HomeMy WebLinkAboutSWG2024-00104 - SWG Application / Design - 3/18/2024 ® MASON COUNTY 415N 6THELTON:STREET,SHELTO70,EX74W
SHELFAIR 36042]-96]O,EXT 400
BELFAIR:360-2]54487,EXT 400
Public Health & Human Services ELMA:3604a25 69,EXT 400
FAX:360427-7767
On-Site Sewage System Permit: SWG2024-00104
APPLICANT EAST COUNTY RENTALS INC Phone: 360-470-4195
Address: 74 SCHOUWEILER RD ELMA,WA 98541
OWNER EAST COUNTY RENTALS INC Phone: 360-470-4195
Address: 74 SCHOUWEILER RD ELMA,WA 98541
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA,WA 98507
SEPTIC INSTALLER HOUSE BROS CONSTRUCTION Phone: 360495-4156
Address: PO BOX 1820 MCCLEARY,WA 98557
Site Address: 931 W Golden Pheasant Rd j
Primary Parcel Number: 319061100020
Permit Description: Commercial-Glendon Biofilter(240 GPD)
Permit Submitted Date: 0311812024
Permit Issued Date: 07/3012024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (additional fees mar be required uaoo installation or swern)
Permit Expiration Date: 0311912027 (lased on data of naoeclion)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staffper 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 Drainfreld 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 Asbuitt 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.
I
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH G M D D
ONSITE SEWAGE SYSTEM APPLICATION MG ¢E[ 3 wl M-0 o m
415 N6th Street,(Bldg 8) Shelt9DWA,98584 < m
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74 SCHOUWEILER RD _ ELMA WA 98541 3
SITEADCRESS-9TREETCRYDPCOCE „„6 m
931 W GOLDEN PHEASANII-RD ELTON WA 98584
NAME OF DESIGNER � �. rpAOw ' 1
ADAM HUNTER 3607531226 VN
NAME CFINST I_Eft ' PRONE
HOUSE BROTHERS
CHECKNLAFRICAMEITEMS DRINKING WATER SWRCE p �� V
Of NEWCONSTRUCTION [3 WHOLDINGTANK ONLY d PRIVATE INDIVIDUAL WELL V
Q REPLACEMENT SYSTEM [3 INSTALLATION PERMIT ONLY [3 PRIVATE TWO-PARTY WELL
0 TABLE 9 REPAIR 0 SINGLE FAMILY 0 COMMUNITYIPUBLIC WATER SYSTEM
13 TANK(S)ONLY [3 COMMERCIAL SYSTEM NAME:
UPGRADE TO EXISTING 13 OTHER: BEg100M5 LOTSRE �--------- —
0 EXISTING FAILURE
M W AwM...R�nIDmr4M^W� 240GPD 0.97
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MRECDONSTOSRE-BE SPECIFIC ANDADVISE OFANV NEEDED MFORMATGN FORACCESS(u.bdretl pN) n
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40
SREMUST BEMOGED FROM MAIN ROAD ANOIESTNdIBYUSTBEMGDED MFlH MTNDIEMOMBERS I
OFFICIAL USE ONLY BELOW THIS LINE
LPGRME/FAIWRE SgIRCE(br�puYry WFPM6)
OVOLUNTARY OMAINTENANCEIPUMPING QBUILOINGPERMIT [3140MESALE OCOMPLAINT QOTHER:
INSPECTOR 9GILLCG9 COMMENTS/CGNORGNS Mq9 �'Iz
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SORCOOES:
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THIS FORM MAYEESCAMEDANOAVAEABLE FOR PUBLIC VEWON THE MASON COUNTYMILMITE REVISEDIw=I6
DESIGN FORM—PAGE ONE Assessor's Parcel Number:_3 ��,lg — 1
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. a Scaled layout sketch,including all applicable item on checklist
Y Scaled plot plan,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17"
�1r� `^ PARCEL IDENTIFICATION
Permit Number. SWG dtJ2� Jll �n Designer's Name: ADAM HUNTER
Applicant's Name:
DUSTIN HENSLEY Designer's Photo Number: 360-753-1226
Mailing Address:
74 SCHOUWEILER RD Designer's Address: PO BOX 162
ELMA WA 96541 OLYMPIA WA 96507
City State Zip
City Slate Zip
' DESIGN PARAMETERS
Treatment Device
�,/
to Glendon Biofilter ❑Sand Filter ❑Mound ❑Said Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity 5(Pressure ❑Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 240GPD Schedule/Class PER GLENDON
Daily Flow:Operating Capacity 180 gpd Length PER GLENDON ft
Daily Flow:Design Flow 240 gpd Diameter PER GLENDON in
Septic Tank Capacity 1-00 gal Number PER GLENDON
Receiving Sod Type(1-6) 4 Separation PER GLENDON It
