HomeMy WebLinkAboutSWG2024-00370 - SWG Application / Design - 8/29/2024 WA
MASON COUNTY 415N6 SHHELTON: 0427-97 ,EXT 400
STREET,
,SHEL ON, EXT 400
BELFAIR:360-2754467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00370 COOLY
APPLICANT WERDALL JESHUA L Phone:
Address: P 0 BOX 128 BELFAIR, WA 98528
OWNER WERDALL JESHUA L Phone:
Address: P 0 BOX 128 BELFAIR, WA 98528
SEPTIC DESIGNER ROD LEFT' Phone: 360-698-8488
Address: PO BOX 2954 SILVERDALE,WA 98383
Site Address: 281 E JOHNSON RIDGE DR
Primary Parcel Number: 222137700040
Permit Description: New 4bd pressure trench with Class B waiver
Permit Submitted Date: 08/29/2024
Permit Issued Date: 11/04/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 (additional fees may be required upon Installation of syslemi
Permit Expiration Date: 09/05/2027 (based on dale or inspection)
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 Drainfield 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
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.govihealthlenvironmentallonsiteloss-inspection-request.php or call:
360.427.9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY NCEXSENEU. rL y a
COMMUNITY SERVICES
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PO Box 128 Belfair WA 98528 m
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281 E. Johnson Ridge Dr Belfair WA 98528 N
NFME CF D6IGNER PHONE I N
Rod Left 360-698-8488
NFMEOFINSTOLLER PHONE
PNiMTTYPE(uNtlawf DRINNNO WATER SOURCE I '
®RESIDENTALOSS 51COMMUNITYms ®COMMERCIAL OSS EflPRNATEINDIVIDUALWELL PRNATE IW0.PARTY WELL = I W
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IMNEWCONSTRUCTION/UPGRADES SIREP/MR/REPLACEMENT OTHERDETAKSHaN Pwfe [3TABLEIXREPNR I -I
su Mlnufi ❑SURFACING SEWAGE ❑EXISTING FAILURE O SHORELINE
®DESIGNFORM(REQUIRED) INSEPTIC DESIGN(RECOURSE) BEDRKI6 LOT61iE 1 I J
®W/ R(S)(IFAPPUCASLEI 4 219,542 sq ft x
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OVOLUMARY OMAINTENANCEYPUMPING CIBUILDINGPERMIT ❑HOMESALE ❑COMPLAINT ❑OTHER:
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INSPECTORSIGNATURE DATE APPUGTON EXRRrtgN DATE AEPNCATONAPPROVFI O IIE°6Y SATE
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THIS FORM MAY BE SCINNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE REVISED 1WCO15
DESIGN FORM-PAGE ONE Assessor's Parcel Number. 2 2 2 1 3 - 7 7 - 0 0 0 4 0
` A design will be reviewed when 3 copies of each of the following are submitted:
a Completed design form that has been signed and dated. a Scaled layout sketch,including all applicable items on checklist
•Scaled plat plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist.
This Raw,may be scanned and available for public view on the Mason County Web sibs.Maximum pp,, cis: I",E'l?"
, „„,„ v 4 PARCEL IDINTIFICATIO-
Pemtit Number: SWG 02 00 Designer's Name: Rod Left
Applicant's Name: Jeanne Wardell Designer's Phone Number: 360-698-8488
Mailing Address: 281 E.Johnson Ridge Or Designer's Address: 1.O.Box 2954
9effair WA 9028 Siverdele, WA 983e3
City State Zip City State Zip
__-
' DESIGN PARAMF"fEItS
Treatment Device
❑Gleadon Stettin, O Send Filter ❑Mound ❑Sand Limed Drain idd ❑Rerinari tiug Filter,Type'.
