HomeMy WebLinkAboutSWG2024-00150 - SWG Application / Design - 4/15/2024 SHELTON,WA
584
MASON COUNTY 4[5NBTHELTON: , 0427-97 ,EXT 400
SHELTON:360 2754670,EXT 400
4 BELFAIR:3fi0.275-0467,EXT 400
.,a_ ' Public Health & Human Services ELMA:360.482-5269,ExT400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00150
APPLICANT BAYSHORE CONSTRUCTION Phone: 360-866-9200
Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA, WA 98502
APPLICANT KRISE JR JOHN Phone:
Address: 6890 W CLOQUALLUM RD SHELTON, WA 98584
OWNER KRISE JR JOHN Phone:
Address: 6890 W CLOQUALLUM RD SHELTON, WA 98584
SEPTIC DESIGNER ADAM HUNTER" Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 6890 W Cloquallum Rd
Primary Parcel Number: 419041300000
Permit Description: Repair 4BR-Nuwater i OSCAR II
Permit Submitted Date: 04/15/2024
Permit Issued Date: 05/01/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $805.00 (additional tees may be required even installation or stileml.
Permit Expiration Date: 05/0112027 (based on date of inspeuion)
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 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 ONSRE 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.govlhealthlonvironmental/onsite/oss-inspection-request.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH
15
ONSITE SEWAGE SYSTEM APPLICATION MDBNIFEGENFD PF MDBM o y
415N6th SBeeLI81d981 SheltoDWA,98584 z y
Shehan:360-427-9610 ext4W Belhir.360-775-9467 ext480 Siei/— _ Uo I O 0 VYV 2 W
2 �
APPuC w PHONE D
BAYSHORE CONSTRUCTION 3608669200 m m
r
MAILINGAUORESS-STREET,CRY.STATE.VP CODE
2103 HARRISON AVE STE 2774 OLYMPIA WA 98502 3
6890 WBCLOQUALLUM RD SHELTON WA 98584 m
NAME OF DESW ER PHONE F
ADAM HUNTER 3607531226
NAME OF INSTALLER PHCME
BAYSHORE CONSTRUCTION 3608669200
CHECKALLPFPLICRBLEITEMS MU IONGWATERSOURCE
0 NEW CONSTRUCTION 0 RV HOLDING TANK ONLY Of PRNATE INDIVIDUAL WELL N
B REPLACEMENT SYSTEM B INSTALLATION PERMIT ONLY B PRIVATETWO-PPRTYWEM 0
Ig TABLE 9 REPAIR B SINGLE FAMILY 0 COMMUNRYIPUBUCWATER SYSTEM
B TANV4SI ONLY B COMMERCIAL SYSTEM NAME: 1
B UPGRADE TO EXISTING 0 OTHER: BEDNOON1s LOTSIZE h
0 EXISTING FAILURE "R'�^'dWA^I^p^w 4 3.2 0°
M all MsuIISYMF" O
OIREGTONSTO SUE-BE SPECIFIOANOADVISE OFANY NEEDED INFORMRION FORACGESS IIt bCLeE peb) 0 1
CLOQUALLUM RD TO A RIGHT AT DRIVE FOR 6890
71I8vi
t�l 0 �n
BY:------------- I I-
GIIEMUdT BEFIAGGED fFON MNN FOAD AND TESTNOI.E$YUSTSEfUGGED WITN LEST NOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRPLEI FA FE SWRCE(KK^G gWFws)
BVOLUNTARY BMAINTENANCEJPUMPING BBUILDINGPERMIT BHOMESALE BCOMPLAINT BOTHER:
INSPECTOR SOIL LOGS COMMENTSICONDIT
51 L
-4
z� 51 L
SOILCCOE&
V=VERY G-GRAVELLY S-S O L=LOAM $I=GILT C-CLAY E-UTREMELY R•ROOT$
INSPECTOR9KKNTURE DATE APPLICATON UPI MTE AP TIW APPROVED BY WTE
TNt F YBE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE NASON COUNTY WEBSRE REVISED 1pu t$
l-'
DESIGN FORM-PAGE ONE Assessor's Parcel Number `t1 S_Q — 1 -- S.L L2iQ8_Q
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dared. a Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable items on checklist. Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.Marimum paper size: 11"X 17"
-rPA,RCEL IDENTIFICATION
Pemrit Number: SWG 1Q1.�l' 00�50 Designer's Name: ADAM HUNTER
Applicant's Name: BAYSHORE CONSTRUCTION Designer's Phone Number: 360-753-1226
Mailing Address: 2103 HARRISON AVE STE 2774 Designer's Address: PO BOX 162
OLYMPIA WA 98502 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Motile, ❑Sand Filter ❑Mound ❑Sand Lined Dminfield ❑Recirculating Filter,Type:
ErAembic Unit Make/Mrsid BNR500 ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity O Pressure ❑Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class PER OSCAR
Daily Flow:Operating Capacity 360 gpd Length PER OSCAR ft
Daily Flow: Design Flow 480 gpd Diameter 08-100 in
Septic Tank Capacity 1200 gal Number 5
Receiving Soil Type(1-6) 5 Separation PER OSCAR R
Receiving Soil Appl.Rate 0.4 gpd/ft' Orifices
Required Primary Area 1200 ft, Total Number of Orifices PER OSCAR
Designed Primary Area 1200 ft2 Diameter PER OSCAR in
Designed Reserve Area N/A fll Spacing PER OSCAR in
Trench/Bed Width 20 It Manifold
TrenchBed Length 60 ft Schedule/Class 40
Elevation Measurements Length 60 R
Original Drainfield Area Slope 0 % Diameter 1.25 in
New Slope,IfAltered 0 % Preferred manifold configuration used? EYYes Oleo
Depth of Excavation UpAoye NIA in Transport Pipe
from Original Grade Dowo-s, NIA in Schedule/Class 40
Designed Vertical Separation 20 in Length
240 ft
Gmvelless Chambers Required? ❑Yes lifNo [3 Optional Diameter 1.25 in
Pump Required? Ed Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1.333 gal
Orifice ft Chamber Capacity 1200 gal
Uppermost Orifice G(Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 12 gpm iggr w 1 6YEvent Counter
Calculated Total Pressure Head teaa ft If T m on S off IMIN38SEC
comments MAY 01 2024
MASON COUNTY ENVIRONMENTAL HEALTH
DESIGN FORM—PAGE TWO Assessor's Parcel Number: S)_?
