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HomeMy WebLinkAboutSWG2024-00240 - SWG Application / Design - 5/31/2024 MASON COUNTY 415NBTH SH ELTON: , 042970,E584 STREET, 7- SHEL-ON,W 9 EXT 400 BELFAIR:360-27SA467,EXT 400 Public Health & Human Services ELMA:360-4825269.EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00240 APPLICANT HENLEY WA 14 LLC Phone: Address: 1537 NW WOODBINE WAY SEATTLE,WA 98177 OWNER HENLEY WA 14 LLC Phone: Address: 1537 NW WOODBINE WAY SEATTLE,WA 98177 SEPTIC DESIGNER BECKY RIEGER Phone: 360-219-3343 Address: 901 L STREET CENTRALIA,WA 98531 Site Address: 760 E WOOD LN Primary Parcel Number: 320215602039 Permit Description: New 3bd ATU to pressure trench Permit Submitted Dale: 05/31/2024 Permit Issued Date: 0712612024 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 (additional fees may be re4mred upon Installation or symem). Permit Expiration Date: 06/10/2027 (cased on date of lnspecton) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staNper Mason County Title 17. 2 Permit must be installed by a Mason County Cerfiffed 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 backfil/of system components. 5 Installer is responsible for obtaining Septic Designer/Engmeer 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/onsitefoss-inspections quest.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MR RECEMII ® MASON COUNTY awy COMMUNITY SERVICES54o an M, ANDBNTRxFAs¢ RBSARPm O N PUMR�IWIM ICommunlry NenMVEnvlmnmmtal HeahM L (B SWG may_. =Lk o 0 2 :q ON-SITE SEWAGE SYSTEM APPLICATION A n n APPLIGNT PRONE IB r Tom Roth 206.295.8589 MaUNG ADDRESS-STREET.Cm.STATE,ZIP CO. 3 1537 NW Woodbine Way Seattle WA 98177 z SREACORESS-STREET CNY LP CODE 760 E Wood Lane Shelton WA I `A' WWEO DRPGNER PHONE I N Becky Rieger- Environmental Design 360.219.3343 NMIE OFINSTALLER PHONE D PERKITTYFE(MY[iax) ORIMMN3 WRIER EIXIRCE LA N ff RESIDENT OSS LI CC COMMUNITYOSS L CC ICOMMERCIALOSS EPRIVATEINDNIDUALWELL ff PRIVATETNCFPARTYWELL = I ' n,PEG ADNP RFMew) �;PUBLIC WATER SYSTEM ®NEWCONSTRUCTIONIUPGRAOES 51REPAIR/REPLACEMENT OTNER DETAILS(NMtlNMN3{Fy/ [3 TABLE IX REPAIR ICI $UBMRTALS SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE LIDESIGN FORM(REQUIRED) IMSEPTIC DESIGN(REQUIRED) EEDROOMS —SIZE p I � EWAIVER(S)(IFAPPUCABLE) 3 0.22 x IO DIRECTIONS TO SNE AND SITE CONORIONS'.(az.bvmO pb) North on Hwy 3, South on E Agate Road, West on E Crestview Drive, South on Parkway I N Blvd; W on E Wood Lane - r l o y SITE NNST BFRAGGEO FRAY NAM ROAD AMOTEST MO{FSMNSTBEFfADDED P/IMTEYT NOE£NLMBERA I Ica OFFICIAL USE ONLY BELOW THIS LINE U W RACE 1.UJRE SOUNCE IIm,gaE,g puPOne) OVOLUNTARY OMAINTENANCE/PUMPING O BUILDING PERMIT OHOMESALE 13COMPIAINT ❑OTHER: INSPECTIXi 601LLW5 CCMNENIS/CONDITIONS ,ti �2 -+- 8dL CODH. REWRD CPAWNGMLINSTPllATION REPORT V.WW G=GRAVELLY S=SAND L=LGM SI=SILT C=CLAY E=EXTREMELY R-ROOTS REGUIRE➢FORRNALAPPRGVAL INSFEC10113W'tNTUflE WTE APPUC ONE%%MPpI MTE APPLIGTIONAFPROV£NISSUEO GTE TNM FORM MAY BE CAN NEC AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBBITE REWSEDtYllA1S DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 -- r�9 -- 0 2 0 3 9 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 Scaled plot plan,including all applicable items on checklist. 