HomeMy WebLinkAboutSWG2024-00182 - SWG Application / Design - 4/29/2024 4
MASON COUNTY 15NBTH ELTON: , 0427-97 ,rXT0 40
SHSTREE SHEL ON, EXT54
BELFAIR:360-276-4467,EXT 400
Public Health & Human Services ELMA:360482-5269.EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00182
APPLICANT EMPIRE HOME CONSTRUCTION Phone: 360-751-1745
Address: PO BOX 241 KELSO, WA 98626
OWNER FLETCHER CAROLE Phone:
Address: 4915 N WINNIFRED ST TACOMA,WA 98407
SEPTIC DESIGNER PAULAJOHNSON' Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98592
SEPTIC INSTALLER ALLAN KIRK` Phone: 360426-0574
Address: 30 E WILCHAR BLVD SHELTON,WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 320215804059
Permit Description: New 3bd ATU to pressure trench
Permit Submitted Date: 0412912024
Permit Issued Dale: 05/14/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 (additional tees may ee requires upon mswimon or system).
Permit Expiration Date: 05/06/2027 (based on date onnsceCmm
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 specked on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backlill of
system components.
5 Installer is responsible for obtaining Septic DesignenEngineer installation approval prior to
b8cidZ11 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/healthionvironmental/onsiteloss-inspection4equest.php or call:
360.427.9670,extension 400.
OFFICIAL USE ONLY
ASON COUNTY
OMMUNTTY SERVICES IT
Mk,N,n(,mMUNVH®MVEmmu WkftNW vl O
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ON-SITE SEWAGE SYSTEM APPLICATIONTr
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FHONE GO r
APAUID T 360 751-8062
Empire Home Construction ) m
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MAILING ADDRESS-STREET CT'.STATE i LP LOGE Kelso WA 96626 ^ m
P.O. BOX 241 O
NTEAD NM-GTREET CITY DP CODE Shelton WA 98584
E Lynwood Dr
PHONE
NAMEOFOGGIGHER �36O)898-2255
Arrow Septic Designs o
RICHE �
NAM E OF I NGTALLER 36O 90-314k
Mason County Excavating ( n ^'
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PERMIT IPE(® ElMMEGL05 AEEPRIVATEINDIVDU AL UPRNATETWAY U Z I—
QQ NTIAL0G5 7ICOMUNtfYOSS ®PUBLIC WATER SYSTEM I I I
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®NEWCONSTRUCTIONIUPGFAOES 51RERNRIREPLACEMENT OTHERURFACIWSEMOE 1 OTABLEILVIRER
bSURFACING BE4WGE GE%IBTING FNLVRE OSHORELINE m Io'
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WDEBICN FORM(REQUIRED) MDG�SEPTIC DESIGN(REQUIRED) SEOROOMs 36R .188Cres x l0
�WAIVERIS1(IF APPLICABLE)
OIREGIIONS TO TE AN06RE
Go out Hwy 3 and turn (R)onto E Agate Rd. Turn (R)onto E Crestview Dr.Turn(L)0nto E I+' I a
Hillcrest Dr.Turn (R) onto E Kingston Way. Destination on (R). Yellow sign: "Empire Homes o I c
-Lot 59" - I 1 m
M EFE EGRET WAGGED MW MAIN ROAD AND TEST NCLEE MU4T BE MfAEDWHMSING.ENUMEERS I (o
OFFICIAL USE ONLY BELOW THI5 LINE
L. UPGRADEIFAIWRESOVEOIIM�P"MGIsu�)
�VCLUNTARY ❑MAINTENANCEIPDMPING OBUILDINGPERMIT OIIOMESALE OOOMPWW ❑OTHER:
CONMFMB�LWOITIONS
IN6PECTOR SdLIOGE
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$W.000ES. REQUIRED FOR FINALAFPflOVAL `\
V=VERY G-GRAVELLY S•GAND L-IOGAN 9=SILT C=C4Y Eap%TRFMELV R=RWT$ AFFQLATIGIAPPROVEGISSUEOMV DATE
INGpECTOR&C-01ATWE DATE AFPLIfATION EVTPATION TE
'Y•\ ' REVI$EO tN'.'A
THIS FOTEM MAY BE NE)AND AVAILABLE FOR PUBLIC VMW ON THE MASON COIMttVRMSRE -
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 — 5 8 — 0 4 0 5 9
A design will be reviewed when 3 copies of each of the following are submitted:
a 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 may be scanned and available for public view on the Mason County Web site..Maximum papersize: 11"X17"
�n u lP-AARCELIDENTIFICATION
Permit N 1OZumber: SWG ofT)7 Designer's Name: Arrow Septic Designs, Inc
Applicant's Name: Empire Home Construction Designer's Phone Number: (360)898-2255
P.O. Box 247 171 E Vtmcrest Dr
Mailing Address: Designer's Address:
Kelso WA SU26 Union, WA 9MW
Cit State Zip Cit State Zip
