Loading...
HomeMy WebLinkAboutSWG2025-00129 - SWG Application / Design - 4/17/2028 MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 98400 SHETREE ,S 42 TON, ,EXT 584 rn, BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00129 LOVM APPLICANT LYNETTE ARHUTICK Phone: 360-520-1251 Address: 1673 S MARKET BLVD#132 CHEHALIS, WA 98532 OWNER HOLLIS ROBERT A Phone: Address: 4551 E PALOBREA LN CAVE CREEK, AZ 85331 SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: UNKNOWN Primary Parcel Number: 220287590011 Permit Description: New 3bd pressure trench Permit Submitted Date: 04/10/2025 Permit Issued Date: 04/24/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/17/2028 (based on date of inspection) 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 field 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 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/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: Dq . /d - 2025 ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: 555 RECEIVED BY: CO � — 0 CO 415 N 6th Street,(Bldg 8) Shelton WA,98584 < cp Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 /G S 2v n`5 - Doi 0 LQ (7) A J V VV 1 Z fn Z D APPLICANT PHONE > .1 LYNETTE ARHUTICK 360 520-1251 m rn II MAILING DSOUTH RESS-STREET,cITY. TATE,ZIP DBLVD # 132 CHEHALIS WA 98532 c E 1673 MARKET SITE ADDRESS-STREET CITY.ZIP CODE CO ARCADIA RD SHELTON WA 98584 NAME OF DESIGNER SC°t8 PHONE JIM HUNTER D R ,� 01025 360 753-1226 NAME OF INSTALLER �� • PHONE CHECK ALL APPLICABLE ITEMS By DRINKING WATER SOURCE ❑ ID 011f NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY iv PRIVATE INDIVIDUAL WELL INS) D REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL Z ^_ ❑ TABLE 9 REPAIR Et SINGLE FAMILY ❑ COMMUNITY/PUBLIC WATER SYSTEM pc) ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME 1 ❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE ITV ❑ EXISTING FAILURE "Record Drawing requiredco for all Installations" 3 \ '—'( ca O IU DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) 0 I FROM SHELTON, EAST ON ARCADIA TO SITE ON LEFT JUST BEFORE MILE POST 7. lc r b O I- SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I-- OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS ` tVe , - viu `- Z - S a oNtst aS TI-t I it k : O - ti 1 (7s L, Lit+ V&i'rf SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE VayvAmptv kA I 1-11Z '4 II 1-1/ 7M (i 1 I /1 THIS FORM MAY d SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1217/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 220`28-75-90011 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 'I 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 for public view on the Mason County Web site.Maximum paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG 2oz5- co129 Designer's Name: JIM HUNTER Applicant's Name: LYNETTE ARHUTICK Designer's Phone Number: 360-753-1226 Mailing Address: 1673 SOUTH MARKET BLVD#1c Designer's Address: PO BOX 162 CHEHALIS WA 98532 OLYMPIA WA 98507 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity 6t'Pressure (cTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class SCH40 Daily Flow:Operating Capacity 7-'1 ti gpd Length 50 ft Daily Flow: Design Flow ; COO gpd Diameter 