HomeMy WebLinkAboutSWG2024-00308 - SWG Application / Design - 7/18/2024 ® MASON COUNTY O15N6TH STREET.SHELTO70,EXT96584
400
$HELTDR:3M.275-8670,EXT 000
BELFAIR:360482-5287,EXT 000
Public Health & Human Services ELMA:360As2-5289,EXT 4ae
FAX:360<27-7787
On-Site Sewage System Permit: SWG2024-00308
APPLICANT Don Moon Phone: 360-791-8475
Address: 4901 43RD LN SE LACEY, WA 98503
OWNER PFENNING ET AL MELODY DENISE Phone: 360-791-8475
Address: DONALD EUGENE MOON LACEY,WA 98503
SEPTIC DESIGNER JIM HUNTER' Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA,WA 98507
Site Address: 111 E Sea Spray Ln
Primary Parcel Number: 220202394004
Permit Description: 34bedroom pressure system
Permit Submitted Date: 07/18/2024
Permit Issued Date: 08/09/2024
Issued By: David Anderson
Current Permit Fees Paid: $640.00 NeS may be mgmreb uw lnfbllabon omsybaml.
Permit Expiration Date: 07/29/2027 (baaea on eeNw�mb tianl
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staflper 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 specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to back/l 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.gov/health/environmental/onsite/oss4nspection4squest.php or call:
360427-9670,extension 400.
` OFFICIAL USE ONLY -..
MASON COUNTY PUBLIC HEALTH CAMM=`MEO m ED
ONSITE SEWAGE SYSTEM APPLICATION A BE= o m
415N6th SlreM,(BIdg8) ShekonWA,98584rn w —` < m
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APPLICANT �j 0
DON MOON 360 791-8475 m m
MAIUN'-NA.j S-SET.CEYSIATE. Ie COOE
N OLYM PIA WA 98507
4901;; D L
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5nEN0DRESS��SIREYZINE SHELTON WA 98584 A
E S ', SPRAAYLN
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NAME OF DESIGNER ALY
HONE N'L
JIM RUNTEK 360 753-1226 Y
NMIE OF INSTALLER PHONE
ob
CXECKALLAPPLICABLE HEMS - VMTER SOURCE z
4< of NEW CONSTRUCTION ❑ RV HOLDING TANK VATE INDIVIDUAL WELL)D REPLACEMENT SYSTEM 0 INSTALLATION PERIVATETWO-PARTYWELL2E9 REPAIR SINGLEEMILYMMUNITY/PUBLICW'ATERSYSTEMTANK(S)ONLY ❑ COMMERCALYSTEM NAME:❑ UPGRADETO EXISTING OOTHER'. S 3 Lm&��D EXISTING FAILUREQ1L°'JDnxinBMW ImleBelO
OIRECTIONSTOSRE-BESPECIFICANOAOVISEOFANYNEE EDINFOWMTIONFORACCESS(Fs,—We) 1
EAST AGATE RD,SOUTH ONE HAMMERSLEY REACH RD, TO SEA SPRAY LN TO
END ON LEFT. GATE CODE 1033.
