Loading...
HomeMy WebLinkAboutSWG2022-00175 - SWG Application / Design - 4/4/2022 �r`''' ..;.• 415 N 6TH STREET,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 400 t•�t • ; COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 tludding,Pbnnuiy,Environmental H¢allh Community l ledth ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2022-00175 APPLICANT AMUNDSON KENNETH G & BRANDY E Phone: Address: PO BOX 1107 BELFAIR, WA 98528 OWNER AMUNDSON KENNETH G & BRANDY E Phone: Address: PO BOX 1107 BELFAIR, WA 98528 SEPTIC DESIGNER Dave Ghylin -Dave's Septic Service Inc. Phone: 360-710-2449 Address: PO BOX 301 SEABECK, WA 98380 Site Address: 55 NE Mast Rd Primary Parcel Number: 123307690054 Permit Description: New SFR - 3BR Gravity w/class b waiver Permit Submitted Date: 04/04/2022 Permit Issued Date: 05/26/2022 Issued By: Jeff Wilmoth Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/20/2025 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: www.co.mason.wa.us/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATERECENED• MASON COUNTY �lao N n COMMUNITY SERVICES AMOUNT RECEIVED: RECEIVED BY: CO Cl m J Public Health(Community Health/Environmental Health) C 360 N Street -h It rONA ,ezt.aoo SWG �^Q)a — ( /�$ O 5 415 N.6111 Sheet•Shelton WA 98584 (//yl(, z to ON-SITE SEWAGE SYSTEM APPLICATION 3 ,13 APPLICANT PHONE m m PJ r onc3-,y A W1 v✓16. ri CEO - -3Cn - C0^7 q I I- MAILING ADD SSX � -STREET,CITY,STATE,ZIP CODE � � � � � m SITE ADORE° -STREET,CITY,ZIP CODE • NI E Mci�-t- Rd , 3e1F-u+/ v`rA 9?5 1-- NAME OF DESIGNER PHONE rib cam- C. h1`i 1 % v 1 �CV0- 91U -ay�9 ►� NAME OF INSTALLER PHONE 0 I 00 PERMIT TYPE(select one) DRINKING W (/) 1"ATER SOURCE RESIDENTIAL OSS ECOMMUNITY OSS ILICOMMERCIAL OSS E PRIVATE INDIVIDUAL WELL AZPRIVATE TWO-PARTY WELL Z 10 TYPE OF WORK(select one) a PUBLIC WATER SYSTEM I KNEW CONSTRUCTION!UPGRADES E]REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I SUBMITTALS ❑SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE �I LJ!DESIGN FORM(REQUIRED) USEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE OW 1� EWAIVER(S)(IF APPLICABLE) 3 1 l . 0 I LO DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) 110 -'II Io 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 ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT CI HOME SALE ['COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS D --- ost. RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS R . IREDFORFINALAPPROVAL. IN" TOR SIGNATURE DATE APPLICATION EXPIRATION DATE T V,,N APPR D/ISSUED BY -` DATE 'f (,)Ar u g" T,IS F."MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE 111 REVISED 12/7/2015 �V:ri NI Aldo,.,Pod PI NE H°' ,VQG x` 'z eeP l , H a^c/,cyQ Sant- aria© TComm ty Par't AF • to `` P' 11_,,z//) .- r.$' t rc.M 3.e.1 PC-6 r CS- c G o t CC 4- 0 No r<--k-h 51nrore.. C tAi A-300 w) otevok- 1 ► -�\-e- u.-v-, �,cc\ VD s o,.,,,,,A \\ R-c\ cYo Pn k 4 5 r \e.s 1A- Y►/\ \e_CA- o V b t.--0.r50-Y1 16\•\iC1 \ nel1k___, A,i-,^ ?.-,c 1 cry `\K 0.c.P{-- iK A c6O S-h-o-sib\ A-1„\, -6-v-csk L ©a\ .-e crJ>r, l ) i Mason County WA GIS Web Map Y 7 s'.e -'<' 4• r Wit, - ds t t n'.' f .' ;; • ' . .. .Ill.*: .