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Home My WebLink AboutSWG2025-00116 - SWG Application / Design - 4/28/2026 MASONCOUNTY 415 N B SH ELTON: 7-967 ,EXT 40H STREET,SHEHEL-ON,W D8584 BELFAIR:360-275 67,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2025-00116 APPLICANT MARCOS ET AL ANTONIO GASPAR Phone: 360-801-7337 Address: PO Box 3131 BELFAIR,WA 98528 OWNER MARCOS ET AL ANTONIO GASPAR Phone: 360-801-7337 Address: PO Box 3131 BELFAIR, WA 98528 SEPTIC DESIGNER TOM WEAVER* Phone: 360-620-7054 Address: 3912 STEELHEAD DRIVE NW BREMERTON,WA 98312 Site Address: 3380 NE Old Belfair Hwy Primary Parcel Number: 123094200161 Permit Description: Table IX Repair: 3-bedroom Gravity System Permit Submitted Date: 04103/2025 Permit Issued Date: 04/0912025 Issued By: David Anderson Current Permit Fees Paid: $825.00 (.ddamn.rr.a..ay WnwnW upon In.wiledon of.y.rem). Permit Expiration Date: 0410312026 (na. d on dare a laepaoion) 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.govlhealthienvironmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY -- IYTENRNID: MASON COUNTY 6,Lj 63 2U25 w a COMMUNITY SERVICES ^ Z5 RAM c Th hBMNPFIN ICommunllylkaMWDMmrvrentalHOIM1 M SWG 2025 - OUII(v w o p z w ON-SITE SEWAGE SYSTEM APPLICATION a a MPl1CNR PHONE m TR Antonio Gaspar Marcos 360-801-4974 Z c EwuxDlmlEBs-MEET,cm BT/•Te,2W coDE PO Box 3131; N Belfair WA 98528 m SITE ADDRESS-STREET,CRY,ZIP CODE 3380 NE Old Belfair Hwy; PC Belfair WA 98528 NANE OF DESIGNER Q PHONE I N Tom Weaver 360-620-7054 NNAE OF MTPllER m PHONE O I (a PERMITYPE(fnM pp) DRINNNGYNTERSOURCE ! I0 ffl RESIDENTVLLOSS EUCOLNSUNFTYOSS ECOMMERCIALOSS ®PRIVATE INDIVIDUAL WELL EDPRWTE TWO-PARTY WELL = I � TYPE OF V.DRI((M.YpN) �I PUBLIC VATER SYSTEM I f7�NEWCONSTRUCTIONIUPGRADES IBIREPAIR/REPLACEMENT OWERDETMLSI�YYNSW ) DTABLE IX REPAIR ( IA SUBMOITALS m WA SURFACING SEWAGE D EXISTING FAILURE D SHORELINE RIDESIGNFOW(REQUIRED) ®SEPTICOESIGN(REOUIRED) BEDROOMS VA LOTSIZE r IN ZIAIVER(S)(1FAPPUCABLE) �� 8,700 0 DIRECTNNS TO SITE AND SITE CONIMINS,(u.k ,iA) lO Parcel on the corner of NE Old Belfair Hwy and NE Dusty Rd 10 Very near the Bear Creek Store r 0 1 0) SIZE MIbTNiRM/GFDMIgIWNRDADAW TIUTN0LE4 NDSTSEELAO(WED MILN,ESINDIENYBFRb. I i OFFICIAL USE ONLY BELOW THIS LINE UPGRNDE/FNLURE SOURCE Ib IeMNMp WINPP) ❑VOLUNTARY E]MAINTTE-NA1ANCEIPUNIPI/NGG jE3BUIUI,LDINGPERYMIIT 0HWESALE ❑COMPLAINT DOTHER: T�CO- F.?4' L�S CTyf JI WboffpI CDAENBICDDNNG 1 old dromNw, leaked tw b *040e. TH-tv-T2` 410,105 w/ peckl� of Weds febolbm . SQL GOOF . RECORD DRAWING AND INSTL TCN REPORT V=VERY G=GRMELLY S=SAND L-LUWA Si SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FRI APPROVAL. .SPFCpF SaNEuRE DATE I APPUCATON EXPIRATION DATE APPU APPROVEW ISSUED BY PATE 3 7$�1a71' `7' ZOZS THIS FORM MAY BE SCANNED ANDAVAILABLE FOR PUBLIC NEW 044 THE MASON CWNTY MESITE RWMED,ZYWIS DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 3 0 9 4 2 0 0 1 6 1 ----- -- ----- A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated. •Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,including all applicable items on checklist s Cross-section sketch,including all applicable items on checklist. This form may be canned and avallable for public view on the Meson County Web site.Maximum mper size: 11"X 17" Permit Number: SWG 2P2'7 - Ml& Designer's Name: Tom Weaver Applicant's Name: Antonio MarooS Designer's Phone Number: 360-620-7054 Mailing Address: PO Box 3131 Designer's Address: 3912 Steelhead Dr NW Belfair, WA 98528 Bremerton WA 98312 city State Zip city State Zip Treatment Device O Glendon Biofilter ❑Sand Filter ❑Mound O Sand Lined Dreinfield O Recirculating Filter,Type: O Aerobic Unit Make/Model O Disinfection Unit Make/Model Other: Gravity Beds Druinfield Type Gravity D Pressure ❑Trench Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 2729 Daily Flow:Operating Capacity 36Q Z gpd Length 25 it Daily Flow:Design Flow 360 gild Diameter 4 in Septic Tank Capacity 1,200 gal Number 3 X two Receiving Soil Type(1-6) 3 Separation 2' between beds tt Receiving Soil Appl.Rate .8 gpd/ftt OrificeNA Required Square Footage 450 ft, Total Number of Orifices Designed Square Footage 450 ft' Diameter in Percent Reduction Taken 0 % Spacing u Trench/Bed Width 9 ft Manifold Trench/Bed Length 25 X two It Schedule/Class NA Elevation Measurements Length fr Original Dminfield Area