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HomeMy WebLinkAboutSWG2024-00418 - SWG Application / Design - 10/16/2024 MASONCOUNTY 416 N6SHELTON: 60427-ON,WA 984M SHELTON:360�2754467,EXT 400 BE EUVA:380-2TBd467,EXT 400 Public Health & Human Services ELMA:360482b289,EXT 400 4 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00418 APPLICANT KILBOURNE ET VIR JOHN K Phone: Address: JAMES N FAY JR'TACOMA,WA 98405 OWNER KILBOURNE ET VIR JOHN K Phone: Address: JAMES N FAY JR'TACOMA,WA 90405 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 Site Address: 71 E Country Club Dr E Primary Parcel Number: 321045000045 Permit Description: New SFR-3BR Pressure Permit Submitted Date: 10/1612024 Permit Issued Date: 11/0412024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 laddlbooarees may be re4ulrW seeninsmlmllon of syemml. Pernit Expiration Date: 10/2412027 (bawdoodam on®peem) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department statfper Mason County Title 17. 2 Permit must be installed by a Mason County Cedmed 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 ofsystem 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: masoncountyvYa.gov/health/environmental/onshe/oss-inspection-request.php or call: 360.427-9670,extension 400. OFFICIAL USE ONLY MASON CO Bye Q' ' n1 y ® COMMUNITY SERVICES AMM H FUMLxWt KPmmunRylWMST''MMmRnMIXbRM � y SWG 202 - DOylB zLoo y ON-SITE SEWAGE SYSTEM APPLICATION n 'n a g m m APPI OxE y John Kilbourne (253)148-9036 a c MAILING ADDRESS-STREET CI STATE.EDP LODE a 611 Yakima Ave S Tacoma WA 98405IS z STE ADDRESS-STREET CITY.ZIP CODE Union WA 98592 a 71 E Country Club Dr E NAME OP DEYGN ERNE g IN Arrow Septic Designs601898-2255 NAME C£INSTALLERNE o `� lO PERMITttPE(asX<tplFlR WURLE KRE6IDENTAL086 I]—ILOMMUN INDIVIDUPL NELL GPRIVATE TNU-PARTY WELL Z IA TYPE OF VIJRK lapnu»IWATER SYSTEM KNEW CONSTRUCTION/UPGRAD (M.MMNXIdp"M) E3 TABLE V REPAIR Icn A� ING SEWAGE E3 EXISTING FAILURE ❑SHORELINE p 04 IO IpIDESIGNFORM(REOIIIRED) ISIZE EWAIVER(S)(IFAPPLICABLE) 3 BR .55 acres x I o DIRECTIONSTO MTe AND SITE CONDITIONS'.pa lxFppml Go out E McReavy Rd toward Union and turn (R) onto E Manzanita Dr. Turn (L)onto E J CD Country Club Dr W. Destination on (L). Yellow sign: "Kilbourne" o I p ti ILIA GD YFEYUSTBE ilIDOC-0NIDMYAIN NORDANO TEST MOLF9 MU4TBE FWDOED I4TN TEdi MOLEXUYBFRS NIA OFFICIAL USE ONLY BELOW THIS LINE UPGRADEI FAILURE SOURCE(W rtWNN p✓AAAA OWLUMARY C31WINTENANC&PUMPING OBUILDINGPERMR MHOMESALE OCOMPLAINT DOTHER: INSPECTORSOLLWB CGMMEXTSICCA IONS O 4,5 _,3 � �5 RECORODRANINGAHDINSTALL.VR)NREPORT SOILCODES V�VERY G GRAVELLY 9 SAND L�LOAM Sb SILT C-CLAY E•EXTREMELY R�RCOR REOUIREO Fpi FlHALIMRWAI N R&GNATURE DFTE APft1CATIOX E[PIMigX MT! APPLI T AOPROVEN IBSUEO BY WTE T IB ORM MAY BE SCANNED ANDAVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE SEMI 4Aam5 I DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 0 4 — 5 0 — 0 0 0 4 5 A design will be reviewed when 3copies of each of the following are submitted: Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist v Scaled plot plan,including all applicable items cn checklist- v Cross-section sketch,including all applicable items on checklist. This form may be scanned and available far public view on the Mason County Web site.Meronnum a or sae: PARCEL IDENTIFICATION L Arrow Septic Designs,Inc [Applicant's t Number. Jo+'G_2O-�(- �� _ Designer's Name: - JohnKilboume Designer's Phone\umber: (3fiU)896-2255 Name: 771 E Vueaeet Dr ng Address: 611 Yakima Ave S Designer's Address: Tacoma WA96am5 Union, WA 98592 Citv Sror, Zi