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HomeMy WebLinkAboutSWG2024-00374 - SWG Application / Design - 9/3/2024 MASON COUNTY 415N6SHELTON:SHELTO70,EXT 584 SH STREET, ,SHETON, A98584 400 BELFAIR:3601 EXT 400 Public Health & Human Services ELMA:3604825269,EXT 400 FAX 360 427-7787 On-Site Sewage System Permit: SWG2024-00374 APPLICANT Hunter,Adam Phone: 360753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 OWNER WOOLSEY GARY D i9 SHIRLEE L Phone: Address: PO BOX 1737 MCCLEARY,WA 98557 SEPTIC INSTALLER HOUSE BROTHERS Phone: 2604954156 Address: PO BOX 1820 MCLEARY,WA 98557 Site Address: XXXX SE Ridge Rd Primary Parcel Number: 320295103006 Permit Description: New 2-bedroom Glendon Biofilter Permit Submitted Date: 0910312024 Permit Issued Date: 1110412024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (additional tees may M required upon installation orsystemJ. Permit Expiration Date: 0911712027 (based on data of inspecnonl 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 Certi Installer unless prior written authorization from Mason County is obtained. 3 Drainffeld installation not to exceed designed upslope and downslope depth specified on design fomr. 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 backfill of system components. 6 Mason County Asbutlt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 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.govlhealthlenvironmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DME RECEIVED 9/3/2024 N D ONSITE SEWAGE SYSTEM APPLICATION M� N R� D:$805 RE�WDB. Online c y 415N6th5tn*L(Mdge) ShehonWA,90504 G y Shelton:360427-9670 e#400 BeBair.356775i 67 RD 400 SWG 2024 _ 00374 2 4n APPLICANT PHONE D D HOUSE BROTHERS 3604701707 m m "LING ADDRESS-STREET.CITY STATE.LP CODE r PO BOX 1820 MCCLEARY WA 98557 3 SITEADDRE$S-STREET.CITY.LP CODE M XX SE RIDGE RD SHELTON WA 98584 z NPME OF DESIGNER PRONE W ADAM HUNTER 3607531226 WME OF INSTALLER PHONE N HOUSE BROTHERS 3604701707 O CHECKAUL APPLKABLE ITEMS DRINKING WATER SOURCE I N NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL M) I � 0 REPIACEMENTSYSTEM ❑ INSTALLATIONPERMITONLY 0 PRIVATETWO-PARTYWELL 2 0 TABLE B REPAIR ❑ SINGLE FAMILY COMMUNITY/PUBLIC WATER SYSTEM 0 TANK(S)ONLY [3 COMMERCIAL SYSTEM NAME: .. Ib ❑ UPGRADE TO"ISTING 0 OTHER: BEDROOMS LOTSDE W 0 EXISTING FAILURE "R"°'do%Rw,y^4i. 2 0.53 IcaMMIMMAI .' O DIRECTONS TOSITE-BE SPECIFIC AND ADVISE OFANY NEEDED INFORWTION FOR ACCESS Rp WNSWl n b ARCADIA TO A RIGHT ON RIDGE RD TO SITE ON THE LEFT. x o I 41TE MUST BE PUGGED FROM MA/N FOAD ANO TESTNOIES MUST BE FIAGGEOWTTNTEST HOIE NUMBEFS OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE W rg NRAWaM) E3VOLUNTARY [3WINTENANCEIPUMPING OBUILDINGPERMIT C3HOMESALE OCOMPLAINT E30WER: INSPECTOR SOIL LOGS COMMENTSICONDMONS TH1 : 0-26" GSL Rest at 26" w/ mot & till TH2: 0-26" GSL Rest at 26" w/ mot & till WRY W V. G V=Y£ G=GRAVELLY S=SAND L=LOPM Si=SILT C=CIAY E=E%THEMELY R=ROOTS IMSPECMRSIGNATURE WTE MPUK"TON EXPIRATION DATE APPUI TIONAPPROVEDSY DATE D kKl . ' .-" 9/17/2024 9/17/2027 DiMc. 11/04/2024 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC WEW ON THE MASON COUNTY WEBSITE REVISED IWWS DESIGN FORM—PAGE ONE Assessor's parcel Number: 3 2 0 2 9 -- 5 1 -- 0 3 0 0 6 A design will be reviewed when 3 coal of each of the following are submitted: I 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. I Cross-section sketch,including all applicable items on checklist. This form maybe sunned and available for public view on the Mason County Web site.M¢rimum paper size: 1/"X 17" PARCEL IDENTIFICATION Permit Number: SWG 2024-00374 _ Designer's Name: ADAM HUNTER Applicant's Name: HOUSE BROTHERS __ Designer's Phone Number: 360-753-1226 Mailing Address: PO BOX 1820 Designer's Address: PO BOX 162 MCCLEARY WA 98557 OLYMPIA WA 98507 City State Zip city State zip DESIGN PARAMETERS Treatment Device &Glendon