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HomeMy WebLinkAboutSWG2024-00121 - SWG Application / Design - 3/27/2024 SHEL MASON COUNTY 475NBTHELTON: 60427 670,EXB684 SHELTON:360-275-4467,EXT 400 BELFAIR:360-275-0467,EXT400 Public Health & Human Services ELMA:3664e2-5269,EXT 400 FAX:360 127-7767 On-Site Sewage System Permit: SWG2024-00121 APPLICANT EASTMAN TERRY&ALEXINA Phone: Address: 191 E SHERWOOD CRK RD ALLYN,WA 98524 OWNER EASTMAN TERRY&ALEXINA Phone: Address: 191 E SHERWOOD CRK RD ALLYN,WA 98524 SEPTIC DESIGNER TOBY SYRETT-septic designer for B- Phone: 360-426-4221 line Address: 2971 E Philips Lake Rd SHELTON,WA 98584 SEPTIC INSTALLER B-LINE CONSTRUCTION Phone: (360)426-4221 Address: 2971 E PHILLIPS LAKE LOOP RD SHELTON,WA 98584 Site Address: 31 NE LARSON LAKE LN Primary Parcel Number: 123305200082 Permit Description: Repairlupgrade 3bd pressure sandlined trench Permit Submitted Date: 03/27/2024 Permit Issued Date: 06/03/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $965.00 (addleonal fees may ea,aem,ed opn Installation msyarem). Permit Expiration Date: 04/05/2025 (eased on data of nsp dmn) 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 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 Des/gneNEngineer 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-request.php or call: 360-427-9670, extension 400. '! OFFICIAL USE ONLY oME3[CBufD MASON COUNTY —l-7 - 0 COMMUNITY SERVICES AMWQSEGEN D m DO CLjJ O N PMMN HxNN(COmmunlry�e 10VEW mnmmlPl HmILB) N e :MM,M m SWG Ao X - C:) t IJ o 2 fA ON-SITE SEWAGE SYSTEM APPLICATION a a 3 n APPLICANT PHONE m EASTMAN C/O B-LINE CONST. INC. 360-426-4221 w z m C MOILING ADDRESS-STREET CITY.STATE,ZIP CODE D W 2971 E PHILLIPS LAKE RD. SHELTON WA 98584 o A SITEADDRESS STREETCITYBPCO°E co 31 NE LARSON LAKE LN. BELFAIR WA 98528 o l NPMEOFDEBWNER PHONE O N TOBY SYRETT @ B-LINE CONST. INC. 360426-4221 m NAME OF INSTALLER PHONE O I w DON WOOLLISCROFT @ B-LINE CONST. INC. 360426-4221 La PERMRTYPE R~.) DRINKING MTER SOURCE 0 I W KRESIDENTMLOSS FCOMMUNRYOSS tYCOMMERCIALOSS F 6� PRIVATE INDMOUALWELL ffPRIVATETNU-PARTYWELL z IC:) TYPEOFVgRK(aeW.Yme) Ip PUBLIC WATER SYSTEM BEARDSCOVE I INEWCONSTRUCTION/UPGRADES fREFAIRIREPLACEMENT OTHER DETAILS IeeMeex Blot ePgvl pTABLE IX REPAIR IN 1cn SUBMITTALSDE SIGN FORM(REQUIRED) !SEPTIC DESIGN(REQUIRED) BEDROOMS SENMOE Ed DUSTING ❑SHORELINE m r I N �WAIVER(S)(IFAPPLIQABLE) 3 OM SGZ 0.2 ACRES In I O DIRECTIONSTOSITEAND SITE CONDITIONS.INK ,KM) FROM BELFAIR, TAKE N SHORE RD TO RIGHT ON SAND HILL RD. LEFT ON LARSON o BLVD, RIGHT ON NE LARSON LK LN. #31 IS HOUSE IMMEDIATELY ON LEFT (ON r CORNER OF LARSON BLVD AND LARSON LK LN). o 0 I . Ioo NISIZE NUST BEFWEGED FRONMAIN flOAO AND TEbT NOLCBYUST BC FLAGGED LMMiE3T ROLE NUMBERS. N ---- OFFICIAL USE ONLY BELOWTHIS LINE -- UPGRADE I FAILURE SOURCE(IN mp NNW36s) 13 ❑VOLUNTARY pMAINTFNANDE/PGMPING pBUIL0ING PERMIT ❑HQME SALE pCOMPLAINT POTHER: 104 INSPECTOR \�\1SOL,IILLL LOGS .y ? (Y (�j��/�I S COMMEMS/ XS M+D (-7cq9v1 -�3 ems 1 i3- yZ c S (i I �z �s Vs L° Y RECORD DRAWING AND INSTALLATION REPORT VO=VERER DEB: Y G=GRAVELLY a=SAND L+LOPM Si-SILT C•CIAY E=E%iREMELY R=ROOTS REQUIRED FOR FINKAPPROVAL. INSPECTOR SIGNATURE DATE APPLICATION F+%P RATION DATE APPLICATION APPROVEdISSUED BY DATE THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED IC Ml5 ogf� ti p'I Rt _ MA�024 SEPTIC SYSTEM DESIGN By-- P d1� a r Y 1� SITEADDOESS. 