HomeMy WebLinkAboutSWG2024-00288 - SWG Application / Design - 7/2/2024 SHEL
584
MASON COUNTY 415N 6THELTON: 80427TO70,EXT 40
SHELTON:360-2754467,EXT 400
4 BELFAIR:360-275+1467,EM 400 I
Public Health & Human Services ELMA:3604825269,EXT 4W
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00288
APPLICANT MCMASTERS DEREK JAMES Phone: 253-205-1677
Address: 130 E HILLDALE RD UNION,WA 98592
OWNER MCMASTERS DEREK JAMES Phone: 253-205-1877
Address: 130 E HILLDALE RD UNION,WA 98592
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-4265940
Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584
SEPTIC INSTALLER TJ GODS* Phone: 360-490-0217
Address: 150 E MARISA PL SHELTON,WA 98584
Site Address: 71 N Kingsway S
Primary Parcel Number: 422165200092
Permit Description: 2-bedroom pressure system wl OSCAR OS-100 coils
Permit Submitted Date: 07/0212024
Pernit Issued Date: 07115/2024
Issued By: David Anderson
Current Permit Fees Paid: $805.00 caddmonai fees may oe regairea open Installation of syatami
Permit Expiration Date: 07110/2027 (based on dale onnsp von)
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 specked 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
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 088.
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:
360427-9670,extension 400.
OFFICIALUSEONLY
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ON-SITE SEWAGE SYSTEM APPLICATION
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APRICANT PHONE m
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Derek McMasters (253) 205-1877 c
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130 E. Hilldale Rd. Union WA 98592 n a
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71 N. Kings Way S. Hoodsport WA 98548 3 A
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Dale L. Tahja (360)426-5940
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T.J. Goos (360) 490-0217
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suB�MRIrus O SURFACING SENMDE 0 EXISTING FAILURE SHORELINE
EEDIESXONFORIA REQUIRED) I.�SEPTICDESIGN(REOUIRED) BEDROOMS LOT MTE 0 I N
I]yIWAWERlS)(IFAPPLICABLE) 2 0.19 acre I0 IO
dRECRON6TD Bm:PND BNE COnomoNs.(m.bNR.'I EeMI
Go on Lake Cushman Rd., left onto Hoodsport/Potlach Rd., left onto Rainbow Dr., right onto
Chinook Dr., left onto Kings Way S., property on left side of cul-de-sac. o I o
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O V0.UNTARY OMNNrEWWCE,PUMPINO OBUILDING PERMIT GNOME SALE ODDMPLAINT r]DTHER
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE RWBED 1NFIDtE
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 2 1 6 — 5 2 — 0 0 0 9 2
A design will be reviewed when 3 wales 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. v Cross-section sketch,including all applicable items on checklist.
nas he he sunned and avalleble for view on the Moon Web site.Almunrunt raise: 11"X17"
Permit Number: SWG e. L Designer's Name: Data Table n
Applicant's Name: Derek McMastem Designer's Phone Number: 3604265940
Mailing Address: 130 E.Hilldale Rd. Designer's Address: 2450 W Deegan Rd W
Union WA 98592 Shelton WA saw
C' State Zi C' : State Z
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Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drendield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Modcl ❑Disinfection Unit Make'Modei Other: N/A
Drainfleld Type
Cl Gravity 51 Pressure ❑Trench ❑Bed Id Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals --
NumberofBedroom 2 Schedule/Class Oscar OS-100coils
Daily Flow:Operating Capacity 180 gpd Length 7X7 it
Daily Flow:Design Flow 240 gpd Diameter Netafim Bioline in
Septic Tank Capacity(working) 1,000 - gal Number 3
Receiving Soil Type(1-6) 4 Separation 1 ft
Receiving Soil Appl.Rate 0.6 r gpd/tit Orifices —
Required Primary Area 400 — il Total Number of Orifices 300 emitters
Designed Primary Area 400 ftr Diameter Netaflrn emitters in
Designed Reserve Area 400 ftr Spacing 6 in
Trench/Bed Width 17 ft Manifold
Trench/Bed Length 24 ft Schedule/Class Sch.40
Elevation Measurements ' Length 200 ft
Original Drainfield Am Stage 0 % Diameter i in
New Slope,If Altered 0 a/ Preferred manifold configuration used? O Yes 6dNo
Depth of Excavation up-dape 0 in Transport Pipe
from Original Grade news+-slwa 0 in Schedule/Chas Sch.40
Designed Vertical Separation 26 in Length 5 ft
Gmvellcm Chambers Required? ❑Yes Id No Cl Optional Diameter 1 in
Pump Required? If Yes O No Dosing and Pump Chamber -
Pump/Siphon Speciflcations — Number of doses/day 360
Diff.in Elevation Detwmn Pump Bc Uppermost Orifice 10 ft Dose quantity 0.67 gal
Drainfield Squirt Height!Selected Residual(head) tl=p ft Chamber Capacity(flood) 000 gal
Uppermost Orifice If ffigber ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 30 gpm aftimer OElapse Meter i(Event Counter
Calcalaled Total Pressure Head `� it If Tiuter: Pump on 0.32 min. pamp off 3..68 min.
