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Home My WebLink AboutSWG2024-00477 - SWG Application / Design - 12/27/2024 HELTON,WA 584 MASON COUNTY 415N6THSTREET, 0427-97 .EXT 400 SHELTON:360.427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00477 c oyKy( APPLICANT Weishaar,Chris Phone: 3606989428 Address: 1872 NW Van Road Poulsbo, WA 98370 OWNER Weishaar,Chris Phone: 3606989428 Address: 1872 NW Vaa Road Poulsbo, WA 98370 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380 Site Address: UNKNOWN Primary Parcel Number: 223097600170 Permit Description: New 4bd pump to gravity trench with Class B waiver Permit Submitted Date: 12/2712024 Permit Issued Date: 0111012025 Issued By: Rhonda Thompson Current Permit Fees Paid: $540.00 (edRbnal)em mW De requimd upon lnsWnWoo or syeem). Permit Expiration Date: 12/30/2027 (beeedondeNolimpmien) 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 speed on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfrll 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 As 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: masonmuntywa.gov/health/environmentaYonsiteloss-inspection-requestphp or call: 360.427-9670,extension 400. i OFFICIAL USE ONLY MASON COUNTY �2 27 ZU COMMUNITY SERVICES 77 5 "®° c w Pw�H.Mm rcOmmunm lMMINE,NwnmeMal HeMM 3 0 M . .M SWG - o ;q z Lo ON-SITE SEWAGE SYSTEM APPLICATION > a a n w A IILANT m CHRISTOPHER WEISHAAR 360 390-2405 r z _ c MAILING AgM695STREEL qTV.SLATE.DPGIEE -T ". m 1872 NW VAA RD POULSBO WA 98370 m a 91TEAOORE35-STR`FET,CITY.ZIPfLOE y�-"' NE ,fT'Iunson ct 3ELFAIR WA98528 =:. IN NAMEOFC NM ~ Jim Zimny 36(1-51&7287 I IJ NPMEOF INST.LLIIIY PR"T'(E I V4 o m z I PERMR,YPE psKfuN C- C giINKMO WAT92 BJURLE 0 e IRRESIDENULLOSS II'CCMMUNIT O35 FLCOAMAERCALOSS WPRIVATEINDIVIOMWELL GPRNATETWOfARTYV U z t TYPEOFWORKIa .) 17 PUBLIC MTER SYSTEM WNEWCONSTRUCTON/UPGRADES f FEFAIR/REPLACEMENT OTHFA giTML4(wAr.Xwtlrot eppy) OTAKE IX REPAIR SUMITTALS G DSURFACINOSEW E DEXISTINGFAILURE BSHORELINE W rK DESIGN FORM IREOIMRED) IN SE"C OESION(REQUIRED) BEgtOO16 LOT SZE r .� f$,WUVETt(S)OFAPPLICABLE) 4 5.01 Acres N5 pj I U x Q gREClIOT09TFANO SIZE CCNgT10NS(m.bWOgY) From Belfair follow old Belair Hwy to Bear Creek Dewatto Rd (3.5 mi)take left on Bear I O Creek Dewatto rd and follow for 8.4 mito NE Tahuya Blacksmith rd and take rt. in .9 mi take left on Munson Blvd. in 1.1 mi take left one NE Bedrock Rd. Lot in on at the end of rd. Pink o I' Ribbons are 150' up hill at the I'T". Follow to test holes. P� y'J�clYCfr�' I I J 5/IEMMST BEMBGFDfIICM.WW/IOAOIROIFSTIKKLS MAST BEMOMED MIIN T�TNOtEMA®6t t I C 311 OFFICIAL USE ONLY BELOW THIS LINE uPGRAce rcNLUIE souacE Py�.wTm Pmo..q O VOLUNTARY OMMNTENMlCErPUMRNO OBULDING PERMIT OHDA£SALE OCawwNT OOTHER: INBPE MSOL LOGS LCMMDrtseCONpIIONS �+ } l I AIva-y- RECORD DRAWNG AND INSTµ{ATON R U SOL CODES: V=V9 G=ORM'DLY s=SAID L=LOAM S.STLT C=CAY E=EXTREIELY R=ROOTS REWIREDF RNALAF OVA. IN:PECTgi sIFMATWE MTE AMUCADINFXFTRATION WIE APFUCAnfN AFPROVEq ISS.£DSY DATE eI�D z� ;b z� ( li THIS FORM MAYS SCAW=ANDAVABABLP FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REMSIM1] MIS DESIGN FORM—PAGE ONE Assessor's Parcel Number. 