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HomeMy WebLinkAboutSWG2023-00527 - SWG Application / Design - 12/18/2023 MASON COUNTY 415N 6THELTON: SHELT96 ,EXT 400 SB STREE ,SHEL-9670,EXT400 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: SWG2023-00527 APPLICANT GASPAR MARCOS ET UX ANTONIO Phone: 360-801-7337 Address: PO Box 3131 BELFAIR,WA 98528 OWNER GASPAR MARCOS ET UX ANTONIO Phone: 360-801-7337 Address: PO Box 3131 BELFAIR, WA 98528 SEPTIC DESIGNER TOM WEAVER-Allied Design Inc Phone: 360-620-7054 Address: 3912 STEELHEAD DRIVE NW BREMERTON, WA 98312 Site Address: 71 NE Cutlass Way Primary Parcel Number: 123315100119 Permit Description: 3-bedroom gravity system: REPAIR Permit Submitted Date: 12/18/2023 Permit Issued Date: 12/21/2023 Issued By: David Anderson Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system). Permit Expiration Date: 12/1812024 (based on dale or inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backlit;of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa-gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670,extension 400. - — OFFICIAL USE ONLY - MASON COUNTY PUBLIC HEALTH DATE ANTHEM 2 ( L13 a oa 3 I en a ONSITE SEWAGE SYSTEM APPLICATION MO W D R D DB CO EN EN 415N 6th Street heXa(BIdg81 SnW6 98584 t 5.)-5 o_ m 5 H Shelton:360427-%70ext400 Belfair 360-275-4467 Bxt 4W en O SWG j�3 - (\e-) 5 1-. o A 2 N 2 -0 APPLICANT PHONE > aA Antonio Marcos 360-801-4974 m m MAILING ADDRESS-STREET,CITY STATE,ZIP CODE CO r a Z PO Box 3131; Belfair, WA 98528 y C SITERDDRES$-STREET CITY ZIP CODE cn 3 CO 71 NE Cutlass Way; Belfair 98528 c m NAME OF DESIGNER PHONE ElI , Thomas Weaver - 360-620-7054 NAME OF INSTALLER PHONE I N CHECK ALL APPLICABLE ITEMS DRINKING RATER SOURCE o I Ca E ` I❑ coNEW CONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL fA Ip REPLACEMENT SYSTEM 0 INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL 0 ❑ TABLE S REPAIR 0 SINGLE FAMILY isCOMMUNITY/PUBLIC WATER SYSTEM O TANK(S)ONLY 0 COMMERCIAL Upgrade existing SYSTEM NAME: I ❑ UPGRADE TO EXISTING 0 OTHER:PeDSlr With expansion BEDROOMS LOT SIZE I m I LT ❑ EXISTING FAILURE 11.cinfidDaTlittg(ORRIS/ CO I -I.Ar MImWRNRRs- 3 .22 Acres r DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gale) x I ° C. O I — H _ 1 CD SITFMYST BE FLAGGED FROM MAIN ROAD AND TEST MOLES MUST BE FLAGGED HTTN TEST HOLE NUMBERS 4 °4^ - OFFICIAL USE ONLY BELOW THIS LINE - - -Sip to UPGRADE/FAILURE SOURCE(M nWlM Noma) O VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE OCOMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS 'ref 1 : O —f6" 6t dy lid fe51- T N z: Fut l of Seivcr, cool ✓e+ tfrUpeek - SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si SILT C=CLAY E=EXTREMELY R=ROOTS INSPECT SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE tzllklzg f7/ft/2az9 ii`- i7/2(/arz3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/712015 DESIGN FORM—PACE ONE Assessors Parcel Number: 1 2 3 31 -- 51 -- 001 19 A design will be reviewed when 3 copies of each of the following are submitted: s'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. v 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- ,. PARCEL ll1ENTI#ICA'11ON 7, , +•. -a.' , ... Permit Number: SWG 24 3 -OOS€ R— Designer's Name: Tom Weaver. Applicant's Name: Antonio Marcos _ Designer's Phone Number: 360-620-7054 Mailing Address: PO Box 3131 Designer's Address: 3912 Steelhead Dr NW_ _ Belfair, WA 98528 Bremerton WA 98312 City State Zip City State Zip D&4I13N PARiR$ ..