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Home My WebLink AboutSWG2022-00363 - SWG Application / Design - 6/24/2022 415 N 6TH STREET,SHELTON,WA 98584 00; MASON COUNTY SHELTON:360-427-9670,EXT 400 fit' COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 Building,Planning,Environmental hlealth,Community Health FAX:360-427-7787 On-Site Sewage System Permit: SWG2022-00363 APPLICANT WYLLIE LANCE A&Al LING L Phone: Address: 6456 NW REDFERN CT SILVERDALE, WA 98383 OWNER WYLLIE LANCE A&Al LING L Phone: Address: 6456 NW REDFERN CT SILVERDALE, WA 98383 SEPTIC DESIGNER ROD LEFT-Acme Design Phone: 360-509-2000 Address: PO Box 2954 SILVERDALE, WA 98383 Site Address: 391 NE Gladwin Rd Primary Parcel Number: 223365000059 Permit Description: Replacementt SFR-4BR Pressure Permit Submitted Date: 06/24/2022 Permit Issued Date: 07/12/2022 Issued By: Jeff Wilmoth Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system). Permit Expiration Date: 07/07/2025 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. tv OFFICIA USE ONLY 2021 DATE RECEIVED: MASON 4 tl►tUNTV 4 GD 4, Cn > -- COMMU ' SERVICES AMOSE IRE ,1 ;7 CCn • Public Health(Community,WA/Environmental SWG 415 N.6th e -Shelton,00 or 7 J A//" � 00S O c s' V\Y/IVY r�� 415 N.6Ih Street-Shelton,WA 985� O Z di ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHONE rnr LANCE WYLLIE z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g 6456 NW REDFERN CT SILVERDALE WA 98383 03 SITE ADDRESS-STREET,CITY,ZIP CODE 391 NE GLADWIN LN BELFAIR WA 98528 ( "' NAME OF DESIGNER PHONE I N ROD LEFT 360-698-8488 NAME OF INSTALLER PHONE I CAD R c I W PERMIT TYPE(select one) DRINKING WATER SOURCE O RE.RESIDENTIAL OSS ECOMMUNITY OSS COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL I PRIVATE TWO-PARTY WELL Z I Q PUBLIC WATER SYSTEM I TYPE OF WORK(select one) ENEW CONSTRUCTION/UPGRADES Pe REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I 01 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE SUBMITTALS 03 ��NL';; I Q RDESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE 0 1WAIVER(S)(IF APPLICABLE) 4 18,295 0 I Q DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) SEE MAP Q O IQ I (31 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I Q OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 1 1,")0 -y 0 ip, L. P p It ° \I EI 1 JUL 12 2022 : .;Asow : COl10 ENV«ONMETAL HEALTH RECORD DRAWING AND INSTALLATION REPORT -SOIL CODES: V= 'Y G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTSdill REQUIRED FOR FINAL APPROVAL. Og SIGNATURE DATE APPLICATION EXPIRATION DATE AP I ATION APPROVED/ISSUED BY DATE Ca6(14 I\NIA THI •i , BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 121712015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 3 6 — 5 0 — 0 0 0 5 9 , 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 -- i2CEL;DE IFICATION..x._ V . PA Permit Number: SWG�`.,©2 00 362,3 Designer's Name: ROD LEFT LANCE WYLLIE 360-698-8488 Applicant's Name: Designer's Phone Number: PO BOX 2954 Mailing Address: 6456 NW REDFERN CT Designer's Address: SILVERDALE WA 98383 SILVERDALE WA 98383 City State Zip City �,)E3�IG�;!T.PARAIYIETET2S 4 � Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound ❑ Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑ Sub Surface Drip ❑ Gravity Pressure C'Trench 0 Bed Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 480 gpd Length 40 ft 1 inDaily Flow:Design Flow 480 gpd Diameter 5 Septic Tank Capacity 1250 gal Number Receiving Soil Type(1-6) 3 Separation 5 ft Receiving Soil Appl.Rate .8 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 50 Designed Primary Area 600 ft2 Diameter 1/8 in Designed Reserve Area 600 ft2 Spacing 48 m Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class 40 Elevation Measurements Length 53 ft Original Drainfield Area Slope 3 % Diameter 1 in New Slope,If Altered 3 % Preferred manifold configuration used? 0 Yes 0 No u sloe 18 in Transport Pipe Depth of Excavation up-slope from Original Grade Down-slope 16 in Schedule/Class 40 Designed Vertical Separation 24 in Length %Z. ft Gravelless Chambers Required? 