HomeMy WebLinkAboutSWG2024-00239 - SWG Application / Design - 5/30/2024 ® MASON COUNTY 415NH 6 STREET.SHELTO 5
$HELTOR:360d2]-9070, 04
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BELFAIR:360-275-4467 EXT 400
Public Health & Human Services ELVA:360482-5269,EXT 400
FAX 380A27-7787
On-Site Sewage System Permit: SWG2024-00239
APPLICANT ANDERSON FREDRICK N&MILDRED Phone: 406-579-1717
Address: 3010 FAIRWAY DR BILLINGS, MT 59102
OWNER ANDERSON FREDRICK N &MILDRED Phone: 406-579-1717
Address: 3010 FAIRWAY DR BILLINGS, MT 59102
SEPTIC DESIGNER CINDY WAITE-Septic Designer Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 16971 NE North Shore Rd
Primary Parcel Number: 322205003027
3-bedroom Nu Water BNR500 system with sand lined bed: Non-
Permit Description: conforming Table IX Repair
Permit Submitted Date: 05/30/2024
Permit Issued Date: 08/05/2024
Issued By: David Anderson
Current Permit Fees Paid: $805.00 vdbmonauees may be massed upon installation of syslem7.
Permit Expiration Date: 06/06/2025 (based on dale of mspedon)
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 an
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 A Habitat Management Plan(HMP)is required before native vegetation can be removed.
Contact the Mason County Planning Department if a HMP is required
7 Non-conforming septic repair. The septic system may need to be brought into full
compliance before future permits can be approved. Detail: Septic system does not have a
designated reserve drainfield area.
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/environmentaVonsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
WTE IECENED
MASON COUNTY
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ON-SITE SEWAGE SYSTEM APPLICATION 3 z
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APPLICANT PRONE m
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FREDRICK/MILDRED ANDERSON 406-579-1717 z
MAILINGADDRESS-STREET,CITY,STATE M CODE 'S
3010 FAIRWAY DR BILLINGS MT 59102 a
3169713NE ITY ZIPCODE
ELORTH SHORE RD TAHUYA WA 98528
NAME OF DESIGNER PHONE N
CINDY WAITE 360-701-020S
N4ME OF INSTN.LER PHONE - IN
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PER a'xMITTYPEry ) DRINKINGNNTERSOORCE
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m RESIDENTMLOSS LR.CC CCMMUNNYOSS HCOMMERCIALOSS IT PRIVATE INDMDUALWELL Ip PRIVATETWO�PARTYWELL 2 I co
TYPE OF WORK(PxMf.l Q PUBLIC NWTER SYSTEM
fI NEW CONSTRUCTION I UPGRADES Iaf REPAIR I REPLPCEMENT OTHER DETAILS(a~' APFIv) ❑TABLE UI REPAIR I CT
SUBMITTALS ❑ SURFACING SEWAGE 16 DUSTING FAILURE E3 SHORELINE
DESIGN FORM(REQUIRED) JffSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I
EWNVER(S)(IF APPLICABLE) 3 75'X871' Io
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.kt 90N)
GO TO BELFAIR OUT NORTHORE RD APPROXIMATELY 16.9 MILES, DRIVEWAY IF
ON THE LEFT SIDE OF NORTHSHORE. FOLLOW DRIVEWAY TO THE CANAL. THE r
HOME IS ON THE RIGHT SIDE, SOIL LOGS ARE ON THE WATERSIDE OF °
RESIDENCE. I N
SITE MUSTBE FLAGGED FROMMAW ROAD AM TEST HOLES MUST BE FLAGGED NTTH TEST MOLE NUMBERS I V
OFFICIAL USE ONLY BELOW THIS LINE
OPGPADE/FNLURE SOURCE I.nNft Wm .)
❑3VOLUNTARY DIMINTENANCEIPUMPING OBUILDINGPERMR OHOMES(AUEE p3COMPLAINT OOTHER'.
4/a LOMMENTB LONDnI�
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1111 MAY 3 0 2024 ,I
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RECORD DRAWING AND INSTALlAT10N REPORT
SOIL CODES:
V=VERY G=GRNAHLY 3=SAND L=LONA SI=SILT C-CIAY J=EKTREMELY R=ROOTS REQUIRED FOR FINpLAPPROVK.