DESIGN:PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Send Film, ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
�/
m Aereble Unit Mainevadcl NuWas9r BNR-5W O Disinfection Unit MekelModcl Other:
Drainfield Type
0 Gravity efPressure R(Treneh ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 SchedWe/Claas 40
Daily Flow:Operating Capacity 270 gpd Length 50 IT
Daily Flow:Design Flow 360 gpd. . Diameter 1.25 in
Septic Tank Capacity(working) Nu Water BNR-600 gal Number 4
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl.Rate 0.6 gpd/fe Orifices
Required Primary Aces 600 Flaotal Number of Orifices 40
Designed Primary Area 600 ft, Diameter 3/16 in
Designed Reserve Area 600 ftt Spacing 60 in
TrenchBed Width 3 ft Manifold
Trench/Bed Length 200 It Schedule/Class 40
Elevation Measurements Length header ft
Original Drainfield Area Slope 3 % Diameter 1.25 in
New Slope,If Altered 3 % Preferred manifold configuration used? R(Yes ONo
Depthof Excavmion UPslore 12 in Transport Pipe
from Original Grade ps..,lope i t in Schedule/Class 40
Designed Vertical Separation 12+ in Length 40 It
Gmvelless Chambers Required? ❑Yes ONo 1190ptional Diameter 2 in
Pump Required? Id Yes 17 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdosesrday 4
Diff.in Elevation Berween Pump&Uppermost Orifice B ft Dore quantity 90 gal
Dminfleld Squirt Heighf/Selmc dRwidual(head) 2 R Camber Capacity(flood) t,Wp gal
Uppermost Orifice g(Higher ❑Lower than Pump Shutoff ump controls:Please check those required.
Capacity Q Total Pressure Head 23.6 gym EfTimer GdElapse Meter RrEvent Counter
Calculated I Total Pressure Heed 11.71 ft If Timer: Paragon 2 minutes pump off 6 boors
Comments APPROVED
MAY 14 20A
,VpuTo MASON COUNTY ENVIRONMENTAL HEALTH
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 1 — 5 5 — 0 4 0 5 0
Permit Number: SWG
DESIGN CHECKLISTS
Mpropmed
t Plan Scaled Layout Sketch Cross-Section Sketch
e locations 19 Drainfield orientation and layout Reference depth from original grade:
s Rf Trench/bed dimensions and 51 Septic tank
y lines critical distances within layout IZ Drainfield cover
Ed D-Box/Valve box locations Reference depth from original grade
and proposed wells Septic tank/pump chamber and restrictive strata:
100 ft of property Pements to cuts,banks,and locations � Laterals,trenched,top and
surface water and critical areas 0 Observation port location ❑ bottom
drain collector
❑ Location and orientation of E6 Cleantim location ❑ Sand augmentation
curtain drain and all absorption 56 Manifold placement
components Orifice placement Other cross-section detail:
Rf Observation parts/cleanouts
III Location and dimension of
E6 Lateral placement with distance
primary system and reserve area to edge of bed Other Information
m Buildings R1 Audible/vis referenced Yes No
it Direction of slope indicator E6 Scale of d on scale E6 ❑ Design staked out
R1 Waterlines bar ❑ 9 Recorded Notices attached
Id Roads,easements,driveways,
y. ❑ fie{waiver(s)attached
Parking , r' �, 0 ❑ Pump curve attached
❑ fii(Evaluation of failure
Id North arrow and scale drawing
51 oJt 9. Non-residential justification
shown on scale bar I
PAULA JOY JOMNaON't ❑ 9f Waste strength
p
❑ Rf Flow
DESIGN APPROVAL
The undersigned designer must b inst 11 at time of installation t�Yes ❑ No
04 411�'t `- `f -I,s z�
Signature of Designer 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:
0 iW�,Y/ Y✓1/1 1
Environmental Heap 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:
✓ Drainfield site conditions have not been altered to adversely affect conditions ofilesign 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: 17172015
i
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APPROVED j
MAY 14 2024
MASON COUNTY ENVIRONMENTAL HEALTH '0E
RET
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MAY 14 2024
km MASON COUNTY ENVIRONMENTAL H
OAlldio-visual AlWtO RET. ,
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O2 Cleanout
Or ontiy necdzd P L.' .
a00 Ga/io^? e-T*ash tars
j NCOd�D
PAVLA JOY JOMN60NIN •.
