dleldbuling Wka Model tone Max Efaiialnn Lift 10 feet ZM Maid Length 2 feet MenOold Pipe Clan 40 80 Manflold Pipe Size 125 Yrches Number of Lelemis per Cell 4 Lateral Lerpth ID feel Lateral Pipe Clan 40 70 Lateral Pipe Sae 1.25 ndies w1w Sae im inches W'ce Space, 4 reel .�.. ResidualHead 5 feel S BD Flow Meter None ndiee 'Addon Fddbn Losses 0 feel p- Calculations 50 9 MnimumF Rate perms 0.43 gpm Number of Wi per Zone 72 Total Floe Rate per Zone 31.3 gpm s 40 Number of Lalerel Per Zmne 4 9 %Flow DilferemnitaVtastOfice 2.1 % r Transport Velacdy 39 rps Frictional Read Losses Loss Nmugh DNaharge 19 feel Loss in Transport 44 feel 2D Lon Mreugh VaNe 09 feel Louin Ma ffoN 01 feel Lou in Lateral 03 teal Lou Mmugh Fliaaniter 00 feel 1D 'Addon'Fdd'ron L. 0.0 feet Pipe Volumes Val of Tranaxit Litre 4S3 gal 00 20 40 60 80 100 120 140 160 vd d Mangdd 02 gal Net Discharge(gpm) Vol na Laterals per Zone 218 gal Toptvaume 672 pal Minimum Pump Requirements PumpData legend DeRi,Floe Rate 313 ppm PFEF50 EMueM Pump syffinn Curve:. Total Dynamo Head 217 feet 12HP.11523eV 10 O t- Pump Curve:_.. Pump Optimal Rvp, comment Pon:0 APPROVED Deagn Pan 0 APR 09 2024 SON MASON COUNTY ENV RONMENTAL HEALTH N RET (wj-_ _. ldco LgEN52p pESiGNEA Ly