HomeMy WebLinkAboutSWG2024-00368 - SWG Application / Design - 8/27/2024 SHELTON,WA
5114
MASON COUNTY d15N8THELTON: , 0A27-97 ,EXT 400
SHELFAIR 360427-9670,EXT 400
BELFAIR:360-2754967,EXT 400
Public Health & Human Services ELMA:36GAa2-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00368
APPLICANT John King Phone: 36M7M060
Address: PO Box 2382 SHELTON,WA 98584
OWNER SOUND PLACEMENT SERVICES LLC Phone: 360-507-4311
Address: 1721 MCCORKLE RD SE OLYMPIA,WA 98501
SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226
Address: PO Box 162 OLYMPIA,WA 98507
Site Address: XX SE Cannery Point Rd
Primary Parcel Number: 220292190011
Permit Description: New 3-bedroom Gravity System
Permit Submitted Date: 08/27/2024
Permit Issued Date: 1 0/1 412 0 24
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (additlonalfees may ne mouired upon installabon ofsystem).
Permit Expiration Date: 09/1712027 phased on date of inspe on)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department stag 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 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 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: masonmuntym.gov/health/envimnmental/onsite/oss-inspection-request.php or call:
360.427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH D EB D °' _ Z�
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ONSITE SEWAGE SYSTEM APPLICATION b _ BKFN D N
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APPUGNT PHONE Y D
JOHN KING 3608780060 m m
MAILING ADDRESS-STREET.CTIY,STATE.TIP CODE r
PO BOX 2382 SHELTON WA 98584 c
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SITE no..STREET CITY.LP CODE W
XX CANNERY POINT RD SHELTON WA 98584 a
NAME OF DESwNPA PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHOND
TBD
CHECK ALL APPLICABLE ITEMS DRINKING WATER SORRCE G
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Of NEW CONSTRUCTION [] RVHOLDINGTANKONLY Of PRNATEINDIVIDUALWELL
[] REPIACEMENTSYSTEM [3 INETALLATIONPERMITONLY E] PRNATETWO-PARTY WELL Z 0
❑ TABLE 9 REPAIR [3 SINGLE FAMILY E] COMMUNITYNUBLIC WATER SYSTEM
[] TANK(S)ONLY 13 COMMERCIAL SYSTEM NAME:
—
[3 UPGRADEMUISTING O OTHER: BEDBDOMS LOTSQE
[] EKISTINGFAILURE 3 1.21 W
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OIRECTIONSTO SITE-BE SFECIFICANOADVISE OFANY NEEDED INFORMATION FORACCESS(¢k RK*) 0
ARCADIA RD TO NORTH ON CANNERY POINT TO FIRST SITE ON THE RIGHT. Is
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IN SPE SIGNATURE I APPLICATION EMRABON DATE APPIILMION APPRWED BY ATE
107
MSS FORM MAY BE SCANNED ANO AVAI ABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE RAMYSMD IYAQ0M5
DESIGN FORM-PAGE ONE Assessor's Parcel Number: Z Z. O ZY
A design will be reviewed when 3 conies of each of the following are submitted:
Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. a Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.Mmimum paper size: 11"X 17"
) PARCEL IDENTIFICATION
Permit Number: SWG W2 [ ' DO) Designer's Name: ADAM HUNTER
Applicant's Name: JOHN KING Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 2382 Designer's Address: PO BOX 162
SHELTON WA 9656/ OLYMPIA WA 98507
City State zip city State zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Bioflter ❑Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,T
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model r:
Drainfield Type FCF
dGraviTy ❑ Pressure Trench ❑Bed ❑ ce Dri
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 4"GRAVITY -
DailyFlow:OperatingCapacity 270 - gpd Length 50 ft
Daily Flow:Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity 1200 gal Number 4
Receiving Soil Type(1-6) 4 - Separation 6.5 ft
Receiving Soil Appl.Rate 0.6 gpd/ftz Orifices
Required Primary Area 600 - ft2 Total Number of Orifices GRAVITY
Designed Primary Area 600 ff Diameter GRAVITY in
Designed Reserve Area 600 - fta Spacing GRAVITY in
Trench/Bed Width 3 - ft Manifold
Trench/Bed Length 200 - ft Schedule/Class 4"GRAVITY
Elevation Measurements Length 20 It
Original Drainfield Area Slope 2 % Diameter 4 in
New Slope,If Altered 2 % Preferred manifold configuration used? IYYes 0 No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade -sloe 9 in Schedule/Class 4"GRAVITY
Designed Vertical Separation 36 in Length 10 ft
Gmvelless Chambers Required? ❑Yes []No dOptional Diameter 4 in
Pump Required? ❑Yes YNo Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day N/A
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity N/A gal
Orifice it Chamber Capacity N/A gal
Uppermost Orifice❑ Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head N/A gpm ❑Timer ❑Elapse Meter ❑Event Counter
Calculated Total Pressure Head WA it If Timer: Pump on N/A ,Pump off N/A
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: -- --
PermitNumber: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
12f Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
E9 Soil logs E9 Trench/bed dimensions and 9 Septic tank
19 Property lines critical distances within layout EZ Drainfield cover
IZ Existing and proposed wells D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 19 Septic tank/pump chamber and restrictive strata:
♦a Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
13 Location and orientation of EZ Clean-out location ❑ Curtain drain collector
curtain drain and all absorption EX Manifold placement ❑ Sand augmentation
components 1f Orifice placement Other cross-section detail:
99 Location and dimension of f� Lateral placement with distance Ef Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
E9 Buildings Audible/visual alarm referenced Yes No
lit) Direction of slope indicator Scale of drawing shown on scale d ❑ Design staked out
EZ Waterlines bar ❑ ❑Recorded Notices attached
• Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
• North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer mu be r m Iler at time of installation Ef Yes ❑ No
8/14/24
rh,,,�'detign
lure of Designer Date q ppThe undersigned has review on behalf of Mason County Public Health and determined iit td lcompliance with state and t ulat�ons: /^ '! Cj CO
vt�Z- �Z y�6 Z t� �Nco w7y y 1014
Environmental Health Specialist Date 0,14 N,yfNTq/�Fqt
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: Th
✓ 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: 12/72015
MASON COUNTY HEALTH DEPARTMENT
ONSITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCELM 22029219W11
DATE SUBMITTED: 10/14/2024 LEGALILOT A LOT A
SP#863
SUBMITTED BY: ADAM HUNTER
APPLICANT: JOHN KING
ADDRESS: PO BOX 2382
SHELTON,WA 98584
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 360
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA 6W FT2
TRENCH LENGTH OR BED CONFIG.= 200 FT
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL-CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 1'-0"
ROCK DEPTH BELOW PIPE= 0'-6"
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAIJSEASONAL SATURATION= >3'-0"
FILL DEPTH= 1'-0"
TRENCH WIDTH= T-0"
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