HomeMy WebLinkAboutSWG2023-00514 - SWG Application / Design - 12/6/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
BELFAIR: 360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00514
APPLICANT FIKE KARL W & DELILAH I Phone:
Address: 480 NE MATTHEWS DR BELFAIR, WA 98528
OWNER FIKE KARL W& DELILAH I Phone:
Address: 480 NE MATTHEWS DR BELFAIR, WA 98528
SEWAGE DESIGNER PAULA JOHNSON -Arrow Septic Phone: 360-898-2255
Designs Inc.
Address: 171 E VUECREST DRIVE UNION, WA 98592
SEWAGE INSTALLER MAPLES EXCAVATING Phone: 360-463-8474
Address: 911 SE ARCADIA SHELTON, WA 98584
Site Address: 480 NE Matthew Dr
Primary Parcel Number: 223365200008
Permit Description: 3-bedroom gravity system: Non-conforming Repair
Permit Submitted Date: 12/06/2023
Permit Issued Date: 12/18/2023
Issued By: David Anderson
Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 12/14/2024 (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 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.
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OFFICIAL USE ONLY---- I?Q
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DATE RECEIVED:
MASON COUNTY - . - '. - C Cl) D
COMMUNITY SERVICES AMOUNTRECEI_ O cd RECEIVED j CO cn
Public Health(Community Health/Environmental Health) C Z (A
41365-A J6th Str et-400 Shell n,3 WA 96584.ext.400 S W G 3 —a o s 1 t4 Z 0
- A75 e16th Street-Shehort WA 965tH V��
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1 : ON-SITE SEWAGE SYSTEM APPLICATION D23
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AP,LICA.NT PHONE r
Karl & Lori Fike Lori (425)518-0930 z
MAILING ADDRESS-STREET-CITY,STATE,ZIP CODE r g
480 NE Matthews Dr Belfair WA 98528 = co
SITE ADDRESS-STREET.CITY.ZIP CODE s ..
same 0 I `�'
NAME OF DESIGNER PHONE (D I N
1 Tilin_.-'';.,',. Arow Septic Designs (360)898-2255
NAME OF INSTALLER PHONE Q I W
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Maples Excavating (360)463-8474
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PERMIT TYPE(select ore) DRINKING WATER SOURCE —
lYRESIDENTIAL OSS COMMUNITY OSS ECOMMERCIAL OSS 5PRIVATE INDIVIDUAL WELL E.PRIVATE TWO-PARTY WELL Z
7 PUBLIC WATER SYSTEM
TYPE OF WORK(select one) t
i NEW CONSTRUCTION/UPGRADES W REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR N I (jl
SUBMITTALS ❑ SURFACING SEWAGE lif EXISTING FAILURE 0 SHORELINE CO
®DESIGN FORM(REQUIRED) i SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r N
11 �t 3 BR .59 acres 0 o
u WAIVER(S)(IF APPLICABLE)
DIRECTIONS TO SITE AND SITE CONDITIONS (ex.locked ga!el
Go out Hwy 3 toward Belfair and turn (L) after Dairy Queen onto WA-300 W. Turn (L) to o
stay on WA-300 W. Turn (R) onto NE Larson Lake Rd. Turn (L) onto NE Matthew Dr. r I CD
.�;n xk Destination on (R). "480" on black mailbox @ pink house. o
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE El COMPLAINT ❑OTHER: 31
INSPECTOR SOIL LOGS COMMENTS!CONDITIONS 1
THj: p _ I''' htc 1 .- „,.)
!9 -60,. V&J 1,0145 fa bc'-I*m► . <w V<S 1- �
THL: o — aKi c
(C6- 66 V 4 L 'ne 1S G, o-h, h d ✓<51
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RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPE SIGNATURE DATE APPLICATION EXPIRATION DATE A TIO ROVED/ISSUED BY DATE
cz// 1/z03 1Z/ /q/70?11
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7,20'5
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1
DESIGN FORM—PAGE ONE
Assessor's Parcel Number: 2 2 3 3 6 — 5 2 — 0 0 0 0 8
A design will be reviewed when 3 copies of each of the following red s lbyout sketch,including all applicable items on checklist
Sompleted design form that has been signed and dated.
Scaled plot plan,including all applicable items on checklist.ublic view on the Mason county Web incding all
•••er sizele s oII"X 17n st.
•
This form may be scanned and available P
PARCEL IDENTIFICATION ArrowDesigns,Inc
Septic Designer's Name:
Permit Number: SWG
55
Applicant's Name: Karl (360) Septic898-2 Lori Fike Designer's Phone Number: 171 E Vuecrest Dr
480 NE Matthew Dr Designer's Address: WA 98592
Mailing Address: Union,
Beifair WA 98528
City State Zi. State Zi•
City
::.
