HomeMy WebLinkAboutSWG2025-00326 - SWG Application / Design - 8/13/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
J L BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00326
APPLICANT MANNAHAN BENJAMIN TYLER& Phone: 360-850-2084
KRISTA OTTO
Address: 2450 NE OLD BELFAIR HIGHWAY BELFAIR, WA 98528
OWNER MANNAHAN BENJAMIN TYLER& Phone: 360-850-2084
KRISTA OTTO
Address: 2450 NE OLD BELFAIR HIGHWAY BELFAIR, WA 98528
SEPTIC DESIGNER Nathan Cleaver Phone: 360-598-6546
Address: 262 NW Thompson Rd POULSBO, WA 98370
Site Address: 2450 NE Old Belfair Hwy
Primary Parcel Number: 123162300040
Permit Description: Table X Repair: 4-bedroom SFR pressure system with open bottom
sand filter beds and no designated reserve drainfield
Permit Submitted Date: 08/13/2025
Permit Issued Date: 09/10/2025
Issued By: David Anderson
Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/26/2026 (based on date of inspection)
Permit Conditions:
1 Approval of this septic permit does not approve the building location. Building location is
subject to approval from all applicable departments and regulations.
2 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
3 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
4 Drain field installation not to exceed designed upslope and downslope depth specified on
design form.
5 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
7 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.
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AUG Z OFFICIAL USE ONLY
MAS COUNT DATE RECEIVED: 0(xJ(7 I 1.3
l'�//-v0/� � D
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6114
AMOUNT RECEIVED ( ^.^F RECEIVED BY: Oa W (/)
Public Heal uman Services c / J o co
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Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400
415 N.6th Street- Shelton,WA 98584 S W G ao26 - 0034 a 77
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE mr
Benjamin Mannahan �� c(360) 850-2084 z
MAILING ADDRESS-STREET.CITY:STATE,ZIP CODE C
2450 NE Old Belfair Hwy \c� -- Belfair WA 98528 03
SATE ADDRESS-STREET.CITY ZIP CODE
2450 NE Old Belfair Hwy t ^)89' „ Belfair WA 98528 I
NAME OF DESIGNER �,`�, ^v! j \' PHONE N
Nathan N. Cleaver '-'-""4Q (360) 598-6546
NAME OF INSTALLER 4 PHONE a CO
v4
PERMIT TYPE(select one) DRINKING WATER SOURCE O
W.RESIDENTIAL OSS rl COMMUNITY OSS n COMMERCIAL OSS ff-PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z C5)
Cr PUBLIC WATER SYSTEM r
TYPE OF WORK(select one)
F NEW CONSTRUCTION/UPGRADES i REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I IV
0 SURFACING SEWAGE 21 EXISTING FAILURE 0 SHORELINE
SUBMITTALS 7.CO W.:DESIGN FORM(REQUIRED) g SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025?
Iw
6-WAIVER(S)(IF APPLICABLE) 4 1.50act ❑ YES Q NO 0 I O
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
Head north on highway 3, turn left on NE Old Belfair Hwy, proceed passed W Fish Hatchery 1 o
Rd, property will be on the right. Address is posted on mailbox. o 1 0
I -1.
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O
OFFICIAL USE ONLY BELOW THIS LINE - --
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER:
INSP COMMEN TS I CONDITIONS
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RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL
I TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLI TION APPROVED.ISSUED BY DATE
87UP°lc VZ 6/7016
(T/Z- 7((07W 7c
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 3 1 6 — 2 3 — 0 0 0 4 0
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. '"Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mason County Web site.Maximum .a.er size: I I"X/7"
.4;;.,�.. , ._ .'•_ .+G_:., pt,.-3.. '�r 1 am.... tl ,.!',2 7r L- l , • - .:.', `. i, .-,. ,?:. )7,,,', . :+. __. .- .:,.�_
�W s Permit Number: SWG — Off 3 f Designer's Name: Nathan N.Cleaver
Applicant's Name: Benjamin Mannahan Designer's Phone Number: (360)598-6546
Mailing Address: 2450 NE Old Belfair Hwy Designer's Address: 23994 NE Orseth Rd
Belfair WA 98528 City State Zip Poulsbo WA 98370
Cit State Zi• Designer's Email nathan@nathancleaver.com
Treatment Device
❑ Glendon ❑ Sand Filter ❑ Mound Sand Lined Drainfield 0 Recirculating Filter 0 ATU U Other
