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HomeMy WebLinkAboutSWG2024-00403 - SWG Application / Design - 10/1/2024 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 J` 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: SWG2024-00403 APPLICANT Hunter,Adam Phone: 360 753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 CONTRACTOR NOWOWIEJSKI, CEZAR Phone: 509-868-5691 Address: 2746 NW RUDE RD POULSBO, WA 98370 OWNER HEIKES ET AL HEIDI M Phone: Address: 17627 DENMARK STREET ROCHESTER, WA 98579 SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226 Address: PO Box 162 OLYMPIA, WA 98507 Site Address: 1121 E LAKESHORE DR WEST Primary Parcel Number: 220175100036 Permit Description: New 3bd pressure trench Permit Submitted Date: 10/01/2024 Permit Issued Date: 10/11/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/09/2027 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. CLEAR FORM OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 10/2/2024 cn D ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: 805 RECEIVED BY: 415 N 6th Street,(Bldg 8) Shelton WA,98584 on I i n e - cn Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 S WG 2 024-0 04 0 3 O O xi z cn Z DAPPLICANT PHONE > CEZAR NOWOWIEJSKI 5098685691 m n m MAILING ADDRESS-STREET.CITY STATE,ZIP CODE r 2746 NW RUDE RD POULSBO WA 98370 c SITE ADDRESS-STREET,CITY ZIP CODE w 1121 E LAKESHORE DR W SHELTON WA 98584 m NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER 'HONE TBD CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE ❑_ IS NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL < 7 ❑ REPLACEMENT SYSTEM ElINSTALLATION PERMIT ONLY ElPRIVATE TWO-PARTY WELL Q ❑ TABLE 9 REPAIR ❑ SINGLE FAMILY IS COMMUNITY/PUBLIC WATER SYSTEM Z ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: TIMBERLAKES r ❑ UPGRADE TO EXISTING ❑ OTHER: BEDROOMS LOT SIZE I ❑ EXISTING FAILURE "Record Drawing required 3 0.26 a)for all Installations" I— DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) AGATE RD TO A LEFT ON TIMBERLAKE TO A RIGHT ON E LAKESHORE TO SITE ON x I THE RIGHT I- 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 ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS TH1: 0-22 GSL, 22-34 VGMS, 34+ till TH2: 0-34 GSL, 34+ mott TH3: 0-20 SL, 20+ mott (reserve) SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTOR SIGNATURE 10/9/2DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE R Thompson 10/9/2027 R Thompson 2024.10.11 p 14:51:54-07'00' THIS FORM 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: 22017 51-0©036 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 for public view on the Mason County Web site.Maximum paper size: I I"X I 7" PARCEL IDENTIFICATION Permit Number: SWG 2024-00403 Designer's Name: ADAM HUNTER CEZAR NOWOWIEJSKI 360-753-1226APPlicant's Name: Designer's Phone Number: MailingAddress: 2746 NW RUDE RD PO BOX 162 Designer's Address: CLEAR FORM POULSBO WA 98370 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 El/Pressure ErTrench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 gpd Length 40 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity 1200 gal Number 5 Receiving Soil Type(1-6) 4 Separation 6 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 50 Designed Primary Area 600 ft2 Diameter 3/16 in Designed Reserve Area 600 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class 40 Elevation Measurements Length 30 ft 1 Original Drainfield Area Slope 1 % Diameter 2 in New Slope,If Altered 1 % Preferred manifold configuration used? ErVes ❑No Depth of Excavation Up-slope 10 in Transport Pipe from Original Grade Down-slope 10 in Schedule/Class 40 Designed Vertical Separation 24 in Length 85 ft Gravelless Chambers Required? 