0
y
SITENLST BEFIAGGED F/fOMWVN ROIDAND LEST HOLBS MUST BE FLAGGED KTIXTESI MOIENUMBEF4
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(b,e Npui%Ml
DVOLUNTARY DMAINTENANCEIPUMPING DBUILDINGPERMIT OHOMESALE OCOMPUUNT [30WER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
TEft dPo�01 V61 S
Twolo"
$1 to bolkM1
ppw'� Pf vhtLws i
It3i4-35- SL 'b �0*M JUL 17 2024
F'vaF 04 V6L(o'?5
BY
SOIL DOPES:
V=VERY G=GRAVELLY 5=SAND L=LOMI SI=SILT C-CLAY E e EREMELY R=ROOTS
INSPECTOR SIGNATURE WTE APPUI TION EXPIRATION DATE APPLICA APPROVED BY DATE
THIS FORM MAY BE SCANNED AND AWULABL FOR PUBLIC VIEW ON THE--COUNTY WEB SITE N ISEDiN/M
DESIGN FORM—PAGE ONE Assessor's Parcel Number:____22020_23-94004___
A design will be reviewed when 3 copies of each of the following are submitted:
"Completed design form that has been signed and dated. I 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 maybe scanned and available for Public New,on the Mason county Web site.Maximum PaPar size: 11"X 17"
PARCEL IDENTIFICATION
esi ner's Name: JIM HUNTER
Permit Number: SWG ZO D
O g 380-753-1226
Applicant's Name: DON MOON Designer's Phone Number:
4901 43RD LN NE PO BOX 162
Mailing Address: Designer's Address:
OLYMPIA WA 98507 OLYMPIA WA 9a507
city State Zi city State Kip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑ Said Filter ❑Mound ❑Sand Lined Drainfidd ❑Recirculating Filw,Type: _—
❑Aerobic Unit MakelModel ❑ Disinfection Unit Make/Model Other:
,��t Drainfield Type
❑Gravity I Pressure PrTreach ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals �^ f� It
Number of Bedrooms 3 r Schedule/Class )w YO
Daily Flow: Operating Capacity g't O gpd Length s0 It
Daily Flow:Design Flow -Soo - gpd Diameter 1 1/4 - in
Septic Tank Capacity 1200T- gal Number 4
Receiving Soil Type(I-6) t - Separation 6 ft
Receiving Soil Appl.Rate 0.6 - gpd/ft' Orifices
Required Primary Area (p-00 - ft' Total Number of Orifices 52
Designed Primary Area (a,0 0 ft, Diameter 3116 in
Designed Reserve Area (QO 0 ftz Spacing 48 in
Trench/Bed Width 3 ft Manifold 1w,, r%
TreachBed length 200 ft Schedule/Class <K 111
Elevation Measurements Length is 15 ft
Original Drainfield Area Slope --0 % Diameter 2 in
New Slope,If Altered % Preferred manifold configuration used? FLY. O No
Depth of Excavation UP-sloPe (1" in Transport Pipe ) aw
from Original G s � S6rade Down-scope l 'L-' in Schedule/Clas11
Designed Vertical Separation 24 in Length 270 ft
Gravelless Chambers Required? I{Yes ❑No ❑Optional/ Diameter 2 to
Pump Required? It
Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 6
Difference in Elevation Between Pomp Shutoff and Uppermost Dose quantity 60 gal
Orifice W."i ft Chamber Capacity 1200 gal
Uppermost Orifice IfIligher ❑Lower than Pump Shutoff Pump controls:Please check required.
Capacity @ Total Pressure Head 360 gpm Wfimer eElapse Meter U Event Counter
Calculated Total Pressure Head 25.71M It If Timer: Pump on e 1,3 ,Pump off
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 22020_23-94004____
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
if Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
Ef Soil logs E9 Tre tch/bed dimensions and 9 Septic tank
EZ Property lines critical distances within layout Er Drainfield cover
19 Existing and proposed wells Ef D-Box/Valve box locations Reference depth from original grade
within 100 it of property Septic tank/pump chamber and restrictive strata:
EZ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas Observation port location bottom
[21 Location and orientation of 9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ef Manifold placement ❑ Sand augmentation
components 9 Orifice placement Other cross-section detail:
1Z Location and dimension of E( Lateral placement with distance E9 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
1Z Buildings EX Audiblelvisual alarm referenced Yes No
E9 Direction of slope indicator Scale of drawing shown on scale tf ❑Design staked out
E9 Waterlines bar ❑ ❑Recorded Notices attached
E9 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 designer must be notified b ler t ' of installation ❑Yes Of No
-1 ,,qA Signature Designer Date /��
The undersigned has reviewed this design on behalf of Mason County i ' Public Health and determinlvedift®frr�
compliance with state and local on-site om: �/
C0uNjyFN�09 pO1y 4P
Environmental Health Sped li HE Date p✓,q gO.y,F
F,yT4 y
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER T FOLLOWING CONDITION: FA(pF,
✓ The design is stamped"Approved"by Mason County Public Health.
