HomeMy WebLinkAboutSWG2022-00366 - SWG Application / Design - 6/24/2022 MASON COUNTY d15N6THELTON: 27-960,EXT 400
SH STREET,
,6HEL ON, A9 400
BELFAIR:360-2754467,EXT 400
Public Health & Human Services ELMA:360482-5269,ENT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2022.00366
CISSNA REVOCABLE LIVING TRUST
APPLICANT PATRICK R MCGILLIVARY&HEATHER Phone:
E
Address: PO BOX 130 LILLIWAUP, WA 98555
CISSNA REVOCABLE LIVING TRUST
OWNER PATRICK R MCGILLIVARY&HEATHER Phone:
E
Address: PO BOX 130 LILLIWAUP,WA 98555
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: 722 N SEAGULL WAY
Primary Parcel Number: 324121190061
Permit Description: New 2bd sandlined bed with local waiver for reserve
Permit Submitted Date: 06/24/2022
Permit Issued Date: 10/22/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $930.00 (addMonal fees may m ragmmd upon Installation of system),
Permit Expiration Date: 07/22/2025 @aaedondateofinsmxfion)
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 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: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call:
360427.9670,extension 400.
OFFICIALU ONLY
MASON COUNTY PUBLIC HEALTH DAGNSE VED
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ONSITE SEWAGE SYSTEM APPLICATIONDR
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PATRICK MCGILLIVARY 206-498-5416 m m
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PO BOX 130 LILLIWAUP WA 98555 3
SITE ADDRESS-STREET,CITY,ZIP CODE OI
722 SEAGULL WAY LILLIWAUP WA 98555 z
NAME OF DESIGNER PRONE
ADAM HUNTER 360-753-1226 „I�W'
NAME OF INSLL TAER PNCNE 1/_
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it NEW CONSTRUCTION D RV HOLDING TANK ONLY D PRNATENDNIDUALWEUL
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THIS FORM MY BE SCA NED AND AVAILABLE FOR PUBLIC YIEW THE MABON COUNTY WEBSITE RENTED 1e 15
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 32442-11-90061
A design will be reviewed when 3 co iea 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. v Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.Marinium paper sue: 11•'X 17•'
n PARCEL IDENTIFICATION
Permit Number: SWG 'LOZ� O0316 Designer's Name: ADAM HUNTER
Applicant's Name: PATRICK MCGILLIVARY Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 130 Designer's Address: PO BOX 162
LILUWAUP WA 98565 OLYMPIA WA 98507
City State zip City State Zip
DESIGN PARAME f FRS
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Meke/Modcl Other:
Drainfield Type
❑Gravity dPressure ❑Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class 40
Daily Flow:Operating Capacity 180 gpd Length 30 ft
Daily Flow:Design Flow 240 gpd Diameter 125 in
Septic Tank Capacity 1000 gal Number 4
Receiving Soil Type(1-6) 3 Separation 2 fl
Receiving Soil Appl.Rate 0.8 gpd/ft' Oritices
Required Primary Area 300 ft, Total Number of Orifices 40
Designed Primary Area 240 fta Diameter 3116 in
Designed Reserve Area 300 ftr Spacing 36 in
Trench/Bed Width 8 R Manifold
TrenchBed Length 30 ft Schedule/Class 40
Elevation Measurements Length 6 R
Original Drainfield Area Slope 4 % Diameter 2 in
New Slope,If Altered 4 % Preferred manifold configuration used? IYYes 0 No
Depth of Excavation Upalope 42 in Transport Pipe
from Original Grade Down-stops 30 in Schedule/Class 40
Designed Vertical Separation 24 in Length 20 ft
Gravelless Chambers Required? ❑Yes 0 No G(Optional Diameter 2 in
Pump Required? IdYes []No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal
Orifice r R Chamber Capacity 1000 gal
Uppermost Orifice IdHigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 23.447 gpm Timer F'� StUpse Meter IYEvent Counter
Calculated Total Pressure Head ^'816 it Timer: >rp off 6 HRS
Comme� OCT 22 2024
MASON COUNTY ENVIRONMENTAL HEALTH
DESIGN FORM—PAGE TWO Assessor's Parcel Number: ___ 32442-11_90961