223097600170- — A design will be reviewed when 3 conies of each of the following are submitted: Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable item on checklist Scaled plot plan,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist. This form maybe sutured and available for liable view on the Mason County Web site.Maximum paper size: I l"X 17" PARCEL IDENTIFICATION Pemtit Number: SWG 20zd' ixig77 Designer's Name: Jim Zmrry CHRISTOPHER WEISHAAR 360-516-7287 Applicant's Name: Designer's Phone Number: Mailing Address: 1872 NW VAA RD Designer's Address: 7178 WtrWllower PI NW POULSSO wa 93370 86ated Ws9a390 city state zip city State Z' DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sued Filter ❑Mound ❑Sand Lied Drunfield ❑Recirculating Filter,Type: ❑Aerobic Unit Nlao Model ❑Disinfection Unit Makelladel Other: Drainfield Type �Gmvity ❑Pressure ErTrench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 3034 Daily Flow:Operating Capacity 480 gpd Length 67' ft Daily Flow:Design Flow 360 gpd Diameter 4 in Septic Tank Capacity(working) 1250 gal Number 4 Receiving Soil Type(16) 4 Separation 5' ft Receiving Soil Appl.Rate 0.6 gpd/ft Orifices Required Primmy Area 800 ftr / Total Number of Orifices na Designed Primary Area 800 fe ✓ Diameter na in Designed Reserve Area 800 $r Spacing na in TreneNBed Width 3 ft Manifold Trench/Eed Length 268 ft schedule/ na Elevation Measurements Length na ft e Original Drainfield Area Slope 15 % D. '° na in New Slope,If Altered 15 % ✓ P o _ n used? [] Yes O No Depth of Excavation Ur*slope 12 in J •�N.2N Transport Pipe from Original Grade r pe 'a,ows-do q i Schedule/Class Sch 40 Designed Vertical Separation 18 in Length ft GmveRess Clambers Required? ❑Yes 0 No E(Optioml Diameter 1 1/2" in Pump Required? EJYes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 20 ft Dose quantity 80 gal Drainfield Squirt Height?Selected Residual(head) 1 ft Chamber Capacity(Hood) 1500 gal Uppermost Orifice 0 Higher 0 Lower t}arPmmp Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 20 - spur E(Timer Ireapse Meter IrEvem Counter Calculated Total Pressure Head 20� ft IIfTAkon 3 min ,Pump off 6 his Comments JAN 10 2025 RET DESIGN FORM—PAGE TWO Assessor's Parcel Number. 223097600170- __ -- PernmNmnber. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch d Test hole locations d Dreinf eld orientation and layout Reference depth from original grade: d Soil logs d TrencWbed dimensions and d Septic tank d Property lines critical distances within layout d Drainfield cover d Existing and proposed wells d D-Box[Valve box locations Reference depth from original grade within 100 ft of property d Septic tank/pump chamber and restrictive strata: d Measurements to curs,banks,and locations d Laterals,trench/bed,top and surface water and critical areas d Observation port location bebe,,, d Location and orientation of d Clean-out location IE Curtain drain collector curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation components ❑ Orifice placement Other cross-section detail: d 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 d Direction of slope indicator d Scale of drawing shown on scale ❑ If Design staked out d Waterlines bar ❑ d Recorded Notices attached d Roads,easements,driveways, if ❑Waiver(s)attached parking d ❑Pump curve attached d North arrow and scale drawing ❑ ❑Evaluation of failure shown on scale bar *rm"�� Non-residential justification ❑ ❑Waste strength ❑ ❑ Flow %,APMVAL The undersigned designer must be notifie y installer at time of installation dYes ❑ No /l-LN ?'Y Sign esigner 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 on-site regulations: 6�Ivtwt.