HomeMy WebLinkAboutSWG2024-00146 - SWG Application / Design - 4/12/2024 MASON COUNTY 415Nfi SHELTON: ,SHELTO70,EXT 400
SHELTON:360-2759 70,EXT 400
�i BELFAIR:380-275-44fi],EXT 400
Public Health & Human Services ELMA:3fi0-082-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00146
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 PAULAJOHNSONe Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98592
SEWAGE INSTALLER ALLAN KIRK* Phone: 360-426-0574
Address: 30 E WILCHAR BLVD SHELTON,WA 98584
Site Address: XXX E Bridget Ln
Primary Parcel Number: 320215304034
Permit Description: 3-bedroom pressure system
Permit Submitted Date: 04/12/2024
Permit Issued Date: 05/06/2024
Issued By: David Anderson
Current Permit Fees Paid: $640.00 (atltllUonal lees may 0e required upon lnstadaUen o(syslem).
Permit Expiration Date: 0 4/1 812 0 2 7 (eased on dale of aspe mon)
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 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 backfi/l 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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360.427-9670,extension 400.
i
OFFICIAL USE ONLY
MASON COUNTY
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ON-SITE SEWAGE SYSTEM APPLICATION > p
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APPLICANT PHONE M
Empire Home Construction (360)751-8062 c
MAILING ADORE6S-6WEET PTl'E E'CODE
P.O. Box 241 Kelso WA 98626 c wM
DE Bridger LnPcoce Shelton WA 98592 I [A'
NAME Of DESIGN ER P E HIN
Arrow Septic Designs 360)898-2255
NAME OF INSTALLER P OHE O I O
Mason County Excavating - 360)490-3144 '<
RRIMMTTPE NeMn dreg C oR.HNO VIATER WURCE N
IFRESIDENTIALOSS II-0OMMUNITYOSS FICOMMEROIALO66 LLF�l..PRIVATE INDIVIDUAL WELL PRIVATE TWQLPARTY WELL $ I �
ttPGE OP WORX frkn wnl C, i-PUBLIC WATER SYSTEM
p;NEW CONSTRUCTIONIUPGRADES LLREPAIRIREPLACEMENT OTHER DETMISInhds HMtp ) DTABLE XREPAIR IVi
sUIEH TALs ❑SURFACING SEWAGE [3 EXISTING FAILURE 0 SHORELINE
Z.SIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) SEOROOMS LOT we Q Iw
IZ,'YWIVER(5)(IF APPLICABLE) 3 6R .22 acres n I '
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OIRELTIONS i051lEAND 61TE CON 01lIONS.Iu.IrcW p»)
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Go out Hwy 3 and turn (R)onto E Agate Rd. Turn (R)onto E Crestview Dr. E Crestview Dr a I a
turns slightly(L)and becomes E Shorecrest Dr. Destination on (L).Yellow sign: "Empire r I o
Homes."
CA
NEF4GOED ERDYYAAV ROAD ANDIESi MOLES NUSIBEfUGGED MTlX if9iXMENYMAERA I A
OFFICIAL USE ONLY BELOW THIS LINE
UWMDEI PAILORESOCNC6tHr,a ,R pugosesI
❑VOLUNTARY []MAINTENANOEPUMPING ❑BUILDINGPERMIT ❑HOMESALE OCOMPLAINT EIDTHER.
INSPECIDRSOILLOGS 61ep CCMMENi6i CCFDI71DN6
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601LCOCEB: RECORD DRAWNGAND INSTALLATION REPORT
V-VERY G-GPAVEUY S=SANE L=LOAM 4=SILT C•CIAY E-WREMELY R-RWTS REQUIRED FOR PNALAPFROVAL
INSPECTOR SIGNATURE DATE APg14TION EJIPIgPTION DATE APPLIGT PPNOVEG'IS6UED 6Y DATE
THIS FORM MAY BE SCANNED ANDAVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY IMEIMMTE REWSED121720I5
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 — 5 3 — 0 4 0 3 4
A design will be reviewed when 3 conies 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
•Scaled plot plan,including all applicable items on checklist. "Cross-section sketch.including all applicable items on checklist
This form now he s armed and available for public view on the Meson county Web sae.M¢Cimvm pain-'sme: 11"X/7"
/( PARCEL IDENTIFICATIONPemni Number: SW (1/ 00 l6 Draigner's Name: Arnow 6eptic0 igns,Inc
Applicant's Name: on Empire Home CsWCBo Designer's er's Phone Number: (360)898-2255
P.O.BOX 241 Designer's Address: 171 E Vuemset Dr
Mailing Address: "
Kelso WA 98626 Union. WA 90592
Cit State Zi CityStare Zip
°IIPSIGNPARAMETERS
Treatment Device
❑Glendon Siofihm ❑Saint Filter ❑Mound ❑Sand Lined Dminfield ❑Rmuculating Filter.Type:
❑Aerobic Unit Make/Modid ❑Disinfection Unit MakeAl-del Other.