*' Treatment Device ❑ Glendon Butt-liter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter. l pe: ❑ Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type RGravity 0 Pressure 0 Trench '.Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 YL z Schedule/Class 2729 Daily Flow:Operating Capacity 240 gpd Length 35 ft Daily Flow: Design Flow 480 gpd Diameter 4" in Septic Tank Capacity 1.200 -- gal Number 3 Receiving Soil Type(1-6) 3 Separation 5.75' ft Receiving Soil Appl. Rate .8 - gpd/ft2 Orifices Required Square Footage 600 -- ft' 'Total Number of Orifices NA Designed Square Footage 600 , ft' Diameter in Percent Reduction Taken 0 - % Spacing in Trench/Bed Width 15' ft Manifold Trench/Bed Length 40' ft Schedule/Class NA Elevation Measurements Length 11 Original Drainfield Area Slope 2 % r Diameter in New Slope. If Altered NA % Preferred manifold configuration used". ❑Yes ❑No Depth of Excavation Iip-slopc 36 ` in Transport Pipe from Original Grade Dmsn-slope 36 / in Schedule/Class 3034 Designed Vertical Separation 36 ' in Length 30 ft Graveness Chambers Required? 0 Yes g No 0 Optional Diameter 4 in Pump Required" 0 Yes Di No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day NA Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal Orifice ft Chamber Capacity gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity(<7. Total Pressure Head gpm ❑Timer DElapse Meter 0 Event Counter Calculated Total Pressure Head ft APPROVED ,Pump off Comments DEC 2 1 2023 - 'r'y estnnnNaWNTAl HEATH DJA DESIGN FORM—PAGE TWO Assessor's Parcel Number: l23 21 -- Si -- Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch �f Test hole locations Ex Drainfield orientation and layout Reference depth from original grade: 51 Soil logs QQ Trench/bed dimensions and X Septic tank NI Property lines critical distances within layout ❑ Drainfield cover ESQ Existing and proposed wells ;:1 D-BoxNalve box locations Reference depth from original grade within 100 ft of property (X Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks, and locations X] Laterals.trench bed, top and surface water and critical areas ® Observation port location bottom 0 Location and orientation of Clean-out location 0 Curtain drain collector curtain drain and all absorption ❑ Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: �I Location and dimension of ❑ Lateral placement with distance 1KI Observation ports/clean-outs primary system and reserve area to edge of bed Other Information Buildings ❑ Audible/visual alarm referenced Yes No ix Direction of slope indicator Top&bottom legs staked 110 Scale of drawing shown on scale 0 X Design staked out X Waterlines bar ❑ X Recorded Notices attached 51 Roads,easements, driveways, ❑ X1 Waiver(s)attached parking 0 %] Pump curve attached 51 North arrow and scale drawing EX 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength O 0 Flow DESIGN APPROVAL The undersigned designer must be notifie by installer a29ime of installation 0 Yes IX No December 14, 2023 Signature of Designer Date Pia The undersigned has reviewed this design on behalf of Mason County Public health and dd fmineB-M'IS �� compliance with state and local on-s e regulations: t® 2023 nvironmental health Specialist Data"cf's'4?y n,,,, 1RON1;Gy%A( CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COND9'1f'PON: " y+!B/ V The design is stamped-'Approved' by Mason County Public Health. 