HomeMy WebLinkAboutSWG2020-00027 EXPIRED - SWG Inactive - 1/30/2020 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-027-9670,EXT 400
COMMUNITY SERVICES BE ELMA.FAtR:360482-5269,EXT 400
ELMA:360-082-5269,EXT 400
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FAX:360427-7787
ENVIRONMENTAL HEALTH REVIEW OF OSS APPLICATION
EL KRISTYN & SON CONSTRUCTION INC
101 SE ROSEWOOD COURT
SHELTON, WA 98584
Applicant: EL KRISTYN &SON CONSTRUCTION INC
Parcel Owner: DANIEL L BUSSLER
Site Address: 200 E KILMARNOCK RD
Primary Parcel Number: 321275400092
OSS Permit Number: SWG2020-00027
Permit Description: �T
Permit Submitted Date: 01/3012020
Permit Review Date: 02/12/2020
The above mentioned Onsite Sewage System Application was reviewed by Environmental Health and found more
information is required.
WIII require waiver to reduce horizontal setback from foundation to drainfield.
If you have questions or concerns let us know.
Sincerely,
n ,
Rhonda Elliott
360-427-9670 z581
RELLIOTT@co.mason.wa.us
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OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH °^ ""`"° _3Cj _ om m >
ONSITE SEWAGE SYSTEM APPLICATION MWN MCFN E M6N D .
415N6th SVW.(BId98) Sheltm WA,98584 `. N
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Shelton:360477-967OW400 BeBaiP.36 2754Ri7odt SWG O�rYA
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IS
APNCANT PHONE D D
El KRISTYN & SON CONTT 360-490-4401 m m
MNLINGAOLRESS-STREEGCITYSTATE.LPOODE r r
101 SE ROSEWOOD CT SHELTON WA 9858A-7204 > 3
SITE ADDRESS-STREET CRY.ZIP LCCE m QI
200 E KILMARNOCK RD SHELTON WA 98584 r m
NAME OF DESIGNER PHONE m I (KJ
Jim Henry 360-507-1267
NAME OF INSTALLER FHME n N
CHECK ALL APPLICABLE ITEMS MINWWMIERSOURCE z I'
❑3 NEWCONSTRUCTION ❑ RV HOLDING TANK ONLY D PRIVATE INDIVIDUALWE/.Y�E..N
N REPLACEMENTSYSTEM D INSTALLATIONPERMITONLY ❑3 PRIVATETiA0 PARTY WE G_
D TABLE 9REPAIR if SINGLE FAMILY pp COMMUNITYIPUES N(4 ICI
D TANNS)ONLY D COMMERCIAL SYSTEM NAME: W N
❑ UPGRADE TO EXISTING D OTHER: BEDROON9 LOTSME
D EXISTING FAILURE 2 .34 ACRES I A
WaNlnsmWtlom"
DRECTICNS TO GITE-BE SFEGFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS Ia khM O I
FROM HIGHWAY 3 AND E MASON LAKE RD, NORT N E MASON LA RD TO o
RIGHT ON OLD LYME RD TO LEFT ON KILMARNO RD TO SITE ADD SS ON (o
RIGHT.
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SITEMUSTBEFWBGEOFROMIWNROAD STHOLESMII LTGGFD TESTNO,EMUMBERS N
OFFICIAL,A ONLY BELOWTHIS LINE
UPGRMM I FMLLRE SOUNVE Ow q gpMp—)
OVOLUNTARY [3MAINTENANCEIPUMPING OBUIL GPERMIT CIHOMESALE OCOMPLAINT DOTHER: �F
INSPECTORSOILLOGS IL ` COMMENTSIWNgTIONS
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INSPECTOR SIG URE DATE I APRJCATICN 1111111 APPLICATION APPROVED BY 'ITE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC NEW ON THE MASON COUNTY WESSITE NENSEDIPOMms
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 2 7 — 5 4 — 0 0 0 9 2
A design will be reviewed when 3 copies of each of the following are submitted:
v 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 on checklist. v Cross-section sketch,including all applicable items on checklist.
