HomeMy WebLinkAboutswg2024-00344 - SWG Application / Design - 2/19/2025 MASONCOUNTY 415N6 SHHELTON: 0427-97 ,EXT 40 STREIF ,SHE TON, EXT 400 BELFAIR:360-2754467,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00344
APPLICANT FRANKLIN CLARK* Phone: 360-830-4765
Address: PO BOX 1954 SILVERDALE, WA 98383
OWNER STROUP ERICA&BRANDON Phone:
Address: 13808 104TH ST CT NW GIG HARBOR,WA 98329
SEPTIC DESIGNER FRANKLIN CLARK• Phone: 360-8304765
Address: PO BOX 1954 SILVERDALE, WA 98383
SEPTIC INSTALLER FRANKLIN CLARK• Phone: 360-830-4765
Address: PO BOX 1954 SILVERDALE,WA 98383
Site Address: XX E Lakeview Dr
Primary Parcel Number: 221085500047
Permit Description: New SFR 3-bedroom pressure system
Permit Submitted Date: 08113/2024
Permit Issued Date: 02/19/2025
Issued By: David Anderson
Current Permit Fees Paid: $805.00 lacamonal fees may ba mquimd upon insvllaoon of ayabm).
Permit Expiration Date: 08/27/2027 (bawd an eats of mapa onl
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.govlhealth/environmentallonsite/oss-inspection-mquest.php or call:
360-427-9670,extension 400.
OFFICIAL EONLY
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ON-SITE SEWAGE SYSTEM APPLICATION > A
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MAILING ADDRESS-STREET LT',STATE,LIP CODES
P.O.Box 1954 Silverdale WA 98383 m
SREADDRESS-STREETCm LIPCODE
)n E Lakeriaw Dr.,Ga paview,WA 98546 I N
NAME OF DESIGNER PHONE IN
Franklin Clark 360.830.4765
NAME OF INSTALLER PHONE Q ��
Franklin Clark 360.830.4765 3 i0
PERMITTYFE(al .j DNHKINGYMTERSCIIRCE w
P RESIDENTIAL OSS L]COMMUNITYOSS L7 COMMERCIAL OSS OPRNATEINDMDUAL WELL [3PRNATETWRPARTY WELL z IRA
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ENEWCONSTRUCTIONIUPGRADES ❑REPAIRIREPIACEMENT OTHEADETMLS(N&UmaBWeMVT) OTABLE IX REPAIR 10
SUBMITTALS 13 SURFACING SEPMGE [3EXISTINGFAILURE ❑SHORELINE W 10
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DESIGN FORM(REQUIRED) 0 SEPTIC DESIGN(REQUIRED) BEOROW S
LOT SOE r
❑VMIVER(S)QFAPPLIOABLE) 3 O.2O Acres x to
DIRECTONSTO$ITEANO BHE CONOITIOMS'.(u.k[Ne!(,We)
Mason County Commundy DevelWm M-815 W AMr St,Shelton,M1A98584>Head nalh On N SU SI toward WA dN St> to
Follm E Rile St and WA-3 N to E Maeon Lake Rd>Follow E Mason Lake Rd b E Lakeview Or>XXX E Ulaaew Dr,Gmpev,,YM 98516
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BRE MRATBE FLAGGEO FROM MAW ROAD AHD TESTROEFB MUSTBE RUMORED MTIM iE FTMO{6M.IIf6fA
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAIWRE SOURCE(la 1¢ p )
❑VOLUNTARY (]MAINTENPNCE/PUMPING act
L]NOMESALE OCOMPMW OOTXER:
T01INSPER
SDIL LOGS
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SOH.CODES: RECORD DRAWNG AND INSTALUTIOH REPORT
V•VERY G-GRAVELLY S•SAND Lx LOAM SI•SILT L•GAY E-EXTREMELY R^ROOTS REQUIRED FOR FINFLAPPROW
INSPqetRSIGNATURE RATE MPIIGTIOH EXPIRATION DATE MPLICA NMPflOVEN ISSUED BT DATE
2 x/ L 77/ZVI Z �
THIS FORM MAY BE SCANNED AND ANAIUBLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSRE REVISED IWQKH5
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DESIGN FORM -PAGE ONE Assessor's Parcel Number:2-27 Q$ — 5_5 — QQQgZ
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. 0 Cross-section sketch,including all applicable items on checklist
Theform may be scanred.nd available for public view on the Mason County Web site. Maximum paper size: ll"X 17'
PARCEL IDENTIFICATION
Permit Number: SWG 7 y ` L Designer's Name: Franklin I Clark _
Applicant's Name: STROUP,ERICA&BRANDON Designer's Phone Number. 360.830.4765
Mailing Address: 13808 104TH ST CT NW Designer's Address: pQ Box 1954
