HomeMy WebLinkAboutSWG2025-00195 - SWG Application / Design - 5/23/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
I. 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: SWG2025-00195
APPLICANT BILL MCTURNAL Phone: 360-866-4594
Address: PO BOX 1768 WESTPORT, WA 98595
OWNER BUFFINGTON GEORGE & CAROL J Phone:
Address: 370 RITA'S RIDGE RD BOZEMAN, MT 59715
SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 1813 E ISLAND LAKE DR
Primary Parcel Number: 320065001049
Permit Description: Repair 4bd pressure beds
Permit Submitted Date: 05/23/2025
Permit Issued Date: 06/03/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/30/2026 (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.
I
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
Ninti , ;, MASON COUNTY DATE RECEIVED: 65- _ ?`Zoz I
S G/� NC U)
AMOUNT RECEIVED: RECEIVED BY: 07 U)
Public Health & Human Services �� � rn
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 %�f� C cn
415 N.6th Street- Shelton,WA 98584 S wG 2 l.�=S — .60156 O
Z Cl)
CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION v
73
m n APPLICANT PHONE m
r
BILL MCTURNAL �--�--"- 360 280-2236 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE
PO BOX 1768 WESTPORT WA 98595 m
SITE ADDRESS-STREET,CITY,ZIP CODE CV
1813 E ISLAND LAKE DR SHELTON WA 98584 I N
CD
NAME OF DESIGNER e= PHONE CD
JIM HUNTERAAA 360 753-1226
di
NAME OF INSTALLER PHONE
CO ES
PERMIT TYPE(select one) DRINKING WATER SOURCE O O
/
r=/'RESIDENTIAL OSS UCOMMUNITY OSS IdCOMMERCIAL OSS Ui PRIVATE INDIVIDUAL WELL fk PRIVATE TWO-PARTY WELL Z I -
CO
TYPE OF WORK(select one) PUBLIC WATER SYSTEM I
Fr NEW CONSTRUCTION/UPGRADES WREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I
SUBMITTALS f�� 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINECO
DESIGN FORM(REQUIRED) ICNJ�SEPTIC DESIGN(REQUIRED) BEDROOMSt LOT SIZE WAS LOT CREATED AFTER4/1/2025? r0
6WAIVER(S)(IF APPLICABLE) `+ a i 'u4e YES • NO I I
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) "°°?te
4 BROCKMAN RD, WEST ON E ISLAND LAKE DR, NORTH ON E ISLAND DR TO SITE ON I
RIGHT AT ADDRESS. o
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 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
TWi ; o- S► Ps ( S -
1 1,(-7/: 0, (4(6 -F5 tov5
SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPRCVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
LOA 513 0/7 to R:trwrywi 613/-kc----
THIS FORM MAY E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 32006-50-01049- --
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: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 1o2"5 ^ DO 194- Designer's Name: JIM HUNTER
Applicant's Name: BILL MCTURNAL Designer's Phone Number: 3607531226
Mailing Address:
PO BOX 1768 Designer's Address: PO BOX 162
WESTPORT WA 98595 City State Zip OLYMPIA WA 98507
City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM
`:DESIGN PARAMETERS
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU 0 Other
Treatment Level(check all that apply): IA J B J C J BLI J BL2 J BL3 J E J N
i Drainfield Type
❑Gravity Pressure 0 Trench IKI'Bed 0 Sub Surface Drip
1 Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class SCH40
1 Daily Flow: Operating Capacity 3(./20 gpd Length 80 ft
Daily Flow:Design Flow 400 gpd Diameter 2 in
Septic Tank Capacity(working) 1200 gal Number 6
Receiving Soil Type(1-6) 4- Separation `S, 33 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area eOO ft2 Total Number of Orifices 171
Designed Primary Area 1/° U J ft2 Diameter 1/8 in
Designed Reserve Area 11A t"cft2 Spacing 21 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 80 ft Schedule/Class SCH40
Elevation Measurements Length fQ.CO ft
i Original Drainfield Area Slope () % Diameter 2 in
New Slope,If Altered t^(Aar % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope elA-" in Transport Pipe
from Original Grade Down-slope 2_4- in Schedule/Class SCH40
Designed Vertical Separation 24 in Length 95 ft
Gravel-based Drainfield Required? 0 Yes L 'No Diameter 2 in
Pump Required? ES Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 3•5 ft Dose quantity 80 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice L'Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 70.439 gpm Timer ElElapse Meter I�Event Counter
Calculated Total Pressure Head 16.7429 ft A I3f ij:iv ED9 3, V ,Pump off 13, 0
Comments
JUN032025
MASON COUNTY ENVIRONMENTAL HEALTH
RET Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32006-50-01049-- --
