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HomeMy WebLinkAboutSWG2023-00028 CANCELED - SWG Inactive OFFICIAL USE ONLY MASON COUNTY DAIS RECEIVED: 4244 D 1' COMMUNITY SERVICES A OUNT _ tifoo, 00 CO CA1 � v M Public Health (CommunityHealth/Environmental Health) < U) ApV 415 N.6th Street-Shelton.WA 98584 S V `^/G V -060,90 0 Z (5 ON-SITE SEWAGE SYSTEM APPLICATION x. xi APPLICANT PHONE m m I— Franklin Clar 360.830.4765 z MAILING ADDRESS-STREET, ,STATE,ZIP CODE C 3 P.O. Box 1954, Silver.:le,WA 98383 00 m SITE ADDRESS-STREET,CITY,ZIP COD73 5341 NE North Shore Rd, :: fair,WA 98528 I N NAME OF DESIGNER PHONE Franklin Clark 360.830.4765 NAME OF INSTALLER \ PHONE I I N v Franklin Clark 360.830.4765 < PERMIT TYPE(select one) DRINK! WATER SOURCE I, • RESIDENTIAL OSS 0 COMMUNITY OSS ❑COMM CIAL SS ❑ RIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z I lO TYPE OF WORK(select one) PUBLIC WATER SYSTEM r 1 ❑ NEW CONSTRUCTION/UPGRADES In REPAIR/REPLACEMENT _ • • D TAILS(select all that apply) TABLE IX REPAIR I I,,� ..,, SUBMITTALS ■/='iRFACING SEWAGE • IS ING FAILURE •SHORELINE • DESIGN FORM(REQUIRED) I SEPTIC DESIGN(REQUIRED) ED••OMS LOT SIZE W I �' �` . WAIVER(S)(IF APPLICABLE) 0.36 Acres 0 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) 615 WAlder St.Shelton.WA 98584>Head east on W Alder St toward N 6th St-0 3 mi>At the traffic\circle take the 1st exit onto N 1st St-249 ft I"O Turn left onto E Pine St-1.6 mi>Continue onto WA-3 N-21.8 mi>Turn left after Dairy Queen Grill&Chill(on t left)-0.2 I Turn left to stay on WA300 W 3.3 mi>Continue onto NE North Shore Rd Destination will be on the left-1.8 mi 0 Is —I 5341 NE North Shore Rd I ' IBelfair,WA 98528 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I,I, — OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: \\INSPECTOR SOIL LOGS ) 1 ( o nil eh cs 7-3L 'U e„ COMMEN /CONDITIONS Tft t:6-`t} t6 ON gild 1n L? 1-0- b N kat 0 LE 10 LE 0 N li , FEB 0 3 2023 SOIL C• RECORD DRAWING AND INSTALLATIO EPORT V=VER!-2l-7+tr,as‘ - .• • - •• Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE )%4A1\e(4)1 - ((r2' 1-2 ) THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 --F. ,....z) BUILDING PERMIT APPLICATION _ MASON COUNTY P.O. Box 186 Shelton, Washington 98584 �. 426-5593 �`DATE ISSUED ' ,2L / l�/ o? ..210 - 11 -oo07o PERMIT NO. -/,5e,-2 Lo/,.t! '45 t', OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE Edwin C. & Irene McRory 5425 Elleray Lane N. E. Seattle, Wa. 98105 524-5252 or DIRECTIONS & Clarence F. & Mina M. MccRory 329-8700 worl TO JOB SITE LEGAL (5,.SEE ATTACHED SHEET) NAME MAIL ADDRESS CITY&STATE !�Z 3-LIME E NO(,I k t r PHONE CONTRACTOR . 2 • i3d, Wa. 842-3387 USE OF 98110 • BUILDING Second residence Class of work: Xi NEW ❑ ADDITION D ALTERATION D REPAIR D MOVE D REMOVE Describe work: New three story, two-bedroom house and garage Valuation of work: $ PLAN CHECK FEE PERMIT FEE 100,000 j 5/3 S c' $)87. 00 SPECIAL CONDITIONS: As per attached letter dated April 19, 1979. , , // • BEDROOMS 2 DECKS 3 ,CARPORT U NOTICE BATHROOMS 3 TOTAL SQ. FT.237 GARAGE f�4 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIE? 3 BASEMENT U ATTACHED OR AIR CONDITIONING. TOTAL SQ. FT.42b/ FIREPLACE DETACHED U THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I aware of the ordinancethe FOR OFFICE USE ONLY requirements regulating work for which the permit is issued and all work done will be in conformance therewith. PERMANENT 0 SHORELINES U SEASONAL U FLOODPLAIN U Firm E.D. NO. S.E.P.A. C By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. 7�/6/ PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. of the Mason County ordinance requirements for • which this permit is issued and that al work done will ROAD ACCESS be lo conformance revllt . MOTOR VEHICLE PERMIT n f'//� t --s. APP ATION ACC PTEDDlY PLANS CHECK BY AP O ED F ISSUANCEIS ON, `C..