Loading...
HomeMy WebLinkAboutSWG2024-00195 - SWG Application / Design - 4/14/2021 415 N 6TH STREET,SHELTON,WA 985M QRMASON COUNTY SHELTON:360427-9670,EXT 400 COMMUNITY SERVICES BE ELMA:360482-5269,EXT 400 ELMA:360de2-5289,EXT 400 a,adx,s rw.,nar"ago""""miNmlN.cemmu,ItV9wPo, FAX:360427-7787 ENVIRONMENTAL HEALTH REVIEW OF OSS APPLICATION FRANKLIN CLARK-A+Onsite PO BOX 1954 SILVERDALE, WA 98383 Applicant: HOOD FLOYD WAYNE & HEIDI ANNE Parcel Owner: HOOD FLOYD WAYNE&HEIDI ANNE Site Address: 130 NE COURTNEY CREEK LN Primary Parcel Number: 123173490010 OSS Permit Number: SWG2021-00195 Permit Description: OSS designed for 3bd house? Permit Submitted Date: 041`1412021 Permit Review Date: 04/30/2021 The above mentioned Onsite Sewage System Application was reviewed by Environmental Health and found more information is required. Home being built is approved as a 41bd home. Septic system design is for 3 bd home. Rhonda visited site and found Type 5 soils present in required vertical separation. Please submit revision. If you have questions or concerns let us know. Sincerely, Rhonda Thompson rhompson@ X581 rthompson@co.mason.wa.us OFFICIAL USE ONLY MASON COUNTY N COMMUNITY SERVICES ^^ ^� • o m wM,.n.wn a«�mYmvNMnMDrimnNlNMlml 3 a SWG o 0 2 N ON-SITE SEWAGE SYSTEM APPLICATIO ; a NMICPNT PN N, m m z c ewunOwoaEss- *.Mn,srnre.meooE ; v t� Ce&os �- A Ov NPMEOF OESPMiEfl PRONE 4� N4ME OF IN9TNIFA O V w �— PEAMD ,�.a, C p ML WAlER3WRf£` ft'ZENTML0 LNCOMMUNRV Ei'C MERLWLO&S RNATE INONIDUK WELL WWiNATETWOYARTY WELL = *YPE CF y�flXfWetlaml ,. iPUBLIL WATER SYSTEM Rc'N/EW CONSTRUCTpN/UPCaRA0E3 L.LI MRIREPIALEMENT QTNBLEIXRF.PNR SUBC 4s -/ O SURFACING SEWAGE O EXISTING FWURE O SHDREUNE ffC.DESIGNFORM(REOUIRED) &5S TICDESIGN(REDUIRED) ,' ¢EM1WL6 LOfB� n � - r (�- µwANER(S)(IFAPPLICABLE) P Io L-A{� / ff MRECnONSTOSIMMD MNURIONS:(-� ) Taco �+ 0,4N rm� cv�s �o for}ln I nod es (3� 5 b �)r� �; b1vs. rib`oohs . e.., i54 hmase.�.v�der c�nslr 'a �' 811fMU8T1HM00®/ROM WINROAOAND i64, MV8F9ERA00®RIfM i33,NO1FM.�M9f6 ( IQ OFFICIAL USE ONLY BELOW THIS UNE UPGI VDE I FNLUPE SOMiL£@P le{wtlp p�paMl ❑v°LUWMY OMNNTENANCEmU C]BUILDINGFERMR DNDMES O°DLrouwT InsPEcmasoa L°Os cOMNFNISIconortors fi1}1 o,w SL ��n rnsb-f- m P�L.es-S 20 2 G� ea �r�.c� 2 7A SL ro `H" csto (7` IupSu Ari 14 'LOZt II�II'II 7 3Z Gl, 3ZK �of�+� o�GulC e --- v p,�� s� 1 �0-`L-RCA_,ZA + bD iW oFtL " �.�. �o� �'�- RELORDMNJMNGAIONSfALATXMREPORT Y•YtT' O OMVELLY �•yAq L•LOM1 T Ce4TAY E•0RI1ET6T a•amn AEdIlIm IOa POIK MIgpNIL INSFEc TORE are IwarwTun EMaflanon an¢ APPucAnaNNvftwEa lssuEDer a>E �p�nti 4���u 4 ��1zw TWa FfMiM Mnr eE SDANNEDAND AVARABLE FOR weLIC VEW ox rNE MASON couxrvwEe3lre AeWsm lvrrmis OFFICIAL USE ONLY ® ., Rsm:nR�.R..II�.w.ww oATe Emrm — MASON COUNTY COMMUNITY SERVICES N GM E03 D "K`A °" Im m PUY[Y.MM IGmmun�HeaNNDrvlronnRRW HUIMI � � SWG o 0 ON-SITE SEWAGE SYSTEM APPLICATION > a m � MPLIGATIT FHOrE �` m z c MPILINOACORE66- ET CRY.STAtE,ffiCOCE - ` � � F srEMORESS-3TREET,cm,fficooE :r INME OFOESIGNFA PHONE l \ NAME OF NIStALLER ` PHd1E � � ��+ PEyAR (Wtp dr) CRI��WI(IING WATERSOIAICE RESIMNT!0S9 HCOMMUNRYOSS EjCOFAMERCW.OSS MNPR��IVATEINDMDUALWELL Efl NATETWOPARTYWELL 2 1 1 TYPE 'gOPXfaYeMo.6) M PUBLIC WATER SYSTEM I F� �;I FN/EWGONSTRUCTION(UPGRADES REPAIR/REPLACEMENT OTHFA OEruLs(ewMY'IMlggiy) [3TABLEIXREPAIR kj0 SOOMITKS ,,.�,,� O SURFACING SEWAGE O EOSTING FAR.URE O SHORELINE GIT m yIDESIGN FORM(REQUIRED) 0$EPTIC DESIGN(REQUIRED) BEDROOMS LOT SME O /� � O EWANER(S)(IFAPRIf`ABLE) IO DIRECTIONS TO SREMD SITE GOODDIONS,Nxg PIN) 2�� T.ko- Oldw� awl -Eo °o koQ lx� f`Ium l� lam 0,4"& (to & cvks 4G 40 oxvs. ribbcm5 . 