HomeMy WebLinkAboutswg2024-00421 - SWG Application / Design - 10/21/2024 MASON COUNTY 415 N BTH STREET,SHELTON,WA99664
SHELTON:360427-9679670,EXT 400
BE :360-482-4487,EXT 400
rLMA
Public Health & Human Services ELMA:3604625269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00421
APPLICANT BROWN ET UX JOSEPH Phone: 960-250-7037
Address: 2521 NW UPSHUR ST PORTLAND, OR 97210
OWNER BROWN ET UX JOSEPH Phone: 960-250-7037
Address: 2521 NW UPSHUR ST PORTLAND, OR 97210
SEPTIC DESIGNER CINDY WARE-Septic Designer Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
SEPTIC INSTALLER TBD Phone:
Address: 123 XXX XX,XX.00000
Site Address: 10 N Quinault PI
Primary Parcel Number: 423185100051
Permit Description: New 2-bedroom NuWater BNR500 system
Permit Submitted Date: 10/21/2024
Permit Issued Date: 10/3012024
Issued By: David Anderson
Current Permit Fees Paid: $805.00 (addbionaltees may be,asIuised upon Installation orspew).
Permit Expiration Date: 10/29/2027 (based on date or Inspetlbn)
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
beckfill 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 SUE 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/environmentallonsite/oss-inspection-request.php or call:
360427-9670, extension 400.
OFFICIAL USE ONLY
WRRKENFO:
® MASON COUNTY
M,DIIMIEfF RE®YEOT:
COMMUNITY SERVICES o m
rmBExRMMK nuntty XeNBVFNNmrmmblNohN C N
Mom�.uoo>YP>n.Hr,mwo
m ..Y SWG ZoZ - Qo 2 = D0�
ON-SITE SEWAGE SYSTEM APPLICATION 3 z
nPPLICRNT PHONE IT,
m
JOSEPH BROWN 960-250-7037 z
c
MVLINGADDRE55-STREET CITY,SLATE ZIP 3
2521 NW UPSHUR ST PORTLAND OR 97210 m
SREAOORE55-SIREET,CRT.DP000E
10 n QUINAULT PLACE OCT 21 2024 HOODSPORT WA 98548 I A
NMIEOFM,GER PHONE I N
CINDY WAITE 360-701-0205
NAME OF INSTA LER PHONE
TBD
PERRBT TYPE Rebttonel DRINNNG WATER SOURCE I f
®RESIDENTIALOSS FTCOMMUNITYOSS ECOI ERCULOSS Cr ffI�M AL PRIVATE INDIVIDU WELL EfPRIVATE TWO-PARTY WELL O
0
TYPEOFWDRKRN .l "PUBLIC WATER SYSTEM LANE cuSHNNi WE I �
®NEW CONSTRUCTION I UPGRADES fflREPARlREPLACEMENT OTHER DETAILS(mwwx,Ya ) 13 TABLE IX REPAIR I (Jl
S)BpMU:7T 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE T➢
m!DESIGN FORM(REQUIRED) 9SEPIUC DESIGN(REQUIRED) BEDROOMS LOT S¢E r I �
ITWAIVER(S)(IFAPPLICABUE) 2 165'X89'Xi68'X68' 0 I '
DIRECTMMSTOSIIEANDBITECONOITIONS(ON k WM) O
GO TO HOOSPORT, TURN LEFT ONTO LAKE CUSHMAN RD, AT TEE TURN LEFT ON I c
TO STAIRCASE RD(119)TURN LEFT ONTO MT TEBO WAY, TURN LEFT ONTO r
POTLATCH DR, PARCEL IS ON THE CORNER OF POTLATCH WAY AND QUINAULT o 0
PKLACE I I �
SIIEYUSTBEFFADOEO FROMWWRWGAHO IESI NOLESYYST BEF4GGEO KITN ZEST MOLFNUMBFRE I �
OFFICIAL USE ONLY BELOW THIS LINE
uPGRAOE r F/JLURE soURCE(lor,ryvtirp Pwpaeel
OVOLUNTARY OMAINTENANCEIPUMPING OBUILDINGPERMIT I3HOMESALE OCOMPLAINT OOTHER:
WSPECTOR SpLLOG6 CCMMENTSICONDRMNS
TIFIO-10/71 V4tff (Te y)
&l at ,yy y/ rul d1 l
Tet:v-PO " GCFS
fur/ Wl �o` u/Pv/4 f7t/
iM3:p19L28�CtfS ``.
tiSf ort (9/l w/ M+m At/
RECORO DRAWINGANO INSTALIATON REPORT
SOK. ES:
V,VERY G=GRAYELLV S=SANO L-LOM1 S.-MT C=CIAY E=EXTREMELY R=ROOTS REWMEDFORFINPLAPPROVAL.
