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HomeMy WebLinkAboutSWG2022-00404 - SWG Application / Design - 7/13/2022 415 N 6TH STREET,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 400 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 • ELMA:360-482-5269,EXT 400 Dodirg,Planning,Envie onmental Heel th,Community Health FAX:360-427-7787 1 On-Site Sewage System Permit: SWG2022-00404 APJ'LICAAT REESE HEATHER Phone: Adcress: PO BOX 827 BELFAIR, WA 98528 OV4'JER REESE HEATHER Phone: Ad. PO BOX 827 BELFAIR, WA 98528 SEf.TIC F;ESIGNER Nathan Cleaver Phone: Ad: 262 NW Thompson Rd POULSBO, WA 98370 Si: ss: 140 NE VIEW CT Pri r' 3rcel Number: 222025900004 Permit Description: Upgrade four bdrm-gravity trench Perinit Submitted Date: 07/13/2022 Per -it !>:ued Date: 08/10/2022 Iss. Luke Cencula Cu' , rmit Fees Paid: $500.00 (additional fees may be required upon installation of system). Pc: tiration Date: 07/22/2025 (based on date of inspection) Pc ditions: Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. Drain field installation not to exceed designed upslope and downslope (29') depth specified on design form. Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained TH: 'E <, r MUST BE ONSITE DURING INSTALLATION OF OSS. PR: OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. r MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FIN \LLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. Fc. . : Inspection visit: www.co.mason.wa.uslhealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY-0 -- - DATE FECE MASON COUNTY ' u) n COMMUNITY SERVICES c AMOU t �: • RECEN' � ' Q] U) 0 M PubEcNaallh(CommunityFlealth/Env;ronmentalHealth) N 0) 1/6 117t9a10.ot MOut7EO1965114 rxt.epa IMIEW*Itinia C� O24151E61h Street•SAelionWA9a5M z V1 ON-SITE SEWAGE SYSTEM APPLICATION D xl rn C) PHONE APPLICANT fl'i III Heather Reese (360)471-9424 A Z MAIL NG ADDRESS-STREET,CITY,STATE.ZIP CODE E c PO Box 827 Belfair, Wa 98528 0 xi0 SITE ADDRESS-STREET,CITY,ZIP CODE P-' ••` 140 NE View Ct Belfair, Wa 98528 e. �] NAME OF DESIGNER PHONE N Nathan Cleaver (360) 598-6546 doe r• NAME OF INSTALLER PHONE �0 1 w.Zr PERMIT TYPE(select Ole) � DRINKING WATER SOURCE �y O a RESIDENTIAL OSS 5ICOMMUNITYOSS IfICOMMERCIALOSS E PRIVATE INDIVIDUAL WELL` 15 Z TYPE IOFNORK(seleclone) ��yy •PUBLIC WATER SYSTEM Y1tW FIA0�t RRL;I k (-1 , *NEW CONSTRUCTION/UPGRADES I.JIREPAIR I REPLACEMENT OTHER DETAILS(se/acI en Met apply) ❑TABLE IX REPAIR 1i VY SUBMITTALS ❑SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE W DESIGN FORM(REQUIRED) 11SEPTIC DESIGN(REQUIRED) BEDROOMS 4 LOT SIZE ±0.73 Acres 0 0 I EVVAIVER(S)(IF APPLICABLE) X O DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) Follow Highway 3 North into Belfair, Go down Highway 300 (North Shore) passed Belfair state park. 0 Turn right up Belfair Tahuya Rd, Take an imemdiate right by the storage units onto View Court. Destination will be on your right up a steep driveway. o CD SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I - OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ['OTHER: INSPECTOR SOIL LOGS COMMENTS 1 CONDITIONS 00 - 6 FVs , s" „Cr 0 5 t."---killne- .t... Q.) G I OD D- ,,I' JUL 15 2022 Cip a. By RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: I V-.VERY O=GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS REQURED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY OATE _ -I )?)ti' S..