HomeMy WebLinkAboutSWG2024-00168 - SWG Application / Design - 4/24/2024 584
MASON COUNTY 415N6THELTON:STREET,SHELTON.
70,EXr 400
SHELTON:360-2755670,ENT 400
BELFAIR:380-2]5-0467,ENT 400
Public Health & Human Services ELMA:360-4825269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00168
APPLICANT HOOD RENTALS LLC Phone:
Address: 905 HARRINGTON AVE NE N405 RENTON,WA 98056
OWNER HOOD RENTALS LLC Phone:
Address: 905 HARRINGTON AVE NE N405 RENTON,WA 98056
SEPTIC DESIGNER MICAH HALVERSON" Phone: 360-490-6365
Address: PO BOX 1519 SHELTON, WA 98584
SEPTIC INSTALLER LOGAN SPEAR' Phone: 360427-4440
Address: 2000 W SHELTON VALLEY RD SHELTON, WA 98584
Site Address: 27051 N US HIGHWAY 101
Primary Parcel Number: 323312490010
Permit Description: Tidewater RV Park System A for 13 RVS
Permit Submitted Date: 04124/2024
Permit Issued Date: 0510112024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $3,405.00 (additional fees may be m9ured upon Installation of system)
Permit Expiration Date: 03/08/2025 (based on data mlasyacuon)
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 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.
7 RVs and sewer transport line must be removed from 100'Group A sanitary control area
prior to final
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/healthienvironmental/onsite/oss-inspection-request.php or call:
360427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY W a
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ON-SITE SEWAGE SYSTEM APPLICATION 3 'n
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APPLICRNT PHONE m �
Hood Rentals LLC c
MAILING ADDRESS-STREET,CITY,STATE,ZIP CO.'
15914 148TH Ave NE Woodinville We 98072 m
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27041 N HWY 101 Hoodsport We 98548 haw W
NAME OF DES`CHER PHONE
Micah Halverson 360-490-6365 N 1O N
NWE OF INSTALLER PHONE
Logan Spear 360-239-1541 c IW wry
PERMLL E(WeYaeJ DRINxWGNMTEASOURCE
l7 RESIDENTUL DES ECOMMUNIWOSS MCOMMERCIALOSS IT PRNATE INDIVIDUAL WELL l7 PRWTE WIO-PARTY WELL S
TYPE OF NORK(wxtwMl Cr PUBLIC WATER SYSTEM I I 1
6NEWCONSTRUCTION/UPGRADES ITREPAIRIREPIACEMENT OTHER DETALS pa4AYYtlW eppy) OTABLE D REPAIR � ..\
SUBMITTALS O SURFACING SEWNGE EXISTING FAILURE ❑SHORELINE BAl 1 '
DESIGN FORM(REQUIRED) JffSEPTIC DESIGN(REQUIRED) BEDROOMS LOTSRE r
ff MIVER(S)(IFAPPUCASLE) 13 RV 3.34AC Dombined n
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OIRECTIONBTO SIIEPND SRE LONDrtgNB:(u.kHnf Lals)
Meet with Rhonda 3/8/2024 Q G p
System "A" application o �—
SIZE MbrBEHABOIC IWOMYM'l1OAD AItl iFSrNOL®M18rEFlAOO®N1IM rE3rxgF MIB918 I 1— /Q.O
OFFICIAL USE ONLY BELOW THIS LINE
UPGPACE/FPLURE S W RCF(la�ePVSRJ pnPaex)
OVOLUNTARY [3MAINIENANCEIPUMPING oBUILDINGPERMR OHOLIESALE ❑COMPLAINT BOTHER:
INSPECTURSORLOGS COMMENTS I CONDRIONS
ay�
SCR C00ES. RECORD DRAW NGNIOIxsTALunox REPORr
V-VERY G:GRAVELLY S=&WD L�LOAM N-SILT C=CUY E-EXTREMELY R=ROOTS REOUIREDFORFINALAPPRUVAL
INSPECTOR SIGNATURE GTE MPLIGTI PM71ON APRIGTxNIAPPROVED ISSUED BY DATE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY YVESSRE REVISEDIW=15
g2 33 1 ZC{ q 00 t0
DESIGN FORM—PAGE ONE Assessor's Parcel Number:2 Z,3_,I 1 -- Z 3 — y OL O_?
A design will be reviewed when 3 copies of each of the following are submitted: 3 2 3 3 f Z 3 9 0 I C) Ci
•Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items our checklist
•Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist.