Citv State 2' rDESIGN PAR aAt�RS. Treatment Device ❑Glendon Biofilter [I Sand Filter [3 Mound ❑Sand Lined Dmuffl-d ❑Recirculating Filter.Type: ❑Aerobic Unit Meke/Model O Disinfection Unit MakelMocid Other Drainfield Type ❑Gravity Elf pressure lif Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3BR Schedule/Class 40 Daily Flow:Operating Capacity 270 gpd Length 45 R Daily Flow:Design Flow 360 find Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 4 Receiving Soil Type(") 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft Orifices Required Primary Area 450 f? Total Number of Orifices 36 Designed Primary A 450 ft� Diameter 3/16 in rea Designed Reserve Area 450 ftr Spacing 60 in TrenchBed Width 10 ft Manifold TrenchBed Length 45 ft Schedule/Class 40 Elevation Measurements Length 7.5 it Original Drainfield Arm Slope 0-1 % Diameter 1.25 in New Slope,If Altered 0-1 % Preferredmanifoldconfiguration used? S(Yes 17 No Depth of Excavation Upnape 11 in Transport Pipe from Original Guide Down-slope 10 in Schedule/Ciass 40 Designed Vertical Separation 24+ in Length 90 ft Graveness Chambers Required? O Yes III No O Optional Diameter 2 in Pump Required? If Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 4 DiD.in Elevation Berween Pump&Uppermost Orifice 12 ft Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1.000 gal Pump controls:Please check those required Uppermost Orifice if Higher ❑Lower than Pump Shutoff Timer Elapse Meter �EVmI Counter Capacity®Total Pressure Head 21.24 op. 6 ant Calculated Total Pressure Head 15.61 R If Timer. Pump on 2 minutes .pump off oom Comments k s�b DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 1 0 4 — 5 0 — 0 0 0 4 5 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ed Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: 56 Soil logs Ill Trench/bed dimensions and Ed Septic tank 19 Property lines critical distances within layout lif Drainfield cover ❑ Existing and proposed wells ❑ D-Box/Valve box locations Reference depth from original grade within 100 ft of property 65 Septic tank/pump chamber and restrictive strata: V Measurements to curs,banks,and locations if surface water and critical areas 19 Observation port location Laterals,trench�bed,[op and bottom ❑ Location and orientation of 10 Clean-out location ❑ Curtain drain collector curtain drain and all absorption Rf Manifold placement ❑ Send augmentation components Rf Location and dimension of 66 Orifice placement Other cross-section detail: primary system and reserve area Rf Lateral placement with distance Rf Observation ports/cleanouts Buildings to edge of bed Other Information Rf Audible/vis eferenced Yes No lid Direction of slope indicator R1 Waterlines Iff Scale of dr s on scale 16 ❑Design staked out 66 bar ❑ Rf Recorded Notices attached Roads,easements,driveways, d „c,puking Rf Rf Waiver(s)attached 19 ❑Pump curve attached North arrow and scale drawing , : `, ` ❑ ff Evaluation of failure shown on scale bar sro a.a PAULA JOY JOHNSON ;'4. . Nan-residential justification LICBJSE �51GN ❑ lif Waste strength rxwnEa ❑ fin Flow DESIGN APPROVAL rundusigned ner must be a 'tied b ins ]let az time of installation BI Yes ❑ No /O-(G- Z`F Signature of Designer Date viewed this design on behalfof Mason County Public Health and determined it to be in and local on-sr a regulations: J P�� En/vJ�on sir rat Health Specialist Data 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 she conditions have not been altered to adversely affect conditions ofdesigal 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 rent fired Thm form may be scanned and available for public view on the Mawn County Web site. Updated Date: 12/72015 l notw Y BLAB ()Z •41 Rev -L BOUNDARY UNE ADJUSTMENT MAP c0. 