HomeMy WebLinkAboutSWG2024-00439 - SWG Application / Design - 11/12/2024 STREET
MASON COUNTY 415N6SHELTON: ,SHELTON0,EXT 400
SHELTON:360 7754670,EXT 400
4 BELFAIR:380.2/5i467,EXT 100
Public Health & Human Services ELMA:MOAK-5269,EXT 400
FAX U0427-7787
On-Site Sewage System Permit: SWG2024-00439
APPLICANT GIERKE BRUCE J&TERRI L Phone:
Address: 3931 NE OLD BELFAIR HWY BELFAIR,WA 98528
OWNER GIERKE BRUCE J &TERRI L Phone:
Address: 3931 NE OLD BELFAIR HWY BELFAIR,WA 98528
SEPTIC DESIGNER TOM WEAVER' Phone: 360-620-7054
Address: 3912 STEELHEAD DRIVE NW BREMERTON,WA 98312
Site Address: 3931 NE Old Belfalr Hwy
Primary Parcel Number: 123091100010
Permit Description: Upgrade 3BR Gravity Bed
Permit Submitted Date: 11/12/2024
Permit issued Date: 11/2112024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $640.00 (adddananees may be reuuadd open mafallaban of sysbm).
Permit Expiration Date: 11/2012027 dratted an dale of apedmn)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staffper 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 Dreinffe/d 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-inspection-request.php or call:
360-427-9670, extension 400.
- OFFICIAL USE ONLY -
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ON-SITE SEWAGE SYSTEM APPLICATION s 'a
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APPIICMIT PHONE to M
Bruce Gierke 360-620-5507 dakotahgerk@gmailiiiz
MAENXtAODRE88-STREET CRY,BTATE.ZIPCODE ;
3931 NE Old Belfair Hwy; Belfair, WA 98528 IT
SRE ADD NW-STREET cm.21P ODDS
3931 NE Old Belfair Hwy; Belfair, WA 98528
WME DF DESgNEfl PNIXE
Thomas Weaver 360-620-7054 N
NMIE DF MSTALIFA PNOIE � w
Shae Olen 360-340-1981 <
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IKRESIDENTALOSS EDCOM.IUNITYOSS EdCOMMERCWLOSS ®PRNATEINDMDUALNELL 5 PRNATE TAD-PAIM WELL z Ep
IVPE OF NOflIt(MCorfl) 12]PUBLIC WATER SYSTEM
t7�NEW CONSTRUCTIONIUPGMDES ®REPAIR)REPLACEMENT OMERDETAILSf d0SW ) [1 TABLE M REPAIR If
SUBMITTALS 0 SURFACING SEWAGE [3 DUSTING FAILURE O SHORELINE W
®OESIGNFORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOT IMM r
AVMIVER(SHWAPPLICABLE) 3 15 Acres 8 '
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Take Old Belfair Hwy to the Kitsap County line. (Driveway starts in Kitsap County.) o
Turn in at Real Estate Sign for "Fathom Realty" There is a sign there with '3937' r I o
Follow drive back until it divides into 3 driveways. Take center driveway with 3 blue and pink Oq
Please call ahead due to gate and small noisy dogs. I 1
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OFFICIAL USE ONLY BELOW THIS LINE --
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OVOLUMARY DM INTENANCEPUAPING OBUILDINGPERMT OHOMESALE OCOMPLAINT OOTHER:
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BOIL COOFB. RECORD IXUYNNGAND INSTALLATION REPORT
V-VERY G-GBR/ELLY S=&WO L=LOW &•GILT C=CUY E-EXTREMELY R-ROOTS REOUIREDFORFINA-MPROV
CTOR SIGXMUIEE DATE MPLIGTIW E%PWATION M1ATE M ATION APPR NISSUED BY
DATE
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F YBE SOANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSTTIE UU IW=15
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2309-11-0001D
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 items on checklist
"Scaled plot plan, including all applicable items on checklist. I Cross-section sketch, including all applicable items on checklist.