Permit Number: SWG
•
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
9' Test hole locations ®' Drainfield orientation and layout Reference depth from original grade:
9' Soil logs 9' Trench/bed dimensions and ! Septic tank
9' Property lines critical distances within layout ®' Drainfield cover
9' Existingand proposed wells !' D-BoxlValve box locations
p p Reference depth from original grade
within 100 ft of property 9' Septic tank/pump chamber and restrictive strata:
9' Measurements to cuts,banks,and locations ®' Laterals,trench/bed,top and
surface water and critical areas 9' Observation port location bottom
1 Location and orientation of 9' Clean-out location l' Curtain drain collector
curtain drain and all absorption 9 Manifold placement 0' Sand augmentation
components 0' Orifice placement Other cross-section detail:
1 Location and dimension of 121 Lateral placement with distance 9' Observation ports/clean-outs
primary system and reserve area to edge of bed
!;?1 Buildings g Other Information
f� Audible/visual alarm referenced Yes No
El Direction of slope indicator ❑' Scale of drawing shown on scale Er 0 Design staked out
9' Waterlines bar 0 0 Recorded Notices attached
RI Roads, easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components Er 0 Pump curve attached
6' North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL —/
The undersigned designer must be notifie t 1 e of installation 0 Yes C� No
5-21-25
Signat o 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-site regulations:
11\i1)()°COVi
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. C73 D J� 6
V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: /
✓ 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. Revised:4/14/2025
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 32006-50-01049
DATE SUBMITTED: 05/21/25 LEGAL/LOT#: ISLAND LAKE
SHORELINE BLK 1
SUBMITTED BY: JIM HUNTER L 49-50
APPLICANT: BILL MCTURNAL
ADDRESS: PO BOX 1768
WESTPORT,WA 98595
a I.CALCULATIONS
NUMBER OF BEDROOMS= 4
RESIDENTIAL GPD FLOW= 480
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= 800 FT2
TRENCH LENGTH OR BED CONFIG.= 10 FT X 80 FT
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= GRAVELLESS CHAMBERS
ROCK DEPTH BELOW PIPE= GRAVELLESS CHAMBERS
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION= >2'-0"
FILL DEPTH= 1'-0"
TRENCH WIDTH= N/A
IV.PUMP REQUIREMENTS Sp
DOSING VOLUME IN GALLONS= 80 A1/S —Z 3—Z S
NUMBER OF DOSES PER DAY= 6 ri As !o
APPROVED -,
AP�,
J U N 03 2025 rr 5' Sluii:l3 �.
i O�, I1MES R MUN1ER 1v
MASON COUNTY ENVIRONMENTAL HEALTH -LICENSED ,C,-NER`=��,
RET ExrPrS: 01/72/
PAGE 2
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 1/8
LATERAL#1 =
SQUIRT HEIGHT(FT)= 5.00
(NOTE(2).ORIFICE DISCHARGE RATE_(11.79)X(ORIFICE DIAMETER)SQ2 X
SO ROOT OF(TOTAL PRESSURE HEAD)
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 80.00
ORIFICE SPACING= 1'9
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 45
LATERAL DISCHARGE RATE= 18.537
LATERAL#2=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 80.00
ORIFICE SPACING= 1 9"
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 45
LATERAL DISCHARGE RATE= 18.537
LATERAL#3=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 80.00
ORIFICE SPACING= 1 9
DISTANCE FROM END CAP= 1'6"
NUMBER OF HOLES= 45
LATERAL DISCHARGE RATE= 18.537
LATERAL#4=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 20.00
ORIFICE SPACING= 1 9
DISTANCE FROM END CAP= 0'4"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
APPROVED • s- Z3-ZS-
r
jUN 03 2025 tiA
t.
MASON COUNTY ENVIRONMENTAL NEALTN :\�
RE i 51 W273
j o, LAME IPJNS R. ER ',�1
LICENSED CfrbCo VER
EXPf!'rS: 03/22/Z4v
PAGE 3
LATERAL#5=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 20.00
ORIFICE SPACING= 1 9
DISTANCE FROM END CAP= 0'4"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LATERAL#6=
SQUIRT HEIGHT(FT)= 5.00
ORIFICE DISCHARGE RATE= 0.41193
LATERAL LENGTH IN FEET= 20.00
ORIFICE SPACING= 1 9"
DISTANCE FROM END CAP= 0'4"
NUMBER OF HOLES= 12
LATERAL DISCHARGE RATE= 4.943
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AB 95.00 2.00 70.439 7.1801
BC 10.00 2.00 55.610 0.4881
CD 1.80 2.00 37.073 0.0415
DE 3.40 2.00 18.537 0.0217
EF 80.00 2.00 18.537 0.5116
TOTAL= 8.2429
TOTAL HEAD LOSS "
1)FRICTION LOSS THROUGH SYSTEM= 8.2429
2)ELEVATION DIFFERENCE = 3.5000
3)RESIDUAL = - 5.0000
/ TOTAL= 16.7429
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