>,L. -)-, -°>- 5 G2._ Igo l�v�. ORM MAY BE SCANNED AND AVAILABLE FOR PUBLICWON THE MASON COUNTY WEB-" REVISED 12/7RD16 1 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 0 2 — 5 9 — 0 0 0 0 4 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 ma be scanned and available for blic view on the Mason County Web site.Maximum a er size: /1"X 17" Permit Number: SWG '')C ri -0 a 'to' Designer's Name: Nathan Cleaver Applicant's Name: Heather Reese Designer's Phone Number: (360)598-6546 Mailing Address: PO BOX 827 Designer's Address: 262 NW Thomspon Rd Belfair Wa 98528 Poulsbo Wa 98370 Ci State Zi Ci State Zi c Cop Treatment Device ❑Glendon Biofi r ❑ d Filter ❑ Mound ❑ Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type fir'Gravity 0 Pressure [if Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 (2 existing) Schedule/Class Schedule 40 Daily Flow:Operating Capacity 360 gpd Length 134 6'1 ft Daily Flow: Design Flow 480 gpd Diameter 4 in Septic Tank Capacity(working) 1500 gal Number 2 Receiving Soil Type(1-6) Type IV Separation 5 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area (proposed)400 ft2 Total Number of Orifices 34 Designed Primary Area (proposed)402 ft2 Diameter 1/8 in Designed Reserve Area 3000 ft2 Spacing 48 in Trench/Bed Width (proposed)3 ft Manifold Trench/Bed Length (proposed) 134 ft Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope _ 2 % Diameter in New Slope,If Altered % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope in Transport Pipe from Original Grade Down-slope in Schedule/Class Schedule 40 Designed Vertical Separation 36 in Length 30 ft Gravelless Chambers Required? 0 Yes 0 No 61'Optional Diameter 4" in Pump Required? 0 Yes I'No 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 0Elapse Meter 0 Event Counter Calculated Total Pressure Head ft If Timer: Pump on ,Pump off Comments APPROVED AUG 1 0 2022 9ASQN COUNTY ENVIRONMENSA�H �'L'YC DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 2 0 2 -- 5 9 -- 0 0 0 0 4 Permit Number: SWG "a"D'a''} -O 0 t.C"i DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: Pi Soil logs lit Trench/bed dimensions and Septic tank Property lines critical distances within layout Cd Drainfield cover IA Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property B! Septic tank/pump chamber and restrictive strata: Measurements to cuts, banks,and locations g Laterals, trench bed,top and surface water and critical areas 64 Observation port location bottom VI Location and orientation of 54 Clean-out location 0 Curtain drain collector curtain drain and all absorption 54 Manifold placement 0 Sand augmentation components WI Orifice placement Other cross-section detail: 10 Location and dimension of Lif Lateral placement with distance L Observation ports/clean-outs primary system and reserve area to edge of bed Buildings Other Information ❑ Audible/visual alarm referenced Yes No Direction of slope indicator ❑ Scale of drawing shown on scale 0 0 Design staked out el Waterlines bar 0 0 Recorded Notices attached EA Roads, easements,driveways, 0 0 Waiver(s)attached parking 0 0 Pump curve attached 10 North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notifie al t time of installation 54 Yes 0 No 7c2-2- ignature of Designer to 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: nvironmental 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: �1 v I`'�/ �)-11)-0 ✓ Drainfield site conditions have not been altered to adversely affect conditions of deign 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 SOIL EVALUATION Property Owner/s Heather Reese System Designer Nathan Cleaver Date soils logged: 5/19/22 Logged by: Nathan Cleaver LEGAL DESCRIPTION:Section 2 Township22N Range 2W Parcel#/s 22202-59-00004 .34 ��� ard/ .