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HomeMy WebLinkAboutSWG2024-00057 - SWG Application / Design - 2/16/2024 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: SWG2024-00057 APPLICANT Luisa Garcia Phone: Address: 61 NE Rainbow Ln BELFAIR, WA 98528 SEPTIC DESIGNER ROD LEFT -Acme Design Phone: 360-698-8488 Address: PO Box 2954 SILVERDALE, WA 98383 Site Address: 61 NE Rainbow Ln Primary Parcel Number: 223255003010 Permit Description: Repair-2BR Pressure -Oversized Permit Submitted Date: 02/16/2024 Permit Issued Date: 02/22/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/20/2025 (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. 4 OFFICIAL USE ONLY- DATE RECEIVED: MASON COUNTY - �� /2-� C (F COMMUNITY SERVICES c AMRECEN6�` ENED BY: co cn (n Public Health(Community Health/Environmental Health) JV\ ▪ (Q JfWt7-%]e.en. t-eWltn.WA ext.600 SWG �()/� — /)cQ5 O Q 415 N-6th Sheet�Shelton.WA 98581 "Vy\. U ;U Z Ci) 13 ON-SITE SEWAGE SYSTEM APPLICATION z• 73 m APPLICANT PHONE mr Luisa Garcia Z t; c MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE �`� W 61 NE Rainbow Lane t6 ti� Belfair WA 98528 co V SITE ADDRESS-STREET,CITY,ZIP CODE Y 61 NE Rainbow Lane Belfair WA 98528 IN' NAME OF DESIGNER PHONE I N Rod Left 360-698-8488 NAME OF INSTALLER PHONE O I Ca) (7) I▪ IV PERMIT TYPE(select one) DRINKING WATER SOURCEp —0 1_v1 RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS E PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z I Cil TYPE OF WORK(select one) 71 Pr PUBLIC WATER SYSTEM Mission Creek Tracts �� E NEW CONSTRUCTION/UPGRADES l..REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I CD SUBMITTALSMI 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINECO Ia DESIGN FORM(REQUIRED) iifSEPTIC DESIGN(REQUIRED) BEDROOMS ^ LOT SIZE I CD 5WAIVER(S)(IF APPLICABLE) P 23,086 sq ft _ I o DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.ticked gate) ? wE 0 Ai 'V r a I I J SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I c) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER. 1 INSPECTOR SOIL LOGS COMMENTS I CONDITIONS 0.... .0--, . 44_0__ 3 '- 5Nc,AA.Lv r 41'o t)i `) G�4 ! �2- V Ldirw ` RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: = ERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. SP TOR SIGNATURE DATE APPLICATION EXPIRATION DATE AP ICATION APPROVED!ISSUE Y DATE Jii L �. / 24 TH FO AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE VREVISED tZP 20t5 ,r 'DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 2 5 — 5 0 — 0 3 0 1 0 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 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: I I"X 17" Permit Number: SWG ..Y )-'(_ '&0051 Designer's Name: Rod Left Applicant's Name: Luisa Garcia Designer's Phone Number: 360- 8 48 Mailing Address: 61 NE Rainbow Lane Designer's Address: PO Box 2954 Belfair WA 98528 Silverdale WA 98383 Ci State Zip City State Zip Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity WI Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class Lk) Daily Flow:Operating Capacity _ I oO gpd Length 3-33 ft Daily Flow:Design Flow _ a-1O gpd Diameter 4 in Septic Tank Capacity )500 gal Number 6 Receiving Soil Type(1-6) 3 Separation 5 ft Receiving Soil Appl.Rate ().1 gpd/ft2 Orifices Required Primary Area S O ft2 Total Number of Orifices 50 Designed Primary Area (0 CO ft2 Diameter 1/8 in Designed Reserve Area NA ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class 40 Elevation Measurements Length '161 ft iOriginal Drainfield Area Slope 0 % Diameter 1 in New Slope,If Altered 0 % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope 12 in Schedule/Class 40 Designed Vertical Separation 24 in Length p.'l ft Gravelless Chambers Required? 