HomeMy WebLinkAboutSWG2024-00225 - SWG Application / Design - 5/21/2024 STREET
MASON COUNTY 415N BSHELTON: , 0427-97 .EX7400
SHELTON:360-2754467,EXT 400
BELFAIR:360-275d46T,EXT 400
Public Health & Human Services ELMA:360482-5269.EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00225
APPLICANT EMPIRE HOME CONSTRUCTION LLC Phone: 360-751-8062
Address: P O BOX 241 KELSO,WA 98626
OWNER EMPIRE HOME CONSTRUCTION LLC Phone: 360-751-8062
Address: P O BOX 241 KELSO,WA 98626
SEPTIC DESIGNER PAULA JOHNSON` Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98592
SEPTIC INSTALLER ALLAN KIRK' Phone: 360-426-0574
Address: 30 E WILCHAR BLVD SHELTON,WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 320215804062
Permit Description: New 3bd ATU to pressure trench
Permit Submitted Date: 05/21/2024
Permit Issued Date: 06112/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees mar Ee nx,ulred upn installation or system).
Permit Expiration Date: 06/10/2027 (luaatl on date d lnsyecllon)
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
authonzation from Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downs/ope 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: mmoncountywa.gov/health/environmentallonsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USEONLY
WhPERNFD
MASON COUNTY 512t a4 y
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ON-SITE SEWAGE SYSTEM APPLICATION 3
PHONE
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Empire Home Construction (360 062
)751-
MAILINGMDREbb-SiREET.CT'.STATE SlP CODE
1�4 k1 P.O. Box 241 Kelso WA 98626 a p
W STEADORES-STREET CITY,ZIPCOCEy Shelton WA 98584
E Kingston Wa
�L IAMEOFDEEIGNER PHONE y I N
Arrow Septic Designs (360)898-2255 M
PRONE Q
HANE OF INSTALLER
Masora County Excavating (360A90-3144 y I �,
PERMITTYPE(Mb —) DRNNINGW ENWURCE
I�I RESIOENTIALOSS �COMMIFNTYOSS fiCOMMERCIALOSS E PRIVATE INMVIWALV£ EIPRIVATETV PARTYWELL Z If
nPE GF vpRX Irw"+r) PUBLIC WATER SYSTEM I
�NEWCONSTRUCTIONIU % REPPIRIREPIACEMENT OTHER OETAIL9(a•NYx NN[Igyl �TAE, REPAIR ' Ln
su®AmAIS O SURFACING 6EPAGE O EXISTING FAILURE D SHORELINE
JEMI§GNFORM(REOUIRED) BISEPTICDESIGN(REOLAM) __MS
LGTSIR 0 I �
IVQi(s)nFAPPLICPBLEI � ' 3 BR .18 acres 7 O
DIRECT�cws TD srtEANDsre colDln ro•.N�P•m
Go out Hwy 3 anH turn (R)onto E Agate Rd. Turn (R)onto E Crestview Dr. Turn(L)onto A A
Hillcrest Dr. Turn (R)onto E Kingston Way. Destination on (R). o I o
Yellow sign: "Empire Homes- Lot 62" rn ILA
M1EMU3iGEMGGEDFRONNAINROADAMOTEST.NU3T BE£lA6OESK N. ,N.ENU.EENNA N I N
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OFFICIAL USE ONLY BELOW THIS LINE '—
UPGRAWIFAILURII O RCEftN%xnn,, 4 Iww) WAY 21 2024
❑VOLUNTARY E3WINTENANCHPUMPING CIBUILOINGPERMIT OHOME6TLE DODMPIAI TH
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V=VERY G=GMVELLY S=SWD L=CORM S=SILT C+CLAY E'EATNNELY R RCOK PEOUIRED FqL FINALAPWOJAI
INSPECTOR6 ..RE DATE APPLIGTIONEXPIRATIONDATE A CATICXAPPROVEG'Isb11EO0Y O>TE
Lho b II012-) 6�izlz�
THIfi FORM 1MY BES ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE M.ON COUNTY IVEBSRE Em3ED tNrzs3
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DESIGN FORM—PAGE ONE Assessor's Pareel Npmber: 3
A design will be,reviewed when 3 conies of each of the following are Scaled layo
ut sketch,including all applicable items on checklist
v Completed design form[hat has been signed end dated. .
on+Scaled plat plan,
in l pe µall aedla able items
on checklist,view on me Mason County W b siten N all
rmum applicable
sI a of checklist.
hX klis[.
TION
.'". Arrow Saptie Dealgns,Irm
(1 Designer's Name: (380)69&2255
Pertni[Numbar. SWGnmLf (�2-�Z+-�—
EmpireHomeConstruction Designer's Phone Number: 1111 Evueened Dr
Applieant'sName: er's Address:
Mailing Address: P.O.Box 241 Desipat WA Saw
Union.