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.Muzimum paper size: 11"%17" PARCEL IDENTIFICATION Permit Number: SWG )W�-U)auD Designer's Name: Becky Rieger Applicant's Name: Tom Roth Designer's Phone Number: 360-21"343 Mailing Address: 1537 NW Woodbine Way Designer's Address: 901 L Street Seattle WA 98177 Centralia,WA 98531 city State zip city State Zip DESIGN PARAMETERS _ Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfidd ❑Recirculating Filter,Type: ®Aerobic Unit Make/ModeINUWater ❑Disinfection Unit Makc/Model Other: Drainfield Type 0 Gravity ®Pressure N Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Schd.40 Daly Flow:Operating Capacity 360 2lt 0 gpd Length 68 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity 1200 gal Number 3 Receiving Soil Type(1-6) 4 Separation 9 ft Receiving Soil Appl.Rate 06 gpd/ft' Orifices Required Square Footage 600 f2 Total Number of Orifices 36 Designed Square Footage 600 ftz Diameter 118 in Percent Reduction Taken 0 % Spacing 72 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 68 ft Schedulc/Class Schd. 40 Elevation Measurements Length 45 li Original Drainfield Area Slope 3 % Diameter 1.25 in New Slope,If Altered 0 % Preferred manifold configuration used? Ill Yes 0 No Depth of Excavation Upslupe 10 in Transport Pipe from Original Grade Dawn,, a in Schedule/Class Schd. 40 Designed Vertical Separation 12 in Length 30 ft Gmvelless Chambers Required? 13 Yes 0 No 0 Optional Diameter 1.5 in Pump Required? M Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 60 gal Orifice 5 ft Chamber Capacity 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Tots Pressure Head 15.6 gpm ®Timer DElapse Meter ❑Event Counter Calculated Tot]Pressure Head 11 7 ft If Timer: Pump on 3 8 Min .Pump off 4 Hrs Comments APPROVED JUL 26 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 1 _ 5 6 -- 0 20 3 9 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ei Test hole locations ® Drainfield orientation and layout Reference depth from original grade: IN Soil logs ® Trench/bed dimensions and M Septic tank ® Property lines critical distances within layout ® Drainfield cover ® Existing and proposed wells ® D-Box(Valve box locations Reference depth from original grade within 100 fi of property 51 Septic tank/pump chamber and restrictive strata: ® Measurements to cuts,banks,and locations 13 Laterals,trench/bed,top and surface water and critical areas M Observation port location bottom 19 Location and orientation of ® Clean-out location ❑ Curtain drain collector curtain drain and all absorption m Manifold placement ❑ Sand augmentation components IN Orifice placement Other cross-section detail: ® Location and dimension of ® Lateral placement with distance m Observation ports/clean-outs primary system and reserve area to edge of bed Other Information ® Buildings ® Audible/visual alarm referenced Yes No ® Direction of slope indicator M Scale of drawing shown on scale ❑ ®Design staked out ® Waterlines bar ❑ 0 Recorded Notices attached ® Roads,easements,driveways, ❑ M Waiver(s)attached parking (Z ❑Pump curve attached M North arrow and scale drawing ❑ 10 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL "rhe undersigned designer must be notified by installer at time of installation ® Yes ❑ No Becky Bieger — 05.22.2024 Signature of Designer 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: RP'--t p--Cm -7 Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. lO I f Z� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Dam is: 10 I ✓ 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 maybe scanned and available for public view on the Mason County Web site. Keeisfon Date: 1/12/2010 Environmental Design, LLC. Septic Design*Wetlands*Site Planning V=avation 901 L Street, Centralia, WA 98531 Phone:(360)219-3343 May 13,2024 Prepared For: Tom Roth 1537 NW Woodbine Way Seattle,WA 98177 J.Rm,r Site Address: 760 E Lane,Shelton County:Mason APPROVED Tax Parcel Number:32021-56-02039 JUL 2 6 2024 MASON COUNTY EWRONMENTAL HEALTH Purpose: RET A site and soil evaluation was completed for the property located at 760 E Wood Lane in Shelton on May 14,2024 by Environmental Design,I.L.C.The purpose of the site and soil evaluation is to determine