16602 109th Lane - 15 106104 BS w
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_.� � T'hurston County Permit Assistance Center
� ,� �;' 2000 I.akeridge Dr. SW,Olympia,WA 98502
,,°ti" � ��iR Z 3� �d�5 �� (360)786-5490 / (360)754-2939(F�)
°'�a �, '��:i TDD Line(360)754-2933
- - �� Email:permit(�.cathurston.wra.us
—'- ' �vw�v.co.thurston.wa.us/perniittin�
THURSTON CaUN'1�� __._ _. ..__--._ __.__.._
,,,�E,S,� Creating Solutions for Our Future
MASTEl2 �iPPLICATI01�
STAFF USE ONLY DATE STAMP
15 106104 BS
Permit Type: Site Application THURST(7N COUNTY
Sub Type: Residential RECEIVED
site: 16602 109TH LN SE YELM WA 98597
AssessorPropertylD: 22729320604
'`�'''� � � ����
Applicant:Dave Young/DB&R Inc DEVELOPMEN7 SERVICES
Owner:RICKY D&GRETCHEN A MCGUIRE
Intake by: r
The Master Application is required for all projects and shall accompany roject-specific supplemental
application(s). The Master Application may not be submitted alone.
Property Tax Parcel Number(s): Z � 7 �Y .�� 4 6 � y
Subdivision Name(if applicable): �� ��--3 7 Lot#:
ProPerty Address: ��� C>Z l�y � �-151 City: �,��yy, State: Zip Code:
Directions to the Property: . _ _ _5� _
Y� 1� � /3��� �,-l/� !�4/, :m�,�d,-��� ,,Q�" �k �� ��d v-r �s� 1��
; �.. �- a� !� 9 � � /� t o ti f c v v�r., � �- � l� f %s �.f ca v�h -P ►--
Property Access Issues(locked gate,code required,dogs or other animals): ❑No �I'es
If yes,Describe: J' � � �° � � � C�«. � �..c�,��s� �/ �� � fL�� �.,��dri
OWN R IS RESPONSIBLE FOR SECURING ANIMAL '��'t
a� `� .��' ���
DESCRIPTION OF PROJECT PROPOSAL
S=�� �--�� � S y s f,� � �-� s ,j- � � r � `�/�1� �
,l°�l�'�Y� I 1��.�'�wr� �—�'
� � �-3 ��
Revised 8-13 Form No. MA001
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Thurston County Permit Assistance Center
Master Application
Page 2 of 2
Type or Print: Additio�znl property ow�zer sheet cn�:be obtained online nt ivwiv.co.1/�rtrstorr.iva.rrs/nernritti�te or copy obtaii�ed
from tlze Permit Assist��tt Center.
Property Owner(s): CY���"�r � � '� i �� � C't�c. :�/� �
Mailing Address: %�� � y � � � S�
City: ,'"��lov. State: �i� Zip Code: ��� !�'
Phone#: �9_�j� � ��I �� Ext. Fa�c#: '
Cell#: ��� - ��-r - !�7�°� E-mail:
r �
Signature:X Date:
AppliCant(if different than owner): �� C
� Z,�� G%1L14�
Mailing Address: 1� � �/ �L- � �
City: G w t >" State: �✓� Zip Code: �-
Phone#: �� O -- Z!'o G1 �— 3 7 7 Fax#:
Cell#: � E-mail:
Signature:" Date:
Point of Contact:
Mailing Address: '
City: State: Zip Code:
Phone#: Ext. Fa�c#:
Cell#: E-mail:
Signature:* Date:
BILLING INVOICES
The base application fee charged at the time of application covers base hours listed on the fee schedule. When the base
hours by a Department are used,a inonthly billing invoice will be generated for additional hours at the hourly rate listed
on the fee schedule. Should review of the project exceed the base hours allotted,billing invoices shall be rnailed to:
QOwner �Applicant ❑Point of Contact
YApplication is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar
with the information contained in the application and that to the best of my knowledge and belief,such information is true,
coinplete,and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the
agencies to which this application is made or forwarded,the right to enter the above-described location to inspect the proposed,
in-progress or completed work. I agree to start work only after all necessary permits/approvals have been received.
