HomeMy WebLinkAboutSWG2023-00122 - SWG Application / Design - 4/3/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670. EXT 400
�� BELFAIR:360-275-4467, EXT 400
Public Health & Human Services ELMA:360-482-5269, EXT 400
FAX: 360-427-7787
On-Site Sewage System Permit: SWG2023-00122
APPLICANT MARCOS ET AL ANTONIO GASPAR Phone: 360-801-7337
Address: PO BOX 3131 BELFAIR, WA 98528
OWNER MARCOS ET AL ANTONIO GASPAR Phone: 360-801-7337
Address: PO BOX 3131 BELFAIR, WA 98528
SEPTIC DESIGNER FRANK MARCINKO -Allied Septic Phone: 360-801-0147
Design and Excavating
Address: 5677 Minnig LN NW SEABECK, WA 98380
Site Address: 20 NE KATHERINE CT
Primary Parcel Number: 223365400062
Permit Description: Non-compliant Repair 3bd gravity trench
Permit Submitted Date: 04/03/2023
Permit Issued Date: 04/04/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/04/2024 (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.
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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY e" ' C
4 DATE RECEIVED: -
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ACM COMMUNITY SERVICES AMOUN CEAKD:6 ✓r RECEIVED gY, C y
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Public Health(Community Health/Environmental Health) N
5 e or e:t.400 41 N.6th Street-Shelton,WA 98584 SWG ,c� 13 — O `D �) g O
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE I-
Antonio Marcos z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE t< M
PO Box 3131 Belfair WA 98528 0 CO
SITE ADDRESS-STREET,CITY,ZIP CODE =
20 NE Katherine Ct Belfair WA 98528 0 "o I '
NAME OF DESIGNER PHONE < I N
Frank Marcinko 360-801-0147
NAME OF INSTALLER PHONE I W
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PERMIT TYPE(select one) DRINKING WATER SOURCE - I co
pi RESIDENTIAL OSS h COMMUNITY OSS In COMMERCIAL OSS L'PRIVATE INDIVIDUAL WELL h PRIVATE TWO-PARTY WELL Z C7
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TYPE OF WORK(select one) PUBLIC WATER SYSTEM Lynch Cove
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El NEW CONSTRUCTION/UPGRADES ®REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR -A I CJ1
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
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DESIGN FORM(REQUIRED) 0 SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I
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C6 WAIVER(S)(IF APPLICABLE) 3 .16 acre 0 .DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gale)
From Belfair QFC take State Route 300 toward the North Shore Road, turn right on NE I o
Larson Lake Rd and right into NE Katherine Ct, counting the house on the corner it is the
2nd house on the right. Parking is usually an issue... walk down a rough set of stairs o I 0
between the first and 2nd house to access the drain field area below the double wide I rn
cm
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL"LOGS COMMENTS/CONDITIONS
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APR 0 3 2023
t: -tO -a' 1 S0.- t_
By
kg -coo
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATIO DATE APPLICATION APPROVED/ISSUED BY DATE
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THIS FORM MAY E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASCN COUNTY WEBSITE REVISED 12/7/2015
2
'DESIGN FORM-PAGE ONE Assessor's Parcel Number: a� 3 '� __ O O O 6 02
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 ,a,er size: 11"X 17"
Permit Number: SWG Z0Z3 -1)O MI- Designer's Name: Frank Marcinko
Antonio Marcos Designer's Phone Number: 360-801-0147
Applicant's Name:
Mailing Address: PO Box 3131 Designer's Address: 5677 Minnig LN NW
Belfair WA 98528 Seabeck Wa 98380
Cit State Zi. Ci State Zi.