1.25 in Septic Tank Capacity I ZO Q gal Number 4 Receiving Soil Type(1-6) A- Separation CV ft Receiving Soil Appl.Rate 0.6 gpd/f}2 Orifices Required Primary Area it()v ft2 Total Number of Orifices 100 Designed Primary Area CP-O v ft2 Diameter 3/16 in Designed Reserve Area E}0 v ft2 Spacing 24 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 FT ft Schedule/Class SCH40 Elevation Measurements Length fj, 1° ft Original Drainfield Area Slope '3 % Diameter 2 in New Slope,If Altered l4 I A % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 117 in Transport Pipe from Original Grade Down-slope 9. —. in Schedule/Class SCH40 Designed Vertical Separation 24 in Length 170 ft Gravelless Chambers Required? 0 Yes blr No 0 Optional Diameter 2 in Pump Required? sr Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 60 gal Orifice 9.4 ft Chamber Capacity 1200 gal Uppermost Orifice l'Higher 0 Lower than Pump Shutoff Pump controls: Please check tt ose required. �/ Capacity @ Total Pressure Head 58.618 gpm !Timer l�'Elapse Meter C7 Event Counter Calculated Total Pressure Head 22.164 ft® Pq O,i, ,Pump off cio.0 Comments APR 24 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number: 22028-75-90011 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch if Test hole locations D Drainfield orientation and layout Reference depth from original grade: g Soil logs El Trench/bed dimensions and Er Septic tank g Property lines critical distances within layout Drainfield cover g Existing and proposed wells t� D-Box/Valve box locations Reference depth from original grade within 100 ft of property a Septic tank/pump chamber and restrictive strata: g Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas Ef Observation port location bottom 12i Location and orientation of a Clean-out location 0 Curtain drain collector curtain drain and all absorption t2' Manifold placement 0 Sand augmentation components a Orifice placement Other cross-section detail: 0' Location and dimension of Lateral placement with distance 0' Observation ports/clean-outs primary system and reserve area to edge of bed Buildings g Other Information B( Audible/visual alarm referenced Yes No Direction of slope indicator a Scale of drawing shown on scale IR( 0 Design staked out 0' Waterlines bar 0 0 Recorded Notices attached 0' Roads,easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached 1 North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notifi-- . i•s •1 -r .t,�'me of installation 0 Yes sf No e .10021;r Signa . • s gner 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 regulations: Environmenta Health Spkialist 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: t-72-6 L't✓ 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: 12/7/2015 } PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 22028-75-90011 DATE SUBMITTED: 04/08/25 LEGAL/LOT#: SUBMITTED BY: JIM HUNTER APPLICANT: LYNETTE ARHUTICK ADDRESS: 1673 SOUTH MARKET BLVD#132 CHEHALIS,WA 98532 I.CALCULATIONS NUMBER OF BEDROOMS= 3 RESIDENTIAL GPD FLOW= 360 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE 0.6 GPD/FT2 REDUCTION=LEAVE BLANK IF NOT USED DRAINFIELD SIZING ABSORPTION AREA= 600 FT2 TRENCH LENGTH OR BED CONFIG.