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HomeMy WebLinkAboutSWG2024-00435 - SWG Application / Design - 11/6/2024 LTON, 584 MASON COUNTY 415N6 SHELTON: ,SHE7-967 ,EXT 400 SHELTON:380427-96]O,EXT 400 BELFAIR:360-275-"67,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2024-00435 APPLICANT Hunter,Adam Phone: 360763-1226 Address: 2201 93rd Ave SW Olympia,WA 98512 OWNER KERR MICHAEL&CHERYL Phone: 253-883-1923 Address: 8413 183RD AVE E SUMNER,WA 98391 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 Site Address: 211 W NEW MOON LN Primary Parcel Number: 620092250010 Permit Description: New 3bd pressure subsurface drip Permit Submitted Date: 11/0612024 Permit Issued Date: 11/19/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be required upon Installation of gstem). Permit Expiration Date: 1111812027 (based on date of aspecdon) 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 Drain(eld installation not to exceed designed upsicpe 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 back ill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 7 All septic components must be 150 from the creek, and there must be no clearing within 150ft of the creek. The residence will need to be 165'+from the creek per Planning requirements. 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: masoncountywa.govlheatthienvironmentagonsiteloss-inspection-mquest.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DARREONTP 11/6/2024 N D ONSITE SEWAGE SYSTEM APPLICATION MWN RIDWD: R DBY `m y 415 N 6th SBeet(Bldg 8) Shelton WA,90504 805 online w Shehon:360427-967OM400 Belhir.360-PSiW7eMQO SWG 2024-00435 0 2 0 APPLICANT PHONE a a MICHAEL KERR 2538831923 m m MAILING ADDRESS-MEET OTl STATE,ZIP CODE r 8413 183RD AVE E BONNEY LAKE WA 98391 3 SRE ADDRESS-STREET.CITY,ZIP CODE w F211 W NEW MOON LN MATLOCK WA 98560 IT NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER PHONE TBD I N CHECKALLAPPLICABIEITEMS DRINKING WATER SOURCE O [] NEW CONSTRUCTION [3 RV HOLDING TANK ONLY 9 PRIVATE INDIVIDUAL WELL N to 0 REPLACEMENTSYSTEM ❑ INSTALLATIONPERMITONLY 0 PRIVATE TWO-FARTVWELL 0 0 TABLE 9 REPAIR ❑ SINGLE FAMILY 0 COMMUNITYIPUBLIC WATER SYBTEM I t M TANOS)ONLY ❑ COMMERCIAL SYSTEM NAME: I A 1 M UPGRADE TO METING M OTHER: BEDROOMS LOTSRE M EXISTING FAILURE _ IDn�MA^^ 3 5,28 DIRECTIONSTO SITE-BE SPECIFIC ANDAWISE OFANY NEEDED INFORMATION FORACCESS(m.kdW pMl O 0 FORD RD TO A LEFT ON TRUMAN GLICK DR, STAY LEFT TO SITE AT END. I� ICD olp I SITE MUST BE FIADGEDfAOYAWNRMOAN0 TEFTHOLES YIISTBEFIAOOED BlFX ZEST MOIENIMBFRS OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FARURE SOURCE(Ia ra lry Pi U MVOLUNTARY MMAINTERANCEIPUMPING 0SUILDINGPERMIT OHOMES E MCOMPLAINT MOTHER: INSPECTOR SOIL LOGS COMMENTSICONDIIIONS TH1: 0-36 SiL, 36+ mott TH2: 0-39 SiL, 39+ mott TH3: 0-36 SiL, 36+ mott SOIL CODES: V=VERY G=GRAVELLY S-SAND L=LOAM S.-SILT C=CLAY E-EXTREMELY R=ROOTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY NOT IIw_ 11/18/24 11/18/2027 (�}lrmySOA 11/19124 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBEITE REVISED 1WOO15 DESIGN FORM—PAGE ONE Assessor's Parcel Number:___ 62099-22_50010____ A design will be reviewed when 3 cam 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 may be sc nned and available for public view on the Mason County Web site.Maximum on size: 11"X IT' PARCEL IDENTIFICATION Permit Number: SWG 2024-00435 Designer's Name: ADAM HUNTER MICHAEL KERR 360-753-1226 Applicant's Name: Designer's Phone Number: Mailing Address: 6413 183RD AVE E Designer's Address: PO BOX 162 BONNEYLAKE WA 96391 OLYMPIA WA 98507 city State Zip city State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑ Sand Lined Dminfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other: Drainfield Type 0 Gravity ❑Pressure ❑ Trench 0 Bed USub Surface Drip Septic Tank/Drainfreld Specifications Laterals Number of Bedrooms 3 Schedule/Class DRIP Daily Flow:Operating Capacity 270 gpd Length 240 ft Daily Flow:Design Flow 360 gpd Diameter 0.5 in Septic Tank Capacity 1200 gal Number 3 Receiving Soil Type(1-6) 5 Separation 2 ft Receiving Soil Appl.Rate 0.4 gpd/ft' Orifices Required Primary Area 1440 ft' Total Number of Orifices DRIP 720 Designed Primary Area 1440 ft-' Diameter DRIP in Designed Reserve Area 1440 ft2 Spacing DRIP 12 in Trench/Bed Width 24 ft Manifold Trench/Bed Length 60 ft Schedule/Class 40 Elevation Measurements Length 24 It Original Drainfield Area Slope 1 % Diameter i in New Slope,If Altered 1 % Preferred manifold configuration used? EYYes 0 No Depth of Excavation up-slope 10 in Transport Pipe from Original Grade Down-slope 10 in Schedule/Class 40 Designed Vertical Separation 24 in Length 120 ft Gravelless Chambers Required? ❑Yes 0 No 0 Optional Diameter 1 in Pump Required? ❑Yes ❑Nc Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 12 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal Orifice R Chamber Capacity 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 11.6 gpm OTimer EYElapse Meter El Event Counter Calculated Toml Pressure Head 106 ft If Timer: Pump on 30 GAL Pump off 2 HRS Comments EH APPROVED Rhonda Thompson 11/19/2024 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 62009_22-50010____ Permit Number. SWG 2024-00435 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch E4 Test hole locations 2 Dminfield orientation and layout Reference depth from original grade: 19 Soil logs 9 Trench/bed dimensions and Ed Septic tank 19 Property lines critical distances within layout 61 Drainfield cover E9 Existingand proposed wells EZ D-Box/Valve box locations P W Reference depth from original grade within 100 it of properly EZ Septic tank/pump chamber and restrictive strata: IZ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas EZ Observation port location bottom 1Z Location and orientation of 9 Clean-out location ❑ Curtain drain collector curtain drain and all absorption E9 Manifold placement ❑ Sand augmentation components 9 Orifice placement Other cross-section detail: IZ Location and dimension of E9 Lateral placement with distance Ed Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information E9 Buildings 9Audible/visual alarm referenced Yes No EZ Direction of slope indicator Eg Scale of drawing shown on scale 12f ❑Design staked out 0 Waterlines bar ❑ ❑Recorded Notices attached • Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached • 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 n t re by installer at time of installation ❑Yes ❑ No 11/6/24 rthisign f Designer Date The undersigned has reviewedn behalf of Mason County Public Health and determined it to be in compliance with state and localations: SINiI 11/19/24 Environmental Health Specialist 7 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: 11/18/27 ✓ Dminfield 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 Daze: 12n2o15 CD 8 ) toll - 0 j \ � | |All $ / PHIL, its \ q $ $q , lm , ' , m § ` )% It1 § / $ \\� � )/! ; ) | \ ■ Gq ; - . . . � . : 2 ||;!!!| /� \ : • ! ! ! | ` � ! ! | ! ! ! | ! ! , ! ilt HIM . 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