DESIGN PARAMETERS ,
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model
Other:
Drainfield Type �$ed ❑Sub Surface Drip
0 Pressure 0 Trench
�Gravity Laterals
Septic Tank/Drainfield Specificati n 2729
3 Schedule/Class
Number of Bedrooms `�gpd Length 45 (—ft
Flow:Operating Capacity 270 4 / in
Daily Flow:Design Flow 360 gpd Diameter Number 3
1,200 /gal3 — ft
Septic Tank Capacity(working) 3 l Separation
Receiving Soil Type(1-6) 0.8 %gpd/ft' Orifices
Receiving Soil Appl.Rate Total Number of Orifices
Required Primary Area 450 . ft — in
Designed Primary Area 450 / ft2 Diameter ft2 Spacing — in
Designed Reserve Area 450 r Manifold �--
Trench/Bed Width 10 ft
Trench/Bed Length 45 ft
Schedule/Class 2729
6 ft
Elevation Measurements Length4 in
Original Drainfield Area Slope �/
1 % Diameter
1 % , Preferred manifold configuration used? [i Yes 0 No
New Slope,If Altered Transport Pipe
Depth of Excavation Up-slope 28 in ape
from Original Grade Down-slope 26 in Schedule/Class 50 ft
Designed Vertical Separation 24+ in/ Length
Optional Diameter 4 in
Gravelless Chambers Required? 0 Yes id No ❑Op Dosing and Pump Chamber
Pump Required? 0 Yes �No of doses/day _
Pump/Siphon Specifications Numbergal
Uppermost Orifice — ft Dose quantity
Diff.in Elevation Between Pump& _ gal
Drainfield Squirt Height/Selected Residual(head) —
ft Chamber Capacity(flood)
Shutoff Pump controls:Please check those required. Event Counter
UppermostatyOrifice❑Hire Head❑Lower than Pump m ❑Timer ❑Elapse Meter —
Capacity @ Total Pressure � — ,pump off
ft If Timer: Pump on
Calculated Total Pressure Head Comments b ` . '
I • 1
MASON COUNTY ENVIRONMENTAL HEALT�-
i�1 DJA
DESIGN FORM—PAGE TWO
Assessor's Parcel Number:2 2 3 3 6 — 5 2 -- 0 0 0 0 8
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan
Scaled Layout Sketch Cross-Section Sketch
El Test hole locations Iii Drainfield orientation and layout Reference depth from original grade:
Fii Soil logs lii Trench/bed dimensions and lif Septic tank
critical distances within layout Ea Drainfield cover
6/1 Property lines
Eii D-Box/Valve box locations Reference depth from original grade
❑ within 1 and of proposed wells I� Septic tank/pump chamber and restrictive strata:
within 100 ft of property locations
O Measurements to cuts,banks,and 611 Laterals,trench/bed,top and
surface water and critical areas IRE Observation port location 0 bottom
drain collector
❑ Location and orientation of lif Clean-out location 0 Curtain
in augmentation
curtain drain and all absorption Manifold placement
components 0 Orifice placement Other cross-section detail:
Eli Location and dimension of Observation ports/clean-outs
Lateral placement with distance
primary system and reserve area to edge of bed - Other Information
lid Buildings ❑ Audible/vis �,• If referenced Yes No
lifi Direction of slope indicator ig Scale of dr;;%;. ;.' on scale El 0 Design staked out
❑ Waterlines bar Av. •' •,6. 0 I1 Recorded Notices attached
Iii o0 7asy• t 0 (if Waiver(s)attached
Roads,easements,driveways, 11•4.
i .• 0 l'Pump curve attached
parking ' �� u G1 0 Evaluation of failure
El North arrow and scale drawing `', > ...1k4
;� .�
,eft 5100349 � Non-residential justification
shown on scale bar y`'2' PAULA JOY JOHNSON . ❑ Waste strength
d` �1EXPIREs`"'b TI 0 Flow
DESIGN APPROVAL
The undersigned designer must be ified by install rat time of installation El Yes lif No
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Signature o esi .er Date CountyQ e�i�ft no`b�
ein
ED
The undersigned has reviewed this design on behalf of Mason Public Heal �rrlll
compliance with state and local on- ' egulations/Z/X5,(2b ? DEC $ 2023
Date HEALTH'
Environmental Health Specialist MASON COUNn ENVIRONMENTAL
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THEt FOLLOWING COND I ION:
✓ The design is stamped"Approved"by Mason County PublicI Z(//�//7n?(7'
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ! (( v(/ /
✓ 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.
dated Date: 12/7/2015
i.i-
Arrow Septic Designs
171 E. Vuecrest Dr.
Union, WA 98592
December 5,2023
Mason County Department of Health Services
415 N 6th St
Shelton,WA 98584
RE: Karl&Lori Fike(Parcel#22336-52-00008) Evaluation of Failure
Dear Inspector:
Attached is a repair septic design for a property located at 480 NE Matthew Dr, Belfair, WA 98528. There is
an existing 3-bedroom house that ties into a gravity septic system installed in 1981. The existing system has
a 1,200-gallon 2-compartment septic tank followed by a 360 s.f. gravity drainfield.