❑Aerobic Unit Make/Model ODisinfemion Unit MaloaModel Other:
/ Drainfield Type
0 ❑ravky Ld Pressure O Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Draintield Specifications Laterals ^^�
Number of Bedrooms Schedule/Clms y Q
Daily Flow:Operating Capacity $60 glad Length 50_55 ft
Daily Flow:Design Flow 4$0 gpd Diameter I in
Septic Tank Capacity (&50 gal Number 5
Receiving Soil Type(1-b) 4 / Separation 5 R
Receiving Soil Appl.Rate 0.6 girth, Orifices
Required Primary Area goo fe Total Number of Orifices (97
Designed Primary Area $60 ft Diameter IN in
Designed Reserve Area '300 fit Spacing _l-{-0 in00
Trench/Bed Width 3 It Manifold
Trench/Bed Length A-70 ft Sch dule/Cless 33 3T40
Elevation Measurements Length 58 itOriginal DrainSeld Area Slope 3-6 % Diameter I in
New Slope,If Altered 3-6 % / Preferred manifold configuration used? 0 Yea []No
Depth of Excavation upslope 14 to - Transport Pipe O
from Original Grade Dowaalope 10 in Schedule/Class a-
Designed Vertical Separation 12 in Length I(,(- ft
Graceless Chambers Required? U Yes IdNo 0 Optional Diameter I in
Pump Required? 19Yes EINo Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day (Z
Difference in Elevation Between Pump Shumff nd Uppermost Dose quantity 4b gal
Orifice �D R Chamber Capacity 12-50 gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Plwse check those required. //
Capacity Q Total Pressure Head y0 Slam f(Timer DElmse Meter L3Evmt Comte,
Calculated Total Pressure Head l-IS.1 ft If Timer: Pump on jl&;) Pump off hf5
Fa
tsssBWaiver APPROVED
MASON COUNTY ENVIRONMENTAL HEALTH
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number.2 2 2 1 3 — 7 7 -- 0 0 0 4 0.
PermitNumbcr. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
66 Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
m Soil logs 91 Trench/bed dimensions and Rf Septic tank
5d Property lines critical distaacm within layout 9 Dminield cover
❑ Existing and proposed wells E9 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Ed Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations [9 Laterals,treach/bed,top and
surface water and critical areas 10 Observation port location bottom
❑ Location and orientation of Qf Clean-0ut location ❑ Curtain drain collector
curtain drain and all absorption Ef Manifold placement ❑ Sand augmentation
components 21'Orifice placement Other cross-section detail:
m Location and dimension of ❑ Lateral placement with distance Ed Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
0 Buildings Eg"Audible/visual alarm referenced Yes No
Id Direction of slope indicator Ed Scale of drawing shown on scale ❑ 16 Design staked out
6d Waterlines bar ❑ Rf Recorded Notices attached
m Roads,easements,driveways, Ed ❑Waivers)attached
parking if CI Pump curve attached
0 North arrow and scale drawing ❑ 19 Evaluation of failure
shown on scale bar Non-residential justification
❑ Rf Waste strength
❑ h'j Flow
NOW , '.,�j , ` - DESIGN APPROVAL
The undersigned designer must be notified by ins er t time lion fid Yes ❑ No
SignaN of Designer Date
The undersigned has reviewed this design on behalf of Mason County Pubic Health and determined it to be in
compliance with state and local on-site regulatr'o :.-
t`(_)` wl�tl2u
Environmental Health Specialist I Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. (y I
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: _f
✓ Dminfield 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: 12r72015
Pump Selection for a Pressurized System -Single Family Residence Project
WERDALL/22213-77-00040
Parameters
D. ,Ass.tV 3 2m yeg 780
TacpvtL-O
TagvlP{eClae 40
Taep01Ve5ee 2W Fde3
ol%CipVaAYrta� Noe 140
NM6eJmlR A ha
Ntarmlaq� 5e m
MatLFyeC� 40
NtittlHl.Y im iidiW
N��Wcd 5 120
�repli A
13a9Pyecl 40
IatraP¢9re im iNa
On4eSZE 19 'r hss o
C S,�, 4 td 100
Re WaO 5 w S rmoW
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Calculatl n 80
MinmFbrRable0 013 Fn A
NeltrxCpiktspazae m
TW9FbvR�rezae 390 gm C
Nuroam3aa5�zae 5 3 60
%F6 Diba 191mt0� 79 % Ip-
TaspOv * a 18
Frictional Head Losses 40
InM1amDod. 32
r i.TTaemt 4b
wetmoV m
ImsnNiiiltl 114
�ot�ds 09 w 20
Ivatm�iFlwrtKT 00
'MIlalFrt 'm 00
ITH
Pipe Volumes
�tltr�a�,tue ms 9� 00 10 20 30 40 50 60 70 80
WdM1latltl 25 9� Net Discharge lgpm)
Wrt130'd Wz. 157 9&
Td9U 45B 9*
Minimum Pump Requirements PumpDats Legend
Dee,Fia 3"9 tA0 W WHOH®EkfftP W sys cme
TtDe H� 451 w mC�i#43kHP
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APPROVED
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NOV 0 4 2024
Nbt. E%FIRe3 121151 ./IJ
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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