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HomeMy WebLinkAboutSWG2024-00203 - SWG Application / Design - 5/7/2024 MASON COUNTY 415NBTHELTON:STREET,SHELTON. ,EXT 404 SHELTON:360-427-9870,EXT 400 BELFAIR:380-275-4467,E%T 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00203 APPLICANT JERRELLS JUSTIN &TARA Phone: Address: P O BOX 1933 SHELTON, WA 98594 OWNER JERRELLS JUSTIN &TARA Phone: Address: P O BOX 1933 SHELTON,WA 98584 SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360426-5940 Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584 SEPTIC INSTALLER TJ GODS` Phone: 360490-0217 Address: 150 E MARISA PL SHELTON,WA 98584 Site Address: 70 N KINGSWAY SOUTH Primary Parcel Number: 422165200088 Peril Description: New 2bd Oscar II Permit Submitted Date: 05/07/2024 Peril Issued Date: 05/16/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be mcmred boon Installation a system). Perit Expiration Date: 05/1012027 (based an data onn.P von) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department statill 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 Dramileld 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 backfil/of system components. 5 Installer is responsible for obtaining Septic DesignerlEngineer 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/onsite/oss-inspection-request.php or call: 360.427-9670,extension 400. OFFICIAL USE ONLY ® MASON COUNTY 5 _1 - 2 c ). COMMUNITY SERVICES - m FIWFMWU(CommunEy HesRN�nvNonmeMal HechN � mmtem.wnYaxrsusr.r 0 Nm swG LP g ON-SITE SEWAGE SYSTEM APPLICATION a APPIIL.N! AaIE m Tara & Jay Jerrells (360)507-3328 i µgILINOADDRE66-6TREE,C STATE➢PCODE C P.O. Box 1933 Shelton WA 98584 n a SOE ADORFW-6TNEEf.CV.➢P CODE � .. 70 N. Kings Way Hoodsport WA 98548 0� +' NAME OF DEMI M PHDNE Dale L. Tahja (360) 426-5940 N NV.IEaF INsrPLER PNDNE I N T.J. Goos (360) 49"217 _< FENIMIYF£(w4cf w) c�T� gtIHpN3 NMTER SOURCE to ®RESIDENTIALOSS LDCOMMUNIWY 50OMMEROALOW 5PRWATEINDIWDUALWEU- dPRIIMTETWTY w%MELL Z I� ttRE DF'MIftR(NMbgj M PUBLC MMTER SYSTEM LM•LWnai WMR J JENEW CONSTRUCTN)N/UPGRADES EUREPVR/REPLACEMENT oT1ER DETAae(aY4YINferpy) OTABLEIX REPAIR N I(Jq 6URpM� $ OSURFACINGSEWAIE OEXIBTIN MULIRE 13SHOREUNE DESIGN FORM(REQUIRED) ® m SEPTIC DESIGN(REQUIRED) SEDROOM6 LOT6� GW IN LyiY R(S)QFAPPUCABLE) 2 D.19 acre n OIRECTICNBT S6MDS CONDMONS'.(u.4p , I � Go to Hoodsport, left onto Lake Cushman Rd., right onto Podach-Hoodsport Rd., left onto 10 Rainbow Way, right onto Chinook Dr., left onto Kings Way, property on right side of o o cul da-sac. -1 CO 100 m BRE Ru6TBEFUGBFO RgOBMAW/MAOAMO TEsrNOIESNMEFBE/vneam RlllFlHIIADIewAMBFt - IO] OFFICIAL USE ONLY BELOWTHIS LINE IRGR W E I FAILLIRE SOURCE Ra npoll,q pu(a�) DV UNTARY DMAINTEWIN UMFINO OBUILDINGPERMIT OHOMESALE OCOMPLNIV []OTHER: INSPEC�TO'RRSOOK.LO(X LCAMENI$/LWOITpIA (fit : oZyC�stzu� � � � � d � At MAY 0 7 2024 D `aF �''%••:� A W Lb"r �I BY N� :3 SOILOODINk RECIXiDOMNINGANp INBFKunaNREPCRT V=VERY G-GRAVELLY 6=44M L-MMI R-SILT C=CUY E=ENTREMELY R-ROOIB REWIREDFORFINALAPPRDWL M6PECTOR BMNANREm WTE APPLIGT�IMFIRAT� TE A DATE LIQNTONAPFV DII66U ld (b jz THIBFORM MAYBE MAJNEDANDAWLAIM MR PUBLIC VIEWONTHE MASON COUNWWEBBITE gEV18m 1L/DFfi DESIGN FORM-PAGE ONE Assessor's Parcel Number: 4 2 2 1 6 — 5 2 — 0 0 0 8 8 A design will be reviewed when 3 com"of each