HomeMy WebLinkAboutSWG2020-00489 - SWG Application / Design - 9/23/2020 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360427-9670,EXT 400
COMMUNITY SERVICES BELF :360482- 6 ,EXT 400
ELMAMA:360-082-525269,EXT 400
.m n�m.c—0'1n m FAX 360427-7787
ENVIRONMENTAL HEALTH REVIEW OF OSS APPLICATION
ROD LEFT-Acme Design
PO Box 2954
SILVERDALE, WA 98383
Applicant: HANNEM KIRT E &JILL K
Parcel Owner:
Site Address: E Duck Cove Rd
Primary Parcel Number: 221332390133
OSS Permit Number: SWG2020-00489
Permit Description: 3BR Pressure wl class B waiver
Permit Submitted Date: 09/23/2020
Permit Review Date: 10/29/2020
The above mentioned Onsite Sewage System Application was reviewed by Environmental Health and found more
information is required.
Design approval given pending filing of attenuation zone records at the auditors office. Please contact me with the
Auditors fling number to obtain permit approval.jwilmoth@co.mason.wa.us or 3604279670 ex 543
If you have questions or concerns let us know.
Sincerely,
Jeff Wilmoth
3 ilmoth@co. Ext.543
jwilmoth@co.mason.wa.us
OFFICIAL USE ONLY
M1E"fCFNEk
® MASON COUNTY rn
COMMUNITY SERVICES m
E"° " "R °
N
helm N.+lu I�Gommunv�HmNVENLaNNntN neaMl y
SWG _- CS�`k 5 N
ON-SITE SEWAGE SYSTEM APPLICATION 3
m m
pP0.1LPHT FMINE
KIRT E HANNEM 360-620-6643 z
c
MAl1Np yEyG-9}pEET LT',STATE.LP CCDE
3
5936 AppSE LAKE VALLEY RD PORT ORCHARD WA 98367 = m
WEAu M-mREETcm.vpWDE D N
E DUCK COVE RD SHELTON WA 98584 z
.E CF OE9l1E0. PHONE IT! I N
ROD LEFT 360-698-8488 3
NME OF INSTll N P1KKIE Q 11
< I W
w
PEF1.11TiYPE(a'w't ov) �I DRIW(IN(1 WATERSWRLE Q
JORESIDEN71ALM EDCOMMUNMOSS BCOMMERCIAL WS 61PRIVATEINDIVIWALWELL EPRIVATETWb WELL Z I W
VPEOFWON (ryw ) �T PUBLIC WATER SYSTEM 1
ENEW CON6TRlILTIONl11PGPADE6 IyREPAIRI REPLACEMEM OTHERDETAILSMWCF"N ) 13TABLE NR R IN
suSMm.LL9 O SUPFAGNG SEWAGE 0 EXISTING FAILURE ❑SHOHEUNE
OTBDF W I w
p®LD"ESIGN FORM piEplIREO) ®SEPTIC DESIGN(REWIRED) BEDROgYR O 1
Ip1WANER(S)OFAWUCABLE) 3 62E726.4 X I�
NRECIp1L4TO SREAND SRECONUT z(n.W.+tWFI
NORTH ON HWY 3. EAST ON PICKERING. SOUTH ON PHILLIPS. WEST ON DUCK TO
PROPERTY ON THE RIGHT. o
w
5/IC YUSTBEMGGED FNOYNAMROAOANOTESTMOILSYWiBERAOD®N9MT®TMDLENW6FA5' I ca
OFFICIAL USE ONLY BELOW THI5 LINE
UMWEIFAIWRESWRLEIMNF WTo+r)
OVOLUNTARY OMMMENANCEPUMPING [313IIILDINGPERMIT OHGMEEALE OLOMPLNNT OOTHER:
IHSPECTURSOILLWS �� L ENBIL ONS
{ -.2 ♦m�
SL -3-ry c p.�p�, 4 .44
R
NEGDNDDRAWINGANDIH TIONREFORT
801E ODE>
V-VERY G-GRAVELLY S.. L+LO V,T L+CIAY E.EXI0.OMLY R+RO0I9 RE ,ATMpMWLL DPiE
a ¢In�� Mn AEPLIGTNNIEWSMTpN WTE MRICATxMIMRiovEwlssuEO BY
REVISED 1XII3015
IB MAY BE SCANNED AND AVAILABLE FOR PUBLICNEW ON THE MASON COUNTY W6M8
OFFICIAL USE ONLY
MTEMCENELE
® MASON COUNTY - c It.^
COMMUNITY SERVICES M° '""°Ea g"`°" s y
FuMk NxNM1 cmmunSyEuNWEnvlmn nw H.M) y O
SWG C� )'� _ 0�565 o z
2 N
ON-SITE SEWAGE SYSTEM APPLICATION a s
z
m m
APPLICANT PHDNE r
KIRT E HANNEM 360-620-6643 c
MuuNGAODRES3-4TREEi.CIrv,SGTE.LPCOOE � m
5936 SE LAKE VALLEY RD =
SITEACMESS-STREETOWMPCOOE D N
E DUCK COVE RD z
NAME OF DESIGNER PHONE ' I N
ROD LEFT 360-698-8488
NAME OF INV EN RHOME
H Iw
PERMITTYPEPNM ) DRINKING NATER SOUH:E
®RESIDENTIAL OSS �COMMUNITYOSS LLCOMMERCMLOSS �PRIVATEINDIVIDUALWELL ®PRIVATETWOPARTVWEU_ Z I W
TYPE OF MORK PI MU.) PUBLIC WATER SYSTEM I
®NEWCONSTRUCTION/UPGRADES DIREPAIR/REPLACEMENT OTHER DETNLS(w LO MMryP)9 ❑TABLE D REPAIR IN
SUBMITTALS p SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE
OL 56E m I W
/DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS O
VER(S)(IF APPLICABLE) 62,726.4 O
®WPN lREV)SIaN 3 x co
DRECTNXESTOSITEANDSDECUEMTIONS:IM.b IPOSl
NORTH ON HWY 3. EAST ON PICKERING. SOUTH ON PHILLIPS. WEST ON DUCK TO
PROPERTY ON THE RIGHT.
SRPMMSTBf PEAaaED FI1aMYAM/R°AO ANa TE3TNOEFS MUSIBEFtAOGEa NfINTE3iM°LFNUMBFRb. I0 I W
OFFICIAL USE ONLY BELOW THIS UNE
IIPGRA°E/FNLURE SOMCEBMI M
