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HomeMy WebLinkAboutSWG2024-00478 - SWG Application / Design - 12/30/2024 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: SWG2024-00478 (\l APPLICANT Braulio Arroyo Phone: Address: 5258 S 212th St KENT, WA 98032 OWNER PELLEGRINI GIULIO &JANIE Phone: 206-856-4024 Address: 1008 DENALI CT SUMMERVILLE, SC 29483 SEPTIC DESIGNER ROD LEFT* Phone: 360-698-8488 Address: PO BOX 2954 SILVERDALE, WA 98383 Site Address: 471 NE Collins Lake Dr Primary Parcel Number: 223315200005 Permit Description: Replacement/Upgrade: 4-bedroom Pressure System Permit Submitted Date: 12/30/2024 Permit Issued Date: 06/27/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 (additional fees may be required upon installation of system). Permit Expiration Date: 12/30/2027 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. —OFFICIAL USE ONLY - DATE RECEIVED:• `� l� / �O / 't". .,, MASON COUNTY u) Cn COMMUNITY SERVICES �^°E `EN RECEIVED BY: ,p,�� co>rf5 1 � Public Health(Community Health/Environmental Health) (1��/("/��[ !1'I 4151.6th 70,Street .Shelton, WA A 98584,ext.400 ,/-^� ers_V_ LA (^`'.I ■ ( QT ` �l�ll,,,,.`` a15 N.6N Street-$nellm,WA99584 SWV \ \,v`�'l` ~ lJ O Z to ON-SITE SEWAGE SYSTEM APPLICATION m 0 APPLICANT P•ZONE mr Braulio Arroyo z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g 5258 S 212th St. Kent WA 98032 m SITE ADDRESS-STREET,CITY,ZIP CODE •Tahuya a WA 98588 • 471 NE Collins Lake Dr. Y ry NAME OF DESIGNER PHONE I N Rod Left 360-698-8488 NAME OF INSTALLER PHONE a I CA ` I CA) TYPE(select one) DRINKING WATER SOURCE In O El U7lRESIDENTIAL OSS ECOMMUNITY OSS ECOMMERCIAL OSS E PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z I 1 ®PUBLIC WATER SYSTEM COLLINS LAKE COMMUNITY CLUB-14057 1 TYPE OF WORK(select one) p� E(NEW CONSTRUCTION I UPGRADES JREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I (51 SUBMITTALS 0 SURFACING SEWAGE G�EXISTING FAILURE D SHORELINE CO 1 q� Lv1.SDESIGN FORM(REQUIRED) it SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I iv EWAIVER(S)(IF APPLICABLE) 4 13068 sq ft 0 I , DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I see map r I O I0 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. OFFICIAL USE ONLY BELOW THIS LINE ,, vs+ UPGRADE/FAILURE SOURCE(for reporting purposes) //�� �! 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HO`SALE ❑COMPLAINT 0 OTHER: ���'4� , 'r ' INSPECTOR SOIL LOGS J_ COMMENTS 1 CONDITIONS j D . t' �� t i I/V//VS/ f'� -ram' °I Z ksc, t37/3--fit\ /`l�a�/� 11 / / I J f , .•el 7�z: 03(e Clis L✓ tl b+-)l /lots ), rk: ° dd,cSNA z a ti7, C 5 1, (1,?X- RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. APPROVED/ISSUED BY DATE INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATIONi WrZ (( \ 1z� �1�,s THIS FORM MAY I8E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 S. DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 3 1 — 5 2 — 0 0 0 0 5 A design will be reviewed when 3 copies of each of the following are submitted: °Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist °Scaled plot plan,including all applicable items on checklist. 0 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" "s ?--:, � f ;-14 °€ .r Pi 0' GIB .(6 C. " :,.:tit .., v} Permit Number: SWG 01-00 4-7 2) Designer's Name: Rod Left Applicant's Name: Braulio Arroyo Designer's Phone Number: 360 698 8488 Mailing Address: 5258 S 212th St Designer's Address: P.O.Box 2954 Kent WA 98032 Silverdale WA 98383 City State ZipCity State Zip - ,_. r • � �\7�Q�.s�f N�4+�lT��:'l.l'JaW ''^'.;_.-z ;,..,-7,!,--,:J .. .-.., a .is :5.ram 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 ElPressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 3034 Daily Flow:Operating Capacity 360 gpd Length 45 ft Daily Flow:Design Flow 480 gpd Diameter 1 in Septic Tank Capacity 1500 gal Number 6 Receiving Soil Type(1-6) 4 Separation 5 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices 67 Designed Primary Area 800 ft2 Diameter 1/8 in Designed Reserve Area 1200 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length a70 ft Schedule/Class 3034 Elevation Measurements Length 70 ft Original Drainfield Area Slope 2-3 % Diameter 1 in New Slope,If Altered 2-3 % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 8 in Transport Pipe from Original Grade Do -slope 7 in Schedule/Class 40 Designed Vertical Separation 24 in Length 92 ft Gravelless Chambers Required? 