✓ 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.
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
PAGE
` I
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
i,
SITE k. PARCEL.. 22020.23-94004
DATE SUBMITTED: 06MM4 LEGML 01`*
SUBMITTED BY: ADAM HUNTER
APPLICANT: DON MOON
ADDRESS: 450143RD UN SE
OLYMPIA,WA W507
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE 0.6 GPDIFT3
REDUCTION=LEAVESANK iFNQT USED
DRAINFIELD SUING
ABSORPTIONAREA= SIM FT2
TRENCH LENGTH OR BED CONFIG.= 200 FT
11.WATERPROOF SEPTIC TANK
COMPOSITIONANDSIZE= 1200 GAL.CONCRETE
NEW OR EXLSTING= NEW
III.DRMNFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= GRAVELLESS CHAMBERS
ROCKDEPTH BELOW PIPE= GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
WTERML/SEASONAL SATURATION= �2'-0'
FILL DEPTH= 1'-0'
TRENCH WIDTH= T-0'
N.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 60
NUMBER OF DOSES PER DAY= 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 200
ORIFICE DIAMETER= S16
APPROVE®
W Py 'J��a fi
AUG 09 2024 G�� S W-)3pp
DAMES 0.M.fEIjA "i
MASON COUNTY ENVIRONMENTAL HEALTH k�r-K7,SF�ZSCIGr4�k -1
DJA OW2/w,
PAGE 2
LATERAL#!=
SQUIRT HEIGHT(FT)= 2W
(NOTE I,ORIFICE OISCNARGE RATE=(I1.,X(ORIFICE OLIMETER)S02 X
60ROOTOF(10TALPRESSURER )
ORIFICE DISCHARGE RATE= 0.58610
LATERAL LENGTH IN FEET= 60.00
ORIFICE SPACING= A 0'
DISTANCE FROM END CAP= 1'W
NUMBER OF HOLES= 13
LATERAL DISCHARGE RATE= 7S20
LATERALR2=
SQUIRT HEIGHT(FT)= 200
ORIFICE DISCHARGE RATE= 0.58616
LATERAL LENGTH IN FEET= 50.00
ORIFICE SPACING= Y 0'
DISTANCE FROM END CAP= 1 0'
NUMBER OF HOLES= 13
LATERAL DISCHARGE RATE= 7.620
IATERAL KI=
SQUIRT HEIGHT(FT)= IN
ORIFICE DISCHARGE RATE= 0.50618
LATERAL LENGTH IN FEET= W.W
ORIFICE SPACING= C 0'
DISTANCE FROM END CAP• 1'0'
NUMBER OF HOLES- 13
LATERAL DISCHARGE RATE= T.620 pp
LATERAL#A= �®
SQUIRT HEIGHT(FT)= 2.W ��
ORIFICE DISCHARGE RATE= 0.50618
ORIFICE SLENGTH PACING IN FEET= SRO.00U MgS0N000, UGO92
DISTANCE FROM END CAP= 113 ��q N��E 4
NUMBER OF HOLES=
LATERAL DISCHARGE RATE• T.620 NT,y/HfQ/Tf
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS 2T0.00 2.00 30.A81 IS05
BC i.w 2.00 15.241 0.004
CO 2600 2.00 7.620 0.026
DE 50.00 1.25 7.620 0.292
TOTAL= 3.906
"TOTAL HEAD LOSS "
L. !)FRICTION LOSS THROUGH SYSTEM 3.908
2)ELEVATION DIFFERENCE = 19.m
3)RESIDUAL = 2.000
Slw2n
JAMB A HUNTER TOTAL= 25.708
LICENSED DESIGN[,
EXPIRES: 03/2
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