This farm mars,be scanned and s"llable M Public view on Use lesson Countir Web site.Maximum sue: 11"X 17"
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SWG Designer's Name: Tom Weaver
ennce Oiwks Designer's Phone Number: 3� 'TOSa
ress: 3931 NE Old Beftr Hay Designer's Address: 3912 Steelhead Dr NW
Beffer WA own &emorbn WA 9W12
city State zip City Sete Zip
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Dninfield ❑Recirculating Filter,Type:
❑Aerobic Unit Meke/Madel ❑ Disinfection Unit Make/Model Other: SEPTIC TANK
Drainfteld Type
LalGravity ❑Pressure O Trench VBed O Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 2729
Daily Flow:Operating Capacity 360 gpd Length 50 ft
Daily Flow: Design Flow 360 gpd Diameter 4 in
Septic Tank Capacity(working) 1,000ty CL gal Number 3
Receiving Soil Type(1-6) 3 Separation 0 ry
Receiving Soil Appl. Rate .8 gpd/ft' Orifices
Required Primary Area 450 ft' Total Number of Orifices NA
Designed Primary Area 450 ft' Diameter in
Designed Reserve Area 900 ft2 Spacing in
TrenchBed Width 9 ft Manifold
Trench/Bed Length 50 fl Schedule/Class NA
Elevation Measurements Length ft
Original Dreinfneld Area Slope 2 % Diameter in
New Slope,If Altered 2 % Preferred manifold configuration used? O Yes O No
Depth of Excavation UP-oor 36 in Transport Pipe
from Original Grade Dom_sl 36 in Schedule/Class 3034
Designed Vertical Separation 36 in Length 30 ft
Gravelless Chambers Required? ❑ Yes O No KOptional Diameter 4 in
Pump Required? ❑ Yes fl'f No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day NA
Diff..in Elevation Between Pump& Uppermost Orifice NA It Dose quantity gal
Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(Flood) gal
Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head gpm OTimer ❑Elapse Meter ❑ Event Counter
Calculated Total Pressure Head it If Timer: Pump on ,Pump off
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 12309-11-0001A _____
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
11 Test hole locations B Drainfield orientation and layout Reference depth from original grade:
® Soil logs 9 Trench/bed dimensions and pj Septic tank
H Property lines critical distances within layout IF Drainfield cover
16 Existingandproposed wells H D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property Pf Septic tank/pump chamber and restrictive strata:
13 Measurements to cuts, banks,and locations IF Laterals,trench/bed,top and
surface water and critical areas H Observation port location bottom
® Location and orientation of ❑ Clean-out location ❑ Curtain drain collector
curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation
components ❑ Orifice placement Other cross-section detail:
19 Location and dimension of ❑ Lateral placement with distance III Observation ports/clean-outs
primary system and reserve area to edge of bed
ICJ Buildings Other Information
❑ Audible/visual alarm referenced Yes No
BJ Direction of slope indicator ❑ Scale of drawinq okw on scale ❑ LI Design staked out
15 Waterlines bars F V o. ❑ EI Recorded Notices attached
El Roads, easements,driveways, { tYi io 19 ❑ Waivers)attached
parking t 9 1UZy ❑ Id Pump curve attached
19 North arrow and scale drawing hL B ❑ Evaluation of failure
shown on scale bar a `'II 1 ENVIRONMEN'�-
i+nSCN Coll, W Non-residential str strength
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JB ❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation ❑ Yes Pf No
Signature of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local - ite regulations: y
/0 - 1 - 2/
Evirdu&vtal Health Specialist Date
CAUTION: DESIGN APP OVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped "Approved"by Mason County Public Health. f+
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: It ` ZO —Z.�7
✓ 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 72015
-10'8 250'X 250' Detail Area 0M
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.g el 250'X 250' De it Area
This is a 250' ft square detail area of the larger lot =
The old system seems to have been working fine,
but due to the pumpers report the new buyers want
a new septic system m
The old system was two 60' legs running North/South a
I am proposing a new gravity bed, 9' X 50' . 0
This will be over a minor portion of the old drain field z
One leg of the old system was only five feet from the house o M
and will not be in the area of the new drain field.
Half of the new drain field is North of the existing drain field
I am proposing a 36" deep install which will place the new
drain field below the original drain field into new
®soil
SL#1 0-72" Loamy Med Sand r r O I I
SL#2 0-72" Loamy Med Sand NOV 19 2�14
SL#3 0-36" Silt Loam
36" Clay Loam unsoNCouNrvENUIRONMeNT "`
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Nov 19 2024
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IM-540 General Specifications and Illustrations
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The IM-540 is an injection molded two piece mid-seamplastic tank. The IM-540 injection molded plastic designallows for a mid-seam joint that has precise dimensions IsEMERgR
for accepting an engineeretl EPDM gasket. Infiltrator'sgasket design utilizes technology from the water industry
to deliver proven means of maintaining a watertight sealThe two-piece design is permanently fastened using a
series of non-corrosive plastic alignment dowels and IPNG9
locking seam clips. The IM-540 is assembled and soldINrcTwrl Tor VIEW
through a network of certified Infiltrator distributors. Q")
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Must be backfilled and installed in accordance with IT"i
Infiltrator Water Technologies, Infiltrator IM-Series Septic 1
Tank General Installation Instructions and for shallow
ground water conditions reference the Infiltrator IM-
Series Tank Buoyancy Control Guidance. s4e
Please visit www.infiltratomater..com/images/pdf/ E�G OR
ManualsGuides/TANK01.pdf for the latest information.
Total Capacity 552 gal(2090 tl END VIEW
Length 64.9"(1648 mm) N re1Na�n.4ttFeeGFExiw w,r.,cc�.c.�o
Width 61.7°(1567 mm)
Height 54.6"(1387 mm) INL£T
Maxknum Burial Depth 48"(1219 mm)
Minimum Burial Depth 6"(152 mm)
Maximum Pipe Diameter 4"(100 mm)
Weight 1691bs(77 kg)
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• 8 - :11
Allied Design Inc.
3912 Steelhead Dr NW
Bremerton, Wa 98312
(360) 620-7054
NOVEMBER 12, 2024
Re; 3931 NE Old Belfair Hwy
Belfair, WA 98528
FAILURE EVALUATION
There was not an actual failure of the original septic system. However, the negative
elements reported by the pumper made the buyers in the current buy and sale
agreement unwilling to accept the home without a new septic system.
The system was tested with a hose for an hour and a half and took the water without a
problem.
5f OD THpN/3 E.WEAVER.,
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NOV 19 2D24 u�
MASON COUNiV ENVIRONMENTAI�EA�in
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tweaver 1431 @gmailcom
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