HomeMy WebLinkAboutSWG2024-00243 - SWG Application / Design - 6/3/2024 MASON COUNTY 415N6 SHELTON: , 0427-97 ,EXT 400
SHELTON:360-27544T0,EXT400
BELFAIR:360-275-0467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360-427-7787
On Site Sewage System Permit: SWG2024-00243
APPLICANT HOUSE BROTHERS Phone: 260-495-4156
Address: PO BOX 1820 MCLEARY,WA 98557
OWNER EDMONDSON THOMAS MORROW& Phone:
AUDREY FRANCIS
Address: 7582 N KING COVE DR WASILLA, AK 99654
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA,WA 98507
Site Address: 131 N BUCKHORN WAY
Primary Pamel Number: 422165100036
Permit Description: New 2bd pressure bad
Permit Submitted Date: 06/03/2024
Permit Issued Date: 08105/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 lodmeonol lees mar W reymmdopon Insax.rnonsteml.
Permit Expiration Date: 0810212027 (based on dam ollnspecton)
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 Drain(eld 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.govlhealthlenvironmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH [SWG
�MCF1 O _ , `� CA y
ONSITE SEWAGE SYSTEM APPLICATION . _ B N D c m
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HOUSE BROTHERS 3604701707 m m
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MNLING ADDRESS-STREET,CITY.STATE,OF CODE
PO BOX 1820 MCCLEARY WA 98557 3
SIMADDRIMS-STREETCRTOPMEE tD
131 N BUCKHORN WAY HOODSPORT WA 98548 z
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD 6
CHECKA LAFPLICA&E ITEMS IXUNI(ING WRTER SOWfE 7I-J--
NEWOONSTRUCTION 13 RV HOLDING TANK ONLY 0 PRNATEINDIVIDUALWEU- N 1
a REPLACEMENT SYSTEM [] INETALIATIONPERMITONLY [] PRNATETWOD~TYWELL =
Q TABLE 9 REPAIR [] SINGLE FAMILY COMMUNITYNUBUCWATERSYSMIA
[] TANGS)ONLY 0 COMMERCIAL SYSTEMNAME: Mr.EcmMVN /p
0 UPGRADE TO EXISTING 0 OTHER: BEDROOMS I LOT. ICI
0 EXISTING FAILURE 'R .W,"OnR"MM 2 0.2 W I�
MINrMEmwN,R^ G
WRECIIONSTOSDE-BESMCIRCMDADVISECFANYNEEDEGINFORIMTIONFORA MC ("cW SAe) n 1
CUSHMAN POTLATCH TO A RIGHT ON LOWER LAKE TO A LEFT ON KOKANEE RIDGE IX IO
TO A LEFT ON OLYMPIC TO A LEFT ON BUCKHORN WAY TO SITE AT END.
op
EIIEMUSi SEMGCED FflOM MAIN ROAD AMOTESTHdEBYDETSEMDOEDWIIMTESTNDI.ENYMBERE I k
OFFICIAL USE ONLY BELOW THIS LINE
W WDIWOE IiNLVRESWNCE 11d�eWMh W�WL")
[3VOLUNTARY [3MAINTENANCE/PUMPING [3BUILDINGPERMR OHOMEME OCOMPIAINT []OTHER:
INSPECTCRSOILLOGS I COMMENTS/CDNOTICKS
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SDE.CDDES: By—
V•VERV G=GRAVELLY 8•SAND L=LOM1 &•SILT C-CIAY E•EXTREMELY R-ROOTS
INSPECTOR SIGNATURE DATE APPLIf:ATON EXPIRATION DATE AFPGWTION APPROVED BY DATE
v, su Iz/2 ,-r lb(
MIS FORM MY St SCANNED AND AVAILABLE FOR PU BLIC VIEW ON THE MASON COUNTY WEBSITE REVIMDIWWIB
BESIGN FORM—PAGE ONE Assessor's Parcel Number:H g-A p•— �� -- Qlaa2A 2
A design wit[be reviewed when 3 co few of each of the following are submitted:
♦Completed design form that has been signed and dated. Y Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable items on checklist. v Crass-section sketch,including all applicable items on checklist.