Revised 8-13 Fonn No.MA001
� � • Thurston County Environmental Health
;� 2000 Lakeridge Dr. SW Olympia,WA 98502
(360)867-2673/(360)867-2660(Faac)
TDD Line(360)754-2933
THURSTON COLTNTY www.co.thurston.wa.us/health/ehadm
���E�R,�
Supplemental Application
ONSITE SEWAGE SYSTEM
STAFF USE ONLY DATE STAMP '
15 106106 H D THURSTON COUNTY
Permit Type: On Site Sewage Systems RECEIVED
Sub Type: On Site Sewage System
site: 16602 109TH LN SE YELM WA 98597 �IAR 0 9 2����
AssessorPropertylD: 22729320604
DEVELOPMENT SERVICES
Applicant: Dave YoungJD6&R Inc
Owner: RICKY D&GRETCHEN A MCGUIRE
Intake b : -'" -
This application cannot be submitted alone.In addifion to this form, a c` plete package includes:
Applicant Staff Use
Use ' : SUBMITTAL CHECKLIST Onl
Master Application. ❑
`� For new septic systems requiring a design: �
�` a. Site plan(5 copies- 11"X 1T'maximum size), 1"=20' or 1"=30' scale.(See attached checklist)
b. On-site sewa e se tic stem desi 3 co ies
• � For replacement of e�usting sepfic systems requiring a design:On-site sewage(septic)system design �
3 co ies .
� For submittals not requiring a design: (e�mples: sand filter and/or mound rebuild using existing �
design,septic tank or pump chamber replacement,septic tank placement):Site plan(3 copies-11"X
17"maximum size .
� For onsite sewage system projects within a city jurisdiction,the application must be taken to the city �
for review and comment prior to submitting an application with Thurston County. If unable to obtain
� comments from the city,Environmental Health will route the application to the city. The project will
be laced on hold until comments from the ci have been received.
� Applicable processing fees.Refer to current fee schedules. Depending on the adopted fee �
structure, additional ees m occur i base hours/ees at intake are exhausted.
SEPTIC DESIGNER:
Name: /'?.��,� / f�r��r^y �.w c_c� Company Name: /�-�f--��l�t�/;ve !/c- S -' �� s
Mailing Address: City: State: Zip:
Phone#: �.5`�' - 9'.�`� � Cell Phone# FaaL#:
E-mail Address:
Revised 4/12/13 Form No. SA016
`. Thurston County Environmental Health
Supplemental Application for Onsite Sewage System
Page 2 of 3
JURISDICTION: ❑ Thurston County
Select one �Urban Growth Area of: �c%lz.,
❑ Ci of
CITY JURISDICTION REVIEW AND COMII�NT: ❑ Approved ❑ Disapproved
Comments:
Signature: Title: Date:
TYPE OF PROJECT:
�Onsite Se�vage System with Residential Site Plan Review
(Project includes a new structure or addition/remodel to existing structure)
❑ Onsite Sewage System only(HD�� (no change to structure that septic will serve)
�Residential Single Family ❑ Residential-Multifamily #Units ❑Non-Residential
�� �
TYPE OF PERMIT:
�On Site Sewage System ❑ Tank Only ❑ Sand Filter and/or Mound Rebuild or Replace
❑ Community Drainfield
WORK TYPE:
r
�New ❑ Repair of a Failure ❑ Modification Upgrade Number of Bedrooms:
WATER SUPPLY: ,�-Existing ❑Proposed
�8(Single Family well ❑ Two Party well � �'oup A ❑ Group B
System
Name of Community system ID#
ACCESS:
B,'Existing Access ❑ Proposed Access ❑ Private Driveway ❑ Shared Driveway
�Private Road � v � �� ,�,� 5 � (list name of road, if applicable)
, ❑ Public Road (list name of road,if applicable)
PROPERTY INFO:
Water on or within 300' of property: `�None ❑ Salt ❑ River/CreekfFlood Zone ❑ Lake/Pond ❑ Wetland ❑ Ditch
Name of body of water:
Has the property ever flooded? ❑No �Do not know ❑ Yes,when?