Receiving Soil Appl.Rate 0.6 / gpd/ft2 Orifices
Required Primary Area 400 112 Total Number of Orifices PER GLENDON
Designed Primary Area 400 ft' Diameter PER GLENDON in
Designed Reserve Area 400 ✓ ft2 Spacing PER GLENDON in
Treach/Bed Width 20.4 R Manifold
Treneh/Bed Length 46.8 ft Schedule/Class 40
Elevation Measurements Length 30 8
Original Drainfield Area Slope 0 % Diameter 1 o
New Slope,If Altered 0 a/ Preferred manifold configuration used? I1VYes O No
Depth of Excavation Upalope NIA in Transport Pipe
from Original Grade Dowa-sI, NIA in Schedule/Class 40
Designed Vertical Separation 24 in Length 215 ft
Gravelless Chambers Required? ❑Yes Ii No 0 Optional Diameter 1 to
Pump Required? 5dYes []No Dosing and Pump Chamber
Pump/Siphon Specifications Number of dows/day 144
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1.607 gal
Orifice Pwan O0N ft Chamber Capacity 1000 / gal
Uppermost Orifice❑Higher R(Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head PER GLENDON gpm 6ffimer Otlapse Meter GlEvent Counter
10 MIN
Calculated Total Pressure Head PER GLENGGN it If Timer: Pump on 1.667 GAL I Pump off
Comments
DESIGN FORM-PAGE TWO Assessor's Parcel Number.s3 L 4 0 k - -- 1 S1 c aa-
PermitNumber: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Rf Test hole locations IZ Drainfield orientation and layout Reference depth from original grade:
19 Soil logs d Trench/bed dimensions and Ed Septic tank
V Property lines critical distances within layout 17 Drainfield cover
E9 Existingandproposed wells 9 D-Box/Valve box locations
Reference depth from original grade
within 100 R of property Y Septic tank/pump chamber and restrictive strata:
id Measurements to cuts,banks,and locations ❑ Laterals,manch/bed,top and
surface water and critical areas 9 Observation port location bottom
EZ Location and orientation of EZ Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 1d Manifold placement ❑ Sand augmentation
components FZ Orifice placement Other cross-section detail:
V Location and dimension of Ed Lateral placement with distance W Observation ports/cleanoms
primary system and reserve area to edge of bed
B Other Information
9 Buildings R( Audible/visual alarm referenced Yes No
EX Direction of slope indicator E9 Scale of drawing shown on scale 9 ❑ Design staked out
19 Waterlines bar ❑ ❑ Recorded Notices attached
9f 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 notifi d by i at time of installation an Yes ❑ No
3/8/24
ign a of Designer Date ////////ff __��_ ��
The undersigned has reviewed this dei on behalf of Mason County Public Health and deli[to be in
compliance with state and local on-si gulations: �,,pp
%
Environmental Health Specialist D CpGNry - V,? 4 O
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CO Ow:
is stamped
c Health.
✓ The Onsit� p e Sewage Permit has not expireroved"by d[n County lhe Permit Date is: ?� �CNrq`yFg2�
✓ 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
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 319061100020
DATE SUBMITTED: 3/8/2024 LEGAULOT M.
SUBMITTED BY: ADAM HUNTER
APPLICANT: DUSTIN HENSLEY
ADDRESS: 76 SCHOU W EILER RD
ELMA,WA 98541 /in
I.CALCULATIONS "2/
✓U
NUMBER OF BEDROOMS= RF 3QZo14
RESIDENTIAL GPD FLOW= CF�VFO
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS: 240
GPD=
APPLICATION RATE= 0.6 GPDIFT2
REDUCTION=LEAVE BLANK IFNO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 400 FT2
TRENCH LENGTH OR BED CONFIG.= PER GLENDON
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000 GAL-CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= NIA
ROCK DEPTH BELOW PIPE- NIA
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAUSEASONAL SATURATION= NIA
FILL DEPTH= NIA
TRENCH WIDTH= NIA
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