�L L� ate. / �j fJ�it t<CY 7 �� BYI✓ � C ECK VALIDATION `�►�? O. 00�SHiv, /2''' / '4c-e ,-- ' PERMIT VALIDATION CK. M . CASH ,� Rhonda Thompson as/A-1(AL_ From: Frank Clark <aplusonsite@live.com> Sent: Wednesday, February 15, 2023 1:58 PM To: Rhonda Thompson Subject: Re: SWG2023-00028 Caution: External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Thank you, Rhonda, I will forward this information on to the owners. We Hope you have a wonderful day! WE ARE A GREEN COMPANY AND CONDUCT OUR BUSINESS VIA INTERNET. PLEASE CONFIRM RECEIPT. Regards, Frank Clark A + Onsite, LLC 360.830.4765 //www.aplusonsite.net Like us on our Facebook page: https://www.facebook.com/APIusOnsite It is the sole responsibility of the customer or representing agent to provide A + Onsite, LLC in writing with any and all information pertinent to the development of septic feasibility and/or design including utility location. property dimensions, easements (conservation, road, etc.), buffers and setbacks required by governing or regulating entities. Should you have any questions, comments or concerns you can reach us at 360.830.4765. **Please Confirm Receipt of This Message** From: Rhonda Thompson<RThompson@masoncountywa.gov> Sent: Wednesday, February 15, 2023 1:53 PM To: APLUSONSITE@LIVE.COM <APLUSONSITE@LIVE.COM> Subject: RE: SWG2023-00028 Hi Frank, I did a little digging and found this building permit application from 1979. See attached. Two bedroom home. This system can only be approved for a replacement two bedroom if you are going to follow Table 9 standards. No upgrades. I am going to have the assessors remove that bedroom count information showing a 3bd on our website as it is inaccurate. Home should be sold as 2 bedroom. Please get me over a revised design/plan. Thanks, Rhonda Thompson, RS Environmental Health Specialist 1 DESIGN FORM —PAGE ONE Assessor's Parcel Number: 2221 0 -- 11 -- 00070 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 I Scaled plot plan,including all applicable items on checklist. ID 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: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG _02-S QOO2 0 Designer's Name: Franklin J Clark Applicant's Name: EDWIN S&MARY MCRORYTRSE IRENE MCRORY Designer's Phone Number: 360.830.4765 Mailing Address: 5119 NE 42ND STREET Designer's Address: P.O. Box 1954 City:SEATTLE State:WA Zip: 98105 City:Silverdale State:WA Zip:98383 DE SIGN PARAMETERS Treatment Device N Glendon Biofilter N Sand Filter N Mound N Sand Lined Drainfield N Recirculating Filter,Type: ■ Aerobic Unit Make/Model OSCAR-X02 N Disinfection Unit Make/Model II Other: Il Drainfield Type N Gravity N Pressure N Trench N Bed U Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class Custo,NetafimBioline Daily Flow: Operating Capacity 360 gpd Length 50'Long or73'CoiIofCustomNetafimBioline ft Daily Flow: Design Flow 360 gpd Diameter 1!2 in Septic Tank Capacity 1,200 gal Number 3 Receiving Soil Typ e(1-6) 4 Separation .S'or6'minimum ft Receiving Soil Appl.Rate Pri:.6/Res:.6 gpd/ft 2 Orifices os-lRequired PrimaryArea 600 ft2 Total Number of Orifices each.300 coils emhitteers 1 00 emitters q each. emitters total DesignedPrimary Area 600 ft2 Diameter 0.42 gph emitters in Designed Reserve Area N/A ft2 Spacing 6"o.c. in Trench/Bed Width 28'0u ft Manifold Trench/Bed Length 22'0" ft Schedule/Class System uses aSpedalized Head WorksAssy. Elevation Measurements Length Consisting tot)3/4incsArkldifilter,and ft Original Drainfield Area Slope 0- 1 % Diameter (1)flow mtr,(3)Pressure Gages and(S)Selenads in New Slope,If Altered N/A % Preferred manifold configuration used?■ Yes ® No Depth of Excavation Up-slope 0 in Transport Pipe from Original Grade Down-slope 0 in Schedule/Class 40 Designed Vertical Separation 24 in Length 300 ft Gravelless Chambers Required? N Yes II No N Optional Diameter 1.0 in Pump Required? I Yes N No Dosing and Pu mp Chamber Pump/Siphon Specifications Number of doses/day 360 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 360 gal Orifice S ft Chamber Capacity 1,200 gal Uppermost Orifice I Higher N Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 2.1 gpm ■ Timer ■ Elapse Meter I Event Counter Calculated Total Pressure Head 50' ft If Timer: Pump on 22Seconds , Pump off 3 minutes 38 Seconds Comments This is a Tretment Lvl A Wastewater Treatment system which meets the waiver requirement for a 50'Setback from surface waters edge.The designed system consists of a Pump Vault,an Aerobic Treatment Unit Low Ridge Technologies-OSCAR-X02 wastewater treatment system.Each systems comes with all required system components,see"Manufactures System Specification".Each system comes with its'own unique control panel which are factory set,but can be adjusted if needed.