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HomeMy WebLinkAboutSWG2024-00292 - SWG Application / Design - 7/3/2024 MASON COUNTY 415N fi SHELTON. 60427-O70,EXT 400 SH STREET, TREE ,SHEL&8]0,EXT 5M 4 BELFAIR:360-2754467 EXT 400 Public Health & Human Services ELMA:3fi0d8252fi9,EXT 4M FAX:360-427-7787 On-Site Sewage System Permit: SWG2024-00292 APPLICANT DENNIS MARIA&TROY MICHAEL Phone: 206-335-6896 Address: 2520 MONTAVISTA PL W SEATTLE,WA 98199 OWNER DENNIS MARIA&TROY MICHAEL Phone: 206-335-6896 Address: 2520 MONTAVISTA PL W SEATTLE,WA 98199 SEWAGE DESIGNER ADAM HUNTER` Phone: 360-753-1226 Address: PO Box 162 OLYMPIA,WA 98507 Site Address: 191 NE Wagon Wheel Rd Primary Parcel Number: 222025402001 Permit Description: Table IX Repair-2BR Oscar X02 Permit Submitted Date: 07103/2024 Permit Issued Date: 07110/2024 Issued By: Jett Wilmoth Current Permit Fees Paid: $805.00 mddmonzl foes may W muoyd uom;nstallation a wrem4 Permit Expiration Date: 07110/2025 dmmad on date or maeeamn) 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 backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer 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. fire cx/�� OFFICIAL USE ONLY p MASON COUNTY PUBLIC HEALTH ^°°BW j� ONSITE SEWAGE SYSTEM APPLICATION WG Nor M eMe y 415NBth StwL(8111g8) SheltonWA,%W N Shelton:3W427-%70 ext 4W Belfair N6 275-W7 ed 400 SWG _ OO O A .J YY Z y Z 9 APPIICANi PHONE D Y TROY DENNIS 2063356896 3B m MAILING ADDRESS-STREET,CRY,STATE 9P CODE r 2520 MONTAVISTA PL W SEATTLE WA 98199 c E SUEALDRESS-STREET.CITY.LP CODE US 191 NE WAGON WHEEL PL W BELFAIR WA 98528A NAME OR DESIGNER N10NE y' ADAM HUNTER 3607531226 Iw NAME OF INSTALLER PHONE TBD 0� CHECKALLAFPLICAPLED'EMS DRINKING WATERSCURCE �r [3 NEW CONSTRUCTION [3 RV HOLDING TANK ONLY 0 PRNATE INDIVIIXIAL WELL y is EtI REPIACEMENTSYSTEM 0 INSTALLATION PERMIT ONLY 13 PRNATETWO-PARTYWELL Z /T of TABLE 9 REPAIR [3 SINGLE FAMILY Ef COMMUNTTWPUBUC WATER SYSTEM O TANNS)ONLY 0 COMMERCIAL SYSTEMNAME: WARM L O UPGRADETOEKISTING O OTHER: SEDROONS LOi81IE O EXISTING FAILURE x.mnDM.+KrLwPxaRbAYW W w 2 0.18 m DIRECTICNSTOSRE-BE SPECINCNIDAWISE CFANY NEEDED INFORMATKW FORACCESS(Mb NW BaN) O n NORTH SHORE RD SOUTH OUT OF BELFAIR TO A LEFT ON WAGON WHEEL TO SITE I� AT THE END. o 1111 � p JUI__ 03 2024 511EMU51BEMGCED FliOY MAMI ROADAND TES)NOIEH MUBIBEMCOED MTIM IEBT 5 (•— OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAWRE SOURCE(W�NPUWNS) []VOLUNTARY OMAINTERANCEIPUMPING [3BUILDINGPERMIT [3HOMESALE E3COMPLAINT [30THER: INSPECTORSOILLOGS COMMENTSICONDRIONS V-VERY G-GRAVELLY S-SAND L=LOAM E=&LT C=CIAY E-EKTREMELY R=ROOTS INS SI(i W ' WTTE A—ICATONEKPIRATIONCATE PLKATNMMPROVF➢BY DATE THIS ORM AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWEBS REVISED lM4KU5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2-2 2Qom— ,L Y- V.22.-tr0_L A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. 2 Scaled layout sketch,including all applicable items on checklist 2 Scaled plot plan,including all applicable items on checklist. 2 Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for pudic view on the Mason County Web site.Maxim on paper sue: 11"X 17" II tt rPARCEL IDENTIFICATION Permt Number: SWG r�0`a`i 'd0a—lOr Designer's Name: ADAM HUNTER Applicant's Name: TROY DENNIS Designer's Phone Number: 360-753-1226 Mailing Address: 2520 MONTAVISTA PL W Designer's Address: PO BOX 162 ® SEATTLE WA 98199 OLYMPIA WA 98507 city State Zi cityState Z' DESIGN PARAMETERS Treatment Device ❑�/Clendon Biofilter 0 Sand Filter ❑Mound ❑Said Lined Drainfield ❑Recirculating Filter,Type: na Aembic Unit Makc/Model XO2 ❑Disinfection Unit Make/Model Other. Drainfield Type OSCAR X02 D.F. ❑Gravity ❑Pressure ❑Trench ❑Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class OSCAR Daily Flow:Operating Capacity 180 gpd Length OSCAR ft Daily Flow:Design Flow 240 glad Diameter OSCAR OS-50 in Septic Tank Capacity 1000 gal Number 5 Receiving Soil Type(1-6) 3 Separation PER OSCAR It Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices Required Primary Area 300 ft Total Number of Orifices OSCAR Designed Primary Area 360 Rr Diameter OSCAR in Designed Reserve Area N/A ft2 Spacing OSCAR in Trench/Bed Width 12 ft Manifold Trench/Bed Length 30 R Schedule/Class 40 Elevation Measurements Length 30 it Original Drainfield Area Slope 2 % Diameter 1 in New Slope,If Altered 2 % Preferred manifold configuration used? 9Yes 0 Ne Depth of Excavation Dp-0 14 in Transport Pipe from Original Grade D.