HomeMy WebLinkAboutSWG2024-00130 - SWG Application / Design - 4/3/2024 584
MASON COUNTY A15N6TH STREET,
0427-97 ,EXT 400
BHELTON:360-2754467,EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360482-6269,EXT 400
FAX 360-427-7787
On-Site Sewage System Permit: SWG2024-00130
APPLICANT LAFRAMBOISE TY Phone:
Address: 20 NE QUAIL TRAIL BELFAIR,WA 98528
OWNER LAFRAMBOISE TY Phone:
Address: 20 NE QUAIL TRAIL BELFAIR,WA 98528
SEPTIC DESIGNER TOM WEAVER' Phone: 360-620-7054
Address: 3912 STEELHEAD DRIVE NW BREMERTON, WA 98312
SEPTIC INSTALLER SHAE OIEN' Phone: 360-340-1981
Address: PO BOX 248 SEABECK, WA 98380
Site Address: 20 NE QUAIL TRL
Primary Parcel Number: 123312390146
Permit Description: Non-Conforming Repair 3bd gravity beds
Permit Submitted Date: 04/0312024
Permit Issued Date: 04/11/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (add6boal fees may ee m4ured upon instanadon of system).
Permit Expiration Dale: 04/05/2025 (based on date or mspe ion)
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 Drainfield 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:
360427-9670,extension 400.
i
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH
ONSITE SEWAGE SYSTEM APPLICATION MW — c y
415N6th5Deet(BIdg8) Shekm WA,99584 y
Shekon:360437-%70 W 400 Belfair.3E0-1754467 Ind 400 SWG /\„ 1 _ 115 2 ! S O OA
.7 4 UV J LJ Z y
APPLICANT PHONE D p
Katie Latrambois (970) 306-2099 katie.stephens225Qgmail.com m m
rwLINDAnoREsa-STREET,Cm.STATE,WCODE z
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20 NE Quail Trail; Belfair, WA
SITE ADDRESS-87 EET,CRY.ZIP CODE Oo
20 NE Quail Trail; Belfair $,S2 8 a
NAME OF DESIGNER PHONE
Thomas Weaver 0-620-7054
NAME OF NBTNLEA PHONE N
CHECKALLPPPLKwBLE IIEMB dNNgNGYMTER SPURGE
O IW
< I W
❑ NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY 0 PRIVATE INOMWAL VrELL y
O REPLACEMENTSYSTEM Q INSTALIATIONPERMRONLY 0 PRIVATETWO-PARTYWELL Z I '❑ TABLE 9 REPAIR [3 SINGLE FAMILY 0 COMMUNITWPUBLICwATERSYSTE/A
O TANKs)ONLY O COMMERCIALUpgradeeXisting SYSTEMNAME: /,979-Oo013
❑ UPGRAGE TO EXISTING 0 OTHER:Repair with expanb on N
BEDROJMS LOTS
4r EXISTING FAILURE 'ww 3 .525 Acre W I W
DPECTKNS TO SITE.BE SPECFIC ADADVISE OFANY NEEDED INFONMTXM FOR ACCESS Nc,qY0 q4) n I
From Belfair take Hwy 300 SW to NE Quail Trail x I m
Turn uphill and house is the first home on the right. I o
IA
dIIEMRTKNAOG®IflDYI WNAOADAND TESTNDIE4 YUST1EM00®MIIN 7ESTXpIMYOFRd
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FMIME 8 W RCE Ra lyalFp PryNn)
QVGLUWARY [3MNNTENANCEFUNIPING QBUILDINGPERMR IIHOMESALE QCOMPLAIM DOTHER,
NSPECTOR SOIL LOGS COM4ENTSICplMI10NS
V=VERY G•GPMELLY S-SAND L=LON.1 .-SILT C=GUY E=EXTREMELY R=ROOTB
INSPECTOR MCNATURE WTE IPPGfJRKIN EXPIRAMN MTE APPLIGTKNAPPRW®BY DATE
mx� `� Z4 `f ��7
THIS ORM MAY BEB ANNED AND AVMLABLE FOR PUBLIC NEW ON TIE MASON COUNTY WEBERS RF/ISED aNID15
DESIGN FORM—PAGE ONE Assessor's Parcel Number:L�, � -- r�� -- �QQIA
A design will be reviewed when 3 cooks of each of the following are submitted:
"Completed design form that has been signed and dated. I Scaled layout sketch, including all applicable items on checklist
•Scaled plot plan, including all applicable items on checklist, 0 Cross-section sketch, including all applicable items on checklist.