Drainfield Type
❑Gravity 59 Pressure I(Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number ofBedrooms 3 Schedule/Class 40
Daily Flow:Operating Capacity 270 Slid Length 50 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,200 gal Number 4
Receiving Soil Type(14) 4 Separation 5 ft
Receiving Soil Appl.Rate 0.6 gpd/fl' Orifices
Required Pommy Area 600 ft' Total Number of Orifices 40
Designed Primary Area 600 ftr Dimmer 3/16 in
Designed Reserve Area 600 ft2 Spacing 60 in
TtenchBed Width 3 ft Manifold
TrenchBed Length 200 ft Schedule/Class 40
Elevation Measurements Length header ft
Original Drainfield Area Slope 10 % Diameter 1.25 in
New Slope,If Altered 10 % Preferred manifold configuration used? Rl 13 No
DepthofFxavation Up-nnpe 14 in Transport Pipe
from Original Grade pown-slopr 11 in Schedule/Class 40
Designed Vertical Separation 24* in Length 30 ft
Gavelless Chambers Required? [3 Yes [3 No R(Optional Diameter 2 in
Pump Required? lif Yes ❑No Dosing and Pump Chamber
Pump/Siphou Specifications Numberofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 90 gal
Dainfield Squirt Heightt Selected Residual(head) 2 ft Chamber Capacity(flood) 1,o00 gal
Uppermost Orifice 16 Higher ❑Lower than Pump Shutoff
Pump controls:Please check those required.
Capacity @ Total Pressure liad 23.8 gpm Winner fill Meter St Event Counter
Calculated Total Pressure Head 8.61 it If Timer. Pump on 2 minutes ,pump off 6 hours
Clo�mmpen�ts
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 1 — 5 3 — 0 4 0 3 4
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Id Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
la Soil logs 111 Trench/bed dimensions and 19 Septic tank
0 Property lines critical distances within layout IZ Drainfield cover
❑ Existing and proposed wells 19 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Rf Septic tank/pump chamber and restrictive strata:
In Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and
surface water and critical areas G1 Observation port location bottom
❑ Location and orientation of 56 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components E6 Orifice placement Other cross-section detail:
m Location and dimension of 16 Lateral placement with distance Rf Observation ports/cleanouts
primary system and reserve area to edge of bed
Other Information
m Buildings 21 Audible/visua referenced Yes No
Ib Direction of slope indicator A Scale of dra •s on scale NI ❑ Design staked out
21 Waterlines bar ❑ lif Recorded Notices attached
56 Roads,easements,driveways, r • � ❑ 1K Waiver(s)attached
parking 9 ❑ Pump curve attached
lid North arrow and scale drawing ❑ G9 Evaluation of failure
shown on scale bar _"2 5mm<6 , Non-residential justification
PAUI JCI JOHNaON
LYC 8r. i a" ❑ Rf Waste strength
rnnnes r ❑ Ef Flow
DESIGN APPROVAL
The undersigned designer must Lapfpn�fied v at time of installation RI E11 No
*Signature of Designer^ ,✓n�',v_ 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-si�gulations:
�S/(e 7? av o s zoza
En tal Health Specialist Dale.
