Loading...
HomeMy WebLinkAboutSWG2026-00235-APPLICATION/DESIGN - SWG Application / Design - 7/28/2026 - it, MASON COUNTY 415N6 SHELTON. ,SHE`T9670 EXB594 SHELTON:360-42]-96]0,EXT 400 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: SWG2026-00235 APPLICANT MARTINEZ ALFRED &YASUKO Phone: Address: 21290 E STATE ROUTE 3 BELFAIR, WA 98528-9305 OWNER MARTINEZ ALFRED &YASUKO Phone: Address: 21290 E STATE ROUTE 3 BELFAIR,WA 98528-9305 SEPTIC DESIGNER Dave Ghylin -Dave's Septic Service Inc. Phone: 360-710-2449 Address: PO BOX 301 SEABECK, WA 98380 Site Address: 21290 E State Route 3 Primary Parcel Number: 122064400090 Permit Description: New/Replacement: SFR 3-bedroom pressure system to Glendon M31 Permit Submitted Date 07/28/2026 Permit Issued Date: 08/13/2026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system)- Permit Expiration Date: 07/30/2029 roared on date of nspection) 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: masoncounlywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. Assessor's Parcel Numb 1er 2 2 0 6 4 4 : 0 ! 0070 0 0 7 0I DESIGNFORM-PACEONE --- -- - A design will be reviewed when 3 copies of each of the following are submitted: Completed design roan that has been signed and dated. Scaled layout sketch,including all applicable items on checklist. v 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 paper.size: 11X17" PARCEL IDENTIFICATION ot0 -35 Designer's Name: Dave Alin —_ Permit Number: 9WG_ — Designer's Pltone Number: 360-710-2449 Snider Revocable Living Trust g Applicant's Name: — — - - PO Box301 7415E Wyoming ST Designer's Address: _ — — -- Mailing Address: —tO —.-- -- --- City Stale Zip Seebeck _ WA 98380 Pod Orchard WA 98366 dss9699@oufimkcar fig. State Zip Designee's Email DESIGN PARAMETERS Treatment Device I ❑Other_ Glendon ❑Sand Filter ❑Mound ❑Send Lined Drainfield ❑Recirculating Filter ❑AIV _ Treatment Level(check all that apply): YJ 1 A ❑B ❑C ❑FILI O BL2 ❑BL3 O E ON Drainfield Type ❑Sub Surface Drip O Gravity O Pressure ❑Trench O Bed Septic Tank/Drainfield Specifications Laterals 3 Schedl2Yfl Number of Bedrooms / g 360 d Length Daily Flow:Operating Capacity gP in Daily Flow:Design Flow 360 gpd Diameter Septic Tank Capacity(working) 1200 gal Number 4 Separ Receiving Soil Type(1-6) Orifices Receiving Soil Appl.Rate .6 gpd/ftc 1200 ft' Total Number ftces Required Primary Area in Diameter Designed Primary Area 1200 ft2 ft2 Spacing in Designed Reserve Area Manifold Trench/Bed Width N/A ft N/A ft Schedule7Class- 40 Trench/Bed Length Length ❑No Elevation Measurements in Original Drainfield Area Slope 0-7% % Diameter New Slope,If Altered N/A % Preferred manifold configuration used? es Depth of Excavation U,0.re, N/A in Transport Pipe from Original Guide Down-slope N/A in Schedule/Class 40 12" in Length 80 ft Designed Vertical Separation 1.. � Gmvel-based Bromfield Required? ❑Yes ❑No ✓ Diameter Dosing and Pump Chamber Pump Required'? Yes ❑No 144 Numer o _ umber doses/day Pump/Siphon Specifications B3 gal Diff.in Elevation Between Pump&Uppermost Orifice ft Dose quantity 1� gal R Chamber Capacity(flood) 2 f,eld Squirt e O Hi Selected Residual(head) pump controls: Please check those required. Uppermost Orifice❑Higher O Lower than Pump Shutoff El Timer 6d Elapse Meter Event Counter Capacity @ Total Pressure Head 1° N/A ,Pump off N/A Calculated Total Pressure Head ' If Timer: Pump on Comments Designer will set flow to each pod and set timer. Revised:6/11/2025 • DESIGN FORM—PAGE 'TWO Assessor's Parcel Number 1 2 2 , 0 6 4 4 0 0 07 0 Permit Number SWG_ DESIGN CHECKLIST'S ------ Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 16 'resst hole locations 6f Drainfield orientation and layout Reference depth frmn original grade: V Soil logs if Trench/bed dimensions and ' Septic tank {� Property lines critical distances within layout ❑ Drainfield cover e box locationsl/V Box av Existing and proposed wells D- Reference depth from original grade within 100 ft of property V Septic tank/pump chamber and restrictive strata: Measurements to cuts,banks, and locations ❑ Laterals,trench/bed,top and [� Observation port location bottom surface water and critical areas Clean-out location 0 Curtain drain collector cLocain t andid orientation llabsorption of ❑ Sand augmentation curtain drain and all � Manifold placement components ❑ Orifice placement Other cross-section detail: ( Location and dimension of ❑ Observation pons/clean-outs ❑ Lateral placement with distance primary system and reserve area to edge of bed Other Information 9f Buildings j Audible/visual alarm referenced Yes No Direction of slope indicator l ' Scale of drawing shown on scale ❑ IT'Design staked out Waterlines bar ❑ 4(Reeorded Notices attached ❑ 'Waiver(s)attached I ' Roads,casements,driveways, V Elevation benchmark and relative 0 V Pump curve attached