3 - ����p Sywl"-.ec'. IT 2' 0-1 _ ]g�3Q;mwl Av N ppORTIONS OF: Dttc:212E/D2 gspeq WA%133 LF AND YACHT�0Nc'1 ALDERBROOK No.12 ALDEREROOKGOLF AND YA s LEGEND ALDERBROOR�LP AND co / MOPOSED LOTLINB j FLATTED LOT LINE TO BE C ` 1.... BE TED sa �•� .'� Y ' �;';y� � \\+yl ARCEL1 vloamaomf\a 9 ttM p a .•< .•.• ' �ZYi' PARCEL2 PARCEL `9. s ARCBLE � •• .. ,.-.. R .p. �uylOH1N00� 1 i ,5Y R / f eoao Tw•��•�;aA>� 3 i S PARCELI UQwE IV." PMCJ0.9 •:'<4'::.':'�uIOFfOM%1 11� 34� 3':::.'.':. if r n _ TEASEMENT WILL • •:::••: NEED TO BE ELR.DNA PatioosofOw Wut Half Dah APP'c°� _ -/�2��Ce.L BY COUNTY}Il3ARIN0. of&x 4.T.-LOT 21 Non6. o�7 `K�DwwTw ^�Sub�jecF* RaoE�2w�r,wM,mw.� 2 s�•® 1S ic 44SS 40 PLOT PAP-M o Lj " ! Jo�� K1 �6o1 rtuE s YE�EtCE� t�3ZL04-so- 00045 -IN la- COUNT24 C' �6DQE r U tN 10 nl vJA 18 542 l00 55R6PM 6L+T ' a TEST Hd-E lo3 ,g0 d!1'. 3(ou Is -t reot5 iv 84' vs^e {t-li Nq 1{2: 35' 15 +roo1SAV r N D.F. SED w 1TN u1 ,Y'a1 7RESSUKE j� �e°-�� 0-1 •!e sl°Pc •rR r N cH 2E5,E¢vE WADER Kev: 0 Audio-Visual Alsrm ' Ih` O O4 o^ } Cieanout N st° aas PAOLA JOY JOHNWN'. 1200 Gallon Septic Tank P P R 0 V 2-Compartment withA Effiuent Filter taJV Q 4 2024 �4 1000 Gallon pump Chamber MASON CO'S,'Y P-IROVOENTAL k_FLTH ® To? cF lla7°.vAAv"I(HH)2 F'`-O`" �JBW lJe- ©5o HFt Ue��'ated B4�er Re.P°rt �LB'� ?.b" r",(��U:1- �ba•Cwfiey QO(b 1�,0 .Spu VIEW �4) 1 .25" sched 40 laterals DRAINFIELD TOP „ crifices 60" O.C. �O x ys` pressure bed (11 ) 3/16 30" from bed ends g"q_Q_ o' S� �01 IS 20 Y h OUNB rnw.00r mN SCREW ON CAP 45 DEGREE ELBOW LATERAL NOTE. 10-00SERVATION PORTS--TO BE C" - END OF �-�--- PVC PIPE FROM BOTTOM OF TRENCH DITC TO FINISHED GRADE. REMOVABLE •� DETAIL CAP SHALL BE INSTALLED ON 3o CT.EAN OUT OBSERVATION PORT PIPE. ANCHOR ON BOTTOM WITH GLUED ON TEE: NOTE, CLEANOUT TO BE FROM 0 T( " MINIMUM OF Z - IN SYSTEM. INCHES BELOW FINISHED GRADE. C Q `' MARK ENDS WITH REBAR . CLEAN C pP fl ® 1 E REQUIRED AT END OF EACH LATERP ANUJ 0 4 2024 P,^ASCN COUNTY ENVIRONMENTAL HEALTH F _c JBW s" t LSD WT O✓' i naJ 10 Y 10 Length Length Orifice # Distance from Distance from Lateral# In. Ft. S in Orifices Feeder One In. Clean30t In 1 540 45 60 9 30 30 2 540 45 60 9 30 3 540 45 60 9 30 4 540 45 80 9 30 30 Total Lateral Length 160 3fi GPM= 21.24 Total#Orifices Dynamic Head Calculations 2 ft. Selected residual pressure: Length(Ft.) #Orifices 36 0.74 ft. Transport Pipe 90 Feeder Total Lateral Line Length 0.22 ft. Lateral#1 45 4 49 9 Lateral#2 45 2 47 9 0.21 ft. Lateral#3 45 2 47 9 021 it. Lateral#4 45 4 49 9 0.22 it. Total Elevation Lift 12.00 ft Total Dynamic Head or 15.61 fit c uaeac r PAULA JOY JO M arrwes , PPROVErt all Wi NOV 04 2024 MASON COUNTY ENVIRONMENTAL HEALTH Jew S � � • Bronze consvuction available(139 series) v High head version available(145 series) rotectian Double shaft seal.versions available for added p on models 1401145. Flow-Mate For more infarmatior,see Technical Data Sheet FM278Z FM2783. In high head dewatenng or effluent appLications where pumping aanNamxevcsaxt performance is cnticaL this robust _ .1cr u family of pumps is known for reliability, durability and performance. These j pumps are especiaLLy suited for harsh 1 emnionmems.ZoeUers cooLrun design and corrosion-resiscem,powder mated epoxy finish add up to a Long-Lasting, troubLe-free product ppp1,ICAn0x8: $„ STEPor onsite applications �• . watertransfer Light commerciaL devxtering SPECIFICATIONS:discharge i 1-1/2-N