16602 109th Lane SE - 15 106104 BS 04022015 �
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������ R{�' Thurston Coun Permit Assistance Center
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? � .` 2000 Lakeridge Dr.SW,Olympia,WA 98502
,�' � ��►� Z �' ����J �� (360)786-5490 / (360)754-2939(Fa�c)
's''���- � � t�� TDD Line(360)754-2933
_ - � Email:permitn,co.thurston.���a.us
THURSTON (,�U � �vtiv�v.co.thurston.�va.us/pern�itting
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,�KE,S>> Creating Solutians for Our Future
MASTER APPLICA'�IOl�
STAFF USE ONLY DATE S�'AMP
15 106104 BS
Permit Type: Site Application THURb"'"V'aN COUIVTY
Sub Type: Residential RECEIVED
site: 16602 109TH LN SE YELM WA 98597 t��� � � ��15
Assessor Property ID: 22729320604
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Applicant:Dave Young/DB&R Inc DEVELOPMENT SERVICES
Owner:RICKY D&GRETCHEN A MCGUIRE
Intake by: j
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 �.� 3� 4� o y
Subdivision Name(if applicable): .i,S ��--3 � Lot#:
Property Address: ��� C'� 1 v�/ � �-/5l City: �,��yy, State: Zip Code:
Directions to the Property: �`�
,_ �� 1� /3��� �.-l�� �n/ :m�,�d,��� _
� � � �7�' �� �� L�o rr ��s 1�c�
; � � cy� !� 1 '�y � /7� �'a �-f CG v!�'N � l'— � �� f %s �.� c�v�h � r
Property Access Issues(locked gate,code required,dogs or other animals): QNo �I'es
If yes,Describe: j� � � ,° e � �cr. � �,rx-.c�/a� �/ I�-� �>F L �C.�o�
OWN R IS RESPONSIBLE FOR SECURING ANIMAL$..B �O�'1
DESCRIPTION OF PROJECT PROPOSAL
a� `� �� �°�
,��� �,� c �Y s f� t� �-e S �'s-c-L � Y� � ��� `.
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✓°�X 'Y� ��. btt'�rN1� ���'
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Revised 8-13 For�n No.MA001
-- _ �
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Thurston County Pei7nit Assistance Center
Master Application
Page 2 of 2
Type or Print: Adrlitio�al properry owner slteet cnn be obtained online a1 wwiv.co.tlu�rstoa.iva.us/nermittine or copy obtained
froni tlze PermitAssista�tt Center.
Property Owner(s): �e-�tc� �- vc. 9�' i'�� c �- %j" �-
Mailing Address: ��� � Z � � � ��
City: ���1�. State: �,,� Zip Code: ��5 1
Phone#: �Q_�n - ��I �� Ext. Fax#: �
Cell#: �/' �� - ��-[ - /�7�°r - E-mail:
�, . ,.._
Signature:'� Date:
AppliCant (if different than owner): -� G d�- 2-'� �'�-N
Mailing Address: 1� � �'/ �z �-[- 5 �
City: G � t i State: �✓tt Zip Code: �—
Phone#: �� O �- Z rv �J � ?l 7 7 Fax#:
Cell#: E-mail:
Signature:" Date:
Point of Contact:
Mailing Address: '
City: State: Zip Code:
Phone#: Ext. Fax#:
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. V�7hen the base
hours by a Deparhnent 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 mailed to:
QOwner �Applicant �Point of Contact
XApplication 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,
complete,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 inade 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
Supplemental Application for Onsite Sewage System
Page 2 of 3
JURISDICTION: ❑ Thurston County
Select one �Urban Growth Area of �yc/i2,
❑ City of
CIT'Y JURISDICTION REVIEW AND COMl��NT: ❑ Approved ❑ Disapproved
Comments: c/%. �
Si ature: `� Tifle: Date: � /�
�
TYPE OF PROJECT:
�Onsite Sewage System with Residential Site Plan Review
(Project includes a new structure or addition/remodel to existing structure)
❑ Onsite Sewage System ollly(HD)' (no change to structure that septic will serve)
�Residential Single Family ❑ Residential-Multifamily #Units ❑Non-Residential
�1y �
TYPE OF PERMIT:
�On Site Sewage System ❑ Tank On1y ❑ Sand Filter and/or Mound Rebuild or Replace
❑ Community Drainfield
WORK TYPE:
�New ❑ Repair of a Failure ❑ Modification Upgrade Number of Bedrooms:
WATER SUPPLY: ,�-E�cisting ❑Proposed
�8(Single Family well ❑ Two Party well � �uP A ❑ Group B
� System
Name of Community system ID#
ACCESS:
1�Existing Access ❑ Proposed Access ❑ Private Driveway ❑ Shared Driveway
�Private Road � ci e"�f� ,L f Y S � (list name of road, if applica.ble)
, ❑ Public Road (list name of road, if applicable)
PROPERTY INFO:
Water on or within 300' of properiy: `�None ❑ Salt ❑ River/Creek/Flood Zone � Lake/Pond ❑ Wetland ❑ Ditch
Name of body of water:
Has the properly ever flooded? 0 No �Do not know ❑ Yes,when?
