HomeMy WebLinkAboutSWG2024-00003 - SWG Application / Design - 1/3/2024 MASON COUNTY 415Nfi SHELTON: ,SHELTO70,EXT 400
SH STREET,
,SHE TON, , A 98584
BELFAIR:360-275�7,EXT 400
Public Health & Human Services ELMA:3WA82-5269,EXT 400
FAX:36Dr27-7787
On-Site Sewage System Permit: SWG2024-00003
APPLICANT Buck Carr CIO Mary Carr Phone:
Address: PO Box 305 COSMOPOLIS, WA 98537
OWNER ORME CYRIL C&RYAN T Phone:
Address: 130 BE SELLS DR SHELTON,WA 98584
SEWAGE DESIGNER ADAM HUNTER' Phone: 360-753-1226
Address: PO Box 162 OLYMPIA,WA 98507
Site Address: 33100 N US HIGHWAY 101 CABIN 6
Primary Parcel Number: 323105101011
Permit Description: Table 9 repair ATU to subsurface drip Cabins 2.6
Permit Submitted Date: 01/03/2024
Permit Issued Date: 06/11/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $2,250.00 OddibonaiW.mar be reywred upon mslallambn or s,aWm).
Pernit Expiration Date: 0110512025 (bawd oo dale of nsyeouod)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staHper 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 Drainfleld 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 Designer7Engineer installation approval prior to
backfi/l 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/environmentallonsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH M� RLOUNED
ONSITE SEWAGE SYSTEM APPLICATION WG R M FN W y
Y 0 u mi
415N6ih Street,IBldg B) 6heltanWA,98504 � to
Shdtm:36D42T-96TOND400 8efiir3%275-M67Bn400 SWG2 LA
Z N
APFUCAVT PHONE D D
BUCK CARR 360-300-7111 m m
FOULING ADDRESS-STREET CLAY,STATE.➢P CODE r
C/O MARY CARR PO BOX 305 COSMOPOLIS WA 98537 3
ATE ADDRESS-STREET.Cm.ZIP CODE QI
33100 US HWY 101 (CABINS 2-6) LILLIWAUP WA 98555 m
NAME OF DESIGNER PHONE Y�f
ADAM HUNTER 3607531226 N
NAMEOFINSTALLER PHONE
CHECK PLLAPPLIGBLE REMS DRINKING VNTER SOURCE I�
13 NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL D)
0 REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY [3 PRNATETWPPARTYWELL Z
EAI TABLE 9 REPAIR 0 SINGLE FAMILY Of COMMUNITY/PUBLIC WATER SYSTEM
0 TANK(S)ONLY [3 COMMERCIAL SYSTEM NAME: AETsul.
UPGRADE TO EXISTING O OTHER: 8EOROOM3 LOTSRE
trk
E] EXISTING FAILURE O1dai1M'S^9ei�b 10 VARIES m r
b FOMF4flNMnF"
DFECIIDNSTO STE-BESPECIFICANDADVISE OFANY NEEDED INFORMATION FORACCESS(m.W pale) o
US HWY 101 TO RIGHT INTO STETSON COVE
r
� IILG_
=EIVUSTBEFLAGGEDFROMMAW ROADAND IESTHOLESYUBIREPY00EO INDI TESTNOLENUMRERS I I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FALURE SOURCE(blp WNWIN.)
OVOLUNTARY OMNNTENANCE/PUMPING E38UILDINGPERMM OHOME SALE QCOMPLNNT OOTHER:
INSPECTCRSOLLOGS COMMENTS ICONDIIKKi3
�lo - [ ro � In5
�, 4 fxo.