(If yes,slrow arec�on site p[a�:)
Slopes greater than 20%? �No ❑ Yes
APPEAL: Any person aggrieved by a decision,an inspection,or notice made by the Health Officer shall have the right to appeal the
matter as specified in Article 1 of the Thurston County Sanitary Code.
EXPIRATION•
Sewage System applications expire one year from date of application per Thurston County's Sanitary Cod,Article N, Section
9. This period may be e�ended for a single one-year period without charge,if specifically requested by the applicant prior to
the expiration date.
Revised 4/12/13
Form No. SA016
ALTERNATIVE DESIGNS
(360) 458-9548 P.O.Box 1962
Paul Morneau, Designer Yetm, WA 98597
SEPTIC SYSTEM DESIGN
Date Rev Scale Sht of
3-2-IS ORIG. NA 1 5
Site Client MCG��
16602 109�" LN SE
ossa# � 22� 29 3206 04
SUBMITTED TO: THURSTON COUNTY HEALTH DEPART'MENT
FOR APPLICANT: Dave Young 360-269-3877 owner:Rick McGuire
D B &R, Inc. 16602 109`� Ln SE
1149 Rush RD Yelm, WA 98597
Chehalis,,�,HUR3TON COUNTY
RECEIVED
��
�;�:;
SUMMARY j�lAR 0 9 20i5 ���: ��,
,���� �.;�
DEVELOPMENT SER1/ICES `''� '
BASIS: -�' '�'"
, ,�,,•�:��.
y � ,�a �:
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y '� .� � '��`
Size of System= 2_Bdrm `��`''' �C�.� ` �^�.
Daily flow for design= _240 GPD F,�, �!�,
Drai�eld soil type= 1_Type �".�'�'��'`tr�,
`��'
SEPTIC TANK: ��
Septic tank size req'd= _1000_Gal
DRAINFIELD:
A pressure distribution system is proposed for this site
due to its location in an aquifer sensitive area
Application rate= _1.0_GPD/Ft�
Absorption area req'd= _240_Ft�
Bed azea= 6.0' X 40' = 240 Ft�
Depth of bed below O. G 24 In
Min. bed bottom vert. separation= 36_In
Rock depth below pipe= 9 In
Volume of drainrock= 9 Yd
Filter sand below bed bottom= 24 In
ASTM C-33 sand req'd= 23_Yd
' ALTERT�iATIVE DESIGNS
P.O. Box 1962 Yelm, WA 98597
Paul Momeau, Desi ner (36 O)458-9548
�,, : °��.:: . P��5S Lt R� 17I5 TR18U7"1o�1 G a�G�5 .
�-� 1� Date Rev Scale Sht of
-� �,,��% 3- / - i s ��� � 2_ �
-�-��, Fr �� 5 �" .SIt2 �Q "/ t.� C�18IIt , ` "'`�
�•:.�r e `�� �#. � _._ �� �a Z. � .5� �G �l�- � ���-
-�, ._ .
