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HomeMy WebLinkAboutSWG2024-00326 - SWG Application / Design - 7/30/2024 MASON COUNTY 415NBTHELTON:STREET,SHELT967 ,EXT 400 BHELTOR:360-2759 67,EXT 400 BELFAIR:3fi0-275-0467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360-027-7787 On-Site Sewage System Permit: SWG2024-00326 APPLICANT BENNETT POTTER* Phone: 360-943-9200 Address: 620 93rd AVENUE SE OLYMPIA,WA 98501 OWNER RENTEL CAROL J Phone: Address: 627 N 137TH ST SEATTLE, WA 98133 SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 SEPTIC INSTALLER BENNETT POTTER' Phone: 360-943-9200 Address: 620 93rd AVENUE SE OLYMPIA,WA 98501 Site Address: 23970 N US HIGHWAY 101 Primary Parcel Number: 422132270580 Permit Description: Table 9 repair 2bd OscarX02 Permit Submitted Date: 07/3012024 Permit Issued Date: 0810512024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (a&ihwalteee may be muwmd uWr InsWiadon or Wslem). Permit Expiration Date: 07/30/2025 Idasm on ae�e or mspa cool Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staRper 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 DesignerlEngineer 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. 7 Must use approved mitigation for tanks and transport lines due to surface water setback. 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/envimnmentallonsiteloss-inspection-request.php or call: 360-427-9670,extension 400. f, OFFICIAL USE ONLY Q! MASON COUNTY PUBLIC HEALTH "°°' "7 _3 ONSITE SEWAGE SYSTEM APPLICATION MD _ EFQN D c m 415N6th5tmK( ld98) SheltonWA,98584 SI,IWn:360427-9670ext400 BehiT.360-2754467W400 SWG �1 _ AA�Z/^ O A .JYY lJ�� Yy z N z n APPLICANT PHONE D BEN POTTER 3609439200 m m r tNJLINGPDIXVE55-STREET COT.8TAlE,aP CODE 23970 N HWY 101 HOODSPORT WA 98548 3 sITEADOREss-srREET cnY.av caDE m 23970 N HWY 101 HOODSPORT WA 98548 m NNAE OF DESIGNER PRONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE hP A-ACTION GROUP 3609439200 o I�3 LHECKNLAPPl1CPBIE HEMS DRINKING MTER SOURCE [] NEWCONSTRUCTION [] RVHOLDINGTANKONLY af PRNATE INDIVIDUAL WELL f71 I— [] REPLACEMENT SYSTEM [] INSTAUATIONPERMITONLY [] PRNATETWOAARTYWELL Ef z IV TABLE 9 REPAIR [] SINGLEFAMILY [] COMMUNRYAFIIBUCWATER SYSTEM [] TANK(S)ONLY [] COMMERCIAL SYSTEMNAME: [] VPGRADETOEASTING [] OTHER: BmROONIS I LOTSIZE [] FXISTINGFAILURE ', 2 0.21 InA DIRECTONSTOSRE-BESFECIFlCPNOADVISECFANYNEEDEOINFORMATKKIFORACCE30(axbWOpele) O 77�� HWY 101 NORTH TO SITE ON THE RIGHT JUST BEFORE HOODSPORT. I� N 0 (y�l SITE MUST BEFLAOOEO N(CY NNM ROAP AHO TESTXIXESYUSTBEFlAOOED NITN IESTXOLENUMBERS ( I OFFICIAL USE ONLY BELOW THIS LINE - UPoRAOE/FALLAIflE S W RLE(Por rpvll,g O'A%sn) []VOLUNTARY []MAINTENANCOPUMPING []BUILDINGPERMR []HOMESALE []CGMPWNT []OTHER: MSK TORSOLLOGS COMMENTSICONDRICNS JUL 3 0 7074 Vq Ny G=VERY =GMVELLT 9•SWO L•LONA 81=81LT C•CIAY E•E%TREMELV R•ROOTS INSPECTOR SIGNATORE WTE MRI—ON EXPIRATION OA7 AFPL TWNAPPPO4 DSY DATE _I 'b I SJ�H THIS FORM MY BEISCANNED AND AVAILABLE FOR PUBLIC V ON THE MASON CC.... /EBSITE NEVISED1NR01E r DESIGN FORM—PAGE ONE Assessor's Parcel Number:��'��,� A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. �Scaled layout sketch,including all applicable items on checklist I Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web site.Maximum paper size.' 11"X 17- PARCELIDENTIFICATION Permit Number: SWG 102`--p 0 Designer's Name: ADAM HUNTER Applicant's Name: 8a BEN POTTER Designer's Phone Number: 380-753-1226 Mailing Address: 23970 N HWY 101 Designer's Address: PO BOX 162 HOODSPORT WA 96548 OLYMPIA WA 98507 City _ State Zip City State Zi DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Send Filter ❑Mound ❑Sand Lined Drainfeld ❑Recucuiating Filter,Type: 6YAembic Unit MakNModel XO2 ❑ Disinfection Unit Make/Modcl Other: Drainfield Type OSCAR X 2 ❑Gravity ❑Pressure ❑Trench ❑Bed Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class PER OSCAR Daily Flow:Operating Capacity 180 gpd Length PER OSCAR 8 Daily Flaw:Design Flow 240 gpd Diameter 60 in Septic Tank Capacity 1000 gal Number 5 Receiving Soil Type(1-6) 3 Separation 0.