31 NE Larson Lake Ln. SITE CITY,STATE,lip, Belfair,WA APPROVED PARCHNOMOEN: 12330-52-00082 JUN 03 2024 IEGAI DESCRIPTION., Beard's Cove Div 5 Lot 82 OWNER. Eastman MASON COUNTY ENVIRONMENTAL HEALTH DATE, 24 May 2024 RET B-LINE CONSTRUCTION,INC. R-LINE 2971 E PHILLIPS SHEL ON,WA 98 84 360.426.4221 office 360.426.0509 fax b-Iineconstnn.msn.com PAGE Z OF I OWNERSHIP AND USE OF DESIGN DOCUMENTS: I 1. This Design Document has been prepared by B-Line Construction, Inc. via its employees, subsidiaries and sub-contractors. 2. This Design Document has been produced in order to attain an on-site septic system installation by B-Line Construction, Inc.for the property indicated herein. 3. This Design Document represents decades of combined experience of B-Line Construction, Inc. its employees, sub-contractors, etc. in construction processes, technical applications and developments as well as interpersonal understandings and relationships with other professionals, manufacturers, suppliers, regulators, and private parties. 4. This Design Document constitutes physical and intellectual property © B-Line Construction, Inc. and may not be used by any other individual, company, contractor, etc. to construct an on-site septic system for this or any other property. 5. This Design Document shall not be construed as a product that stands alone from the achievement of an on-septic system on the specified property for the client by B-Line Construction, Inc. 6. This Design Document remains the sole property of B-Line Construction, Inc. whether the project for which it was made is executed or not. 7. The submission or distribution of this Design Document to meet official regulatory requirements, or for other purposes in connection with the project, shall not be construed as publication in derogation of B-Line Construction, Inc.'s rights regarding this document as physical and© intellectual property. B. In the event that B-Line Construction, Inc. is not retained for the installation of the system, this Design Document shall not be used by subsequent parties/oontractors. 9. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, subsequent parties/contractors wishing to install an on-site septic system on this property must produce their own design documents for use in a separate research/development/design/permitting/installation process. 10. If B-Line Construction, Inc. is not retained for completion of this septic system installation project, client shall be liable to subsequent parties/contractors for new design documents and additional permit fees as required in pursuit of re-inspection, re-design and installation. APPROVED JUN 03 2024 B-Line Construction, Inc. ^:l0UNTYMARONMENTALHEALP 2971 E Phillips Lake Rd., Shelton, WA 98584 RET 360.426.4221 (office) 360.426.0509 (fax) b-I i neconstCa)msn.com Ph6T• 3 OP 10 DESIGN FORM—PAGE ONE Assessor's Parcel Number: l 2 3 3 0 — 5 2 — 0 0 0 8 2 A design will be reviewed when 3 copies of each of the following are submitted: r 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 maybe scanned and available for public view on the Mason County Web site.Mduimum p.per sire 1/"X 17" PARCEL IDENTIFICATION Permit Number. SWG1,0L+ 00,7ZJ— — Designer's Name: TOBY SYRETT @ B-LINE CONST. Applicant's Name: EASTMAN CIO B-LINE CONST. Designer's Phone Number: 360-426-4221 !T Mailing Address: 2971 E PHILLIPS LAKE RD. Designer's Address: 2971 E PHILLIPS LAKE RD. SHELTON WA 99594 SHELTON WA 96589 Cit state ZipCit State Zip DESIGN PARAMETERS. Treatment Device ❑Glendon Bunt" ❑Sand Filter ❑ Mound ftl(Sand Lined Dminfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/M del ❑Disinfection Unit Make/Model Other: Drainfseld Type ❑Gravity Pressure fi"Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 AVG gpd Length 37.5 ft ^ Daily Flow:Design Flow 360 MAX glad Diameter x [ in t,111 Septic Tank Capacity(working) i200 gal Number 4 '7 