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HomeMy WebLinkAboutSWG2021-00009 - SWG Application / Design - 1/11/2021 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 Bu ildinfl.Planning.Env iton men taI Health,Community Health FAX:360-427-7787 On-Site Sewage System Permit: SWG2021-00009 APPLICANT GNEIDING ET AL PAUL A & PATRICIA Phone: 3639790551 Address: 5046 ONALASKA LOOP SE PORT ORCHARD, WA 98367 OWNER GNEIDING ET AL PAUL A & PATRICIA Phone: 3639790551 Address: 5046 ONALASKA LOOP SE PORT ORCHARD, WA 98367 SEPTIC DESIGNER TOM WEAVER-Allied Design Inc Phone: 360-620-7054 Address: 3912 STEEHEAD DRIVE NW BREMERTON, WA 98312 Site Address: 111 NE RIVERHILL DR Primary Parcel Number: 123201003240 Permit Description: New 4bd gravity trench-CFCs required before final approval Permit Submitted Date: 01/11/2021 Permit Issued Date: 01/20/2021 Issued By: Rhonda Thompson Current Permit Fees Paid: $475.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/14/2024 (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 Drainfield 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. 7 Applicant must provide documentation that Capitol Facilities Charges have been paid to Mason County Utilities and Waste. 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. 1 OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: _ 1 _tea, c N cn > ONSITE SEWAGE SYSTEM APPLICATION AMOUNT11 RECEIVED: RECEIVED BY: CO cn 415 N 6th Street,(Bldg 8) Shelton WA,98584 LA--)5-5- < N Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 C V p G �^ i. _ ^ Er)O 0 J V V d l_•l! Z (n Z 'D APPLICANT PHONE > > 73 Patricia Gneiding 360-979-0551 patriciagneiding@gmail.com rn rn MAILING ADDRESS-STREET CITY,STATE.ZIP CODE r Z 5046 Onalaska Loop SE; Port Orchard WA 98367 3 SITE ADDRESS-STREET CITY,ZIP CODE co m 111 NE Riverhill Dr; Belfair 98528 XI NAME OF DESIGNER PHONE I—k Thomas Weaver 360-830-5308 IN NAME OF INSTALLER PHONE CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0 I W < 1N KY NEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL (q ElREPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY El PRIVATE TWO-PARTY WELL Z ❑ TABLE 9 REPAIR ❑ SINGLE FAMILY 1 COMMUNITY/PUBLIC WATER SYSTEM I° ❑ TANK(S)ONLY 0 COMMERCIAL Upgrade existing SYSTEM NAME: I 1 ID UPGRADE TO EXISTING ID OTHER' BEDROOMS LOT SIZE Record Drawing required El EXISTING FAILURE " 4 5.76 acre IT O for all Installations" DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate) 0 I Take Old Belfair Hwy to NE Newkirk x Io Turn right onto Newkirk Go.3 miles and turn left onto NE Riverhill Dr I(4 Property is on the left 450 feet from Kewkirk Look for pink and blue flagging p IN Gate code is 3241 —1 1.4' SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS IO OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS t :T . ) <VIA 5 0 cvo1C S >� 1- 0-(00NI.)1 • (et 027 '0/P15 I 1\__\- 0— (Q CA > 7600 0 i c:::: .-k4`� CL- c'\ `t (1. r . SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE CI t �Y' \I\ \ \ � I )�iZ� ''n Ik=i r THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number:1_2_ a_2_CI -- 1 Q -- Q 2_4O_ A design will be reviewed when 3 copies of each of the following are submitted: 0 Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist ° Scaled plot plan;including all applicable items on checklist. 