HomeMy WebLinkAboutSWG2024-00216 - SWG Application / Design - 5/16/2024 58,1
MASON COUNTY 415N 6SHELTON.STREET,SHELTO70,EXT 400
SHELTON:360-275 9170,EXT 400
4 BELFAIR:380-2]Si46],EXT 400
Public Health & Human Services ELMA 3 82-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00216
APPLICANT CMH HOMES INC Phone: 360-43"246
Address: 6312 Martin Way E OLYMPIA,WA 98516
OWNER CMH HOMES INC Phone: 360-43"246
Address: 6312 Martin Way E OLYMPIA,WA 98516
SEPTIC DESIGNER PAULAJOHNSON* Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98592
Site Address: XXXX E Agate Rd
Primary Parcel Number: 220192194003
Permit Description: 4-bedroom pressure system
Permit Submitted Date: 05116/2024
Permit Issued Date: 06/11/2024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (aEEi4oeauaes may be re9alatl Caen ineranmwn orsralrn}
Permit Expiration Date: 05130/2027 (�saa en dara arinsp oion)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staffper 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 Designer/Engineer installation approval prior to
backfill of system components.
6 Mason CountyAsbuitt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY ONMERS 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 REOUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit:masoncountywa.gov/health/environmental/onsite/oss-inspection-mquwt.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY
GATE flECf M• •—•
MASON COUNTY EM 5
COMMUNITY SERVICES MOHNTxELRW°: DBY U)
wnxcwmn(communx,HezxnEnNmnmemzl HexM) < y
SWG �- WD j(p o A
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ON-SITE SEWAGE SYSTEM APPLICATION m
CMH Homes Inc. (360) 438-0246 APPLICANT OR
MAILINGACORESS.STREET.CITY,STATE ZIP COW 3
6312 Martin Way E Lacey WA 98516 A
SITE A W RES S-STREET,CITY,ZIP CODE
XXXX E Agate Rd Shelton WA 98584 I ^
NAMEOFDESIGNER PHONE N
Arrow Septic Designs, Inc (360) 898-2255
NAME OF INSTALLER PHONE
O
PERMITTYPE(es9—I DRINKING WATER SOURCE y
RESIDENTIALOSS ITCOMMUNI CIFYOSS E_uCOMMERCIALOSS IT PRIVATE INDNIOUALWELL PRIVATE TWO-PARTY WELL Z ICD
TYPE OF NORK(eakr are) CI PUBLIC WATER SYSTEM
KNEWCONSTRUCTION/UPGRADES E1,REPAIRIREPILACEMENT OTHER DETNLS IEHetl%ILLlreepply) DTABLE IX REPAIR IIV
SUaMITOF ❑ SURFACINGSEWAGE [IEXISTING FAILURE ❑SHORELINE m
ff DESIGN FORM(REQUIRED) IIKSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r0
EWNVER(5)(IF APPLICABLE) 4 1.10 0
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.kxAeO 90M CD
Take Highway 3. Turn right onto E Agate Rd., at the Agate Store turn L onto E Agate Rd, I I A
follow to new driveway on the R with yellow job sign across from orange mailbox 5160, Lot r
003 If Lot C is up and to the middle, test holes are in the woods behind the staked out home ° o
site. I o
SNE MUSTBE PUGGED FRONAMN RDAOANO TEST HOLES MUSTBEMWEG MOP TEST MOP£NUMBERS,
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(k,mWU FS Pu,p—)
❑VOLUNTARY OMAINTENANCE/PUMPING ❑BUILDINGPERMIT OHOMESALE QCOMPIhINT DOTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 1
THj: p- (If" CAals- to [Vtbnj RFc�/G o1
Tkvo-ay" (-S [W/a+ f � 3
ZY-3B S� i Iwra.�. cohrP"<�kpl � o
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SOIL CUCFS. RECORD IXUWT WT NGgNOINSigIgJ REPoRT ;
V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R-ROOTS REQUIRED FOR MNALAPFROVAL r IR}TI
INSPECTOR SIGNATURE DATE APPIICATION EXPIRATION GALE gPPLI PPROY£UiSSUEDBY I DATE
:LILYl . 2 Za2
THIS M-NAYBESCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNIYWEBSITE FFVSEDIN21Y!5
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 1 9 — 2 1 — 9 4 0 0 3
A design will be reviewed when 3 copies of each of the following are submitted:
e Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
r 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. lfaslnmrn pa el size:
PARCEL LDEN I It kCATION
Permit Number. SWG � Arrow Septic Designs. Inc
_�_
� Designer's Name: -