Biofiltcr ❑ Sand Filter ❑ Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other: Drainfteld Type ❑Gravity dPressure ❑Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class GLENDON Daily Flow:Operating Capacity 180 gpd Length GLENDON it Daily Flow: Design Flow 240 Slid Diameter GLENDON in Septic Tank Capacity 1000 gal Number GLENDON Receiving Soil Type(1-6) 4 Separation GLENDON ft Receiving Soil Appl.Rate 0.6 gpd/ftr Orifices Required Primary Area 400 ft2 Total Number of Orifices GLENDON Designed Primary Area 400 W Diameter GLENDON in Designed Reserve Area 400 ftt Spacing GLENDON in Trench/Bed Width 38 ft Manifold Trench/Bed Length 27.63 ft Schedule/Class GLENDON Elevation Measurements Length GLENDON ft Original Grainfield Area Slope 13 % Diameter GLENDON in New Slope,If Altered 13 % Preferred manifold configuration used? SrYes 0 No Depth of Excavation Up-slorc GLENDON in Transport Pipe from Original Grade Down-rlope GLENDON in Schedule/Class 40 Designed Vertical Separation �24 in Length 100 It Gravelless Chambers Required? 0 Yes t2(No O Optional Diameter 1 in Pump Required? IR(Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day GLENDON Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity GLENDON gal Orifice ft Chamber Capacity 1000 gal Uppermost Orifice d Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head GLENDON Spat Timer RElapse Meter i�7Event Counter Calculated Total Pressure Head GLENDON ft If Timer: Pump on GLENDON pump off GLENDON Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:_ 3 2 0 2 9 -- 5 1 -- 0 3 0 0 6 Permit Number: SING DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch E6 Test hole locations EZ Drainfield orientation and layout Reference depth from original grade: Ef Soil logs 9 Trench/bed dimensions and 2( Septic tank E9 Property lines critical distances within layout la Drainfield cover lZ Existingand proposed 9 D-BoxNalve box locations P Wd wells E Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: U Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas V Observation port location bottom 19 Location and orientation of 9 Clean-out location ❑ Curtain drain collector curtain drain and all absorption ES Manifold placement ❑ Sand augmentation components V Orifice placement Other cross-section detail: EZ Location and dimension of r0l' Lateral placement with distance E9 Observation ports/clean-outs primary system and reserve area to edge of bed Ef S Other Information Buildings t� Audible/visual alarm referenced Yes No 19 Direction of slope indicator E9 Scale of drawing shown on scale 9 ❑ Design staked out E9 Waterlines bar ❑ ❑ Recorded Notices attached Ed Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached 19 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 r d by installer at time of installation tf Yes ❑ No 8/29/24 Ttesign re of Designer Date The undersigned has review on behalf of Mason County Public Health and determined it to be in compliance with state and lregulations: EHAPPROVEDd Andarsa _' 9/17/2024 D.pm t t/04/2024 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: 9/17/2027 ✓ 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: 12/72015 ME 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#:320295103006 DATE SUBMITTED: 8/29/2024 LEGALILOT#: LOT 6 MILLCREEKTRACTS SUBMITTED BY: ADAM HUNTER APPLICANT: HOUSE BROTHERS ADDRESS: I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPDIFT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 400 FT2 TRENCH LENGTH OR BED CONFIG.= PER GLENDON II.WATERPROOF SEPTIC TANK COMPOSITION AND S1ZE= 1000 GAL-CONCRETE NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= NIA ROCK DEPTH BELOW PIPE= NIA SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIALISEASONAL SATURATION= WA FILL DEPTH= NIA TRENCH WIDTH= NIA EH APPROVED D.AMcreon lvovzoza 8/29/24 �4. 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