0 Yes 0 No l'Optional Diameter 2 in Pump Required? Br Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 12 Difference in Elevation Between Pump Shuto and Uppermost Dose quantity 40 gal Orifice ft Chamber Capacity 1500 gal Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 31.4 gpm fifTimer ❑Elapse Meter 1'Event Counter Calculated Total Pressure Head 32.7 ft If Timer: Pump on 1 min 12 sec ,pump off 2 hrs Comments APPROVED -luN 2 7 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 3 3 1 -- 5 2 -- 0 0 0 0 5 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lid Test hole locations Drainfield orientation and layout Reference depth from original grade: P1 Soil logs g Trench/bed dimensions and sof Septic tank It Property lines critical distances within layout l 1' Drainfield cover P1 Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: 21 Measurements to cuts,banks,and locations lid Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom O Location and orientation of 121 Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components g Orifice placement Other cross-section detail: FZI Location and dimension of It Lateral placement with distance 61 Observation ports/clean-outs primary system and reserve area to edge of bed Other Information • Buildings g Audible/visual alarm referenced Yes No gi Direction of slope indicator g Scale of drawing shown on scale CI 0 Design staked out It Waterlines bar 0 0 Recorded Notices attached g Roads,easements,driveways, 0 g Waiver(s)attached parking g 0 Pump curve attached g North arrow and scale drawing g 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer must be notified by ins ler at time of' tallation stf Yes 0 No /Z•5o•Z62.q Sign 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: G Environmental Health ecialist Date • CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. Lock/ ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: �1J� ✓ 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 Pump Selection for a Pressurized System -Single Family Residence Project ARROYO/22331-52-00005 Parameters DischcrgeAsssrrizty wSze 20o ict 160 TraspertLercal 92 bat TrarspatPipeCLass 40 TraspMLineSize 200 itd u.. DsitufgvatveModd Ncre 140 Max E1eaason Lit 15 feet Maifdd L engh 70 feet Ill III 11 Ma Aid PipeC lass 40 MaritidRpeSize 103 idiIts N inter oil alsparCell 6 120 Laval Leigh 45 fad Latral Pipe Class 40 Lahral Pipe Size 1.03 idire. OrifeeSize 1/8 idie, Orrice Spacing 4 fed I 100Resiiva Head 5 fed FIcwMela None id re. AtidaiFrOa'Losses 0 = 80 Calculations0.43 gxn NurbacfOri&,eZone 72j31.4 gmNdsZcre 6 ;n 60 24 % f- ,'Ill! iIOOhIP'iflfluiihIIII , . Traspat�fiaiy 3.0 fps Frictional Head Losses 40111111 ■7i:1111'1""""11" Loss traiDisdn 1.9 fed , ' E. I cgs inTrasport 1.6 fed JJ !) 1 rs sttrouq- Jie 0.0 feet 1 Loss inMarifd 8.9 fed Lcss in Isiards 0.3 fed 20 • • Lcsstra FbArrstr 0.0 fed - Adfm'Fr dun Losses 0.0 fed I Pipe Volumes VdcfTraspotlie 16.0 cars 00 10 20 30 40 50 60 70 80 VddWaritld 3.1 gas Net Discharge(gpm) VddLataals pa-are 121 gas 1121 Wire 31.3 gals Minimum Pump Requirements PumpData Legend DiFtavRale 31.4 gm PF5c05Hi 1HeadEluertPurp SistnCuve TctdDynaricHeed 327 fast 53GPty 12HP 115M0V1060Hz20(Y2300060Hz PurpCwe: — PurpOpirla Rac OprgPcirt O is lraS i a IV Mk III 41, Dcs41Pdrt O Ak. a y I. ,r .1 re r. I:. _ %., APPROVED O`er R.' LEFT LICENSE.DESIGNER hf'ss//1/ /!/ ///tam °mem,system, EXPiR S 12i101 JUN 2 7 2025 Incorporated G•� ' Wty World Des A%urrvaml MASON COUNTY ENVIRONMENTAL HEALTH RET Mason County WA GIS Web Map I ..., r> ---\, 1 /7/ .,,, ,..P 4' :.-- - I e 4. _� Erdman L F ' / i - C^ram- '_ - ' \ f� �� • /7 r' _ i / r�f --`— -- rr Liif• \ ' Y..r �' L�1 I III'-II{I{�I/��'1, --�. _�,'='ter 1 a i.l: FYY . f ~�� - .ice /^ I 'r N\ h .40k.1.' 'A''''A-r-..1.°•:.:i. ..:: • fl N\NN ".":r , ., \N._..--7--- ,,,-* 1 i I 2r ' 1 i •� -2 • 0 u :' 9/17/2024, 9:15:14 AM /� n���2r3� 0 A1� 2 vED 0.4mi 0i County Boundary �t t o f 0.1 JUN 21 2025 0.6 km No Filled MASON COUNTY ENVIRONMENTAL HEALTH 11 Tax Parcels (Zoom in to 1:30,000) R.ET Sources:Esri,HERE,Garmin,Interrnap,increment P Corp.,GEBCO,USGS, FAO, NPS, NRCAN, GeoBase, ION, Kadaster NL, Ordnance Survey, Esri Japan,METI,Esri China(Hong Kong),(c)OpenStreetMap contributors,and the GIS User Community Mason County WA GIS Web Map Application Mason County disclaims accuracy,reliability,or timeliness of website info,not liable for losses from reliance on it https://www.masoncountywa.govldisclaimer.php 2 0 \ >a= o m oy44J 'fit ). / 2 ��1� •1410 11______----\ 11 D N �� csi.ZD7 C.j111/1 $ CA A .... , O r m T1 D o / o -A- N Z rn N m ni 0 o —' a X CD D °i ;N4p4 z z (.71 Q. L�1, -I -n 40 . : ,:.:...::::::....:,:..::.::•.;:.:::.:1.\\*,:c:,,,,,,:.6,4:. . 0 s ' '•••...... 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