**This is a 3-BDRM Septic Design for a 2 BDRM SFR"* DESIGN FORM - PAGE TWO Assessor's Parcel Number: 222 1 0 -- 1 1 -- 00070 Permit Number: SWG DESIGN CHECK LISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ▪ Test hole locations Drainfield orientation and layout Reference depth from original grade: ▪ Soil logs I Trench/bed dimensions and � Septic tank ▪ Property lines critical distances within layout Drainfield cover Existing and proposed wells I D-Box/Valve box locations Reference depth from original grade within 100 ft of property Septic tank/pump chamber and restrictive strata: I Measurements to cuts, banks,and locations I Laterals,trench/bed,top and surface water and critical areas f Observation port location bottom Clean-out location ® Curtain drain collector- N/A Location and orientation of I Manifold placement I Sand augmentation curtain drain and all absorption X Orifice placement - N/A Other cross-section detail: components Observation ports/clean-outs I Location and dimension of Lateral placement with distance to edge of bed Other Information primary system and reserve area Audible/visual alarm referenced Yes No Buildings f Scale of drawing shown on scale Design staked out I Direction of slope indicator bar I ® Recorded Notices attached I Waterlines ® Waiver(s) attached Roads,easements,driveways, ® Pump curve attached parking IX I Evaluation of failure North arrow and scale drawing Non-residential justification shown on scale bar ® I Waste strength ® I Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation I Yes ®No 01/20/2023 Signature of esigner 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 onsite regulations: Environmental Health Specalist 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:s: _ ® 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 0"74\12-1(---- Rhonda Thompson From: Rhonda Thompson Sent: Tuesday, February 21, 2023 3:16 PM To: 'Frank Clark' Subject: RE: Revised Septic Design and BSA for the Parcel # 22210-11-00070 Attachments: Certificate of Residential Use Limitation on Bedrooms.pdf Thank you. I went over this one with the EH manager just now and we really need to make sure the future property owners are aware this is a 2 bedroom septic system and will be used as one. We are allowing it to be oversized to mitigate for the lack of a reserve drainfield. We have this recording which will need to be filed with the Auditors office. Please have the property owners fill it out for a 2bd/4 occupant septic system, have it notarized, and recorded to title. Then provide us a copy so we can do our final review on septic design. Thanks, Rhonda Thompson, RS Environmental Health Specialist Mason County Public Health 415 N 6th St Shelton WA 98584 360-427-9670 ext. 581 Rthompson@masoncountywa.gov From: Frank Clark<APlusOnsite@live.com> Sent:Saturday, February 18, 2023 12:25 PM To: Rhonda Thompson<RThompson@masoncountywa.gov> Subject: Revised Septic Design and BSA for the Parcel# 22210-11-00070 Caution: External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Hello Rhonda: Attached are copies of the revised BSA and the Septic Design for the property of: Site Address: 5341 NE North Shore Rd, Belfair WA Parcel Number: 22210-11-00070 Per our conversation and at the Ower's request, I have updated the attached documents to show the residence as the recorded 2 BDRM SFR installing a 3 BRDM septic system.This will use all the available space on the property for the largest possible septic system. Please reach out to me should you have any questions or concerns. We Hope you have a wonderful day! WE ARE A GREEN COMPANY AND CONDUCT OUR , BUSINESS VIA INTERNET. 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