HomeMy WebLinkAboutSWG2024-00265 - SWG Application / Design / As-Built - 6/12/2024 MASON COUNTY 415NfitHELTON , 0427-97W EXT 400
SHSTREE SHELTON, A98584
BELFAIR.360-275-4467,EXT 400
Public Health & Human Services ELVA:360482-5269,EXT 400
FAX 360-427 7787
On-Site Sewage System Permit: SWG2024-00265
APPLICANT SHELLY ROSADO Phone:
Address: 2010 MCCORKLE RD SE OLYMPIA, WA 98501
OWNER FITZSIMMONS LENARD N Phone:
Address: 2010 MCCORKLE RD SE OLYMPIA, WA 98501
SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 81 E QUEENS WAY
Primary Parcel Number. 221295100019
Permit Description: Repair 3bd ATU to subsurface drip
Permit Submitted Date: 06/12/2024
Permit Issued Date: 06/18/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (admroral fees may be required upon installation of system).
Permit Expiration Date: 06/17/2025 (eased on date of nspeeron)
Permit Conditions.
1 Proposed development subject to zoning requirements and approval by the planning
department staNper Mason County Title IT
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 DesigneNEngineer 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
MASON COUNTY PUBLIC HEALTH CAS "`NG)
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ONSITE SEWAGE SYSTEM APPLICATION ` 0
M.D `I — "O �cvs
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41546EBSteet,(Bldg 8) Shelton WA,98594
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APPLICANT PHONE n D
SHELLY ROSADO 3606886780 m m
MATINGADORESS-STREET.CITY STATE ZIP CODE r
2010 MCCORKLE RD SE OLYMPIA WA 98501 3
SITE ADDRESS-STREET CITY ZIP CODE I}1
81 E QUEENS WAY SHELTON WA 98584 z
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD
CHECK ALL APPLICABLE DENS DRINKING WATER SOURCE
F
0 NEW CONSTRUCTION 0 RV HOLDING TANK ONLY (] PRIVATE INDIVIDUAL WELL
[g REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL Z ��
0 TABLE 9 REPAIR 0 SINGLEFAMIIY COMMUNITY/PUBLIC WATER SYSTEM
0 TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME EL w R LNo
0 UPGRADE TO EXISTING 0 OTHER'. BEDROOMS DNLOT SIZE FJ,
E] EXISTING FAILURE "I-ANH nwiul.l " 0.42.
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DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex pocked gale) i7
PICKERING EAST TO A LEFT ON QUEENS WAY TO SITE ON THE LEFT. I�
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SITE MUST BE FLAGGED FROM MAIN ROAD AMU TESTXOLES MUST BE PASSED WITH TEST HOLE NUMBERS
OFFICIAL USE ONLY NELO W THIS LINE
UPGRADE I FAILURE SOURCE Nr,S Alm,purposes)
[]VOLUNTARY []MAINTENANCE/PUMPING E]BUILDING PERMIT E]IIOMESALE []COMPLAINT E]OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
Tf�A ; D ' 25 I,
2� r L�Fs � �u�Li 2 zoza
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SOIL CODES: BY--
=VERv O=GRAVELLY S=SAND L=LOAM BI-SICT C=CLAY E=EXTREMELY R-ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY ATA
�yuM I� Inhy G I1-1 (ZS I , 6)i8iz"
THIS FORM MAY BE bCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBBRE REVISED 1LS2ms
DESIGNFORM—PAGEONE Assessor's Parcel Number: g L q — g f_ — L_�Ls
A design will be reviewed when 3 copies of each of the follae'ing are submitted:
v Completed design form that has been signed and dated. v Scaled layout sketch, including all applicable items on checklist
e Scaled plot plan,including all applicable items on checklist, v 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.Maximum pope, size: I I"A'17"
PA-RCF,L IDENTIF CATION
Permit Numbep SWG Z — Designer's Name. ADAM HUNTER
Applicant's Same: SHELLY ROSADO Designer's Phone Number. 360-753-1226
Mailing Address: 2010 MCCORKLE RD SE Designer's Address: PO BOX 162
OLYMPIA WA 98501 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑ Sand filter ❑ Mound ❑ Saad Lined Drainfied ❑Recirculating Title,, re:
Aerobic flat Makc/Mrdcl BNR500 ❑ Disinfection Unit Makc/Model Other:
Drainfield Type
❑Gravity ❑ Pressure ❑ Trench ❑Bed M'Sub Surface Drip
Septic TanWDrainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class DRIP
Daily Plow-Operating Capacity 270 gpd Length 225 ft
Daily Flow. Design Flow 360 gpd Diameter 1/2 in
Septic'I ark Capacity 1200 gal Number 2
R eceiving Soil Type(1-6) 4 Separation 1.5 ft
Receiving Soil Appl. Rate 0.6 gpd/Il'- Orifices