❑VOLUNTARY OMAINTENANCNANCEtPUMIPUMPING [3 BUILDING PERMIT PHONE SALE pLOMPGINT POTHER:
INSPECTORSOILLOOS CCMMFMS/CCNDTICNS
RECORDDVMMNQAMlMRTALUTIONREPORT
SOIL WOES: REQUIRED FOR FINALAFPROVAL.
V=`VERY G•GMVEUY S•SWO L•LOAM SI•SILT C•CIAY E•E%IREMELY R•ROOTS
DARE
IXSPECTDR SIGM4TME
DATE APPNGTIONEK .DSONGTE APPIJGTICNAPPRWEDISSIIED BY
THIS FORM MAYBE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED 12ROM5
DESIGN FORM—PAGE ONE Assessors Parcel Number: 2 2 1 3 3 — 2 3 — 9 0 1 3 3
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed Rod dated. v Scaled layout sketch,including all applicable items an checklist
Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This term mew be seemed and available for ubllc view on the Mason Conn web site.Maximum paper size: ll"X JT'
Designer's Name: ROD LEFT
Permit Number: SWG gn 380-698-6490
Applicant's Name: KIRT HANNEM Designer's Phone Number:
5938 BE LAKE VALLEY RD Designer's Address: P.O.BOX 2954
Meiling Address: PORT ORCHARC WA 98387 SILVERDALE WA 98383
city state 2i city State 2i
Treatment Device
❑Olendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑ReorcuLdng Filter,Type:
❑Aerobic Unit Make/Model ❑Disinfection Unil Make/Model Other:
Drainfield Type
Gravity b'(Pressure
❑Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40
Daily Flow: Operating Capacity 360 gpd Length ft
I
Daily Flow:Design Flow 360 gpd Diameter in
Septic Tank Capacity 1150 gal Number 4
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl.Rate .6 gpd/ft? Orifices
Required Primary Aroa
600 fe Total Number of Orifices 50
Designed Primary Area 600 At Diameter 1/6 in
Designed Reserve Area 600 fit Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 200 ft Schedule/Class 40
Elevation Measurements
Length 37 ft
Original Grainfield Area Slope
2-3 a/ Diameter 1 in
New Slope,If Altered 2-3 % Preferred manifold configuration used? I(Yes ❑No
DepthofEzcavation up-slope 11 in Transport Pipe
from Original Grade Oo.,,a-swpe 11 in Schedule/Class 40
Designed Vertical Separation 12 in Length 103 It
Graveness Chambers Required? O Yes ❑No GdOptionel Diameter
2 in
Pump Required? lidyes [3 No Dosing and Pump Chamber
Pump/Siphon Specifications
Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity
60 gal
Orifice '4 ft Chamber Capacity 1000 gal
Uppermost Orifice❑Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.Capacity Q Total Pressure Head 30 gpm Timer litElapse Meter 911vent Counter
Calculated Total Pressure Head
e it If Timer: Pump on 2 MIN ,Pump off 4 HR
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 3 3 — 2 3 -- 9 0 1 3 3
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations 1Z Drainfield orientation and layout Reference depth from original grade:
m Soil logs ❑ Trench/bed dimensions and fib Septic tank
0 Property lines critical distances within layout [9 Drainfield cover
1A D-Box/Valve box locations Existing and proposed wells Reference depth from original Bade
within 100 ft of property Rf Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks, and locations 9f Laterals,trench/bed,top and
surface water and critical areas [9 Observation port location bottom
❑ Location and orientation of 19 Clem-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components R1 Orifice placement Other cross-section detail:
0 Location and dimension of Ed Lateral placement with distance 9 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
Ib Buildings 69 Audibletvisual alarm referenced Yes No
la Direction of slope indicator 16 Scale of drawing shown on scale ❑ Rf Design staked out
0 Waterlines bar ❑ 9 Recorded Notices attached
6d Roads,easements,driveways, 6K ❑Waiver(s)attached
parking [9 ❑ Pump curve attached
❑ 19 Evaluation of failure
Ed North arrow and scale drawing
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑ Flow
xk;' [ DESIG PPROVAL _.
