HomeMy WebLinkAboutSWG2023-00181 - SWG Application / Design - 5/10/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
A : SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
f� t- Public Health & Human Services ELMA:360-482-5269,EXT 400 ‘
w,f FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00181
APPLICANT STEPHEN HARRIS Phone: 1.360.979.9057
Address: 945 Eagle Crest PI PORT ORCHARD, WA 98366
OWNER STEPHEN HARRIS Phone: 1.360.979.9057
Address: 945 Eagle Crest PI PORT ORCHARD, WA 98366
SEPTIC DESIGNER ROD LEFT -Acme Design Phone: 360-698-8488
Address: PO Box 2954 SILVERDALE, WA 98383
Site Address: 61 NE DAYBREAK DR
Primary Parcel Number: 123325200003
Permit Description: New 3bd pressure trench
Permit Submitted Date: 05/10/2023
Permit Issued Date: 07/06/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/19/2026 (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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY-----
DATE RECEIVED' I O ��
�c MASON COUNTY r�
s� r Ott nMOUNT RECEIVED RECENED 8r: /� /` � m
COMMUNITY SERVICES cgs- �u�{`_J( c,
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�1,0, If: Public Health(Community Health/QnVlfpnnlenldlHealth) W �O _ /� ' Cn 0
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4 I S N.6N St,eet�Shelton.WA 98584 Z (I)
SEWAGE SYSTEM APPLICATION ), xi
ON-SITEm
PHONE r
APPLICANT Z
Stephen Harris - z
WA 98366 CO
MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE Port Orchard m
945 Eagle Crest PI ____
SITE ADDRESS-STREET,CITY.ZIP CODE ..----•—, --17 _ :j1 I( I ll Belfair WA 98528
..�1 '.'' -.�_ I °.�
61 NE Daybreak D'r;;; ,, <<:.) i , ' 'J IN..),/ I PHONE
NAME OF DESIGNER
Rod Left MAY I 0 2023 ( - 360-698-8488 CO
0
NAME OF INSTALLER )
0, CO
-• """• DRINKING WATER SOURCE O
PERMIT TYPE(select ono) -"-.rr I N
RESIDENTIAL OSS COMMUNITY OSS d�!COMMERCIAL OSS EPRIVATE INDIVIDUAL WELL f PRIVATE TWO-PARTY WELL Z
PUBLIC WATER SYSTEM Bohai,water District 06350
TYPE OF WORK(select ono) I
ffjNEW CONSTRUCTION lUPGRADES ❑!REPAIR/REPLACEMENT OTHER DETAILS(so/ectad that apply) ❑TABLE IXREPAIR
cn
0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE cog MITTALS O
IN)
r�
lh,'DESIGN FORM(REQUIRED) A�)SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE ( o I
WAIVER(S)(IF APPLICABLE) 3 b• IY�J to O
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) O
r I CDO
0
ICAD
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST(HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. --
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(tor reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE 0 COMPLAINT 0 OTHER:
COMMENTS I CONDITIONS
INSPECTOR SOIL LOGS
,A.,c,.7.)S ,,
° 2. GLrtJ c(,S -
13; 0 -2(0 QI,s`' 7/6-1-rv,V-t--
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES: REQUIRED FOR FINAL APPROVAL.
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATUREDATE
DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY
� , v `4)?��� ?Ai J)��
1 C�(z1) <I t I
THIS FORM MAY BE S ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
REVISED 12R/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 3 3 2 — 5 2 — 0 0 0 0 3
A design will be reviewed when 3 copies of each of the following are submitted:
'1 Completed design form that has been signed and dated. 'I 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: II"X 17
it iy* . _ C'FT,)DEN 1141CATIO ___ ,
Permit Number: SWG WO.C1 QC t ', Designer's Name: Rod Left
Applicant's Name:
Stephen Harris Desi er's Phone Number: 360-698-8488
�
Mailing Address:
945 Eagle Crest PI Designer's Address: PO BOX 2954
Port Orchard WA 98366 Silverdale WA 98383
City State Zip City State Zip
DESIGN PA RAIVEgrERS.-,
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
6�Pressure 0 Trench 0 Bed 0 Sub Surface Drip
❑Gravity ..
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40
Daily Flow:Operating Capacity 360 gpd Length a5— 5 S ft
Daily Flow:Design Flow 360 _ gpd Diameter 1 in
Septic Tank Capacity 1 z5 0 gal Number 5
Receiving Soil Type(1-6) 0.6 Separation 5 ft
Receiving Soil Appl.Rate 4 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices 50 ��
Designed Primary Area 600 ft2 Diameter i8 l f� PP/fto
Designed Reserve Area 600 ft2 Spacing 48 in
TrenchBed Width 3 ft Manifold
Trench/Bed Length 200 ft Schedule/Class 40
Elevation Measurements Length 85 ft
Original Drainfield Area Slope 1-2 % Diameter 1 in
New Slope,If Altered 1-2 % Preferred manifold configuration used? 6i'Yes 0 No
Depth of Excavation Up-slope (o in Transport Pipe
from Original Grade Dovvn-slope (o in Schedule/Class 40
Designed Vertical Separation 24 in Length 14 ft
Gravelless Chambers Required? 0 Yes 0 No l(Optional Diameter 2 in
Pump Required? liti Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day i 2.