3
I6- s�- [ v6rx5
'AN 03 7023
SOIL CODES:
V•VERV G=G.Ul SI=SILT C=CLAY E=EKTREMELY R-BOOTH
INSPECTOROGNANTURE Wm APPUCATON E%PIRATICN MTE APMM.ATION APPROVED BY DATE
THIS FORM MAY BESCANNEDAND AVALABLE FOR PUBLIC VEW LNI THE MASON COUNTY WEBSITE RENHFA tNlf015
DESIGN FORM—PAGE ONE Assessor's Parcel Number.s3 Z-L-a- -- -ff1 — o l Q L L
A design will be reviewed when 3 coaie8 of each of the following are submitted: � ��llrr,� Z��
Completed design form that has been signed and dated. Scaled layout sketch,includingplic le items on checklist
I Scaled plot plan,including all applicable items on checklist. a Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.Maximum pper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG W-L-4—0000 Designer's Name: ADAM HUNTER
Applicant's Name: BUCK CARR Designer's Phone Number. 360-753-1226
Mailing Address: C/O MARY CARR PO BOX 305 Designer's Address: PO BOX 162
COSMOPOLIS WA 98537 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN.PARAMETERS _
Treatment Device
❑�/Glendon BioSlter 12 Sand Filter ❑Mound 0 Sand Lined Drain£eld ❑Recirculating Filter,Type:
Oa Acrobic Unit Make/Model BNRI500 0 Disinfection Unit Make/Model Other:
Drainfteld Type
0 Gravity ❑Pressure 0 Trench ❑Bed Bil'Sub Surface Drip
Septic TanWDrainfield Specifications Laterals
Number of Bedrooms 10 Schedule/Class DRIP
Daily Flow:Operating Capacity 900 gpd Length —200 ft
Daily Flow:Design Flow 1200 gpd Diameter DRIP in
Septic Tank Capacity 3000(PER MR 15an) gal Number 6 PER ZONE(2 ZONES)
Receiving Soil Type(1-6) 5 Separation 1.5 ft
Receiving Soil Appl.Rate 0.4 gpd/tl' Orifices
Required Primary Area 3600 ft, Total Number of Orifices 2400
Designed Primary Area 3600 ftr Diameter DRIP in
Designed Reserve Area N/A ft2 Spacing 12 n
Trench/Bed Width VARIES ft Manifold
Trench/Bed Length VARIES ft Schedule/Class 40
Elevation Measurements Length 40 rt
Original Dreinfield Area Slope 0 % Diameter 1 HI
New Slope,If Altered N/A % Preferred manifold configuration used? SYYes 0 No
Depth of Excavation uPSloce VARIEsn(ste AiL Transport Pipe
from Original Grade � WYgLt6 i.&S." chedule/Class 40
Designed Vertical Separation 12 in Length 100 ft
Gravelless Chambers Required? ❑Yes 12f No 0 Optional Diameter 1 "1-5, ill
Pump Required? dyes ONO Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day, 24
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 50 gal
Orifice R Chamber Capacity 3000 gal
Uppermost Orifice fidHigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q'/p{t f'9'[fa-s'r \/ 16.0 gpm belimer Elapse Meter h7Event Counter
Calculated Total'PreSauMe • t`— `^ 3.a It If Timer: Pump on 50 GAL ,Pump off 1 HR
Comments 024 ^�
MASON COUNTY ENVIRONMENTAL HEALTH�N 7iL1 t 689 o D
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number:yGa a,.jn -- TL — --oLo LL
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
of Test hole locations Er Drainfield orientation and layout Reference depth from original grade:
E9 Soil logs ff Trench/bed dimensions and Ef Septic tank
Ea Property lines critical distances within layout 67 Drainfield cover
9 Existingand proposed wells Ed D-Box/Valve box locations
P P ose Reference depth from original grade
within 100 ft of property EZ Septic tank/pump chamber and restrictive strata:
IZ Measurements to cuts,banks, and locations ❑ Laterals, trenchibed,top and
surface water and critical areas EZ Observation port location bottom
V Location and orientation of 9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation
components EX Orifice placement Other cross-section detail:
9 Location and dimension of Ed Lateral placement with distance 9 Observation ports/cleanouts
primary system and reserve area to edge of bed
g Other Information
9 Buildings
9 Audiblelvisual alarm referenced Yes No
19 Direction of slope indicator Y Scale of drawing shown on scale N( ❑ Design staked out
19 Waterlines bar ❑ ❑Recorded Notices attached
19 Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑ Pump curve attached
EZ North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer in b notiSe installer at time of installation If Yes ❑ No
5/11124
S giratape of Designer Date
The undersigned has reviewed ' design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
�
Environmentalealth Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Omite 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 Date: 12/72015
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MASON COUN` Lm\
orenco Technical Data Sheet
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3.20.270
Trusted. Tested.Tough.® O CLOO87
ZOELLER. odes
Supersedes
0319
PUMP COMPANY
MAIL To: P.O. BOX 16347•Louisville,NV 40256 0347 in i[our serene'.