MBFECIOR SMINNRE GATE LIGTNI APPN EXPIRATION DATE PFPLIGTICN APPROVED ISSUED BY MTE
777
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVIS 5
DESIGN FORM—PAGE ONE Assessor's Parcel Number. 4 2 3 1 8 — 5 1 — 0 0 0 5 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. 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 publk view on base Meson County Web=WAITE
i Mee: //"X/7"
PARCEL IDENTIFICATION
Permit Number: SWG_ Z�'j(( —O(J 4 1 Designer's Name:Applicant's Name: JOSEPH BROWN —�IDesigner's Phone Number:Mailing Address: 2521 NW UPSHUR ST Designer's Address: LANEPORTLAND OR 9721n WA 985MCi State ZState Zi
DESIGN PARAMETERS
Treatment Device
❑Glendon Biolilmr ❑Sand Filter ❑ Mound ❑Send Lined Dminfield ❑Recirculating Filter,Type:
S(Aerobic Unit Make/Model BNR 500 ❑Disinfection Unit Make/Model
Other:
Gravity Drainfield Type
❑G
Y fill' 3(Trench 0 Bed
❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCHEDULE40—
Daily Flow:Operating Capacity 180 i gpd 'Lem 24,24,38,50 ft
Daily Flow:Design Flow 240 gpd Diameter 1.25
n
Septic Tank Capacity(working) 1200 gal Number 4
Receiving Soil Type(1-6) 4 Separation 6-13
ft
Receiving Soil Appl. Rate .8 gpd/ft' Orifices
Required Primary Area 400 fis Total Number of Drift= 23
Designed Primary Area 408 — fe Diameter
3/16 in
Designed Reserve Area 400 fie Spacing 60
in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 136 R Schedule/Cla - SCHEDULE 40 `
Elevation Measurements. Length �y� A,9 1.2 8
Original Drainfield Area Slope 7: o/ Diameter �w''W y. 2 in
New Slope, If Altered % Prefe a ff 'on used? ❑Yes 13 No
Depth of Excavation ❑p-stope 10 1
from Original Grade Oowrvslnpe 6 in c' s F�wtao1,IrE cart Pipe
in Sc u e19d na91kNER CHEOULE 40
Designed Vertical Separation 12 in L tK,, �s,v 80+/- ft
Gravelless Chambers Required? ❑Yes O No O Optional Diameter 2
in
Pump Required? EI{Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 45 al \
Dminfield Squirt Height/Selected Residual(head) 2 it Chamber Capacity(Flood) 1200 gal 1
Uppermost Orifice If Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.
v Capacity @ Total Pressure Head 16.52 m Timer gP CdElapse Meter fii(Event Counter
Calculated Total Pressure Head 7 413 ft if Timer: Pump on ,Pump off
Comments
USE EXTREME CARE WHEN CLEARING AREA OF DRAINFIELD,DESIGN WILL RESTAKE WHEN CLEARING HAS BEEN
COMPLETED,CONCRETE TANKS REQUIRED,GRAVBEL BASED DRAINFIELD REQUIRED,PUMP CONTROLS TO BE SET AT TIME
OF INSTALLATION.
DESIGN,FORM—PAGE TWO Assessor's Parcel Number:4 2 3 1 8 — 5 1 — 0 0 0 5 1
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
III Test hole locations It Drainfield orientation and layout Reference depth from original grade:
Z Soil logs 81 Trench/bed dimensions and
In Property lines critical distances within layout 91 Septic tank
91 Dminfield cover
❑ Existing and proposed wells R1 D-Box/Valve box locations
within 100 ft of property 69 Septic tank/pump chamber Reference depth from original grade
easurements to cuts,banks, and locations p(„) A w, and restrictive strata:
surface water and critical areas 59 Observation port location fd Laterals,trench/bed,top and
bottom
'Q:ocation and orientation of 66 Clear-out location ❑ Curtain drain collector
curtain drain and all absorption of Manifold placement ❑ Sand augmentation
components
66 Orifice placement Other cross-section detail:
49 Location and dimension of 56
primary system and reserve area Lateral placement with distance E9 Observation ports/clean-outs
m Buildings to edge of bed Other Information
E21 Direction of slope indicator fill Audible/visual alarm referenced Yes No
RJ Ed Scale of drawing shown on scale Ef C3 Design staked out
Waterlines bar ❑ ❑ Recorded Notices attached
19 Roads, easements,driveways, ❑ ❑ Waiver(s)attached
parking 19 ❑ Pump curve attached
m 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 notif d by ins ter at time of installation ❑Yes ❑ No
Signaturq fDesigner IDste
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 m ulations:
Y 000T o�i��zol
Envirohlbintal Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CO IDITIOPC8q;rH
✓ The design is stamped"Approved"by Mason County Public Health.✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: /0 Z
✓ 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
E
:............... .............. for OSS� of wggerlf opt
�312
�•�61
/� d" Ve Akft
l?� � ICc?YC UC O✓r...
