HomeMy WebLinkAboutSWG2024-000242 - SWG Application / Design - 6/3/2024 584
MASON COUNTY 416 N6SHELTON: 0427-970,EXT 400
SHELFAIR 360-275-4467,EXT 400
BE ELMA 360-275-4467,EXT 400
Public Health & Human Services ELMA:360>62-5269.ExT 406
4 FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00242
APPLICANT HOUSE BROTHERS Phone: 26OA95-4156
Address. PO BOX 1820 MCLEARY,WA 98557
OWNER SELFORS JEFFREY D Phone:
Address: 13251 W CLOQUALLUM RD ELMA,WA 98541
SEPTIC DESIGNER ADAM HUNTER' Phone. 360-753-1226
Address. PO Box 162 OLYMPIA,WA 98507
Site Address: 13251 W Cloquallum Rd
Primary Parcel Number: 519164190190
Permit Description: New SFR-2BR sand lined bed
Permit Submitted Date: 06/03/2024
Permit Issued Date: 06/24/2024
Issued By. Jeff Wilmoth
Current Permit Fees Paid: $540.00 comildeal fees may be required sKa msraRar09 of systaml_
Permit Expiration Date: 06/18/2027 (based on date of Inspection)
Permit Conditions:
i 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 Designer/Engineer installation approval prior to
backfill ofsystem 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
MASON COUNTY PUBLIC HEALTH U111"F"" -
ONSITE SEWAGE SYSTEM APPLICATION DDN kIM D y
415N6th5neeq(BIdg8) Shelton WA,98984 m
Shelton 366417-9670eC400 Belfalc360-2754467at400 y y
SWG - �()� ti o °�
Z 4
APPLICANT PHONE
a
HOUSE BROTHERS 3604701707 m
m
MAILING ADDRESS-STREET CITY STATE.ZIP CODE r
PO BOX 1820 MCCLEARY WA 98557 c
3
sTe ADDREss-STREET clrr,ZIP CODE p
13251 W CLOQUALLUM RD ELMA WA 98541 p
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE r
HOUSE BROTHERS 3604701707
CHECK ALL APPLICABLE ITEMS DRINKING WATE R SOURCE
NEW CONSTRUCTION [] RV HOLOINGTANK ONLY Ef PRIVATE INDIVIDUAL WELL y �\
p REPLACEMENT SYSTEM p INSTALLATION PF.RMITONLY p PRIVATE TWO-PARTY WELL =
p TABLE 9 REPAIR p SINGLE FAMILY p COMMUNITY/PUBLIC WATER SYSTEM ]r
[] TANKS;ONLY p COMMERCIAL SYSTEM NAME'.
p UPGRADE TO EXISTING [] OTHER: EEDROOMS LOT SIZE
p EXISTING FAILURE "R«°bOn-�I N,,_d 2 202 m
M MI m:Mn.wn:- 0 L
DIRECTIONS TO SITE BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS R,l-ked gale) O f
W CLOQUALLUM RD TOWARD ELMA TO 13251 ON THE LEFT.
U1J 0 '1024 o F—
y
SITE MUST EE FLAGGED FROM MAIN ROAD AND TEST ROLES MUST BE FE A GGEO WITR TEST XOBL E NVMBE�
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE Ilnr reIRNng Ou,,Oes)
p VOLUNTARY pMA1NTENANOEIPUMPING []BUILDING PERMIT pHOMESALE []COMPLAINT []OTHER:
INSPECTOR SOIL LOVE COMMENTS I CONDITIONS
Zb - " t6-c, 5
SOI L CODES:
V-VERY G-GRAVELLY S=SAND _-LOAM S,-SILT C=CIkY E=E%TREMELV R=ROOTS
INSPECTOR SIGNATURE GATE APPLICATION EXPIRATION GATE APP TION APPROOSY DATE
6 d ,,Al (, - ( I � ( - /YA -27 ( L��
THIWFOPWVAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WES IREv15ED ICUIPI5
DESIGN FORM—PAGE ONE ASSCNSOr'S Parcel Number: S L (E;
A design will be reviewed when 3 copies of each of the following are submitted:
v 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. 0 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.Muximunt paper size: 7l"A"17
PARCEL IDENTIFICATION
Permit Number SWG C-CZ Y,)—f)esigner's Name: ADAM HUNTER
Applicant's Name'. HOUSE BROTHERS Designer's Phone Number. 360-753-1226
Mailing Address: PO BOX 1820 Designer's Address PO BOX 162
MOCLEARY WA 98557 OLYMPIA WA 98507
City State Zip city State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑ Sand Filter ❑ Mound Erhard Lined Dminfeld ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make Model Other
Drainffeld Type
❑ Gravity Pressure ❑Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class 40
Daily I low: Opemmig Capacity 180 gpd Length 24 ft
Daily Flow. Design Flow, 240 gpd Diameter 1,25 in
Septic Tank Capacity 1000 gal Numbcr 4
Receiving Soil Type(1-6) 1 Separation 2.5 ft
Receiving Soil Appl. Rate TO gpd/B' Orifices
Required Primary Area 240 ft' Total Number of Orifices 40