7)-,trQ - is4 house Wider c�rnsfr iDnI ' �_] &IEMUbiIERAGDFD FROYNRIN ROADANO TESTHOLFS MVSTBERAGGES MM TESTHONENUMSMS. N OFFICIAL USE ONLY BELOW THIS LINE UPGMDEIFAILURESO RCEfbl N,PnpRn) OVOLU ARY OMNNTENANCEIPUMPING C3 BUILDING PERMIT OHOMEBFLE C3 d NT L]OTHER: MSF£CTOt 901E LOGS COMEMS/CONDTONB RECORD DRA MNG PNO INSTFLIATICN RFPOTT SOLLCODES: V=Y[RY G=01NVM1Y 9=SVA L=LOAY N=81LT C=CLAY E=E.ITEMELY R=ROGTS REOVIREDFORFI.AN'R., INSPECTOR SIGNATURE WTf AFOLIATICN DPIMTON DATE NPPLIGTONAPPTfOVEN ISSUED RY DATE THIS FORM MAY BE SCANNED AND AVAIUIBLE FOR PUBIC NEW ON THE MASON COUNTY WEBSDE NEWSEDI2UmI5 DESIGN FORM -PAGEONE Assessor's Parcel Number. 1 23 1 7 — 34— 14414 A design will be reviewed when 3 copies of each of the following are submitted: ■ Completed design form that has been signed and dated. I Scaled layout sketch,Including all applicable hems on checklist ■ Scaled plotplan,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist This Porn may be scanned and available for public view on the Mason County Web Site. Maximum paper size: ll"X 17" PARCEL IDENTIFICATION Permit Number: SWG Designer's Name: Franklin J Clark Applicant's Name: Hood,Floyd&Heidi Designer's Phone Number: 360.830.4765 Mailing Address: 3512 Balsam Blvd SE Designer's Address: P.O.Box 1954 Port Orchard,WA 98366 City: State: zip: City:Silverdale State:WA Zip:98383 OE SIGN PARAMETERS Treatment Device R Glendon Biofilter ® Sand Filter 9 Mound N Sand Lined Drainfield 0 Recirculating Filter,Type: 0 Aerobk Unit Make/Model ® Disinfection Unit Make/Model 1Other OSCAR-II Drainfield Type B Gravity B Pressure 19 Trench ® Bed ■ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 81'afaVamXLo(im&'olim Daily Flow:Operating Capacity 360 gpd Length 7 R Daily Flow: Design Flow 360 gpd Diameter 1/2 in Septic Tank Capacity 1,500 gal Number 4 Receiving Soil Typ e(1-6) 4 Separation 1 ft Receiving Soil Appl.Rate Pri:.6/Res:.6 gpd/ft r Orifices Required Primary Area 600 ft' Total Number of Orifices OMn"enertrnRthatal rs Designed Primary Area 600 it, Diameter aQiffiff s in Designed Reserve Area 600 Rr Spacing 40 in Trench/Bed Width 28'4" ft Manifold Trench/Bed Length 22'0' It Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope 0-1 % Diameter in New slope,IfAltered N/A % Preferred manifold configuration used? Yes 9 No Depth of Excavation up-scope 0 in Transport Pipe from Original Grade Down-slope 0 in Schedule/Class 40 Designed Vertical Separatlon 24 in Length 300 ft Gravelless Chambers Required? Z Yes I No B Optional Diameter 1.0 in Pump Required? ■ Yes B No Dosing and Pu mp Chamber Pump/Siphon Specifications Numberofdoses/day 360 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 360 gal Orifice 5 ft ChamberCapacity 1,000 gal Uppermost Orifice@ Higher Lower than Pump Shutoff Pump controls:Please check those required. Capacity@ Total Pressure Head 2.1 gpm ■Timer ■ Elapse Meter ■ Event Counter Calculated Total Pressure Head 5Y R If Timer. Pump on RSeMA Pump off 3 Minutes 38kcaMt Comments Treatment System comes with all required system components,see"System Spectification".The system comes with the Control Panel pre set at the factory,uses one Effluent Pump and OSCAR OS100 coils. DESIGN FORM-PAGE TWO Assessor's Parcel Number:12312 - 34- 90010 Permit Number: SWG DESIGN CHECK LISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ■ Test hole locations ■ Drainfield