This form may be scanned and available for public vlew on the Mason County Web she.Maximum paper size: 11"X 17"
` .l PARCEL IDENTIFICATION
Permit Number: SWG —\' �V / d Designer's Name: lam-Weaver
Applicant's Name: Katie Lairambois __-_. Designer's Phone Number: 360-620.7054
Mailing Address: 20 NE Quad Lail _.. Designer's Address: 3912 Steelhead Dr NW
Belfair, WA 98528 _ Bremerton WA 98312
Ci State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon B.otille, ❑Sand Film, ❑Mound ❑ Sand Lined Dranfield ❑ Rmirculating Filter,Type:
O Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfleld Type
JR Gravity ❑Pressure ❑ Trench Bed O Sub Surface Drip
Septic Tank/Drainfleld Specifications Laterals
Number ofMmoms 3 Schedule/Class 2729
Daily Flow:Operating Capacity 360 gpd Length 27' it
Daily Flow: Design Flow 360 gpd Diameter 4- in
Septic Tank Capacity 1,200 gal Number A' ,7 PL /3 c r)
Receiving Soil Type(1-6) 3 Separation NA fl
Receiving Soil Appl. Rate .8 gpd/ft' Orifices
Required Square Footage 450 fl' Total Number of Orifices
Designed Square Footage 450 R2 Diameter in
Percent Reduction Taken 0 % Spacing in
Trench/Bed Width Z 13 E'DS %t 75 R ywv 1 Manifold
Trench/Bed Length 30' fl Schedule/Class NA
Elevation Measurements Length R
Original Drainfield Area Slope 6 % Diameter in
New Slope, If Altered NA % Preferred manifold configuration used? O Yes ❑No
Depth of Excavation t!a-siwe 36 in Transport Pf
from Original Grade Uaan-sa,pe 12" in Schedule/Class 303T
Designed Vertical Separation �X&i V Mir i Length 1U fl
Gravelless Chambers Required? O Yes R No O Optional Diameter �— in
Pump Required? ❑ Yes 10 No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses'day t�
Difference in Elevation Bnween Pump Shutoff and Uppermost Dose quantity AP P R l^)V F 11l
Orifice NA R Chamber Capacity gal
Uppermost Orifice O Higher D Lower than Pump Shutoff Pump controls:Please check those i
2024
Capacity @ Total Pressure Head gam OTimer 119fi-p6DHUrENVIR0N9E9146dE"1r6r
Calculated Total Pressure Head R If Timer: Pump on ,PmnpRff
Comments
(`f OVI-CUR-40M `q a F V
DESIGN FORM—PAGE TWO Assessor's Parcel Number:1_ _a_3 1 -- 2_3 -- _2 Q 1 A_6
Permit Number: SING
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
WJ Test hole locations Dreinfield orientation and layout Reference depth from original grade:
Soil logs (( Trench/bed dimensions and 0 Septic tank
Property lines critical distances within layout ❑ Drainfield cover
Wj Existing and proposed wells YI D-BoxNalve box locations Reference depth from original grade
within 100 It of property Q( Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts, banks,and locations )❑ Laterals,trenchlbed,top and
surface water and critical areas 00 Observation port location bottom
❑ Location and orientation of 91 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
Location and dimension of ❑ Lateral placement with distance N Observation parts/clean-outs
primary system and reserve area to edge of bed Other Information
Q( Buildings ❑ Audible/visual alarm referenced Yes No
4[ Direction of slope indicator M Scale of drawing shown on scale ❑ C1 Design staked out
CK Waterlines bar ❑ DO Recorded Notices attached
C4 Roads.easements,driveways, JO ❑ Waiver(s)attached
parking ❑ ® Pump curve attached
C1 North arrow and scale drawing M ❑ Evaluation of failure
shown on scale bar Non-residential justification
Cl Cl Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation ❑ Yes W No
t/
nl A p ' A, 2024
Signature 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 on-site regulations:
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: Ll
✓ Dminfield 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: 111212010
!
jSL#1 0-66" Loamy Mad Sand
Probed to 72" c
SL#2 0-60" Loamy Med Sand _
/ Waterline to be located and moved out of drain field area >10. Cl
/1 Sleeve waterline near home where closer than 10' nl iJ,
/ Get electric locate before starting leaving electrical service in
107' drain field area Z
APPROVED
APR 11 2024
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APR 1 2024 p
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APPROVED
APR 11 2024
Drawing modified from WSDH RS&G's MASON COUNTY ENVIRONMENTAL HEALTH
RET
D-Box Details
Speed levelers inside D-box
Use in each leg going to a trench
Inlet pipe comes through 2" higher hole
No speed levelers In inlet pipe
Typical Plastic D-Box for three legs
APPROVE [
APR 11 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
'��- - Con a D- x be' I
Typical Observation Poris
Screw
or - cap
a•p
ng above aM below chamber
Gravel leas chamber
<✓a,scree•Type Cap
OF slip Cap Scree'Type Cap
or slip Cap
4" PVC Pipe
•-4" 1'VC Pipe 0-eaK1b Varica)
(I.engill
114 a 4" l.nng
. :. , Slolx (4) r1 90' Aparl
�. .. \4" pVCTee
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APPROVED
APR 11 2024
MASON COUNTY ENVIIRONMENTALHEALTk
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