HomeMy WebLinkAboutSWG2024-00346 - SWG Application / Design - 8/14/2024 MASON COUNTY 415 N6THELTON: 0427-9 70 EXT400
SH STREET,
,SHEL ON, EXT584
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA.360-482-5269,EXT 400
FAX:360�27-7787
On-Site Sewage System Permit: SWG2024-00346
APPLICANT SPARBER GAYLE T Phone:
Address: 61 NE WANDA CT BELFAIR, WA 98528
OWNER SPARBER GAYLE T Phone:
Address: 61 NE WANDA CT BELFAIR,WA 98528
SEPTIC DESIGNER ROD LEFT" Phone: 360-698-8488
Address: PO BOX 2954 SILVERDALE, WA 98383
Site Address: 61 NE WANDA CT
Primary Parcel Number: 223365400020
Permit Description: Non-conforming repair 3bd gravity trench
Permit Submitted Date: 08/14/2024
Permit Issued Date: 09/06/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees may be regutred upon Installation or system).
Permit Expiration Date: 08/28/2025 (based on date of inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department sta%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 Installers responsible for obtaining Mason County installation approval prior to backbll of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backhll of system components.
6 Mason County Asbullt 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—---
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APPROVED WS. U_D BY r-
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THIS FORM MAT BE CANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBBED 3EVIs6D 12,7 d015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 3 6 — 5 4 — 0 0 0 2 0_
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been slatted and dated, v Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mown County Web site.Maximum paper size: 11 X19"
/� PARCEL IDENTIFICATION
her:Permit Nim SWG_ >A!-007& ' L Designer's Name: Rod Lek
Chad Sperber Designer's Phone Number 360-698-8488
Applicant's Name: _ goer s _
Mailing Address. 61 NE.Wanda Ct _ Designer's Address: P.O. Box 2954
Better WA 98528 Silverdale WA 98383
City State Zip- CityState Zi
DESIGN PARAMETERS
Treatment Device
❑Glcndun Biofilmr ❑ Sand Ides, ❑Mound ❑Sand East Dnlnficld ❑ Sce rmlming Flteq Type:
❑Aerobic Unit Make/Model ❑ Disinfection unit Make/Model Other
Drainfield Type
fi(Gravity ❑Pressure ❑Trench ❑ Bed ❑Sub Saralee Drip
Septic Tank/Drainficld Specifications Laterals
Number of Bedrooms 3 Schedulc/Class
Daily Flow:Operating Capacity AID gpd Length '�jT ft
Daily Flow: Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity 1000 gal Number b
Receiving Soil Type f 1-6) 3 Separation 5 It
Receiving Soil Appl,Rate 0.8 gpd/ft, Orifices
Rectified Primary Area 450 ftr Total Number of Orifices N/A
Designed Primary Area 450 Be Diameter N/A in
Designed Reserve Area NI R fr'- Spacing N/A in
T ranchBed Width 3 ft Manifold
I rench/Bed Length 150 ft Schedule/Class
Elevation Measurements Length ft
Original Dour field Area Slope 0 % Diameter in
New Slope, If Altcrcd 0 % )'referred manifold configuration used? ❑Yes []No
Depthof8xiavauen 1111-11 34 in Transport Pipe
from Original Grade 1),.ilme 34 in Schedule/Class 3034
Desi6 ed Vertical Separation 36 in Length 1- It
Gmvelless Chambers Required" ❑ Yes O No Rr Optional Diameter 4 in
Pump Reyuircd:' ❑Yes l2fNo Dosing and Pump Chamber
Pump/Siphon Specifications Number ofduses/day N/A
Difference in Elevation Between Pump ShuteB'and Uppermost Dose quantity N/A gal
Orifice it Chamber Capacity N/A gal
Uppermost Orifice[] higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity U l'otal Pressure Him go. []Timer []Elapse Meter ❑Event Counter
Calculated Total Pressure I lead _ if If I imev Pump on ,Pump oil
Comments
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DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 3 3 6 -- 5 4 -- 0 0 0 2 0
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
fid Test hole locations E9 Drainfield orientation and layout Reference depth from original grade:
Ed Soil logs R1 Trench/bed dimensions and 1f Septic lank
61 Property lines critical distances within layout ❑ Drainfield cover
❑ Existing and proposed wells [9 D-BoxNalvc box locations Reference depth from original grade
within 100 tt of property Rf Septic tank/pump chamber and restrictive strata:
m Measurements to cuts,banks,and locations 6f Laterals,trenelvbcd,top and
.surface water and critical areas 19 Observation port location bottom
❑ Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
tb Location and dimension of ❑ Lateral placement with distance +6 Observation ports/clean-outs
primary system and reserve area to edge of bed
Other Information
Buildings ❑ Audiblc/visual alarm referenced Yes No
❑ Direction of slope indicator 6d Scale of drawing shown on scale ❑ [�Design staked out
21 Waterlines bar ❑ RJ Recorded Notices attached
RJ Roads,casements,driveways, ❑ 16 Waiver(s)attached
parking ❑ 65 Pump curve attached
66 North arrow and scale drawing ❑ 19 Evaluation of failure
shown on scale bar Non-residential justification
❑ Ld Waste strength
❑ Ef Flow
DESIGN APPROVAL
The undersigned designer must be notified by in�talle at time of Ilation E6 Yes ❑ No
Signa of Designer Date
'I he 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:
P.nvir cei'onmomalHcallh Sp list 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 Datc is: �Z
✓ 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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