Treatment Level(check all that apply): 0 A ❑ B 0 C 0 BL I 1BL2 ❑ BL3 El E El N
Drainfield Type
❑Gravity lid Pressure 0 Tre. G/iBed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications ! Laterals
Number of Bedrooms 4 Schedule/Class Schedule 40
Daily Flow: Operating Capacity 360 J gpd Length 40 ft
Daily Flow: Design Flow 480 - gpd Diameter 1 in
Septic Tank Capacity(working) 1,250 gal Number 8
Receiving Soil Type(1-6) 4 ! Separation 2 ft
Receiving Soil Appl. Rate 0.6 / gpd/ft2 Orifices
Required Primary Area 800 , ft' Total Number of Orifices 160
Designed Primary Area 800 - ft2 Diameter 1/8 in
Designed Reserve Area ft2 Spacing 24 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 80 ft Schedule/Class Schedule 40
Elevation Measurements Length 8 ft
Original Drainfield Area Slope 1 % Diameter 2 in
New Slope,If Altered NA % Preferred manifold configuration used? l 'Yes 0 No
Depth of Excavation Up-slope 22 in Transport Pipe
from Original Grade Down-slope 20 in Schedule/Class Schedule 40
Designed Vertical Separation 12 in Length 70 ft
Gravel-based Drainfield Required? El Yes 0 No Diameter 2 in
Pump Required? liff Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Diff. in Elevation Between Pump& Uppermost Orifice 15 ft Dose quantity 30 gal
Drainfield Squirt Height/Selected Residual (head) 5 ft Chamber Capacity(flood) - 1,250 gal (1,360) gal
Uppermost Orifice 0 Higher EC Lower than Pump Shutoff Pump controls: Please check those required.
Capacity L Total Pressure Head 74 gpm 1 Timer g Elapse Meter 12iEvent Counter
Calculated Total Pressure Head 26 ft If Timer: Pump on 25 sec ,pump off 2 Hours
Comments
Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 3 1 6 -- 2 3 -- 0 0 0 4 0
Permit Number: SWG
DESIGN CHECICLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
El Test hole locations 12f Drainfield orientation and layout Reference depth from original grade:
6i Soil logs Ei Trench/bed dimensions and g Septic tank
66 Property lines critical distances within layout 6I Drainfield cover
EZi Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property lif Septic tank/pump chamber and restrictive strata:
6i Measurements to cuts,banks, and locations
Laterals,trench/bed, top and
surface water and critical areas 6E Observation port location bottom
61 Location and orientation of lif Clean-out location 0 Curtain drain collector
curtain drain and all absorption IZI Manifold placement 0 Sand augmentation
components
0 Orifice placement Other cross-section detail:
Eli Location and dimension oflif Observation ports/clean-outs
primary system and reserve area Lateral placement with distance
to edge of bed Other Information
0 Buildings tif Audible/visual alarm referenced Yes No
O Direction of slope indicator 12f Scale of drawing shown on scale 0 0 Design staked out
6l Waterlines bar 0 0 Recorded Notices attached
O Roads, easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s) attached
parking elevations of system components A 0 Pump curve attached
6d North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
S■C ❑ ❑ Flow
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„_ . ., ..•c,..=.m,.4w:,....,.�:.,.. ,a fir. _ ... .,, ... ..._ . .,
The undersigned designer must be notified ler at time of installationXYes 0 No
i ature of Designer ate A
/i
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it AI()
compliance with state and local on-si e regulations: iyqs Sep
��
7/(ea T§(41),A-
Environmental Health Specialist Date ��1R049 Tq1H
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: 6,
CAUTION:• The design is stamped"Approved" by Mason County Public Health. g/16
✓ The Onsite Sewage Permit has not expired, the Permit Expiration Date is: Z0Z06
✓ 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. Revised:4,I4:2025
SOIL EVALUATION
Property Owner's Benjamin Mannahan System Designer Nathan N. Cleaver
Date soils logged: Logged by: Nathan N. Cleaver
LEGAL DESCRIPTION: Section 16 Township 23N Range 1W Parcekt s 12316-23-00040
Include soil textural characteristics and depths at which significant changes occur.
Be sure to include depth where mottling or impermeable layers occur. Use additional sheets as necessary.4...