7 (�rr�1 y/�7�/ ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 13 / 1 "1WZ t ✓ 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. Revision Date: 1/112010 D D d aa . p n3 Y .S . I co ao m `c -sr .it ai o >` o 0 E .. ..\ i. N o TT I E IS N \\ �zON o ❑ Eoo \ o /c m omo \\ 4...' I- ; J J V) N G W 3 O .09 L o N -o A J 1- LSI 1- 13 AP ROVED N I to D 1 C 2 1 2023 E c 1 x m MASON COJN ENVIRONMENTAL HEALTH m Ti y DJA a) c -a .c 3 flnw eg alit.99 X Ai). 6uasix3 U c a J � . a -o - x Oil 4°i°d ,. tit• `' a) a. S ate - I d o A R k ,. u� �L y v 1._ y} w ✓• o «« io t V) - II w 1 J N N . co 0 __ - x 1 �j/ / en a) 0 c a 'n i c „` m o a) 3 EF 1..�\ �.." ANC .' R k- L Ltil• o N J / N (5 pp• O 0) N o h O a - o O LL Y 0 aa 4 . arm aI .ig C .` N yC `m N > .0 m • a) - K ? WO _ . 44 G`M �O 0 .c .0 a) Ca 11 o E m E `—a o c o AB AA sselln3 3N N At- 1` C in O coPw & cowal 1 • } ' \ : ( \--0 61 /■ � \ — » : . / § w � s s \ - I { \ `� ' ~ N \~ { \ «-- \ , , ; . /\, I-- I\\ I\ \ , \ \e \ \ƒ \ { '. ,y / -~ » \ / - ) 2 \ \ , - ( ° % , « c \ j \ \ \ N `/ 1 , \ \ \ \ 1 , ( : » „ / / \ \ ` \ \ \ n : t.of O ZE s ' L § }- 25 c /C , ivtiz iz � �' �H 4- 6- ele/ / ,94/I: SECURED LID WITH GAS TIGHT SEAL l 24-DIAMETER ACCESS RISER apme FINISH GRADE 1 �j1 •10 �� � —�Milla ' PTO PUMP -- / I CHAMBER FROM SEWAGE / OR D gad Nf'EC O SOURCE _j FLOATING MAT APPROVED EFFLUENT FILTER SEDIMENTS SEPTIC TANK m_pjQALI APPR0`V r- DEC 2 1 2023 MASON COUNT°Eh,'P7.-MENTA'_HEALTH • DJA Drawing modified from WSDH RS&GI s Typical Observation Ports _.'I „i Screw or slip cap 4"pipe I-I4"coupling above and below chamber '/ H. �� Gravel less chamber T \ KID„,Screw Type Cap ��-- m Slip Cap I�— - Sr Slip Type Cap or Slip Cap *- - 4" PVC Pipe 4-4" 1'\'(' ripe (Length Varies) (Length \'aide;) 1/4 a 4" Long F'' 11'" , Slott. (4) (a:!90' Aparl (fir ' \ 4" PVC Tee APPROVED DEC 2 1 2023 MASON COUNTYENVIRONME,NTAL HEALTH NA D-Box Details ��. Speed levelers inside D-box SIN. Use in each leg going to a trench Inlet pipe comes through 2" higher hole No speed levelers in inlet pipe APPROVE DEC 2 1 2023 h+asJt Cc jam �, ✓.YAte.n r, Typical Plastic D-Box for three legsti .•.4' : - T •'cal Goner. = D-Box bei • Installed 11.11111.11111111 - ,. . / iu. h ; 4 H v SEWAGE SYSTEM PERMIT APPLICATION No. Permit Expires / / MASON COUNTY HEALTH DEPARTMEYT ENVIRONMENTAL HEALTH SECTION DATE BASIS FOR FEE AMOUNT RECEIPT NO. 303 NORTH 4N STREET • SHELTON, WA 98584 r- `c\ /�,� PHONE (206) 426-5561 9A/JLJ L.11_6 2Cl 4) A#57 •Rl SIGNA�NI 7 PHONE 74 7 Vi o e . /the 9,95 "A.P PROPERPROPERTY7-z 045 SITE: J APwwea ❑Not APPIDTRd ADDRESS PHONE te' y, AWI BY T V�_ I 4pL ❑NWT JO F 1l1 SEW DESSYSTEM REQUIRED CONTRACTOR pF5CEN '�dt1 ) �N unoN . �AP D .d AVPreEBzm L G ee)' 4 p /7 DE H TO WATER TABLE BUI40f /7i N W Ear AlS HO w1 �(fj(/B.BUILDING„/ B®ROOT SOIL TY SINGIE RENCENO: PU"WATBI 1 f A WARR STRRM SYS1EM C�tank Q - p0 ORW1EIf ONLY IIWN WASTE G.F.D. DIRECTIONS TO SITE: 1.410 Lar56r. ha bT,' /Picr071 SEPTIC risings)/Z Oa GAL PUMPR�EO. `� 4f r7?n ..i$ (iv 0.y DISTRIBUTION TILE TOTAIr q TP• /it FEET /•s T <er r a/ I t-I r MMM IESPECTION REQUIRE, EI Ar ERA A.i . ' r srRAWGR PAPER EI ? inn H /f INPESiB SITE PLAN AND SPECIAL STIPULATIONS le^- S41 ) I hE (INDICATE DIRKDON OF DRAINAGE) rAF1Bl slLTIQS CV iRB1LTl ._ 9 f Ai6ly ' Detf rrcn'A Alp,®� DEC 2 i 2023 -.. - MA504=flUNry DJA ',MENrAL HEA TN Printed From Meson County DMA *ma Wirf Pon d from Mason n nil DMS MASON COUNTY N° 1165 GENERAL SERVICES DEPARTMENT ENVIRONMENTAL HEALTH SECTION 30S NORM M STREET • SHELTON,WA 9%84 PHONE Ififl 426461 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM OWNER ADDRESS f < FArt (/// rc / C,T,4 THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. LEGAL / A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER DESCRIPTION ®CA/fjc ?°, MF, WITHPROPER MAINTENANCE AND CAREFULUSE OF ADT�//9 n-rA-* WATER IT CAN GIVE MANY YEARS OF TROUBLELEFREE SER- VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL 5��� ���rE BY FLUSHING EXCESSIVE AMOUNTS OF PAPER. CLOTH COMMENTS L AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X LARGE AMOUNTS Of WATER FROM LEAKY FAUCETS OR NO. SIZE FAULTY FIXTURES. DEPTH R TO MONTH TABLE NWT Of YEAR L W /9 p THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY ! o b TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND d)2, JEJ XC THE AMOUNT THAT A GARBAGE DISPOSAL IS USED.CLEAN- SIZE ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK IS) /pea CISC;fl7E ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTHJ MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA icy©s,a 7- 50. FT. TT LICENSED SEPTIC TANK CLEANERS IN YOUR ARM. THE 6l/ CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE ❑ CORRUGATED 'RIGID 0 CEMENT RECORD WHEN HE COMES. CEPTH I �r HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE Cu.CU.Y // i , /S ait Gi PIPE �Z DEPTH DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS YDS. R1(RS�G/i'dk//// J RE RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIEI SQ, FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING ARE LATER CONTEMPLATED. } NORTH SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO P LP T t 0��yp r THE SEPTIC TANK AS THEY WOULD INTERFERE WITH �� Y EF-'�' 7 ' CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE . • DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. • `, THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCH THAT SURFACE WATER IS NOT POCKETED ON THE , DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE )`�'0NCJ=NTY ENV'R. FN'• ACTH TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX. DJ ill1/44NILI CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. _ WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT 1 l EQUAL TO ONE HALF INCH OF RAIN PER DAY. � St TOOTERG CRAIRGE TER U OT WATER • SOFTENER RECHARGE WATER SHOULD NOT BE CON- NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE DRAINFIELD AREA. / r THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE 7 . - Y arli ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK Ll I HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE 1 HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY CHANGING THE CHARACTERISTICS OF THE SOIL THE I �" NORMAL USE OF BOWL CLEANERS OR CLEANING COM- POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW SOUTH +. DOWN THE OPERATION OF THE SEPTIC TANK. THIS IS AN IMPORTANT DOCUMENT }} [[ryry MTE vR s Printed fl IT W�OR County D Z I''Pr riled horn Meson Cnnaly DMS amR B