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HomeMy WebLinkAboutSWG2024-00252 - SWG Application / Design - 6/5/2024 MASON COUNTY 415NBTHELTON: 60427-Ora.EXT 400 SHELTON:360-2754467,EXT 400 4 BELFAIR:360-2754487,EM 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00252 APPLICANT HOMAN SETH Z&TRACY A Phone: 307-214-5409 Address: P O BOX 640 SHELTON, WA 98584 OWNER HOMAN SETH Z&TRACY A Phone: 307-214.5409 Address: P O BOX 640 SHELTON, WA 98584 SEPTIC DESIGNER RICHARD BAZZELL' Phone: 360509-7900 Address: 165 NW TUPELO WAY POULSBO,WA 9B370 Site Address: 780 W WYNWOOD DR Primary Parcel Number: 420257500230 Permit Description: New 4bd gravity trench with Class B waiver Permit Submitted Date: 06/05/2024 Permit Issued Date: 07/05/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 (additional fees may be required upon insfallabon of system). Pernit Expiration Date: 07/02/2027 (based on date of Inspecton) 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 Drainffeld 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 DesignerlEngineer 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-inspection4equestphp or call: 360-427-9670,extension 400. OFFICIAL USE ONLY DARPECEN'ED: ® MASON COUNTY 5 N COMMUNITY SERVICES ^M° K E°°� Pu64 NxIlA I<nmmunlry HeeltNEnr nmenbl HetllM < N -sA .�..mamns.M,1. . �m N O „� SWG � u - )ry) A 0 2 fW ON-SITE SEWAGE SYSTEM APPLICATION 3 A m APPLICANT PHONE ITTSeth Homan 307-214-5409 z C MNLINGACCRESS-STREET,CITY,STATE ZIP CODE 3 PO Box 640 Shelton WA 98584 ET SITE 780 ADDRESS Wynwood 7fty ar Shelton WA 98584 NAME OF DESIGNER I PHONE Caliber Septic Design - Richard Bazzell 360-509-7900 NAME OF INSTALLER I PHONE O To Be Determined N/A 3 I N PERNN TYPE(ae.'e't—) DRINHING WATER SOLIRCE w ®RESIDENTIAL OSS EflCOMMUNETYOSS COMMERCIAL MS ®PRIVATE INDIVIDUAL WELL EEPRNATE TW0.PARTY WELL = TYPE OF WORN NAW(Pre) ®PUBLIC WATER SYSTEM ®NEWCONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHERDETAILSD*kxtMIMePPI QTABLE IX REPAIR I� SUBMITTALS O SURFACING SEWAGE O EXISTING FNLURE C]SHORELINE �AL ODESIGN FORM(REQUIRED) SEPTIC DESIGN IREQUIRED) BEDROOMS LDT SIZE —1 ®WNVER(3)IIF APPLICABLE) 4 (3+1) 7• ibE9 Q ' 0 DIRECTIONS T091TEAND Sf1E CONDITIONS.(e:.AxFq PNa) See attached septic design for driving directions. O N SITE MUETBEMGGED ASOY NAW MADAM ME EMAUT MUSTBE FLAGGED PATH LEST HME NNMPER4. RF�F��1p7 I I0— OFFICIAL USE ONLY BELOW THIS LINE UPGRADE(FAILURE SOURCE SN M1MF9 Pup>wv) OVOLUNTARY C]MNNTENANCEIPUMPING [3 BUILDING PERMIT OHOMESALE OCOMPIAINT 13OTHER: INSPECTOR WIL EGGS - O /� COM � O 2°Ofi t t =LCOD � Z 3f��Jr� VaVERY EG-GRAAEUVY S=SAN OSI SILT�CLIY�EMELYR=R�11 REOUREDFORFINLLMPROVALD DRAWING AND TON REPORT INSPECTOR SHWATURE WTE APPLMATION EXPIRATION DATE APPLICATICNAPPROVEDIISSUEDSY DATE 4�74Z� 9r�t 7tv THIS FORM MAY BE iCANNED AND AVAILABLE FOR PUBLIC MEW ON THE MASON COUNTY WEBSITE REVISED IMMI5 DESIGN FORM-PAGE ONE Assessor's Parcel Numbaer:-f 2 0 Z — 7 S_ 00 Z 3 O 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. v Cross-section sketch,including all applicable items on checklist. This font nary be donned and available for public view on the Meson Cam Web site.Maximum paper size: 11"X 17" Permit Number SWG 17ib'7 �DQJe5/ , Designer's Name: Richard eaaell Applicant's Name: Seth Homan Designer's Phone Number: 360509-7900 Mailing Address: PO Box 640 Designer's Address: 165 NW Tupelo Way Shelton WA 98584 Poulabo WA 98370 city State Z City State zip FRDESIGN P Treatment Device ❑Glendon