CMH Homes Inc Designer's Phone Number: (360)898-2255
Applicant's Name: 171 E Vuscrost Dr
Mailing Address: 6312 Moran Way E Designer's Address:
Lacey WA 96516 Ilnlon, WA 96592
Ciro State Zi City State Zip
, DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑ Mound ❑Sand Lined Dminfield 0 Recirculating Filter.Type:
❑.Aerobic Unit MakeiModel ❑ Disinfection Unit 41akNMode1 Other:
Drainfield Type
❑Gravity SKpressure R(Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class 40
Daily Flow:Operating Capacity 360 gpd Length 50 ft
Daily Flow:Design Flow 480 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,200 gal Number 4
Receiving Soil Type(I-6) 3 Separation 5 It
Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices
Required Primary Area 600 fir Total Number of Orifices 40
Designed Primary Area B00 flr Diameter 3/16 in
Designed Reserve Area 600 W Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 200 ft ScheduleiClass 40
Elevation Measurements Length header ft
Original Drainfield Area Slope 1 % Diameter m../1.25 in
New Slope.If Altered 1 % Preferred manifold configuration used'? Yes O No
Depth of Excavation ut*slope 8 in Transport Pipe
from Original Grade Dam-e6ccs 7 in Schedule/Class 40
Designed Vertical Separation 24 in Length 60 ft
Gmvelless Chambers Required? ❑ Yes ❑No 6fOptional Diameter 2 in
Pump Required? 16 Yes ❑No Dosing and Pump Chamber
Pump/Siphou Specifications Number ofdosesiday 4
Ditr.in Elevation Between Pump&Uppermoat orifice 10 R pose'.antic' 12o gvl
Drainfield Squirt Height/Selected Residual(head) __2_ft Chamber Capacity(Flood) 1,200 gal
Uppermost Orifice OfHigher O Lower than Pump Shutoff Pump convols:Please check those required.
Capacity @ Total Pressure Head 23.6 gpm dTimer Iiklapse Meter Er Event Counter
Calculated Total Pressure Head 13.91 It If Timer: Pump on 2 minutia ,pump off 6 hours
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 0 1 9 — 2 1 -- 9 4 0 0 3'
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R1 Test(role locations 6d Drainfield orientation and layout Reference depth from original grade:
91 Soil logs E6 Trenchlbed dimensions and 61 Septic tank
Sd Property lines critical distances within layout 6lf Drainfield cover
❑ Existing and proposed wells 56 D-BOVVaive box locations Reference depth from original grade
within 100 R of property R1 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations G6 Laterals,trenchfbed,top and
surface water and critical areas [Z Observation port location bottom
❑ Location and orientation of 21 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 21 Manifold placement ❑ Sand augmentation
components 0 Orifice placement Other cross-section detail:
Location and dimension of Ed Lateral placement with distance 19 Observation portsrclean-outs
primary system and reserve area to edge of bed Other Information
� Buildings E6 Audible/visual f need Yes No
19 Direction of slope indicator RfScale of dra s. le Of ❑Design staked out
• Waterlines bar e ❑ l7f Recorded Notices attached
• Roads,easements.driveways, or 10 ❑ 9 Waiver(s)attached
,� Rt1 ❑ Pump curve attached
parking
56 North arrow,and scale drawing _ ',f G�Evaluation of failure'� etoa3<e Non-residential justification
shown on scale bar . ' PAULA JOT JOHNSON
Ll: d E -11" `O N ❑ fif Waste strength
FtPIRES ❑ Rf Flow
DESIGN APPROVAL
The undersigned designer must be not ed by installer at tiimee of�ins t�allatton Ef Yes ❑ No
If-(I -1
Signature of Design Date q�p
The undersigned has reviewed this design on behalf of Mason County Public Health and determined
'boL/
compliance with state and local on-s egulations: ��7��/ .IUN
�� 1 F i 71 MAsn 2024
Environmental Head Specialist Date M�OUNryfNyiR
D��ONMf
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: NTA<yfAITH
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: /
✓ Drainfteld 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
re wired.