The undersigned designer must be n d l t him on Rf Yes ❑ No
I(ea �
t atu o De ' ter Dam
The undersigned has reviewed this d ign on behalf of Mason County Public Health and determined it in be in
compliance with state and local on-si regulations:
Environmental Health Specialist 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 maybe scanned and available for public view 011 the Mason County Web site.Updated Date: 12Y7C2015
Pump $eleacm fbr a Pressurized System -Single Family Residence Project
HAN N EM 122133-23-90133
Parameters
DW. A., H* se zm :d® 160
Taepvaa* 1m ffi
T,AmFjec� 40
TecpNlYe9m 1m iris
Di14ipW9Aodi Naa 140
Ab«fladlmll 10 be
Mzttlleyi m ffi
NtrmPPacm w
ao-maPkestre 1m id®
Nureerdlffisb{e'C@ < 120
wwaL.V m ffi
Iaha FpeCl®s tl
1 Ptese 1m ids
Qare� ie idw XX
rnamg®a 4 ffi LL 100
Reil�Hea1 5 ffi
Fbvlvffi Nae Ydn
'M)o1FMmlmsm 0 ffi
80
Calculations y
MirunFtrxaaapaQim ntl {pn
Nmeadplre;paZae 4 T
'rW FhvR�paZae TP OP O
N�dlataftwz 4 yb 60
%Fb DMe H91e410� 11 % F
TmPztVY¢y ]2 Ye
TILL
Frictional Head tenses ,i0
Ime MD.d w 1➢ ffi
ImMmePn DB ffi
IaaMzd�4Me 00 ffi
ImnNaitl ]a ffi
�ntetras ae ffi 20
mrmpiFlw�m m ffi
'OztlafFri3nl®mP m ffi
Pipe VoWmes 0
0 10 20 30 40 50 60 70 80
WdMnHE � va 0 Net Discharge(gpm)
Wdla WZne a9 9%
Tdd W M 9e
Minimum PUMP Reauirementa PumPData gend
D4sG,Fh R� M7 4m PFm'4Hy)He Blu iP P sye cee
T DN He 1Ra ffi 9GPKVHP
11�P/tOflHzyfYLf)✓.f0®1z "cure
Pu O"Re
D.WMA*t 0
09 _.
p wrco fiYtlam�' Z ` ��
Mason County WA GIS Web Map
00
i /il r If
}
l f' .