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Q O C C� ¢ EXPIRES - 7 "O
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Loamy Fine/
0-36" Loose Medium Sand 0.6
Ex. Gravel 54"
1 36-54" @ 38" Loose Course Sand
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Loamy Fine
0-34" Loose Sand 0.6
2 34-55" @ 34-55" Loose Loamy Fine 0.6 NA 55"
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FL60/FLH60-Series 4,6k7,
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Impeller Performance Curve RCF4v
Semi-openClass 25 cast iron 60 Hz 3450 RPM EQ
Capable of passing a minimum of 3/4'solids Liters Per Minute
0 38 114 189 265 341
(FLH60 has an enclosed impeller) 80
24.4
Finish 70.__ FLH60 21.3
Powder at
60 18.3
Maximum Fluid Temperature FL60
100°F,40°C Continuous Duty 50 15.2
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140°F, 60°C Intermittent `
a 40 'N 12.2S
2 k
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Motor q
2 30 '` 9.1
Oil-filled, hermetically sealed, and class B `% I-
insulation rating 20 6.1
Power Cord Type 10 3.0
SJTW(1-PH)or SEOOW(3-PH), or SJOOW tt
(35'and 50'—1PH) ° 10 20 30 40 50 60 70 80 90 100°
Quick-connect 10'standard length(25', 35', US Gallons Per Minute
or 50'lengths optional)
Motor Housing FLH6O-Series Models
MODEL HP VOLTS PH AMPS CORD SWITCH PLUG END WEIGHT
Class 25 cast iron
FLH61A 6/10 115 1 12 10' Automatic Series 641bs
Volute FLH61A-2 6/10 115 1 12 25' Automatic Series 65 lbs
Class ast iron FLH61A-3 6/10 115 1 12 35' Automat c Series 69 lbs
Dimensional Data FLH61M 6/10 115 1 12 10' Manual Plug 62 lbs
FLH61M-2 6/10 115 1 12 25' Manual Plug 63 lbs
Weight. FL62M: 60 lbs FLH61M-3 6/10 115 1 12 35' Manual Plug 65 lbs '
Height: 16.4" FLH61M-5 6/10 115 1 12 50' Manual Bare Lead 67 lbs
Major Width: 11.2"(manual model)
Shaft � _ FL6O-Series Models
�"`y�, � 'r ,�• • MODEL HP VOLTS PH AMPS CORD SWITCH PLUG ENO WEIGHT
Stainless °. _
FL62A 6/10 208-230 1 8.2 10' Automatic Series 62 lbs
Fasteners SEP 1 0 2025 NV1ROh'!r;ENTAL HEALTH FL62A-2 6/10 208-230 1 8.2 25' Automatic Series 65 lbs
300-Se FL62A-3 6/10 208-230 1 8.2 35' Automatic Series 66lbs
� FL62M 6/10 208-230 1 8.2 10' Manual Plug 60 lbs
Hardware DJA
FL62M-2 6/10 208-230 1 8.2 25' Manual Plug 62 lbs
'1-' er, FL62M-3 6/10 208-230 1 8.2 35' Manual Plug 64 lbs
Mechanical Shaft Seal FL62M-5 6/10 208-230 1 8.2 50' Manual Bare Lead 66 lbs
FL63M-2 6/10 208/230 3 5.6 25' Manua: Bare Lead 61 lbs
Carbon ceramic
FL63M-3 6/10 208/230 3 5.6 35' Manua. Bare Lead 63 lbs
Bearings FL63M-5 6/10 208/230 3 5.6 50' Manua. Bare Lead 65 lbs
Upper er ball bearings FL64M-2 6/10 440-480 3 2.8 25' Manua. Bare Lead 61 lbs
FL64M-3 6/10 440-480 3 2.8 35' Manua. Bare Lead 63 lbs
Float Switch [automatic models) FL64M-5 6/10 440-480 3 2.8 50' Manua. Bare Lead 65 lbs
Wide-angle float switch with piggyback 10-Cord standard on above models.25,35,and 50'cord lengths available
(series) plug 50 cord not available on automatic models).Add--2',"-3',and"-5"suffix to
model number.Example.FL61A-2 for 25'cord.
Specifications subject to change without notice. Liberty Pumps-7000 Apple Tree Avenue-Bergen,New York 14416
Copyright e Liberty Pumps.Inc.2022 All rights reserved.LLIT006763-R01/22 Phone 800-543-2550-Fax 585-494-1839-vrww.LibertyPumps.com
FLGO/FLHGO -Series
IibefjPuinps
Submersible Effluent Pumps
A Family and Employee Owned Company
6/10 hp
1-1/2" or 2" Discharge
3/4" Solids Handling4111
•
Features
• • Semi-open impeller permits
passage of solids without clogging
(FLH60 has an enclosed impeller)
• Heavy-duty cast iron construction • ' II POWDER
• Stainless-steel fasteners COATED
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TOUGH-
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• 416 Stainless-steel rotor shaft •
• Permanently lubricated upper and !
lower ball bearings
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with thermal overload protection I,
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• Unitized carbon and ceramic shaft sealIttif-
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• Dual-sized discharge flange: y
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• 1-1/2"or 2"
• • Quick-connect power cord in
10'standard length (25', 35'and 50' —
optional lengths available on
some models)
•
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