• • . .4011 1, d ._ t • t ,a .401.00------ . .. , /' ..y - ' I / , _ t - °' 4/4/2022, 10:32:09AM 1:1,529 0 0.01 0.03 0.05 mi LT] County Boundary I I + , 0 i f 1 0 0.02 0.04 0.08 km 11 No Filled ' Site Address (Zoom in to 1:3,000) Source Esn. Maser, GeoEye. Earthstar Geographies, CNESfAirbus DS. USDA,USGS.AeroGRID.IGN,and the GIS User Community Tax Parcels (Zoom in to 1:30,000) Mason County WA GIS Web Map Application Maxar.Microsoft I DESIGN FORM—PAGE ONE Assessor's Parcel Number: / 2. 3 Q -- -- G A design will be reviewed when 3 copies of each of the following are submitted: "Completed design form that has been signed and dated. " Scaled layout sketch, including all applicable items on checklist Scaled 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: SWGJWa — nc)1 .. Designer's Name: Dave Ghylin Applicant's Name: Brandy Amundson Designer's Phone Number: 360-710-2449 Mailing Address: PO Box 1107 Designer's Address: 2830 N Mission RD West Belfair WA 98528 Bremerton Wa 98312 City State Zip City State Zip DESIGN PARAMETERS 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 l 'Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 3034 PVC Daily Flow: Operating Capacity 288 gpd Length 50 ft Daily Flow: Design Flow 360 gpd Diameter 4 in Septic Tank Capacity(working) `,00 '1T gal Number 5 Receiving Soil Type(1-6) 4 Separation 3 ft Receiving Soil Appl. Rate .6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices Designed Primary Area 600 ft2 Diameter in Designed.Reserve Area 600 ft2 Spacing in Trench/Bed Width 3 ft Manifold Trench/Bed Length 50 ft Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope 2-3 % Diameter in New Slope, If Altered 2-3 % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope 10 in Schedule/Class Designed Vertical Separation 18+ in Length ft Gravelless Chambers Required? 0 Yes 0 No l 'Optional Diameter in Pump Required? 0 Yes ErNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump& Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head gpm ❑Timer PEPaR qtelf g. ent Counter Calculated Total Pressure Head ft If Timer: Pump ump o Comments 11A1 U Z ZUZZ MASON COUNTY ENVIRONMENTAL HEALTH JBW •DESIGN FORM—PAGE TWO Assessor's Parcel Number: t 2. 3 3 0 -- 7 ry -- q QQ S y Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations U Drainfield orientation and layout Reference depth from original grade: O Soil logs lirTrench/bed dimensions and g Septic tank O Property lines critical distances within layout ❑ Drainfield cover O Existingand proposed wells [lb-Box/Valve box locations P P Reference depth from original grade within 100 ft of property liir Septic tank/pump chamber and restrictive strata: O Measurements to cuts,banks, and locations 0 Laterals, trench bed, top and surface water and critical areas Ur Observation port location bottom 0 Location and orientation of l"Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: O Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed El Buildings g Other Information 0 Audible/visual alarm referenced Yes No O Direction of slope indicator Scale of drawing shown on scale Er 0 Design staked out O Waterlines bar 0 0 Recorded Notices attached O Roads, easements,driveways, r, 0 Waiver(s)attached f parking i PPR ® p E 0 Pump curve attached •P1 North arrow and scale drawing `` MAY 0 2 2022 ❑ Evaluation of failure HEAD- shown on scale bar MASON COUNTY ENVIRONMENTAL HEAD- ❑Wasttia ength cation Jaw 0 0 Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation Er Yes 0 No gift...) R z- 1 -2oz2- Signature of Desi er 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-si