This form may be scanned and available for public view on the Mason County Weh site dated Date: IJ7/2015
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APPROVED C4 g� 1200 Gallon Septic Tank
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JUN 1 1 2024 E``a Effluent Filter
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MASON COUNTY ENVIRONMENTAL HEALTH O 1200 Gallon Pump Chamber
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APPROVED'
JUN 11 N24
MASON COUNTY ENVDIJANMENTAL HCAI
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. �.SCREOP ON CAP t 7r �L -1'
END OF =p6@ev�mPm—b 6'pm8asee-
DITaLt , DBT9IL PVC PC�sam boomot&ewhb S®hm
Vtohwld POMPVO- G e' rmbammm3
NOTE. CLEANODT TO BE FRO+`1 0 TO 6 mod¢ m,B'mm MAW efasch
INCHES FELON FINISHED GRADE. imsa6 me to w=numd m L+mrhes
MARE ENDS RITE EBEAR. CLEAN OIIT
.$HD AT E= OF EACH LATSEAL. .
kov%
Length Length Orifice # Distance from Distance from
Lateral# (In. (Ft S in Orifices Feeder Line In. Clean30ut(In.)
1 600 50 60 10 30 30
2 600 50 60 10 30 30
3 600 50 60 10 30
4 600 50 60 10 30 30
Total Lateral Len th 200 40 GPM= 23 8
Total#Orifices
Dynamic Head Calculations
2
SeleGed residual pressure:
ft.
Length(Ft) #Orifices
Transport Pipe 60 40 0.60 ft.
Feeder Total
Lateral Line Length
Lateral#1 50 2 52 10 0.29 ft.
Lateral#2 50 7 57 10 0.31 ft.
Lateral#3 50 12 62 10 0.34 ft.
Lateral#4 50 17 67 10 0.37 ft.
Total Elevation Lift 10.00 ft.
Total Dynamic Head �j 13.91 ft.
� PAUI A JOY JOHNSON''.
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APpROve®
JUN 1 1 2024
MASONCOUNryE ONMENTAL HEALTH
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8rorue mmmuction available(139 senes)
' High head verelon available(145 smiesl
• Double shaft sealverslons available for added protection
on models 140/145.
Flow-Mate For more info matlan,are Technical Cara Sheets FM2782.FM2783.
In high head dewatering or effluent
applications where pumping 5° rvsawaxw<tnrrt
performance is criticah this robust .,..a
family ,of pum ps is known for mLiability,
durability and performance. These.
pumps are especiaLLy suited for harsh
environments.Zoeller's cool run design
and corrosion-resistard,Powder coated
epoxy finish add up to a long-lasting,
troubLe-free product
APPLSCATi0NIR °
STEPoronsiteaPpticedons Ya
Warduarsher fif
Light comme rcet dewateri ng
SPECIFICATIONS:
1-L2•NPT dischargeits
L2 HP Nrough 1 HP MAOE IN TNEUa
• Available in automatic or nonautomadc OSA POO
Model 137,139.140:1/1'(12 mm)spherical solids
capacirywlth voneximpener
• Moot 145:3/4'(19 mm)spherical solids capacity with ` '
voneximpeiler
5
PUMP PEflFO NCE CURVE
-OL VACENI'r MODE [5[ 151/i53
Dose-Mate EQ I °
This is our fastest growing line of effluent 14 N
pumps.The 150 series is truly a workhorse
designed for reliability under extreme 12-
conditions in an effluent environment 9 a
150 series pump curves covera wide range eT m 16°
of applications. They are wen suited to t°
applications with tow pressure pipe(CPP) a a rn
andenhanced ftowSTEPsystems.Zoeller'z
cool run design and corrosion-resistant, a N
powder coated epoxy finish, in addition
to the hermetically seated,oil-filled motor 15
and non-CLoggi ng vortex impener add up to a
a long-lasting,trouble-free product 10
APPLICIITIONB: '
STEP ororuite a
applications auto 3ggS&t 1 t m m w ro a w ao
Light commercieldewatenng aIYIRNLLOR91 WWe
amcatcuatiumlic
1-1/2•NPT discharge F •e n ,m I— /\ ,
3110 HP through V2 HP F -
Available in nonautomatic or Win,a variable level VED
piggyback macm nical switch JVI sN
1/2"(12 mm)spherical solds"Pacirywirh vortex MASONCOU ?�?4
themnoPlasticimpe0er
For more miommdan,me Technical Data Shed FM2283. NryEN('i q
1 �[J 0 ALL rights reserved. ZOELLER PUMP CO, 1 502-))8-27311 800-928-7867 1 roeum
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gape Tanks must meet S=dards
aired by WAC chapter 246-272C and
Health list of registered sewage tanks• FICUR�2
manufaanuer mast be on Dept _
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PAUL JOY JOHNSON''.