Comments
Audible/Visual Alarm required
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 1 6 — 5 2 — 0 0 0 9 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Id Test hole locations Ill Drainfield orientation and layout Reference depth from original grade:
Ed soil logs Ri Trench/bed dimensions and Rf Septic tank
Ed Property firm critical distances within layout Sif Drainfield cover
66 Existing and proposed wells Ed D-BoxfValve box locations Reference depth from original grade
within 100 ft of property Ed Septic tank/pump chamber and restrictive strata:
19 Measurements to cuts,banks,and locations 69 Laterals,trench bed,top and
surface water and critical areas 69 Observation port location bottom
m Location and orientation of 69 Cleanout location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement 56 Sand augmentation
components 66 Orifice placement Other cross-section derail:
0 Location and dimension of 56 Lateral placement with distance fib Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
19 Buildings E6 Audible/visual alarm referenced Yes No
id Direction of slope indicator Ed Scale of drawing shown on scale Ri ❑Design staked out
56 Wmedines bar ❑ ❑Recorded Notices attached
6d Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking 91 ❑Pump curve attached
lid North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Wastesoer"
DESIGN APPROVAL
The undersigned designer t be tifie byrli l taller at time of installation 56 Yes Cho L ) 5 2024
—\ N OOUNTYfN'✓IBONMEN7
Signature of Design Date DJA
The wide4gried has reviewed this design on behalf of Mason County Public Health and determin W
complianc with state and local on gw .ons: fi s
yr �
Environmental Health Specialist • Da �;,.. w
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CON ig u
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
✓ Draintield 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: 12/72015
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The OS-100 OSCAR coil contains 100 0.42 Qph Netafim emitters in a 50 sq. ft. foot
print. Emt ter concentration is 2 emitters per sq. ft. Design flow for each OS-100 is
10o gpd.
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SUBMITTAL DATA
Thermoplastic
Reinforced Thermoplastic motor bracket and discharge with built-in guide bearing.This 1/2 HP pump has a stainless
steel top bearing and motor coupling.These are assembled with our A.Y.McDonald stainless steel motors.Two wire
single phase models include pump, motor,and 10'lead.
This tour inch submersible is supplied with grounded leads meetingthe National Electrical Code(N.E.C.)specifications.
The performance curve below will assist you in choosing the pump that meets your needs.
MODELS E-3A6PO 00
E - dY GPM 9
rt _t 1
'. 1 i 13*31
tr 1/2HP.4STAPES '-r r � Flip
Union a s a 1s 2e ffi r . r ^or JUG 5 2024
anno w__o 10 20 » 4e r 4a » r 0UN7gpNVl
RO Famplea o r 40 r Be In 1» 141 to D NMfNTA(Nfgt
FLew PM
SperiMeatlons
LOTJO I 1/2 PUstfc 115 , 1 1 10.94 9.53 23
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SUBMITTAL INFORMATION
- Stainless steel pump shell and pump shaft - Powered by 0.Y.McDonald submersible motors 1/2 RP.
- Reinforced Thermoplastic diffusers and impellers - 11/4"WTOischarge
- Thermoplastic intake screen and cable guard
1404EAO:The weighted average of the wetted surface of this no-lead product contacted by consumable water contains less than one quarter of one
percent(0.25%)lead.
Lowrkige Ansfte T9chnologles,Inc. Toll Fran 1-8774764823 devawlawridgatech.com
00 P.O.Row 1179 Fax:1425-335-3622 ascamnsite.cam
Lake Stevens,U 99259
AY Pdcamald considers the inbanabm mtns aoenbb drawing ewnct who pubhshed,gem and wum aveaebun9,induct ng specifiaances,ere subject to change wdmaa mum
Submitted by: