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HomeMy WebLinkAboutSWG2023-00130 - SWG Application / Design - 4/11/2023 MASON COUNTY 415 N 6TH STREET,SHELT ,E 400 98 •,� SHELTON:360-427-9679670XT 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: SWG2023-00130 APPLICANT Cezary Nowowiejski Phone: Address: 2746 NW Rude Rd POULSBO, WA 98370 OWNER Kent Correa Phone: 206.795.2050 Address: PO BOX 3395 RENTON, WA 98056 SEPTIC DESIGNER BRAD SMITH-septic designer Phone: 253-851-2178 Address: PO BOX 1444 GIG HARBOR, WA 98335 Site Address: XXX E Greenwood Ln Primary Parcel Number: 320165304005 Permit Description: 3-bedroom NuWater BNR500 system Permit Submitted Date: 04/11/2023 Permit Issued Date: 04/14/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 04/13/2026 (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: ma soncountywa.govlhealth/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. -- OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATE RECEIVED: `i t l , ,.....3 h ONSITE SEWAGE SYSTEM APPLICATION AMO RECEIVED; AKE : \ 415 N 6th Street,(Bldg 8) Shelton WA,98584 1 CO N C Shelton:360-427-9670ext400 8elfalr:360.275.4467ext400 SWG :_3 — 6 v 1 -SG gi, 53 z 6 z 11 APPLICANT PHONE CE2A!WI) :.A/°1'3I) 1C 57 7 509 -cg (0S 56If $ n m m MAILING ADDRESS.STREET CITY.STATE.ZIP CODE �^a I- L7HCv _Nit) ?WVL— !t-J�. V0114- 6C.r L.1. 4 �l cg 3 7 CD C SITE ADDRESS-STREET.CITY.ZIP CODE 71. u_ RI �� NAME OF DESIGNER PHONE 1 [� NAME OF INSTALLER `" ^� �+� PHONE •'‘-a LAU CHECK ALL !CABLE ITEMS DRINKING WATER SOURCE 9 `l` NEW CONSTRUCTION 0 RV HOLDING TANK ONLY ❑ PRIVATE INDIVIDUAL WELL E h ❑ REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY 0 PRIV TWO-PARTY WELL 0 0 TABLE 9 REPAIR ❑ SINGLE FAMILY OMMUNITY/PUBLIC WATER SYSTEM ❑ TANK(S)ONLY 0 COMMERCIAL SYSTEM NAME: `' il 0 UPGRADE TO EXISTING 0 OTHER; BEDROOMS LOT SIZE ❑ EXISTING FAILURE "Rotted Drawing roqulrad W I for all Installations' r DIRECTIONS TO SITE-BE SFECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ox.locked gale) �, j p 1 n 1 Lt.Vi_ t -/;i,_. }' J E 14.., i S.1'LL---1 C)".-3 - r C !t f 47t,'S j'ex'-r i[-m^C-Y `7 I 0 ' ` P SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS ( `� OFFICIAL IJSE ONLY BELOW THIS LINE — -- I UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE OCOMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS 1 CONDITIONS TN1: 0 -5Z' 51 rRz+ 0_3 ,, SL i H3: O-S61- LS IIIBTEITT ' APR 11 2023 9:Q53 $L L) By SOIL CODES: .�....,._........s V n VERY G=GRAVELLY S^SAND L••LOAM Sit SILT C-CLAY E_EXTREMELY R-ROOTS • INSPECTO TURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE~ V/I3/Zoz3 y/l3/ o 6 �-�._. 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: 26) \ C — — 0 4 CO S A design will be reviewed when j conies 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 Count►Web site.Maximum paper size: 11"X17" PARCEL IDENTIFICATION Permit Number: SWG Designer's Name: L,(ii-) JA t 5 yr Applicant's Name: /(' LJO i...)i��j MI / Designer's Phone Number: '' f.) E:5 1- Mailing Address: 2'7'4' A/(.J lLDE O Designer's Address: p() 4,,.0 ...- \ ''�.