Kelso WA 98fi2a State Zt
Ci
Ci[v State zip
... �s-._ ._ DESH:P PA6Ah4hTER5
""" Treatment Device
O Gleedon Bimift- ❑Sand Filter Other:
O Sand Lim Dminfield ❑Recimutafing Fit-, �
5(Aembic Uen Make/Model
NuWater BNR-500 O Disiefxfioe Unit Meke/Model
Drainfield Type O Bed Laterals,
Sub Surface Drip
�Pressme fil(Trehch
�Gravity Laterals,
Septic Tanh/Drainfseld Specifications 40
Number of Bedrooms 3 Schedule/Ciass 33.5 ft
Daily Flow:Operating Capacity 270 Spell Length
360 gpd Diameter 1.25 in
Daily Flow:Design Flow 6
Septic Tank Capseity(working) NuWater BNR-500 gal Number
5 ft
Receiving Soil Type(1-6)
q separation
0.6 gpNRa Orifices
Receiving Soil Appl.Rate 42
Required Primary Area 60 Total
M 3/16 in
res
Designed Primary A 603 fi fe r Di V
Designed Reserve Area 900 ftt Spa &'AY 2 2 60 in
Z0ZQ
Trench/Bed Width 3 ft M Id
201 ft Cl�sss 40
Trench/Bed Length Sc —
h ft
Elevation Meseurements Lmgth 1 1.25 25 in
Original Drainfield Area Slope 15 % Diameter
New Slope,If Altered 15 % Preferred manifold configuration used? S(Yes O No
DepthofEiecavation UPslop. 12 in Transport Pipe
from Original Grade oo,slope 10 in Schedule/Clews 40
18+ in Length 70 ft
DesignersChambers
O Vertical Separation 2 in
Grnvelless Chambers Required? Yes �No Optional Diameter
pump Required? Id Yea ONo Dosing and Pump Chamber
Number of 4
pump/Siphon Specifications 9U gal
Diff.in Elevation Between Pump&.Uppermost Orifice 15 ft Dose quantity 1,00o gal
Dminficid quin Height/SelectM Residual(heed) 2 g Chamber Capacity(flood)
Pump controls:Please check those required.
Uppermost Orifice IlfHigher O Lower themum pp Shmoff Timer Elapse Meter 6f Event Counter
Capacity Q Total Pressure Head 24.78 Wm 2 minutes ,Pump off a hours
Calculated Total Presaurc Head 18.58 ft If Timer: Pump on p
Cotnmmts
APPROVED
g JUN 12 2024
U MASON COUNiV E REt NMENTALHEA�iH
DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 1 — 5 8 — 0 4 0 8 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
ld Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
It Soil logs Rf Trench/bed dimensions and Rf Septic tank
19 Property lines critical distances within layout q Drainfield cover
❑ Existing and proposed wells 19 D-BoxfValve box locations Reference depth from original grade
within 100 ft of property Ed Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations Gil Laterals,bench/bed,top and
surface water and critical areas Elf Observation port location bottom
❑ Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption R1 Manifold placement ❑ Send augmentation
components 19 Orifice placement Other cross-section detail:
lb Location and dimension of Ed primary system and reserve area Lateral placement with distance Observation ports/clean-outs
to edge of bed Other Information
ld Buildings 129f Audible/vis r renced Yes No
ig Direction of slope indicator Rf Id Waterlines Scale of g ale 1 ❑ Design staked out
❑bar m �Recorded Notices attached� Roads,easements,driveways, Q ❑ lif Waiver(s)attached
parking 9 ❑Pump curve attached
1l North arrow and scale drawing ❑ fif Evaluation of failure
ahOWrl On SO8Ie bar PAULA JOY JOHNaON'. Non-residential justification"L Ef5 ' "t tilt" ❑ Ed Waste strength
�s t ❑ fs'1 Flow
DESIGN APPROVAL
The undersigned designer must be 'fled"mstahller at time of installation lit Yes ❑ No
,�nV . k /�- � 5-1(o -t4-
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:
-$ 1�r'1 6 (V'��N
Environmental Health pecialist 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 maybe scanned and available for public view on the Mason County Web site.
Updated Daze: 12/72015
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APPROVED . -"
® JUN 12 2024
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MASON COUNTY ENVIRONMENTAL HEALTH_
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Q ` O Audio-visual Alarm
Cleanout
O 500 Gallon Pre-Trash Tank -Ca.. b-�-
�F Cumin-vic i�+^Ps o—A
f2� F RKI rz Cs 0Nu Water BNR-500 Pretreatment Tank
O5 1,000 Gallon Pump Chamber
Subsurface Drip System Headworks
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APPROVED N
JUN 12 2024
MASON COUNTY ENV] H ' '"ua ov ae nso ';i`
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Note: (Typical Trench Wont)
*35 O=Observation port—to be 4"perforated
pVC pipe from bottom Oftrench to finished
J O grade. A removable cap shall be installed on
g3, observation port pipe. Glue` r on bottom
so pipe can't be removed. end of each trench
Minimum of 6 in system.