regulations: Envi if g,al Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: — 20 2S ✓ 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 General Designer Notes Owner Name: Brandy Amundson Reference: Lot Off Mast RD Tax# 12330-76-90054 #1 —Soil logs have been dug on this site and are the responsibility of the property owner or owner's agent to have these soil logs buried after the inspection process has been completed. #2—If during the construction process, soil conditions are found that may lead to premature failure of the system, construction shall stop immediately and the designer shall be notified. Such soil conditions may include but not limited to ground water, surface water, fill material, clay soil, bedrock, or excessively permeable gravels. #3 —Any substitutions or deviations from these plans shall be approved by the Health Department or the designer prior to construction. All changes of the system components shall be documented by the designer on the final As-built drawing. #4—Peak design flow is_360 g.p.d., Recommended daily flow should not exceed 288 g.p.d. or premature failure may occur. #5 —Backfill sewage disposal system immediately after final inspection process, cover soils should be loamy sand or better. Seed final cover with grass or shallow rooting ground cover. #6—Keep all maintenance access lids and ports accessible to ground surface. #7—Installer should rake the finished grade smooth and slope it to divert all surface water runoff away from tank and drainfield areas. #8— Setbacks from house foundation to drainfields and reserve areas are 10', septic tanks 5' and transport lines 2' unless otherwise stated within the design. #9—Driveways and parking areas must stay 5' from drainfield areas. Tanks may be located within parking area and driveways if approved for this application. #10— Sewage waste strength should meet the following criteria or be lower Bod-5 = 130-174 mg/1,TSS = 47-71 mg/1, FOG= 10-20 mg/1, PH =6.5-7.2 with microscopic life forms present. #11 —Installer must adhere to all manufacturer installation requirements for all products used. #12—The attached septic design does not represent a survey nor does it purport to show all easements or encroachments, if any. Designer recommends property lines be located prior to any final installation occurs. Surveys may be required to accomplish this. #13 —Property lines and corners have been represented by owner or owner's agent, the designer is not responsible for errors due to inaccurate measurements from property lines or corners that are inaccurate. #14—If a curtain drain is required with this design it must meet all Health Department installation requirements. #15 —Developers, homeowners and installers, installations of on-site sewage disposal system should always be installed in dry weather conditions. Irreparable soil damage may occur if systems are installed in wet conditions. Planning the installation of system is very important and should be done as early in the building development stage as possible. Wet weather conditions have caused delays in final approval dates. #16—Maintenance is required will all sewage disposal systems. Owners will receive details of this in the designer manual with the final approval of the application. #17—Adhere to all designer notes located on design layout page. #18—If