HomeMy WebLinkAboutSWG2024-00223 - SWG Application / Design - 5/20/2024 ® MASON COUNTY 415N6 H .SHELTON,WA98664
S HELTON:ELTON:360-42]-96]0,EXT 400
BELFAIR:360.2]5-446],EXT 400
Public Health & Human Services EWA.360482-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00223
APPLICANT JOHNSON CHARLES THOMAS&ERIN Phone: 916-365-7696
SAMANTHA LESLIE
Address: 7703 HOLIDAY VALLEY DR NW OLYMPIA,WA 98502
OWNER JOHNSON CHARLES THOMAS&ERIN Phone: 916-365-7696
SAMANTHA LESLIE
Address: 7703 HOLIDAY VALLEY DR NW OLYMPIA,WA 98502
SEPTIC DESIGNER JIM HUNTER' Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA,WA 98507
Site Address: XX E Pickering Rd
Primary Parcel Number: 221332150001
Permit Description: 4-bedroom NuWater BNR600 system: Revised
Permit Submitted Date: 05120/2024
Permit Issued Date: 07/22/2024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (additional ees may be,egw,m anon inateintion or sysloml.
Permit Expiration Date: 05130/2027 (based on data bnnapecdan)
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 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Masan 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:
360427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH RF`F"ED , Goa a
ONSITE SEWAGE SYSTEM APPLICATION AMOU N I. `m H%415 N 6M 5net,(Bldg B) Shelton WA,98S84 Q N
Shelton:360427-9670 eA 400 BelfS,.3602754467 eM 4W SATG O L. _ 3 - O p
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APPLICANT PHONE a a
CHARLES JOHNSON 916 365-7696 m m
MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE r
7703 HOLLIDAY VALLEY DR NW OLYMPIA WA 98502 3
SITE ACORESS-STREET,CRY,ZIP CODE LD
XX E PICKERING RD SHELTON WA 98584 m
NAME OF DESIGNER PHONE
JIM HUNTER 360 753-1226
NAME OF INSTALIEft PHONE r
CHECKALLAPPLICABLE ITEMS DRINKINGWATERB RCE I^1
If NEWCONSTRUCTION 0 RV HOLDING TANK ONLY fif PRIVATE INDIVIDUAL WELL y
❑ REPIACEMENTSYSTEM 0 INSTALLATION PERMIT ONLY E3 PRIVATE TWO-PARTYWELL Z
El TABLE B REPAIR SINGLE FAMILY 0 COMMUNITYIPUBLICVMTER SYSTEM I(�
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: IJI
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE I1
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THISFORMMAYBE SCANNEDANDAVAILABLE FOR PUBLIC VIEW ONTIEMASON COUNTYMIEBSTE REVISED iW=15
DESIGN FORM—PAGE ONE Assessor's Parcel Numbet:ja._L_F, 3 -- ,1I — 6Qou ii
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. 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"X17 '
PARCEL IDENTIFICATION
Permit Number SWG 10Zf(- U OZZJ Designer's Name: JIM HUNTER
Applicant's Name: CHARLES JOHNSON Designer's Phone Number: 360-753-1226
Mailing Address: 7703 HOLLIDAY VALLEY DR NW Designer's Address: PO BOX 162
OLYMPIA WA 9M02 OLYMPIA WA 98507
City State Zip City State i
DESIGN PARAMETERS
Treatment Device ✓UZ
❑Glendon Biofilter ❑Said Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
Of Aembic Umt M&.Model NUWATER8NRL00 ❑Dielnfcction Unit MakeMlodel Other.
Drainfield Type
❑Gravity erPressure ❑Trench ❑Bed ❑Sub Surface Chip
Septic Tank/Drainfield Specifications Laterals
OF
Number of Bedrooms 4 ! Schedule/Class '208s YQ
Daily Flow:Operating Capacity 360 gpd Length 55 ft
Daily Flow:Design Flow 480 gild Diameter 1 112 in
Septic Tank Capacity 1200 ' gal Number 5
Receiving Soil Type(1-6) 4 Separation 6 R
Receiving Soil Appl.Rate 0.6 -- gpd/ftr Orifices
Required Primary Area Boo ft Total Number of Orifices 70
Designed Primary Area 825 fir' Diameter 3116 in
Designed Reserve Area 800 ftt Spacing 24 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 275 ft Schedule/Class 290 4Q
Elevation Measurements Length 25 it
Original Drainfield Ares Slope 5 % Diameter 2 in
New Slope,If Altered 5 % Preferred manifold configuration used? G(Yes ❑No
Depth of Excavation Up-ftc 9 in Transport Pipe �03 k
from Original Grade w.Fn�bpe 6 in Schedule/Class
Designed Vertical Separation 12 in Length 45 ft
Gmvelless Chambers Required? IfYcs O No ❑Optional Diameter 2 in
Pump Required? if Yes 11 No Dosing and Pump Chamber-
Pump/Siphon Specifications — Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 80 gal
Orifice s ft Chamber Capacity 1200 gal
Uppermost Orifice I f igher ❑Lower than Pump Shutoff Pump controls:Please check those requited.
