HomeMy WebLinkAboutSWG2024-00234 - SWG Application / Design - 5/29/2024 MASON COUNTY 415N6 SHSTREET SHELTO70,EXT584
SH STREET,
,SHE TON, A98584
400
BELFAIR:36G-2764467,EXT400
Public Health & Human Services ELMA:360482-5269,EXT 400
4 FAX:360427-T/87
On-Site Sewage System Permit: SWG2024-00234
APPLICANT BILLY SARNO Phone: 253-820-9979
Address: PO BOX 162 OLYMPIA,WA 98507
OWNER PATERSON PATRICIA K Phone:
Address: 884 FAIRMOUNT AVE SHELTON,WA 98584
SEWAGE DESIGNER ADAM HUNTER` Phone: 360-753-1226
Address: PO Box 162 OLYMPIA,WA 98507
Site Address: 5480 SE Lynch Rd
Primary Parcel Number: 319015090121
Permit Description: 3-bedroom OSCAR X02 system w/OS-50 coils
Permit Submitted Date: 05/29/2024
Permit Issued Date: 07/0212024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (addilmalr may 6a Mulre uWnlmmllaaon dsyabm).
Permit Expiration Date: 06/0412027 (1 a om ,J mW dha, don)
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 Drainfie/d installation not to exceed designed upslope and downslope depth speed 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.govlheatth/environmentallonsite/oss-Inspection-request.php or call:
360-427.9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE XE(FNE"
ONSITE SEWAGE SYSTEM APPLICATION ODx 6D D BK M DB: o m
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MAILING ADDRESS-STREET,CITY.STATE LP CODE
PO BOX 162 OLYMPIA WA 98507 3
SITE ADDRESS-STREET,Gn .BP CODE
Y80 584"E LYNCH RD SHELTON WA 98584 IT
NME OF DESIGNER PHONE I1 `1
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD a
CHECKNLAPPHGSLEITEMS DNNKINGWATERSOURCE
M( NEW CONSTRUCTION [3 RV HOLDING TANK ONLYEE O PRIVATEINDIVIDUALWELL Ori
13 REPIACEMENTSYSTEM 0 INSTAUATIONPERMITONLY PWATETW PARTYWELL Z I-
0 TABLE 9 REPAIR 0 SINGLEFAMILY 0 COMMUNITYAUBLICWATERSYSTEM
0 TANK(S)ONLY 13 COMMERCIAL SYSTEM NAME: I 1
0 UPGRADETOEXISTING [3 OTHER: BEORooNs LOT SUE
0 EXISTING FAILURE 3'RwnNOnnirM nquLatl 2.4 W
TwWlMeMlNDPm• 0
OIRECRONS TO Sx -RESPECINC AND ADVISE OF ANY NEEDED INFOfUMTICN FORACCESS(eF.IW SN) 6
LYNCH RD NORTHEAST OUT OF TAYLOR TOWN TO SITE ON THE RIGHT AFTER 5.5 A
MILES. I �G
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SIM ,U MPLAGGEOT WVN RDADAAD TEBTNOLES MUST.FIAOGEDWRN LEST NOLENUMBFPb
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FARUNFSOURCE(W�Tur ..)
UVOLUNTARY [3MNNTENANCEIPUMPING OBUILDINGPERMR GHOMESALE [3COMPVJNT []OTHER:
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INSPECTOR SI[iTUTURE ZGL�TE PPRIGI�ON EMRATION DATE APPLICA PROVEO BY��
HIS O
TR YBEE SCANNE AND AVAILABLE FOR PUBLIC VEW ON THE MABO RN COUNTYWEBSE (y�A REVISF➢tNrz is
DESIGN FORM—PAGE ONE Assessor's Parcel Number.
