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HomeMy WebLinkAboutSWG2025-00211 - SWG Application / Design - 6/3/2024 at . MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 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: SWG2025-00211 APPLICANT Keith Matches Phone: Address: 2240 E Saint Andrews Dr N SHELTON, WA 98584 OWNER Keith Matches Phone: Address: 2240 E Saint Andrews Dr N SHELTON, WA 98584 SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: 2371 E ST ANDREWS DR NORTH Primary Parcel Number: 321225000182 Permit Description: New 3bd ATU to subsurface drip Permit Submitted Date: 06/03/2025 Permit Issued Date: 07/10/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/16/2028 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. �eNf2 OFFICIAL USE ONLY MASON COUNTY DATERECENED /J� /����/ . a tl C (n RECEIVED AMOUNT RECEIVED: RECEIVED Y: s Public Health & Human Services ayL� CO N Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 �7 C � 415 N.6th Street -Shelton,WA 98584 S W G 2 O/ 002 ( ( � o L-. F. O Z fn CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION D > g C) APPLICANT PHONE rn m KEITH MATCHES © 425 765-0321 z MAILING ADDRESS-STREET,CITY STATE,ZIP CODE g 2022 202ND PL SE o SAMMAMISH WA 98075 CO 73 SITE ADDRESS-STREET,CITY,ZIP CODE C7 2391 E ST ANDREWS DR N 11,g Q SHELTON WA 98584 I N NAME OF DESIGNER PHONE I N JIM HUNTER FN', 360 753-1226 N NAME OF INSTALLER -J PHONE 0 101 01 C...� C--fin co PERMIT TYPE(select one) DRINKING WATER SOURCE O RINK RESIDENTIAL OSS ECOMMUNITY OSS ECOMMERCIAL OSS E//PRIVATE INDIVIDUAL WELL ®PRIVATE TWO-PARTY WELL Z ,,____ TYPE OF WORK(select one) PUBLIC WATER SYSTEM LAKE LIMERICK r ENEW CONSTRUCTION/UPGRADES EREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE co DESIGN FORM(REQUIRED) ESEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? I— O EWAIVER(S)(IF APPLICABLE) 3p.Z,tf ElYES Q✓ NO 0 r DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) MASON LA FT AT ST ANDRE3WS DR N TO SITE ON 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 —1 : 0 S2_., S L, Z 1-7; ( I — : 0---") C7bk--i/ 3-7 I i (1 - sr d - SLfW, f- tn 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 APPROVAL. IN ECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY/� (� 'lE (0) LA(1(TC--- >1)CD 175 kANIN ril 1 ° T-- :; /NCcEN THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE r Revise.: • , 1 -7 ,FORM—PAGE ONE Assessor's Parcel Number: 32122-50-00182- -- u will be reviewed when 3 copies of each of the following are submitted: pleted design form that has been signed and dated. `'Scaled layout sketch,including all applicable items on checklist. aled 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 /1011C'tbl,I‘ Designer's Name: JIM HUNTER Applicant's Name: KEITH MATCHES Designer's Phone Number: 3607531226 Mailing Address: 2022 202ND PL SE Designer's Address: PO BOX 162 SAMMAMISH WA 98075d City State Zip OLYMPIA WA 98507 City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM - FF tt■■ NNP IU Treatment Device ❑ Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter AATU }.lV ui 4 T ❑Other Treatment Level(check all that apply): J A .....1B J C J BL 1 J BL2 J BL3 J E IN Drainfield Type ❑ Gravity 0 Pressure 0 Trench 0 Bed *Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class IR•0 2J6•-rf Daily Flow:Operating Capacity I.-."1 o gpd Length 4-6 0 ft Daily Flow:Design Flow 3 Leo gpd Diameter Z9 ,S in Septic Tank Capacity(working) t;ZOJ gal Number 2 A. Receiving Soil Type(1-6) 4' Separation (6-" ft Receiving Soil Appl.Rate d.tg, gpd/ft2 Orifices Required Primary Area (J-7 5 ft2 Total Number of Orifices 4,so Designed Primary Area Co-1 S ft2 Diameter 1J1cZ.,•Q dLK. —zw1S' in Designed Reserve Area 4 vO ft2 Spacing l 2- in Trench/Bed Width ' A ft Manifold Trench/Bed Length t.1* ft Schedule/Class 4 0 Elevation Measurements Length V A-P—\,i -S ft Original Drainfield Area Slope '7 % Diameter ` in New Slope,If Altered 1.1, (Js, % Preferred manifold configuration used? 0 Yes ❑No Depth of Excavation Up-slope CD [lti in Transport.Pipe from Original Grade Down-slope 40 to t VI.- in Schedule/Class Designed Vertical Separation ("L in Length 40 ft Gravel-based Drainfield Required? 