Designed Primary Area 240 ff2 Diameter 3/16 in
Designed Reserve Area 240 ft2 Spacing 28 in
Trench/Bed Width 10 ft Manifold
TienCh/Bed Length 24 ft Schedule/Class 40
Elevation Measurements Length 7.5 it
Original Drainfield Area Slope 0 % Diameter 2 in
Ncw Slope,If Altered 0 / Preferred manifold conftgum �ytion used? nr Yca 0 No
Depth of Excavation t.'9-swrc 48 in Transport Pipe
from Original Goode Doxn_slope 48 in Schedule/Class 40
Designed Vertical Separation '18 in Length 60 ft
Grsvelless Chambers Required? ❑ Yes 0 No Optional Diameter 2 in
Pump Required? EdYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses;day 6
Difference in Elevation Between Pump Shutoffaad Uppermost Dose quantity 40 gal
Orifice I Id Chamber Capacity 1000 gal
Uppermost Orifice R(Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity(d,Total Pressure Head 23.447 gam dTimer Istlapse Meter 9(Event Counter
Calculated Total Pressure Head 6028 it If Timer: P p 40 GAL ,pump off 4 HRS
Commen
JUN 2 4 2r2,,
DESIGN FORM —PAGE TWO Assessor's Parcel Number: 2 L_I L(p- -- q L -- -CL 6 l cf 6
Pcrmil Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
9 Test hole locations V Drainfield orientation and layout Reference depth from original grade:
fZ Soil logs 6f Trenchibed dimensions and ld Septic tank
9 Property lines critical distances within layout IZ Drainfield cover
♦Z Existingand proposed wells D-Box/Valve box locations
P P Reference depth from original grade
within 100 Or of property Septic tank/pump chamber and restrictive suata:
U Measurements to cuts, banks, and locations ❑ Laterals, trench bed, top and
surface water and critical areas Observation port location bottom
0 Location and orientation of Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Manifold placement ❑ Sand augmentation
components EZ Orifice placement Other cross-section detail:
EZ Location and dimension of Rr Lateral placement with distance V Observation ports clean-outs
primary system and reserve area to edge of bed
V Ruildings Other Information
Ed Audible/visual alarm referenced Yes No
E9 Direction of slope indicator
f� Scale of drawing shown on scale 12� El Design staked out
19 Waterlines bar ❑ ❑ Recorded Notices attached
Roads, easements,driveways, ❑ ❑ Waivcr(s) attached
parking ❑ ❑ Pump curve attached
19 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown nn scale bar Non-residential justification
❑ El Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must Fde,,gn..fbha1gfrpf
er at time of installation R(Yes ❑ No
6/3/24
rDate
The undersigned has reviewedth Mason County Public Health and determined it to be in
compliance with state and local on-s' gulations:
V�
Envu nm a eat Specialistt Date
CAUTION: DESIGN APPROVAL 1S VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Ons-ite Sewage Permit has not expired, the Permit Expiration Date is: u - �� 2'�
✓ 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 MasoIy lth.
AOP
An Installation Fee is required. JUN 2 4 AP4
This form may be scanned and available for public view on the Mason Cduiigi WZbA tlp.; ,1 -: - -
r
J llj*ted Datea Z,/2n 15
PAGE
MASON COUNTY HEALTH DEPARTMENT
ON SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 51916419019D
DATE SUBMITTED'. 0610324 LEGAIILOT#.
SUBMITTED BY: ADAM HUNTER
APPLICANT. HOUSE BROTHERS
ADDRESS: MCCLEARY.WA
I.CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS.
GPO_
APPLICATION RATE= 1 GPDIFT2
REDUCTION=1t-<v�-slnvk n>Ior usFr,
GRAINFIELD SIZING
ABSORPTION AREA= 240 FT2
TRENCH LENGTH OR BED CONFIG.= 10FT X 24FT SAND LINED BED
IL WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000 GAL.CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= NiA-GRAVELLESS CHAMBERS
ROCK DEPTH BELOW PIPE= N;A-GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIALSEASONAL SATURATION= 11-1.