0 Yes 0 No Optional Diameter 2 in Pump Required? EiYes 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 54 ft Chamber Capacity 1200 gal Uppermost Orifice 12'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 29.3 gpm Timer Et lapse Meter E'Event Counter Calculated Total Pressure Head 8.9 ft If Timer: Pump on 60GAL ,Pump off 4 HRS Comments EH APPROVED Rhonda Thompson 10/11/2024 x a DESIGN FORM—PAGE TWO Assessor's Parcel Number: 22017,51-00.036 Permit Number: SWG 2024-00403 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch O Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: 9' Soil logs 9' Trench/bed dimensions and 0 Septic tank O Property lines critical distances within layout ®' Drainfield cover 9' Existing and proposed wells ' D-Box/Valve box locations Reference depth from original grade within 100 ft of property 9' Septic tank/pump chamber and restrictive strata: D Measurements to cuts, banks, and locations 0 Laterals,trench bed,top and surface water and critical areas 9' Observation port location bottom 0 Location and orientation of ®' Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components ®' Orifice placement Other cross-section detail: 6[f Location and dimension of 9' Lateral placement with distance ®' Observation ports/clean-outs primary system and reserve area to edge of bed 0 Buildings Other Information Er Audible/visual alarm referenced Yes No g Direction of slope indicator 0 Scale of drawing shown on scale 0 0 Design staked out 9' Waterlines bar 0 0 Recorded Notices attached 1 9' Roads,easements,driveways, 0 0 Waiver(s)attached parking ❑ 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 mu .e ne ified i installer at time of installation Er Yes 0 No 9/30/24 Si: . 44esigner Date The undersigned has reviewed this de, gn .n behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: R Thompson-2a24.10.11 14 52:18-07 00 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: 10/9/2027 / 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: 12/7/2015 PACE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#:220175100036 DATE SUBMITTED: 9/30/2024 LEGAULOT#:TIMBERLAKE#9 LOT 36 SUBMITTED BY: ADAM HUNTER APPLICANT: CEZAR NOWOWIESJKI ADDRESS: 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 NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 600 FT2 TRENCH LENGTH OR BED CONFIG.= 5-40FT TRENCHES II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200 GAL.CONCRETE NEW OR EXISTING NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= 0'-10" ROCK DEPTH BELOW PIPE= 0'-6" SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAUSEASONAL 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 USING PIPE CLASS 40 ORIFICE 3/16 EH APPROVED Rhonda Thompson 10/11/2024 9/30/24 r AY,T et ", ADAM,1 HUNTER I'xFi: iIiKS':qF'.} _Sa» A.1`R • 26 PAGE 2 LATERAL#1 = SQUIRT HEIGHT(FT)= 2.00 (NO1 E(2):ORIFICE DISCHARGE RATE_(11.79)X(ORIFICE DIAMETER)SO2 X SO ROOT OFITOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 40.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 2'0" NUMBER OF HOLES= 10 LATERAL DISCHARGE RATE= 5.862 LATERAL#2= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 40.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 2'0" NUMBER OF HOLES= 10 LATERAL DISCHARGE RATE= 5.862 LATERAL#3= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 40.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 2'0" NUMBER OF HOLES= 10 LATERAL DISCHARGE RATE= 5.862 LATERAL#4= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 40.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 2'0" NUMBER OF HOLES= 10 LATERAL DISCHARGE RATE= 5.862 LATERAL#5= SQUIRT HEIGHT(FT)= 2.00 ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 40.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 2'0" NUMBER OF HOLES= 10 LATERAL DISCHARGE RATE= 5.862 EH APPROVED Rhonda Thompson 10/11/2024 9/30/24 t. ADAfA,1 HUNTER tlt 'F Ct'et:S IK'5;;1r4 :26 PACE 3 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 85.00 2.00 29.309 1.2686 BC 1.00 2.00 17.585 0.0058 CD 1.00 2.00 11.724 0.0027 DE 26.00 2.00 5.862 0.0198 EF 40.00 1.25 5.862 0.2171 TOTAL= 1.5140 "TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 1.514 2)ELEVATION DIFFERENCE = 5.400 3)RESIDUAL = 2.000 TOTAL= 8.914 EH APPROVED Rhonda Thompson 10/11/2024 Al 6,,,,•. 10 9/30/24 3 'If fl c. •d:�1 ,. i • .„, 'fiat -...• ADAUJ HUNTER i '%\lJ`L.x . A• ".... . 26 • MYERS ME3 Capacity liters per minute o SO 100 1S0 200 250 I I ! I I 1 ::: 40 II l 30 yp tV W. 220 —6 ,s 21 • g y,0 —4 lu --2 --�0 0 10 20 306 40 50 60 TO Capacity gallons per minute 9/30/24 EH APPROVED f.4 v` Rhonda Thompson 10/11/2024 41;. �µ'7 „P, `�. ADALI J HUNTER'w ,.,:26 A 0 m O 0 m / m m 0ZE5 r ,c m A 2 O ' ii s.b N (n p o m v o 0 C O v 5 n m r m , m • A V c I O m O N W ' O ° N m \\ 0 co 0 O A O w 0 :11 ._ ---\ - 1 q n .. v7 N c 0 c n \. 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