HomeMy WebLinkAboutSWG2024-00377 - SWG Application / Design - 9/5/2024 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
at SHELTON:360-427-9670,EXT 400
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: SWG2024-00377
APPLICANT Campbell, Mark Phone: 360-808-1236
Address: 2531 Conger Ct NW Olympia, WA 98502
OWNER LEE ET AL CRAIG S Phone:
Address: KIRK S LEE MILL CREEK, WA 98012
SEPTIC DESIGNER Hunter, Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
Site Address: E Balmoral Way
Primary Parcel Number: 321225000322
Permit Description: New SFR -2BR Oscar II
Permit Submitted Date: 09/05/2024
Permit Issued Date: 09/16/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 09/09/2027 (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:
9-5-24 cn D
ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: RECE"online
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415 N 6th Street,(Bldg 8) Shelton WA,98584 — Cr)
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S W G 2024 — 00377 0 o
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APPLICANT PHONE > >
MARK CAMPBELL 3608081236 "' m
MAILING ADDRESS-STREET CITY.STATE.ZIP CODE r
2531 CONGER CT NW OLYMPIA WA 98502 c
g
SITE ADDRESS-STREET,CITY.ZIP CODE CO
XX E BALMORAL WAY SHELTON WA 98584 m
NAME OF DESIGNER PHONF
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
IS NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL (n
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL 0
❑ TABLE 9 REPAIR 0 SINGLE FAMILY IS COMMUNITY/PUBLIC WATER SYSTEM
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: LAKE LIMERICK I
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE
❑ EXISTING FAILURE "Record Drawing required rZ 0.28 cofor all Installations" V r
DIRECTIONS TO SITE-BE SPECIFIC ANDADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) 0 1
BALMORAL WAY TO SITE ON THE RIGHT JUST SOUTH OF THE PARK.
r
0
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
0-33 GSL
0-34 GSL
0-36 GSL
0
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
ALJA,„4,..,
9-9-24 9-9-27li��"D-, 09/16/2024
T S MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 52122 -- 50 -- 00322
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. v 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 2024-00377 Designer's Name: ADAM HUNTER
Applicant's Name: MARK CAMPBELL Designer's Phone Number: 360-753-1226
Mailing Address: 2531 CONGER CT NW Designer's Address: PO BOX 162
OLYMPIA WA 98502 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 Makc/Model Other:
Drainfield Type OSCAR II DRAINFIELD(NO PRETREATMENT)
❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
j Number of Bedrooms 2 Schedule/Class OS-100
Daily Flow:Operating Capacity 180 gpd Length PER OSCAR ft
Daily Flow:Design Flow 240 gpd Diameter PER OSCAR in
Septic Tank Capacity 1500 gal Number 3
Receiving Soil Type(1-6) 4 Separation 0.5 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 400 ft2 Total Number of Orifices PER OSCAR
Designed Primary Area 400 ft2 Diameter PER OSCAR in
Designed Reserve Area 400 ft2 Spacing PER OSCAR in
Trench/Bed Width 16 ft Manifold
Trench/Bed Length 25 ft Schedule/Class 40
Elevation Measurements Length 15 ft
Original Drainfield Area Slope 3 % Diameter 1 in
New Slope,If Altered 3 % Preferred manifold configuration used? 12'Yes 0 No
Depth of Excavation up-slope N/A in Transport Pipe
i from Original Grade Down-slope NA in Schedule/Class 40
Designed Vertical Separation >24 in Length 65 ft
Gravelless Chambers Required? 0 Yes VS No 0 Optional Diameter 1 in
Pump Required? Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 360
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 0.667 _ gal
Orifice 69 ft Chamber Capacity 1500 gal
Uppermost Orifice E 'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 12 gpm E 'Timer 12/Elapse Meter E 'Event Counter
Calculated Total Pressure Head 16.98 ft If Timer: Pump on 22SEC ,pump off 3MIN 38SEC
Comments Approved
Mason County Environmental Health
Leff Wilmoth 09/16/2024
I
DESIGN FORM—PAGE TWO Assessor's Parcel Number: -- --
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
1 Test hole locations 9' Drainfield orientation and layout Reference depth from original grade:
1 Soil logs 12f Trench/bed dimensions and I' Septic tank
El Property lines critical distances within layout ®' Drainfield cover
1 Existingand proposed wells 9' D-Box/Valve box locations
P Po Reference depth from original grade
within 100 ft of property 0' Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and locations 0 Laterals,trench bed,top and
surface water and critical areas a Observation port location bottom
O Location and orientation of Ed Clean-out location 0 Curtain drain collector
curtain drain and all absorption 9' Manifold placement 0 Sand augmentation
components ®' Orifice placement Other cross-section detail:
12f Location and dimension of Lateral placement with distance Er Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
g Buildings 0' Audible/visual alarm referenced Yes No
62f Direction of slope indicator 9' Scale of drawing shown on scale El ❑ Design staked out
Ea Waterlines bar 0 0 Recorded Notices attached
1 Roads,easements,driveways, • 0 0 Waiver(s)attached
parking Approved ❑ 0 Pump curve attached
1 North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Mason County Environmental Health
Non-residential justification
Jeff Wilmoth 09/16/2024 ❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must b Tied by installer at time of installation El Yes 0 No
9/4/24
gn re of Designer Date
The undersigned has reviewed t s design on behalf of Mason County Public Health and determined it to be in
compliance with state and loc site regulations:
nvi t((WWII ' ", 09/16/2024
ental 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:
9-9-27
✓ 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
1
i
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#:321225C00322
DATE SUBMITTED:9/4/2024 LEGAULOT#: LAKE LIMERICK
LT 322
SUBMITTED BY: ADAM HUNTER
APPLICANT: MARK CAMPBELL
ADDRESS: 2531 CONGER CT NW
OLYMPIA,WA 98502
I.CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW= 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPO=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
ABSORPTION AREA= 400 FT2
TRENCH LENGTH OR BED CONFIG.= 16X25'
PER OSCAR
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1500 GAL-CONCRETE
NEW OR EXISTING= SEPTIC TANK
III.DRAINFIELD CROSS SECTION
SAND DEPTH= 0'-6"
IV.PRESSURE CALCULATIONS
USING PIPE CLASS 40
ORIFICE NETAFIM DRIPLINE
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
SUPPLY 65.00 1.00 12.000 5.0403
RETURN 65.00 1.00 12.000 5.0403
TOTAL= 10.0806
TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 10.081
2)ELEVATION DIFFERENCE = 6.900
TOTAL= 16.981
r o,"r 9/4/24 Approved
'v Mason County Environmental Health
4r r .,
_, AO«GJ HUNTER •` Jeff W i I moth 09/16/2024
26
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V.CHECK THE PUMP CAPACITY.
PUMP: A.Y.MCDONALD 30GPM-1/2HP PUMP(MODEL#22050E2AJ) (PER OSCAR)
EXCESS TDH 50.00 (PER OSCAR)
TOTAL HEAD LOSS IN SYSTEM 16.98
STANDARD PUMP CONFIGURATION IS SUFFICIENT? YES
Approved
Mason County Environmental Health
Jeff Wilmoth 09/16/2024
Y 9/4/24
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