�� I1012's Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Meson County Public Health. --t ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: n' 'I3 6�7i I ✓ 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: 12/7/2015 • � � a °QaQC I— a ENZCD Q o 0 . oGN `y 3 3 z Q V Z m 0 a 0 1 1 N ! m j .0NOSNf1W 3N a JOE v ( a i In In 0 0 oa Z I NI avt I I .NN -[ v ------- EE zn N APPROVED rl JAN 10 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET : i o0 N c° 70£ w 8 a N or a o ; .� � rn •��ab� c� rnN 3 J uzm � w '" w m :i Joe APPROVED I 1AN 10 2025 / MASON COUNTV ENMNME00EAL'H I of a-_y g9 d M M N \ 2.9 1-01 r >r > t > Advantage Perc & Design Timely-Reasonable-30 Years of Local Experience Construction Notes for pump to gravity 4 Bedroom System: p"^Y -t- 5WVJ N!9 Preiaxe-Distrlbution w/graveless chambers(Rock and pipe may be substituted) Install 4-67' Laterals on 5'centers Install 6 hole d-box w/access riser to the surface Install 12"trench depth on high side of trench and maintain 18"of vertical separation Install level and along contours. Install in dry weather only. Use 1%1250-Gallon septic tanks and 1500-gallon pump tank. See pump Chart for Pump Specs Use Rhombus S1E Control Panel or equivalent w/audible and visual alarms for low and high water. System designed for typical residential waste strength sewage only. System designed for 480 Gallons Per Day APPROVED 1AN 10 2025 ON COUNTY ENVIRMENTAL HEALTH RET y Lms LI SL pE5'GNER 12 -z4.2y Advantage Perc&design APDdesiens@icloud.com (360)516-7287 }� � 9 R q } 3 \ � � - !_ § I - , |¢ � ( (® _ APPROVED ' k JAN R 2025 « MASON COUNTY ENRONMENTALHM 9RET 9 _ | er / q/ ) � >R ) ; ° ~• - 4:1, _ } \ r SECURED LD WTMGAS Twfr SEAL / be DIALMETER ` ACCESS RISER FINISH / — — — TOPMWP d1A1®EI FROMSEWAOE SOURCE FLOATMGMAT APPROVED EFFLUENT FILTER BEDM93M APPROVE I Z So STANK JAN 10 2025 C�/ p4�o MASON COUNTY ENVIRONMENTAL 1EAM RET SECURED LOAD WrFHGABTIGHTSFAL THREADED UNION ACCESS RMER . FNMMHGRADE FROM SEPTIC TO DRAWHEID TANK ENE GENCYSTORAOE ANTISIPHON VALVE• NIGH WATERALARM LEVEL — — — — — INDEPENDENT WORKINO VOLUME FLOAT STEM NORMALTWEROFFLEVEL — — — — — FOR FLOAT MOUNTING ENCLOSED PUMP SEDMER6ISWUD• CHECK VALVE• 1C M SEDWB7T6 OENfWRWAL. PUMP w I PUMP CHAMBER •AS MBflED FIGURE 2 LICE SIGNEfl 12 -zv-Zy X Liberty Pumps 280- 112 HP Cast Iron Submersible Sump/Effluent Pump (Non- Automatic) Performance Curve: 280-Series 40 7..�-•,--i---- -T---'�' .-r-'�'-r,-T-�- - - - . . . . 25 620 - _ . --_- -. _. . . . .. . _ - - - . . _ _ 10 • . . . , . . . _ . . . 5 . . . . . . . . . . . . o � - 0 5 10 15 20 25 3035 40 45 50 66 60 6670 U.S. Gallons Per Minute APPROVED JAN 10 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET IT? 2y