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
I The design is stamped"Approved"by Mason County Public Health ���
The Onsite Sewage Permit has not expired,the Permit Expiration Due is:
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 Due: 12/7/2015
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O4 1000 Gallon Pump Chamber
. . . _ 1 0/0Z 4- o P het
Valve Control Box
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PAULA JOY JONNSON
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APPFIOVEBr
MAY 06 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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¢5 DEGREE ELBOW OR
O=OBSERVATION PORTS--TO BE 4" i ; LSWEEPING 9u
PVC PIPE FROM BOTTOM OF TRENCH
TO FINISHED GRADE. REMOVABLE END OF
CAP SHALL BE INSTALLED ON DITCH
DETAIL
OBSERVATION PORT PIPE. GLUED ON CLEAN OUT
TEE AT BOTTOM.MINIMUM On 4 IN S YSTEM. NOTE. C,B3NOUT TO BE FROM O TO 6
LATER•`-T•5 s3eE TO SE CENTERED MRg ENDSES yWITH REBARU. GCLEE" OUT
IN TRENCHES REQUIRED AT END OF EACH LATERP.L-
TRENCH END CNT-10TD (6aw
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Length Length Orifice # Distance from Distance from
Lateral# In. Ft S acin Orifices Feeder Line In. Cleanout In.)
1 600 50 60 10 30 30
2 60p 50 60 10 30 30
3 600 50 60 10 30
4 600 50 60 10 30 30
Total Lateral Len th 200
Total#Orifices 40 GPM 23.6
Dynamic Head Calculations
Selected residual pressure: 2 ft.
Length(Ft.) #Orifices
Transport Pipe 30 40 OMft.
Feeder Total
Lateral Line Length
Lateral#1 50 2 52 10 0.29 ft.
Lateral#2 50 7 57 10 0.31 it
Lateral#3 50 12 62 10 0.34 ft.
Lateral#4 50 17 67 10 0.37 ft.
Total Elevation Lift 5.00 it.
Total Dynamic Head 8.61 ft
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pAOLA JOY JOHNSON }
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MAY 0 g 2024
>. Bronze construction available(1395-6-1)
$? _ High head version available(145 series)
• Double shaft seat versions available for added protection
Flow-Mate ..mode 14a/143.
Formore Information,see Technical Dam Sheets FM2 782 FM3783.
In high head dewatering or effluent
applications where pumping r
"a` °JR's
�performance is critical, this robust imu�ian`mu
fa mily of pum ps is known for reliabi lity,
durability and performance. These
pumps are especially suited for harsh
environments.ZaeLLelz matron design
and corrosion-resimm,powder mated
epoxy finish add up to a long-lasting,
trouble-free Product.
APPLICATIONS:
STEPoronsite apptica6ons
• Wmertransfer �
• Lightmmmendai dewatering
SPECIFWATIONS:
1-1/2"Nor discharge
112 HP through l HP �"� MADE IN THE USA
Available in automatic or nonautomatic SaGANIMIKYtHllllll
Model 137.139.140:1/2"(22 mm)spherical solids
capacity with wrtex impeller
Model 145:3/4'(19 mm)spherical solids capacity with w.—�•e
wrteximpe8er ""56
tz PUMP PENT CE CURVE
S
oft a MO 151/15 153
Do9e-M11te5pvl'4A1 ENT °
This is our fastest growing line of effluent Ia w s
pumps.The 150seriesistruly a workhorse
designed for reliability under extreme rz w
conditions in an effluent environment.
150 series pumpmrvescoverawtde range +a n Isx
of applications. They are well suited to y w
applications with low pressure pipe(LPP) €3 5 xs �s�
and enhanced flowSTEP systems.Zoeller's k
cool run design and corrosion-resistant, a xa
powder coated epoxy finish, in addition
to the hermetically seated,oil-filled motor Is
and non-cloggingvortex impeller add up to a
a long-lasting,trouble-free product, 10
APPLICATIONS:
5
• STEP or onshe applications EN E
Light cammerciat dewatering riil an. ¢a1ox5
ISPEGIFICATIGN9: LrtFRs o •o ® va_emavo rtpxo am m as au
1.1/2"NPT discharge '. APi 0"9 C"0 N®®V.
