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HomeMy WebLinkAboutSWG2025-00076 - SWG Application / As-Built - 3/12/2025 584 MASON COUNTY 415N 6 SHELTON: , 0427-97 ,EXT 400 SHELTON:360-427-96]0,EXT 400 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360-02]-778] On-Site Sewage System Permit: SWG2025-00076 APPLICANT LLC CHRYSALIS REAL ESTATE SOLUTION Phone: Address: 21530 NE 29TH ST SAMMAMISH, WA 98074 OWNER L C YSALIS REAL ESTATE SOLUTION Phone: Address: 21530 NE 29TH ST SAMMAMISH, WA 98074 SEPTIC DESIGNER PAULAJOHNSON• Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: 180 E Barnsby PI Primary Parcel Number: 321275300015 Permit Description: Upgrade to 2BR Pressure DF Permit Submitted Date: 0 310 7/2 0 2 5 Permit Issued Date: 0311212025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $825.00 (adddionai fees may be re9mred upon Insuneaoo dsyslem). Permit Expiration Date: 0311212028 (basedondah dnnepeoon) 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 Drainfield installation not to exceed designed upslope and downstope 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 of system 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/environmentallonsiteloss-inspection-request.php or call: 360.427.9670,extension 400. OFFICIAL USE ONLY M,E PECENBY p - 07-ZoaS H n MASON COUNTY 0 COMMUNITY SERVICES ANOUNTHCENED J✓✓ KE E°N c y RPMM,WMM mwHnM ,m,m,nenlMXnMI N SWG O25 - 000'7 o A Z M) ON-SITE SEWAGE SYSTEM APPLICATION > '> 3 n m APPJ�T PRONE ChrysaaNWLINGADDNliis Real Estate Solutions, LL Jesse Bomfreund (425) 503-6121 a 21530 NE 29th St ammamish, WA 98074 m mm r z SITEADCItE53-STPEEi.LITV,➢P CODE 180 E Bamsby Place 0 Off' elton, WA 98584 m NAME OF DESIGNER O PHONE 0 N Arrow Septic Designs, Inc (360) 898-2255 NAME OFINSTALtER PHONE G GERMIT TYPE(Yhv PM) DRICpNNINGMTERSOURCE O I N gRESIDENTIALOSS EICOMMUNITYOSS G IWCOIM S 111 PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTYWELL Z I ~ TYPE OF Y NK(AO cta ) M PUBLIC WATER SYSTEM A IE NEW CONSTRUCTION/UPGRADE$ ILREPAIR/REPLACEMENT OTHEROF11ILSI.W1IID .P*I E3TABLE IX REPAIR I Vl SUB¢NITTALS O SURFACING SEWAGE ❑EXISTING FAILURE OSHORELINE W IXGESIGN FORM(RECLINED) 9SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSZE ITA' ILWAIVER($)(IF APPLICABLE) 2 .35 acres x 10 D RECTIONS TO SITE AND SITE CONDITIONS.(6+.,K 0") From downtown Shelton, take E WA-3, turn (L) onto E Mason Lake Rd to Lake Limerick, o take a (R)onto E Dartmoor Dr, take the 1st (L) onto E Dalkeith Rd, turn (L) onto E Bamsby r Place, go to end, lot has a sign "180" and fabulous chandeliers, old house has been o 0 demolished. SITEMUSTBE FlANSEDAADMMAWROAD..TEST HOEEd MUSTSEP{AEGED K1TNlEdT MDIFNWSEFA I Cn OFFICIAL USE ONLY BELOW THIS LINE V PGMOE/FAI W RE$gNLE Ikt N{c,Nq ryrywevl ❑VOLUNTARY oMAINTENANCIPUMPING ❑BUILDING PERMIT OHOMESAIE OCOMPWNT DOTHER. INSPECNRSOILLOCS CAMMENTS ICpIpTIONS ��/3q P 3& REOGRO CRAVANG AW INS.ALLATICN REPORT SWLCODES: =V G-GRAVELLY S=SAND L=LWM BI=SILT C=CLAY E=E#REMELY R-ROOTS REONRED FOR FINALAPPROWL. P ttIR SIGN PPATURE DATE APKICATION EXPIRATION DATE TIONAPP EUISSUEOBY DATE - t-2 1- �7-(2,5' NI MAY BE SCANNED AND AVAILABLE FOR PUBLIC WEW ON THE MANOR COUNTY WEBSITE RENSEOTNRO15 DESIGN FORM—PAGE ONE Assessors Parcel