development exceeds 10,000 square feet of impervious surface an engineered drainage plan may need to be submitted. Options are available to reduce square footage requirements, such as wagon wheel driveways, contact DCD for further details. Owners are responsible for any fa ; or.rdsiis or revisions that may be needed after BSA submittal not due to designer error. f4 #19—Low flow water fixtures are recommended within the home to help to he hydraulicoaKt system. MAY 0 2 ?Q� MASON COUNTYENVIROrV���ENTg1 1-4F4r-� #20—Watertight components are a must for all onsite sewage systems. Installers are required to ensure all components are watertight, extreme care should be used during backfilling of these components to prevent settling and or water intrusion issues. If leaking components are not fixed in a timely manner, the designers warranty may be void. #21 — Installation of this design must meet all Health Department regulations and all adopted policies by the Health Department that may apply. Installer is required to be versed in these regulations, if any questions contact designer. #22—All components used must be on State Department of Health approved products list for use with residential waste. #23 — Installer must inspect all tanks used at time of delivery and any tanks with defects must be rejected and not used. When using any existing tank, the installer must due a 24 hour leak test to ensure all tanks used are watertight. #24—All plumbing must be routed into the new sewage system that has been designed. It is the property owners responsibility to show the designer all plumbing stub outs and all gray and black water discharge points. A plumber may be needed on old homes to ensure that all stub out locations are connected to the new proposed sewage disposal system. An inside pump basin may be needed in some cases where plumbing is located in basements and elevations for a gravity discharge cannot be maintained. #25 —Do not use low profile chambers or the system will be red tagged. All lateral lines must be a minimum of 6"off the infiltrative surface. Lateral ends must be secured at the cleanout and must be in the center of the port. #26—Gravel trenches are recommended, but Arc 36" chambers are allowed. Specific Designer Notes: #1-This proposal is for a new three bedroom home. #2- A new private well is proposed. #3- Do not damage or remove the native soil conditions in any proposed drain field areas. PPRO OF MAY M4sonrc 2 202 2 oUNTYENVIR Je ONMENTriL HEALTy UI�/ 4 ..,,r8b cit454.. -..`` 0 N 1 1 i _ H D N.) x_a) co _c, C.,) v n' C.,) 0 = v O 4# Q n rn D zIII g 51" C) 3 v 1CD Z -' N 1��I ® 2 ---I ' o _• :, n °o' =11E1Inl Cn :,� s ;W. ,%4. 1� i7 0 2) 2) G 7t L+ JLi , T • A V z CD Cn q c. 0 co W a b a rn CD d) fD a) •�1 CCDD OCO 0- ? i "0 V `+X 0 0 0 N p m Q o 5. cn w Ni CD L 0 CD cn -a = CC) ND n xi o 5' cn CD 3 v cD v v �. o Q ( r+ -a a) Q - v Cr '' v i CP a o O 3 N — Q (D = _'• -0 ✓ (, CD N n -0 o ° , Q2 � � P p =, , ,.... Frj 0 (1) =cD D o � 5 I o cD I 0 e UI Ca 4 414soN ��NtVFN�? 