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HomeMy WebLinkAboutSWG2024-00151 - SWG Application / Design - 4/15/2024 SHELTON.WA 584 MASON COUNTY 415N6THELTON: , 0427-97 ,EXT 400 SHELTOR:360-2754467,EXT 400 BELFAIR:360.275d487,EXT/00 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360.127-7787 On-Site Sewage System Permit: SWG2024-00151 APPLICANT RYAN YORK Phone: Address: 1910 LENOX CT NW OLYMPIA,WA 98502 SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226 Address: PO Box 162 OLYMPIA,WA 98507 Site Address: 250 E Shamrock Dr Primary Parcel Number: 321275200010 Permit Description: New SFR-3BR Nuwater+ Subsurface Drip Permit Submitted Date: 04/15/2024 Permit Issued Date: 04/25/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 (additional fees may m required upon instellawn orsraem). Permit Expiration Date: 04/25/2027 (based on date or mspaeuon) 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 Drainfie/d 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.govlhealth/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH D R D D 1 I.-to u9 a ONSITE SEWAGE SYSTEM APPLICATION MDU S. 40 MO[N DB o 415N6th5tN:eLM48) SheRDnWA,98584 Pr 9 N Shelrom 360d179679 ext40D Belfair.360-175-067 eM460 E�T AiG aOaq _ a A 7VY O� Z N aAPPIIT PHONE D RYAN YORK 3605009187 m m MAILINGADDRESS-STREET.CT',STATE,LP CWE r 1910 LENNOX CT NW OLYMPIA WA 98502 SITEAD SS-STREET,CITY.MPCCOE QI 250 E SHAMROCK DR SHELTON WA 98584 z NAME OF CESIGNER PHONE r ,1 ADAM HUNTER 3607531226 NAME CF INSTALLER PNONE I� TBD r LNECKNLAPPLICABIF TENS DRINWNG WATER SOURCE C 1^ NEW CONSTRUCTION [3 RV HOLDING TANK ONLY D PRIVATE INDIVIDUAL WELL y 1\WI D REPLACEMENTSYSTEM D INSTALLATIONPERMITONLY D PRWATETWO�ARTYWELL Z D TABLE 9 REPAIR D SINGLE FAMILY Ef COMMUNITYNUBUGWATERSYSTEM I I� D TANK(S)ONLY D COMMERGAL SYSTEM NAME uwEuwea« Cl UPGRADE TO EXISTING D OTHER: gSprygOMS LOT9UE D EXISTING FAILURE •R M 2 .35 gRECTCNSTO STIE-BE SPEGFlLINOAOVISEOFANY NEEDED INFIXiM4TNNl FORACCESS Iet MMSM) � LAKE LIMERICK TO A LEFT ON SHAMROCK TO SITE ON THE RIGHT. o p Sf1EMUST BE{3AGOED FFOYY.VN ROADINOTESTNIX64YUSTBE FIAGDED ININTESTNOI.ENUYBFNS OFFICIAL USE ONLY BELOW THIS LINE UPGRMEI FAWRESOURCE IbrreTptlnB WIW%s%) OVOLUNTARY DMAINTENANCEYPUMPING DBUILDINGPERMR DHOME SALE DCOMPLAINT DOTHER: INSPECTOR SOL LOGS COMMENTSICONOT - ezt V•VERY G•GMVELLY S=SWD L•LMM SIsgILT L•LIAY E•E%TREMELY R=ROOTS ON SSI°�I'TURREE-� DATE APPLIGTONE IRATION DATE M TXIN APPROVED BY DATE ( h�S -L22`( U �2`27 �1 25� 1�68 A&A MAYBE SCANNEDAND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE REVISED 1W.15 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 312L 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. v Cross-section sketch,including all applicable items on checklist. This form maybe sunned and available for public view on the Mason County Web site.Maximum paper size.' 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 26zZ L — 00151 Designer's Name: ADAM HUNTER Applicant's Name: RYAN YORK Designer's Phone Number: 360-753-1226 Mailing Address: 1910 LENNOX CT NW Designer's Address: PO BOX 162 OLYMPIA WA 96502 OLYMPIA WA 98507 city State Zi City State Zi DESIGN PARAMETERS Treatment Device ❑Olendon BiOfilter ❑Sand Filter ❑Mouad ❑Sand Lined Dminfidd ❑Recirculating Filter,Type: S(Aembic Unit Meke/Mcdcl BNR400 ❑Disinfection Unit Make/Model Other: Drainfleld Type ❑Gravity ❑Pressure ❑Trench 0 Bed G(Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class DRIP Daily Flow:Operating Capacity 180 gpd length 157.5 ft Daily Flow:Design Flow 240 gpd Diameter 1/2 in Septic Tank Capacity 1000 gal Number 2 Receiving Soil Type(1-6) 4 Separation 1.5 ft Receiving Soil Appl.Rate 0.6 gpd/ft! Orifices Required Primary Area 450 }js Total Number of Orifices PER DRIP Designed Primary Area 450 ft Diameter PER DRIP in Designed Reserve Area 400 g'- Spacing PER DRIP in TrenchBed Width 10 R Manifold Trench/Bed Length 45 ft Schedule/Class 40 Elevation Measurements Length 25 ft Original Drainfield Area Slope 1 % Diameter 1 in New Slope,If Altered 1 % Preferred manifold configuration used? VYea 0 No Depth of Excavation upe10I,c 10 in Transport Pipe from Original Grade Down-rlopc 10 in Schedule/Class 40 Designed Vertical Separation 12 in Length 120 ft Gmvelless Chambers Required? ❑Yes 12fNo 0 Optional Diameter 1 in Pump Required? IIdYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdows/day 12 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 20 gal Orifice e ft Chamber Capacity 1000 gal Uppermost Orifice EdHigher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity aQ Total Pressure Head .1 imer Otiapse Meter RrEvent Counter Calculated Total Pressure Head sO I�i mp on 20 GAL ,Pump off 2 HRS Comments APR 2 3 2M4 Lf MASON COUNTY ENVIRONMENTAL HEALTH 771 DESIGN FORM—PAGE TWO Assessor's Parcel Number.3CRA_a7t — 0Qd Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lif Test hole locations EZ Drainfreld orientation and layout Reference depth from original grade: 9 Soil logs l( Trench bed dimensions and Ef Septic tank 1Z Property lines critical distances within layout 9 Drainfield cover 19 Existingproposed wells ld D-BoxNalve box locations and p p Reference depth from original grade within 100 ft of property 9 Septic tank/pump chamber and restrictive strata: Fa Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas EZ Observation port location bottom 13 Location and orientation of EZ Clean-out location ❑ Curtain drain collector curtain drain and all absorption q Manifold placement ❑ Sand augmentation components V Orifice placement Other cross-section detail: 19 Location and dimension of R( Lateral placement with distance lr Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 19 Buildings 17 Audible/visual alarm referenced Yes No 1g Direction of slope indicator Sf Scale of drawing shown on scale 1� ❑ Design staked out E9 Waterlines bar ❑ ❑Recorded Notices attached 1r Roads,easements,driveways, ❑ ❑Waiver(s)attached parking ❑ ❑ Pump curve attached ! E9 North arrow,and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑ Flow DESIGN APPROVAL Al sa The undersigned designerrd�ign er at time of installation Yes O � 4/10/24 APR p igner Date CDFNT�NVIgp M�N A( The undersigned has reviealf of Mason County Public Health and determined i[IEbi incompliance with state ands: Env' o tal ealth Specialist Date CAUTION: DESIGN APPR ) AL 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: ✓ Drainfreld 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. 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