_ 1 � � �Z27 29 32U6 Dy
PRESSLIRE DISTRIBLTi_'ION PIPINC
Orifice spacing 2- FT Mariifold diameter 2 IN
Orifice diameter 3 �6IN Manifold length �FT o IIV
Lateral length �� FI' v IN
Lateral diameter I-��IN Transport line diameter �- IN
Orif ices/L.ateral • �--o Transport line length t z FT
Number of Laterals �
PLIMP FLOW CAPAGITY
Residual pressure � FI' Orifice flow capacity -�9 GPM
Total flow = � 5 yGPM/Orifice x 2-d Orificies/L.ateral x 2- Laterals
_ �3GPM
PIPING FRICTION LOS.S
Use modified Hazen-Williams formula: f=Lx(Q/K) 1�� (K values for �y Z�oPVC pipe)
Transport line: K = �� s-? f s .!o�-
Manifold: K a 3i 5_?f = 1/3 formula value = ��� FI'
Lateral: K=!yz.�'Q = ll- g GPM/L.aternl, f a 1/3 formula value s �� 7 FI/'/�� .� � �� � =�� � ��
C G
?OTAL PtIMP HEAD
� �:v
E(evation difference �� � FT 5'Q-7 - ���� �'�P�= D 2 r4/OV A G G
Residual 2, o FI' %Z��) �z f/ No j'r o"K �� �
Transport Line Loss -/o Ff j�/�) 3 �,�- x _ ! 8 $ - - y�
Manifold loss -o I FI'
Lateral loss �`!FT /'1 ���� S o -�'` � , �I 2- _ �Z. 6 �
Total dynamic head �. [ �FI' ~ �
� 7
DOSE VOLUME & G�-iAMBER SIZE
Z� � � �
Daily wastewater volume Z y�GPD, Dose/Day based on soil class � Doses/Day � � 5�
Dose volume a yh'°GPD + � Doses/Day � `�S GAL/Dose ,.,ZS �
Chamber volume: Reserve volume 2 `�° X T� �o � � �° GAL
�e Volume, ��-�"�y F/ o =� ��oGAL
Controls& pump support �� GAL
Minimum chamber volume ��a GAL �! N
ALTERNATIVE DESIGNS
Paut Morneau, Designer (360}- 458-9548
;� -. �.,.
P.O. Box 1962 Yelm, WA 48597
., ^_ti<�.'•' PUr1 P AND PUMP TANK 5P� C �5 ,
�- � M �� � � � Uah Rev Scale Sht of
� ��.� j- � - �� r�,e �� --� 3 5
� 5,�� �o y f� «,��f
�M � „ � �- �./+! S� l"� LL. �
:,� , � ��.� t�i o G � � �
�
.���:.�. OSSA• TP•
� �, �z 7 � 9 3zo6 0`
HYDROMATIC Model SW_2-�_
32
� PUMP
W
W
� 2`' FLOW = Z3.6 GPM
0
= HEAD = 6-Z- FT
u 16 �
�
Q
z
r
0
J 8
Q
f-
0
�
TIMER :
�0 10 20 30 40 50 60 ��_ � �s. y 6 N�.
CAPACITY - U.S. GPM ON= `TEST AND SET TO GIVE
DRAWDOWN= � 8 GAL.
APPROX. ON= � MIN_ 2 SEC_
CONTROL PANEL,ovrs�OL� Bvll.DlN�
W! ALARMS,(AUUIBLE 8 VISUAL}� 7"'�/�!�/�.� O m 5� G oGc--/��t Y�, �/0-�75 e'c� ��N��
COUPUNG J`r(� *eY�
JUNCTlON BOX CHECK VALVE
COYER, REMOVABLE
W / WATERTIGHT SEAL •
EFFLUENT TRANSPORT LINE
� " PVC PIPE
FROM SEPTIC TANK P U M P T A N K
4 " PVC
FLOAT SWT.S
o N ALARM VOLUME= J��d G a I. rI�N
pL oAT
T��`c �N � DOSE VOL.= y g C�ta�.
. ", :.�? �(
, , . ._..� �J
�-OFF � � � �� � LC /� �� c
� S�PT l� TffN l� vvTl-�T I=/�TE2
�LOAT SWT'S. �
SHALL NEVER
TURN PIJMP ON.
ONLY THE TIMER
TURNS THE PUMP ON.
VicinitXMa� ������IdaT`�/ � �� 5 �+��IS
�m��A� Paul Morneau, Designer (360)- 458-9548
��� P.O. Box 1962 Yetm, `�JA 98597
�
d`� YELM `!o S I T� P L !`i !V
McKenna
Baid Hills Rd °''" 3-/- / � R"' Q f.� 1� s�'/Yc�`'�� s�a �/ °f 5
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100'R
Neig6bor's Well (•r �
� � Site Plan
� RV Port SCALE:1"=50'
� W D� io zo so ao
�-Existing Gar. 0 50'
Well I
No Wells found W/in
100'of Properry Lines
Contour Lines per GeoData
Main
S.T.� Res.
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