OtyGIG HARBOR State:WA Zip:99329 Ci :Silvenlale State:WA Zip:98383
DE SIGN PARAMETERS
Treatment Device
N Glendon Biofilter N Sand Filter N Mound N Sand Lined Drainfield R Recirculating Filter,Type:
® Aerobic Unit Make/Model N Disinfection Unit Make/Model Other
Drainfield Type
N Gravity ■ Pressure N Trench N Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class Schd 40
Daily Flow:Operating Capacity 360 gpd Length 150 R
Daily Flow: Design Flow 360 gpd Diameter 1.5 In
Septic Tank Capacity 1,200 gal Number 3
Receiving Soil Typ e(1-6) 3 Separation 5'On Center Or 70" in
Receiving Soil Appl.Rate .8 gpd/ft' Orifices
Required Primary Area 450 ft' Total Number of Orifices 39
DesigneclPrimary Area 450 R2 Diameter 1/8" in
Desiped Reserve Area 450 ft2 Spacing 48" in
Trench/Bed Width 3' ft Manifold
Trench/Bed Length 50, R Schedule/Class 40
Elevation Measurements Length 2 ft
Original Drainfield Area Slope 10-15 % Diameter 2 in
New Slope,If Altered N/A % Preferred manifold configuration used?N Yes ■ No
Depth of Excavation up-:lope �-,Q� (0 in Transport Pipe
from Original Grade powrvslope TO ]^ in Schedule/Class 40
Designed Vertical Separation 24 in Length 20 ft
Gravelless Chambers Required? N Yes N No ■ Optional Diameter 2 in
Pump Required? 0 Yes N No Dosing and Put mp Chamber
Pump/Siphon Specifications Number of doses/day 12
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal
Orifice 5 R
ChamberCapacity 1200 gal
Uppermost Orifice N Higher Lower than Pump Shutoff Pump controls:Please check those required.
Capacity@ Total Pressure Head 16.9 gpm ■Timer ® Elapse Meter N Event Counter
Calculated Total Pressure Head 1D.7' R If Timer. Pump on 1.5m1hutes. Pump off 2Hrs
Comments Actual Pump Run ON Time to be Determined By Conducting a 1-Minute Draw Down Test.
1 f
DESIGN FORM-PAGE TWO Assessor's Parcel Number:2210a - 55 - 4444Z
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 100ft of property ■ Septic tank/pump chamber
and restrictive strata:
0 Measurements to cuts,banks,and locations
■ Laterals,trench/bed,top and
surface water and critical areas ■ Observation port location bottom
-N/A ■ Clean-out location 0 Curtain drain collector-N/A
0 Location and orientation of ■ Manifold placement ■ Sand augmentation
curtain drain and all absorption ■ Orifice placement Other cross-section detail:
components -N/A
■ Location and dimension of ■ Lateral placement with distance ■ Observation ports/clean-outs
to edge of bed Other Information
primary system and reserve area
■ Buildings ■ Audible/visual alarm referenced Yes No
■ Scale of drawing shown on scale ® ■ Design staked out
■ Direction of slope indicator bar N ■ Recorded Notices attached
■ Waterlines 0 ■ Waiver(s)attached
■ Roads,easements,driveways, ■ 0 Pump curve attached
parking 0 ■ Evaluation of failure
North arrow and scale drawing Non-residential justification
shown on scale bar 0 ■ Waste strength
to ■ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of Installation ■ Yes 0 No
06 Aug 2024 /� A
Signatur of Designer Date pY ®
The undersigned has reviewed this design on behalf of Mason County Public Health and determin�Litto be m V
compliance with state and local onsl ulatioons�: //''tt )9
NVIR°N
Environmental Health Specalist Date DJ4 MfNTg1 Npq 771
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
0 The design is stamped'Approved'by Mason County Public Health. K/�vt
N The Onsite Sewage Permit has not expired,the Permit Expiration Dates: 7
0 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
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