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HomeMy WebLinkAboutSWG2024-00160 - SWG Application / Design - 4/17/2024 594 MASON COUNTY 415N6THON:STREET,60 ELTO70,EXT 400 $HELTOR:360-227-4467,EXT 400 BELFAIR:360-275J467,EXT 400 Public Health & Human Services ELMA:360482-5269.EXT 400 FAX:W0427-7787 On-Site Sewage System Permit: SWG2024-00160 APPLICANT WEEKS CHRISTOPHER T&CHERYL A Phone: Address: 17615 24TH ST NW LAKEBAY,WA 98349 OWNER WEEKS CHRISTOPHER T&CHERYL A Phone: Address: 17615 24TH ST NW LAKEBAY,WA 98349 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address: PO Box 162 OLYMPIA,WA 98507 Site Address: 40 N Bass PI Primary Parcel Number: 422165300028 Permit Description: New SFR-2BR Oscar X02 Permit Submitted Dale: 04/17/2024 Permit Issued Date: 05/01/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 (additional fees may be ra9ulred upon lnsfaraton of syae,nl. Permit Expiration Date: 04117/2027 (based on dale of lnspeolbn) 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 Drainffeld installation not to exceed designed upsiope 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/environmentallonsite/oss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ON MASON COUNTY PUBLIC HEALTH ONSITE SEWAGE SYSTEM APPLICATION AMW LE R E o N 41SN6th Svmt(Bldg8) Shetton^98584 +/' ShelmD:360437-9670ext40B Belhir.36P375i467 eM 40B SWG � _ O w O 7 YYV O 0 2 N Z D APPUCANT PHg1E D CHRISTOPHER WEEKS 7604194550 m m r MAILING nrcoDE 17615 24TH ST NW LAKEBAY WA 98349 s SITE ADORE SS.STREET.CRY.BP CODE 40 N BASS PL HOODSPORT WA 98548 a NAME OF DESIGNER PHONE Iy ADAM HUNTER 3607531226 (� NAME OF INSTALLER P1gNE IJ'� ROYAL FLUSH CHECKNLAPP.ICABLETTEMS DRINKING WATER SOURCE Ef NEWCCNSTRUCTON [3 RV HOLDING TANK ONLY 13 PRIVATE INDIVIDUAL WELL W h [3 REPLACEMENTSYSTEM [3 INSTALLATIONPERMRONLY [3 PRNATETWO�FARTYWELL 2 [3 TABLE R REPAIR [3 SINGLE FAMILY Ef COMMUNITYIFIIBUC WATER SYSTEM I� Q TANKS)ONLY [3 COMMERCIAL SYSTEMNAME uxE UBxwx 13 UPGRADETOEKISTING O OTHER: BEDROOMS LOT SIZE h1 E3 DUSTING FAILURE w 2 0.2 W IUJ DIRECTIONS TO SIDE-BE SFECIFIC AND ADVICE OF ANV NEEDED INFORMATION FOR ACCESS(ecb gale) n CUSHMAN POTLATCH TO A LEFT ON RAINBOW TO A RIGHT ON BASS PL TO SITE ON x THE RIGHT. I Id r h 024 ° �•J 19) 9lIEMUSTBEfL1GGEDFROY W%NROADANO TESTROE UUSTBEMOOEU NITH TEST MGLEN`BE I I� OFFICIAL USE ONLY BELOW THIS LINE WGRAOE IFAILURE SOURCE ITa�epxune vMoe«el OVOLUNTARY 13MAINTENARCEIPUMPING E3BUILDINGPERMIT OHOMESALE []COMPLAINT [)OTHER: INSPECTORSOILLOGS COMMEWSICCNDRIGNS I ( 5(✓ /� t �) iq BOLCODEE: V=VERY G=GRAVELLY S•SAND L•LOAM 91=SILT O•CLAY E•EMEMELY R•ROOTC IN C R IGNATURE RITE MPLILATION E%PIRATICN MIE PR TIm APPRO.BY DATE T SF AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBER REVISED1N12015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: `4 aa1� -- -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 I Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web site.Maximum paper sue: 11"X 17" PARCEL IDENTIFICATION Peril Number: SWG Designer's Name: ADAM HUNTER Applicant's Name: CHRISTOPHER WEEKS Desi Designer's Phone Number: 360-753-1226 1761524TH ST NW PO BOX 162 Mailing Address: Designer's Address: LAKEBAY WA 98349 OLYMPIA WA 98507 City State Zip city Stale zip _ DESIGN PARAMETERS Treatment Device ❑Glendon Blofilter ❑Sand Filter ❑Mound ❑Sand Lined Dramfield ❑Recirculating Filter,Type: IStAerobic Unit Make/Model X02 ❑Disinfection Unit Make/Model Other: Drainfteld Type OSCAR X02 ❑Gravity ❑Pressure ❑Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class PER OSCAR Daily Flow:Operating Capacity 180 gpd Length PER OSCAR $ Daily Flow: Design Flow 240 gpd Diameter PER OSCAR in Septic Tank Capacity 1000 gal Number PER OSCAR Receiving Soil Type(1-6) 4 Separation PER OSCAR ft Receiving Soil Appl.Rate 0.6 gpd/H2 Orifices Required Primary Area 400 ftr Total Number of Orifices PER OSCAR Designed Primary Area 400 ftz Diameter PER OSCAR in Designed Reserve Area 400 Rl Spacing PER OSCAR in Trench/Bed Width 17.03 Manifold Trench/Bed Length 23.5 SMch�l�lags 40 Elevation Measurements 41430NC rKe♦� I)/� 20 ft Original Drainfield Area Slope 0 ova OVNT is `e!