INSPEL NANR� DATE APPLICATION EON DATE APPLIC NPPPRO I EDBYO OAS
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1L!l1015
DESIGN FORM-PAGE ONE Assessor's Parcel Number: 3 2 2 2 0 - 5 0 - 0 0 2 7
A 8esign will be reviewed when 3"'in of each of the following are submitted: 3
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. •Cross-section sketch, including all applicable items on checklist.
This form mF be scanned and avallable for public view on the Mason County Web site. Mnxinrum gaper.size: II"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG,-ag 7_([aL29p-__ Designer's Name: CINDY WAITE
Applicant's Name: FREDERICK ANDERSON� Designer's Phone Number: 360-701-0205
Mailing Address: 3010 FAIRWAY DR Designer's Address: 80 E PICKERING LANE
--- --- _�_
BILLINGS MT 59102 SHELTON WA
98584
Clt State 2i CA
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- - DESIGN PARAMETERS
Treatment Device
0 Glendon Biufilter ❑ Send Filter ❑ Mound Sand Lined Drainfield ❑ Recinulating Filter.Type: ✓
Gf Acmbic Unit Make/Model BNRSOO ❑Disinfection Unit Makc/Model ZQ Other:
Drainfreld Type f
❑ Gravity Pressure ❑ Trench f1'(Sed
❑ Sub Surface
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCHEOULE40
Deily plow:Operating Capacity 270
gpd Length 36 f[
Daily Flow: Design Flow 360 gpd Diameter 2
n
Septic Tank Capacity(working) 1000 AND 1200 gal Number 4
Receiving Soil Type(1-6) 3
Separation 2 ft
Receiving Soil Appl. Rate ':9� �,0 gpd/fts Orifices
Required Primary Area _ 360 ft' Total Number of Orifices 72
Designed Primary Area 360 ft2 Diameter 3/16
n
Designed Reserve Area N —'arm-�� fts Spacing 24
n
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 36 ft Schedule/ s SCHEDULE40
Elevation Measurements Length .4,e' 'y 6 it
Original Dminfield Area Slope <1 / Diam P �0 2
jon
New Slope, If Altered % Pr - & on used? 0 Yes GiNo
Depth of Excavation Up-slope 45(see page#5) in 4 51 is aspect Pi 1 ns
from Original Grade Do,sr-slope see #5 46 a e ci WAITE`` P Pe
( P 9 ) in the ESIGNER SCHEDULE40 -
Designed Vertical Separation 48+ in eng aax _ �7y„T 80 ft
Gravelless Chambers Required? ❑ Yes 0 No 0 Optional Diameter 2
in
Pump Required? Rf Yes Cl No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice se quantity 45
"6mft Do i
Drainfield Squirt Height/Selected Residual(head) gal
2 ft Chamber Capacity(Flood) 1200 gal `
Uppermost Orifice lif Higher O Lower than Pump Shutoff Pump controls: Please check those required. `\
Capacity @Total Pressure Head 42.48 gpm 9-rimer GrElapse Meter Gf Event Counter
Calculated Total Pressure Head 9.37 ft If Timer: Pump on ,Pump off
Comments
s COATED CONCRETE TANKS REQUIRED,TRANSPORT LINE TO BE SLEEVED,GRAVEL BASE DRAINFIELD, USE EXISTING 1000
GALLON SEPTIC TANK AS TRASH TANK, RETRO FIT WITH RISERS. IF NOT VIABLE, INSTALL NEW TRASH TANK,CONTROLS TO
/t BE SET AT TIME OF INSTALLATION,
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 2 2 0 — 5 0 -- 0 3. 0 2 7
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations 96 Drainfield orientation and layout Reference depth from original grade:
16 Soil logs 66 Trench/bed dimensions and lid Septic tank
It Property lines critical distances within layout 61 Drainfield cover
Existing and proposed wells ❑ D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 56 Septic tank/pump chamber and restrictive strata:
Gd Measurements to cuts, banks,and locations Gil Laterals,trench/bed,top and
surface water and critical areas 6d Observation port location bottom
❑ Location and orientation of Gil Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 56 Manifold placement ❑ Sand augmentation
components Z Orifice placement Other cross-section detail:
l71 Location and dimension of R1 Lateral placement with distance ❑ Observation ports/clem-outs
primary system and reserve area to edge of bed
Buildings Other Information
69 Audible/visual alarm referenced Yes No
21 Direction of slope indicator
Ed Scale of drawing shown on scale If ❑ Design staked out
59 Waterlines bar ❑ ❑ Recorded Notices attached
11 Roads,easements, driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
lid North arrow and scale drawing fill ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be no ed by in Iler at time of installation 5G Yes ❑ No
`r: Z 1 2O
Signarafe of Designer GI t7 l Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to b
compliance with state and local on-sit gulations: V
nvirom nental Health Specialist Date
UNTi. 19
/`}CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved" by Mason County Public Health. q
✓ 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. 1 u
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
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Lateral a Length Length Orifice # Distance from Distance from end Length
p (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 36 432 24 18 1.5 0.5 36
2 36 432 24 18 0.5 1.5 36
3 36 432 24 18 1.5 0.5 36
4 36 432 24 18 0.5 1.5 36
72
TRANSLENGTH 80
GPM 42.48
K (2"SCHEDULEN 40) 284.5
FRICTION LOSS 2.372352
Squirt 2
Elevation difference 5
TDH 9.372352
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TRASH CHAMBER DIGESTER CHAMBER CLARIFIER
OPERATINGCAPAPACT".4G GALLONS OPERATING CAPACRY:421 GALLONS CHAMBER
FLOWOp CAPACITY.19a DALLOH$ FLOODCAPACRY:494GKLONS 100 GALLON$
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INSTALLATION INSTRUCTIONS OVER aTORy Bp A(/
1)Excavate tank hole with vertical walls to 1 foot larger Elan gS�NCp�NryfN OS Z02y
tank on ell skies.
