HomeMy WebLinkAboutSWG2024-00209 - SWG Application / Design - 5/10/2024 SHELT
MASON COUNTY 475N6THELTON 60427-ON,WA98586
SHELTON:360427& 70.EXT400
4 9ELFAIR:360-275J467.EXi 400
Public Health & Human Services ELMA:3604825269,EXT 400
FAX:360427-T787
On-Site Sewage System Permit: SWG2024.00209
APPLICANT BUECHEL ET AL AARON Phone:
Address: FRANCES LJANNY SHELTON,WA 98584
OWNER BUECHEL ET AL AARON Phone:
Address: FRANCES L JANNY SHELTON,WA 98584
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98594
Site Address: 6301 W Shelton Matlock Rd
Primary Parcel Number: 420174200050
Permit Description: New SFR-3BR OSCAR X02
Permit Submitted Date: 05/1012024
Permit Issued Date: 05/23/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $805.00 (addmemlwes may m,eauire uP nwswwat msy wmF
Permit Expiration Date: 05123/2027 (based oo aawamme m�)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department sta%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 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.gov/health/environmental/onsiteloss-inspection-mquest.php or call:
360-427-9670,extension 400.
OFFICAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION
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Aaron Buechel (360) 490-5302 z
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6381 W. Shelton Matlock Rd. Shelton WA 98584 z
BDEADDRE59-STREET.cIttzw CODE '
6301 W. Shelton Matlock Rd. Shelton WA 98584 a
NAMEGF OEBIpIER PHONE I N
Dale L. Tahja (360)426-5940
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T.J. Goos (360) 490-0217 z
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THIS LI MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE tMSON COUNTY WESSfTE REVBEDIWWS
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 0 1 7 — 4 2 — 0 0 0 5 0
A design will be reviewed when 3 conies of each of the following an submitted:
v 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. ♦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.Mmimum PaPer size: 11"X 1 T"
PARCEL IDENTIFICATION
Permit Number: SWG Designer's Name: Dale Tahja
Applicant's Name: Aaron Buechel Designer's Phone Number: (300)4285940
Mailing Address: 6381 W.Sheath Matlock Rd. Designer's Address: 2450 W Deagen Rd W
Shelton WA Seem Shaton WA 985M
cityState ZipCity Suite Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biordbe ❑Sand Filter ❑Mound ❑Sand Lined Draiafield ❑Recirculating Fiber,Type:
❑Aerobic Unit Make/Model 05car X02 ❑Disinfection Unit MakelModel Other:
Drainffeld Type
❑Gravity ❑Pressure ❑Trench ❑Bed EfSub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class Oscar OS-100coils
Daily Flow:Operating Capacity 270 gpd Length 7X7 ft
Daily Flow:Design Flow 360 gpd Diameter Netafim Biollne in
Septic Tank Capacity(working) 1,000 gal Number 3
Receiving Soil Type(1-6) 4 Separation 2 ft
Receiving Soil Appi.Rate 0.6 gpd/ft' Orifices
Required Primary Area 600 ft? Total Number of Orifices 300 emitters
Designed Primary Area 600 ft, Diameter Netafm emitters in
Designed Reserve Area 600 ft' Spacing 6 in
Trench/Bed Width 20 ft Manifold
Trench/Bed Length 30 ft Schedule7Class Sch.40
Elevation Measurements length 240 it
Original Grainfield Area Slope 0 % Diameter i in
New Slope,If Altered 0 % Preferred manifold configuration used? 0 Yes 21'No
Depth of Excavation U"Ime 0 in Transport Pipe
from Original Grade gown.slope 0 in Schedule/Clam Sch.40
Designed Vertical Separation 30 in Length 5 ft
Gravelless Chambers Required? ❑Yes ld No 0 Optional Diameter 1 in
Pump Required? fid Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 412
Dill,in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 0.87 gal
Grainfield Squat Height/Selected Residual(head) ddp ft Chamber Capacity(flood) t,o00 gal
Uppermost Orifice 0 Higher 0 Lower than Pump Sbutoff Pump controls'Please check dense required
Capacity®Total Pressure Head 30 Spun hl(Timer S(Evem Counter
Calculated Total Pressure Head 50 ft If : P on oA
A r re K U cnmmems MAY 2 3 2024
AudibleNisual Alarm required IN Ed
MAY 3 2 2024 M UNTYENVIRONMENTAL HEALTH