0 Yes 0 No 11 Optional Diameter 2 in Pump Required? Elf Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 60 gal Difference in Elevation Between Pump Shutoff and Uppermost ost Dose quantity 1250 gal Orifice Chamber Capacity Uppermost Orifice RI Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Event Counter nn Timer C 'Elapse Meter lir Capacity @ Total Pressure Head d�3'� gpm If Timer: Pumpon 1 l Calculated Total Pressure Head 0N�•7 ftAT Comments ? Tame- o 63.4 s, �^^� JUL 1 2 2022 'i PcvpoSept. CIOLC r,.;,. Dra;v. MASON COUNTY ENVIRONMENTAL HEAL'H JBW DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 3 3 6 -- 5 0 -- 0 0 0 5 9 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations 121 Drainfield orientation and layout Reference depth from original grade: 66 Soil logs It Trench/bed dimensions and RI Septic tank FZ1 Property lines critical distances within layout 121 Drainfield cover 0 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: WI Measurements to cuts,banks,and locations 12iLaterals,trench/bed,top and surface water and critical areas EA. Observation port location bottom Location and orientation of 6d Clean-out location lif Curtain drain collector Sand augmentation curtain drain and all absorption lu' Manifold placement 0 components Et Orifice placement Other cross-section detail: 0 Location and dimension of � Observation ports/clean-outs � Lateral placement with distance primary system and reserve area to edge of bed Other Information Buildings RI Audible/visual alarm referenced Yes No fij Direction of slope indicator Et Scale of drawing shown on scale 0 El Design staked out 0 Waterlines bar 0 Gli Recorded Notices attached 0Fil �Waiver(s)attached Roads,easements,driveways, l 0 Pump curve attached parking ❑ G�Evaluation of failure 10 North arrow and scale drawing shown on scale bar Non-residential justification ❑ EA Waste strength ❑ d Flow DESIGN APPROVAL The undersigned designer must be notified by installer time f• tion El Yes ❑ No b•zz • zozz Signature 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 gul ions: ' I 4}, 1143c.1.... 1 (\/�� / Z Environme tal 11 15F1. Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ��"2—Zf ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ 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. e: 1 /7 015 p 13dR1 A JUL 1 2 2022 MASON-COUNTY ENVIRONMENTAL HEALTH JBW Pump Selection for a Pressurized System -Single Family Residence Project WYLLIE/22336-50-00059 Parameters 160 DisdrageASSartySize 200 ids TralspertLagh 123 bet TraspatPipeClass 40 TraspertUreSze 200 is DistibingVaVEModd Ncre 140 MxEierafurLit 15 fed . . MaifddLegh 53 bet . Maitid PipeC lass 40 Maifdd Pipe Sze 1.00 ude., ' / Nurta cflLIadspa Cell 5 120 Label Legtr 40 bet Latad Pipe Class 40 Lasal Pipe Sae 1.00 ides 1/8ide to OrriceS¢e u°'v. 100 OriiceSFeirg 4 festResicielHead 5 bet I FbNMetr Ncre ides I- 'Addtrt Frictim l ns as 0 Sad t ea i 80 Calculations MirimmFlon/Rab par Orifice 0A3 gpm Ol co E- t�a Nurd` i pa 55 > I PF50051 TddFkWRad per Zcne 23.9 To 60 Nurte dicta-as perZcre 5 0 —_. %FtwDilaaidlst4astOrifice 1.9 % �� 23 fps Trarspat�oa� i Frictional Head Losses 40 I �� I nssiratjr Disd a 1.1 fe3 ``. 1 rrs inTrasp rt 1.3 at I mstrcughVaie 0.0 feet I nssin a& 0 fee tt 20 I sin Lahrds 2 feet _________./--)V --- - Loss iv:41 Fla MEier 0.0 feet 'Aci1 ai Frk 1Lcases 0.0 fest Pipe Volumes 0 21.4 gals 0 10 20 30 40 50 60 70 80 Vdc aspatty e Net Discharge(gpm) Vdd V fM 1 d 24 gas VdctiafaalspaZcne 89 Os Tdd Vdure 328 gaes PumpData Legend Minimum Pump Requirements � �rve _ Z3.9 PF5005High Head E11uatPurp Design FbNRde 50 GPM 1/1-1P TdalDyraTicHeed 267 Teel z PurpCurve .-. 115290J 1PJ 60Hz�0'230%i0 60Fi ParpOpirrrl Rage — OperairgPant 0 DesigtPdrt 0 "-.--",--1 4. k P P R E o Systems 1s:- , ` 2 2022 07c''"AP ..4+l i'. ZZ - L MASON•COUNTY ENVIRONMENTAL HEALTa.12'15'.S JBW Mason County WA GIS Web Map ,--. ,-- I • ,,./ ,y \::::i r �5,,r \ . \ r55 �, ! • 1, + - \,� - ` • •. }` '`,l / `� '' \ r I Y J 1. - ! f''" . � 5�5 !! • '..� fi. / \ • ,'` / ", ' -)\,C.'-4 iii r • �,r�fi •\ , 5= rtt • ,x� f'/ It .- 7 �1, 1l/ ti I • \ _ ti,� tit �,` + ytiti }t ti�` Iti ti •y 5tti I '\ ti . ____k_______ ..„,...,,ti ' f., . E - . . .. .__.L.._-- /"-/ . P iii 0 ti''. .... ..: - ' . ' • 2r- J �j�j�. . . . . ---- . '-'------' . / A D '1��m�`" i�u� ENvi�© 4 rf, : U ......,.... . .... . 4 . .. 1:1,530 5/13/2022, 11:27:07 AM 00 0.02 0.01 0.03 0.0508 mikm D County Boundary I i ) ) 0.04+ + + + 0.+ 0 No Filled ' Site Address (Zoom in to 1:3,000) Sources:Esri,HERE,Garmin,Intermap,increment P Corp.,GEBCO,USGS, FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan,METI,Esri China(Hong Kong),(c)OpenStreetMap contributors,and Ell Tax Parcels (Zoom in to 1:30,000) theGlSUserCommunity Mason County WA GIS Web Map Application County of Kitsap,Bureau of Land Management,Esri Canada,Esri,HERE,Garmin,GeoTechnologies,Inc.,USGS,EPA,USDA mO 0 0 — O cn n O n n 0 O O O O O . 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