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Rf Test hole locations 9 Drainfield orientation and layout Reference depth from original grade:
91 Soil logs R( Trench/bed dimensions and 9( Septic tank
lZ Property lines critical distances within layout 17 Drainfield cover
6i1 Existingandproposed wells 6d D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property 61 Septic tank/pump chamber and restrictive strata:
EX Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas 9 Observation port location bottom
E9 Location and orientation of 1Z Clean-out location ❑ Curtain drain Collector
curtain drain and all absorption 9 Mold placement ❑ Sand augmentation
components V Orifice placement Other cross-section detail:
lZ Location and dimension of E9 Lateral placement with distance 61' Observation porWcleaa-outs
primary system and reserve area to edge of bed
g Other Information
E9 Buildings E9 Audible/visual alarm referenced Yes No
69 Direction of slope indicator 61' Scale of drawing shown on scale N( ❑ Design staked out
69 Waterlines bar ❑ ❑ Recorded Notices attached
E9 Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑ Pump curve attached
F� North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must a no installer at time of installation 9(Yes ❑ No
10/16/24
Si of Designer Date
The undersigned has reviewed this d ign on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site re lations:
�� �1 •' I I�17/-yl��l
Environmental Health Spedialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ 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: 12l//2015
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE N: PARCEU: S24121190W1
DATE SUBMITTED: M0124 LEGALILOTX:
SUBMITTED BY: ADAM HUNTER
APPLICANT: PATRICK MCCILLIVARY
ADDRESS: PO BOX 13G
LILUWAUP,WA 98555
L CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 1 GPD=
REDUCTION=t VEB IFNOFUSED
GRAINFIELD SIZING
ABSORPTION AREA 240 FT2
TRENCH LENGTH OR BED CONFIG.= B'X30 SAND LINED BED
S.WATERPROOF SEPTIC TANK
COMPOSITION AND S1ZE= IOW GAL.CONCRETE
NEW OR EXISTING= NEW
EI.DRMNFIELD CROSS SECTION
- DEPTH TO DRAINROCK BOTTOM= V-6'
ROCK DEPTH BELOW PIPE= 0'-6-
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONALSATURATION-
FILL DEPTH
TRENCH WIDTH 10'-7
N.PIMP REQUIREMENT
DOSING VOLUME IN GALLONS= 40
NUMBER Of DOSES PER DAY= 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 316
APPROVED
OCT 212024
MASON COUNTYENWRONMENTAL HEAL
TI
10/16/24 RET
ouiT-six
26
PAGE 2
LATERAL#1=
SQUIRT HEIGHT(FT)= 200
040TE(1):OR WEOISGIARGERATE=(I'.M)X(OWFICEOIRNE MSO2X
SO ROO T OF(TO TAL AWSSURE HFAO)
ORIFICE DISCHARGE RATE- 0.58810
LATERAL LENGTH IN FEET= 311m
ORIFICE SPACING= T0'
DISTANCE FROM END CAP= 1'1.
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5A62
LATERAL#2=
SQUIRT HEIGHT(FT) 200
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 30A0
ORIFICE SPACING= 3'0'
DISTANCE FROM END CAR= 1.6.
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.862
LATERAL K -
SQUIRT HEIGHT(FT)= 200
ORIFICE DISCHARGE RATE= 0.50618
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= T 0'
DISTANCE FROM END CAP= TV
NUMBER OF HOLES- 10
LATERAL DISCHARGE RATE= 5.882
LATERAL#4=
SQUIRT HEIGHT FT)= IN
ORIFICE DISCHARGE RATE= 0.58610
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= TO'
DISTANCE FROM END CAP= 1-6-
NUMBER OF HOLES= 10
LATERAL DISCHARGE RATE= 5.862
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM (FT)
AS 20.00 1.50 23.A47 0.666
Be I.W 150 11.TTA 0.008
CD 250 1m 5.882 0.006
DE 30.00 125 5.862 0.163
TOTAL= 0.044
"TOTALHEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 0.1W
2)ELEVATION DIFFERENCE = 2.000
3)RESIDUAL = 2000
10/16/24 TOTAL= 4.044
APPROVED
OCT 22 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
26
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