0 Yes INo Diameter `, in/ Pump Required? i❑ Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day kZ Duff. in Elevation Between Pump&Uppermost Orifice ,,5 ft Dose quantity 3 0 gal Drainfield Squirt Height/Selected Residual(head) t't A ft Chamber Capacity(flood) t ti(?O gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump coot ols:Please check ecck those required. / Capacity @ Total Pressure Head f 3 Z gpm L'J Timer B Elapse Meter I?(Event Counter Calculated Total Pressure Head f{'1,,41- ft If Timer: Pump on e'5 i 1 ,Pump off Cl'4.R Comments pis ill1 , J DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32122-50-00183-- -- Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch E Test hole locations 9' Drainfield orientation and layout Reference depth from original grade: 9' Soil logs l' Trench/bed dimensions and RC Septic tank 9' Property lines critical distances within layout ®' Drainfield cover 9' Existing and proposed wells 0' D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0' 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 0' Location and orientation of 0' Clean-out location 0' Curtain drain collector curtain drain and all absorption 0' Manifold placement a Sand augmentation components 0' Orifice placement Other cross-section detail: 9' Location and dimension of Lateral placement with distance 0' Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 0' Buildings El Audible/visual alarm referenced Yes No Ef Direction of slope indicator g Scale of drawing shown on scale � ❑ Designstaked out g Waterlines bar 0 0 Recorded Notices attached 9' Roads,easements,driveways, Q Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components l' 0 Pump curve attached 9' 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 notified taller at ' e of installation 0 Yes l' No Co - —ZS' Signatur esigner 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: c1 Z (tO(1-S Environmental Health S ecialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. /� 6(- - ✓ 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 0 W Ui LEnE gg E.ao Cj5 -33n ^ _.� ,. «eo ♦n.. ..ne :� °••. 'o¢n E0 ° -=oa n' +M,, e g o o AAA 8 :�6 tl lm 8 $L wi`i= S 1243 3 0 V u?,i cE o- c9 e 8 = 8 uo 2 31 .r g_` ±EggEo 4 's` f 2e' i A HI, '3 $syLL Za282 18 a ` r '_z, Z _•2m , .°` ' Hifat' 14. ,1g ' � E S•f gg psEs o ua ast i F n'u, gi$s.-� 71 am0 = . mlig2grBs_ SX 92 °$ 1;- a. 5y3 w a-a igS! 3.- irwgR=g°amE Oais zz5w $ ng � ]dg €3€Hs o . o . b -I t - .t 2 g Pi a9 ` .si °b :o cN3 3 _ 3E .gE; Pill 51°, B ~ E> wo==ses:? A o i $' _ ° aulg ai o o .o � s`�cEt2S C = y a grc Uo.121 �' E ; m 8 8 s i.i 3 -a U O E LL C_ • LL t c i oa :;s R Y o ° ' LLa m € g;ig _��. E=_: 2 z ssR 'oE3 35t Cl, i� TF Eb4i•E , q -9y o:Ez C i e GCC) '.a°'°ne i-�.. 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Q a n� T ¢ 2 z �� L9E3Ent$- =- y F 8 �. rn So C9'aa f6 8 °° q ' —4 O / °a .g d i w S o `sF_ W Eo z �, rn ,.Zvi a m"C 2 x° N c E m �r.rrr renco Technical Data Sheet SYSTEMS Using a Pump Curve - A pump curve helps you determine the best pump for your system.Pump curves show the relationship between flow and pressure(total dynamic head or"TDH"),providing a graphical representation of a pump's optimal performance range.Pumps perform best at their nominal flow rate.These graphs show optimal pump operation ranges with a solid line and flow rates outside of these ranges with a dashed line.For the most accurate pump specification,use Orenco's PumpSelect`"software. Pump Curves 500 i , i I i , , 1 i ; 400 1 I 11 I 1 I I PF10 Series,60 Hz,0.5-1.0 hp -- I PF20 Series,60 Hz,0.5 1.5hp - 400 I 350 1PF2015 1 Z lPF1010 - cb • 350 c 300 - T 300 1..... • - • ..\\ ••' IPF2010 CZjPIF10071 '•• ... 250 250 TIPF10051 a ' cz 200 _ 200 E03 150 PF20051 3. 150 .. \\*%. a 10t• i 100 50 50 . • I I o I . 0 2 4 6 8 10 12 14 16 18 0 5 10 .5 20 25 30 35 40 Flow in gallons per minute (gpm) Flow in gallons per minute (gpm) 900 , i 1 1 I 1 1 1 I I 1 1 .4PF3050 PF30 Series,60 Hz,0.5-5.0 hp — 800 m 0.1 700 -•.,, • O 600 - JPF3030' O`� et ••.. ?R V 500 ( INS'1 • 400-...... 0� ` 1 O 2025 `\OZ% I 300 {PF3010 .— •'•. .... .... _PF3007- - 100 PF3005 IRE%VIISED 00 5 10 15 20 25 30 35 40 45 Flow in gallons per minute (gpm) NTD-PU-PF-5 Orenco Systems®•800-348-9843•+1 541-459-4449•www.orenco.com Rev.3©01/21 Page 4 of 5 . 1 a — _ 7_ ,a � / . I. � G e • 40-'%. f .- .4e II . 6 I ,---- 1 '1 b / o ..cv:/{ T 1." C .1) . 0 kl ' ! 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