Receiving Soil Type(16) 3 Separation 9' ft� Receiving Soil Appl.Rate 0.8 gpd/fir Orifices Required Primary Area 450 ft, Total Number of Orifices 76 Designed Primary Area 450 ft Diameter 3/16 in Designed Reserve Area 450 ft2 V Spacing 24" to Trench/Bed Width 3 ft Manifold Trench/Bed Length 150 ft Schedule/Class 40 Elevation Measurements Length 1 ft Original Dminfield Area Slope 3-5 % Diameter 1.25 in New Slope,If Altered SAME % Preferred manifold configuration used? fi'(Yes 0 No Depth of Excavation UPsI p 48"MAX in Transport Pipe from Original Grade Do,,], 46" in Schedule/Class 40 Designed Vertical Separation 36"MIN in Length 2F MAX ft Gravelless Chambers Required? ❑Yes 16 No 0 Optional Diameter 2 in Pump Required? Rf Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 6 ft Dose quantity 60 gal Dminfield Squirt Height/Selected Residual(head) 2 It Chamber Capacity(flood) 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff J&mp controls:Please check those required. Capacity @ Total Pressure Head 44.B4 goat RfTimer G(Elapse Meter Sf Event Counter Calculated Total Pressure Head 18'MAX ft T •r Pump on 1 MIN 20 SE Comments (if/ .NN 03 2024 ASONCOUNTYENVIRONMENTALHEAL H itrl+fk •. RET fxtaars: osm>I PAGa L! e F i e7 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 3 3 0 — 5 2 -- 0 0 0 8 2 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch RJ Test hole locations Z Drainfield orientation and layout Reference depth from original grade: m Soil logs 56 Trench/bed dimensions and Rf Septic tank m Property lines critical distances within layout [if Drainfield cover x locations b l/V Boxave o ❑ Existing and proposed wells D- Reference depth from original grade within 100 ft of property 19 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations M Laterals,trench/bed,top and surface water and critical areas 19 Observation port location bottom ❑ Location and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption R1 Manifold placement Id Sand augmentation components gj Orifice placement Other cross-section detail: 19 Location and dimension of 51 Lateral placement with distance 19 Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 65 Buildings 16 Audible/visual alarm referenced Yes No 0 Direction of slope indicator R1 Scale of drawing shown on scale I11 ❑Design staked out m Waterlines bar ❑ Rf Recorded Notices attached RJ Roads,easements,driveways, Existing system filled with ❑ Waiver(s)attached parking roots and soil with little 19 ❑Pump curve attached lid Northspace. Adjacent North arrow and scale drawing t6 ❑Evaluation of failure shown on scale bar trees will be cut down to Non-residential justification ❑ ❑ Waste strength prevent roots. ❑ ❑Flow DVIOLftOVAL The undersigned designer most be notified by i a 3, tallatiioonnEd Yes ❑ No t/ ar 9 Signature a.Qart 1'h IGNA D e E The undersigned has reviewed this desi a Io afRafas@NVsdr ITy blic Health and determined it to be in compliance with state and local on-site regulations: Environmental Health Speipialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. f , ✓ 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 Maas nn C u tyE Public Health. An Installation Fee is required. jUN 0 3 2024 This form may be scanned and available for public view on 2ui Date: 12/72015 RET 0-30"GLS 0-15"GLS 30-62"EGCS A 15-46"VGCS 2 62-88"+VGMS 4836"+GMS NO RESTRICTIVE WATERLINE NO RESTRICTIVE PROPETY LINES —I *100' DRIVE/ PARKIN EXT HOME EXT SHOP z ABANDON g FJ(T NEW TANKS O SEPTIC I z TANK SGIL LOGS _ _ I g __ _ - - - - MANIFOLD m z i i O OLD DF I - - - - - - - - - - AREA SLOPE TO ROAD IS 66% NEW PRIMARY& (30 DEGREES) RESERVE DRAINFIELD NOT A CUT BANK NE LARSON BLVD PROVED JUN 03 2024 Z MASON COUNTY ENVIRONMENTAL HEALTH Y Z L{ { RET s 1 Tyyil DRAINFIELD SITE PLAN _ NEA FOR: EASTMAN JOB#: ocom[s: 0e10712 PARCEL#: 12330-52-00082 DATE: 24 MAY 2024 BY:TJS DESIGN PAGE OF NORTH ARROW: SCALE: 1" = 20' 0 B-LINE CONSTRUCTION, INC. 1 4 0' ' 40' 7 Z2 E�§® k§ \ ! 