/? 1 in New Slope,If Altered 0 % Pienaf menif guration used? O Yes 13 No Depth of Excavation UP�10ec . NIA in &V 4Tq?hpq/_ Transport Pipe from Original Grade pownslopc N/A in Schedule/Class 40 Designed Vertical Separation 12 in Length 50 ft Grovelless Chambers Required? ❑Yes 12fNo 0Optional Diameter 1 in Pump Required? R(Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 360 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.667 gal Orifice it Chamber Capacity 1000 gal Uppermost Orifice ldHigher 0 Lower than Pump Shutoff Pump controls:Please check those required. ,y Capacity @ Total Pressure Head 12 gpm Timer 9Elapse Meter or Event Counter Calculated Total Pressure Head 14.254 It If Timer: Pump on 30 ,Pump off 3MIN 30SEC Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: ' 2.1 b — 3 -- o ll Il-a$ Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Rf Test hole locations 11 Drainfield orientation and layout Reference depth from original grade: E9 Soil logs 19 Trench/bed dimensions and Ef Septic tank 19 Property lines critical distances within layout [7 Drainfreld cover 19 Existing and proposed wells Rr D-Box[Valve box locations Reference depth from original grade within 100 ft of property Ef Septic tank/pump chamber and restrictive strata: 13 Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas EX Observation port location bottom lZ Location and orientation of 17 Clean-out location ❑ Curtain drain collector curtain drain and all absorption f f Manifold placement ❑ Sand augmentation components 91 orifice placement other cross-section detail: 99 Location and dimension of R( Lateral placement with distance Ed Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 9 Buildings lr Audible/visual alarm referenced Yes No li! Direction of slope indicator Scale of )iWuhown on scale R( ❑ Design staked out [f Waterlines bar . R O ❑ ❑Recorded Notices attached 19 Roads,easements,driveways, w " ❑ ❑Waiver(s)attached parking MA p N ❑ ❑ Pump curve attached E9 North arrow and scale drawing .,.SON COUNTY 12024 2Q- ❑ ❑ Evaluation of failure RGh Jjs shown on scale bar fNVIy11EVT,, Non-residential justification ❑ El Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer usPmg,on staller at time of installation Yes ❑ No 4/16/24 eignerDate The undersigned has reviewdhalf of Mason County Public Health and determined it to be in compliance with state and local 0 regulations: ErPfiroitficatal Health Specialist Date CAUTION: DESIGN APPROVAL 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: ✓ D rainfield 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 Date: 12/7/2015 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE* PARCEL M 422165300028 DATE SUBMITTED:411WO24 LEGALILOT M LAKE CUSHMAN #16 TR28 SUBMITTED BY: ADAM HUNTER Illlr` APPLICANT: SCOTT COWAN ADDRESS: I.CALCULATIONS NUMBER OFBEDROOMS= 3 RESIDENTIAL GPD FLOW= 380 IF NONRESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= OA GPVFT2 REDUCTION=U,A eSMNNIFNO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 900 FT2 TRENCH LENGTH OR BED CONFIG.= 4V X 2O PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE- 100DGAL-X02 TANK NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION SAND DEPTH= 0'-6. W.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 50.00 1.00 12.000 3b772 RETURN 50.00 1.00 12.000 3.8TT2 TOTAL 7.7543 TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 7.754 2)ELEVATION DIFFERENCE 8.600 TOTAL 14.254 4„6,24 PPROVE `.� MAY 01 2024 X, MASON CO ONTYENVIRON1IE,VTA, F;EpLir yf`e Jaw 24. V.CHECK THE PUMP CAPACRY. PUMP. AN,MLp LD WGPM-IYHP PUMP PMODEL#] OEL ) (PER OSCAR) EXCESS TDH 50.00 (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM 14.25 STANDARD PUMP CONFIGURATION IS SUFFICIENT) YES 4/16/24 �T 24 APPROVE MAY 0 12024 MASON COUNTY ENVIRONMENTAL HEALTH J13W i /. . , ( . § § § \ % { & $ \ \ ƒ « y / o c 0 � . . � ( § § ! OC s § m ) * \ \ MM ) E _ } ` § z \ ! ,i■l,§© e MAIV / S , ,/| \\ �t&§ rmmR(§) M; & /\ ! \/ ) -.)) i( ! / ( )§ ). (= |§ !z 4§`§SHM ` § ! ; ; ! ; | - §§§ � ( ) ® � ( ) ) ( | ; | ° ;f ! 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