Number: 3 2 1 2 7 — 5 3 — 0 0 0 1 5 A design will be reviewed when 3 copies 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 scanned and available far public view on the Mason County Web site. la.Num P.P11 PARCEL IDENTIFICATION CXXY- Designer's Nmne: Arrow Septic Designs,Inc Permit Number: SWG_�� —'-T 380896-2255 -�----- Applicant's Name: Chrysalis Real Estate Solutions, Designer's Phone Number ( ) 21530 NE 29th St Desicna's Address: 171 E Vuecrest Dr Mailing Address: -- Sammamish, WA 9BD74 union, WA 9s592 _ State Zip State Zip City - DESIGN.:P,4RAMET�RS Treatment Device ❑Glendon Biofilter ❑Send Filter ❑Mount] ❑Sand Lined Dminfield ❑Recirculating Filter.Type: ❑Aerobic Unit ki-kcModel ❑ Disinjectien Unit Make/Model Other: Drainfield Type ❑Gravity if Pressure G(Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfteld Specifications Laterals Number of8edmoms 2 Schedule Class 40 Daily Flow:Operating Capacity 180 gild Length New-17 ft Daily Flow:Design Flow 240 gild 'A Diameter 125 in Septic Tank Capacity(working) Existing-1,000, gal \umber New-3 Receiving Soil Type(1-6) 4 Sepattio.n 5 it Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 400 t1' Total Number of Orifices New-48 Designed Primary Area 400 ttt Diameter 3116 in Designed Reserve Area 400 ft' Spacing 12 in Trmch/Bed Width New-3' ft Manifold Trench/Bed Length New-50' ft Schedule/Class 40 Elevation Measurements Length New-Header it Original Dminfield Area Slope 12 % Diameter 1.25 in New Slope.If Altered 12 % Preferred manifold configuration used? O Yes ❑No Depth of Excavation Ul*slnpe 12 in Transport Pipe from Original Grade pawn-slope 8 in Schedule/Class 40 Designed Vertical Separation 24+ in Length 80 ft Gravelless Chambers Required? ❑Yes ❑No 90ptional Diameter 2 in Pump Required? III Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 4 Diff.in Elevation Between Pump&UPPermost Orifice 15 ft Dose quantity 60 gal Dminfield Squirt Height/Selected Residual(head) —2—ft Chamber Capacity(flood) New-1,000 gal Uppermost Orifice NHigber ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity n Total Pressure Head 79.85 gp T' a Elapse Meter fit(Event Counter Calculated Total Pressure Head 28.35 ft i r r '^ .Pump off 6 hr Comments 14 MAR 12 2n6 R MASON COUNTY ENVIRONMENTAL FFALTi1 fi�r Lo� ID DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 1 2 7 — 5 3 — 0 0 0 1 5 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch It Test hole locations Gff Drainfield orientation and layout Reference depth from original grade: la Soil logs Ef Trench/bed dimensions and 56 Septic tank 56 Properly lines critical distances within layout9 Drainfield cover ❑ Existing and proposed wells 66 D-Box/Valve box locations Reference depth from original grade within 100 it of property 56 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations G6 Laterals,trench/bed,top and surface water and critical areas Ed Observation port location bottom ❑ Location and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 16 Manifold placement ❑ Sand augmentation components 66 Orifice placement Other cross-section detail: Ib Location and dimension of Rf Lateral place ent with distance Ed Observation ports/clealt-outs primary system and reserve area to edge of