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Home My WebLink AboutSWG2024-00253 - SWG Application / Design - 6/5/2024 84 MASON COUNTY 415 N6THELTON ,SHELTON WA98500 SHELTON:360-027-4467:EXT 400 BELFAIR:360-2]5-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00253 APPLICANT MALFAIT CAROLYN L Phone- Address: 21518 NE 68TH ST VANCOUVER, WA 98682 OWNER MALFAIT CAROLYN L Phone: Address: 21518 NE 68TH ST VANCOUVER, WA 98682 SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 SEPTIC INSTALLER TRAVIS VILLINES' Phone: 360-789-1365 Address: PO BOX 11790 OLYMPIA, WA 98508 Site Address: 22530 N US HIGHWAY 101 Primary Parcel Number: 422235000054 Permit Description: Table 9 repair 2bd Oscar X02 Permit Submitted Date: 06/05/2024 Permit Issued Date: 06/18/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system). Permit Expiration Date. 06/17/2025 (based on date of Inspection) 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 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 backff//of system components. 5 Installer is responsible for obtaining Septic Designer7Engineer 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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH ORTERECOAD ONSITE SEWAGE SYSTEM APPLICATION BVjv�- De m G CJJ ° 415 NfiN Sheet(Bldg 8) Shelton WA,98584 mw � y Shelto¢36G41J-9fi]0 ext ANBelfai: 3611-D544fii ex:400 SWG �UZA - 001S5 DID 0 o 2 y APPLICANT STEVE CHANEY 3606006830 m 0 MAILING ADDRESS-STREET CITY STATE.U1 CODE r 21518 ISE 68TH ST VANCOUVER WA 98682 3 SITE ADDRESS-srREET.CITY.FP CODE m 22530 N HWY 101 SHELTON WA 98584 z NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PYONE w TRAVIS VILLINES ° CHECK N 1 APPLICABLE REMS DRINKING WATER SOURCE O NEW CONSTRUCTION E3 RV HOLDING TANK ONLY O PRIVATE INDIVIDUAL WELL y ISll O REPL ACEMENT SYSTEM O INSTALLATIONPERMITONLY O PRIVATE TWO-PARTY WELL 2 TABLE 9 REPAIR OSINGLE FAMILY Ef COMMUNITYIPUBLIC WATER SYSTEM (� O TANKS,ONLY O COMMERCIAL. SYSTEM NAME'. aa IV. IpIp��I O UPGRADE TO EXISTING O OTHER: BEDROOMS LOT SIZE "r3 p EXISTING FAIL URE -R.LCFe onwMg,wm.w 2 0.54 W ICj ro.Muo.mmino.- r DIRECTIONS TO SITE BESPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS OR 1¢k.4 ga,O ° n HWY 101 TOWARDS HOODSPORT TO SITE ON THE RIGHT. s GATE CODE 3000 ENTER I IO o IC, Jul SITE MUSTRE MGGED GROM MAIN ROAD ANDTEST NOLES MUST RF FLi GGEO WNN IESTNMENUtlBERS I I� OFFICIAL USE ONLY BELOW THIS LINE P A E I FAILURE SOURCE P"1.1111 I-Se I OVOLUNTARV OMAINTENANCEIPUMPING O BUILDING PERMIT OHOMESALE OCOMPLAINT OOTHER: INSPECTOR SOIL LOOS COMMENTS I CONDITIONS 1 �IM JUN 05 2024 D By SOILEODES'. - v G=GRAVELLV 5=$NJU L=LOPM 51-SILT L=CUV E=EXrREMELV R-ROOTS INSPECTOR SIGNATURE DATE APPLICASON EXPIRATION DATE APPLICATION APPROVED 9V DATE THIS FORM MAY BE SC TUNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEISITE REVISED I]nQOfE DESIGNFORM—PAGEONE Assessor's Parcel Number: C-ILc;a)a a>— `j 0 -- 0-C)0 J_.14 A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated- v Scaled layout sketch, including all applicable items on checklist • 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 an the Mason County Web site.Manimum paper size- 1/"%17" PARCEL IDENTIFICATION Permit Number: SWG ?,t)Z.M —LX7�, Designer's Name: ADAM HUNTER Applicant's Name: STEVE CHANEV Designer's Phone Number: 360-753-1226 Mailing Address 21518 NE 68TH ST _ Designer's Address: PO BOX 162 VANCOUVER WA 98682 OLYMPIA WA 98507 City State Zip City Slate ziii DESIGN PARAMETERS Treatment Device ❑ Glendon Buifilter ❑ Sand Filter ❑ Mound ❑Sand l.mcd D,,imfield ❑ Recirculating I'iller,'fypr. Aerobic Unit Mnke/Model X02 ❑ Disinfection Unit MakeMcdel Other: Drain Deld Type OSCAR X02 D.F. ❑Gravity ❑ Pressure ❑Trench ❑ Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class DRIP Daily Flow'. Operating Capacity 180 gild Length PER OSCAR ft Daily Flow'. Design Flow 240 gpd Diameter 1/2 in Septic Tank Capacity 1000 gal Number 3 Receiving Soil'I ype(1-6) 4 Separation 0.5 ft Receiving Soil Appl. Rate 06 gpd/IY Orifices Required Primary Area 400 g' Total Number of Orifices PER OSCAR Designed Primary Area 400 ft-' Diameter PER OSCAR in Designed Reserve Area N/A he Spacing PER OSCAR in I rench/Bcd Width 16 ft Manifold Trench/Bed Length 25 fl