rough I HP �i • Srz Hp through SHP MADE IN S THE UnIXlSA l W1419 • mailable in automatic or nonautomatic Joe BUY • Modet 137,139,140:1/2'(12 mm)spheric.t Wits capacity withwrtezimpeller + Mode1145:3/4•(19 mon spheric dsol.ids capach with +_•� vortex impeLler NPUMPPOEDIFOCURVE Dose—Mate QYlaLxaUa1G�This is our fastest growing Line of effluent Npumps.The 150 series is truly a workhorsedesigned for reliability under extreme conditions in an effluent environment.15Useriespump cunrescoverawide range +°ofapplications. They are well suited toapplications with low pressure pipe(LPPI eand enhanced flowSTEP systems.ZoeLters �cool run design and corrosion-resistant, @ epowder coated epoxy finish,in addition to the hermetically seaLed,oil-filled motor and non-clogging von-impeller add up toa long-Lasting,troubLe-free product.APPucnnoxr.MP or onsite appLications o m w +aviuumouimnLight commercial tlewatering veem/2'NKma P P R 'TC' • 1-1oHPmmugh 112 • 3/vO HP Mrough l/2 HP Pt Avagable in mmautomadc or wdth a variabLe level NOV 04 2024 piggybah mechanical.switch • 1/2-(12 mm)sphericzL solids capacity with vortex h1ASON COUNTY ENVIRONMENTAL HEALTH thermoplastic Impeller .....�.s Forma.ij..flon see Technical Data Sheet FM2784. g. eAtinghtsreserved. ZOELLERPUMPCO. 1502-TT8-St31 1 WO928-7867 1 ca.uarpumps.com 9 i i I t HAT - -I t -� , 1 It I SUAW mim — YR S . . #[ FLDATNM ClM=VALVE t I :. a i CT o r. elo rA� NOV 0420 I -norm y _ .�L� ioenm�cNTAL HEALTH ��sPss�ce {j a Tm" S ZSI P..E2=` RG?SGS-�ytiP+by .4C:.[+3G'='LGi2Tti _ FIGURE 2�': [� aNDli: _ * ._x i!Fd R13.SL"�dCY+S'E•;'3t m C:'f=�c x C`ri<0i'�Tt 15i CT!E�3•�= ^SEifT E "" it 4 e ------------- t-1 of n� ' c INSTALLATION & MAINTENANCE J Pressure Distribution Systems-Bed v PAULA OY JONNSON owrrFs 1. Install Laterals with contour of the ground. 2. Install bed bottom level. 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. Minimum of 2 required in each bed with bottom extending to the drainrock/native soil interface. Glue"T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. must be 5. Install drainfield during dry weather and soil conditions;any soil smearing eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals (cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. Redundant off switch required. g. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. lo.Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. In laterals to the manifold with the orifices at 12 o'clock,(do not glue), after pressure test and Environmental Health Dept.approval,[um orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 11. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,ran the filter fabric at least 2 inches down the trench wall. 12.Encase all water lines within 10' of drainfield and under any driveway/parking areas. 13. Divert all storm water runoff away from on-site sewage system. 14.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 16.No vehicular traffic over drainfield area. 17.Inspect floats,clean filters,and test high water level alarm every 6-12 months as needed. 18.All materials and workmanship must meet County and State regulations. 19. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 20. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 21.All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning.Ensure anti-siphon hole sprays down/away from tank opening. 22. All transport lines under driveways or parking areas must be encased to prevent crushing. 23.Homeowner is responsible for all property lines andwa 0 V E NOV 0 4 2024 MASON COUNTY ENVIRONMiVAL-EAL T- 6 �2 8 rew