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal
Orifice 5+ ft Chamber Capacity /Z.So gal
Uppermost Orifice 56 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required_
Capacity @ Total Pressure Head a.�.9 gpm ErTimer I 'Elapse Meter gi Event Counter
Calculated Total Pressure Head 141).3 ft If Timer: Pump on 1116,1 3sd.c ,Pump off D.. Lt S
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 3 3 2 -- 5 2 -- 0 0 0 0 3
Permit Number: SWG
DESIGN CHECKLISTS,
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
0 Test hole locations 121 Drainfield orientation and layout Reference depth from original grade:
621 Soil logs ili Trench/bed dimensions and 66 Septic tank
6A Property lines critical distances within layout E2( Drainfield cover
121 Existing and proposed wells IA D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 66 Septic tank/pump chamber and restrictive strata:
621 Measurements to cuts,banks,and locations 66 Laterals,trench/bed,top and
surface water and critical areas 121 Observation port location bottom
0 Location and orientation of 621 Clean-out location 0 Curtain drain collector
curtain drain and all absorption Ii6 Manifold placement 0 Sand augmentation
components Q( Orifice placement Other cross-section detail:
WI Location and dimension of iii Lateral placement with distance 6g Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
0 Buildings Q1 Audible/visual alarm referenced Yes No
1 Direction of slope indicator Iii Scale of drawing shown on scale 0 56 Design staked out
66 Waterlines bar 0 El Recorded Notices attached
66 Roads,easements,driveways, 0 RS Waiver(s)attached
parking 12i 0 Pump curve attached
Pi North arrow and scale drawing ❑ Cg Evaluation of failure
shown on scale bar Non-residential justification
❑ 131 Waste strength
o 66 Flow
DESIGN,APPROVAL
The undersigned designer must be notified ' tall •• e of installation It Yes 0 No
,m0,-( 9.oa3
ignature 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:
S J6J3
Environmental ealth Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. l, �J
2b/ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 'I
✓ 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: 1217/2015
Pump Selection fora Pressurized System -Single Family Residence Project
' HARRIS/12332-52-00003
Parameters
160
Disd-ergeAssarttySize 200 irides
TraspatLe'gh 14 bet
Traspor1PpeClass 40
TranspxtLinest,e 200 ides
DistrilingVdveMcx None 140
Mac Elena cn Lit 5 bat
MaifddLegh 58 bet
Maibd Pipe CLass 40
MarddPipeSize 100 ides
NurtpercfLateraLs per Ceti 5 120 111111111111111111111111111111111 II
teem:LEngh 50 bat
LabaI PipeClass 40
Lamed Pipe Size 1.03 etches _
OritceSee 18 bides 01
OritceSpairg 4 bet ly 100
Reskba Head 5 bpi I
0
FbNMeer Na a irO a I—
Adfm'Frt nLcsses 0 bat m
= 80
Calculations u
MirimmFbvRae per Ori6ce 0.43 ginc
NurtadOr6orspaZcre 65 Q
Tcbi Flory RaepaZm gu
e 28.4 n _
,''%FNurtad ial LspaZore 5 ;o
? 60 1111111111
bDiretriai1stUtOr a 31 %
Traspert\tlody 27 icelilliiilii!!i!IiiiiiiiI
Frictional Head Losses 40
Lees fra 1Discterge 16 bet II IliHbii
II I cgs inTrasport 02 bet
'' ,
I in Ma tUJJ 6.1 bat ''�
IresinI As 0.0 20 •,'LcsstnrohFbr I1ses 00IIIIiiIJiUhii
I�
1111111111111
Pipe Volumes 0 I
Vdd r spatLre 24 gads 0 10 20 30 40 50 60 70 80
VdcfMaitid 26 gars Net Discharge(gpm)
Vddl alsperZme 112 gals
Tctal Vdure 16.3 gals
Minimum Pump Requirements PumpData Legend
DesigrFbn,Rate 28.4 g:n PF5005Hi 1HealEllu 1Puip SystxiCuve ......
TotalDyte tic,Head 183 bet 50 GPM,12HP
115230c/1060Hz200'230%306CH z Rnpcuve —
PurpOpfrrelRdge: —
Opa-airg Pdrt 0
.s.
iIlk
R v E AP _ Desigl Pdrt 0
APP
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ONMENtAIHEALtH �,_v �•_
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RES UCEN• •DESIGNER IGNER
Orenco Systems' EXPIRES 121151
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Mason County WA GIS Web Map
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APPROVED
JUL 062023
MASON COUNTY ENVIRONMENTAL HEALTH
RET
3/17/2023, 2:37:12 PM 1:3,058
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0 County Boundary I 1 1 I i r r r
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Tax Parcels (Zoom in to 1:30,000) Sources:Esrt,HERE,Garmln,Intermap,increment P Corp..GEBCO,USGS,
FAO,NPS, NRCAN,GeoBase, ION, Kadaster NL,Ordnance Survey, Earl
Japan,METI,Earl China(Hong Kong),(c)OpenSlreetMap contributors,and
the GIS User Community
Mason County WA GIS Web Map Application
County of Kitsap,Bureau of Land Management,Earl Canada,Earl.HERE.Garman,INCREMENT P,USGS,EPA,USDA I
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