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HomeMy WebLinkAboutSWG2025-00234 - SWG Application / Design - 6/20/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360 427-9670,EXT 400 L 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: SWG2025-00234 C 00 fVq) APPLICANT JESUS ET UX VICTOR NICOLAS Phone: 360-970-0128 Address: 2133 MONTANA BLVD SHELTON, WA 98584 OWNER JESUS ET UX VICTOR NICOLAS Phone: 360-970-0128 Address: 2133 MONTANA BLVD SHELTON, WA 98584 SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: UNKNOWN Primary Parcel Number: 320305103005 Permit Description: Conforming repair 3bd ATU to pressure trench Permit Submitted Date: 06/20/2025 Permit Issued Date: 09/12/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/26/2026 (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. 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 U N TY DATE RECEIVED: / /0,c--- C >A ' MASON CO �p796 cn AMQYj1T RECEIVED ^ 5 RECEIVED BY:��/`��^ CO Cn �� Public Health & Human Services ((`�:(i`_�/,(" J I(Tv//��ti u) Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 (/� 415 N.6th Street Shelton,WA 98584 S W G 73 CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATIO % L--- 6 I II - cn . 2 4 29 m APPLICANT PHONE " J r VICTOR NICOLAS 360 970-0128 By ' ` t c MAILING ADDRESS-STREET CITY STATE.ZIP CODE — C 2133 MONTANA BLVD SHELTON WA 98584 En SS-STREET CITY,ZIP CODE •• SITE AE 2133 MONTANA BLVD SHELTON WA 98584 I N NAME OF DESIGNER PHONE O JIM HUNTER 360 753-1226 � C31 NAME OF INSTALLER PHONE a C C, CO PERMIT TYPE(select one) DRINKING WATER SOURCE O o ffRESIDENTIAL OSS ECOMMUNITY OSS El-COMMERCIAL OSS E.PRIVATE INDIVIDUAL WELL ED PRIVATE TWO-PARTY WELL Z 2 p Ifft PUBLIC WATER SYSTEM S�P N4 c Al TYPE OF WORK(select one) E E NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply)),/ CITABLE X REPAIR SUBMITTALS El SURFACING SEWAGE LI EXISTING FAILURE 0 SHORELINE W cc ffiDESIGN FORM(REQUIRED) El r SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025- 0 EWAIVER(S)(IF APPLICABLE) 3 ❑ YES 0 NO (7 X DIRECTIONS TO SITE AND SITE CONDITIONS(en locked gate) LAKE BLVD, RIGHT ON CALIFORNIA, LEFT ON MONTANA TO END ON RIGHT. r 0 -1 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 OCOMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS Z 91M 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 INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE IlikotArVill (67)2-cOl1 Cfzc,f � 'C 't1l'-°:S THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 , DESIGN FORM-PAGE ONE Assessor's Parcel Number: 32030-51-03005- -- A design will be reviewed when 3 conies of each of the following are submitted: ''Completed design form that has been signed and dated. '1 Scaled layout sketch,including all applicable items on checklist. Scaled plot plan,including all applicable items on checklist. 'd 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 1"X 17" ((((���� PARCEL IDENTIFICATION Permit Number: SWG JIZ- C01.., L1 Designer's Name: ADAM HUNTER VICTOR NICOLAS Designer's Phone Number: 3607531226 Applicant's Name: PO BOX 162 Mailing Address: 2133 MONTANA BLVD Designer's Address: SHELTON WA 98584 City State Zip OLYMPIA WA 98507 City State Zip Designer's Email JHANDASSOCIATES@HOTMAIL.COM DESIGN PARAMETERS Treatment Device / '61.i,,4-S4 ❑ Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 12 ATU NW-iI,:S'R ❑Other Treatment Level(check all that apply): J A JB J C I BLI J BL2 J BL3 J E J N �� Drainfield Type ❑ Gravity Ld Pressure ( Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class PC YO Daily Flow:Operating Capacity , .-i 0 gpd Length 67 ft Daily Flow:Design Flow '3 Le 0 gpd Diameter 1.5 in Septic Tank Capacity(working) !. gal Number 3 Receiving Soil Type(1-6) Separation (o ft Receiving Soil Appl.Rate O i LP gpd/ft2 Orifices Required Primary Area (ito V ft2 Total Number of Orifices 51 Designed Primary Area (0 0 '3 ft2 Diameter 3/16 in Designed Reserve Area 1 Q ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 201 ft Schedule/Class q 0 0 Elevation Measurements Length L 2- ft Original Drainfield Area Slope T % Diameter 2 in New Slope,If Altered t. 1., % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope Z.- in Transport Pipe from Original Grade Down-slope q " in Schedule/Class X( e Designed Vertical Separation 12 in Length 335 ft Gravel-based Drainfield Required? 