HomeMy WebLinkAboutSWG2023-00175 - SWG Application / Design - 5/8/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
I. 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: SWG2023-00175
APPLICANT MARK HIGHTOWER Phone: 808-936-1076
Address: 2807 NE ENETAI BEACH RD BREMERTON, WA 98310
OWNER MARK HIGHTOWER Phone: 808-936-1076
Address: 2807 NE ENETAI BEACH RD BREMERTON, WA 98310
SEPTIC DESIGNER FRANK MARCINKO* Phone: 360-801-0147
Address: 5677 Minnig LN NW SEABECK, WA 98380
Site Address: 391 E Hardings Hill Rd
Primary Parcel Number: 122322200030
Permit Description: 3-bedroom gravity system w/waiver
Permit Submitted Date: 05/08/2023
Permit Issued Date: 03/01/2024
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be requiVed upon installation of system).
Permit Expiration Date: 05/09/2026 (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 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY -
DATE RECEIVED: /— / 8 I^ ^ 2,� C Cl)
.�°e "`" MASON COUNTY �,V�l pGJ/A,J\ cn a
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'?7. rrIll ) COMMUNITY SERVICES AMDU CEIVEQ;�./',J� RECEIVED BY: CO m
Public Health(Community Health/Environmental Health) ((''11�jjJJ�`1I(r• �
,,'`o-Na7 360427-9670,ext.400 or 360-2754467,ext.400 N
415 N.6th Street-Shelton.WA 98584 S`AVV G tp �� - ( \/ \`�3 E- Q
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zON-SITE SEWAGE SYSTEM APPLICATION > $
APPLICANT PHONE m m
Mark Hightower 360-377-1999 z
c
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E
2807 NE Enetai Beach Rd Bremerton WA 98310 m
SITE ADDRESS-STREET,CITY,ZIP CODE •
391 E Hardings Hill Rd tE---- Allyn WA 98524 I -'
NAME OF DESIGNER D PHONE
Frank Marcinko MAY 0 8 2023 360-801-0147 I N.)
NAME OF INSTALLER PHONE 0 I fV
i
By I co
PERMIT TYPE(select one) l-DRINKING WATER SOURCE
lT RESIDENTIAL OSS F l COMMUNITY OSS Ill COMMERCIAL OSS lit PRIVATE INDIVIDUAL WELL ff PRIVATE TWO-PARTY WELL Z I N
TYPE OF WORK(select one) Di PUBLIC WATER SYSTEM I
Or NEW CONSTRUCTION/UPGRADES b REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I N)
SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
of DESIGN FORM(REQUIRED) iP�SEPTIC DESIGN(REQUIRED) BEDROOM,II /q LOT SIZE r0 IVIg WAIVER(S)(IF APPLICABLE) _` .... 3 Acres 0 I
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
Hwy 3 North to a right onto E Hardings Hill Rd, follow to a conversion to a gravel road I o
continuing straight, manufactured home on the left before a sharp left turn, access to the
northern lower level is east of well site. o 0 IW
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. CD
OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
T1f2: 0- 51 ( t-
THz 0-4f FS
TH3: 6- 31,r f FS
SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL,
INSPECTOR NATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
S707'3 57/7 wZs 3/1 2(74-/
HIS F RM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number:j_ 02 c2 /5 CZ -- .2 2 -- 00030
A design will be reviewed when 3 copies of each of the following are submitted:
0 Completed design form that has been signed and dated. v 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: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2023- 00 \t_J Designer's Name: Frank Marcinko
Applicant's Name: Mark Hightower Designer's Phone Number: 360-801-0147
Mailing Address: 2807 NE Enetai Beach Rd Designer's Address: 5677 Minnig LN NW
Bremerton WA 98310 Seabeck WA 98380
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type:
0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
Er Gravity 0 Pressure l 'Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 c Schedule/Class 3034Y
Daily Flow: Operating Capacity 270 gpd Length 40' ft I/
Daily Flow: Design Flow 360 gpd/ Diam l M 1 {I \ 141 4 in I./
Septic Tank Capacity(working) 1200 gal v Numb _1 5 1
Receiving Soil Type(1-6) 4 Separa i� MAY 0 8 2023 5 ft tJ
Receiving Soil Appl.Rate .6 gpd/ft2i Orifices
Required Primary Area 600 ft-2 / Total er_of Orifices -
Designed Primary Area 600 ft2 ✓ Diameter - in
Designed Reserve Area 600 'ft2 " Spacing - in
Trench/Bed Width 3 ft � Manifold
Trench/Bed Length 5 @ 40' each ft V Schedule/Class -
Elevation Measurements Length - ft
Original Drainfield Area Slope 4 % Diameter - in
New Slope,If Altered - % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Down-slopc 10.5 in Schedule/Class 3034
Designed Vertical Separation 18 in Length 70 ft
Gravelless Chambers Required? 0 Yes 0 No Il 'Optional Diameter 4 in
Pump Required? 0 Yes Er Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day -
Diff. in Elevation Between Pump&Uppermost Orifice ft Dose quantity - gal
Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) - gal
Uppermost Orifice 0 Higher CILower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head gpm ❑Timer ❑Elapse Meter ❑Event Counter
Calculated Total Pressure Head ft If Timer: Pump on ,Pump off
Comments t P ie`�O E '
MAR 0 1 2024
MASON COUNTY ENVIRONMENTAL HEALTH
DJA
DESIGN FORM—PAGE TWO Assessor's Parcel Number: ! 2 2 3 a -- .2 a -- 0 0 01 Q
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
O Test hole locations M Drainfield orientation and layout Reference depth from original grade:
P1 Soil logs Ei Trench/bed dimensions and Iff Septic tank
1➢1 Property lines critical distances within layout ❑ Drainfield cover
0 Existingand proposed wells 0 D-Box/Valve box locations
p p Reference depth from original grade
within 100 ft of property 0 Septic tank/pump chamber and restrictive strata:
Measurements to cuts,banks,and locations ltir Laterals,trench/bed,top and
surface water and critical areas li3 Observation port location bottom
❑ Location and orientation of B Clean-out location 0 Curtain drain collector
curtain drain and all absorption 0 Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
10 Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Buildings 0 Audible/visual alarm referenced Yes No
P1 Direction of slope indicator 1Ef Scale of drawing shown on scale 1 , Design staked out
P1 Waterlines bar 0 )'Recorded Notices attached
O Roads,easements,driveways, t Waiver(s)attached
parking 0 0 Pump curve attached
O North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation El Yes 0 No
�� O f 0'/23
Signature of Designer D to
The undersigned has reviewed this design on behalf of Mason County Public Health and detein,:••' ' :•.. •
compliance with state and local on-si lations:
1///za Z `l' itt4,90v MAR012024
E 'ronmental Health Specialist Date COIN IVY�
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING COND Nl1 N �NTA(y
✓ The design is stamped"Approved"by Mason County Public Health. / /poz
The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
✓ 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
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