I
I
t
PPROV�D o a
OCT 3 01014 c1 M b0
4 o Q o
�TYENVIRONM �-
i DjA ENTAL HEALTH v v i
dNOYp�p�N�{4GN
uGFNSEtiIER
•w rnWk9 .tb `V
V
2► � � 33
•° 0
\ �
f � � ƒ /
41 !
" m %
�{ — \
I \k
� f
■�� � } \ \ ®
k \: kppx ,
r . al� l0$®
J}� ; l2 \
_ _.
�
, a ®�® .
.01
§�1
�'v EiV1/t�f� C �lG' CSO�
Sol
Zz, 16'
���
�-_'2- VAIIaG ��j. �e�auierc✓ ow) ra `l `
3 1,'
Jyp $1 _ LICENSED DESIGN...
1M 4Y•7/ EA'iNFS Oy1W
bgyONCaUNry nj o02p1y
0✓q �fNTq�HFgUN
ORIFICE SPACING 5
Lateral f! Length Len h Orifice M Distance from Distance from end Length M
rr (Feet) (Inches) S acin Orifices feeder line of end of lateral
1 24 288 60 5 1.5 2.5 24
2 50 600 60 10 2.5 2.5 50
3 38 456 60 8 1.5 1.5 38
4 24 288 60 5 1.5 2.5 24
5 0
pl
TRANS LENGTH 136 801
110
GPM /L,S
K (2"SCHEDULEN 40
FRICTION LOSS
Squirt 2
Elevation difference 1 5
TDH 1 7, yf3
LO" IQ'li
30 Jz ,. 1
1 V l b w
IV
i f v
3
TRENCH CROSS SECTION ®k
P
%0*0p0N 00T30C DYE ATE
1ppy
LiCEN^,ED ES' NE 111/
l�Yi
G
l '
q„ � /— D
u+
c„ ti.r b",wL 2n
fZ. b-1(0W dA,4ev&$
I i2 yKad.�
P
F
� I
s
*4soNo
ONNryeN�RoO104
O✓Q NMFNTAlHFA�TH
THREADED CAP OR PLUG
6"PVC
LAST ORIFICE;WITH
ORIFICE SHIELDS IF
BACKfILL ORIFICE ORIENTATION IS
MATERIAL '�\� \ \% -, - .\ \` \ UPWARD
\\/ O - O o0 0 PRESSURE LATERAL
PVC HOSE OR /\� o gQoo o AS SPECIFIED
LONG SWEEP �p0
o
ELBOW °O/ �\ .\\-- DRAIN ROCK;6"MIN.