b m Buildings g Other Information A Audible:'d in referenced Yes No id Direction of slope indicator ' Ed Scale of vi rf wn on scale 16 ❑ Design staked out 21 Waterlines bar ❑ Rf Recorded Notices attached R5 Roads,easements,driveways, ` ❑ Cif Waiver(s)attached parking �, fd ❑ Pump curve attached 56 North arrow and scale drawing sto s.v fig ❑ Evaluation of failure shown on scale bar °eUte JOY a usoa i Non-residential justification ❑ 61 Waste strength 3— (a 2cS ❑ G(Flow DESIGN APPROVAL The undersigned designer must b n ed b) in er at time of installation Ed Yes ❑ No Signature of Designer 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- egulations: 3'2 2-S E/} on I Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. II _ mot/ ✓ The Onsite Sewage Perm Ik Permit has not expired,the Permit Expiration Date is: _ ✓ Drainfield site conditions have not been altered to adversely affect conditions of desiEm 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: 12r72015 Arrow Septic Designs 171 E.Vuecrest Dr. Union,WA 98592 March 3,2025 Mason County Department of Health Services 415 N 6th St Shelton,WA 98594 RE:Chrysalis Real Estate Solutions,LLC Property(Parcel#32127-53-00015)Septic Upgrade from 1 to 2- bedrooms Dear Inspector: Attached is an upgrade septic design for a property located at 180 E Bansby Place,Shelton,WA 98584 in the Lake Limerick community. There was originally a 2-bedroom home on the property that had a failure of the original gravity loop septic from 1975. The replacement system was designed as an oversized 1-bedroom septic that the records show was installed in 1995. The existing system has a 1,000-gallon 2-compartment septic tank and the existing pressure trench dminfield has 252 lineal feet of 12"wide trenches. The house was in disrepair and has been demolished recently. The new owners are planning to install a new 2-bedroom manufactured home. A current Operation&Maintenance inspection and Pumping of the existing septic was performed in January-2025 by Maples Excavating.The deficiencies noted in the inspection report will be corrected as part of this proposed upgrade.. In order to increase the septic size from a 1-bedroom back to a 2-bedroom,we will add shallow pressure trenches 3' wide x 51' long,or 153 s.f,effectively up-sizing the whole drainfield to 405 s.f.total(400 s.f. required with 0.6 app rate). There are no surface water or well setback issues and we have designated a full reserve dminfield area as a 400 s.f.OSCAR mound. The property owner's contact information is as follows: Chrysalis Real Estate Solutions,LLC Jesse Bornfreund(425)503-6121 21530 NE 20 Place Sammamish,WA 98074 If you need further information,please contact my office at(360)898-2255. Sincerely, d. A MOVIE s,ooraa �� MAR 12 2025 aauta aor JOHNSON MASON COUNTY ENVIRONMENTAL HEALTH f cxnaaa t- JBw Paula J.J61 pL.iiccensed Onsite Wastewater Treatment System Designer Y6 2 e�` 1 (3 5Y C L [ O O 8 1 1 j •rt.. t L O e •� 6 L L.l. RPL f i Y T ( {TP t r aKN < E ,r /tom`,( • r 4# 1 w i 0 a 3 /` a t ( a ee _ vg• t y Z R z ' •. • Z PAP MAR 12 2025 MASON COUNTY ENVIRONMENTAL HEALTH Jew 'S-F. � -ota'�mo✓� yb 1 1c ,{2 L Z$7. S �• 2.X7 S�-'�a�6 I -I1 �`� sz • Is3 = S+0-1c to, o4 (2eay.R- Y M e- 00 QAudio-Visual