(If��es,show area ofi site pla�r)
Slopes greater than 20%? �To ❑ 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 IV, 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
e
�
~ • Thurston County Environmenta.l Health
2000 Lakeridge Dr.SW Olympia,WA 98502
; (360)867-2673/(360)867-2660(Faaz)
TDD Line(360)754-2933
THURSTON COUNTY www.co.thurston.wa.us/healtlllehadm
SII�E 1852
Supplemental Application
ONSITE SEWAGE SYSTEM
STAFF USE ONLY _ DATE STANIl' . ,
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 ��� 0 9 2015
Assessor PropertylD: 22729320604
DEVELOPMENT SERVICES
Applicant: Dave YounglDB&R Inc
Owner:RICKY D&GRETCHEN A MCGUIRE
Intake b : -°'
This application cannot be submitted alone.In addition 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 17"maximum size), 1"=20' or 1"=30' scale.(See attached checklist)
b. On-site sewa e se tic stem desi 3 co ies
� � For replaceinent of e�sting septic systems requiring a design:On-site sewage(septic)system design �
3 co ies .
� For submittals not requiring a design: (examples: sand filter andlor 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 curYent fee schedules. Depending on the adopted fee �
structure, additional ees m occur i base hours/ees at intake are exhausted.
SEPTIC DESIGNER:
Name: %?�..�:/ /�'�/�r^1� � e c,c.� Company Name: 1'� c - ��/; � � y �' �t s
Mailing Address: City: State: Zip:
Phone#: �,5`y �- q.�"� � Cell Phone# Faar#:
E-mail Address:
Revised 4/12/13 Form No. SA016
ALTERNATIVE DESIGNS
(360) 458-9548 P.O.Box 1962
Paul Morneau, Designer Yelm, WA 98597
SEPTIC SYSTEM DESIGN
Date Rev Scale Sht of
3-2-15 ORIG. NA 1 5
Site Client MCG��
16602 109�H LN SE
ossAa � 22� 29 3206 04
SUBMITTED TO: THURSTON COUNTY HEALTI-I DEPARTMENT
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�HURSTON COUNTY
RECEIVED
�=�-�;�
suMMaxY �IAR 0 9 20i5 ;��'. �
,�-%`�'•.r
DEVELOPMENT SERVICES `�'"' �
BASIS: �;>'=.,.� '�r; r.
r r
r;•�� ,; •,.�,� ���;�;�
, .
.t�.�' A A :Sh:
r� y ` ?,� ��V'
Size of System= 2_Bdrm ,,,,�` ���� ` :-r,��.
� �".
Daily flow for design= 240 GPD ' F,,�, ^'�;
Drai�eld soil type= 1_Type t"`�'�����7�'
�^, �,��J.�
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
eY�r�* �nWiiNlIltilYi�l�OIAIIIfInWrr�linM..
ALTER�iATNE DESiGNS
;� P.O. Box 1962 Yelm, WA 98597
,�
Paul Momeau, Desi ner (36 O)45&9548
` , v,,;..::, P,��SSCtR� DISTR.I$UT10�1 cAL.G�S .
y�� T;,:
1•�' Date Rev Scale Sht of
� ��'` � �- / - l 5" O/�i � 2... ,5"
=� �.�.