2022 Jew MENrAk ye AL • OZ -6 0cnt -1 cncnm oo � � D m O - mcD 0m m n m •x o - Orn m ozD < z -i < rn m In v rn > 0 x x CO -0 0 > D w 0 a m m CD m =rrr �-i=1�f tfI 6 2 co ' o D D 0 rr `C—I o rn Z m n x < r- _ - m 1 0 0 i— All I .ff tini < tl III-III=111-III- _ - =1 — 0 s • O sSIi ��e• CO , 13t 0 t_vss4 5 *KO .o iiiP Cr) O iu m 0 � o p x C/) � (n G � � H T 2 O > �7 m pCD 0 Y O _< O to CD c � � o 0 m -< -I > -0 > CH C r rn II r- C m �- 0 rn m r 00 D r P P UVED ;` MAY 0 2 2022 MASON COUNTY ENVIRONMENTAL HEALTH JBW 24" PIP N :+ 0 0 �1 m I- --`) m `- cn Z 0 CD O I -� -0 2 m 1. �0Q7 x m 0rn 1I \ 1 lo < m ' — . X rn riv c n rnr 1mu(A., Z ° GO-Or- I rn O Z Zr O �3 11 Z r O ...< ,_,, 0..cn ° r-- O •Z D O z r n r O — rn ° I O < l., O - - m II — cmn N z • '� .,)a COl < co �+ 1 2 K D 0 11 CO D I m w CD T1 0 rn CDC 0 0 V 1_,2 3 o " cr CD D n Z CD CO rD (,7 I Co m D p CDn' 0 -< m i 5 r- o n 1SEE DESIG Z ED L D13 � O r IPmfy1012°202112 D mcn _ `nA�N COUNTYENV 1RVIVMEA rn, HEALTH Jaw ), �r T T \ 7/d i+,>5oe r ` w J!I / . _/ _ '' � c 4 '5- % 03 c. / f 0'NO IUILO ZONE AP *IN 1,NA) P.^ e .. ....,-.../ � � Nr11 °/tea 6\\Z--1'-- 11P.P'--- \ m 7/d/+,Z66 \...1._0> er ` I \ (:),______2 , 4 \ • m C N. _ - _ --... .1e.....S_____. ----________/....0.1::, 1 c - o - Ili „__ ..____ qs O I "N 1) m _ -,. . ). -----------„ /::_,,,'''''>-- ' t) 2 III � zit' Dj -riow To TI CD )` -IO mco� o - m)Jm0) oQ o� -� c cb 0 v a clmy � mmZ � a Q ODJ,,, = 1, 00Zm o � o -5 2 o c I o° om - o � z. � m o ii4.,, j.3 IPH nor- m cij rn o i44 441} � ` m rn O C c�D m m oo DO �� 1. Z 2 Co m =I a CD Q Z cD G� O cii ........ Ij y C..) ° IN a * * m o T Co rl Z ? O O Ln o' ,-: o f I (\ 'n o . 0 0 a < Co --C., a a -,co 3 - v cm0 to E - 3 0 o OC DJ - n p 4 •• 4 O - n' & m O r o o -. � m � Q o o O 00 m `° o0 O A 0 o . X n -, � - 0 3 p m a m p n 0 O o 3 n m c O —I cfl S .. `D ro O Q0 m )3 m Z o v ca C `„,, ,, o o ° Z Z p n m 2 v oF r -I o O m m Q o Z n z • N �. C S. V z _ ii a- 0 HVH XI DO O CO oo m � O Ni •m AONN O ‘141p i Co N.) 0 \ c k 4),- Itt, - 1) _ i NI Azt ay an,� NOISIAdd + ,,a,.; •r.':;• »,leitr -lit N�IAH'J1 a ttl0 ti5006-9L-OCCZ6 t/1-01 X ZZOZ-LE-� 6�bZ-OLL (090) ���� ;�' NOISIndd 09E26 dM '>10 /9d3S 4, ;tbi.),LZOZ-EZ-Z6 602 XO9 'O4 '•,` ''.► `= 31V0 '� ' ' ►;= - NOSGNl7WV AarvVeJ8 ,OOL = „I- "OM S33!A83S 3I1d3S S3AVO '►*' 37VDS :d3NMO ,00Z ,00L ,0 IMMIMINI7? •wajs,is 3ndas aqj Jo aanllOJainlowaad u!Jlnsal 1/IM sgp6uans ajsDM.ragblH** juasaid swaof aJ,l aldoaso.ialw l !M* *0L-86 :dW31 z'L-S'9 :Hd 7/J1/11 0'I-0 :00 / 7/9141 oz oI -DOd ` I 7/91/11 IL-LP :SS1 ‘4 �� 7/JW bL I-08I puowap ua6Axo 1o3lwatpo18 (O 'S JaMol aq JO DLiJi .) 6u!MolloJayl jaaw lsnw abosn 1DWJoN SNOIIIONOO AdO ONIdna 0731dNIVb'O 17V1SNl '8 311S 38Vdddd .V3z1V 073IdNIVd0INOdd AVMV d31VM 3OVddfS 77V1d3/110 HONI/N11A1 S 5 38 01 213/100 77V 0. 0 •,00L NIH1/M S773M ON I i s6ulpjmq ,, Oil !limn sou!'auoz 6ulpllnq ou ssoao 1ou o0 tien \ te, i Y0 . .n few azls pue uolleoo/eaie adolanua 6u!prn8 r/----\J "IN a I ONldVd7O N3HMS7/OS 10310dd .V3db 104:i • 07dldNIVd0 NIH11M dd13Wb10 NI ` mot (1�1 ,•wo°''s „ZL NVHI d31d380 S33d1 dOd 03oN3WW0038 SI ONION180 dWn1S 80 ON11117dS Wn1S r � ..1...... iS31ON 0HOb'llV3S '100d dOd100d •iij TiSd0iVd17IdNI HuM31n1IiS8nS d0 73/1V80 3Sn ANW d7VISNL •Alswagoad aaleM aoepnsgnS JO aoejinS pan1O oft\S/ pal!nbad ag AeW suleJO 1euo!Ilppy .�(ue71 `sluawuoeoloua JO IIIIIpw„.. lirf N, �d 1•`' w sluaasee Ile Moos of podind 1!saop you ' Aa,uns e luasaidai lou saop dew SILIj 831/11I V7OSIO , �,s� 3OVddnS O1 1HOI1d31VM 3915/1W S1N3NOdWOO/S>INdl 3OVN13S 311S-NO 77V 3dfSN3 Ol d377V1SNI I ` NOl1VA373 7VNld NO ONION3d3O Odd/nOdd 39 A b'W dtNnd -ate ealv plarlulea0 6upeelo craw s/io` a0 aueweo lou o0 M co ti 4 .y