= 200 FT II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL.WATER TIGHT NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= 0'-9" ROCK DEPTH BELOW PIPE= 0'-6" SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAL/SEASONAL SATURATION= >2'-0" FILL DEPTH= 1'-0" TRENCH WIDTH= 3'-0" IV.PUMP REQUIREMENT DOSING VOLUME IN GALLONS= 60 NUMBER OF DOSES PER DAY= 6 V.PRESSURE CALCULATIONS 20 USING PIPE CLASS= 40 ORIFICE DIAMETER= 3/16 -I -ZS' MAsoN APRcouNTyE 2 4 2025 ► T, MENTAL HEALTH, ° lAt+�R.M/1VTER SFr �.� 5rt) S� FR EMPFS: 03/22/-Z(o PAGE 2 LATERAL#1 = SQUIRT HEIGHT(FT)= 2.00 (NOTE(1).ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X SO ROOT OF(TOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 50.00 ORIFICE SPACING= 2'0" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 25 LATERAL DISCHARGE RATE= 14.655 LATERAL#2= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 50.00 ORIFICE SPACING= 2'0" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 25 LATERAL DISCHARGE RATE= 14.655 LATERAL#3= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 50.00 ORIFICE SPACING= 2'0" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 25 LATERAL DISCHARGE RATE= 14.655 A p P R 0 v E D LATERAL#4= SQUIRT HEIGHT(FT)= 2.00 APR 2 4 2025 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 50.00 MASON COUNTY ENVIRONMENTAL HEALTH ORIFICE SPACING= 2'0" DISTANCE FROM END CAP= 1'0" RET NUMBER OF HOLES= 25 LATERAL DISCHARGE RATE= 14.655 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 170.00 2.00 58.618 9.146 BC 1.00 2.00 29.309 0.015 CD 30.00 2.00 14.655 0.124 DE 50.00 1.25 14.655 1.478 TOTAL= 10.764 "TOTAL HEAD LOSS " j 1)FRICTION LOSS THROUGH SYSTEM= 10.764 2)ELEVATION DIFFERENCE = 9.400 v� : 1 i ti^t� 3)RESIDUAL = 2.000 q�, 51+1Ai173 ,>'iA TOTAL= 22.164 0, IAMES R.HUNTER _ '1 Uat•itET)bt if7.NFR I EXPMES: 03122/L4 • • MYERS IVIE7 SERIES ,• CAPACITY LITERS PER MINUTE . 6.0 50 100 150 200 250 300 350 400 450 • • 18 . 50 - -- - - - — --- 16 1111111111111110... /17 4C14 t 40 • ZiLj Alli 12 3D - - - 10 C1 i Q Mil 6 O 20 O. MI to 2 0 d0 20 40 60 80 100 120 • CAPACITY GALLONS PER MINUTE • APPRp VEQ � 2 s APR 2 4 2025 ),_ 4 - G . MASON COUNTY ask,' co m"`ki,vi EhV1RONMENAL HEALTf; RE AP'' 0 = ti'' Lk,. 1`-� ,f:, �- S1t 273 •> • O.? lQwfEC it NSMTER _ . UCEtiSth DESIGNER EXPI.ES: 03/22/- . I • z v ,� ll / 4 I I I I I I 1 I I III7 77 r-i D I C:r . 9 rn a lle e . 'f7:' il ,/ VI ici t • .\/CC\ 4 //1 2 • �� M f milt # . -a' ' / ' /vie- i // / , - ,_/ • .ur 't: . ,,, . 0 AtIP / le 11 nn , ,,,_ � ' * ; . Illr , ; 0411frilirs 'R'' 40 ,, 0' E ' '1 ' i iii10 ‘"-si , 4.. 0 ` * b i�, '\ . i 1 r) , \ iI _ a • r6\ t � ,\Y's \ , ' P- '' . !!F I, , .rill ri�� r.1 t - , \ _.x G • `n'�'4 q-‘\� 4 (A TI 57 ii [ri *T�rE'l cf '1110 / I 111 m XO v � g t 11 ,* -� r ;ram+ i ` �>` { 1' 61 • m n r + i Iv P I H m <�i jr t (` C A 1 I 1 l ; I� 1 . �J • r 0, I ;'. (4 iii In it it-,, .- , z . i i ir lc; i.c .' i iv . . -n I i 1 I t ; t ro P. itmm v m Gj C - cz D 3t rN o . r ph i� rx m O CO r r Z i Y 1j r� !� �? ? . . r Z o g m i 1 7 '�C1� tt>j �� mo Z oMrn i 1 t � t vi, x › '4! ri M , , _ _4 0 n -:,.. ....1, 1 f! 4 1 IF 1 • Li • 14 ' 1 .!