HomeMy WebLinkAboutSWG2024-00408 - SWG Application / Design - 10/3/2024 HELTON,WA
MASON COUNTY 415NBTHELTON: , 0427-97 ,EXT 400
SHELTON:360-421-9670,EXT 400
BELFAIR:360-275J487,EXT 400
Public Health & Human Services ELMA:360 182-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00408
APPLICANT VELLAY TREVOR Phone: 360-621.0183
Address: 612 FORD AVE BREMERTON,WA 98312
OWNER VELLAY TREVOR Phone: 360-621-0183
Address: 612 FORD AVE BREMERTON,WA 9a312
SEPTIC DESIGNER Jim Zimny Phone: 360516-7287
Address: 7178 WINDFLOWER PL NW SEABECK,WA 98380
Site Address: 60 NE Mountain View Or
Primary Parcel Number: 223195000904
Permit Description: New 4-bedroom pump to gravity system wl waiver
Permit Submitted Date: 10/03/2024
Permit Issued Date: 1012812024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (additional fees may ee required own instellaboo or system).
Permit Expiration Date: 1010812027 (based on date of nspeodonl
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 Designer/Engineer installation approval prior to
backffll 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/environmentallonsiteloss-inspection-request.php or call:
360427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY N
COMMUNITY SERVICES
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612 FORD AVE BREMERTON WA 98312
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SU&A�rITTAL 0 SURFACING SEVN E 0 EXISTING FAILURE 13 SHOREUNE
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From Belfair go down Northshore rd to NE Belfair Tahuya Rd(3.6 mi) ,Take rt and follow I IC
Haven way 4 Miles to Stop Sign at NE mountain View rd. Go let and follow for 2.4 miles.
Take left at Craig Sorger Rd. Lot in on Rt marked w/pink ribbons. o IA
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OFFICIAL USE ONLY BELOW THIS LINE
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T M FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WE 3" RENSED1WM15
DESIGN FORM—PAGE ONE Assessor's Parcel Number. 223195ODD904 __ — _____
A design will be reviewed when 3 copies of each of the following are submitted:
•Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable iterre on checklist
v Scaled plot plan,including all applicable items on checklist. Cress-section sketch,including all applicable items on checklist.
This form nor,be scared and available for bik view an the Masan County web site.Maximum paper size. 11"X 17"
PARCEL IDENTIFICATION
Permit Number. SWG ZOZY-nn YAK Designer's Name: Jim Zimny
Applicant's Name:
Trevor Vellay Designer's Phone Number: 360-516-7287
Mailing Address: g� '
612 FORD AVE Designer's s Address: 7178 wirdflower pi nw
aiiF1AERTON WA 88312 Seebeck WA 99390
cit, City State zip
DESIGN PARAMETERS
Treatment Device
❑Glendon BioCilter ❑Send Filter ❑Mound ❑Sand Lined Dramtield ❑Recirculating Filter,Type:
❑Aerobic Unit MakdModel ❑Dismfectioa Umt MekaWkidel Other.
Drainfield Type
grourvity, ❑Pressure ❑Trench 0 Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number ofBedmorm 4 Schedule/Class 3034
Daily Flow:Operating Capacity 360 gpd Length67 ft
Daily Flow:Design Flow 480 _ gpd Diameter 4 in
Septic Tank Capacity(working) 1200 — gal Number 4
Receiving Soil Type(lb) 4 Separation 5' ft
Receiving Soil Appl.Rate 0.6 gpd/fe + Orifices
Required Primary Area 800 ft' Total N `� " rces NA
Designed Primary Area 800 1t2 Di v in
Designed Reserve Area 800 _ ftr in
Trench/Bed Width 3 ft -�.q��;7'^ a Manifold
TremWBedLength 267 ft Scb ddd/Cfas-2 y NA
Elevation Measurements Length R
Original Draiffield Area Slope 12% /o Diameter in
New Slope,If Altered 12% o/ Prefer ed manifold cordigunmon used? 0 Yes 0 No
Depth of Excavation uo-d-re J1yL� & in Transport Pipe
from Odgival Guide piopa or` 42, sch 40
inScledde/Class
Designed Vertical Separation in Length 90 ft
Crravelless Clambers Required? ❑Yes 0 No RrOptional Diameter 1 1/2 in
Pump Required? PfYes 0No Dosing and Pump Chamber
Pump/Siphon Specifications Number of dosesiday 4
Diff.in Elevation Between Pump&Uppermost Orifice 1 00 ft Dose quantity gal
Drainfield Squirt Height/Selecled Residual(head) 1 ft Chamber Capacity(Flood) TOGQ-- gal
Uppermost Orifice EfLligher 0 Lower than Pure Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 45 - gpm Miner UtUapse Meter SrEvent Counter
Calculated Total Pressure Head 10 ft If Timer: Pump on 1.5 min on Pump off 4 hrs off
Comments
DESIGN FORM—PAGE TWO Assessor's Petal Number 22319M904• -- - -----
PermitNumber. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
d Test hole locations ld Dminfield orientation and layout Reference depth from original grade!
I f Soil logs d Tnmch/bed dimensions and d Septic tank
d Property lines critical distances within layout le Drainfield cover
d Existing and proposed wells 19 D-Box/Valve box locations Reference depth from original grade
within too ft of property 0 Septic tank/pump chamber and restrictive strata:
H Measurements to cuts,banks,and locations Ef Laterals,trench/bed,top and
surface water and critical areas H Observation port location bottom
la Location and orientation of IN clean-out location ❑ Curtain drain collector
certain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
Id Location and dimension of d Lateral placement with distance d Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
d Buildings d Audible/visual alarm referenced Yes No
15 Direction of slope indicator d Scale of drawing shown on scale ❑ ❑Design staked out
H Waterlines but ❑ ❑Recorded Notices attached
d Roads,easements,driveways, d ❑Waiver(s)attached
ping W ❑Pump curve attached
19 North arrow and scale drawing ? ❑ ❑Evaluation of failure
shown on scale bar 11414-
'r.. Non-residential justification
❑ ❑Waste strength
.,.n �t` ❑ ❑ Flow
The undersigned designer must be notifiedtaRer at time of installation dYes ❑ No
`l Date
Signadtre signer Date
t
The undersigned has reviewed this design on behalf of Mason County Public Health and detemtined it F. .
compliance with state and local on-site re oas:
s„-
Enviroentental 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:
✓ Dminfield site conditions have not been altered to adversely affect conditions of design approval. ` to
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Please Note: The system must be installed by a certified in�r, zopy
unless prior authorization is obtained from Mason County Publi�, agth.4
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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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Advantage Perc & Design
Timely•Reasonable•30 Years of Local Experience
Construction Notes for 4 Bedroom pump to Gravity System
Gravity w/graveless chambers(Rock and pipe maybe substituted)
Install 4-67' Laterals.
Use a 6 hole d-box and speed levelers
Install on 5'foot centers.
Install N trench depth on low side of trench and maintain 18" of vertical separation
Install level and along contours.
Install in dry weather only.
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Use 1200-Gallon septic and IOW-Gallon Pump Tank w/risen for pumping and maintenance
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Use Rhombus Tank Alert 2 control panel with audio and visual High water alarm
System designed for typical residential waste strength sewage only.
System designed for 480 Gallons Per Day
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Media Gallery X
Liberty Pumps 280 - 112 HP Cast Iron Submersible Sump/Effluent Pump (Non-
Automatic)
Performance Curare: 280-Series
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