1. Install.Laterals wlth contour or the_gotmd- Emwes
2. Tner_il t re:'ch bottoms level.
3. Instal locator tape or rebar ar each en d o`e?!dxaiane_d laterals
-
4. Install obserVeOn ports as'&camd m the pint pan. 0_e Iec-" at distal cd of each
laii, d einneld with.bottom extending to the d*a roa cinsflve soil interface. Glue
"T"m bottom so ObserVEStiOrl port cannot-be easily moved£rom gromd —sal
removable cap on top Of port ar fna grade.level.
_ 5. lasmil dralvReld—1—ing-ry wexd=and soil conchO=;say so;-stnea:�x�sst be
eliairated by bamd ra"-
6. lnstp_li threaded clean-outs at the end of all ase:aiS(an=s e::'- to within six
of finished wade and be.-Fitted with iOcaxr tape Or.ebar).
7. TilsmIi audio/visual high water level alarm..
S. lasrall 1!8"mesh non-corrosive pimp see=(m+'n. 12 sq. sure area,net to+i^te_*i'ere
with controls or floats.; Or pimp screen may be sabs`urred with Bio-?ube in septic tank.
?,all bio-robe every 6-12 t onfas and flush back i=tom. -
9. Install anti-siphon valve above pimp;n plump rhsmber to-*,*event the pL*-=p ch2=ber
from siphoning into tee daa;.$eld_
10.Trsal check valve in pump Outlet line to prevent system from drawing back ire the
pump chamber
11.tee to Tee consirne=oa be!ween lurls and^nani2`;d wttli Or+-ces or±eluCC U C o'Cloc3L
Tnr.el l laterals to the manifold with the=5-ces at 12 o'clock.(do not glue),Eel rreSSLre
test and Healtr Dent approval,turn on.11ces down(6 o'clock)and glue
aterals to rnenifbl& Orifice shields may be sm with orifices a+the 12 o'clock position
in lieu of"irnnc fie oglees down to the 6 o'clock position-
, 12.-Filter fabric re rr --d over drain Iock pnor to bats fti ling. if the r*rock extends above
nnenrai grade,r_the filter fabric at least 2 aches down the trench v.'a -
ii.
13. Encase all water lines with 10' of dramffeld and under any��iveway/pazkin�areas.
14.Divert all storm water runoff away from on-site sewage system.
15.No c,-t'in d*Ls aliow,rd--wi-',_,in 10' of the -slope edge or 30- of the dove-dote edge
of the drainEeid and reserve area
16.Have the septic tank and pn=p chambc ruinned Or imspected ev-.y 3 to 5 years-
17.No vehicur traffic ov=dmi=7elri area
18.itspect_lca3, clean£ham,- and test high water level alarm every 6-12 months as needed
19.All materials Ard worn nench:p must meet.Cowty and State regu:=ors.
20.Dev moon from this design w'hou±pror approval from the Designer and Mason CouaTy
Eavironmentai Health Depmtnent will make this desig=".i• and void
Silt Air_—imhoie l:dS and access: samp-' or'ssoac=on ports e==have locking covers and
be located at ground leveL
22.All presstse systems with a hump chamber o=et higherr uaa the drai^fleid mist have a
1/8^hole ceded in the discliargse pipe above the oil io prevent siphoning.
23.All*ratsport lines;mda 2�-iveways or par',9ng ar�..as m-:;st Se.utased*e prevent m„_ig.
24.Homeowner is responsible for ail'propertg lines. A P ^VE
JUN 1 12024
MASON COUNTY ENVIRONMENTAL HEALTH
"JA