HomeMy WebLinkAboutSWG2025-00052 - SWG Application / Design / As-Built - 12/19/2025 SHELT
® MASON COUNTY 415N6SHELTON: 60427-ONO,EXT 400
SHELFAIR 360-027544]0,EXT 400
BELFAIR:360.2]5d46],EXT 400
Public Health & Human Services ELMA:3604 25269,EXT 400
FAX 360427-M7
On-Site Sewage System Permit: SWG2025-00052 UOU
APPLICANT KIRKWOOD GALEN N Phone:
Address: PO BOX 59 TENINO,WA 98589
OWNER KIRKWOOD GALEN N Phone:
Address: PO BOX 59 TENINO,WA 98589
SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA,WA 98507
Site Address: 919 BE VALLEY RD
Primary Parcel Number: 320295104003
Permit Description: Table 9 repair 2bd pressure sand lined bed
Permit Submitted Date: 02/19/2025
Permit Issued Date: 02/20/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (adddunal fees my be reulmd uron lmlelimei of sy.mm).
Permit Expiration Date: 02120/2026 (ba.ed oa d.te a imbed.)
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 Drainfie/d 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 backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill ofsystem components.
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 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.gov/health/onvironmentallonsite/ms4nspectiongequest.php or call:
360427-9670,extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH M IXEM4
OZ-
s ONSITE SEWAGE SYSTEM APPLICATION AMWM D RFW TDB:
ITT41SNBth ShBK(B1dg8) Shelton WA,98584 555 G
Shelton 388-43T-98]0 a#400 Belfair 36DP5-0467 ext400 SWG ZOZ13 - 0005Z o
Z N
Z DAPPLICANT PHONE D
GALEN KIRKWOOD Q 360 4904147 m IT
LNILINGADDRESS-STREET.CRC STATE.ZIP CODE r
PO BOX 59 ti TENINO WA 98589 3
SITEADDRESS-STREET,CRC LIP CODE W
919 VALLEY RD SHELTON WA 98584 m
NAME OF DESIGNER (V PHONE
JIM HUNTER 360 753-1226 4IV•
NAME OF INSTALLER PHONE (�.1
CHECNALLAPPUCABLE ITEMS m DRINKING VMTER SOURCE
J � 1
OJ NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY Of PRIVATE INDIVIDUAL
L y CnV,
p REPLACEMENT SYSTEM O INSTALIATION PERMIT ONLY O PRIVATETWO-PARTYWELL =
TABLE 9 REPAIR SINGLE FAMILY O COMMUNRYMUBLICWATERSYSTEM
O TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: L
[3 UPGRAOETOEXISTING O OTHER: BEDROOMS LOT SITE N
O E)USTING FAILURE 2
bIMIAUMptlbn�•
DRECT OR ONSTO SITE SPECIFICANDADVISE OFANY NEEDED INFORMATION FORACCES81®.bW]9N) LO') 1
FROM SHELTON, SOUTH ON HWY 101, LEFT ONTO ARCADIA RD ONE BLOCK TO IV
RIGHT ONTO RIDGE RD. LEFT ONTO VALLEY RD TO ADDRESS 919 ON RIGHT.
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&TFYDSTBE iL1DDEO FNON MNN ROADAMOTE3TMOlE3 M15TBE FlAOGEO HtiN ZEST NOlI NUMBERS I II"
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE Na RTBLN PUWeee)
OVOLUNTARY OMAINTENANCE/PUMPING O BUILDING PERMIT OHOMESALE OCOMPLAINT OOTHER.
INSPECTOR SOIL LOGS COM.IENTSICONDRNBAS
US I I�alo s 0�" �r,bPitt
�v Ivv� S&�704- 00G3 -7
SOLCOIES:
V=VERY G=G NW11Y S=SAND L=LOAM S,-SILT C=CLAY E=EXTREMELY R-RWTS
INSPECTOR SIGNATURE DATE I APPLICATION EXPIRATION DATE APPLICATIONAPPROVEDBY DATE
zfu1S4 qm 7*dTs--
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY MESITE REMSED 1WMI5
DESIGN FORM—PAGE ONE Assessor's Parcel Number:____32029-51_04003____
A design will be reviewed when 3 copies of each of the following are submitted:
d 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. a Cross-section sketch,including all applicable items on checklist
This form maybe scanned and avallable for public view on the Mason County Web site.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG_�025 ' n000Si2 Designer's Name: JIM HUNTER
Applicant's Name: GALENKIRKWOOD Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 59 Designer's Address: PO BOX 162
TENINO WA 98589 OLYMPIA WA 98507
city State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Biofilter 0 Send Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type:
❑ Aerobic Unit Mk./Model ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity a6tessure 0 Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCH40
Daily Flow.Operating Capacity t BO gpd Length 30 it
Daily Flow:Design Flow 2 4 O gpd Diameter 1 in
Septic Tank Capacity 1200 gal Number .r
'C-
Receiving Soil Type(1-6) 3 Separation �--L t ft
Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices
Required Primary Area 3 0 O ft' Total Number of OrificesP 45
Designed Primary Area Isla ftt Diameter 3116 in
—
Designed Reserve Area bl. LA ft2 Spacing ;W ZLp in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 30 ft Schedule/Class SCH40
Elevation Measurements Length 't r v it
Original Drainfield Area Slope -3 % Diameter 2 in
New Slope,If Altered n1 Va % Preferred manifold configuration used? 0 Yea 0 No
Depth of Excavation UP-sbpe C14
L is in Transport Pipe
from Ongmal Grade Doanelope 4k� ZAµ SwA Schedule/Class SCH40
