HomeMy WebLinkAboutSWG2024-00468-APPLICATION/DESIGN - SWG Application / Design - 8/31/2026 415 N 6TH STREET,SHELTON,WA 98584
MASON COUNTY SHELTON:360-027-4470, EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5265,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00468
APPLICANT KINGS HOMES INC Phone: 253-225-3694
Address: PO BOX 547 OLALLA, WA 98359
OWNER GASPAR ET VIR MANUELA MATEO Phone:
Address: MANUEL HERNANDEZ DIEGO BELFAIR,WA 98528
SEPTIC DESIGNER BRAD SMITH-septic designer Phone: 253-851-2178
Address: PO BOX 1444 GIG HARBOR, WA 98335
Site Address: NE Old Belfair Hwy
Primary Parcel Number: 123291190100
Permit Description. New SFR -4BR Pressure
Permit Submitted Date: 12/17/2024
Permit Issued Date: 0813112026
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $720.00 )additional fees may be,aw^ea upon„stauatonofsystemt-
Permit Expiration Date: 12/i 8/2027 (based on date of inspection)
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 Drain field 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.
7 FEES WILL BE REQUIRED FOR THE WETLAND REPORT AT TIME OF BLD
8 The destruction or alteration of wetlands and wetland buffers through clearing, harvesting,
shading, intentional burning, or planting of vegetation that would alter the character of a
designated wetland or buffer is not permitted.
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.govlhealthlenvironmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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OFFICIAL USEONL -.
MASON COUNTY D,RFMLN� o3 / I � �-���
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ON-SITE SEWAGE SYSTEM APPLICATION ; z
APPLICANT -._ PHONE m
Kings Homes 253-225-3694 c
MAILING ADDRESS-STREET CITY STATE,ZIP CODE fl l'I l' m
PO Box 547 I - Olalla WA 98359 MM
SITE ADDRESS-STREET CTY.ZIP CODE I
N Old Belfair Hwy L Belfair WA 98528 I
NAME OF DESIGNER /� n I I PHONE
Tom Weaver u, ;, a 360-620-7054
NMIE OF INSTALLER (- T PHONE O I
PERMIT TYPE(n.WYan) DRINKING WATER SOURCE
®RESIDENTIALOSS �COMMUNITYOSS ICOMMERCULLOSS ®PRIVATEINDMDUALWELL b]PRIUATETNO-PARTYWELL 2 I �
TYPE OF NORM(_f om) ®PUBLIC WATER SYSTEM
NEW CONSTRUCTION(UPGRADES 5 REPAIR(REPLACEMENT OTHER DETAILS(FP.NTSUEMapPy) 0 TABLE X REPAR I �
SUBMITTALS 0 SURFACING SEWAGE ❑ EXISTING FAILURE 0 SHORELINE®DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOTCRFATEDAFTERA/tT10Z4T
O f
I]]WMNER(S)(IFAPPUCABLE) 3 42,000" ❑ YES 0 NO I Go
DIRECTIONS TO SITE AND SITE CONDITIONS (a.bdW WM)
Take Hwy 3 North from Shelton to Old Belfair Hwy I
Site is just South of the Fire Station and 200 feet back from Old Belfair Hwy. o I
lo
SITE MUST BE FLAGGED FROM WMROAD NYC TEST HOLES MST GE FLABOFO Mm TEST NOIFNWIERS.
Io
OFFICIAL USE ONLYBELOWTHIS LINE- - - _ - -
UPGRADE/FAILURE SOURCE(RA n@IM PJNaaaq
❑V0LUNTARY OMAINTENANCE/PUMPING ❑BUILDING PERMIT OHOME SALE ❑COMPLAINT 0 OTHER.