FILL DEPTH= 1 -3"
TRENCH WIDTH= 10'-0"
IV.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 40
NUMBER OF DOSES PER DAY= B
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 3116
6/3/24
`•4 ` JUN24 ?rL4 °
{
r j BVII
,.. ``Y,
PAGE
i
LATERAL 91=
SQUIRT HEIGHT(TT)= 2.00
(NOTE(1) ORIFICE DISCI MRGE RA IE-P?SS)X IOH6ICE OOMETFR)SO2X
SO HOOT ORTOTFL PRESSORE IIEAC)
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 2 4^
DISTANCE FROM END CAP= 1 2"
NUMBER OF HOLES= 10
LATERAL DISCHARGE RITE= 5A62
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 2 4-
DISTANCE FROM END OAP= 1 2-
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.862
LATERAL 43=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 2 4'
DISTANCE FROM END CAP= 1 2-
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.862
LATERAL M=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 2 4-
DISTANCE FROM END CAP= 1 2-
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE- 5.862
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS 60.00 2.00 2442 0.593
BE 1.25 2.00 11.724 0.003
CD 2.60 DOE 5.862 0.002
DE 24.00 1.25 5.862 0.130
TOTAL= 0.728
"TOTAL HEAD LOSS
1)FRICTION LOSS THROUGH SYSTEM= 0.726
2)ELEVATION DIFFERENCE = 3.300
3)RESIDUAL = 2000 _
6/3/24 TOTAL= 6.028
A PPRJUN
O � . :
MYERS ME3
Capacity liters per minute
0 50 ]00 150 200 250
60 , 12
t
�F 10
H�� I
30
20
L
i r�3 10
j ' z
u a
0 10 20 30 40 50 60 70
Capacity gallons per minute
6/3/24
F -
A
Ja
421
I \
I
� m
SN 90
s
i r
A
w �I
1
AL4 Q
I T �
\ y �
— IEW.5 r
C ¢L ➢
N m
D ' \
o Q Q
<O
I �
J � 9
{ P r y
§ 7l O y
ap 9 O
2y Z
a C 2 y
C �
9
O
C
m in
ml
m 3zo ""nm �
kE n ° oc
n P °zom
y' ml
zsm 2T pzs mom '
L1
z d F
Y
.N H
I
d tl:
=0 v
u
n
E '
W,
a Fo
U O Qm
❑ 2 U O / m W 1 O
a d O
'.Z w u � vri � C\ ❑ w Q a Q� z a W � c
o
¢
r w m \ a o a Wm =
3
m wx 6 m m
o o
d O >
0 o w a \ \\
wz w
a m cri
O m o. \ \\
x
>
e c \
o \\
_ o\
U I
N
I M
� c0
r l
1 o �•
p
w z
U W Q
p O Q N ¢ p
gaaaa F o w
m N Z E Z O
a
p i Vl p w Z h Q m
m R `c F Z K m Q y S
Z LL ; m p p FOm Q y >
O w p w U i O Z a0 S O U u
LL r 4 . F Z_ o F
❑ O Z 0 3 w N a o N x z m a rc o z Z w
z c a a w
❑ Wli oz � Fu ¢ e i w a _ W 0
w Z H a o � z ?
p z w J ¢
d o w w N o m u o m o
K w p u a E ? w rc w w p m i
o w
a p w Q O as o o ; N o wrc p >> z oa amp wz � o
- w M y LL p
W p y Z W Q p O N W p
F, J O N w Q z aw w O
u wm w zp
¢ ou zi uw wo rc� aa
Y
r o y h p m z 3 tt
J w u = om
orc wO O w 0i a ww w Q j w Z 0 z m
a
<V'^ ObN% FUN❑ IU3U� ❑U (Q07g J2 LLn _Z tt mr LLm Npw o ''LL^^� m os _J a a °x' z wLLw 0 ywLL vJwazi �o QO p .0 rc- O
a rc ouzwa
pzu�0 O O
z
zr
7 W> O U zw ya
Q Q ¢Z
Q❑W 0. N > Q Fzm O W U W J > 0
O ww z w O 7 zaa
Zau gr)ff
Z m o U Q W U K F-JQ Zw❑ HaW❑2 Win Fma ILLY YU mS W rrt F �O Orm tx ow mttm 3w mozrc ' o< imx 3w sGh WW
Z z ao' a s W
O Fae aoao z Q Q = m g $ az
pU ¢ O w a waa awpwya
w
L�ja oW z F y a
W W z = p
Z F zam
W Q Q ❑ J oozU) m co a z Z Z Wi �'orc>aw
w�attoawFz
oQmw�0
z o z a LL o a o o y rc i
a m K W z d _ F o
w w w m z 2 m z w
oa € a Q z o a r i r ,o._
a