orientation and layout Reference depth from original grade: ■ Soil logs ■ Trench/bed dimensions and ■ Septic tank ■ Property lines critical distances within layout ■ Drainfield cover ■ Existing and proposed wells ■ D-Box/Valve box locations Reference depth from original grade within 100 ft of property ■ Septic tank/pump chamber and restrictive strata: ■ Measurements to cuts,banks,anc locations ■ Laterals,trench/bed,top and surface water and critical areas ■ Observation port location bottom ■ Clean-out location Curtain drain collector-N/A ® Location and orientation of ■ Manifold placement ■ Sand augmentation curtain drain and all absorption Orifice placement -N/A Other cross-section detail: components ■ Lateral placement with distance ■ Observation ports/clear-outs ■ Location and dimension of to edge of bed Other Information primary system and reserve area ■ Audible/visual alarm referenced Yes No Buildings ■ Scale of drawing shown on scale ■ Design staked out ■ Direction of slope indicator bar ■ Recorded Notices attached ■ Waterlines ■ Waiver(s)attached ■ Roads,easements,driveways, ■ Pump curve attached parking ■ Evaluation of failure ■ North arrow and scale drawing Non-residential justification shown on scale bar ■ Waste strength ■ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation ■ Yes No 04/08/2021 Signatureof esigner Date The undersigned has reviewed this design on behau u, ...-_ County Public Health and determined it to be in compliance with state and local onsite regulations: Environmental Health Specalist 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:s: 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 A3NidnOD 3N IN E I li asnOH IIaMO I I I � o , I o T o o' 2 h m \ rD I � wO, W j I I III v m m m v m W SYMBOLSLEGEND N1NaNDA3N1anwgu A `nl So' uai 1150-W15BIICiMY. l/.1 ^ ,� Rs (� Fp}OPRWERIYQMIFA + ..y.$ F 3�� r ® wA1FAsu0RrxFu © wn1E0 N� EIE61BKA11WISf�MEO f R i F O EIECiPICLLAMCIKNOW �`Jy' � tF^, UTNY 0.YE •_ .. . } LRG wreBawitoviax I �o O EYJB1wGFE10E,Ew%1 � wAiEn�mEl0 —W INNYpWAIEAS YWE „ m Dws— �. g ill u o 0 ow oti 0 pn 'm m m m 3D Fy o + R, o $� WO m ypn!U T.N O a m �+ c 8 N o m r in w s d D 3 N F n 3 'o N m v N� W N � OJ L b fit � } 23 E3 \ � / \ / \ \ � � c2 cr 5-1 CD 00 � � _ � ! { �i //\ \�\ \ § �. C-1 ME \ \ \ ) � � a (A 0 > oz m r) 0> A �•Ry �yg � Irag M 8ffi 3 ' 93 lad g a ` 5 C 'NL \ =� n 0 rD D D a � r� rD v+ r 9 m w T r o Or o, w a� Z ? A v d w � - � 3 • � D T A D AMH Ae}Ia8 PIO 3N VI m A DVI r 3 a N 0 r r r t A r W A T T O 0 o- -a� 3 � a r a r c o w � N � � row • __.. _)boi w � d r # A Ag o m �.D Ym o a0 X y� w N '�yJaa� a A = 0 ot* N Z CD Di W n F c $ A 'm .. $ o M' o ?, a `� c A m `�• o' ' t d x N N N ? �. s c ^ ,a c m > > w a S dam. O o �• � 0. v � m 3 0 . c A 3 m r o S n o_a �.' v = 3 o w ? o � n � iO c �.: a m '° 9 `< m',o '--',� s rg m — o � ai. . �., 2 0 3 � a Er �3 Z o < A d o liz o 4:n ER Ei -g < 3 n sw o - E -_ - N a s c < 7 O % = N N b N b "b1. j n < ,0 p M`-: O _ o a O r j O D• ^ u N 3 m `^ f d a o o FD FL 3 - .. E 3 �, a s a at - c sO 3 ry c o 3 n 3 o `R ,o msF ? F o ^ o a m v ^ F - 0 m S v E o m 3 m N S 3 o rao 3 a v `� v /3p a�om. d F �' c I m O^ v % at m � $ s' o o f `5. d m o u SM ELg s v ,_ f '"ET 43 3 R LP - �. o o " .V o — o a " aFa b a — 0 0 _ N si T y; it a S 3c,. T63, o ? o � � o Er F m d b n o_ co > > > o o �-ma— � � K � o 'g L^R o Q s n 3 s rg a m a d p N y u n v a o 3m F A c a < s 21 21 tp a °' 3 'c er y ^ a , T A p v Z O a 3 D + O On m p jr 0 y Z a� D '4. Qx g g, o P+ 3 F N A