This form maybe warned and available for public view on the Mason County Web sine.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Pemtit Number. SWG i0 Designer's Name: ADAM HUNTER
gn
Applicant's Name:
HOUSE BROTHERS Designer's Phone Number. 360-753-1226
Bn
Mailing Address:
PO BOX 1820 Designer's Address: PO BOX 162
MCCLEARV WA 98557 OLVMPIA WA 99507
City State ip City State Zip
DESIGN PARAMETERS
Treatment Device
0 Glendon BioSlter ❑Sand Filter ❑Moand ❑Sand Lined Drunfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Mrdel ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity dpressure ❑Trench StBed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class 40
Daily Flow:Operating Capacity 180 gpd Length 30 ft
Daily Flow:Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity 1000 gal Number 5
Receiving Soil Type(1-6) 3 Separation 2 ft
Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices
Required Primary Area 300 ft' Total Number of Orifices 50
Designed Primary Area 300 ftr Diameter 3/16 in
Designed Reserve Area 300 R2 Spacing 36 in
Trench/Bed Width 10 It Manifold
TrenchBed Length 30 ft Schedule/Class 40
Elevation Measurements Length 8 ft
Original Drainfield Area Slope 0 % Diameter 2 in
New Slope,If Altered 0 0m Prefened manifold configuration used? El Yes 0 No
Depth of Excavation Up+lope Transport Pipe
from Original Grade Drwnalopc 6 i Schedule/Class 40
Designed Vertical Separation 24 in Length 60 ft
Gravelless Chambers Required? ❑Yes 0 No &(Optional Diameter 2 n
Pump Required? IJG Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal
Orifice 'd ft Chamber Capacity 1000 gal
Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity Qa Total Pressure Head 20.3 gam as l.y imer 9Elapse Meter KrEvent Counter
4 HRS
Calculated Total Pressure Head zer ft n 40 GAL Pump off
Commen s
AUG 0 5 2024
MASON COUNTY ENVIRONMENTAL HEALTH
DESIGN FORM—PAGE TWO Assessor's Parcel Number: t�"�p��3— 51 -- rl d a3�
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations 19 Dminfield orientation and layout Reference depth from original grade:
19 Soil logs 0( Trenchlbed dimensions and Ed Septic tank
E9 Property lines critical distances within layout p' Drainfreld cover
19 Existing and proposed wells Rr D-Box/Valve box locations Reference depth from original grade
within 100 D of property 9 Septic tank/pump chamber and restrictive strata:
13 Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas 9 Observation port location bottom
V Location and orientation of lZ Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Y Manifold placement ❑ Sand augmentation
components FZ Orifice placement Other cross-section detail:
IZ Location and dimension of Rf Lateral placement with distance 19 Observation ports/cleanouts
primary system and reserve area to edge of bed Other Information
0 Buildings R( Audible/visual alarm referenced Yes No
9 Direction of slope indicator E9 Scale of drawing shown on scale d ❑ Design staked out
69 Waterlines bar ❑ ❑Recorded Notices attached
if Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑ Pump curve attached
91 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designersite
installer at time of installation Rf Yes ❑ No
5/31124
Designer Date
The undersigned has rev behalf of Mason County Public Health and determined it to be in
compliance with state antions:
hinoe,(r�puwl � (S(Z�
Environmental Health pecialist 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: "I
✓ 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: 12/72015
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE*. PARCEL*.4221651OWN
DATE SUBMITTED: 613112024 LEGA4LOT#:LAKE CUSHMAN
#10 LOT 36
SUBMITTED BY: ADAM HUNTER j
APPLICANT: HOUSE BROTHERS
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 GPDIFT2
REDUCTION=LEAVESLW(IFNOREDUCTION TAKEN
GRAINFIELD SONG
ABSORPTION AREA= 3W FT2
TRENCH LENGTH OR BED CONFIG.= 1OFTX00FT BED
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1WD GAL.CONCRETE
NEW OR EXISTING NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= SOT I p
IL�
ROCK DEPTH BELOW PIPE= V-V
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERUWSEASONAL SATURATION= >T-T
FILL DEPTH= I..p
TRENCH WIDTH= 10-T
W.PUMP REQUIREMENT
DOSING VOLUME W GALLONS= 40
NUMBER OF DOSES PER DAY- 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE 316
APPROVED
AUG 0 5 2024
MASON COUNTY ENVIRONMENTAL HEALTH
5/31/24 PET
ia��"tPI.
'L'x�i@F�;fiR'S11?IKR'�'
ri
24
LATERAL V= 2.00
SQUIRT HEIGHT(FT)
(NOTE(2):ORFICE DISCHARGE RATE=(11.nB X(ORWICE DNMUER1502 X
SQ RWT OF(TDTAL PRESSURE HEAD)
ORIFCE DISCHARGE RATE= 0.58818
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= T 0'
DISTANCE FROM END CAP- 1'S'
NUMSEROFHOLES= 10
LATERAL DISCHARGE RATE= S.m
LATERAL# =
SQUIRT HEIGHT(FT) 2A0
ORIFICE DISCHARGE RATE= 0.5861&
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= T W
DISTANCE FROM END CAP= 1.G
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.862
LATERAL#3=
SQUIRT HEIGHT(FT)= 2A0
ORIFICE DISCHARGE RATE= 0.56618
LATERAL LENGTH IN FEET= 30A0
ORIFICE SPACING- TO'
DISTANCE FROM END CAP= 1'6'
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.862
LATERAL N=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58&1&
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= 3'0'
DISTANCE FROM END CAP= 1'6'
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.882
LATERAL N5=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58818
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= T 0'
DISTANCE FROM END CAP= V�
NUMBER OF HOLES 10
LATERAL DISCHARGE RATE= 5862
APPROVED
5/31/24 AUG 05 2024
T+r ` MASON COUNTY ENVIRONMENTAL HEALTH.
RET
44A
I.PW J M'UN1Efl
't`..IYL4FttNY i:N
24 '.
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS 60.00 2.00 29.309 0.8965
SC 1L0 2.00 17.565 0.00S8
CO 2.00 2.00 11.724 O.No
DE 2.00 2.00 5.862 OA015
EF 30.00 1.0 5.862 0.1628
TOTAL= 1.D711
-TOTAL HEAD LOSS
1)FRICTION LOSS THROUGH SYSTEM= 1.071
2)ELEVATION DIFFERENCE = 4.8N
3)RESIDUAL = 2AOD
TOTAL= 7.871
APPROVED
e 5/31/24 AUG 05 2024
MASON COUNTY ENVIRONMENTAL HEALTH
'> RET
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APPROVED
AUG 05 2024
MASON COUNTYE,'"RONMENTAL HEALTH
,. 5/31/24 RET
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