3110 HP through 1/2 HP ®+R �t���+�`(
• AvaiUbleinnonaummadcarwithavariablelevel
piggyback mechanical switch
• 1/2"(12 mm)spherical solids capacity mth vertex MAY 0 6 2024
thermoplastic impeller MASON
I,,.frlJnrmadon,see Technical DataSbeetFMZ786. COUNTY ENVIRONMENTAL HEALiN
1\^ ®ALL rights reserved. ZOELLER PUMP CO. 1 502-778-2731 180"28-7867 1 zoellerpuml®4* 9
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I! ME= MAY 0 6 2024
MASON COUNTY ENVIROP'.r� . "=ALTFi
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**Note. SeP4c Tanks mist meet-�.ndards regairad by VVAC char 246-272C FIGURE 2
and manufacturer mist be on the Dect of Heath 45 of regxemd sewage tank,,•'
amec , Septic owlym
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PAOLA JOY JOHNSON
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t. Install Laterals with conto�_Of the ground-
2. Install trench bottoms level.
3. Instal locator tape or rebar at each end of all d-a;reld laiz:sis-
4. Instal oiserva^on ports as medicated on-be plot pI2 . One tainted at dish end of each
lateral de nne'_d with botem ex-_-,d ns a the cz-ock eve soilierf&e. Glue
"P'm bottom so Observe=on Port mot be easty removed from ground-
removable cap on top of Port at final grade.level. .-
5. Install draianeid during dry weather and so= o-=_cs:any sc-sy��=g runt be
elirri,,azedby hand taking.
6. Inetv7i *breaded clzanau a:the end of -aterals ( ;=S`••e.,�Lend towit: * six aches
o_`anished g*ade and be=2rszd w'_<_-ecator tame er rzbz).
7. Install audio/visual high ware,level ala=� .
S. Instal 1/8"mesh non-corrosve p•:mp scree=( . 12 sc,ft. space area,lotto iartrfere
with controls or loars.) Or pump screen may be subst tithed with Bio-:iibe a septic tank
Pull bio-tube evel'y 6-12 months and flush back iittc talk.
9. Tns l!anti-siphon valve above frump=p'—p chn bet to TMevent-the p p chamber
from siphoning into the drai.fl d.
10.Install check valve p1=..p ot*Let line to prevent s;'s*zm from draining back into the
pump chamber.
,. Tee w Tee conseucnon be!wew lze'.�s anG mE,raid w1 o fi:.es orc+ufl ar G'o-clo:.x.
Trstal laterals to the ma"�*old with the onFces at 12 O'clock,(do not glue),afL-_ pressure
Est and Env:ron_3r ems+ 1 Health Dem approval mere, onfees down(6 o'clock) and glue
laterals to manifold_ Orifice shields may be used with o-=ces in the l2 o'clock position
in lieu of_ruing tie c.5ces down to the 6 o'clock portion.
111ilter fabric req"i*ed over dren rock prior to back�i lint. _=the drain,rock extends above
natural grade,run the_tEr fabric at least 2 inches down the trench wa1
13.Encase all water lines with.= i 0' of d.ai=aeid and under any drivewa;/parking areas.
14.Divert all storm wazr 1-_noffaway mom on-site sewage system.
15,No cr_+*•w.i dt'ivs al-towed%--thin '0' of the uc-slope edge or 30' of the down-slope edge
of the drain field and reserve area
16.Have the septic tank and puma cEarber gaped or inspected every 3 ro 5 yeas.
17.No vehicular tr=�-c over drainfield area
18.Inspect loan, clean fiILrs, and test high water level slats every 6-72 months as needed.
19.All materials and wor mans ip Pout meet County and State reg•_Ia*o.s.
20.Deviation iron this design w th+o•_D* or approval from the Designer-and Mason Co-:tty
Environmental Heat= Decartmem will, make tints desix:.null—d'void.
21.A11 manhole lids and access, sampling or inspccdon po.-ts m-:ss*rave locking covers and
be located at gro• level
22.All pressure systems With a pump chamber crude.hither than the drai,feid Pour have a
1/8"hole drilled in the discharge pipe above'he pump to crew m siphoraa.
23.Al transport lines under driveways or parking areas m•.".be encased to proven'with?^g.
24. Homeowner is responsible br a l proper. . es.
i
MAY 0 6 2024
V MASON COUNTY ENVIRONMENTAL HEALTH
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