0 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: I "X 17" PARCEL IDENTIFICATION Permit Number: SWGCI. ' l.i`JL.LJ`7 Designer's Name: Tom Weaver Applicant's Name: Patricia Gneiding Designer's Phone Number: 360-830-5308 Mailing Address: 5046 Onalaska Loop SE Designer's Address: PO Box 564 Port Orchard, WA 98367 Seabeck, WA 98380 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 IX Gravity 0 Pressure X]Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 2729 Daily Flow:Operating Capacity 480 '1oo gpd Length 55 ft Daily Flow:Design Flow 480 gpd Diameter 4 in Septic Tank Capacity(4 Ui=1 ) 1,200 gal Number 5 Receiving Soil Type(1-6) 4 Separation 5 ft Receiving Soil Appl.Rate .6 gpd/ft2 Orifices Required Square Footage 800 ft2 Total Number of Orifices NA Designed Square Footage 800 ?tiS ft2 Diameter in Percent Reduction Taken 0 O, Spacing in Trench/Bed Width 3 ft Manifold Trench/Bed Length 55- 2---IS ft Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope 5 % Diameter in New Slope,If Altered NA % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation up-slope 24 in Transport Pipe from Original Grade Down-slope 2A ZZ in Schedule/Class 3034 Designed Vertical Separation 36 in Length 40 ft Gravelless Chambers Required? 0 Yes 0 No Itt Optional Diameter 4 in Pump Required? 0 Yes X1 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal Orifice ft Chamber Capacity gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head gpm ❑Timer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head ft /� P P'1ti+�Ie ttrED ,Pump off Comments t ` R�J �/ 5..L.J JAN 2 0 2021 MASON COUNTY ENVIRONMENTAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number:i 212 ft -- L.a -- _a a_2 A 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch RI Test hole locations Ell Drainfield orientation and layout Reference depth from original grade: 51 Soil logs D( Trench/bed dimensions and MI Septic tank 14 Property lines critical distances within layout ❑ Drainfield cover MI Existing and proposed wells X] D-BoxNalve box locations Reference depth from original grade within 100 ft of property VI Septic tank/pump chamber and restrictive strata: M Measurements to cuts,banks,and locations )(] Laterals,trench bed,top and surface water and critical areas $1 Observation port location bottom O Location and orientation of t] Clean-out location 0 Curtain drain collector curtain drain and all absorption ❑ Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: 14 Location and dimension of ❑ Lateral placement with distance it Observation ports/clean-outs primary system and reserve area to edge of bed Other Information IX Buildings ? Audible/visual alarm referenced Yes No Top&bottom legs staked Direction of slope indicator MI Scale of drawing shown on scale 0 RI Design staked out IX Waterlines bar 0 Recorded Notices attached pi[ Roads,easements, driveways, 0 CI Waiver(s)attached parking 0 [ Pump curve attached 51 North arrow and scale drawing ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified b installer at time 'f installation 0 Yes No JAN 5 2021 Signature of Designer 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 regulations: (4,1v/Kiv 5W1 2v/z Environmental Health specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 14'- (f—L ✓ 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. Revision Date: 1/12/2010 is 3 H j �.