11 ~ ) � N LLI � . £ ez / : ! $ @ ; ! § E ® . . ! t § § $ _ © $ 9 : § o § \ \ / N \ �. � � k APPROVED ' ! &I � \ § MASONteRET )% 'Wag \ ° : ! - ! \ §_ f¥ ! ui ° [w■ � � « 2 - \ a �� » 2 § § & ) ■ § �� ( . . . o 0 2013 TAHJA-SYRETT0 IGNS ! 59 (» \ k � ( ! $ N@ a , \ \ § § 2 7§!§ § § \ § \ ¢ /H \ \ § § \ § ] } ® k § § 6 ! ] � q & ; ;{, . ;» . {6.;&B \/ \ „ ( §)))E \& 4 § § APPROVED §§;§§ §.9 A g A )§!§§ k§ah; MASON COUNTY i" {)\)\§RET /( \ ; ■ �w § § ■ < Lu §20« ! \§ § 3116"ORIFICES 2"TRANSPORT LINE ®6:00 RESERVE TRENCHES - - - MANIFOLD CLEANOUT/ OBS PORTS - - - - - - - - - - - - - - 3 I _ _ _ _ _ _ _ _ _ _ 1.25"FEEDER LINES - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 9' 37.5' 24"ORF SPACING PRIMARY TRENCHES APPROVE [ I `� 1 r JUN 03 2024 MASONCOUNTYENVIRONMENT4'.- T MANIFOLD DETAIL: RET � 125-FEEWRLINES 12 OHEOKV, WS EYOQI($: 06p71 12T5 IFOLo 12S BPLL VRLVES DRAINFIELD LAYOUT DETAIL FOR: EASTMAN JOB III: REDUCER PARCEL#: 12330-52-00082 DATE: 24 MAY 2024 2'TR NSPOU BY: TJS DESIGN PAGE OF NORTH ARROW: SCALE: 1" = 10' 0 B-LINE CONSTRUCTION, INC. 6 0' 1 20 VALVE BOX FOR SURFACE ACCESS ORIG&FINISHED GRADE N I EANOUT DES PORT m LL n DES PORT N y S"TO Q REDUCER j (� N FILTER 2 0 Q Q FABRIC I' 0 W Z coW W N � Lu S p W pj "�: WINDO . C cc Q 3 ;'(23'y.AS.PIPE '. . i i ,SCRE . S Z Z Q � . 24., J W p C O H F go m O Z TRENCN9OTYOM.. ', � nn''Aw C A if Sl00tA .1. SIG GN \ Exmm.. 06/07/ VALVE BOX ASSEMBLY SECURED SHUT WITH#2 STAINLESS SCREW FINISHED GRADE l THREADED GAP APPROVED JUN 03 2024 z FLEX HOSE OR SWEEPING EL 1.25"LATERAL PIPE MASON COUNTY ENVIRONMENTAL HEAL FILTER FABRIC REr LU J { LU ,. . , . . .. .. O PAGE IV OF 10 PRESSURE DISTRIBUTION SYSTEM System Owner Responsibilities: 1. The prepared site plan is not a survey. It is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the contractor immediately. 2. Keep wheeled vehicles off the drainfield area before, during and after installation —tracked vehicles only. 3. All ground and surface water (including roof drains) must be diverted away from the drainfield and tank areas. Ensure that final grade slopes away from these areas and that water does not pool around/behind them. Use swales, berms, along with catch-basins and tight-lines, curtain drains, etc. to divert ground and surface water. 4. Curtain drains can be no closer than 10' uphill or 30' downhill from the drainfield. 5. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 6. Operation & Maintenance is required by the state of Washington and the county for all septic systems. 7. Please contact B-Line Construction for periodic Operation & Maintenance service of your system. 8. System Owner is responsible for having maintenance performed according to the schedule set forth by Mason County. 9. System owner/operator is responsible for responding to alarms in a timely manner and alerting maintenance personnel as needed. 10.System owner/operator MUST NOT change settings in the control panel. Only authorized maintenance personnel may alter settings in the control panel. 11. System owner/operator agrees to read and abide by information regarding their system in USER MANUAL provided by Mason County. APPROVED JUN 03 20A MASON COUNTY ENVIRONMENTAL HEALTH RET B-Line Construction, Inc. 2971 E Phillips Lake Rd., Shelton, WA 98584 360.426.4221 (office) 360.426.0509 (fax) b-li neconstrdmsn.com