This form in be scanned and available for rbik view on the Mown County Web site.Maximum paper size: 71"X 17"
b: ' : ' 9: . . - .- "^�+5?a -'`may "ENTIFICATION
Permit Number: SWG 7./Z_1—oDILB Designer's Name: Micah Halverson
Applicant's Name: Hood Rentals LLC Designers Phone Number: 360-490.6365
Mailing Address: 15914148th Ave NE Designer's Address: PO Box 1519
Wondrous we 98072 Shelton Wa 985
city State Zi City State Zip
_ DESIGN PARAMETERS
Treatment Device
❑Glendon Bimilux 0 Said Filter ❑Mound ❑Sand Lined Grainfield ❑Recirculating Filter,Type:
WAembic Unit MakelModel NuWater BNR-1010 Dishtfe<don Unit Make/Model Other.
Drainfield Type
❑Gravity 6l(Premium G(Trench Cl Bed ❑Sub Surface Drip
Septic Tmh/Drainfield Specifications 11�) Laterals
NumberofBedrooms 13 RV 'Q� � Schedule/Class 40
Daily Flow:Operating Capacity 960 Slid Length 56 ft
Daily now:Design Flow 1000 gpd ✓ Diameter 1 1/4 in
Septic Tank Capacity(working) 2383 gal Number 8 V
Receiving Soil Type(1-6) 3 Separation 5 - 6 ft
Receiving Soil Appl.Rate .8 gpd/fta Orifices
Required Primary Alta 1250 f/ Total Number of Orifices 88
Designed Primary Area 1344 ft' iameter 1/8 in
Designed Reserve Area N/A ft, Spacing 60 in
Trench/Bed Width 3 ft Manifold
TrenchBed Length 448 ft ✓ schedule/Class 40
Elevation Measurements Length 40 ft
Original Dminfield Area Slope level % Diameter 2112 in
New Slope,If Altered % Preferred manifold configuration used? 0 Yes fi6No
Depth of Excavation Urslolx 36 Max in ✓ Transport Pipe
from Original Grade Down-slops 36 in Schedule/Class 40
Designed vertical Separation 31 in Length 200' max ft
Gravelless Chambers Required? ❑Yes 16 No O Optional Diameter 2 in
Pump Required? 111 Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number of ilms/day 8 ,✓
Diff.in Elevation Between Pmnp&Uppermost Orifice 122 ft Dose quantity 120 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 2765+351 gal
Uppermost Orifice Id Higher ❑Lower than Pump Shamir Pump controls:Please check those required
Capacity @ Total Pressure Head 41.6 spur EfTimer 4Elapse Meter GlEvent Counter
Calculated Total Pressure Head 26.4 ft If Timer: Pump on TBD Pump off 3 His
Comments
Pre-construction meeting required with designer.
(System °A" Design Form)
'DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 3 3 1 -- _Z 3 -- 9 Q t Q 8'
Permit Nmmber: SWc 3Z Z3 - Ol O 9
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R Test hole locations I Drainfield orientation and layout Reference depth from original grade:
1111 Soil logs JA Trenchlbed dimensions and Septic tank
Id Property lines critical distances within layout Drainfield cover
Existingandproposed wells D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property Septic tank/pump chamber and restrictive strata:
01 Measurements to cuts,banks,and locations
surface water and critical areas Observation port location Laterals,trench bed,top and
Location and orientation of &L Clean-out location "Cx,s 1,„y" ❑ Gurtaia4km t-eeNector
curtain drain and all absorption EL Manifold placement ❑ 1uT"
components
& Orifice placement Other cross-section detail:
IL Location and dimension of R� Lateral placement with distance I, Observation ports/clean-outs
primary system a � to edge of bed
Buildings Other Information
Audible/visual alarm referenced Yes No
f!3„ Direction of slope indicator fif Scale of drawing shown on scale ❑ &Design staked out
❑ Waterlines "Es. —b bar Cit ❑Recorded Notices attached
Roads,easements,driveways, ❑ ig Waiver(s)attached
parking El ❑Pump curve attached
North arrow,and scale drawing ❑ 5(Evaluation of failure
shown on scale bar Non-residential justification
❑ E-Waste strength
❑ Flow
DESIGN APPROVAL
The undersigned designer must otified by installer at time of installation OkYes ❑ No
y�z y/2azy
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:
",'-M S 1Z`f
Environmental Health Sp cialist 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 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: 12/72015
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27041 N HWY 101 32331-23-90109 C
84 15914 1481h Ave NE Sy stem „A' 32331-24-90010
PO Box 1519 Shelton We 985 V
Woodinville,We 98072 a1ON"
Halversondesi nllc outlook.com