parking elevations of system components ' ❑ Evaluation of failure North arrow and scale drawing shown on scale bar Non-r sidential justification ❑ ® Waste strength ❑ VFlow DESIGN APPROVAL The undersigned designer must be}totf ed by install at time of installation 'Yes 0 No Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined It t 'dip,f compliance with state and 10Th on-sit a Unions; ft oca !3 zoo Environmental Health Specialist Date pp ,nom CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CO N, ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (� ✓ 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:6/11/2025 General Designer NotesTr --- -. General AUG 13 2026 Owner Name: Snider Revocable Living Trust Reference: 122064400070 DJq #1 Soil logs have been dug on this site and are the responsibility of the property owner or owner's agent to have these soil logs buried after the inspection process has been completed. #2—If during the construction process, soil conditions are found that may lead to premature failure of the system,construction shall stop immediately and the designer shall be notified. Such soil conditions may include but not limited to ground water, surface water, fill material, clay soil, bedrock, or excessively permeable gravels. #3 —Any substitutions or deviations from these plans shall be approved by the Health Department or the designer prior to construction. All changes of the system components shall be documented by the designer on the final As-built drawing. #4— Peak design flow is_360g.p.d., Recommended daily flow should not exceed—_ 288_____ g.p.d. or premature failure may occur. #5—Backfill sewage disposal system immediately after final inspection process, cover soils should be loamy sand or better. Seed final cover with grass or shallow rooting ground cover. #6--Keep all maintenance access lids and ports accessible to ground surface. #7—Installer should rake the finished grade smooth and slope it to divert all surface water runoff away from tank and drainfield areas. #8—Setbacks from house foundation to drainfields and reserve areas are 10', septic tanks 5' and transport lines 2' unless otherwise stated within the design. #9— Driveways and parking areas must stay 5' from drainfield areas. Tanks may be located within parking area and driveways if approved for this application. #10—Sewage waste strength should meet the following criteria or be lower Bod-5 = 130-174 mg/1, TSS 47-71 mg/1, FOG= 10-20 mg/I,PH=6.5-7.2 with microscopic life forms present. #I I —Installer must adhere to all manufacturer installation requirements for all products used. #12—The attached septic design does not represent a survey nor does it purport to show all easements or encroachments, if any. Designer recommends property lines be located prior to any final installation occurs. Surveys may be required to accomplish this. #13 —Property lines and comers have been represented by owner or owner's agent, the designer is not responsible for errors due to inaccurate measurements from property lines or comers that are inaccurate. #14—If a curtain drain is required with this design it must meet all Health Department installation requirements. #15—Developers, homeowners and installers, installations of on-site sewage disposal system should always be installed in dry weather conditions. Irreparable soil damage may occur if systems are installed in wet conditions. Planning the installation of system is very important and should be done as early in the building development stage as possible. Wet weather conditions have caused delays in final approval dates. #16—Maintenance is required will all sewage disposal systems. Owners will receive details of this in the designer manual with the final approval of the application. #17—Adhere to all designer notes located on design layout page. #18—If development exceeds 10,000 square feet of impervious surface an engineered drainage plan may need to be submitted. Options are available to reduce square footage requirements,such as wagon wheel driveways, contact DCD for further details. Owners are responsible for any fee for redesigns or revisions that may be needed after BSA submittal not due to designer error. #19—Low flow water fixtures are recommended within the home to help lower the hydraulic load to the system. t#20—Watertight components are a must for all onsite sewage systems. Installers arc required to ensure all components arc watertight, extreme care should he used during baclfilling of these components to prevent settling and or water intrusion issues. If leaking components are not fixed in a timely manner, the designers warranty may be void. #21 -- Installation of this design must meet all Health Department regulations and all adopted policies by the Health Department that may apply. Installer is required