HomeMy WebLinkAboutSWG2024-00096 - SWG Application / As-Built - 3/11/2024 584
MASON COUNT" 475NBTHELTON: , 0427-97 ,EXT 400
T SHELTON:360�27A670,EXT 400
BELFAIR:360-275-0467,EXT 400
Public Health & Human Services ELMA:360 U&2-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00096
APPLICANT OBERDAN BRIAN Phone: 808-214-7927
Address: 9726 BEACON AVE S SEATTLE,WA 98118
OWNER OBERDAN BRIAN Phone: 808-214-7927
Address: 9726 BEACON AVE S SEATTLE,WA 98118
SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK,WA 98380
Site Address: 1761 NE Tahuya River Dr
Primary Pamel Number: 222065000028
Permit Description: New SFR-3BR Pump to Gravity
Permit Submitted Date: 03/11/2024
Permit Issued Date: 04123/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $540.00 (addnionaueaa may ba mquInW upon matolunon or aymm).
Permit Expiration Date: 04/22/2027 (based on data d inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staffper 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 Drainfie/d 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
backfil/of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSRE 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
MASON COUNTY
COMMUNITY SERVICES "°
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W DESION FORM(REWIRED) `LSEPTICDESgNIREOUREO) ®IeDGLu 2 LOTSZE .43 Acres I�
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From Belfair follow Northshore rd 3.4 miles to NE Belfair Tahuya Rd. Follow 3.7 Miles to NE I p
Tahuya River dr and go left. follow 1.7 miles to pink ribbons on left side if rd. Walk up o I O
driveway to test holes.
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DESIGN FORM-PAGE ONE Assessor's Parcel Number: 722065000028- __ — __
A design will be reviewed when 3 copies of orthe folkndng are submitted:
v Completed design form that bas been signed and. v Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable hems o checklist. v Cross-section sketch,including all applicable item onchecklist.
This lmn mu,he seamed and available vimv mthe Mason Web"Marimam size: 11"X I7"
PARCEL IDENTIFICATION
Permit Number: SWG - Designer's Name: Jim Zimny
Applicant's Name: Bnan Obardan Designer's Plume Number 360-516-72117
Mailing Addends: 9726 BEACON AVE S Designer's Address: 7179 Wlnd &"PI NW
® SEAME WA 98118 Seebeck WA sm
CitV State IZi City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Fiher ❑Mo ❑Sand Lined Drewfield ❑Reticulating Filter,Type:
❑Aerobic Unit Mekehlodel Disinfection Unit Meke/Model Other.
Drainfneld Type
a Gravity ❑pressure ❑Trench gBed ❑Sub Surface Drip
Septic Tank/Drainfneld Specifnca6 ns Laterals
Number of Bedmoms 2 Sebedule/Clae; SCh 40
Daily Flow:Operating Capacity 180 I gpd Length 30 ft
Daily Flow:Design Flow 240 gpd Diameter 4 in
Septic Tank Capacity (working) 1000 gal Number 3
Receiving Soil Type(1-6) Separation 3' ft
Receiving Soil Appl.Rate 0.8 j gpk((tt' Orifices
Required Primary Area 300 fe Total Number of Orifices NA
Designed Primary Area 300 to Diameter Nil` in
Designed Reserve Area 300 ftr Spacing NA in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 30 ft Schedule/Class NA
Elevation Measurements length ft
Origiml Drainfield Area Slope 1 % Diameter in
New Slope,D Altered 1 % Preferred manifold configuration used? O Yes ❑No
Depth of Excavation Up-Lope 1 p," m
PP rensport Pipe
from 0rgimnl Grade Do.Aope '.1 Z,k 'Scbedw E SCh 40
Dcs*md Vertical Separation 36 Le" 2 3 2024 L2 ft
Gravelless Chambers Required? ❑Yes 16 N ❑Op�4eS0N �FIVIRONM- 2 in
Pump Required? EfYes ❑N Jaw 17o1r�¢9ii�d Pump Chflmber
Pump/Siphon Specifications Number ofdoses/day 6
Diff,in Elevation Between Pump A Uppermost 0 ce g ft pose quantity 30 gal
Dminfield SquirtHeight/Selected Residual(Mad)
1 ft Chamber Capacity(flood) 1000 gel
Uppermost Orifice dHigher Lower P bob Alrrip cmmols:please check those mquved. ,�I
Capacity @ Totaa Pressure Head LV gpm Ef`rimer, �tapse Metes s Event Cow,
Calculated Total Pressure Head 10 B if Timer. Pump on 1.5 min ,Pump off 4 ars
Comments /,l�,V -1 a+ON
Y✓ -eICva 'bfat,�f, I,d
DESIGNFORM—PAGE TWO Assessor's Pmcel Number.22206500002B-. __ — ___
Permit Number SWG
DESIGN CHECIMISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
ld Test hole locations 19 Ihainfield cremation and layout Reference depth from original grade:
9 Soil logs If7 Trench/bed dimensions and 9 Septic tank
9 Property lines critical distances within layout B Dtainfield cover
9 Existing and proposed wells 9 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Id Septic tank/pump chamber and restrictive strata:
9 Measurements to cuts,banks,and locations B Laterals,trench bed,top and
surface water and critical areas 9 Observation port location bottom
9 Location and orientation of 9 Cleanout location Cl Curtain drain collector
curtain drain and all absorption pj MManifold placement ❑ Sand augmentation
components if Orifice placement Other emsssection detail
9 Location and dimension of pf Lateral placement with distance 19 Observation ports/cleanouts
primary system and reserve area to edge of bed
9 Buildings Other Information
Iff Audible/visual alarm referenced Yes No
9 Direction of slope indicator Of, Scale of drawing shown on scale ❑ Id Design staked out
9 Waterlines bar ❑ Iff Recorded Notices attached
9 Roads,easements,driveways, {{ P1 ❑Waiver(s)attached
parking t B ❑Pump curve attached
9 North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar { �'j' ' '' v,'� Non-residential justification
❑ ❑Waste strength
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❑ ❑Flow
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The undersigned designer must be notified jt;at a of installation !(Yes ❑ No
Signature olpygner �te
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-sr arts:
�.� L'h Y,.3 -2Y
En tb Specialist Date
CAUTION: DESIGN APPROVAL IS(VALID ONLY UNDER TIRE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. —/
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: h —13
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note: The system ust be ins Iqe stiller,
unless prior authorization s obtained m M o blic Health.
APR 131014
An Installation Fee is re ed. "asoricouNrveNviaONMeNrai En�ih
This form may be scanned and avalkr for public vlew on the Masonlol Wd!tEe
Updated Date: 12n2015
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Advantage Perc & Design
T nely-Reasorlable•30 Years of Local Experience
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Construction Notes for Gravity Distribution bed for 2 Bedroom System:
Gravity Bed Distribution w/Rock and pipe
Install 10 x 30'beds.
Install 4 outlet d-box with an 3034 pert pipe outlet pipe going to each infiltrator leg using speed levelers.
D box must have an access riser to the surface of the ground.
Install 24"deep and level in trench
Install in dry weather only.
Use 1000 Gallon septic and 1000 Gallon pump tank W/water-tight secured risers to the surface of the
ground.
Install Rhombus ISF control panel w/counter timer and elapsed time meter.
System designed for typical residential waste strength sewage only.
System designed for 240 GPD to operate at 180 gallons per day Gallons Per Day
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Liberty Pumps 280- 1/2 HP Cast Iron Submersible Sump/Effluent Pump (Non-
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