Alarm-New _o ' +2��y�' Q = -�'S� NA-U- _ © Clesaout- M=-`^' ® 1000 Gaon Septic Tank 2-ComParLnent., E8luent FYlter)- S'4'L O4 1000 Gallon Pump Chamber �5 Valve Control Box-M� t O CAM sb'w PL --p Jw..stk I I ScAk%L 1„ 30, v 140 is. 30 APPROVE s-� �� �10 ` MAR 12 2025 O H,t.kgcil:s (Lnal ES' C So\., LL.0 MASON COUNTY ENVIRONMENTAL HEALTH \Do.rca.f 3 212 1- 5 3- cools JBW PAULA JOY JONNSON , 18G E - $as sb� Pl. Shel�ol De rs� sr,rotr EkP1aF5 c�-k- � O ,i fi�9.VC CP`��� fox �raAues a� pyLctn. I .ZS t��" Detailed Drainfield Layout TpI lb.111 4 Ct L .' Id 2a qt. , Fn PpROVE. MA iL 12 2025MASON COUNT`EWWNTA(� HEATH uc ? � Zct + .s o.p:. eee. Letad pgktlit •emS -- ��I 111111 ow.r - o.m <_n Drainfield CraSS-SeCtlOn View tld Te XW ` Nam pyawl b M frae 0 b 6 1cM Cdo. �.�d. •��Ih ffr1�0 6fO0n 1M4 M .JN MV: OP Cie NaC 0 RMwtiv, p ql: a tti W a EaN ltlerd Te b i P abe a Trod, /�.Y{ `-r NULgJOY3JOHNSON';j Designs Te `^ . ObW P i» * adw� rroW Septic """' mom Tr g� (360) 898- 2255 50"ot 3 Tad�W n States .__ 504-\o 3 co-25 Limp Length Orifice If Distance from Distance from Lateral# In. Ft.) 6pacin Orifices Feeder Line In. ClNnout In. 1 504 42 36 14 18 18 existing 12"wide trenches 2 504 42 36 74 18 18 existing 12"wide trenches 3 504 42 36 7q 18 18 existing 12-wide trenches 4 504 42 36 14 18 18 existing 12"wide trenches 5 504 42 36 14 18 18 existing 12"wide trenches 6 504 42 36 14 18 18 existing 12"wide trenches 7 204 11 12 17 6 6 new 36"wide trenches 8 204 17 12 17 6 6 new 36"wide trenches 9 204 17 12 17 8 6 new 36"wide trenches Total Lateral Lenoth 303 Total#Orifices 135I GPM= 79.65 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(Ft.) #Orifices Transport Pipe 80 135 7.59 ft. Feeder Total Lateral Line Length Lateral#1 42 2 44 14 0.45 ft. Lateral#2 42 2 44 14 0.45 ft. Lateral#3 42 2 44 14 0.45 ft. Lateral#4 42 2 44 14 0.45 ft- Lateral Lateral#5 42 2 44 14 0.45 ft. Lateral#6 42 2 44 14 OAS ft. Lateral#7 17 2 19 17 0.28 ft. Lateral#8 17 7 24 17 0.35 ft. Lateral#9 17 12 29 17 0.43 ft. Total Elevation Lift 15.00 ft. Total Dynamic Head 29.36 ft APPROVE MAR 12 2025 d1ASON COUNT�NVRONMENTAL HEALT � ( PAOLA JOY JOHNSON'. "'LIC � riFF5i 1 ®� �0 Libe*PUMPff A Family and Employee Owned Company 1hp 1-1/2" or 2" Discharge Flange mounted Features •3/4"Solids nandling ' I •Heavy cast iron construction •Semi-open cast iron impeller •Stairiess steel rotor shaft �. n <Y •Dual shaft seals •Single float,mercury-free level control •Additional mounting clamp provided for optional switch mounting to pipe •Fully adjustable pumping range •2"FNP-threaded discharge with 1-112'NOT flange provideo •wick-connect power cord- 25 length standard •Available in automatic a manual models P��® Mq MV r E �NCNNNT�ENVq N�115 *rCOATID ox- JBwMFNIA(Hfq(TH Dual Sized Discharge 1-1/2"or 2" cnnre° c��us FL100-Series External Construction Power Card Pumc Vol.rte-Gray iron casting class 25 25 length standard.OLick-connect design allows Pump Legs-Gray iron Casting class 25 easy field replacement.