HomeMy WebLinkAboutSWG2024-00356 - SWG Application / Design MASON COUNTY 415N6TMELTON: ,6HE7-967 ,EXT404
SHELTON:360-427-96]0,EXT I00
BELFAIR:360.2754467,EXT 400
Public Health & Human Services ELMA:360-4825269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00356
APPLICANT Hunter,Adam Phone: 360753-1226
Address: 2201 93rd Ave SW Olympia,WA 98512
CONTACT GUNN,JESSE Phone: 208-304-0665
Address: 2767 SUNNYVIEW LN EUGENE, OR 97405
OWNER REDFORD GREGORY ALLEN& Phone:
MELISSA LYNN
Address: 23711 S1ST AVE CT E GRAHAM, WA 98338
SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226
Address: PO Box 162 OLYMPIA,WA 98507
SEPTIC INSTALLER DARIN OGG' Phone: 360-790-3021
Address: PO BOX 1336 HOODSPORT, WA 98548
Site Address: UNKNOWN
Primary Parcel Number: 422103290022
Permit Description: New 2bd sandlined bed
Permit Submitted Date: 0812312024
Permit Issued Date: 0910912024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (addwnal fees may be required upon installation ofsystem).
Permit Expiration Date: 0813012027 (imsee on date of lnspe n)
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 fmm Mason County is obtained.
3 Drainffeld 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 backtill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
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: masoncoun".gov/heafth/environmental/onsite/o s-inspection-request.php or call:
360427-9670,extension 400.
MASON COUNTY 415N6 S H ELTON: 60427-%70 EX 884 5HSTREE STREET,
ON, EXT84
BELFAIR:360-275-4467,EXT 4W
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360427-7787
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 OVMERS 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.gov/health/environmental/onsitelms-inspection-request.php or call:
360427-9670,extension 400.
® OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH RLL 8/23/2024
y D
ONSITE SEWAGE SYSTEM APPLICATION AMWNTRECEN .. RECENEDBY: ; y
415 N 6Lh SOBEL(Bldg 8) Skilon WA,98584 SOS online < w
SheNon:360477-9670ext400 Belfair:360.775i467e#400 SwG 2024-00356 0
Z y
2 9
PHONEAPPLICANT JESSE GUNN 2083040665 m 0
MMLING ADDRESS-STREET CITY.STATE,ZIP CODE r
2767 SUNNYVIEW LN EUGENE OR 97405 a
SITEADDRE68-STREET CITY,ZIP CODE U3
XX N LAKE CUSHMAN RD HOODSPORT WA 98548 IT
NAME OF DESIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE A ,
ROYALFLUSH
CHECKALLAPPLICABLE ITEMS DRINKING NMTER SOURCE N
C NEW CONSTRUCTION O RV HOLDING TANK ONLY f5/ PRIVATE INDIVIDUAL WELL y
0 REPLACEMENT SYSTEM O INSTALLATION PERMIT ONLY O PRAZATETWO-PARTYWELL Z O
[3 TABLE S REPAIR O SINGLE FAMILY Cl COMMUNTEYIPUBLICWATER SYSTEM
O TANK(S)ONLY f] COMMERCIAL SYSTEM MAINE:
O UPGRADE TO EXISTING f] OTHER. BEDROOMS LOT SDE
0 EXISTING FAILURE 'Rx°NOn'N^PTeWIM 2 4.41 m
nYNEEDED INFOR E-
DWECTWNSTO SEE-BE SPECIFICPNDAONSE OFANYNEEDED INFORMATXJX FORACCFSS Iu btluOpele) O `v
N LAKE CUSHMAN RD TO GATED DRIVE DIRECTLY ACROSS FROM THE COFFEE
STAND BEFORE CUSHMAN POTLATCH RD.
r O
0
O
IN
WEEMUSTBEFIAGGED FROMMAINROADAND TESTHOEES MUSTBEF"GOED MIMFESTNOLENYMBERS N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE IFMLURE SOURCE(Vlp ip FuK )
OVOLUNTARY ❑MAINTENANCEIPUMPING OBUILDINGPERMIT ❑HOMESALE ❑COMPIAINT OOTHER: _
INSPECTOR SOIL LOOS COMMENTSICONDUTONS
TH1: 0-47 EGGS, 47-56 CS, 56+ bottom of hole
TH2: 0-54 EGGS, 54+ bottom of hole
SOIL CODES: 9/9/2024
V-VERY G=GMVELLY S=SAND L•LGAM SI=SILT C=CIAY E=EXTREMELY R-ROOTS
INSPECTOR SIGNATURE p/30/LrT024 OATS APPLICATNIN EWIRXEON DATE MPUCATIDHAPPROVED BY ®.. DATE
R T son B/30/27 R Th s n
THR FORM MAY BE SCANNEDAND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED 12Urz01E
DESIGN FORM-PAGE ONE Assessor's Parcel Number.H Lz�
A design will be reviewed when 3 co vies of each of the following are submitted:
•Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items an checklist
•Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mason County Web site.Marimum ersLe: 11"X 17"
`_. PARRCjEL IDENTIFICh- .