-'tom pot),_537, t,tm ceq,3?0 ram! t. ►'- river~,ram+ Lam' City State Zip City State Z p DESIGN PARAMETERS Treatment Device 0 Glendon B'tafiner d Sand Filter ❑Iiiit and SC II Sand Lined Drainfield U Recirculating Filter,Type: I3�Aerobic Unit Make/Model/J 4Aice- 0 Disinfection Unit Make/Model Other: �� Drainfield Type Cl Gravity CiPressure 0 Trench Cl Bed 0 Sub Surfaci Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Daily Flow:Operating Capacity 3 ' gpd Length �� ft Daily Flow:Design Flow "'rj 6,0 gpd Diameter I i S.', in Septic Tank Capacity 0 ,h- gal Number G.- f Receiving Soil Type(1-6) Q' Separation j ft Receiving Soil Appl.Rate c C.>rid gpd/ft2�. Orifices i 40 Required Primary Area ''.Q��? ft2 './ Total Number of Orifices Designed Primary Area tom-J ftZ Diameter jj j,, in Designed Reserve Area (o oc,) ft2 Spacing 60 in Trench/Bed Width ' . ft Manifold Trench/Fled Length - -' ft Schedule/Class 40 Elevation Measurements Length 1-- Original Drainfield Area Slope % Diameter New Slope,If Altered -- % Preferred manifold configuration used? es No Depth of Excavation Up-slope CI .1 in Transport pe from Original Grade Down-slope / " in Schedule/Class l Designed Vertical Separation 1-5 ' inn� Length \0 Gravelless Chambers Required? Cl Yes 0 No Gl'Optional Diameter 2- "n Pump Required'? ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Difference in Elevation Between Pump Shutoff agd Uppermost Dose quantity -1-5 gal Orifice ���� 2 ft Chamber Capacity I l () gal Uppermost Orifice ET I gher 0 Lower than Pump Shutoff Pump controls. lease check thos .required Capacity @ Total Pressure Head :-t.,m gpm apse Meter vea Counter Calculated Total Pressure Head `"� ft A P RON/0E + P offs µ. J►J Comments APR 1 2 2023 MASON COUNTY ENVIRONMENTAL HFAI TH , DJA 1 1 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 7-'0 I , - S. _6 +! Q p e') Permit Number: SWG DESIGN CHECKLISTS Scale Plot Plan Scaled Layout Sketch Cross-Section Sketch est hole locations D Drainfield orientation and layout Referenc -depth from original grade: S7oil logs Trench/bed dimensions and eptic tank Property lines tical distances within layout Drainfield cover ❑ Existing and proposed wells DBoxNalve box locations Reference depth from on_'•. grade within 100 ft of property Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations la"-Laterals, Laterals,trench/bed, •p and s rface water and critical areas bservation port location bottom ©/Location and orientation of 1 clean-out location ❑ Curtain drain collect curtain drain and all absorption anifold placement 0 Sand augmentation omponents J {ice placement Other c s-section detail: Id Location and dimension of '-'0/primary system and reserve area Lateral placement with distance 3 Observation ports/cle:n-outs o edge of bed Other Information moldings udible/visual alarm referenced Yes No 'irection of slope indicator Scale of drawing shown on scale 0 l Design staked out aterlines bar 0 P : corded Notices atta hed Roads, easements,driveways, ❑,- r Waiver(s) attached king 0 Of rump curve attached P Gd" North arrow and scale drawing 0 ©Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑ Flow 1 DESIGN APPROVAL i The undersigned designer must be_notified by installer ahitnc of installation Oy ❑ No Signature of er Date APA ^ PRO The undersigned has reviewed this desi n behalf of Mason County Public Health and determined it to be in compliance with state and local on-si re la . s: PR 1 2 2023 tywk Environ e tal Health Specialist DateE0?