Designed Vertical Separation 12 in Length 170 ft
Gravetless Chambers Required? ❑Yes WrNo 0 Optional Diameter 2 in
Pump Required? ItYes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 40 gal
Orifice 102 R Chamber Capacity 1200 gal
Uppermost Orifice Itffigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 26.378 gpm Winter Ergapse Meter C}'1vent Counter
Calculated Total Pressure Head 19.612 - ft ,{y .Pump off 9fo,O
Comments FEB 2 0 2025
MASON COUNTY ENVIRONMENTAL HEALTH
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32029-5551_04003_
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ef Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
1f Soil logs 9 Trench/bed dimensions and 9 Septic tank
IZ Property lines critical distances within layout ®' Drainfield cover
IZ Exist and proposed wells 9 D-BoxNalve box locations
Existing ProPo Reference depth from original grade
within 100 ft of properly 0 Septic tank/pump chamber and restrictive strata:
Ea Measurements to cuts,banks,and locations ❑ Laterals,french/bed,top and
surface water and critical areas 9 Observation port location bottom
❑ Location and orientation of 1Z clean-out location ❑ Curtain drain collector
curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation
components E f Orifice placement Other cross-section detail:
E9 Location and dimension of 9 Lateral placement with distance 9 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
❑ Buildings 9 Audible/visual alarm referenced Yes No
9 Direction of slope indicator E9 Scale of drawing shown on scale d ❑Design staked out
9 Waterlines bar ❑ ❑Recorded Notices attached
19 Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑Pump curve attached
E9 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale but Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by ' t, e ' t [illation 5kYes ❑ No
Signature of D 'igner Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regggu�llaatyio�nss:'���'��,���1
Environmental Health Sp islist` v�? '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: W
✓ 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@015
PAGE
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE* PARCEL#. 3202 51- 03
DATE SUBMITTED: 0211=5 LOT 3
SUBMITTED BY: JIM HUNTER
APPLICANT: GALEN KIRKWOOD
ADDRESS: PO BOX 59
TENINO,WA 96589
I.CALCULATIONS
NUMBEROFBEDROOMS= 2
RESIDENTIAL GPD FLOW• 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE OS GPDIFT2
REDUCTION=LEAVE BLANK IF NOT u
DRMNFIELDS¢ING
ABSORPTION AREA 300 FT2
TRENCH LENGTH OR BED CONFIG.= 10FTX30
II.WATERPROOF SEPTIC TANK
COMPOSITIONANDSIZE= 12M GAL CONCRETE
NEW OR EXISTING= MEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= T-T
ROCK DEPTH BELOW PIPE= 0'-r
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION= >V-0.
FILL DEPTH= 7-8'
TRENCH WIDTH= WA
N.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= d0
NUMBER OF DOSES PER DAY= 6
V.PRESSURECALCULATIONS
USING PIPE CLASS- d0
ORIFICE DIAMETER= _ 3N8
4 -'T-S
tip ;+•' �
APPROVEDW.
51 W:)J fA�
cMWNFEB 20 2025 il94ifn FSCR
MASON COUNTY ENVIRONMENTAL HEALTH
FN°MTS h1/22/-�4
RET
PAGE 2
LATERAL 4Ht=
SQUIRT HEIGHT(FT) 2.W
(WO (IL ORIFICE DISCHARGE RATE-(11.A)X(ORIFICE OIAMEtER)S02X
SO ROOTOF(RlTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= DAMS
LATERAL LENGTH IN FEET= W.00
ORIFICE SPACING= 2 A'
DISTANCE FROM END CAP= all-
NUMBER OF HOLES= 13
LATERAL DISCHARGE RATE= TOM
LATERAL Q=
SW IRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58818
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= 2 A'
DISTANCE FROM END CAP= D 11'
NUMBER OF HOLES= 13 C"I
LATERAL DISCHARGE RATE= T.SW
LATERAL Cl
SQUIRT HEIGHT(FT) 2.00 y 1-Q O
ORIFICE DISCHARGE RATE= 0.68818 7o 5 O
LATERAL LENGTH IN FEET= 3DW
ORIFICESPACING=
DISTANCE FROM END CAP= 0'11' y Q
NUMBER OF HOLES= 13 9
LATERAL DISCHARGE RATE= 7.620 ...ygAAA
LATERAL#A=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.68618
LATERAL LENGTH IN FEET= 30.00
ORIFICE SPACING= 2 B
DISTANCE FROM END CAP= all-
NUMBER OF HOLES= 13
LATERAL DISCHARGE RATE_ 7.820
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 170.W 2.W W.481 2.T28
SC 1.0 2.W 15.241 0.006
CD 2.W 2.W T.620 0.003
DE W.W 1.00 7.620 1.004
TOTAL: 3.741
"TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 3.741
2)ELEVATION DIFFERENCE = 14.230
P
3)RESIDUAL 2.000
V 4MFc} I1NTTq a TOTAL= 1RW A. "i
UCRISen!iM Sv;N:q
SS�t>S
EXi^'r4 T4021 �
MYERS ME45 SERIES
CAPACITY LITERS PEa MINUTE
0 50 100 I50 200 050 300 350 IS
50
40 12
Z 30 �f9S/?HP 9 Z
❑ ❑
X
2 � 6 S
10 3
0 0
0 10 30 30 40 50 60 70 80. 90 100
CAPACITY GALLONS PER MINUTE -
APPROVED
FEB 20 2025 Jj
MASON COUNTY ENVIRONMENTAL HEALTH
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