! 1�
„E 1 �0
Y`
7/912020, 9:42:17 AM 1:6.137
0 0.05 0.1 02 ml
13 County Boundary 0 0.07 0.15 03 Ian
❑ Tax Parcels (Zoom in to 1:30,000)
8w,w:EW,HFPE GmJn.Flsmep Imemenl PCrvp..OEBCO,UBGB,
W.NPB.NNGN,Gcbwe,I(W.NbeeW NL O,tlnanw 9wnY.Eln
JIM.M".Ee,l CMa(WM Wu,Y)�Iv)CPanBMrW W mMW..and
IMGI911ee,GYmuNy
M nG WAGISWtl Mep Apob6w
EN.NEPE.Gu,M.FAO,UBGB,EPA NP8 I R¢ D=I
E
A � AT ° mc0Am° mz
5�0 0 0�0 0
A 3 m aam p r pnm mmnO i m M impy@ ( pZO0Om ZOZiD fmro ro Hy,�ag�l 9mo
i r O � i D O CO SZOz � � oN S ooe Lt o10 o0r m •'9Omppmp � oZjTiZO� AAm ox mxoxoxgS'MA � ID0C01 maCr03Z 0 00 00 0p r $ & � Woi mr09A03AmmpZTO 2 f NSF �2 m I � yie3
mlim $3 0@ZDZD - nOm � gz $z �z �z ag�p a b'OZm AmTmAi 0m Opm < mz mz mz mz g599 d
ppm.{� ?1;ooK ? nz10 Z >rm>jm A 0 ° o o w ieg oo;
COvr ? ) An ZOCr fmODz � ii 2 z
z r mpyDm3wM m > A A@ �W pZi � 8 8$$ SOA
mmIMrAIAACAmmz[ iAm ; A !ga °Gw
AA in Cpn m DDi jA < ZamAOi
mzqqDCOm o y �mI � ODm� Zm pO m m m mm O D
m00 m AOZZ
p OmZ 0Ammmm0
pc
O� mZ D A ji @ EAamOm m > 9 ) nA° OA : � 1[ �O D m Ai ' A c O O r Nmz p mAp r r O D Z amDA im r 1pp mm
mZ iD [O A;0mmm zi ) mDA i
I oO D00W m00 Amj ry m
ap rHop zmm O Om ZAk
p my>>mzp93 < p0D P1OD !IA r ; 0 mp D. 1
m i9300m 9DOlmi -pimz A•( F.
i Do
D MZZ3ZZ O1m Im9 { Oi00mD\ Imes
m pOCOZm % mPA ( { r Tm elm DS
pipmm0 ) 0 i HMO m
D prI � 3 mAm � ( ijs i 0 ....
k
E I� i C D A m - 0 ) -• ----- v s
Oio D m m 00 �10
1 m
i . 0 + mo mPo o pip Zmnmj � yC •., s
m ? mi mT D n OA ) m mrj I m
0 0 � p D A0FK '�A m
m m !
T o m i
0
m 5 °0 2
U m OD zZAO W y� O !F.
m O m ( Oro mNm `!
n Cm ZO i
m m
c
0000 ��•;-I �° N
m " z r 020
D m p m £ [ 0 0 m
-9i 1 m ) %ti Cr Z
s y060 0
D N r N
z
Z p m m $
x D
co Z
to m X m m
D M O r
r °
m
ii m
o N C•.^. . r IW...
o
n W D A,• I� � m 3 M
0 MM m
m
OCn G O ;o RmSP
m W N x X X x X v X mgm
X X q � R�"m T
o T x x x x x x me
mS
o H 3e gmd _ dN@. m. a£ � ,� �qPqe $$ �j31' V' 3 a� 4S 3p � � @� 33J 9 � S " 3 j 8mR�@Ra$ . mg mmS mm@3. 'E02a3 d7do � ol
y m0 S mau � m 1gg $ 2 a e� - g� 3ggw 3 3
,8 d aSm p mo ,R $ L�v A@ u� 3
mQ w00@@ A-` 8 _ g5 °� = w Dagd 6
WITiN m%3 Qa Q �� B 3 5 gg # 33g J
cam ? {' S. m"� 'ma c GL '@_ w � N
3m a s
0
cn a
O o r
r
i G) v O
w eD i z
Z Or- ==gqO Oy vZ�
f° gg 5'gg r� C
azm_� o C) A! C EB 1�y+ g2yz C)gc O m m } N
p ZmCD -u /^ �`z c�
z m � m KO
x 0 s �n
x Z �
z
m =
yn 3 A
A a y
A �
� m
n
O
sm� A
g m
�$ o
€ C 94 m R 7:y. g "Be $ S5 °' Aa" � 'f �a a SSS 8 �. _
a3� 3 FJa .�t R ' t� p{aM �4 aa A� �y g' MEN H tg a
w A R 4. �" °� 3 E �m�e 'g$ `k iA ill 9E34"Sm 8
figg" ggg;s, �, g �� R " OW �
7A� € 7 X� {�m� 8 'o t4•�b S�A �€ Ag- yA �� ��£f§€W
-2
VKH ;€gym s° 4a � ig _ ?W 4R g sR m�6 °s ° � �g
,� - ` Fa s �
�EGB A' ooLg W g aZ 5SA�"- gR
;Eqi cc
91
ibR yA zs� o ifs agg s §� g e€ F
ll
" we gis R a °g& y$ 3 i�aR ° O a IIII� IIII
B C � � O
3 aid>_ W �
NMI �W
Q m m € yy 'p ° fig mega € aaag Og =fie z
€Ai@R WM � A� za � � � Z �s ; z
m N rn sW `g � a � gg $ � � a O
W 2 C7 7 i 'bp k € € 8g �
�OwzCo IA � �'Ap93t . � sS Ea
G O g Q
:U W N
Cn_ � � � � �
g g §§ � v>y
y9 mra-k w y9, " mm s �