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 0 1 7 — 4 2 — 0 0 0 5 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
lid Test hole locations V Drainfield orientation and layout Reference depth from original grade:
Ia soil logs 16 Trench/bed dimensions and Ef Septic tank
56 Property lines critical distances within layout 9 Drainfield cover
12f Existing and proposed wells ❑ D-BoxfValve box locations Reference depth from original grade
within 100 ft of property 16 Septic tank/pump chamber and restrictive strata:
1Z Measurements to cuts,banks,and locations 59 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
19 Location and orientation of 16 Cleanout location ❑ Curtain drain collector
curtain drain and all absorption aj Manifold placement 16 Sand augmentation
components 19 Orifice placement Other cross-section detail:
m Location and dimension of EdRf Observation cleanouts
primary system and reserve area to edgentral placement with distance ports/
m edge of bed Other Information
m Buildings fid Audible/visual alarm referenced Yes No
Ia Direction of slope indicator R1 Scale of drawing shown on scale Of ❑Design staked out
91 Waterlines bar ❑ ❑Recorded Notices attached
19 Roads,easements,driveways, ❑ ❑Waiver(s)attached
ping 0 ❑Pump curve attached
Id North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑Flow
DESIGN APPROVAL
The undersigned designer t be notified install r at time of installation E6 Yes ❑ No
Signature of Designer Date
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The undersigned has reviewed this design on behalf of Mason County Public Health and
compliance with state and local ite regulatio t0" 7 f10
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Health Specialist Date Sb4i
CAUTION: DESIGN APP OVAL IS VALID ONLY UNDER THE FOLLOWING CONDFF 1
✓ 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 certi iA1Pljrq ,,
unless prior authorization is obtained from Mason Co P �11 e
PPRpVE Y232024
An Installation Fee is required. umrveNl,,RONMeNTALH
This form may be scanned and available for public ty VW be.
MASON COUNTY ENVIRONMENTAL HEAL- Opdated Date.17P/@015
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OS-100 Coil Dttall:
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The OS-100 OSCAR mil contains 100 0.42 gph Netafim emitters in a 50 sq. ft. foot
print. Emitter concentration 8 2 emitters per sq. ft. Design flow for each OS-100 is
100 gpd.
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SUBMITTAL DATA SHEET
Thermoplastic
Reinforced Thermoplastic motor bracket and discharge with built-in guide bearing.This 1/2 HP pump has a stainless
steel top bearing and motor coupling.These are assembled with our A.Y.McDonald stainless steel motors.Two wire
single phase models include pump, motor,and 10'lead.
This four inch submersible issupplied with grounded leads meeting the National Electrical Code(N.E.C.)specifications.
The performance curve below will assist you in choosing the pump that meets Your needs.
MODELS E-30GPM
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300
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Fourplea 0 21 N 99 N IN /N 140 IN
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Specifications
101-30 1 V2 1 Waft 1 115 1 10.94 j 9M 73
SUBMITTAL INFORMATION
- Stainless steel pump shell and pump shaft - Powered by A,Y.McDonald submersible motors 172 HP.
- Reinforced Thermoplastic diffusers and impellers - 1114"FNPF Discharge
- Thermoplastic intake screen and cable guard
NO-LEAD:The weighted average of the wetted surface of this nD4ead product contacted by consumable water contains less than one Quarter of one
percent(0.25%)lead.
Lowrldge OnnseRy��q(�10,01 s C. Tall Free:1-877-476-8823 daveMimnidgetech.com
Oct ere,WR lgZ78 nn����, {3fA25-3335■-33�6222 1Crr oscamnsite.com
AY McDonald considers the imor�atl mean ain2 MMd! M110M lrlr i�0� , ;are mMutto dWV WOW rMice
Submitted by: MASON couNTv ENRONIUENT MAY 31 2024
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