HomeMy WebLinkAboutSWG2023-00255 - SWG Application / Design - 6/20/2023 584
A: MASON COUNTY 416N 6THGTREET SHELTON, EXT40070,EXT 400
SHELTON:36042T
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: SWG2023.00255
APPLICANT KNIGHT, MATTHEW Phone: 1.253.225.1542
Address: PO PO BOX 4 WAUNA, WA 98395
OWNER KNIGHT, MATTHEW Phone: 1.253.225.1542
Address: PO PO BOX 4 WAUNA, WA 98395
SEPTIC DESIGNER ROD LEFT-Acme Design Phone: 360-698-8488
Address: PO Box 2954 SILVERDALE, WA 98383
Site Address: 140 NE Seitz Dr
Primary Parcel Number: 123303390029
Permit Description: 3-bedroom pressure system
Permit Submitted Date: 06/20/2023
Permit Issued Date: 10/11/2023
Issued By: David Anderson
Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/25/2026 Rased on date of inspection)
Permit Conditions:
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 Drain field 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 ---
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ON-SITE SEWAGE SYSTEM APPLICATION
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ONE m O
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APPLICANT
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MATTHEW KNIGHT ,7 L c
< , A-.ZIP CEDE _ — 3
MAILING AOORFs STREET CITY s-
P.O.BOX4 WUANA WA 98395 40 ESS STREET Sin.KIP CODE A
1RNE SEITZ DR BELFAIR WA 98.528
NAME OF.DESIGNER I-HONE N
ROD LEFT 360-698-8488
NAME OF INSTALLER PHONE o w
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'eo one, DRINKINGasouecE 5 O
17
RESDENTIAL OSs COMMUNITY ass 57COMMERCIAL OSS 5 PRIVATE INDIVIDUAEWELL PRIVATE TM-)PARTY WELL Z Q
_L-mpg HE Nook , L 7PUBLIC WATER SYSTEMr�SElflc( ZVREc L(ALMLyW IEL C Lib
ff NEW CONSTRUCTION'UPGRADES 5 REPAIR!REPLACEMENT O, DETAILS ircmc m,real "mn 0 TABLE IX REPAIR IW
SUSHI-MALE
0 SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE to
M'LDESIGN FORM(REOUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS Lo-si S W
6 WAIVER($!(IFAPPL CABLE} 3
IL 21 ,780 n I
.I __ _-. _ 17 I (ip
DIREDTIONN TOSr2 AND SITE CUNOITIONG..(es Hexed ga el
PLEASE SEE MAP 1 0
r I
O
IN
SUE MUST HE FLOGGED FROM MAW ROAD ENO TEST HOLES MUST SE FLAGGED MTH TEST HOLE NUMBERS. I CO
--_. - ------- -- OFFICIAL USE ONLY BELOW THIS LINE-- ----- --
UFGRADE FAILURE SOURCEIbrREATHrymoartsl
0 VOLUNTARY 0 MAINTENANCE/PIMPING ❑BUILDING PERMIT 0 HOME SALE OCOMPLAINT 0 OTHERS
INSPECTOR SOIL LODE
LOODEE OOMMwu Ilk wim,•+ncionAt36 ' r/pet ?Oro Fm.a1
viz:0-2T LE&Sa verYCoa�ocfcal w/pot of Cao1C%�4Type1 65% 6(ace(
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RECORD DRAWINGAND INSTALLA-ION REPORT
SOIL CODES
VERB S=
=1 GRAVELLY S=SAND L-LOAM E,=SL C-CLAY E-E E L R-ROOTS R EQUIREDDOR FINAL APPROvL.
DALE <PPLI 75E A 177 H Y DALE
sDRT ADRE ? 0O/✓— s3(7 73 ( 776 ?6 01/I03 -
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED It'2L�/a �V
MN
cc�gn�
DESIGN FORM PACE ONF OCT 0 U 1otcae550 's Parcel Number_ 1 2 3 3 0 — 3 3 — 9 0 0 2 9
A design will be reviewed when 3 o l ies a,�.3 •i follow] g are submitted:
-"Completed design form that has be.i simAl ena.. . Scaled layout sketch, including all applicable items on checklist
Scaled plot plan,including all appbca.le items or 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.M Imum paper size. Il'"X 17"
PARCELIDENTIFICATION
Permit Number SWG 202.1D O T-S41- Designers Name: Rod Lett
Matthew Knight350-598 488
Applicants Name. q Designers Phone Number:
PO Box 4 PO Box 2954
Mailing Address: Designer's Address: _
Wuana WA 98395 Silverdale WA 98303
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biebber ❑ Sand Filter ❑ Mound ❑ Sand Lined Drain5eld 0 Recirculating Filter,Type:
❑ Aerobic Unit Make'Model__ ❑Disinfection Unit Make/Model Other: -
Drainfield Type
❑ Gravity gPressure ❑Trench ❑ Bcd ❑Sub Surface Dnp
Septic TanklDrainfield Specifications Laterals
Number of Bedrooms 3 ee Schedule/Class 40 -.