* p H t 1 lb -t Al T i ikr) 1-ri ; `" 1 {n� n i i t I 1 r . ;• , • d w I 'I a- 4. / Li- U ��� 4.4 yS a 1 CC J W j �`•" �_0-� ,,`ON ^ -.,/a a Q CO d ....1 p ` � f't/ . ,1 Z Q U 0 _�; dr ; 3 r p w J �, o \ r0 W �4y 'J o p C o;�' r < �1 -'o CC in isp 17 u. ct a �Qj crl Q_ a....- U /� `^ p \--- \--------____-\\ \ W O 0- Q r w ' I� f W = U W H ~ Q g N v v7 �- COri I— ~ — O wrn O Z U) N Zp U > O O J> Z 0 t--11-1-1 ��-IIO I w OQ 0 N L w 1-�-1 Q' , U rn W �/ w n. I W } 1Y cc Ll ,4 x Z cn 0 a W Q Z U 1--{ m LiJ FU-- Q J¢ CO > (!) Cl. p d cn O W CO w I-- w d Li L <--> / a 0 cn cn J o = J Q > J O o UQ Q o v ZU Q "v co Wcn o cO CY O DO W o X I- J 0 O Wv w I! II!tll;iIIL!WIItitt > z 03 ZJ n/ LL I=11 - =11=Ii=11=IIyIhllylhll-ll=11�^4:1.i,i': T:nZ I 0.. =lal=II=11=II II II II 1I-iF =-i=nnilnilnllullnrnllnl nl- Z H> Q' Z } J IIUIIu°u°uhI uI III1 uI 1:=� 0 > O CO CO III II I�III ETL 2.1 1.=1I- ,, 0 0 N 0 0 W Q Li- .J 0 J J IL U LI Q i W j �i10■% a ..,, 0 I- 0 ■ Q 0 Z w W aF ■ 0 U J Cn r ,16-,0 W - m < w o � ■ O o oN ��■� ~ Z cc ■ Q O u) D Q 0_ CO O w z LL U Z Q 0 0 W 0 0 0_ a U w 0OH m ¢z w 2 _I00 W W _ u) - U Z D Q O COJ 2 u) w O = Z m m N -,Q W >-: 1-LL Z U a.. 0Z > w 2 r- W a I- LL (Y 0 Z O 1-- 0 w m H LL H _ W H 0 w CC 0 o r ¢ H W I- ¢ w 0 U z = U a O no z > w J 0 O Z 0 = U = Z co O H H Z O W W H Q Z z 00 ~ _ _ ~ Q r w H Z >. O 0 H 0 0 H 0 H < 00 U g U O OLL H O ~ OJ w tt Z W w 0 o H. H ¢ w co w H W � w o a H r �=-- o D 0 w 0 Etf_ ZC � W 0 rx o co oa < - 1 zo c0 O O F- O O cn Un H D >- H w °Zs V) LL W = 1- W w < U 0 vi U J 0 E CO o 0 U Cr O CC CC U -' f O U H CC a. 2 LLW O ¢ Z J W 0 Z 0 H CC > H U O CO ¢ U Z O. O = z U H UJ H -I Q u = w u- , cq 0 ¢ 0 J W ¢ ~ }co c¢n ~ zQmz W w LL o o QO 2mo Q = 0cc Q O = O W D U cnw = w z ¢ O = = o c� � YO Z � � zw . ¢ Q w O ¢ O H O H O w w o i_ = J U W O Z - U Z I- W W w U W -' p 11jJ z 0 z U J ¢ U CC ¢ Z W W Q Z_ cn >_ 0 -I H D. W ¢ U J o 0 0 z U S w 2 0 = >- m ¢ ( a �-a. ¢ O U LL z Z 0 Y ¢ 0 Z w J w 0 Z 0 • „ 0 vwi0 HU) p0 � ¢ O 0 00 Q O N 0 U O O � o LPL a a "' 0 Oz � H Hz a ¢ � o ¢ O ¢ O > Q w Z O o o ,l H z z ¢ 1 z Z co g o - J 0 W CD W n mcn < 0 Hw I-- ? zzLL 05w 0 Oo w U } w � 0 Z w W = 1Hizp •< I- vcni w0 CL1- O 0 W ? = CrO = p Q_' > O Un w (_n ° m H H O U ¢ K W H W Y JJ U! ¢ L O LLl LLl N p J N Z Q U 111 H c ww } w H a w i J Q OW OU U z_ N b m 1 0 Q c- O W Q o Z W (n O w H J CO LL 0 U ¢ ¢ a, Z w > I- Q ¢ `L � � � 0 JQ Z0 } HQ LLZ � = 0Z U 0 O N W U W 0 w > O m J Ow = U G = H 2 W W coU 0 w H ¢ ¢ • Z O c Z W U C9 I- < W O ¢ > U) w H J W J w > 0 co 5 W _ ' Q N �r I LI Z_ =O CO c=i) 0 ¢ = W lLLi °- Z °° O Z H HO ¢ ¢ z z ~ I _ Q , U j I- CO 0w Wp z ' ' p w � < = w W z m z 0 � � c. 0 Z 0 W W Z DO W co O .nrJ W a 0 w J IQ z z m Z a ? 0 ccW u) O LL .11 0 cn Q Q > U J m i2I- W 0 zO O J 1Y0 o0 JZw 0a � ¢ U U U U IL W U U 2 w Cl- Q cj g ° o ? = o ¢ o gz > a � v' � m vo-iwwpw W Z Z Z Z `1 > F 0- 0-- Z W uJ D = 0 Y cn LL cn z ¢ z O J W H z LL z W W W W U d f- f- O W C� W 0 ¢ W O W uwi ¢ _z U O ¢ 0 ¢ w w 0 Z CC CC CY CC Q W D D O O g 0 2 z U) -' m 0 H ¢ w LL H J = a U H w = --,-- CD,W H I- H I- co O co d d Z Z LL o w ¢ o Q > J z 0 UHi w Z 0 ¢ 1Y Un U OU Q H O w m O ¢ z = w N __I O O I- w w ¢� W w 0 -- - - - -- - W H = _ < O O U LL OH U z < Ix _ U = U > > z z o ¢ W 1- a cn w ' . 00 0 H Z }5 >- _ 2 J 0- W CL L. j U 0 00 2 W = O Z ¢ LL ¢ 0 ¢ 0 w ¢ ¢ O H 2. ¢ Z O O H = = H z