0 Yes El No Diameter 2 in Pump Required? l 'Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff. in Elevation Between Pump&Uppermost Orifice 10.100 ft Dose quantity (oO gal Drainfield Squirt Height/Selected Residual(hea 2 ft Chamber Capacity(flood) 1200 gal Pump controls:Please check those required. Uppermost Orifice I2(Higher 0 Lower than Pump Shutoff VI-Elapse Capacity @ Total Pressure Head 29.895 gpm d Timer Meter ld>rvent Counter Calculated Total Pressure Head 17.762 ft If Timer: P o c1 S,'2- ,Pump off q(S Comments APPROVE SEP 12 2025 MASOM COUNTY Ft4VMRONMENTAL HEALTH RET Revised:4/14/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32030-51-03005-- -- Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 171 Test hole locations a Drainfield orientation and layout Reference depth from original grade: 0' Soil logs 0' Trench/bed dimensions and E Septic tank 0' Property lines critical distances within layout ®' Drainfield cover N Box alve box locations g Existing and proposed wells D- Reference depth from original grade within 100 ft of property 67 Septic tank/pump chamber and restrictive strata: 0' Measurements to cuts,banks, and locations a Laterals,trench/bed,top and surface water and critical areas a Observation port location bottom 0' Location and orientation of 0' Clean-out location ®' Curtain drain Sand augmentation for curtain drain and all absorption RI Manifold placement components l' Orifice placement Other cross-section detail: 1 Location and dimension of L Lateral placement with distance a Observation ports/clean-outs primary system and reserve area to edge of bed Other Information II Buildings 0' Audible/visual alarm referenced Yes No 0' Direction of slope indicator 0' Scale of drawing shown on scale Pi 0 Design staked out 0' Waterlines bar 0 0 Recorded Notices attached 0' Roads,easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components 0' 0 Pump curve attached 0' 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 must be notified : jell1j f e of installation 0 Yes C' No Ofik Signature :f D 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: CCM °I (1'0//c Environmental Health Specialis Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. /' h4 ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: I� f j� ✓ 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 I MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 32030-51-03005 DATE SUBMITTE 06/20/25 LEGAL/LOT#: SUBMITTED BY: JIM HUNTER APPROVED APPLICANT: VICTOR NICOLAS SEF 2 ?025 ADDRESS: 2133 MONTANA BLVD MASON COON SHELTON,WA 98584 rYENWRONMENTAL HEALTH I. CALCULATIONS RET 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= 603 FT2 TRENCH LENGTH OR BED CONFIG. = 201 FT II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZI NUWATER BNR 500 TANK 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 0 MATERIAL/SEASONAL SATURATION= >1'-0" FILL DEPTH = 1'-0" TRENCH WIDTH = 3'-0" IV. PUMP REQUIREMENT DOSING VOLUME IN GALLONS= 60 NUMBER OF DOSES PER DAY= 6 II V.PRESSURE CALCULATIONS J USING PIPE CLASS 40 Y' La LS ORIFICE 3/16 r „ ,� ' cw.,n Tait.' c. !. .1,2.,: f.-) 2...st. �``' ,,, •sue ' S i Alt,.!i I O' 1,11t 4f S R ^!q fiffER LICFNSEn bFSr, rR E';P zS: 03/22/2G PAGE 2 LATERAL#1 = SQUIRT HEIGHT(FT) 2.00 (NOTE(2):ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X SQ ROOT OF(TOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.58618 LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING= 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE= 9.965 n c, 0 LATERAL#2= z -r1 SQUIRT HEIGHT(FT) 2.00 0 ORIFICE DISCHARGE RATE= 0.58618 z m LATERAL LENGTH IN FEET= 67.00 -p ORIFICE SPACING = 4'0" w S 73 DISTANCE FROM END CAP= 1'6" m p Iv O NUMBER OF HOLES= 17 z ^.) Z ^'0 LATERAL DISCHARGE RATE = 9.965 �'' m ),- LATERAL#3= SQUIRT HEIGHT(FT) 2.00 ORIFICE DISCHARGE RATE= 0.58618 i LATERAL LENGTH IN FEET= 67.00 ORIFICE SPACING = 4'0" DISTANCE FROM END CAP= 1'6" NUMBER OF HOLES= 17 LATERAL DISCHARGE RATE = 9.965 LENGTH DIAMETER FLOW FRICTION LOSS 1 SECTION (FT) (IN) (GPM) (FT) AB 335.00 2.00 29.895 5.186 BC 1.00 2.00 19.930 0.007 CD 5.00 2.00 9.965 0.010 DE 67.00 1.50 9.965 0.458 TOTAL= 5.662 "TOTAL HEAD LOSS "' 1 /*'%1 / 1) FRICTION LOSS THROUGH SYSTEM = 5.662 'W.f., 1 r: 2)ELEVATION DIFFERENCE = 10.100 ;4, ..'`'.P; 2.000 3) RESIDUAL ���, s 4 1..:5':,�•1,, I . TOTAL= 17.762 4�. 4 {'.ati s, �,) 19', Stu._,3 %. 0, pm', rR;Y;Tcn i. LICrt•iSri)(1c.S! -4 c5ci=5.t_ C3":i_ E .t'ff!`•:S: 01/2.2./1,q MYERS ME45 SERIES • • • • CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 I5 50 1 z 40 • E s/i1 HP 9 Z 30 z / 6 T � : ± __ • 0F. 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