O4 NuWater BNR-500 ATU Tars
C 1,000 Gaieor?gyp Chamber
O6 Valve Control Box
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APPROVE®
MAY 14 2024
MASON COUNTY ENVIRONMENTAL NEALTh
RET 36
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Vt DETAIL PVC PA 4m<b91 'W IN blto 8ded
r•r vsra pQT dada amput 4m am- -mbee m
ObSaYLbOb pbKpgla GlbeTmhamm.
NOTE, CLEANODT TO BE FROM 0 TO 6 aopipe=Ybermoved.
IN'CEZ5 BELOW PIVXSEED GRADE. W.cf¢ in CAME.a mdofetlttm
MARK ENDS WITH RED". CLEAR ODT Imx k=wbc=mwmdmamdc
REQIIT_RED AT E= OF EACH LATERAL• .
4 1r
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
2 600 50 60 10 30 �
3 600 50 60 10 30
4 600 50 60 10 30 30
Total Lateral Length 200
Total#Orifices 40 GPM= 23.6
Dynamic Head calculations
Selected residual pressure: 2 ft.
Length(Ft) #Orifices
Transport Pipe 40 40 0.40 ft.
Feeder Total
Lateral Line Length
Lateral#1 50 2 52 10 0.29 fl.
Lateral#2 50 7 57 10 0.31 ft.
Lateral#3 50 12 62 10 0.34 ft.
Lateral#4 50 -17 67 10 0.37 ft.
Total Elevation Lift 8.00 ft.
Total Dynamic Head APPROVED 11.71 ft.
MAY 14 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
swim LW Wr1H GASTIGHT SEAL THREAGEG umbH
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Septic Tanks must meet standards required by WAC chapter 24�6-272C and FIGURE.2`
manufacturer must be on Dept of Health list of registered sewage tanks.
S
WA rww P.Mic Lion#337-022 Page 35 of65 7
Brame comtruaion available(239 series)
ems` High head verrion available(145 mries)
• Double shaft seat versionsavailabie fminided protection
on models 140/145.
Flow-Mate Formorc infonnatioM me Techniml Data Sheets FM2782 FM2783.
In high head dewatenng or effluent
applications where pumping .I aavNuoeayse
performance is critical, this robust
familyofpumpsislmownforreliability, i
durability and performance. These l
pumps are especially suited for harsh
emrironmerns.ZmrLLWs cool von design
and corrosiemresistam,powder coated
epoxy finish add up to a tong-lasting,
troubLe-free product.
MPLICATION9: �. a
STEP or.mite applications
• Watertransfer 6•
• Light commercial dewananng
SPECIFICATIONS:
1-1/2-NPT discharge sslayyyat�aaAppp���E�������rIII���-IIOss�a��A
• 112 HP through l HP
Available in auromatic or nonautomatic OOOMMMIIIWWW III',LLLLLLIII�IN��IIISSSIII
Model 137,139,140:1/2-(12 mm)spherial solids a
apae ty with von"impeller
• Model 145:3/4•(19 mm)spherical solids capacity with
vcnexinnim"r
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f PUMP PENFO M 10E CURVE
�• MODE 161 61/153
Dose-MatevK RWI`1ALE14 N
This is ourfastestgrowing line of effluent N w '
pumps.The 150 series is truly a workhorse M
designed for reliability under extreme 12
conditions in an effluent environment. Is
250series pump curves cover a wide range c 'N
of applications. They are well suited to N ro
applications with low pressure pipe(LPP) b e sS isi
and enhanced flow STEP systems.Zoeller's y
cool von design and corrosion-resistant r a�
powder coated epoxy finish. in addition
to the hermetically sealed.oft-filled motor rs
and non-clogging vortex impelLer add up w
a long-tasting,trouble-free product. 10
MPIJCATION9:
STEP or onsite appLicadom MLADEUMMIEUSA ° to w ao N m N N
• Light commerciaLdewatering figgIIMII08OII111 GILIONS
u�r ere-1/2- lox9: FF
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• 1-1/2•NPT discharge
• 3110 HP through 112 HP MAY 14 2024
Available in nonautomatic or with a variable level
piggyback mechaniaL swmh MASON COUNTY ENVIRONMENTAL HEALTH
112"(12 mm)spherical solids capacity with vortex RET
thermoplastic impeller
For more information,see Technical Data Sheet FM2784.
m AUrighareserved. ZOELLERPUMPCO. 1502-nS-2T311 800.928-7867I oelbrrpuralmom 9
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MAY 14 2024
MASON COUNTY ENVIRONMENTALHEALT� ; yqa s
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FLOOD WACnY:�9r aALLONs FLOOD WACRY:OBa GPLL°NS 1lOGNLONS
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APPROVED
MAY 14 2024 DIFPgs3Ra TMK r
PAPPLATO TANK WALL p
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fit
iSiN'ER
MNE.FREE NAIVE 8011
ORG PAOTED SAND
OVER STONY SOIL
INBTALIATN]N dBTRUCB0N8
1)Excavate Wnk hole with venicel wa9a W i fGol larger Than
rank on all apes.