^ c Q a. '�S.~ "i.fic N 4p ES o O I LL / R I o •'3034 pi,... / pe x FOB (. p y ry . 1 x L • _ / . J - : o• z 0a n ; � r N , y 0 • • • ! i g x Y p o E ro v • b o r 0 3v w : c co O O Q m - o c ID n LL •• • • j . ..O o a GJ L y • • N ry ,a • 3 0 b o a` • ata °c N 01 d Nr ...oN/ E L u 3 • w a, n _ 0 _ t, .__SL_ —Cu- I) L u I- I APPROVED _. JAN 20 2021 z MASON COUNTY ENVIRONMENTAL HEALTH • RET.0 O % c • Q . f,� U re O ^I p J ; •;t• .V . .1 1 n ro 3 p ,,, ��. a ret rn 'lj1�,` . j� o In E .� ~ m� C ID 7 ct O QJ EL ` Il v a To' r0 Jtti Oco I._ h O LL N ^1 W z 0 a. n- c aJ CU ID Ln O j X irl c n v-4 J Q a a, PROV:�, > 0 JAN20 " MASON COUNTY EhyIRCh?MEhTAI HEALTH , E RETre lo .c re c. a a • p n c p c n a O 1 r > �� LtpT __�111 _o Ili �r aaaa . \ 1 v" •ai ♦ , a., o °1 O O d ig.... cr) N nil O m -13 �9 o LL- -10 L. O C L. a rig LLJ C1ii. Q t a 111 N C �� fC 1 IL- M O m C z a ro Li APPROVED o\I 19 JAN 2 0 2021 Co v = MASON COUNTY ESV1RONMENTAL HEALT' o I L' RET L • SECURED LIU WITH GAS TIGHT SEAL / 24•DIAMETER ACCESS RISER ' Tr____ _ .J =___, \___, -__ FINISH GRADE !� TO PUMP / I ! I. — —1_ CHAMBER 1FROM SEWAGE I art 1)24,N A%c G V SOURCE 1 j FLOATING MAT I J APPROVED l EFFLUENT IFILTER SEDIMENTS I I A[� f PROVED SEPTIC TANK JAN 2 0 2021 (TYPI.CALl MASON COUNTY ENVIRONMENTAL HEALTH RET • Drawing modified from WSDH RS&G's 1 Typical Observation Ports �„�Screw or slip cap r _i 4"Pipe --- ' 4"coupling above and below chamber -., /�� Gravel less chamber J . • :/ r/ • i or Slip Cap t ..r) or Slim CapScrew Type 4" PVC Pipe 4" PVC Pip( (Length Varies) \'ar•ic�) 1 1/4a 4" Long ,,`'' • ill" Slots (4) (ri) 90� r; r• I -- Toilet fling ' Q• - ' • 4" PVC Tee _.:1.1".�• APPROVED JAN 2 0 2021 MASON COUNTY ENVIRONMENTAL HEALTH RET i D-Box Details N,ti Speed levelers inside D-box Use in each leg going to a trench Inlet pipe comes through 2" higher hole '`. =\ No speed levelers in inlet pipe if i `I ?o Otit 1 Typical Plastic D-Box for three legs i'Bow , gr. lir . APPROVED JAN 2 0 2021 MAS ON COUNTY ENVIRONMENTAL HEALTH . RET - Typical Concrete D-Box bein• installed _ ` yr�e..• ��pp } .. 4,.;,0 �� _ ►• - _ ' . ...._�►. ,. ,, -• f'-a :'•`tit _, _ 7:..I.'' . • • • • - . ,, , ._, .. j r `� s .. - _ • _ __, t? . . - .-- 14- ,/••• ..4,4,,I, . . , , , „ , . , „.. , ,.., . ,...t....„, . . _ „...._•..„. .., ... ,, .....„.... .„-.5:7.7.••.:.,-,ark..._ . ..;• , . _ .. t -{ J • �lti'. . P 'Lr..Y .•1~ 4 : .114 • ' • ...ice , • .• 9 . I 455't N a . .. _ O U) 1113U) 0 O O O N co z V cn (ID C a) 5 N O O n - Cl) rn o O y N �`< — ..« 1- N — O .fir © e• = CD _ O g ` N C O O co N24 .- • • -o 63a 3 x < � $ = 1+ .. cD u c CD o n' �. a / b O g :/ /, w*¼', 3 j-0 Pr C. (7 Q 01 N v µ 1 O O 1 0. gf I 011E4; Propos � o I35'X60' �� Shop -- Al'. + + w w o o cD 340'± Riverhill Dr CD CD U) CD cn ram^ r �r� �r�. t W 1 V •J ' WO OWO NO WO, . p � coQ)0) = Q) 0cg 0)07 :RIN CO = A CO = O = O m _cn Kso to KO) Ka) KIv �d ma ma ma ma ma ,� - �»� a a a a a o �,A .. r • r r r r �CI) � 2 3 3 co w � 3a a a a a 1" = 60' L. ) ---...--_ 12320-10-03240 111 NE Riverhill Dr