SHIP TO: 3649 Cane Bun Road •Louisville,KV 40211-1981
Tel:1502)778-2731 •11B001 928-PUMP eoellerpumpe.com
Product Information presented here reflects rend hem at time of publication.Consult factory regarding discrepancies or inconsistencies.
Technical Data
Actuated Zone Valves
Zoeller Pump Company's Actuated Zone Valves provide an economical method of zoning large effluent
distribution networks. The valves are easily automated with the addition of the motor actuator. The zone
valve body is designed to allow maximum water flow white maintaining strength. The zone valves are highly
reliable,easy to install,and easy to use. The three port valves can be used to alternate between fields on any
pumped system while the two port valve operates as a simple shutoff valve. The 24 volt valve actuator can
stop or start diverters in any position.Zoning may also allow for a reduction in the pump size.
Features Actuated zone Valves
Part Number Description
I jqP
• Valve never needs lubrication 170-0048 3-port valve asm,2"ID K 2.5 OD
• Valve may be operated manually 170-0049 2-port valve asm,2"ID K 2.5 OD
• Actuator utilizes 24 volt AC power 170-0050 Aauato4 valve 24V
• Actuator movement is completely 170-0149 3-par:valve asm,1.5"IDA2"OD
170-0150 2-port valve asm,1.5"ID K 2-OD
customizable
• No solenoids to burn out
APPROVED
JUN 112024
MASON COUNTY ENO ONMENTALHEALTH
RET
Zone Valve - Installation and Mounting
Materials Used: THREE PORT VALVE TWO PORT VALVE
Standard Plumbing position is with If a two port valve is used.it will be
Valve Screws:Stainless Steel the middle (Port B)as the incoming or necessary to change the cam settings
Valve Knob:ABS Plastic common port to the valve(diagram 1). insidethe actuator.Please refertothe
Valve Handle:ABS Plastic Standard Mounting position is with the full installation manual for detailed
main body of the actuator over Port B as instructions on adjusting the internal
Valve Cover:CPVC Plastic in diagram(2). cams.
Large O-Ring(151): ACTUATOR MOUNTING ON
If it is necessary to plumb the valve in VALVE
Teflon-impregnated plastic other than the standard osition,please
P A Unscrew (counter-clockwise) the
Small n-imp egnat refer a the full installation
on a manual for Lockingknoband removeitandthe
Teflon-impregnated re noted plastic detailed instructions on adjusting the valve handle.
P g P internal cams.
Valve Housing(Main Valve Body): B. Remove four Phillips-head screws
from the valve.Which screws you
CPVC plastic removedependsonhowyou mount
Valve Diverter:Glass-filled Noryl the actuator.
Valve Diverter Seal Valve: C. Turn the actuator over so you can
see into the brown actuator shaft.
Neverl-ubeTM Material There arefour"teeth".Notethe one
ra.nG which is smaller than the others.
Technical Specifications: owx..ai Align this smallest tooth with the
Working Pressure:50 psi. smallest slot on the valve D. Rotate the actuator while keeping
Burst Pressure:200 psi. the two shafts engaged until the
Positive Seal Back Pressure:15 psi. holes on the actuator legs align with
Chlorine Resistant the holes left when you removed
the screws in step B.
Add Resistant E. Usethe longscrews(packaged with
Ozone Resistant the actuator)to secure it in place.
F. Putthevalve handleon the actuator
shaft.Screw down and tighten the
Locking knob(finger tight only).
Valve Actuator P/N 170-0050
a�Y � 9 ow .ass a
Technical BUP�Eosomm
- `-_....
Specifications:
Volroge:24 V.AG wr
Amperage:0 9 AMPS ---
Cycles:60 Hz
Wirt 3 Canduaor omura.c.
Black--Common
Red N y�
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ALL ZOELLER ENVIRONMENTAL WASTEWATER PRODUCTS MUST BE INSTALLED IN ACCORDANCE WITH LOCAL AND/OR STATE
PLUMBING AND/OR HEALTH DEPARTMENT CODES.
0 Copynght 2023 Zoeller*Co.ALL rights reserved.
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