the suitability of an On-Site Wastewater system. In order to determine if a site is suitable a minimum of three test pits were dug and evaluated for suitability.The site was evaluated to determine that the slope and size were suitable and to determine if the proposed on-site wastewater would be able to meet county and Washington State WAC 246-272A regulations. Proposal: The client is proposing a 3-bedroom residence on the site to be served by an on-site septic system. For a 3-bedroom system the estimated wastewater produced is 360 gallons per day based on the calculation of each bedroom producing 120 gallons per day. Site Description: The site is currently vacant land.The site is in Section 21 Township 20 North of Range 03 West. Hydrology: The site appears to be well drained.There did not appear to be any areas of ponding at the site or in the area of the proposed drainfield. Water Source: The water source will be a proposed community water connection.The water line will be located 30 feet away from the proposed On-Site Wastewater system or the transport line will be sleeved to meet the requirements of WAC 246-272A. Soil Description: According to the Natural Resources Conservation Service INKS)the property soil is mapped as Shelton Gravelly Sandy Loam.The test pit profile did not appear to be consistent with the mapped series. The NRCS describes the Shelton Gravelly Sandy Loam series as a very extensive soil.The surface has an organic layer about 1 to 2 inches in depth.The upper surface is friable,weakly granular and brown gravelly sandy locate extending a depth of 3 to 4 inches.The following layer is a strong brown to a nearly I Job Number:2024-021 Client Name:Roth ! reddish yellow gravelly sandy loam extending about 4 inches in depth and has a weak granular structure. The following subsoil is reddish-yellow very gravelly,sandy loam extending a depth of 25 inches.The following layer is a gravelly till layer. Test Pit Description: In order to complete a site and soil evaluation according to WAC 246-272A a minimum of three test pits need to be evaluated. For this site a total of 3 test pits were evaluated and labeled in the field for the locations of the On-Site Wastewater System.The test pits are as described below: Test Pit#1 0-33" Brown loamy medium sand,moderate subangular blocky structure 33-38" Gray coarse sand,cemented,common distinct medium mottles Restrictive at 33"due to seasonal high water I Test Pit A P 0-24" Brown loamy medium sand,moderate subangular blocky structure ROVED 24-33" Cemented,common distinct medium mottles Restrictive at 24"due to seasonal high water IUl_ 2 6 2024 Test Pit N3 MASON COUNTYENVIR..MENTAL HEALTH 0-34" Brown loamy medium sand, moderate subangular blocky structure RET 34-40" Gray coarse sand,cemented,common distinct medium mottles Restrictive at 34"due to seasonal high water Soil Loadina Rate: The type of soil appears to be Type 4 with a soil loading rate of 0.6 according to WAC 246-272A. System Requirements: The site appears to be suitable for pressure trench with secondary treatment system in the proposed drainfield location.The system requirements are concluded based on the suitability of the soil,the slope of the site and the site conditions. Conclusion: The site described as 760 E Wood Lane in Shelton appears to have a slope of about 5%in the proposed drainfield area.The site has a suitable soil depth of 20" in the proposed drainfield location and is suitable for a pressure trench with secondary treatment to serve the proposed residence. RepIoLrt-,Completed by: & Becky Rieger Licensed Designer P s6a. EbthyJ Rleper ; a 2 Job Number:2024-021 Chew Name:Rath 0 O 0 O v m A � m ' O 0 m N Op m m0 0 U m K m 125.74' D m $ < o - m 0 0 0 0 O R . a � m m N PROPERTY(INE ' 125.37' 11 zc A p O y O m O O �" z � m n � ° O x o mDA O < o oEs. ➢J z r Om r II (p w m pg T$,� �. 