Schedule/Class 40 Elevation Measurements Length 20 H Original Drainfield Area Slope 3 / Diameter 1 in New Slope,If Altered 3 / Preferred manifold configuration owed'? EYYes ON. Depth of Excavation Ub-slwe 6 ill Transport Pipe from Original Grade Domr-slope 0 in Schedule/Class 40 Designed Vertical Separation 24 in Length 60 SUPPLY/60 RETURN IF Gravelless Chambers Required? ❑ Yes VNo O Optional Diameter 1 in Pump Required" lif Yes ON. Dosing and Pump Chamber Pump/Siphon Specifications Number of dose., day 411 Difference in Elevation Between Pump Staloff and Uppermost Dose quantity 0.584 gal Orifice It Chamber Capacity 1000 gal Uppermost Orifice 52h higher O Lower than Pump Slmtoff Pump controls: Please check those required. Capacity (ra,Total Pressure Head 12 gpm CfT'�imer 9t,lapse Meter 47�Evcnt Counter Calculated Total Pressure Head ls.lns P R V-E2' pump on 305EC ,Pump oft' 3MIN Comments SUN 18 2024 MASON CCJ'1N EtirR,'NMENTALHEALTH DESIGN FORM—PAGE TWO Assessor's Parcel Number: �i4 a d.d 3 -- 1 U — O u_ Cam Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Rf Test hole locations EX Drainfield orientation and layout Reference depth from original grade: 99 Soil logs Trench bed dimensions and 9 Septic tank • Property lines critical distances within layout V Drainfield cover • Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 it of property Rr Septic tank/pump chamber and restrictive strata: EZ Measurements to cuts, banks, and locations ❑ Laterals, trench bed, top and surface water and critical areas EZ Observation port location bottom W Location and orientation of 9 Clean-out location ❑ Curtain drain collector curtain drain and all absorption d Manifold placement ❑ Sand augmentation components 9 Orifice placement Other cross-section detail: fY Location and dimension of Y Observation ports clean-outs Ed Lateral placement with distance P primary system and reserve area to edge of bed Other Information EZ Buildings Ed Audible/visual alarm referenced Yes No E9 Direction of slope indicator 9f Scale of drawing shown on scale d ❑ Design staked out 9 Waterlines bar ❑ ❑ Recorded Notices attached E9 Roads, casements,driveways, ❑ ❑ Waiver(s) attached parking ❑ ❑ Pump curve attached E9 North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Nun-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer mqthis d in at time of installation 2rYes ❑ No 6/4/24 o ofDesigner Dale The undersigned has reviewgn on behalf of Mason County Public Health and determined it to be in compliance with state and lregulations: Environmental Healtt�ccialist Dale 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: ��J ✓ 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 Date: 12'7/2015 Vh&,e,r(\ C.UI-4I HI DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#. PARCEL IF TS08pG41iUZ� _ DATE SUBMITTED.614/2024 LEGALTOT#. SUBMITTED BY: ADAM HUNTER APPLICANT. STEVE CHANEY ADDRESS. 21518 HE 68TH ST VANCOUVER-WA98682 I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL OLD FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPDIFT2 REDUCTION DRAINFIELD SIZING ABSORPTION AREA= 400 FT2 TRENCH LENGTH OR BED CONFIG.= 25X16' PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1000GAL-X02 TANK NEW OR EXISTING= NEW Ill.DRAINFIELD CROSS SECTION SAND DEPTH= 0 -6" IV.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE VETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION )FT) (IN) (GPM) (FT) SUPPLY 6000 1D0 12.000 4.6526 RETURN 60.00 100 12000 4.6526 TOTAL- 9.3052 "TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 9.305 2)ELEVATION DIFFERENCE 8.800 TOTAL= 18.105 APPROVED lN. 6/4/24 JUN 18 2824 MAS04C)U'+7ESv1RON4E5T4LNEALTIi rP RET , . T V.CHECK THE PUMP CAPACITY. PUMP. AY_MGDONFLD 30GPM-VLLP PUMP(MODEL N 220NU2AJ) (PEROSCAR) EXCESS TOR 50.00 (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM T&I I STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES ` gs 6/4/24 APPROVED JUN 18 2024 '"SON CM7 ENIIRONY-NT4L HEALTH RET * 1 Z \ \ �`X0 D.F./ , \ % Z103.1) - ! am . \ - \ - ± � � \ \ ) ] ) ) ) } ( ! / O \ \ � ./ » � - [ E » ) ; -10O _AO w i \ � } \ \ \ Iz > LLI g . 0 "VLU / 2 cl � 7a / � »w �mema� \ � } a: -L @ ' +nz�2 . - \ \ � L ammn13 aNNVI _m, � � �\ p--- —q \ ! ! — % }\ � 4 1J91 HW ( , !