HomeMy WebLinkAboutSWG2025-00008 - SWG Application / Design - 1/9/2025 MASON COUNTY 415NB SHSTREET SHELTON,WA EXT 400
SHELTON:360-2759 70,EXT 400
BELFAIR:3fi0-275-0d67,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Tank Only Permit: SWG2025-00008 coo"
OWNER MCIRVIN MICHAEL&LYNETTE Phone:
Address: 2380 W DEEGAN RD W SHELTON, WA 98584
APPLICANT MCIRVIN MICHAEL&LYNETTE Phone:
Address: 2380 W DEEGAN RD W SHELTON, WA 98584
SEPTIC DESIGNER DALE TAHJA' Phone: 360-463-8023
Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584
Site Address: 2380 W DEEGAN RD WEST
Primary Parcel Number: 420352400060
Permit Description: Upgrade to 4bd Nuwater TLB for proposed ADU
Permit Submitted Date: 01/09/2025
Permit Issued Date: 01110/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $270.00 tadoiwnsl Nos mar be,apurad upon lnewlatlon of ryste,n).
Permit Expiration Date: 0111 0/2 0 2 8 (based on date of Inspection(
Type of Work OSS New Construction
Components being Replaced: Other
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 4 Drinking Water Source: Private Well/Spring
Additional Details: Add Nuwater BNR500
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
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/OR 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/onsiteloss-Inspection-mquest.php or call:
360-427-9670, extension 400.
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OFFICIAL USE ONLY
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2380 W.Deegan Rd.W.,Shelton WA 98584 I A
NAME OF DEMeNER PNIXE I N
Dole L.Tahja (360)463-W23
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D SDRFAGNG SEWAGE DEKISTINO FABURE D8HORELINE 0 100FT.PUBUVCDMM1JNnYWELLS R I O
0 EDFI.PRIVATE WEllS,SURFACE WATERS,STREAMS.RNERS
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D PRDPERTYUNESANDEASEMENTS 0 EKISTINOI PROPOSED STRUCTURES 0 MET PROPOSED OSSCOMPONENTSAND LINES
X WELLS WITHIN 100FT MWATERSUIPPLYUNES 111110RIVEWAYBIPM NG ■SURFACE WATERS,STREAMS,RNERS,ETC... I O
D DIRECTION OF SLOPEI CONTOURS D PERIMETERI CURTAIN DRAINS D NORTH ARROW D SCALE SAR
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Head out Deegan Rd. W., go 2.3 miles, site is on the right.
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OFFICIAL USE ONLY BELOW THIS LINE _
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INSPECTOR MGNATUNE DATE MPLIGTg1 FXPIRATIIXI MTE APPLICATION MPROVEN ISSUED BY DATE
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THIS FONM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VEIN ON THE MASON COUNTY WEBSITE RFvFFE 1z11Wu
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 0 3 5 — 2 4 — 0 0 0 6 0
A design will be reviewed when 3 cooiea 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. Cross-section sketch,including all applicable items on checklist.
This form IN conned and available fee public view era the Macon 2=Web alb.Afmimum r size: 11"X 17„
Permit Number: SWG 2008-00300 Designer's Name: Dale Tahla
Applicant's Name: Mike Mclrvin Designer's Phone Number. (360)46"M3
Mailing Address: 2380 W. Deegan Rd.W. Designer's Address: 2450 W Deegan Rd W
Sheeran WA 98584 Shemn WA 98594
C' state Zi Ci Stara Zi
Treatment Device
❑GlembnBiofiher ❑Sand Filter [3 Mound ❑Send Lined Drainfield ❑Rechculeting Filter,Type:
❑Aerobic Unit MekdModcl ❑Disinfection Unit MakeJModel Ober; N/A
./ Drainfield Type
m❑Gravity Pressure Iil(Trench ❑Bed ❑Sub Surface Drip
Septic Taok/Dminfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class Sch.40
Daily Flow:Operating Capacity 360 gpd Length 20,50,60 ft
Daily Flow:Design Flow 480 gpd Diameter 1.25 in
Septic Tank Capacity(working) Existing 1,200 gal Number 6
Receiving Soil Type(16) 4 Separation 6 it
Receiving Soil Appl.Rate 0.6 gpd/ft? Orifices
Required Primary Area 800 RZ Total Number of Orifices 54
Designed Primary Area Existing 800 ft' Diameter 3/16 in
Designed Reserve Area 800 ftz Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 270 R Schedule/Class Sch.40
Elevation Measurements Length 2 ft
Original Dreinfield Area Slope 2 % Diameter 125 in
New Slope,If Altered 2 a/ Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation unman= 12 in Transport Pipe
form Original Grade Dow[.slope 10 in Schedulo(Class Sch.40
Designed Vertical Separation 16 in Length 160 ft
Gravelless Chambers Required? ❑Yes O No 90ptional Diameter 2 in
Pump Required? EgYm 0No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice t0 ft Dow quantity 60 gai
Draintield Squirt Height/Selected Residual(head) 3 it Chamber Capacity(flood) 1,200 gal
Uppermost Orifice If Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 38 gpm gamer Gitlapsc Meter ❑Event Counter
Calculated Total Procure Head 20 it If Timer: Pump on 1.5 min. Pump off 4 h s
Comments
The original application was for a 3 bedroom repair with less than 24 inches of vertical separation,however,the system size was Installed
for a 4 bedroom. In order to add a 1 bedroom ADO to the system,it is being upgraded to meat new construction stantlards by adding
pretreatment.A NuWater BRN 500,500 gallon pump chamber,Liberty 250,and 200h.of 2Inch transport line are being pmpt>eetl.