-,lope 14 in Schedule/Class 40 Designed Vertical Separation >12 in Length 20 it Gravelless Chambers Required? ❑Yes RfNo 0 Optional Diameter 1 in Pump Required? dYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoscs/day 411 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.5839 gal Orifice ft Chamber Capacity 1000 gal Uppermost Orifice P(Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 12 gpm drimer Utlapse Meter 6113vent Counter Calculated Total Pressure Head zenx jrj% WrW3OSEC pamp off WIN Comments JUL 1 u YUl4 JBW DESIGN FORM—PAGE TWO Assessor's Parcel Number: Permit Number: SWG ----- DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch if Test hole locations V Dminfield orientation and layout Reference depth from original grade: Ef Soil logs 1d Trench/bed dimensions and d Septic tank 69 Property lines critical distances within layout 17 Drainfield cover 9 Existingand proposed wells V D-Box/Valve box locations Propos Reference depth from original grade within 100 ft of property Ed Septic tank/pump chamber and restrictive strata: Id Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,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 V Manifold placement ❑ Sand augmentation components 1Z Orifice placement Other cross-section detail: E9 Location and dimension of Ed Lateral placement with distance EX Observation ports/clean-outs primary system and reserve area to edge of bed f� Buildings g Other Information Rf Audible/visual alarm referenced Yes No E9 Direction of slope indicator Scale of drawing shown on scale Design ❑ staked out E6 Waterlines bar ❑ ❑ Recorded Notices attached F� Roads,easements,driveways, ❑ ❑Waiver(s)attached parking ❑ ❑ Pump curve attached E9 North arrow,and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must no�fied by installer at time of installation dYes ❑ No 7/3/24 t ure 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 -si regulations: Env o 1 Health Specialist Date 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: ✓ 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 Daze: 12/7/2015 MASON COUNTY HEALTH DEPARTMENT O"ITE SEWAGE DISPOSAL SYSTEM DESIGN SITE R PARCEL N:2221325402W 1 DATE SUBMITTED:TYd12024 LEGAULOT A:wACW WHEEL m BLK2 LOT SUBMITTED BY: ADAM HUNTER APPLICANT: TROY DENNIS ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW= 240 IF NON.RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE- 0.8 GPD/FT2 REDUCTION=LEAVES(ANK IF NO REDUCTION TAKEN DRAINFIELD SUING ABSORPTION AREA= 3W FT2 TRENCH LENGTH OR BED CONFIG.= 30FTX12FT PEROSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1 WDGAL-X02 TANK NEW OR EXISTING= ADD TO EXISTING IE.DRAINFIELD CROSS SECTION SAND DEPTH= 0'-6" IV.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 20.00 1.W 12.0(M 1.5509 RETURN W.W 1.00 12.000 1.5 TOTAL= 3.1017 TOTAL HEAD LOSS ^ 1)FRICTION LOSS THROUGH SYSTEM= 3.102 2)ELEVATION DIFFERENCE = 4.7W TOTAL. 7.002 7/3/24 APPROVE JUL 10 2111 MASON COUNTY ENVIRONMENTAL HEALTH 11 Ib t.4 JB W V.CHECK THE PUMP CAPACITY. PUMP'. AT.MCOCN4LD WGPM-@HP PUMP S-N Y1050E?AJI (PER OSCAR) EXCESS TDH E0.00 (PEROSCAR) TOTAL HEAD LOSS IN SYSTEM T.W STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES APPROVE 7/3/24 JUL tU2014 " ( t� MASON COUNTY ENVIRONMENTAL HEkTh isw {_ § 2 � & r _ p S 77 � - / § »»§$ ; � _ _ \ § f / R � � � ) ! § ■ ! § # | } ) $ it \ � 2 i§§§ > |! !;« a � ! � , ■; |! ; ~ � \§ \j\ HIRM 6F; ! ! ! • ! � ! !\ ) |)|)| I ! ; ! .21 | ! # ! M|| �` | ; __> r | \ : / z / � \ ] �: 0 | � - d - � | © L------= ! \ ) ) } \ ) ) ( if| \ 3 ( 14 ! A! ( D - : , . � � b | \ { ( 6 / ) DOSING TANK RET um LINE } ( / / / R - m�Ymr - ` M _TURN ar / ` ■ ; |§ ! | \� \ ; / [ \ ) § ƒ ( � �m. mem � § | i ! ) ! ); ( 2 \ \ > m � \ �