Capacity @ Total Pressure Head 50.255 gpm Wilmer G'(Elapse Meter [if Event Counter
Calculated Total Pressure Head 7.352 ft If Timer: Pump on 91.7 Pump off 91.5
Comments
0
DESIGN FORM—PAGE TWO Assessor's Parcel Number:.7 _,L 5f2 S2U
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ef Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
E9 Soil logs E2f Trench/bed dimensions and Y Septic tank
IZ Property lines critical distances within layout EZ Drainfield cover
E9 Existingand proposed wells E9 D-BoxNalve box locations
ProPos Reference depth from original grade
within 100 ft of property EZ Septic tank/pump chamber and restrictive strata:
E3 Measurements to cuts,banks,and locations ❑ Laterals,treach/bed,top and
surface water and critical areas a Observation port location bottom
13 Location and orientation of Ef Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ef Manifold placement ❑ Sand augmentation
components 1Y Orifice placement Other cross-section detail:
i9 Location and dimension of Ef Lateral placement with distance E9 Observation ports/clean-outs
primary system and reserve area to edge of bed
1a Buildings Other Information
EX Audible/visual alarm referenced Yes No
E9 Direction of slope indicator Ef Scale of drawing shown on scale d ❑ Design staked out
19 Waterlines bar ❑ ❑Recorded Notices attached
E9 Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑ Pump curve attached
17) North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
_RESIGN APPROVAL
The undersigned designer must be notifie y a of installation ❑Yes lif No
Signature Designer Date ^pA
The undersigned has reviewed this design on behalf of Mason County Public Health and detemline ff �in,�
compliance with state and local gulations: V I,
on%
/l2/ZpZy ,N��i 222024
Ettv,tion4pefial Health Specialist Date ryENfj
p,,//R��ON'tiIENTAC
CAUTION: DESIGN APPROVAL IS VALH)ONLY UNDER THE FOLLOWING CO ON NfAC7/
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: S/AOZ& F
✓ 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
�a
RF�FI�D
MASON COUNTY HEALTH DEPARTMENT
ONSITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#.22133-215 001
DATE SUBMITTED:S1ld UI LEGALA.OTM.LOT1 US2202
SUBMITTEDBY: JIM HUNTER
APPLICANT: CHARLES JOHNSON
ADDRESS: 7T08 HOUUDAYVALLEYDR NW
OLYMPIA.WA 98502
I.CALCULATIONS
NUMBER OF BEDROOMS= A
RESIDENTIAL GPD FLOW= qg0
IF NON-RESIDENTIAL-GPD ROW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPDIFT2
REDUCTION=LEA VE RLANK IF NO REDI.CTION TAKEN
GRAINFIELD SIZING
ABSORPTION AREA= 825 R2
TRENCH LENGTH OR BED CONFIG.• 175 FT
H.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= GRAVELLESS CHAMBERS
ROCK DEPTH BELOW PIPE= GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIALISEASONAL SATURATION=
FILL DEPTH It
TRENCH WIDTH= T-W
IV.PUMP REQUIREMENT gAwR
DOSING VOLUME IN GALLONS= 80 N ` o
NUMBER OF DOSES PER DAY. B /
V.PRESSURE CALCULATIONS USING PIPE CLASS 200 MgSONCJUNTY�` ��101 ��
ORIFICE W16 ENS/R y
�Jq�N�f�✓Tq�hFq<Ty
7 - 14- 24
5,
s
sw:>s sapp
II )A _ t HUNTER '1
TEI bes"EN
EXMlEy: OS/12/2fY
Pa 2
LATERAL#1=
SQUIRT HEIGHT 1")= 3.00
(NOTE(2)ORIFICE DISCHMGE RATE=(I I n)X(MIME DAMETERIS02 X
SORCOTC£(TOTg PRESSUREHEPD)
ORIFICE DISCHARGE RATE= O]1TB2
LATERAL LENGTH IN FEET= M.00
ORIFICE SPACING= 4'V
DISTANCE FROM END CAP• 111.
NUMBER OF HOLES 14
LATERAL DISCHARGE RAT= 10051
LATERAL#2=
SQUIRT HEIGHT(FT)= 000
ORIFICE DISCHARGE RATE= 0.71792
LATERAL LENGTH IN FEET= 00
ORIFICE SPACING= 550•
DISTANCE FROM END CAP= 116.
NUMBER OF HOLES=LATERAL DISCHARGE RATE= 10 11
4
.051
LATERAL#3=
SQUIRT HEIGHT(FT)
ORIFICE DISCHARGE RATE= 0.71792 M.00
LATERAL LENGTH IN FEET= 5500
D DISTANCE
SPACING. 4'0'
FROM END CAP• 1.6.
NUMBER
NUMBER OF HOLES= 16
LATERAL DISCHARGE RAT= 10051
LATERAL#4=
SQUIRT HEIGHT(FT)= S 00
ORIFICE DISCHARGE RATE. 0.71792
LATERAL LENGTH IN FEET= 0.00
ORIFICE SPACING= 4'P
DISTANCE FROM END CAP= 1.e.
NUMBER OF HOLES= 14
LATERAL DISCHARGE RATE= 10.051
LATERAL#5• q P
SQUIRT HEIGHTRGE 717 PROVE
ORIFICE LENGTGERATE= 0W.W
ORIFILATECE SPACING= FEET= 4.O JUL
22 9 '2
DISTANCE FROM END CAP= 1'6.NUM MASER OF HOLM= O ` <O<qL
LAERRAL DISCHARGE RATE= 104 vCGUNryENV)RONMEN
DJA NEALTH
)
-_1 - 'Ld
Z' 51%Z73 :AA
0 DAMES R M#ETFR fi
LICENSED DE3Hj4ER
EXMtfS: 03122/?.(P
PPGE]
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS W.W 2,00 W.255 1.m"
SC 1.00 2.00 MASS 0.0130
CD 1.00 200 20.102 0."1
DE 30.00 200 10.051 0.0511
EF 55.00 1.50 10251 02770
TOTAL= 1.3517
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 1.352
2)ELEVATION DIFFERENCE 3.000
3)RESIDUAL = 3000
TOTAL= 7.352
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