DESIGN FORM—PAGE TWO Assessor's Parcel Number.4 2 0 3 5 — 2 4 — 0 0 0 6 0
Permit Number: SWG 2008-00300
DESIGN CHEC`IiJ.ISTS -
Scaled Plot Plan Scaled Layout Sketch Cron-Section Sketch
III Test hole locations 0 Dminfield orientation and layout Reference depth from original grade:
❑ Soil logs 0 Trench/bed dimensions and ❑ Septic tank
0 Property lines critical distances within layout ❑ Drainfield cover
21 Existing and proposed wells Rf D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 66 Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and locations ❑ Lnteras,trewh/bed,top and
surface water and critical areas 0 Observation port location bottom
0 Location and orientation of 0 Cleartout location ❑ Curtain drain collector
curtain drain and all absorption 0 Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
m Location and dimension of ❑ Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
0 Buildings ❑ Audible/visual alarm referenced Yes No
Is Direction of slope indicator 0 Scale of drawing shown on scale ❑ ❑Design slaked out
0 waterlines bar ❑ ❑Recorded Notices attached
0 Roads,easements.driveways, ❑ ❑Waiver(s)attached
parking Cl ❑Pump curve attached
0 North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑Waste strength
❑ ❑Flow
DESIGN APPROVAL:':
The undersigned designer st be notified i a time of installation 1 Yes ❑ No
Signature of Designer Date
a
The undersigned has reviewed this design on behalf of Mason County Public Health and dete n
compliance with state and local on-site regulations:
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Environmental Heal Specialist Date ( o Z
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDI
✓ 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: 11/7/2015
Impeller Motor Specifications
Vortex style engineered polymer 113 hp 115V 52A
Paint Tally protectetl and Permanently Wbncated
Pa� Permanent Split Capacitor(pSC)
Powder coat
Max Fluid Temperature Cord Lengths
140'F(60'C) Intermittent MOM 10' 211
104'F(40'C)Continuous duty
fflnmmmmiw�Potwar cord Type 251 Starmd owwrr oprional opv
SJTW(10-and 25•models) '257 srmaa,d .,.
t WA N/A
SJT00W(35'and 50'models) w'«,d WrMM nUraad on w a rmop °ny ., wZa
a 3'sAM ro rrwdN�yuryv,
Motor Housing
Class 25 cast iron Performance Curve
Shaft 60 Hz 3450 RPM
Stainless
fnenhr Ml.
Hardware 25 0 na ]5J Ua(S 1514 U93
7.6
Stainless
Mechanical Shaft Seal 63
Engineered double lip seal A P ROVED s 46
Bearings AN 10 2025 �°
Upper and lower ball be $
iNM'ONCOU TY ENVIRONMENTAL HEALTH 5
Dimensional Data RET u
Weight.20 Ibs(Modet 251) ° a
o 10 2° 3p 4p
Helghb 10-12'
Major Width:9-3/5'(Model 250) us c.uw.c MhUW
ModelsEffluent 6 =
�ModM 28a
Manual no pu finned MOB�8 �Mmd 287
Rost switch wide-an to Wide-angle float VMF,magneticaity
9 switch with series operated vertical
float switch, (piggyback)Plug,
float switch—
mercury-free allows manualoperates in a 10'
operation of pump
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