Daily Flow' Operating Capacity 360 gpd Length 70 ft
Daily Flow: Design Flow 360 ,�gpd Diameter 4" m
Septic Tank Capacity 11.a.5 ALSO gal Number 3 -
Recemving Soil l_ype(1-6) 4 Separation 5 ft .
Rece:ving Soil Appl-Rate 0.6 gpd/ffl Orifices
Required Primary Area 600 fte ' Total Number of Orifices 37
Desi ned Primary Area 600 ft2 ' Diameter 118 m
Designed Reserve Area 600 fin Spacing 48 in
Trench Bed Width 3 ft Manifold
'frenchiBcd Length 200 ft Schedule/Clash 40
Elevation Measurements Length 17 ft
Original Drainfeld Area Slope 10-15 .o Diameter 1 in
New Slope,If Altered 10-15 % Preferred manifold configuration used' 0 Yes 0 No
Depth of Excavation Up-slope 15 hi.' Transport Pipe
from Ongnal Grade Down elope 15 in Schedule/Class 40
Designed Vertical Separation 24 in Length 30 ft
(iravelless Chambers Required'? ❑Yes 0 No Eil Optional Diameter 44 in
Pump Required' Elf Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdosev'dey 12
Difference in Elevation Between Pump Shutoff and Upoennost Dose quantcy 30 gal
Orifice 5 - ft Chamber Capacity 1000 gal
Uppermost Onfice 0 I ligher 0 Lower than Pump Shutoff Pump controls.Please check those requited.
Capacity @ Total Pressure Head 17 gpm Wilmer DElapse Meter ❑Event Counter
Calculated"total Pressure Head 11.7 _ ft If Tuner: Pump on 1mmn 46see , Pump off 2hrs
Comments
{?aeSdSn -c S{ar1cio6 Pr- ccoce
OCT 1 1 ?023
_ - 1 ,
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 3 3 0 -- 3 3 — 9 0 0 2 9
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
66 Iest hole locations 121 Drainfield orientation and layout Reference depth from original made:
lid Soil logs V Trench/bed dimensions and V Septic tank
V. Property lines critical distances within layout gi Drainfield cover
O Existing and proposed wells Iii D-BoxNalve box locations Reference depth from original grade
within 100 ft of property V Septic tank/pump chamber and restrictive strata'
❑ Measurements to cuts,banks.and locations Pr Laterals,Lrenelvbed,top and
surface water and critical areas Eil Observation port location bottom
❑ location and orientation of gl Clean-out location 0 Curtain drain collector
curtain drain and all absorption IY:1 Manifold placement ❑ Sand augmentation
components V Orifice placement Other cross-section detail:
• Location and dimension of lid Lateral placement with distance Rif Observation ports/clean-outs
primary system and reserve area to edge of bed
Other Information
Buildings V Audible/visual alarm referenced Yes Nu
✓ Direction of slope indicator
liti Scale of drawing shown on scale ❑ d Design staked out
✓ Waterlines bar ❑ V Recorded Notices attached
✓ Roads,easements,driveways, ❑ 1i Waiver(s)attached
parking lV ❑ Pump curve attached
✓ North arrow and scale drawing 0 RI Evaluation of failure
shown on scale bar Non-residential justification
❑ Eia Waste strength
❑ V Flow
DESIGN APPROVAL
The undersigned designer must he notified by i alley at tirPeofi stallation C✓J Yes ❑ No
Store of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determmCd it to bold
compliance with state and local on-si e rations. -
/07I1/702.) _
Environmental Health Specialist 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 is: y/(�✓/zy/}0 7,,6_
✓ 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 2/92015
Pump Selection for a Pressurized System -Single Family Residence Project
KNIGHT'/12330-33-90029
Parameters .■
D ins�uy See an hi,s 160 i 1 _I �I i N11� 11 I F
TinimLLnifl 13 to �N
igngriinipeC j 1 �
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Mafl1P h 17 . 1 llii .t1 into 'H .
Maif$]Rpeci 40
nknodocesoe -DO Ilia i 1 1 1 I I 1
Nmarrt QDal 3 120
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Lard RreC� 90 1�
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Calculations 0 80 1I -1 I -I t
MrtYmroroaemoNY 043 3m q -� 1 I
Nv-�eonz>spazoe x _ p-
T�FuvR�piZot PD ym amp I 1 1 I I I 1 1
60
%Fy/DRactl'd.astQds 31 % F j 1 1 I 11
a p 13 t 11 1- _y. I M♦1
HI�':� II 11
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Frictional Head Losses q0 „, Y...
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Lr inL3ra 04 hi I
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Pak; FtrJm L'-•_ 0C Sit mm
26 �~I n
Pipe Volumes 111� 1I III 1 I ,� I In } I
Crrr pzt'� 23 gin Co 10 20 30 40 50 60 70 80
od- rite CH gEls Net Discharge(gum)
gnicil gae' puce cr Os
TctelWure 30 ogs
Minimum Pump Requirements PumpData Legend
DesgIFynRai 17.0 gin fFsxn i 1HxajgiungRnp Sy4mc. e —
Toni Gyres .Hmi 17 lent 5GMl2r1P
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