-A design will be reviewed when 3 copies of each of the following are submitted:
Y Completed design form that has been signed and dated. r Scaled layout sketch,including all applicable items on checklist
O Scaled plot plan,including all applicable items on checklist. a Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.M"hinnsi a er size: 11"X 17"
,j PARCEL IDENTIFICATION
Permit Number: SWG p30r414,r;C.%'% Designer's Name: ADAM HUNTER
Applicant's Name: BILLY SARNO Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 162 Designer's Address: PO BOX 162
OLYMPIA WA 98507 OLYMPIA WA 99507
City State Zi City State Zi
DESIGN PARAMETERS .' '
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculativg Filter,Type:
&(Aerobic Unit Make/Madel X02 ❑Disinfection Unit Make/Model Other:
Drainfield Type OSCAR
❑Gravity ❑Pressure ❑Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class PER OSCAR
Daily Flow:Operating Capacity 270 gpd Length PER OSCAR ft
Daily Flow: Design Flow 360 glad Diameter PER OSCAR in
Septic Tank Capacity 1200 gal Number PER OSCAR
Receiving Soil Type(1-6) 5 Separation PER OSCAR it
Receiving Soil Appl.Rate 0.4 gpd/ftr Orifices
Required Primary Area 900 111 Total Number of Orifices PER OSCAR
Designed Primary.Area 900 ft Diameter PER OSCAR in
Designed Reserve Area 900 ft2 Spacing PER OSCAR in
Trench/Bed Width 22.5 ft Manifold
Trench/Bed Length 40 ft Schedule/Class 40
Elevation Measurements Length 40 It
Original Drainfield Area Slope 2 % Diameter 1 in
New Slope,If Altered 0 % Preferred manifold configuration used? VYes ❑No
Depth of Excavation up-slope 0 in Transport Pipe
from Original Grade Dewm-slapc 0 in Schedule/Clan 40
Designed Vertical Separation 12 in Length 75 X 2 if
Gmvelless Chambers Required? []Yes Rf No O Optional Diameter i in
Pump Required? R(Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 411
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.88 gal
Orifice 7' it Chamber Capacity 1200 gal
Uppermost Orifice Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 12 gpm Timer 9filapse Meter GYEvent Counter
Calculated Total Pressure Head 1a.931 it If Timer: Pump on 30 SEC ,Pump off 3 MIN
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 1 4 04 -
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ef Test hole locations V Dminfreld orientation and layout Reference depth from original grade:
pf Soil logs 9 Trench/bed dimensions and fif Septic tank
19 Property lines critical distances within layout 1Z Drinfield cover
IZ Existing and proposed wells 19 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Septic tank/pump chamber and restrictive strata:
la Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas 1r Observation port location bottom
19 Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation
components 17 Orifice placement Other cross-section detail:
9 Location and dimension of 2( Lateral placement with distance 1f Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information Buildings
9 Audible/visual alarm referenced Yes No
19 Direction of slope indicator 1( Scale of drawing shown on scale d ❑ Design staked out
19 Waterlines bar ❑ ❑ Recorded Notices attached
19 Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑ Pump curve attached
19 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be n installer at time of installation nn Yes ❑ No
5/23/24
lon
of Designer Date A Pn
The undersigned has reviewed this des behalf of Mason County Public Health and determined Pqq
compliance with state and local on-si gulations: Z (/ M
Enviro�Healt "'ZSpecialist ?Z/Z � Date ASONCO& fN 0 2024
D MENTA(NfAC
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:
✓ Dminfield 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
MASON COUNTY HEALTH DEPARTMENT
ONSITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE# PARCELM 319015090121
DATE SUBMITTED:SI23I2024 LEGAULOT A:
SUBMITTED BY: ADAM HUNTER
APPLICANT: BILLYSARNO
ADDRESS:
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 300
IF NON RESIDENTIAL-GPD ROW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= OA GPDITT2
REDUCTION=lEA VE 0 ANK IF NO REOUCPON TAKEN
GRAINFIELD SONG
ABSORPTION AREA= BOB FT2
TRENCH LENGTH OR BED CONFIG.= 40'X22S
PEROSCAR
IL WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 12000AL-X02 TANK
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
SAND DEPTH= a-0'
IV.PRESSURE CALCULATIONS
USING PIPE CLASS as
ORIFICE NETARM DRIPLINE
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 75.00 1.00 12.13D0 5.0157
RETURN 75.00 1.DD 12.00D 5.0157
TOTAL= 11.6315
TOTAL HEAD LOSS
1)FRICTION LOSS THROUGH SYSTEM= 11.031
2)ELEVATION DIFFERENCE = 7.W0
TOTAL= 10.931
5/23/24 APPROI
y JUL 0 2 2021
vi� ''.;�. MASON COUNT'ENVIRONMENTAL HEALTH
`. DJA
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V.CHECK THE PUMP CAPACITY.
PUMP: A.Y.MLOONAD MGM-IGHP PUMP(MX)a 922MGE9 ) (PER OSCAR)
EXCESS TOH W.00 (PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM 18.93
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
5/23/24
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JUL 0 2 2024
VA SON COUNTYENVIRONVENTA(N .,.
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