of the following are submitted: •Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,including all applicable items on checklist 0 Crass-section sketch,including all applicable items on checklist. This form mair be ammuld and available for ink daw ou the Maann Mob aim.Mcrmrun r size 11 'X 17" Permit Number: SWG� 002_ayDcsigncr's Name: Dole Tehje Applicant's Name: Tom g Jay Jerrells Designer's Phone Number: (360)426-5940 Mailing Address: P.O.Box 1933 Designer's Address: 2450 W Deegan Rd W Shelton WA 98584 Shelbn WA 98684 Ct Slate Zi Ci State zip Treatment Device ❑Glendon Bio6lW ❑Send Fiber ❑Mound ❑good Lined Drunfield ❑Recirculating Fit=.Type: ❑Aerobic Unit Mekelbtodel ❑Disinfection Unit Make Made) Other: NIA Draiafseld Type ❑Gravity 5fPressure ❑Trench Cl Bed Rf Sub Surface Drip Septic Tank/Dratnfield Specifications Laterals Number of Bedrooms 2 Schedule/Class OS-100 coils Daily Flow:Operating Capacity 180 gpd PRE01 7X7 R Daily Flow:Design Flow 240 gpd IV Diameter Netafim Bioline in Septic Tank Capacity(working) 1,000 gal Number 3 Receiving Soil Type(1-6) 4 Separation 1 ft Receiving Soil Appl.Rate 0.6 gpd/ft? Orifices Required Primary Area 400 ftr Total Number of Orifices 300 emitters Designed Primary Arm 400 fe V Diameter Netafim emitters in Designed Reserve Area 400 ft2 Spacing 100 emRters/coil in Tmoch/Bed Width 17 ft Manifold Trench/Bed Length 24 ft Schedua/Class Sch.40 Elevation Measurements Length 100 it Original Drainficki AM Slope 0 % Diameter i in New Slope,if Altered 0 % Preferred manifold configuration used? O Yes RfNo Depth of Excavation Updope 0 in Transport Pipe from Original Grade nova-amce 0 in Schedule/Class Sch.40 Designed Vertical Separation 27 in Length 5 ft Gravelless Chambers Required? ❑Yes 11 No O Optional Diameter 1 in Pump Required? If Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 360 Dirt.in Elevation Between Pump&Uppermost Orifice 7 ft Dose quantity 0.67 gal ✓ Drainfield Squirt Height/Selected Residual(head) drip it Chamber Capacity(flood) 11000 gal Uppermost Orifice 9115gher O Lower than Pump Shutoff ✓ Pump cuntrols:Please check those required. Capacity aQ Total Pressure Head 30 gpm N(Timer G'(Elapse Meter stEvent Counter Ca(wlatedTobdPressure.H.cad 20 If T' on 0.32 min. ,pump off 3.52 min. Act- F Comments AudibleNisual Alarm required MAY 16 2024 RET DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 1 6 — 5 2 — 0 0 0 8 6 Permit Number: SWG . DE$I�N C.1fRCIC�ST3; . Scaled Plot Plan Scaled Layout Sketch CrossSectiLiSketchghtal21 Test hole locations 19 Drainfield orientation and layoutmgrade: id Soil logs RS Trench bed dimensions and I Property lines critical distances within layout E9 Drainfield cover Rf D-BoxNalve box locations � Existing and proposed wells Reference depth from original grade within 100 ft of property Rf Septic tank/pump chamber and restrictive strata: 19 Measurements to cuts,banks,and locations Sf Laterals,trench bed,top and surface water and critical areas 19 Observation port location bottom m Location and orientation of 6d Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement E9 Sand augmentation components ❑ Orifice placement Other cross-section detail: 19 Location and dimension of Ed Lateral placement with distance E6 Observation ports/cleanouts primary system and reserve area to edge of bed Other Information m Buildings 56 Audiblelvisual alarm referenced Yes No 68 Direction of slope indicator 19 Scale of drawing shown on scale 16 ❑Design staked out 56 W McAmes bar ❑ ❑Recorded Notices attached 16 Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking lif ❑Pump curve attached It North arrow and scale drawing ❑ ❑Evaluation of failure shown on scale bar Nan-residential justification ❑ ❑ Waste strength ❑ ❑Flow IILrSi�YIPPROYkG.--. . The undersigned designer most be notified by installer at time of installation Rf Yes ❑ No Signature of Designer Date The undersigned has reviewed this design on behalf of Mason Caumy Public Health and t compliance with state and local on-site regulations: 1° Environmental Health Specialist 0 2 CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CO ✓ The design is stamped"Ap;irequired. d"by Mason County Public Health. �I Q ✓ The omite Sewage Permitot expired,the Permit Expiration Date is: l ✓ Drainfield site conditions hot been altered to adversely affect conditions of design approval. Please Note: The tem must be installed by a certified installer, unless prior authorion is obtained from Mason County Public Health. An Installation Fee Thla form may be scanned arm available for public view on the Mason County Web Updated Date: 1117Y2015 _ f002f1 DaN 1.Tah LICENSED DESIG R �- �1&0 APPROVED MAY 16 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET O O zt �' f © % APPROVED 510 12 k MAY Rp � � a MASONc,ENVIRONMENTAL HEALTH z m � ® �a - _ . . . �� . a10+ <« - . . �^ }��������:y. . 1 OS-10O Coll Datail.• FmMrrt aoatNddmum». I \ \\ APPROVED MAY 16 20 MASONCCUNTYENVIRONVENTAL HEALTH RET The OS•100 OSCAR coil contains 100 0.42 gph Netafim emitters in a 50 sq. ft. foot print. Emitter concentration is 2 emitters per sq. ft. Design flow for each OS-100is 100 gpd. e � `�3dnns 'm 'm � ^4kLTa 'aa LICENSED DESIGNE G1 ,�I N O\ 7MThermoplastic 77::-1 Reinforced Thermoplastic motor bracket and discharge with built-in guide bearing.This 112 HP pump has a stainless steel top bearing and motor coupling.These are assembled with our A.Y.McDonald stainless steel motors.Twa wire single phase models include pump, motor,and 10' lead. This four inch submersible is supplied 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. I MODELS E-aosPM APPROVEDMAY 16 2024 — MASON COUNTY ENVIRONMENTALHEA!111� 1 E - 30 GPM RET — I2we Im F1. NPSL it -- LL I � 0 200 — IN I/2AP•4SIASES slmpin 0 : is 10 M 3 71 10 41 u ex_ a to Ia N _ N N N 71 N Finales 0 all N so IN in IN IN FLOW GPM SpeciNcatidns jot d0 V2 , Its 1 10.94 953 Nnee 23 Mspoaadi SUBMITTAL INFORMATION - Stainless steel pump shell and Dump shaft - Powered by A.Y.McDonald submersible motors 112 HP. - Reinforced Thermoplastic diffusers and impellers . 11/4"FIWT Discharge - Thermoplastic intake screen and cable guard NO-IfA:The weighted average of the wetted surface of this no-lead product contacted by consumable water contains less than one mar er of oft percent(0.25%)lead. 00 P.O.Box 1Onahe Technabglas,Inc. Tell F1-42l-877-3622 23 daiwoscarolowrid8etech.pom P.O.Box 1179 Fax:1-425-335-3622 oscaronsi[e.com Lake Stevens,WA 98258 A.Y.Mraeneld considers the intamatldn on this assembly dcawlnn carrectavben paWshed.Rem aid Wada avaYabinty,mcludine spwfiaaiiuns,are suhkct to chance x8haat Wi" Submitted by. R0