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Minimum Pump Requirements Pump Cui— Deepn Real Red 156 gm Pump Optimal Range'. Total Dynamic Head 11.7 feet Opera4np Pass O Design Paid O redwwo B YB a ITTResidential Water Systems Goulds Pumps PESubmersible Effluent Pump FEATURES ■Corrosion resistant construction. ■Cast iron body. ■Thermoplastic impeller and cover. ■ Upper sleeve and lower heavy duty ball bearing construction. ■ Motor is permanently lubricated for extended service life. ■ Powered for continuous operation. ■All ratings are within the working limits of the motor. ■Quick disconnect power cord, 20' standard length, heavy duty 16/3 S1TW with 115 or 230 volt grounding plug. ■Complete unit is heavy duty, portable and compact. ■ Mechanical seal is carbon, ceramic, BUNA and stainless steel. ■ Stainless steel fasteners. MGOULDS PUMPS APPROVED Goulds Pumps is a brand of ITT Water Technology, Inc. MASON COON JUL 26 2021 -a subsidiary of ITT Industries, Inc. ryE"RONMENTAL HEALTH RET www.goulds.com Engineered for life GOULDS PUMPS ITT Residential Water Systems APPLICATIONS MOTOR Specially designed for the following uses: General: • Mound Symms • Single phase • Effluent/Dosing Systems • 60 Hertz • Low Pressure Pipe Symms • 115 and 230 volts • Basement Draining • Buih-in thermal overload protection with automatic reset. • Heavy Duty Sump/ • Class B insulation. Dewatedng • Oil-filled design. • High strength carbon steel shaft SPECIFICATIONS PE31 Motor. Pump—General: • .33 HP,3000 RPM • Discharge: 1'6"NPT • 115 volts • Temperature:104OF(400Q maximum,continuous when ' Shaded pole design fully submerged. PE41 Motor. • Solids hxndling:'k"maximum sphere. • .40 HP,3400 RPM • Automatic models include a float switch. • 115 and 230 volts • Manual models available. • PSC design • Pumping range:see performance chart or curve. PES1 Motor. PE31 Pump; • .50 HP,3400 RPM • Maximum capacity:53 GPM • 115 and 230 volts • Maximum head:25'TDH • PSC design PE41 Pump: • Maximum capacity:61 GPM AGENCY LISTINGS • Maximum head:29'TDH PE51 Pump: • Maximum capacity:70 GPM S A w • Maximum head:37'TDH c us Tested to UL 778 and CSA 22.2108 Standards By Canadian standards ksooation Menu MM File#M38549 Moo1..'E31,1.a.I'll PE51 10 y�z�PM Goulds Wmpsu15091101 Registered. a PE4, PE31 30 APPROVED is JUL 26 2o2a ° e MASONCOUNTYE,yyROHMENTq�HEgLTN RET 0 00 10 20 30 40 50 60 70 GPM 00 o ,a 13 m3m C AC1W ITT GOULDe PUMPS Residential Water Systems PERFORMANCE RATINGS DIMENSIONS PE31 PEST Wl dimensions are In Inches.Do not use for construction purposes.) legal Head Twid read of wafer) GPM (fed of water) GPM 5 52 10 67 0 10 42 15 59 6.4 15 29 20 50 20 16 25 39 25 0 30 26 22 35 B 9.6 PE41 Total Head GPM (tee[of water) 8 61 10 5] 15 46 20 33 25 16 5.4 t2.0 �1 K'NPT DKCHARGE 3.1 .6 PUMP INFORMATION Minimum float Switch r�rd Discharge Minimum Modems Shipping Order No. MP VONa Amps OFah Phan Stylo Connection basin Solids Weight breker Diameter Size Ibslkg EPE41 0.33 12 20 Manual/NoSwitch 115 Ngglhack Float Switch 7.5 15 Manual/No Switch 0.4 Nggyback flog Switch 230 3.7 10 1 Manuall No Switch 15' is, .5' 31/14.1 NggWWck Flog SwNh 115 9.5 20 Manual/No Stch0.5 Piggirack Host Swich 230 4.7 Pki"thad Flug Switch APPROVED JUL 26 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET ITTResidential Water Systems R�] GOULDS PUMPS Goulds Pumps and the ITT Engineered Blocks Symbol are APPROVED registered trademarks and tradenames of ITT Industries Inc. SPECIFICATIONS ARE SUBIECTTO CHANGEWITHOUTNOTICE. JUL 96 2024 BPE February,2005 ©20061TT Water Technology Inc. MASON COUNTY ENVIRONMENTAL HEALD Engineered for life RET