UNDISTURBED 801E _J V, BELOW PIPE
6"PVC WITH DRAIN
HOLES; EXTEND TO
BOTTOM OF GRAVEL TO
MONITOR PONDING
INFILTRATIVE SURFACE
MONITORING/Cl EANOUT PORT
(E AMPLE
s+ooale
ENS E.`A'AITE
LILENSED DESIGNER
1
u
HIRER MBTR LOCKING Lm
.•. - TODRARIFIPID
PREBKWLATERAW
}
A
FLOW CONTROL VALVE
n
RLOTlM
RECURRED
FLAP VALVE
1 I
O
LONG BWSPBR
wAexm RORR
SECTION A-A
oRAlx suw
TRANBPOWPE,EFl10M1
FGMP CHAMBER
9
SS GNN
fiC•
DRAINFIELD CONTROL BOX
(SLOPING GROUND:MANIFOLD BELOW tATEMO)
P.S
WATERTIGHT LID VENT R,,) OUAL PORT AERATOR
RISERS ITTPI
WMAx. q 1•PVp(Typ)
AIRLINE MASTIC
2•coumia,
&REDUCER S
Y TEE
1S YPVCSLUOAE
RETURN um
2'PVC
TRASH -417 DIGESTER CHAMBER CLARIFIER
OPERATINGCAPACRY:417GALNS OPERATING CMACRY:A2I OLLLONB
ROOD GPACITY:APo GALLONS FLOOOCAPACDYANGALLONa CHAMBER
1&CON1pN8
m' SP Full 101 GAL
%'
&
1•%1a'
• OKRIBER&ARe(2) d, 1S
MRALEL TO THIN WALL
SLUDGERETURN
/ TAP 1
STONE-FREE NATIVE SOIL
ORCOMPACTED 8AN0 � 2
INSTALLATION INSTRUCTIONS OVER STONY 8 3ah
walla to t foot larger Men
01E S -
tank = 1
1)Excavate tank hole with vertical d t
on all sides. slgnala
2)If bottom of hole Is story,Install 3•of compact sand&level i p-S
out with screed.3)Install tank In center Of hole,keeping 1 R.Vold space on -_ - r
an es sid .
d)As tank is filling wIM water,fill in void space with compact m I
granular(sandy)soll free of large dumps of day. I )DpOF a I
5)Install rest of system,&affix mars to adapters Mth
waterproof adhesive.
rm I I
6)Perform watertightness test In field as required by local I I I I ♦4r
jurisdiction.
I
7)Upon approval tobeckfill,carefully backflll with An I I 1 �Y RISER I
soils overtop of teak. ! ,¢^� I IBS4ffNL� I I onaESmEB I IfieSIBE11 6)Final grade Me surface to avoid chanelling surface F'y` ^r,., _J -__ __J L
water toward tank.
susoyoo 0CT301024 1r�l 11\V
AEROM&MEATMENT TANK DETAIL FOR
NU WATER BNR-500 TREATMENT UNIT
ENVIRO-FLO, INC. REVISED:
�s.m'� Wastewater Treatment Technologies 3101112
P.O. BOX 321161,F/owood,MS 39232(877)836-8476 (601)845-4716 fax sGLe 4 ft.vi -80.net 1
8E W�q�Ip Ly�H pAa TI OIR eEAL
/ THREADED UNION
ACCESSRMER
fWIBH ORAOE SERVICE
1 VALVE'
fRd/SEPTIC / r/Z 4
TANK TO DRAINi1ELp
EMERGENCY STORAGE
HIGH WATER ALARM LEVEL ANTI SIPHON
11 VALVE-
WORKING VOLUME INDEPENDENT
NORMAL TIMER OFF LEVEL ` FLOAT STEM
ENCLOSEDPUMP FOR FLOAT
SEOIMEWSHRWO• MOUNTING
CHECK VALVE
SEDIMENTS 1B°
SURMERSIBLE
CENTRIFUGAL
PUMP
P_umPs;}1"Am
MUCAL)
AS NEEDED
r0
&ASS"ovum�NU30ZOpy���
OJA mM4;441164Z
LICENSED DESIGNER
Ed•xE3 JY1N '`+
YO \,v
Installation Note
Pretreated Pressure Distribution System:
42318-51-00051 10 N Quinault
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. Concrete tanks required
3. Gravel based drainfield required.
4. All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain
drains, etc. to divert all waters.
5. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
6. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from
the drainfield.
7. Install access risers on the septic tanks, valve box and both ends of laterals.
8. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
9. Lids must form a water and gas tight seal with the access risers
10. This system must be installed by a Mason County Certified installer or
11. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
12. This design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated flow is
ninety gallons per bedroom per day.
13. Install bed with contour of the ground
14. Install trench bottoms level and always maintain a minimum of six inches into native
soil
15. Install locator tape on top of all drainfield laterals.
16. Install threaded clean outs at the ends of all laterals (caps must extend to within six
inches of finish grade and be in a valve box as shown on diagram.
17. Install audiovisual alarm
18, Filter fabric required over drain rock prior to backflling. If the drain rock extends above
the original grade, run the filter fabric at least 2 inches down the trench wall.
ti� �q
r'�V 4 r
M 00T F® 4'
'2
T Y An
�SaNCOUN rF��l�1 20 a LICE S' E I ER
Lx
JA rA[HFA(Ty ,
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
MgyoNcouN 00�301
RO
O✓A N�FNTq<HFq(TF,
8
IN
LICENS ESIG ER
.v.o.
1}
1