Biofilter ❑Send Filter ❑Mound ❑Sand Lined Drainfield ❑Rmirculating Filter,Type: ❑Aerobic Unh Make/Model ❑Disinfection Unit Make/Model Other: Drainfield Type IIfOrway ❑Pressure ❑Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 (3+1) Schedule/Class 40/3034 Daily Flow:Operating Capacity 360 gpd Length 55 ft Daily Flow: Design Flow 480 gp Diameter 4 in Septic Tank Capacity(wmking)(1.00+-1000 g Number 5 Receiving Soil Type(1-6) 4 Separation 5O.0 It Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 800 fir W Total Number of Orifices N/A Designed Primary Area �� fenDiameter N/A in Designed Reserve Area 2145 ft' Spacing N/A in Tmnch/Bed Width 3 ft Manifold TreachBed Length 1�)G .86 ft Schedule/Class N/A Elevation Measurements Length N/A It Original Drainfield Area Slope 4 % Diameter N/A in New Slope,If Altered N/A % Preferred manifold configuration used? ❑Yes IB'No Depth of Excavation up-slope rd Transport Pipe from Original Grade �..u. 6 Schedule/Class 40/3034 Designed Vertical Separation 18 in Length 303 ft Gravelless Chambers Required? 0 Yes Ef No 0 Optional Diameter 4 in Pump Required? ❑Yes Ef No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day On Demand Diff.in Elevation Between Pump&Uppermost Orifice N�A it Dose quantity N/A gal Drainfield Squirt Height/Selected Residual(head) N/A it Chamber Capacity(flood) N/A gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head N/A gpm OTimer DElapse Meter ❑Event Counter Calculated Total Pressure Head N/A it If Timer: Pump on N/A Pump off N/A Comments This project proposes a four bedroom capacity onsite septic system to serve a three bedroom house,one bedroom guest house(no cooking provisions),and construction living quarters. Please see attached waiver for vertical separation (standard gravity). DESIGN FORM-PAGE TWO Assessor's Parcel Number: ___ -- - Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Id Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: 13 Soil logs 9 Trench/bed dimensions and NJ Septic tank M Property lines critical distances within layout B Drainfield cover 0 Existing and proposed wells 0 D-BoxNalve box locations Reference depth from original grade within 100 R of property la Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations IB Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom 0 Location and orientation of Q Clean-out location ❑ Curtain drain collector curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation components ❑ Orifice placement Other cross-section detail: 0 Location and dimension of ❑ Lateral placement with distance H Observation ports/clean-outs primary system and reserve area to edge of bed B Other Information 0 Buildings ❑ Audible/visual alarm referenced Yes No 171 Direction of slope indicator 0 Scale of drawing shown on scale L9 ❑Design staked out hJ Waterlines bar ❑ 9 Recorded Notices attached 0 Roads,easements,driveways, L9 ❑ Waiver(s)attached parking ❑ 0 Pump curve attached 0 North arrow and scale drawing ❑ 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 19 Waste strength ❑ OFlow DESIGN APPROVAL )01 The undersigned designer must be notifie by insta r a 'me of insn1atiOnSignature ofDesigt rThe undersigned has reviewed this design on behalf of Mason Counit to be in compliance with state and local on-site regulations: Envir enta pecialis[ ate CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. -7/ Z77 ✓ 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. 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