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices Required Primary Area 300 ftr Total Number of Orifices PER OSCAR Designed Primary Area 300 ftr Diameter PER OSCAR in Designed Reserve Area N/A ft2 Spacing PER OSCAR in Trench/Bed Width 30.62 ft Manifold TrenchBed Length 9.8 ft Schedule/Class 40 Elevation Measurements Length 30 ft Original Drainfield Area Slope 0 % Diameter i in New Slope,If Altered 0 % Preferred manifold configuration used? 6(Yes O No Depth of Excavation Upaiove PER OSCAR in Transport Pipe from Original Grade Dowa-aicpc PER OSCAR in Schedule/Class 40 Designed Vertical Separation 12 in Length 45 R Gravelless Chambers Required? ❑Yes R(No ❑Optional Diameter i in Pump Required? SdYcs []No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 411 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.594 gal Orifice as it Chamber Capacity 1000 gal Uppermost Orifice R(Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 12 gpm 5ftirner WElapse Meter EYEvent Counter Calculated Total Pressure Head 19.r]9 it If Timer. Pump on 305EC Pump off 3MIN Comments Vt/y ��, pM ,m }jarion -tams `.-�M\V�Spf t�} ( � �p-- -0 vmt* "*Cc-- DESIGN FORM—PAGE TWO Assessor's Parcel Number: ��1 Perrnit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 12( Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: 9 Soil logs 6f TrenchPoed dimensions and Ed Septic tank 19 Property lines critical distances within layout Id Drainfield cover • Existing and proposed wells IZ D-Box/Valve box locations Reference depth from original grade within 100 ft of property 9 Septic tank/pump chamber and restrictive strata: • Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas FZ Observation port location bottom • Location and orientation of 9 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 1� Manifold placement ❑ Sand augmentation components IZ Orifice placement Other cross-section detail: Pf Location and dimension of ES Lateral placement with distance 1d Observation ports/clean-outs primary system and reserve area to edge of bed Other Information Id Buildings Y Audiblelvisual alarm referenced Yes No Sd Direction of slope indicator Y Scale of drawing shown on scale d ❑Design staked out V Waterlines bar ❑ ❑ Recorded Notices attached 19 Roads,easements,driveways, ❑ ❑Waiver(s)attached Puking ❑ ❑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 'rdtlaller at time of installation 00 Yes ❑ No 7/29124 Signgner Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: Environmental neana Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. r / ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: �Z/1 ZS ✓ 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 IT PARCEL#422132270580 DATE SUBMITTED:'//2W02A LEGALLOT N: SUBMITTED BY: ADAM HUNTER APPLICANT: BEN POTTER ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW- 240 IF NON RESIDENTIAL-GM FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.8 GPDIFT2 REDUCTION-LEAVESLANKIFNOHEBUCTKW TAKEN GRAINFIELD SIZING ABSORPTION AREA= 300 FT2 TRENCH LENGTH OR BED CONFIG.= 30.67X8.8' PER OSCAR IL WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= INDGAL-X02 TANK NEW OR EXISTING= NEW IN.DRAINFIELD CROSS SECTION SAND DEPTH W.PRESSURE CALCULATIONS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 45.00 1.00 12.000 3ASIM RETURN 45.00 1.00 12AN 3ABB4 TOTAL= 6.9789 ^TOTAL HEAD LOSS •• 1)FRICTION LOSS THROUGH SYSTEM= e.WS j 2)ELEVATION DIFFERENCE 6.800 1 TOTAL= 13.719 7Y29Y24 APPROVED Tv, AUG 0 5 2024 MASON COUNTY ENVIRONMENTAL HEALTH �f REi ,.,.:26 V.CHECK THE PUMP CAPACITY. PUMP: A.T.MCDIX D MGM-lGW PUMP(MYJ' a#22050EN1) (PER OSCAR) E%CESS TON SCAD (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM 10.70 STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES 7/29/24 S*ti mu e LU APPROVED AUG 05 2024 MASON COUNTY ENVIRONMENTAL NEALTN RET / f ; f ` / ! $ | . w } *w _momw� _, aw . , . [ 2, ns � 9 f \ fBi ! % �, wn a *# �me / ! I \ � ` M qp | ! | { /|§ § / }H / ell { f ƒj { r!; ) \ / ; / ) t / ! , l� � � � , �. . 2. , « > ■ \--———— | ! © ! | k � S: ■ � is 7 « \ \ . \ / \n \ / § . ! § ! HIM °`| \ §� � | E , ■ � !�(\§ \ ;., \« § §/ � | /\g \ / 2 \j\ § A $ | @ ( § ) k \ to V ( \ / m ! , , t i k / § ri § } \ \ � § | ( - § $ . _ LLJ Ix § ;z 2 � y u / ° I ' ^� ) � ! � o _ % ■ _ a �� . . ■ \ \ | r /1 \ � �