This form mary,be scanned and available forpubtic view onthe Mason County Web slb.Mimlawm rsiie: 11"X17"
'._.. .�,P RR�CEL IDENTIFI
Permit Number: SWGT Designer's Name: JIM HENRY
Applicant's Name: El KRISTYN 8 SON CONST Designer's Phone Number: 360507-1267
Mailing Address: 101 SE ROSEWOOD CT Designer's Address: PO BOX 14531
SHELTON WA 985" TUMWATER WA 9
cityState ZipcityState Zi
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model
Drainfield Type
❑Gravity ❑pressure ❑Trench ❑Bed Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class
Daily Flow:Operating Capacity 180 gpd Length ft
Daily Flow:Design Flow 240 Slid Diameter in
Septic Tank Capacity 1000 gal Number
Receiving Soil Type(1-6) 4 Sep on ft
Receiving Soil Appl.Rate .6 gpd/ft' Orifices
Required Primary Area 600 w oral Number of Orifices
Designed Primary Area 600 Its iameter in
Designed Reserve Area 600 fti Spacing in
Trmch/Bed Width Manifold
Trench/Bed Length ft Schedule/Class
Elevation Measurements Length ft
Original Drainfield Area Slope % Diameter in
New Slope,If Altered % Preferred manifold configuration used? O Yes O No
Depth ofEzcavation Uµslope 6 in Transport Pipe
from Original Grade nomai°pe 6 in Schedule/Class 40
Designed Vertical Separation 24 in Length 77 ft
Gravclless Chambers Required? ❑Yes 16 No ❑Optional Diameter 1 in
Pump Required? led ❑No Dosing and Pump Chamber
Pump/ ' on Specifications Number ofdoses/day 24
Difference in Elevatio etween Pump Shmoff and Uppermost Dose quantity 7.5 gal
Orifice ° fi Cbamber Capacity 1200 gal
Uppermost Ori ❑Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ tat Pressure Head Spin ILTlmer GdElapse Meter Event Counter
Calcul Dial Pressure Head ft If Timer: Pump on 3.32 Pump off 56.28
Cora is
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 2 7 — 5 4 -- 0 0 0 9 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R1 Test hole locations E9 Drainfield orientation and layout Reference depth from original grade:
m Soil logs Rf Trench/bed dimensions and Ef Septic tank
critical distances within layout p
m Property lines Y � Drainfield cover
❑ Existing and proposed wells 16 D-BoxfValve box locations Reference depth from original grade
within 100 ft of property E6 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas ❑ Observation port location bottom
❑ Location and orientation of E9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
19 Location and dimension of ❑ Lateral placement with distance ❑ Observation ports/clean-outs
primary system and reserve area to edge of bed
61 Buildings Other Information
Rf Audible/visual alarm referenced Yes No
9 Direction of slope indicator ❑ Scale of drawingshown on scale LsI ❑ Design staked out
16 Waterlines bar /aidential
ed otices attached
l� Roads,easements,driveways, attached
parking urve attached
66 North arrow and scale drawing ion of failure
shown on scale bar l justification
trength
DESIGN APPROVAL
The undersigned designer most be notified by installer at time of it lation O'Yes ❑ No
/J C-Z'Z' ZoPA
Signature of Dea' er Date
The undersigned has reviewed this design on behalf axon County Public Health and determined it to be in
compliance with state and local on-site regulatio
Environme Health Specialist Date
CAUTION: DESIGN APPROV S VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Appro d"by Mason County Public Health.
✓ The Onsite Sewage Permit not expired,the Permit Expiration Date is:
✓ Drainfield site condition ve not been altered to adversely affect conditions of design approval.
Please Note: a system must be installed by a certified installer,
unless prior thorization is obtained from Mason County Public Health.
An In lation Fee is required.
This form maybe scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
L '
� \JIM HENRY DESIGN SERVICES, INC.
MASON COUNTY DEPARTMENT OF HEALTH SERVICES
ON-SITE WASTEWATER DISPOSAL SYSTEM
DATE: January 22, 2020
APPLICANT: El KRISTYN &SON CONSTRUCTION
101 BE ROSEWOOD CT
SHELTON, WA 98584-7204
PARCEL#: 32127-54-00092 PROJECT#:
LEGAL: LAKE LIMERICK 5 TR 92
DESCRIPTION: REPLACE EXISTING DRAINFIELD TO MAKE ROOM FOR PROPOSED GARAGE
PROJECT DETAILS:
NUMBER OF BEDROOMS 2
GALLONS PER DAY(GPD) FLOW 240
APPLICATION RATE 0.60
DRAINFIELD DESIGN PARAMETERS
-Soil Type 4 -Emitters Required 300
-Dripfield Area Required 600 SO FT -Emitters Designed 304
-Dripfield Area Designed 600 SO FT -Emitter Spacing 1 FT
-Zones 1
- Dripline Required 300 FT
- Dripline Designed 320 FT
- Dripline Spacing Required 2 FT
-Dripline Spacing Designed 2 FT r-tz-aow
Ajw—aL�_n
DRAINFIELD CROSS SECTION
-Depth below Original Grade 6INCHES UJUES: 03111IZ472
-Vertical Separation 24 INCHES
SEPTIC TANK
-Size&Composition 1000 GAL CONCRETE
-New/Existing Existing
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