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
5 SL
15_ u5 S•C,
✓/ O �✓15 L 1. 1 RECORD DRAWNGAND INSTALLATION REPORT
V=VE=VERY G AN
V =GNAVELLY S=50 L=LOAM Si SILT C=GUT E=E%1REMELT R ROOTS REQUIRED FOR FINALAPPROVAL
INBP CTOR IGNATURE
DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED(ISSU BY DATE
THI F MA BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE BVi5Bd:4/14/2025
DESIGN FORM—PAGE ONE Assessors Parcel Number: 1 2. 3 2 9 - 1 1 - 9 0 1 0 0
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been signed and dated. v Scaled layout sketch, including all applicable items on checklist.
v Scaled plot plan.including all applicable items on checklist. v 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 o er size: I l"A 17"
Permit Number: SWG Ql�--( 0(/ _ Designer's Name: Tom Weaver
Applicant's Name: Kings Homes Designer's Phone Number: 360-620-7054
PO Box 547 Designer's Address: 3912 Syeelhead Dr NW
Mailing Address:
Bremerton WA 98312
Olalla WA 98354 City State Zip
Cit• State Zip Designers Email tweaver1431@gmail.com
Treatment Device
❑Glendon ❑ Sand Filter ❑ Mound ❑ Sand lined Drainfield O Recirculating Filter D ATU_ - U OtheSePhc Tank
Treatment Level(check all that apply): D A D B ❑C ❑ BLI G BL2 ❑BL3 1 E ❑N
Drainfield Type
❑Gravity Rf Pressure O Trench O Bed O Sub Surface Drip
Septic Tank/Drainficld Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH 40
Daily Flow: Operating Capacity 360 gpd Length 50 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,250 gal Number 6
Receiving Soil Type(1-6) 5 Separation 5 ft
Receiving Soil Appl-Rote .4 gpd/ft' Orifices
Required Primary Area 900 Ii Total Number of Orifices 60
Designed Primary Area 900 ft'- Diameter 3/16 in
Designed Reserve Area 900 ft' Spacing 60 in
Trench/Bed Width 3' ft Manifold
Trench/Bed Length 50 ft Schedule/Class Sch 40
Elevation Measurements length 4 It
Original Drainfield Area Slope 7 % Diameter 2 in
New Slope. If Altered NA % Preferred manifold configuration used? Rf Yes O No
Depth of Excavation Up'l,"e 12 in Transport Pipe
from Original Grade Ixwv-slope 9 in Schedule'Class Sch 40
Designed Vertical Separation 31 in Length 130 ft
Gravel-based Drainfield Required? O Yes 16 No Diameter 2 in
Pump Required? Ri Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Dift. in I:leeation Between Pump& Uppermost Orifice— 10 it Dose quantity 60 gal
Drainfield Squirt Height. Selected Residual(head)
2 ft Chamber Capacity(flood) 1,250 gal
Uppermost Orifice re Higher ❑ Lower than Pump Shutoff
Pump controls: Please check those required.
CaCapacity@ Total Pressure Head 36 gpm � Timer O B�apse Meter ❑went Counter
Calculated Total Pressure Head 18 fl 7 e patrTh1r1 ,Pump off 4 Hours
Comments
AUG 1 2d:'S
"ts^; Revised:4'14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 12329 2 3 2 9 -- 1 1 -- 9 0 1 0 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations IA Drainfield orientation and layout Reference depth from original grade:
(a Soil logs 21 Trench/bed dimensions and I9 Septic tank
21 Property lines critical distances within layout [9 Drainfield cover
O Existing and proposed wells 19 U-Box/Valve box locations
' P Po Reference depth from original grade
within 100 N of property IA Septic tank/pump chamber and restrictive strata:
m Measurements to cuts, banks, and locations IA Laterals, trench/bed,top and
surface water and critical areas 9 Observation port location bottom
Location and orientation of IA Clean-out location O Curtain drain collector
curtain drain and all absorption R1 Manifold placement O Sand augmentation
components
IA Orifice placement Other cross-section detail:
❑ Location and dimension of Rf lateralObservation ports/clean-outs
primary system and reserve area edge placement of dwith distance
tobed Other Information
I9 Buildings
� Audible/visual alarm referenced Yes No
21 Direction of slope indicator
lid Scale of drawing shown on scale O d Design staked out
21 Waterlines bar ❑ ld Recorded Notices attached
21 Roads, easements,driveways, 0 Elevation benchmark and relative ❑ Rf Waiver(s)attached
parking c t�S s e c Dents M ❑ Pump curve attached
21 North arrow and scale drawing �p O fib Evaluation of failure
shown on scale bar t„ Non-residential justification
QUb 3: t ❑ O Waste strength
O O Flow
DESJSWPPROVAL
The undersigned designer must be notiftebinstaller at time of installation O Yes 9 No
Signature of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public I lealth and determined it to be in
compliance with state and local on-site regulations:
m i o Dental Health cialist Date
CAUTION: DESIGN AP ROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ "Ihe design is stamped "Approved" by Mason County Public I lealth.