Treatment Device
❑Glendon Biofilter ❑ Sand Filter 0 Mound ❑Sand Lined Drainfield ❑ Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
'Gravity 0 Pressure L 'Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 3034
Daily Flow:Operating Capacity 360 gpd Length 44 ft
Daily Flow: Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity(working) Existing 1150 gal Number 5
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl.Rate .6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices
Designed Primary Area 648 ft2 Diameter in
Designed Reserve Area - ft2 Spacing in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 5 @44 ft Schedule/Class
Elevation Measurements Length ft
Original Drainfield Area Slope 8 % Diameter in
New Slope,If Altered - % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 22 in Transport Pipe
from Original Grade Down-slope 19 in Schedule/Class 3034
Designed Vertical Separation 36 in Length 20 ft
Gravelless Chambers Required? 0 Yes 0 No ('Optional Diameter 4 in
Pump Required? 0 Yes IEr 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 ❑Elapse Meter 0 Event Counter
Calculated Total Pressure Head ft If Timer: Pump on ,Pump off
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: g 13 3 -- -- 0 0 0 6 "t
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
❑ Test hole locations Er Drainfield orientation and layout Reference depth from original grade:
El Soil logs El Trench/bed dimensions and El Septic tank
Er Property lines critical distances within layout B Drainfield cover
❑ Existing and proposed wells El D-BoxNalve box locations Reference depth from original grade
within 100 ft of property El Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks, and locations 0 Laterals,trench/bed, top and
surface water and critical areas El Observation port location bottom
❑ Location and orientation of 0 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:
El Location and dimension of 0 Lateral placement with distance El Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
El Buildings 0 Audible/visual alarm referenced Yes No
E! Direction of slope indicator El Scale of drawing shown on scale 0 'Design staked out
El Waterlines bar 0 0 Recorded Notices attached
£1 Roads, easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
El North arrow and scale drawing 0 Er Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
• ❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer time of install on Er Yes ❑ No
0#223
Signature of Designer ate
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:
Environmental Health Speci list Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. l
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (L4 (2_
✓ 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
,
Spec Sheet For # 22336-54-00062
20 NE Katherine Ct, Belfair
1,150 Gallon Existing Two Compartment Septic Tank, Outlet Baffle Filter Required
Fit Tank With Watertight Riser & Secure Lid, Retrofit Inlet/Outlet Baffles w/Ports/Lids
216' (linear) Of Drain Field - Five 44' Legs Following The Contour Of The Land
Drain Field Legs To Be Level And Chambers Or Gravel Installed On Undisturbed Soil
Maximum Trench Depth 22" Upslope Side, 19" On Downslope Side - 6" Minimum Depth
Trench Width 36", Trenches At A Minimum Of 5' Center To Center Or Greater
Chambers Or Gravel And Pipe Installations Require A Minimum Of 6" Of Cover/Max Of 24"
Install Observation Ports At The Ends Of Each Drain Field Leg
Distribution Box In Riser W/Secure Lid, Surround w/ Pea Gravel - (rodent prevention)
Use Speed Levelers In D Box To Balance Flows to Legs
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20100609 `i 11
O Frank A Marcinko
LICENSED DESIGNER
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APPROVED
APR 0 4 2023
MASON COUNTY ENVIRONMENTAL HEALTl
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NE Katherine Ct
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APPROVED
APR 04 2023
MASON COUNTY ENVIRONMENTAL HEALTH
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Shed To Be
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Old
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�dnlFe1d<o°P SL# 1 0"-60" Loamy Medium Sand
*Upper Two Legs Are In Better Soils,
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SL# 2 0"-60" Fine Sand Loam
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On-Site Septic Design Name: Marcos Tax Parcel: 22336-54-D0062
ALLIED Scale = 1" = 20' Address: 20 NE Katherine Ct, Belfair
'r�►�,C pdI',f This is not a survey all property lines/boundaries have been demonstrated by the Owner(s)and/or their Agent(s)
On-Site Septic Design Allied Septic Design and Excavating
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ALLIED SEPTIC DESIGN AND EXCAVATING
ALLIE,116 Frank A. Marcinko, Owner • ALLI ESD820R6 • (360) 801-0147 (C)
5677 Minnig Ln. NW • Seabeck, WA 98380-875I
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EVALUATION OF FAILURE FOR RESIDENTIAL SEPTIC SYSTEM
CLIENT: Antonio Marcos
RE: Evaluation of Failure
TAX ID: 22336-54-00062 for 20 NE Katherine Ct./Belfair, WA 98528
DATE: April 3, 2023
This 40-year-old system built in 1982 now has effluent surfacing in one spot in 2023.
In this level-loop system the original application rate should have been 0.8/gal per day per
square foot due to the Type 3 soil in original system. Instead, the original rate of 2.3/gal per day
per square foot has proven to be excessive. In comparison, the system was designed at half the
size of today's standards.
Solution: A repair design at an application rate of 0.6/gal per day per square foot has
been designed because the soils in the lower portion of the property are a Type 4 which require
an even lower application rate. The newly designed drainfield will be over three times the
size of the original drainfield.
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Prepared by Frank Marcinko, April 3, 2023 20100609 v �
•v O Frank A. Marcinko
Frank A. Marcinko Licensed Designer Installer i LICENSED DESIGNER 1
M.������10011.WIMVIII �:IV1,
Licensed Septic Designer for the State of Washington, License No. 201006.- elf`ye; D6 /6!/2-�LT
Licensed Septic Installer in Mason and Kitsap Counties
APPROVED
APR 0 4 2023
MASON COUNTY ENVIRONMENTAL NEALTF�
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