-t, NVIRONMENTAL HEALT' DJA 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: ✓ 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: I:J7/2015 Wit yRRM A IJO Yp.T Qp) MP=MO) I'ON AIP.ITOA Tye `1) y.. .".. q vii • TANK infil�AfNNDETAt1.," ___ R r AirelaMilig as MAX. r rYc me) r�Y MASTIC AQOAIEELTEISMIERILISSX v1 r-t raa.w.ao - 4)6oa�MdlADMwtllvodka!mils 40 4 fo44 1 altassrcml urrvcII Wowt{anlank onNI a1do. AgltNa 1--- t ! n t bslbtn elide N tbay.Ir)sta6?f of aom —� N. c - j sandt<1s1a1°Waltscood. r r 14 NNW tudt la atlsbrd hold.dginp IL wrt� I2• i•WGsIUDsfI RnURnuw ia I *amonAdds 1 -- rove.f If t)Pa lonklo fliNa Mth arts;IU void spool.at wAaMOU11MR �A tMtraRRC{t�rR MAMBAt� �nag)ate i!°lattrwokRrpr. °moo s araoma towaats efaA+PRa OA►AORV:04 SALLOW) h wasang wad sylosivokna,I alb*ma to nose Gomm AfaK{01r floes OhMWRn w SALLOW )p er 111MF1 MNIMf100ft�taiYri t I �De m OAL 6)Poems vaMtl( os last In laid as 1e O+ ar (7) 1byIcati�MAr n. se 7) moat b bacilli lrNb Wol fe!fe! �• with nate tolls aortal d tut t)Float 4tdo trsadiettaadd dtda2tltic5 • a1 ,-� a,tEtoatsrbrbMldMMI e i �•e• fuJOfi GRO W ..�J�A ?0 Wirt Vial 44. atwarwulol r_ fir __. ,1v l 11 t.i.VAM1 1' 24'MbEKRffYP) 27'alOWM, i i 1ONiCAs M IOip' f ON TOP ®OV it. jllA an CHA�l/SR I nlel afsR 11 �dt wJ ... APR 1 2 2023 1139 VA}../ 1 MASON COUNTY ENVIRONMENTAL HEALTI DJA 1 I o clnNT: 'in-' !)w•c=.✓ / 5uc1 - loS y ry g... a.?H(v Al i-ti 2i j E r 0 , POv-1- a(-) . VJ c� �3 3 p , SITE ADDRESS: i 6 t�loor, l hum- -2-z' PARCEL NO.: ZZal - -o, 0(25 IU1. DAT!, 1 ftN1NS LA SEPTIC DOMES .S4NDRA R Sir • P.O. BOX 1444, GIG HARBOR WA 98335 PH#(2531 8512178 allanni -- SQL- �'l� � 0lz3 4 ___ r f4-V,LVA aT'y GIG HARB0RL WA 98335 • (253)851 217$ DATE: 7�-Z S JOB#___ � RE SITE: n!t— 5., 04.. .G • PRESSURE DISTRIBVTIOIV DESIGN: Wo eievarions. rJ<stt for sites where laterals will be at different I DESIGN DISTRIBUTION NETWORK: A DAILY DESIGN FLOW= S 0 B. APPLICATION RATE,based on soil type= 41 d —= C.REgL_IRID ABSiORST1ON AREA �Pti0 ft C 1 Ell TRENCH OR BED WIDTH— TAL BED OR TRENCH LENGTH= SCRIPTION OF PROPOSED DRAIN-FIELD CONFIGURATION: (4) FLUy i z NETWORK RATIOM �-�e APR 1 z 2023 LATERAL LENGTH.. MASO ;_• 3_, B.LATERAL SPACING= D,Iq . L NEA L-, C. TRANSPORT PIPE LENGTH= { AND DIAMEETE'R= 2r, D. MANIFOLD LENGTH= LATERAL 2ft NUMBERS PRESSURE ORIFICE LATERAL OB1110ES ORIFICE `� DIS. RACLNG (GPM) LA��AL (FT.) a - mow. ' S�.S:.+ . . �rtt_._..'�� 4,:^f �".-.r_A'�i.'c.'i`,G. • Page 2 I. SELCECT THE MANIFOLD DIAMETER,USE APPENDIX 4: 2" I. WITH INFILTRATOR TRENCHS, ORIFICES TO BE FACING UP: 1. RECOMMENDED DOSING FREQUENCY/DAY= DOSES/DAY. 1 2. RECOMMENDED DOSE VOLUE= 45- GAL. 3_ REQUIRED PUMP CAPACITY= 2 , TOTAL GAL. (sum of all disc-harge rates from all Iaterals) 3.TOTAL FRICTION LOSSES IN THE NETWORK: A. TRANSPORT PIPE LOSS= FT. PIPE PIPE FLOW FRICTION LOSS PER PIPE FRICTION LOSS MATERIAL DIAMETER (GPM) 100 FT.OF PIPE r PNGTH LN PIPE B,CALCULATE.THE TOTAL ELEVATION L FT= (ri 0,5 4.DETERMINE THE TOTAL DYNAMIC HEAD: , • SELECTED RESIDUAL PRESSURE + 2.5 . FT. • • TRANSPORT PIPE FRICITON LOSSES + . • MANIFOLD ASSY.LOSSES + tS, Q, FT. • MANIFOLD AND LATERAL FRICTION LOSSES + 1.0 FT. • TOTAL ELEVATION LIFT + L;05 FT. } TO.TAL. cam= « .AP PONE APR 1 2 2023 MASON COUNTY ENVIRONMENTAL HEALTI• 5.SELECT A PUMP: D J A REQUIRED CAPACITY 2- GPM TOTAL DYNAMIC BEAD : Ff. USE PUMP OR EQUIVALENT L AgEe. •( �. I h ,.., m 4r31 %,,1 t7,6vle, ....,-,.qR at-.., i 4 ii.1 ... F z g 3. \r, 0 R!, 6. -1 igl lir Nle- 64 . _ . 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