Required Primary Area 675 ft" Total Nombcr of Orifices PER DRIP 4'
Designed Primary Area 675 be Diameter PER DRIP in
Designed Reserve Area N/A g'- Spacing 12 in
TrercfrBed Width 15 ft Manifold
Trench/Bed Length 45 I't Schedule/Class 40
Elevation Measurements Length 30 tt
Original Drainfield Area Slope 2 s/ Diameter 1 in
New Slope,If Altered 2 / Preferred manifold configuration used? 6YYcs 0 No
Depth of Excavation cn-dupe 9 in Transport Pipe
from Original Grade uown-slope 9 in Schedule/Class 40
Designed Vertical Separation >12 in Length 40 ft
Gravelless Chambers Required? ❑ Yes V No O Optional Diameter 1 in
Pump Required'? R(Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses'day 12
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal
Orifice IIt Chamber Capacity 1200 gal
Uppermost Orifice R(Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity(a Total Pressure Head Z2 gpm Timer 9Elapsc Meter 5YEvent Counter
Calculated Total Pressure Head 1331 fl If Timer: Pump on 9.52MIN Pump off 2HRS
Comments APPKUVM
SUN 18 2021t
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 7,gy, ,.� --
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
16 Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
[Z Soil logs R( Trench/bed dimensions and Y Septic tank
E9 Property lines critical distances within layout E' Drainfield cover
EZ Existing and proposed wells 9 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 9f Septic tank/pump chamber and restrictive strata:
• Measurements to cuts,banks, and locations ❑ Laterals, trench,'bed,top and
surface water and critical areas [Z Observation port location bottom
• Location and orientation of 1Z Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation
components
V Orifice placement Other truss-suction detail:
V Location and dimension of 9 Lateral placement with distance EZ Observation ports'clean-outs
primary system and reserve area to edge of bed
€ Other Information
E9 Buildings
9 Audible/visual alarm referenced Yes No
V Direction of slope indicator Ed Scale of drawing shown on scale d ❑ Design staked out
Watcdines bar ❑ ❑ Recorded Notices attached
Roads, easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
f� North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer 4tdcsign
ifi taller at time of installation Rf Yes ❑ No
6/11/24
at e of Designer Date
The undersigned has revie on behalfof Mason County Public Health and determined it to be in
compliance with state ande regulations:
� 0r 611`�Iz"
Environmental Health Spec alisl Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsile Sewage Permit has not expired,the Permit Iixpiration Date is: U, l 1 I—t
✓ 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 may be scanned and available for public view on the Mason County Web site.
Updated Datc: 12!7/2015
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-' APPROVED
JUN 18 2024 —
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• Technicai Data sheet
Using a Pump Curve
A pump curve helps you determine the best pump for your system.Pump curves show,the relationship between flow and pressure(total dynamic
read or"TDM'),providing a graphical representation of a purnp's optimal performance range.Pumps perform best at their nominal flow rate.These
graphs show op0'nmal pump operation ranges with a solid line and flow rates outside of these ranges with a dashed line.For the most accurate pump
specification,use Drano's PumpSelect"software.
Pump Curves
500 400
- - -- PF10 Series,fi0 Hz,0.5-1.0 hp -- - PF20Series,fi0 Hz,0.5-1.5hP
400 - - - - — 350 PF2015 -
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C 300 PF1001 0 250
a 250 PF1005 -- -- a --
200
200
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150
4- 100
m 100 -
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0 2 4 6 10 12 14 16 18 0 5 10 15 20 25 30 35 40
Flow in gallons per minute (gpm) Flow in gallons per minute (gpm)
900 APPROVED
PF31 PF30series,sfix:.9s-s.onp JUN 18 2024
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Flow in gallons per minute (gpm)
NM-M-PF-5 0renco Systems°•000-340-9043•+1 541-159-4449•www.orenco.cam
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