2)RD rn of We is"y.install a•of romped Sena&level '�— sS
W)3IrsnIl
vuaWes. osMer of hde,kwpingl8 void sparo Dn r-------'r----- —,
p.Rgiarve) xxoam
4)As tank is filling w water,w1 in v space w romped I 1Y Tppd
gnnular(sanay)Sailhef oi large erlmpsofplena I it Ul
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E)Inular test of s l f rre&flare risers W ed day.wiN i I I i i 1
6)Perform as tertigh 1
6)Perform watertightness lest in field as requires DY lapl I I I
)Unsa a l it RlsHl
])tjs approval W badaill,carefulty bggtfill with nairve
soils over tap of tank. I TRa3waue� i I rc�ESiEB I IGe6�
8)Final gnaw the surface W awW chenHling surfaro L_ _-----L— _ ------ _--�
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AEROBIC TREATMENT TANK DETAIL FOR
NUWATER BNR-500 TREATMENT UNIT
ENVIRO-FLO, INC. "SE° 3/01/12
P Oa BOX 3211661 Fio .M5 2 1" - 1.4 ft.
(877)836-8476 ,,, 1 ,nat 161ax
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PARTS UST NuWater NR Assembly Diagram
A DUAL PORTAFRATOR W POLY DIFFUSER SAR a,
S.SR'RNSSER WWI Ct PS 12) N.1`PN(312 SECTION)
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E r BR .X 1 I N"9USMNG I3) D.1 Y PVC PIPE(BY INSTALLERI
F.lZWELSCANM R,VP PIPE(BYINSTALLER) MAY 14 2024
S. M' PIPE(BYINSTALLER) /�
W'ELSOBOOW(B) T.Ire�BAnBEO ADAProR TD VVIAA6gN COUNTY ENVIRCNMEN LHEA �l7\Vp
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TION&MA1nt'fENANCE .1.
Pressure Drstnbuhoa Systems ,,;Y,,, 1'.;�:Q
� PAULA JOY JOMNSON.?y
1 Install Laterals with contour of the ground
2. install trench bottoms level.
3. Install locator tape or rebar at each end of all drainfield laterals.
4 Install observation ports as indicated on the plot plan. One required at distal end of each
lateral in drainfield with bottom extending to the draimock/native soil interface. Glue
`"I^to bottom so Observation Port cannotbe veasily removed from ground. Install
removable capon top of dry
weather
it conditions; any soil smearing must be
5. Install drainfield during dry
eliminated by hand raking.
6. Install threaded clean-outs at the end of all laterals(cap must extend to within six inches
of finished grade and be marked with locator tape or rebar).
7 Install audio/visual high water level alarm. Redundant Off switch not required.
8. Install check valve in pump outlet line to prevent system from draining back into the
pump chamber.
9. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock.
Install laterals to the manifold with the orifices at 12 o'clock,(do not glue),after pressure
test and Environmental Health Dept. approval,turn orifices down(6 o'clock)and glue
laterals to manifold Orifice shields may be used with orifices in the 12 o'clock position
in lieu of turning the orifices down to the 6 o'clock position.
10.Filter fabric required over drain rock prior to back filling. if the drain rock extends above
natural grade,run the filter fabric at least 2 inches down the trench wall.
11.Encase all water lines within 10' of drainfield and under any driveway/parking areas.
12. Divert all storm water runoff away from on-site sewage system
13.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area.
14.No vehicular traffic over drainfield area
IS.Inspect floats,clean filters,and test high water level alarm every 6-12 months as needed.
16.All materials and workmanship must meet County and State regulations.
17. Deviation from this design without prior approval from the Designer and Mason County
Environmental Health Department will make this design null and void
18.All manhole lids and access, sampling or inspection ports must have locking covers and
be located at ground level.
19.All pressure systems with a pump chamber outlet higher than the drainfield must have a
1/8"hole drilled in the discharge pipe above the pump to prevent siphoning.
20.All transport lines under driveways or parking areas must be encased to prevent crushing.
21.Homeowner is responsible for all property lines. installer to
22. Please Note: When you begin using Your septic system,contact your septic
discuss setting up a schedule for your required Operation&Maintenance on your
NuWater pretreatment system.
APPROVED
MAY 14 2024
lvO� �p MASON COUNTY ENVIRONMENTAL HEALTH
RET