Laterals are to be centered in trenches.
!10
Y• c
^ Asa = 1 APPROVED
_ P---.LL�^oss—Sewta*nyS CoUNUN 121014
OYJO
tt� E"I'MENTAL HEALTH
Yp PAUlA JOY J 9 WEE '. RET
" LICFNSt ' 5t NKl!"
awn
• S• 's for
TOW Nervation Wrt o®p
F:h� 9m�Csala Deiii t.anP�'
Q IIwadl•lem FYr Fderc .
fa.r � A Ga41� ate+ C:D
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ti {' y�pt ar Ne L% J am% tms3
rrosv pep-:� Desigr
'Droinfield Cross-Section view C38�� 898-22",
W Ta ss
Length Length Orifice # Distance from Distance from
Lateral# In. FL S acin Orifices Feeder Line In. Cleanout In.
1 402 44.5 60 7 21 21
21
2 402 33.5 60 7
3 402 33.5 60 7 21 21
4 402 44.5 60 7 21 21
5 402 33.5 60 7 21 21
6 402 33.5 60 7 21 21
3
Total Lateral Len h 201 0
Tolai#Orifices 42 GPM= 24.76 z
o
C V
Dynamic Head Calculations � Z
Selected residual pressure: 2 R r2OT� po N 0
0
Length(Ft.) #Orlfices s <
Transport Pipe 70 42 0.77 ft. rn
Feeder Total
Lateral Line Length s 0
Lateral#1 33.5 2 35.5 7 0.10 ft.
Lateral#2 33.5 7 40.5 7 0.12 ft. i
Lateral#3 33.5 12 45.5 7 0.13 ft.
Lateral#4 33.5 17 50.5 7 0.14 ft.
Lateral#5 33.5 22 55.5 7 0.16 ft.
Lateral#5 33.5 27 60.5 7 0.17 IL
Total Elevation Lift 15.00 ft.
Total Dynamic Head 18.68 ft.
SECURED LID WTrH GAS TIGHT SEAL THREADED UNION
24•DUYETER
ACCESS RISER
SERVICE
FINISH GRADE VALVE
FROM SEPTIC r'�ro OnA111FIm
TANK
BIFAOEMCy STORAGE ANT SIPHON
HIGH WATER ALARM LEVEL VALVE
NORMAL.T WORKING VOLUME .. FLOAl110 T
�FLOAT
T FM
INCLOSED PISIII MOUNTING
SEDRENT SHROUD• .CHECK VALVEclasmarLOAL
.P S®IrOeS — '[r1r.1f
h. pryP
:Cf.ti PAUTA JOY JOHN40N PUMP CHAMBER
F "L $etl Sf LTl'PICALI
6<
IX%PFS 'M NI'EO®
Septic Tanks must meet standards required by WAC chapte272C and FIGURE 2
manufacturer must be on Dept of Health list of registered sewage tanks.
WA nOH Publirbion 0337-022 Page 35 of65 7
Bronze construction available(139 ashes)
High head version available(145 series)
Doubts shaft sealvermons avallable for added protection
an modets 140/145.
Flow-Mate Fa,moze infomxrdan,see Ttthni.i Daly Sheets FM2782.FM2283.
In high head dewatering or effluent
applications where pumping i@ P,amxNwwxewwe
performance is critical, this robust _ Mom,onmo
family ofpumpsis known for reliability,
durability and performance. These
pumps are especially suited for harsh
environments.Zoellers mot run design
and cortosion-resistant.powder coated .