The owner has been having issues with the septic and it was found that the drainfield is not taking water the
way it should and there was effluent returning to the tank after pumping.
The existing 1,200-gallon 2-compartment septic tank may be kept/re-used if the installer verifies it is in
acceptable condition. If reused, it must be retrofitted with an effluent filter and the baffles repaired. The
proposed new drainfield consists of a new 10' x 45' gravity bed,for a total of 450 s.f.. The d-box is to have
speed levelers and a cover to the surface.
This is a non-compliant repair with 24"+of vertical separation. There are no surface water or well setback
issues. The front yard could be used as a possible reserve drainfield area if it is ever needed.
The property owner's contact information is as follows:
Karl&Lori Fike
480 NE Matthew Dr
Belfair,WA 98528
(360)490-5559
If you need further information,please contact my office at(360) 898-2255.
Sincereli A��
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frpc.
MASONDEC g �023
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�, }. VIRONMENTA
5100349 DUA L HEALTH
PAULA JOY JOHNSON:•.
Pau .T.ohnson
Licensed Onsite Wastewater Treatment System Designer
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APPROVED ie d�/4 Ndt��LZLTbZ
DEC 18 2023
MASON COUNTY ENVIRONMENTAL HEALTH
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1 5-0 4-101,200 Gallon Septic Tank
2-Compartment
f-o .a t>7 t4A,..4.evrr Fi tk-t r
S+regrn 0D-Box with speed-levelers
and cover to surface
L' PPROVED
NDP(EECr 18 2023
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Note: (Typical Bed Layout) '' ex�tR3 li 51- 1)
O=Observation Port-to be 4"perforated
PVC pipe from bottom of bed to finished
grade. A removable cap shall be installed on
observation port pipe. Glue"T'on bottom
so pipe can't be removed.
Minimum of 2 in system,one in each corner.
Laterals are to be centered in trenches.
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Z n erd C s�-SQ.C.*• v APPROVED
sca.S.... 1 2`
DEC 18 2023
0 It 2' 3' 'f
9 el-t1 MASON COUNTY ENVIRONMENTAL HEALTH
DJA
SECURED LID WITH GAS TIGHT SEAL
1 24.DIAMETER
LJ e
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FINISH GRADE
Eli
TO PUMP
FROM SEWAGE � i • 0 r D rr.'NnR-IdIsk
SO FLOATING MAT
APPROVED
�FLIR:NY
ROM
SEDIMENTS
•
• SEPTIC TANK
AFFRONT
DEC 18 2023
MASON COUNTY ENVIRONMENTAL HEALD-
A
**Note: Septic Tanks must meet standards required by WAC chapter 246-272C
and manufacturer must be on the Dept of Health list of registered sewage tanks. **
� 0-6-1
aVittla Septic 1`)eacgno
INSTALLATION & MAINTEN
ANCE
Gravity Distribution Systems-Bed , 5.0u3
/672' PAULA JOY JOHNSON \
1. Install Laterals with contour of the ground. , �r,
2. Install bed bottom level.
3. Install locator tape or rebar at each end of all drainfield laterals. um of 2
4. Install observation ports as indicated on the deviled drainfield layout.oMinim
required at diagonal corners of bed drainfield with bottom extending
the
drainrock/native soil interface. Glue"T"to bottom so Observation Port cannot be easily
ground. Install removable cap on top of port at final grade level.
removed from 5. Install drainfield during dry weather and soil conditions; any soil smearing must be
eliminated by hand raking. i down with 90-degree
6. Use distribution box with speed levelers. Divert incoming pipe
angle to prevent short-circuiting. If the drain rock extends above
7. Filter fabric required over drain rock prior to back filling.
natural grade,run the filter fabric at least 2 inches down the trench wall.
8. Encase all water lines within 10' of drainfield and under any driveway/parking areas.
9. Divert all storm water runoff away from on-site sewage system.
10.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area.
11.No vehicular traffic over drainfield area.
12. Install Bio-Tube or equivalent effluent filter at outlet end of septic tank.
13. All manhole lids and access,sampling or inspection ports must have locking covers and,
be located at ground level.
14.Inspect tank and clean filters every 6-12 months as needed.
15.Have the septic tank pumped or professionally inspected every 3 to 5 years.
16.All materials and workmanship must meet County and State regulations.
17. Deviation from this design without prior approval from the Designer and Mason County
Environmental-Health Department will make this design null and void.
18. All transport lines under driveways or parking areas must be encased to prevent crushing.
19.Homeowner is responsible for all property lines.
APPROVED
DEC 18 2023
MASON COUNTY ENVIRONMENTAL HEALTH
DJA
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