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
1f Test hole locations IZ Dmint-reld orientation and layout Reference depth from original grade:
19 Soil logs E9 Trench/bed dimensions and Ef Septic tank
19 Property lines critical distances within layout IZ Drainfield cover
19 Existing and proposed wells D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 19 Septic tank/pump chamber and restrictive strata:
IZ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas Observation port location bottom
IZ Location and orientation of a Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components V Orifice placement Other cross-section detail:
99 Location and dimension of Ed Lateral placement with distance 9 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
1Z Buildings 9 Audible/visual alarm referenced Yes No
9 Direction of slope indicator 19 Scale of drawing shown on scale d ❑ Design staked out
19 Waterlines b ❑ ❑ Recorded Notices attached
SZ Roads,easements,driveways, P PROVE ❑ ❑ Waiverts)attached
parking ❑ ❑ Pump curve attached Eg North straw and scale drawing MAY 01 2024 ❑ ❑ Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HEALT Non-residential justification
JBW ❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer mtign
bestaller at time of installation !�Yes ❑ No
4/10/24
signer Date
The undersigned has reviewalf of Mason County Public Health and determined it to be in
compliance with state and lns:ealth Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Owite 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.
Updatcd Daze: 12/7/2015
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#:419041300000
DATE SUBMITTED:41ID12ON LEGAULOT#:
SUBMITTED BY: ADAM HUNTER
APPLICANT: BAYSHORE CONSTRUCTION
ADDRESS:
I.CALCULATIONS
NUMBER OF BEDROOMS= 4
RESIDENTIAL GPO FLOW= 48D
IF NONRESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.4 GPOIFT2
REDUCTION=LEAVE B(ANKIFNO REOUCTfGW TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 1"FT2
TRENCH LENGTH OR BED CONFIG.= 20'X60'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= NUWATER BNR500 ATU TANK
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
SAND DEPTH= Y-6-
IV.PRESSURECALCULATIONS
USING PIPE CLASS 40
ORIFICE NETAHM DRIPLINE
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 240.00 1.25 12A00 4.9031
RETURN 240.00 1.25 12.000 4.9031
TOTAL= 9.8062
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 9.8%
2)ELEVATION DIFFERENCE = 6.300
TOTAL= 16.1M
4/10/24 A
PPROVE
MAY 01 2024
? MASON COUNTY ENVIRONMENTAL HEALTH
F Jaw
V.CHECK THE PUMP CAPACITY.
PUMP. A.Y.MCOCNALD 30GPM-12 P PUMP(MODEL N n050E ) (PER OSCAR)
EXCESS TDH 50.00 (PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM 16.11
STANDARD PUMP CONFIGURATION IS SUFFICIENT) YES
- 4/10/24
a •
1�
r
APPROVE
MAY 01 2024
'MASON COUNTY ENVIRONMENTAL HEqL7H
Jaw
) \ § \ \ §
" « ; ; ; E !: y
m / )
§ ) \ \ 0 IL \ § \
( / \ (
i / ) \ § | 7
! / { § § \ \
` ® ` \ _
� \ ( § ! ! ® y
24 - ! ! - o
/ } \ | %
« '*
A/ 2�Zo
- - - - - -
p � � �
? �
� e \� g .
§
; ,\ , ° .�
r � l
; , Ilzo
) ,1 .'o
) ! ,;!!
; i ;cc
) \\ZO
:Z.2"N
� \ \/� M.
_
, � , § _ ` ! �� § ; `,• . - , ` ; l4 � ;
!
! :
, \/ ( |)) (§ , ! ; E !
§ ; `
§ § § \) ) 2 -\ > a ! ! r
! ! ( [ M . Z .
- z � := r , (§ | :
% 0 Re
/
'yl A a b
wOt82p�A
o
Z8
,y
y 8 g
wFN
F
o m m
ytm
O> vo
0
J.
' °s sLL ONISOO
r? Qw ; m � m $ mesas
cmo
s m
2 2 � E 2 � O1 g 2 f h e m = `j � • � 4 N
K m 'u u i i Z 2 V O
m 3 n Q 0 0 � 0 j
o $ a3 $ 3 �io $ �`oB S `> SS '> '>
V
N
O
T_
�• LL
Q-----------------------------
gt _
F F �
C
9 R
� )Y �Ne' i is a-•�
r 4 3