Slope 0 % Diameter in New Slope,If Altered NA % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-sropc 24 in Transport Pipe from Original Grade D,,,k pe 24 in Schedule/Class 3034 Designed Vertical Separation >36" in Length 20 ft Gravelless Chambers Required? O Yes O No N Optional Diameter 4 in Pump Required? O Yes IXNo Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity gal Orifice It Chamber Capacity gal Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity Q Total Pressure Head gpm OTimer DElapsc Meter ❑ Event Counter Calculated Total Pressure Head ft If Timer: Pump on ,Pump off Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: l [ J U H 4 2 U U 1 u 1 ----- -- ----- Permit Number: SWG Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch P4 Test hole locations I$ Drainfield orientation and layout Reference depth from original grade: ¢� Soil logs (PI Trench/bed dimensions and N Septic tank Property lines critical distances within layout ❑ Drainfield cover DQ Existing and proposed wells XI D-BoxfValve box locations Reference depth from original grade within 100 ft of property Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations X3 Laterals,trench/bed,top and surface water and critical areas N Observation port location bottom ❑ Location and orientation of n Clean-out location ❑ Curtain drain collector curtain drain and all absorption ❑ Manifold placement ❑ Sand augmentation components ❑ Orifice placement Other cross-section detail: 1� Location and dimension of ❑ Lateral placement with distance N Observation ports/clean-outs primary system and reserve area to edge of bed 1)( Buildings Other Information ❑ Audiblehisual alarm referenced Yes No IX Direction of slope indicator M Scale of drawingshown on scale ❑ IX Waterlines L9 Design staked out bar ❑ C1 Recorded Notices attached ¢[ Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ 1'XPump curve attached North arrow and scale drawing ❑ Q Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation ❑ Yes W No AV ,g4eu-t_ April 3, 2Q25 'Signature of Designer Date "IAA The undersigned has reviewed this design on behalf of Mason County Public Health and determined it NO� compliance with state and local on-s' gulations: *4,V ,4p w Y�Y�Z�zs �Nqo°Nry ao91p �l Environmental Heath Specialist Date FNpjgO $ OJq N�FNTA CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: 49 ✓ The design is stamped"Approved"by Mason County Public Health. rH ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ Dminfield site conditions have not been altered to adversely affect conalitickis 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. Revision Date: 1/12/2010 V. = 20' NE 3380 Old Beffair Hwy" 1230942-00161 4D, RFD�vF 1p75 O Powwer is overhead Use three four hole D-Boxes or One eight hole D-Box Install two gravity beds, 9'X 25 feet each with two feet of separation Excavate beds 24"and remove any of old failed DF and backfill with C-33 sand to 24" Old 750 gallon septic tank may remain in place in series with new 1,200 gallon NE Dusty Rd SL#1 0-72" Loamy Med Sand Power 85't SL#2 0-72" Loamy Med Sand Pole - - Pockets of gravel — DAN Using Table for 50' vertical I separation form well based on >36" Horizonal separation *� lax ae ora Original Drainfield Is in the same place as the new gravity beds. /- Three Bedroom nf. Home N >, 60. 1 ^te J W N "D O � Shed 3/s�1 s 55 q r�1�& �RWnC pNl mv�r rl0 N ®VFW ,6 &4$ONCO OR/09 f015 D✓A N7A<HfA(p, m B O 0 � N m 6 O N (O NV 'O L N m m t] i i f NCI N O 0 L . O r m O O] m n m0 � 2 d O. U U IZ N QC U V I] k N 0 m Z O-a 0 3 �o � M00 ��C�cn 1 � o Ocm ` mm- 0 ym a NO Y L Z0 O U NmO o m 0 aa zW>2a Rd h ,ZFp�C�' T mmm 0* wn n NV .m ` N U N m pro m N ) N w � II N j 3N 3- YO @L O N m(ONNILZ w~Z.? J4ppf ®ov "1480* OR�Nry 1S FNU/RO OJA N�ENTA(yFA(Ty 1 ,200 gallon tank SECURED LID WAN GAS TCMSCAL J 2l•OlptlEfER ((( ACCESS RISER FLASH OMM / �-TOPUMP CNAMSER RSEWAOE SOU FM M4,"A/[LU SOURCE FLOATING MAT APPROVED EFFLUEN MYER SEDSSENTS SEPTIC TANK M-B-QALJ Drawing modified from WSDH RS&G's D-Box Details Speed levelers inside D-box Use in each leg going to a trench Inlet pipe comes through 2" higher hole No speed levelers in inlet pipe Typical Plastic D-Box for three legs APPROVED �' • , APR 09 2025 MASON COUNTY ENVIRONMENTAL HEALTH DJA ical Concrete D-Box bein installed i . 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