✓ The Onsite Sewage Permit has not expired.the Permit Expiration Date is: (2 I Z ' 2�
✓ 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: 4/14/2025
Pressure Distribution N Old Belfair Hwy 12329-11 -90100
1,250 gallon Septic tank
1,250 gallon pump tank
All tanks with water tight risers to the surface
Six laterals 50' long
Trench depth 9" Down Slope130
End Manifold with individual valves
Transport line to be 2" dia. Sch 40 Approximately 130' long
Laterals to be 1.25" diameter Sch 40 with cleanout on each lateral
Have access ports on lateral ends for inspection and cleaning - Sweeping 90's
Residual squirt height - Minimum 24"
Orifices - size - 3/16" - Spacing 60"
Orifices at 12 o'clock Install in chambers only
Checkmate valve (or Equiv.)
Controller - SJE Rhombus or equivalent
Timed dosing set for 6 times per day, 60 gallons per dose (360 gpd)
Pump Liberty 290 or equivalent
A 6 9 L' W 9En
TH0M%S WFAN R:.
fl AUG 3 .n v
Performance Curve: 290-Series
50 16
15
40 12
35:
30 A n
25 ;
X20 3
15
3
0 0
0 10 20 30 40 50 60 80 90
Flow(GPM)
32 76 114 151 189 227 265 30.9 341
titan Per Minutt
Recommend Liberty 290 Pump
5i M3
3/16" Orifices @ 2' residual head = .59 kE Np
2" Transport line @ 40gpm = .027' headAineal ft
Every 90° _ .162' head Every 45° = .07' head /'/2-
Number of orifices 60 X .59 = 36 GPM
4 + Filling Transport loss gloss 2 + v3jion life_10-_+-+ 2' residual = 18
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X 11'
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SECURED LID WITH GAS TIGHT SEAL
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ACCESS RISER
FINISH GRADE
PUMP
CHAMBER
FROM SEWAGE
SOURCE FLOATING MAT
APPROVED
EFFLUENT
FILTER
SEDIMENTS
SEPTIC TANK
(TYPICAL1
SECURED LID WITH GAS TIGHT SEAL
THREADEDUNION
G'DIAMETER
ACCESS RISER SERVICE
FINtSMIIME�SMOUD
VALVE'
FROM SEPTIC
TANK TO DRAINFIELD
YSTORADE
HIGH WATER ALARM - -//��
VOLUME ip, INDEPENDENT
FLOAT STEM
NORMAL TIMER OFF -� FOR FLOAT
ED PUMP MOUNTING
SM OUO• CHECK VALVE
IMENTS SUBMERSIBLE
CENTRI..GAL
PUMP
PUMP CHAMBER
(TYPICAL)
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Plrssma Disuibolinn Sysicms- Rccommcndtd SIindmds and Guidance
tifiecuvc Da¢.July 112009
Fig'UI I: Typical, Not specific for this site
SEPTIC TANK
ACCESS RISER 1 VN\
PUMP CHAMBER
'\ Tom;
CONTROL PANEL
'/i}L VCS PRESSURE OISTRISUTIONLATERALS
\ Z�
TRANSPORT PIPE i/ � • 5 1
7 �. J
MANIFOLD PIPE -_s _
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PRESSURE DISTRIBUTION
DRAIN FIELD
FIGURE 1
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