(_A5 available on single-phase: Powder coated castirg 35'and 50 available on phase) Motor Level Control Oil-filled and hermedcaily sealed Wide-aegle mechanical Float sealed in a PVC housing.Float has Crass S Insulation rating a series plug for manual by-pass werat on $lainte6s steel rotor shaft Water-Stop seal In cord entry to eliminate water wicking into Single-phase models are thermally protected the pump 3-Phase models require overloads is control panel Adjustable clamp provided for optonal pipemounting of, the float Impeller Semi-open design.Cast iron construction Discharge Dual Shaft Seale z rNP{ .,t.,11 eastron.flange provided Upper unitized carbon ceramic and lower Viton°double lip Maximum Fluid Temperature Fasteners 304°F,47C Continuous DuN 140nF,60°C Intermittent 300 series stainless steel CORD LENGTH WEIGHT MODELS HP VOLTS PHASE AMPS DISCHARGE AUTOMATIC IN FEET IN USE i1,102M-2 1 208-230 1 12 1-112.62- Na- - 25 M F102A-I' i 2p2-230 1 12 :-1l"62 Yes 12 11.1031,1-2 1 208,230 3 9 1-112'b2_ No 25 71 F11011n-2 1 e40-480 3 45 1-10212- No 23 71 F1105M-2 1 575 3 33 1-12-a2 No 25 -1 �.IDTC > ,' +&a '_a 1. ago ...wMnla .cra, lr.rI III a I'll> -I .e,m- c.. c-v e �•oi a o^ "Io'. 2.Ohau nmlWx b5 aw oU c)racr� s and .tvn.IrylNa2 6 'iG 3 �v .•:...._ J r P w.. r d ... p c0rtl. p e Performance Curve � �0�✓` �/ p�47 60 Hz 3450 RPM 0" ""4q V� coo !Z �a R ut srF n p Py�lRO uo Je�n'�9F ! o m zo snn 1_ a� t aml —.rcv a•cr o va zo ;o w eR w m uo ze w no swncx � off- I a �, �• , .r r.. ConYright C Liberty Purn05 Inc.2023 All ngh¢reurvzd LLIT006269-RO2/a Ph.n. :J 1 •• MOVE Ir T PLDA=Wxa FROM.=KUM m ISM so' l A=MMSM !-M WATM ALAJW. YAM ZNRWGND MORK"TOM OFF LEM- fc&k*O W foamwx KNEE= somam A-W L,- 7�r 'p,90 "Ago/7v At, 4AWn=Me-mq INA C=2 V -272-- FIGURE 2 8,.W, - Dept sewag-, m=be om.�Ma of l 0 N Qwww Septic Doigm, inc. •" a,, q: INSTALLATION & MAINTENANCE Pressure Distribution Systems s,b JO PAULA JOY JOMNaUN-. 1. Install Laterals with contour of the ground. eJwrws 2. Install trench bottoms level. to—Vs- 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the drairuock/native soil interface. Glue "T"to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 6. Install threaded clean-outs at the end of all laterals(cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audioMsual high water level alarm. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 10.Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock,(do not glue),after pressure test and Environmental Health Dept.approval,turn orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12. Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 13. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 14. Divert all storm water runoff away from on-site sewage system. 15.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 16.Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 17.No vehicular traffic over drainfield area 18. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 19.All materials and workmanship must meet County and State regulations. 20. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access, sampling or inspection Ports must have locking covers and be located at ground level. 22. All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down/away from tank opening. 23. All transport lines under driveways or parking areas not used to prevent crushing. 24.Homeowner is responsible for all property lines and R 0 V C w n MAR 112025 ( O O�- (to MASON COUNTYENVIRONMENrgt TH J13W HEAL