epoxy finish add up to a long-lasting,
trouble-free product
APPLICATIONS: 9B„
STEporomiteapplications In
• wetertahsfer
light commercial dewatering
SPECIFN:ILTIDNB: �
• 1-1/2'11FTdischarge ". i!>�_r•
• 1/2 HP through 1 HP MMAAOEEIIN`TME UM
Available in automatic or nonautomatic 2L �9m6AIwOM16111SCalal
Model 137,139,140:1/2.112 mm)spherical solids AP FjO FfffE����
capacity with vortex lmpe8er V D` -
• Model 145:3/4fig mm)spherical solids capacity with JUN
vortex Impeller MASON COUNTY 2 2024 -
ENVIRONMENigL N
IBM 'r RET w
PUMP PERFORM CURVE
Dose M MooEt)b 52J
- eD A EGmiVA69t�T 53
This is our fastest growing line ofefftuent N w
pumps.The 150 seriesisvulyaworkhom
designed for reliability under extreme 0
conditions in an effluent environment
250 series pump curves covera wide range Ip M Ica
of applications.They are well suited to N
applications with low pressure pipe(LPp)
and enhanced flowSTEPsystems.Zoeilers Y
mol run design and corroaion-resirtant
i0 powder coated epoxy finish, in addition °
to the hermetically seated,oil-filled motor is
and non-clogging vortex impeller add up he
a long-lasting trouble-free Product 10
APPIdCATIDN& a
• STEP or chains applications Lighlwmmerdal tlewatering s.,F[ mNHH yf pY10ry N M as m M m iao
BPF LmAs o w Y ftl %O w m xo
• 1-1/2•NPT discharge RUV M MaRns
xv
3/10 HP through 212 HP d '
Available in nonautomatic or wlm a variable level
piggyback mecheri tswitch
• 112'(12 mm)spherical solids capacity with vortex
thermoplastic impeller
For more information,see Technical Data Sheet F142784.
m Alt rights reserved. ZOELLER PUMP CO. 1502-778-27311800-929-7867 1 zoellerpumpsxorn 9
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STONEBREE NAnY SOIL
OR COMEACTED SAND
OVER STONY SOIL
MaTALunox IxBTRucTloxs
1)EsravMe talk hale w vettiwl wall$m 1 foot larger than
tank on all ekes.
2)x DNc,m of hale is Stan.install X Of mmped sand S
outwanaaead. r ————
ter of _
3)Install tank in center hole,keeping 1 ft void space on
ak sides H• gl�tYP) +v-$Lov.Ex
4)As tank is filling w water,fill in void space w compact
gmnuler(sandy)Sol hoe Of large dumps of deY. I 1
5)Install rest of system.&affix Aura to adapters
vnterp Nm as NsfigN i I I 4I
S)petfoml waterEghfies,tart in flak az repaired dY local IJ'
7)U,Na40n. STIMMER I I
so Upon Wp of l n bedcfill.carefully backfill with nadve
sells al g tap 411ank. TaAaw CNpM3ER !I DIGESTER I GaBMfal
S)Final grade Ne surface b avoid chenellin9 surface L____ ___L____ ___J
walerlararC tank �
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AEROBIC TREATMENT TANK DETAIL FOR
NUWA TER BNR-500 TREATMENT UNIT
ENVIRO•FLO, INC. 3/01/12
Wajas, M,rreapnerX TeMnobgias
P.O.BOX3211ei,Flowage.M539232 scu
ran)asaa4�e 1.4 R.
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PARTS LIST NuWater NR Assembly Diagram
A.OUAL PORTAEIU M.POLY OIPPUSER EAR(Z
a.w RUBBER W.w ctA1AP5(Z N.t-P2 c91175Eci )
C.w BARBED ADAPTOR X 12-NPT M 0.1"$IUP CAP
0.Iz EIJP X IIT NPTA OR P.vT CLEAR PVO NOSE(OPTWNAI r,
E t'STREET x 1?rvPi BUS1(XG S) O.t2'AVC?IPE(BY IN5TP1LEA)
f 1aER-E(.Eow(w R.,-?vc rlre tm xurAuera APPRp
TEE G_VX 1'Xt? STT'C PIPE( INSTALLER)
4,I-N.E OW(!) T.IW flcREED ADAPTOR b III NP'QI �,I
'.,ZXVBE ING U.1?$iREEf Xva-NPTSUWRIGM JUN 12 2
J.Y 9ANRARY TEE V.,2 PVOCOUPLER RI
MASON COUNTYENVRO M TAL HEALTH
fC t'PVC CROS4 W.Z C.7UPLER�3Y INETALLER;
L.,-COUPLER( INSTALLM RET
Revised 2/25/12
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atiat a Septic Deaigm
NuWater BNR Pretreatment
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INSTALLATION & MAINTENANCE F�"' s+aoaea �t
Pressure Distribution Systems •�Q= PAULA Jot JOHNS N'•.
L d
1. Install Laterals with contour of the ground.
2. Install trench bottoms level-
Install Install locator tape or mbar 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 dranfield with bottom extending to the dtainroek/nauve soil interface. Glue
`"r'to bottom so Observation Port cannot be easily removed from ground. Install
removable cap on top of port at foal grade level. must be
5. Install drainfield during dry weather and soil conditions;any soil smearing
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.
S. 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
15.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.
22. Please Note: When you begin using your septic system,contact your septic installer to
discuss setting up a schedule for your required Operation&Maintenance on your
NuWater pretreatment system.
APPROVED
JUN 12 2021
MASON COUNTY EWRONMENTAL HEALTH
RET