0 Yes 0 No RI Optional Diameter 2 in Pump Required? Fif Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 8 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal Orifice 3+ ft Chamber Capacity 1000 gal Uppermost Orifice Iii Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head g3.4 gpm ltt'Timer Ii'Elapse Meter fir Event Counter Calculated Total Pressure Head 2-3.4 ft If Timer: Pump on I Min 1lo SeC,Pump off 3hr Comments Adding extra drain field to o ttnE • - -,,le in home. n FEB 2 2 2024 us,,:, MASON COUNTY ENVIRONMENTAL HEALTH aw I DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 3 2 5 -- 5 0 -- 0 3 0 1 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch IA Test hole locations 67! Drainfield orientation and layout Reference depth from original grade: 21 Soil logs 21 Trench/bed dimensions and lig Septic tank VI Property lines critical distances within layout g Drainfield cover ❑ Existingand proposed wells 21 D-Boxalve box locations P Po /V Reference depth from original grade ' within 100 ft of property 21 Septic tank/pump chamber and restrictive strata: j 0 Measurements to cuts,banks,and locations Laterals,trench bed,top and surface water and critical areas 10 Observation port location bottom ❑ Location and orientation of 21 Clean-out location 0 Curtain drain collector curtain drain and all absorption components Manifold placement 0 Sand augmentation 6iS Orifice placement Other cross-section detail: ig Location and dimension of 21 Lateral placement with distance 2 Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 21 Buildings lig Audible/visual alarm referenced Yes No ❑ Direction of slope indicator fill Scale of drawiRng shown on scale 0 21 Design staked out g Waterlines A r 0 21 Recorded Notices attached 66 Roads,easements,driveways, 0V E , ❑ Gib Waiver(s)attached parking •; 21 0 Pump curve attached le North arrow and scale drawing FEB 2 2 2024 4 ❑ ig Evaluation of failure shown on scale bar Non-residential justification MASON COUNTY ENVIRONMENTAL HEALTH 0 I I Waste strength .1 SW 0 21Flow DESIGN APPROVAL The undersigned designer must be notified by ins rat timeCe • sta ion g Yes 0 No Si re of Designer 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 o. ite regulations: r En r ntal lifealth Specialist Date 1 Pe 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: —24 5 ✓ 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 =..t Pump Selection fora Pressurized System -Single Family Residence Project 22325 50-03010/GARCIA Parameters Dsda y geAssertSize 200 r4tw 160 TraspatLayh 29 feet Traspa1PipeClass 40 ' Tra xrtlireSize 200 rcira D ebbing VaVEMet) Nare 140 , , Max EEeiaial LR 11 feet Ma did Layh 79 fad KUif.,1JPipeCless 40 MarfddPipeSize 1.00 urtrs N tuba dia l3as per Ctdl 6 120 Latrd Lay* 35 be Latrd PipeClass 40 , Latad Pipes¢e 103 it r.}tea OrifceC7P 1/8 II 113 LS 1n Or&eSpa`iy 4 fad ti 100 ResiddlHead 5 fad I FicwMelEr Nate ude, 0 F- 'Addai F utter)Lcsses 0 fad 'd IV Calculations U 80 MrrrunFb.vRahpe-Orifice 0.43 cpn co N inter dOrices pa Zcre 54 a TPA lowRat perZcre 234 cpn 0 l PP5005 I NuricadLatrdsperZme 6 7 60 ._ o %FPAOht'gid1s6tastOriee 1.0 % F- __` ".-.,4 ' Trasp t 22 fs "•- 1-,_..._____ Frictional Head Losses 40 lrxs trough Dsdar� 1.1 fad ` Less inTra-spc t 33 bet \\ Loss hrcujiVaLe 20 fed Less inMai#id 58 fed �„ Loss in Leer& 0.1 fai 20 f rp.s XTur 1 Fbnrretr 00 fad Add-oiFridim Losses 00 fed . Pipe Volumes VddTraspatLne 51 gls 00 10 20 30 40 50 60 70 80 VddMaiidd 3s gas Net Discharge(gpm) VddLa*r-ispe-Zme 94 gals Teti Vdune 18.0 gals Minimum Pump Requirements PumpData Legend DesiguFlavRae 234 corn PF5005H'ugh Heai Elbert Rap Syste nCuve — Ili DyrancHeed 23.4 fed 50GPM 12HP 115233‘/1060Hz20D'230v3003H z PurpCuve _- Rep°prielRaw — \liit • �P 0 plilt r ,w _ •. DeslgtPart O sii S MPSCPI C00 ��, •�'4'�?�_ ,„.2. ..... i • , - O renco Systems' e D,( ' A Incorporated i S � LICENSED a •IC,NER w G., .x dv may the "gm",ir so,Jr WM ii Does w ..? EXWERES 12/1,/ i Mason County WA GIS Web Map \ _1 -7 \ ..‹. ,� -17--- -----,\ ., \\,,,,,-- '�.' w ,,- , Jam'` �' U' /‘t I t --- / *2, Z w 7' z - •/' t a___ ,I I .::L 1j'""'''�E r� v /j ` / / f 1 . c ..... _..�.. r�Esiy�tzot 4 _.� f�f f) f t_----r- / / / ` t ]__ i!ff 2/12/2024, 3:10:01 PM 1:3,058 0 0.03 0.05 0.1 mi 0 County Boundary 1 ( ( + 1 + f f 0 0.04 0.08 0.16 km 0 No Filled D Tax Parcels (Zoom in to 1:30,000) Sources:Esn,HERE,Gamin,Mamma%increment P Corp.,GEBCO.USGS, FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan,METI,Esri China(Hong Kong),(c)OpenStreetMap contributors,and the GIS User Community Mason County WA GIS Web Map Application County of Kitsap,Bureau of Land Management,Esri Canada,Esri,HERE,Gamin,INCREMENT P,USGS,EPA,USDA I I It t / 1 1 I if I I * 1 * , ii � > m > mD � � 000Z1000D ' � o o Cr) 0 • • if DmDorA AmcoAARmZ 'I z ,' N �—0 < � N N w h 'ir----- - Jr, ,�I I F � isd m411:;•s'j'; `� !1,It% " • 1 t /i 'A°8= m Z � 3 mA � � 0 � AmNrrm � ��mm' 1 •• � . . 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