2)If bottom of hole is stony,install 3"of compact sand S level T_—— - Y-2•
out with...ad.
3)Inatell tank in center of hole,keeping 1 kl void space r
all sides. 24.N9ER4cL1.'') N'MOWER
4)As tank is filling with water,fill In void space with pact I U$HVG CAS
granular(sandy)soil free of large clumps of day. '�Q TOPOFLI
5)Install rest of system,6 affix risers to adapters
waterproof adhesive.
jurisdiction.
Perform watertightness test in field es requlr
) na 12-RISER
7)Upon approval to backfill,carefully beckfi Pabv� Y/1) I I
soils over top of tank. y I Y 1 �SHC II DIGE57F6 IIGaEI l
8)Final grade the surface to avoio thane u Y 0WAITE\ —J`
water toward tank. $E DESIGNER * A _- _J L
Lxriv6 uS1II TOP VIEW
1'-2.aft �10
a.PP-o AEROBIC TREATMENT TANK DETAIL FOR
NuWA TER BNR-500 TREATMENT UNIT
ENVIRO-FLO INC. REVISED.
,�mT -P w,P Wastewater Treatment Technologies 3101112
P.O.BOX 321161, Flossi MS 39232 SCALE
(877)836-8476 (601)845-4716 lop, 1" = 1.4 R.
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Pum • Specifications
280 Series 1 /2 hp
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Submersible Effluent Pump
LITERS PER MINUTE
6 50 100 150 200 250
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Installation Note
Pretreated Sand Aumented Pressure Distribution System:
32220-50-03027 16931 NE Northshore Rd
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. This is a repair, drainfield root bound and is located partially under outbuilding.
3. The tanks may be moved as necessary to accommodate building requirements.
4. Use existing 1000 gallon tank as a trash tank if viable, retro fit with risei&�not
viable replace with new concrete trash tank. O
6. BNR 600 tank and pump tank must be coated to waterproof �Oe�).
6. Transport line must be cased with schedule 40 pipe �4SON t
7. Use clean C-33 sand
B. Pump controls to be set at time of installation coo, ����5 ^_
9. Keep wheeled vehicles off the drainfield area before, during and after installat o��iap,,, ,
Tracked equipment only, ✓q
10. All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain
drains, etc. to divert all waters.
11. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
12. Exposed restrictive layers, cuts, banks, etc can be no closer than 50' downhill from
the drainfield.
13. Install access risers on the septic tanks, valve box and ends of laterals.
14. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
15. Lids must form a water and gas tight seal with the access risers
16. This system must be installed by a Mason County Certified installer or
17. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
18. This design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design Flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated Flow is
ninety gallons per bedroom per day.
19. Install bed with contour of the ground
20. Install trench bott ms level and always maintain a minimum of six inches into native
soil
21. Install locator a top of all drainfield laterals.
22. Install three cle uts at the ends of all laterals (caps must extend to within six
inches of fi d be in a valve box as shown on diagram.
23. Install a
24. Filter f } re rock prior to backfilling. If the drain rock extends above
the or . I t r fabric at least 2 inches down the trench wall.
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System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the Flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12.Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
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