Permit Number: SWG 2S7�— a0 5 S to Designer's Name: ADAM HUNTER
Applicant's Name: JESSE GUNN Designer's Phone Number: 360-753-1226
Mailing Address: 2767 SUNNYVIEW IN Designer's Address: PO BOX 162
EUGENE OR 97405 OLYMPIA WA 98507
City State Zip Ci State Zi
DESIGN PARAMETERS,
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound h(Sand Limed Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit MakdModel Other:
Drainfield Type
❑Gravity dpressme ❑Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class 40
Daily Flow:Operating Capacity 180 gird Length 24 ft
Daily Flow:Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity 1000 gal Number 5
Receiving Soil Type(1-6) 1 Separation 2 ft
Receiving Soil Appl.Rate 1.0 gpd/ftz Orifices
Required Primary Area 240 ftz Tonal Number of Orifices 40
Designed Primary Area 240 ft� Diameter 3116 in
Designed Reserve Area 240 ft2 Spacing 36 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 24 ft Schedule/Class 40
Elevation Measurements Length 8 ft
Original Drainfield Area Slope 0 % Diameter 2 in
New Slope,If Altered 0 % Preferred manifold configuration used? SXYes O No
Depth of Excavation Upslepe 36 in Transport Pipe
from Original Grade Oar-slope 36 in Schedule/Class 40
Designed Vertical Separation 18 in Length 60 ft
Gravelless Chambers Required? ❑Yes 0 No dOptional Diameter 2 in
Pump Required? 6(Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diffemnce in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal
Orifice 'm R Chamber Capacity 1000 gal
Uppermost Orifice G�Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 23.447 spin EdTimer RElapse Meter WEveut Counter
Calculated Total Pressure Head 8M7 R If Timer: Pump on 40 GAL Pump off 4 HRS
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: Tca ivvc=wvcc —Permit Number: SWG 202440356
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations ❑ Drainfield orientation and layout Reference depth from original grade:
19 Soil logs EZ Trench/bed dimensions and 9 Septic tank
EZ Property lines critical distances within layout El Drainfield cover
El Existingandproposed wells Y D-BoxNslve box locations
Reference depth from original grade
within 100 ft of property 9 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas EZ Observation port location bottom
E3 Location and orientation of IZ Clean-out location ❑ Curtain drain collector
curtain dmin and all absorption 9 Manifold placement ❑ Sand augmentation
components EZ Orifice placement Other cross-section detail:
EZ Location and dimension of 91' Lateral placement with distance 9 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
EZ Buildings EZ Audible/visual alarm referenced Yes No
EZ Direction of slope indicator V Scale of drawing shown on scale Design
9 ❑ staked out
IZ Waterlines bar ❑ ❑ Recorded Notices attached
EZ Roads,easements,driveways, ❑ ❑ Waivers)attached
parking ❑ ❑ Pump curve attached
IZ North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer us[be t6t fled by installer at time of installation Yes ❑ No
8/23/24
arm of Designer Date
The undersigned has reviewe this esign on behalf of Mason County Public Health and determined it to be in
compliance with state and to on ite regulations: 9/9/2024
R ThLADson
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. 8/30/2027
✓ 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 Daze: 12/72015
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL*.422103290022
DATE SUBMITTED: SAE2024 LEGALJLOT#:SPgDTT LOT
SUBMITTED BY: ADAM HUNTER
APPLICANT: JESSE GUNN
ADDRESS: 2767 SUNNYVIEW UN
EUGENE,OR 974M
I.CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 1 GPDI 2
REDUCTION=LEAVE BLANK IFNO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 240 FT2
TRENCH LENGTH OR BED CONFIG.= 10F7X24FT SAND LINED BED
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1000 GAL.CONCRETE
NEW OR EXISTING NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= T-w
ROCK DEPTH BELOW PIPE= 0'-e'
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAUSEASONAL SATURATION
FILL DEPTH=
TRENCH WIDTH= 10-0'
N.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 40
NUMBER OF DOSES PER DAY= 8
V.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE W16
EH APPROVED
Rhonda Thompson 091M024
8/23/24
,, P1
:DAV
11»1�t
26
LATERAL#1=
SQUIRT HEIGHT 1")= 2.00
(NOTE(2)ORIFICE OISCHPRGE RATE=(11]9)%IORIFICE DIAMETERPO2%
50 ROOT OF(TOTAL PRESSURE HEM)
ORIFICE DISCHARGE RATE= 558618
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= TV
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 8
LATERAL DISCHARGE RATE= 4.6B9
LATERAL#2=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 310.
DISTANCE FROM END CAP= 111.
NUMBER OF HOLES= 8
LATERAL DISCHARGE RATE= 4.689
LATERAL#3=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.68818
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 3'W
DISTANCE FROM ENO CAP= 116,
NUMBER OF HOLES= 8
LATERAL DISCHARGE RATE= 4,689
LATERAL#4=
SQUIRT HEIGHT(FT),= 200
ORIFICE DISCHARGE RATE= 0.58618
LITERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= T 0'
DISTANCE FROM END CAP= 1'6'
NUMBER OF HOLES= B
LATERAL DISCHARGE RATE= 4.689
LATERAL#5=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.68818
LATERAL LENGTH IN FEET= 24.00
ORIFICE SPACING= 3'm
DISTANCE FROM END CAP= 1-6-
NUMBER OF HOLES= 8
LATERAL DISCHARGE RATE= 4.689
EH APPROVED
Rhonda Thompson 09/09I2024
8/23/24
"IA'IMxi1'TIV}xix4K�:�'
SJO1\1.
26
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS 60.00 2.00 23A47 0.5926
BC 1.00 2.00 14.088 Dom
CD 2.00 2.00 9379 0.0038
DE 2.00 2.00 4.689 0.0010
EF 24.00 1.25 4.609 0.0862
TOTAL= 0.6873
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 0.687
2)ELEVATION DIFFERENCE = 6.300
3)RESIDUAL = ZWD
TOTAL= 8.987
EH APPROVED
Rhonda Thompson 09/0912024
8/23/24
SFGa •p .i. ..
26
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Capacity liters per minute
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EH APPROVED
Rhonda Thompson 09/09/2024
8/23/24
26
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