` � site /0 9 � client --'
' 14'I G ..C�'�-a l�C l �"z �-
Fr
� ��;re������ lG 6a2- � .S� --�
1 � � �z27 2q 3zv� oy
PRESSURE DISTRIBLTTiON PIPING
Orifice spacing 2- F1' MaiYifold diameter ?IN
Orifice diameter 3 �6� Manifold length .�_FT °Il�1
Lateral length y� F1' v Ild
Lateral diameter I-a5`IN Transport line diameter 2 IN
Orif ices/L.ateral � '2-d Transport line length l?-FT
Number of Laterals �
P[1MP FLOW CAPACITY
Residual pressure 2 FT Orif ice flow capacity -�9 GPM
Total flow � � 5 y GPM/Orifice x z-d Orificies/L.ateral x 2- Laterals
� �3GPM
PIPINC FRICTION LOSS
Use modified Hazen-Williams formula: f=Lx(Q/K) i�� (K�ralues for �i ZoopVC pipe)
Transport line: K = �� s Z f a �!o FI-
Manifold: K a 3�5'_?f � 1/3 formula value � ��� FT
L a t e r a l: K a 1 Z z.�Q = /1. S G P M/L a t e r a l, f a 1/3 f o r m u l a v a l u e � �/ 7 F l'/!� x z �a � _�� � ��
l�
TOTAL- P IMP HEAD
Elevation difference %� ��� �'� o Pl P� 02 r4�N �4 G G
? F1' � '7 -
Residual 2, o FT -,�„� i 2 f�` tyo j7r�o�-:�r �� �
Transport Line Loss -/�FT ��/�� 3 ��-- x _ � 8 $ - - y�
Manifold loss -o� Ff �
L.ateral loss . 3 y FT �j �"� S_� x - ��2. = 3'�
Total dynamic head �. ! �FT � � ' z y
� 7
DOSE��OLUME& Gf-LAMBER SIZ.F �� � � �
Daily wastewater volume Z y�GPD, Dose/Day based on soil class � Doses/Day T � �� ��
Dose volume s Zh'�GpD + s' Doses/Day = `�8 GAL✓Dose s
Chamber volume: Reserve volume z `jO 'r T 5 `�o � � �° GAL
�a Volume, ,��,-�y F) o � z�oGpL
Controls& pump support ?�° GAL
Minimum chamber volume �d°�,�,L �1 r �/
ALTERNATIVE DESIGNS
Paul Morneau, Designer (360�- 458-9548
P.O. Box 1962 Yelm, WA 48597
.:�.�
: � <,'�-1 PUNP AND PUMP TANK SP� c 5 •
��r� Rev Scale Sht 2 of �
.,•z ��; � � ., [late� / _ �� d���7 .._.. /
r
.�.� � :� �
sire �p g f� uient
�M ��� 1�� D� �/u S� �"�G .-(�-� � � � �'�
�,,�_� r �.i��.�. � o
� , ��a; r'Cx"�f �; � OSSA• TP•
� �, �2 7 2 9 32.06 of
HYDROMATIC Model SW_2-�
32
�
PUMP
W
W
`� z4 FLOW = 23,6 GPM
0
W HEA� = 6-z- FT
_
u 16 �
E
Q
z
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O
� 8
Q
H
0
�
TIMER :
�0 10 20 30 40 50 60 ��- � �S. y 6 -MIN.
CAPACITY - U_S. GPM ON= TEST AND SET TO GIVE
DRAt�VDOWN= 4! 8 GAL.
APPROX. ON= z MIN. 2 SEC.
CONTROL PANEL,OVTSrO� Bvll.DlN�
W/ ALARMS.�AUDIBLE 8 VISUAL�� 7"'!JYI�1�� P m 5� G°L`- ��`Y>, El°"PS'�d ����
COUPLING J`�/� �'�eY'
JUNCT!ON 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
oN ALARM VOLUME= J�d bGal• l7/IV
pL oAT
-r��� oN �� DOSE VOL.= y S G•.l.
,a �--.�
, ,'.- �,�
�oFF �{ ,� �i !�L 1 E lZ �,� `
�� S�,�T�c Tf�N l< vvTL�T I=�L-TE2
F`LOAT SWT'S.
SHALL NEVER
TURN PUMP ON.
ONLY TI�E TIMER
TURNS THE PUMP ON_
vicini lvta ,�L� ��N�TI�/ E �� S�Gi�IS
�m���, Paul Morneau, Designer t360)- 458-9548
,�� P.O. Box 1462 Yelm, `rlA 98597
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McKenna
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Neighbor's Well , Site Plan
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L Existing Gar. ( 0 50'
Well No Wells found W/in
100'of Property Lines
Contour Lines per GeoData
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