�.•: (''' N_,, yL o' aw F .1�I1.�.F' ~��2iV`. = ,„ o °.,' �(jYam' S�00251 = r� N '� 'b R .5 yo. NATHAN N CLEAVER '1,�� C Y L 03 :� F- z L NSED l L L, . V ti U L i 1 i _ EXPIRE y k .Q y 5 �Q :r 0. ,., O N y 0. c' 0 ye V Z . c/� H Q c4 Ce L O 3 --, 0-22" Brown L Loamy F S 0.6 22" >65" 22-38" Grey FS 1 Brown 38-65" Loamy F S No Comp 0-28" Brown 0.6 L Loamy F S 28" >65" 28-65" Grvly Brown 2 Sandy Loam No Comp Brown 0-24" L Sandy Loarr 0.6 24" >24" 3 L Brown 0.6 24" >24" 0-24" Sandy Loam 4 APPROVED AUG 1 0 2022 ., EN VIRONMEN1 �, 9ASON COUNT( ��� Mottling F or Fnt=Faint D or Dist=Distinct P or Prom=Prominent Structure L=Loose SG=Single Grain SC or Slt Comp=Slightly Compact MC or Mod Comp=Moderately Compact VC or Vry Comp=Very Compact CEM=Cemented MAS=Massive BLKY =Blocky STRT=Stratified Texture (see below for modifiers such as F= Fine or G=Gravelly) S or snd=Sand LS or lmy snd=Loamy Sand SL or sndy Im =Sandy Loam L=Loam SiL or sil Im =Silt Loam Si or sil=Silt SiCL or silclylm=Silty Clay Loam SiC or silcly=Silty Clay CL or clylm =Clay Loam SCL or sndclylm=Sandy Clay Loam SC or sndcly=Sandy Clay C or cly=Clay Textural Modifiers F or fn=Fine M or and= Medium Crs=Coarse G or grvly=Gravelly(>= 15%, but<35%rock/gravel fragments) VG or vrygrvly=Very Gravelly(>=35%but<60%rock/gravel fragments) EG or Exgrvly=Extremely Gravelly(>=60%but<90%rock/gravel fragments) Cob=Cobbles(>=3inches) Application Rate R=Restrictive For others see Table VIII, WAC 246-272A r HAGUMAN lin-CAST Bob& Anita Hagerman PO Box 2842 Pouhbo K A 983-0 360-398-6121 J 360-569-3702 PAGE 5 rII t---r •x.oe.•JW 1 t ( .�.4 . ..4:4: �,1 -er e...,•n� i _ ©� +r,Kw-. 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MC BP:OIYTW::?N x-K 7R ra•..CMLCRALW'-3R OK.•"IG-,^ SL V'*,Arve0vA4 00ACVrj.CA?wee 52la AK1.ra'AV.CT".'CCWSCT 0t07A/4'OAVM CI •room Or ASN 0)431 CR N•V>2G405.155.5.•t•.T (S> FRt CIRGW WAIFS OP:LAP lba AVM R 2 TS due t.et.! ^X4..:.q'A1.M0 11 R1t.0a'M ant:5.Mr Ot VCLrt ;CAA TO:XAIR:•410071'fn0 W W 0022N a•470 MA551CM 50500w1•51C 'n-to,Vet•O'1C,At4000A.t1•-•vt CLVIRS MLIOOA-to*Ll4Asr W 0 Z M X X1201 00.wwnt'Oruro'0 Sr(XXX O.4CM, 6.X.•to C111C1'SRCOCIT 0I 4''CO Mn CN<Ary A- 'I*wM(MACC'•R]'.I'Kt'C? • Avpu Crows•MG i.MK1 w4ltt'Owalp0'Ar "AC'r CO....atw a. = a w APPROVED AUG 1 0 2022 ENVIRONM'NtP�N�` tASON OOUN�( L,Y C \ _ I I I r� •\ / v•N C I• I s11 I z • tA ~• \ / 0 7+ (n c) -i 0 m cn W Cl) �}' / o �. m p a - z 4 f;/ ry 3 m am m a. a x »� a __ co �/ ii o INE Duncans RD I i \ . . • \ // '�° • i • / , • NI I � , d3 \ Em \ \ I. r , \ C7 z; • • 4,� • \ 1 0 0 \ ,\ rm v c \ • I . • \E o "4• a o • ` •� "gyp 11\ T., , 70. 5t, .-I A d �•rn C21 L,... - I . 9 ..., q • ..- 44 • \ . , :\ .\ 7,-."---------------.-N1. y 04,, co .•<)7\ : .. , i7 % � ��, \\\ N\ �. , • Otis a' - -3°� V! 1 ¢ p '63 A -- Z \ Ir fit ow° • �,� ',` 0 \ / z o �.� O A f` co C r\ o Cs �� /� --I \�m`%ol3�oe ..0 \ • I\ r % 0 F f9 0- -• ` p d 0.fitX `' r o �_ zovo y� � �. � o 047' ; � E..�* z to N `�� 2 O r A �1 W p d R v\ \I ;I ii u., ci,....;....../.\ _ \ r ITI\ `\ G a en AI Fir A 0 r5 .� m \. �' \ +f Q) U1 . ca N z ...la, 3 mXOmZv+ ADOmTOD -1 * m x �z. • a � mOxnoWOcxxmmmDD �n NO Cn V) Omm O -ao �n v� -I• \\'9 cm o m 0 O Z v C m m o m \ \ mmpow> 1c - r2.t2g 70 m,3 ). z r- 1I 0 \\ "' ` D � ° 0Z5nCj0) D mmmm M 8 \ \ O ° O ° m - - wnEO n Oo Z > oz > Z Z > mD mCom * m -Izi �Oc( D � Dp — 'Um nr003 < — * m ZD �O � DZZ oZmD m� o 0D0Or Dn . 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