to be versed in these regulations, if any questions contact designer. #22—All components used must be on State Department of Health approved products list for use with residential waste. #23 -Installer must inspect all tanks used at time of delivery and any tanks with defects must be rejected and not used. When using any existing tank, the installer must due a 24 hour leak test to ensure all tanks used are watertight. #24- All plumbing must be routed into the new sewage system that has been designed. It is the property owners responsibility to show the designer all plumbing stub outs and all gray and black water discharge points. A plumber may be needed on old homes to ensure that all stub out locations are connected to the new proposed sewage disposal system. An inside pump basin may be needed in some cases where plumbing is located in basements and elevations for a gravity discharge cannot be maintained. #25-Do not use low profile chambers or the system will he red tagged. All lateral lines must be a minimum of 6" off the infiltrative surface. Lateral ends must be secured at the cleanout and must be in the center of the port. Specific Designer Notes: #1-This application is for a repair on an existing 3 -bedroom home. Using Glendon Biofilter #2- Extreme caution must be taken on clearing drainfield area.Native soils can't be damaged Recommended to be done by septic installer. #3- MIM is required for this system. #4-- Pump and fill existing septic tanks with soils. #5- Any large stumps holes to be filled with sand filter sand. #6- Designer recommends removing poplar trees from proposed drainfield area. Soil log#1 0-16" Lt brown fine sandy loam to restrictive layer. Soil type 4 Soil log#2 0-16" Lt brown fine sandy loam to restrictive layer. Soil type 4 Soil Log#3 0-12" Lt brown fine sandy loam to restrictive layer. Soil type 4 Soil log#4 0-33"Lt brown fine sandy loam to restrictive layer. Soil type 4 ti AUG 13 2026 MASON COUNTY ENVIRONMENTAL HEALTH , yn Sc Dave's Septic Services, Inc. P.O. Box 301 Seabeck, WA 98380 (360) 710-2449 Customer Information: Date: 7"15126 Applicants Name: Snider Revocable Living Trust Site Address: 21340 E State Route 3 Belfair,WA Tax ID#: 12206-44-00070 OSS Failure Report: Hydraulic Overload fl Abnormal Waste Physical Damage O Age/Other AUG 1 3 2026 MASON COUNTY ENVIRONMENTAL HEALTH DJA Dave's Septic Services, Inc. Licensed On-site Sewage Disposal Consultant Percolation Test and Engineering Designs Licensed Operation & Maintenance Specialist E-mail: dss9699(a)outlook.com OSS Failure Investigation Report Site Address of OSS Failure: 21340 Estate Route a eelfair,WA Designer: Dave Ghylin / Dave's Septic Services, Inc Date of Investigation: 7/15/26 The OSS at the above address has failed due to: ❑ Hydraulic Overload (e.g., OSS flooded out due to leaking OSS components, excessive groundwater, or surface water intrusion, leaky household fixtures, or water use above the what the OSS was designed to handle, etc.) ❑ Abnormal Waste Strength I Water Characteristics (e.g., normal OSS operation appears to have been adversely impacted by household use of pharmaceuticals, disinfectants, fats/oil/grease, or additives, etc.) ❑ Physical Damage (e.g., OSS was damaged due to vehicular traffic, new construction, or animal intrusion, etc.) Age or Other (e.g., OSS does not exhibit any signs of the above. However, failed due to age, system type, or site condition, etc.) y pp AUG 13 p_r,?g MASONcoui' EN'J,'Rg541r:"v' AL HE,^CH DJ4 o \ / 0 y > - % ( 7 h-z dwouj m - 0L » w w q \ ( \ \ \ \ \ / � } \ j Ht \ / \ UI t 2 / ! 2 \ : b � \ \ \ j } \ / \ \ \ \ s \ » $ a , , a a ` > 0 \ wCL 9- < < a: w U 01 0 w q7 © U? E 0 4 i I / � 2 z � o - - 2 2» 2222 \ � ! AUG / w � � a�ee m> 00 m o F , r r ' Y [ 1j Q U O O U � O U r j Vl �] N N M O O n cu _ OI O @ ' J N {Q O Q1 Q wd a o � n 0 a N M 6 U @ T Q rn` c o f ma cin m v rn U - 9 E N t- N N Sow N E V y Lr - > U i N p O jCc IH;fluiIE1WI VO d i\! -xQ r N CJ Cup cU r- > N Ol r ° o P zi •� e n D o = F 0 c m E J D N a o .y rn U O m d v m o 0_� x c ° a m c > o 0 � Q ® w9 m a m ° 'm m K y A ≤ U a u o 4t m @ p D X V a° 6 Z N E E S a a c m N C C U N n y 'ii N J E � } ' N co Uj L O N > 0 O7•� xl V I ZI. o o u aci 3 m m U OI @ S u o w z W LL Q r`' � N rivvi �or <e Hi 0- D N � U) wO o aLL C oo C Il- W C AUG 1 3 2C?6 I- I = oa U) J O) � N e Q M 6 Ui W o z J x d ' oQ CO o j @ o J mm - .a oa CCO QU -� wi LL d1€. = o� 3 ma m W ww •Q. Or > O N m o T � LL N p p wZ G m # y 3z ; i i i aW a N ooQ o LLw Jc» O } w MCI LLUI z o Q m> fl 'on n z � Ia j lu ® z � U � = c ! !YtTI , %=] ! "\ ±- - H L . ` � A \ * ! § | W � IL \ } ( J § \ > ` � S W / / G ) 2 ^ %\ o O 2 ) / % ® z0 \ ( \! & k § k \ ( * \ j2 & 2 \ ) \ ! ! q ) \ \ ! ( 0 — } \ { ! C o ) ) \ j ! j \ I C z y U o 'o o��n� �iayo -� a oy i^ p p my� ryT- A � co: ° y�a O� �Vm A yT off' ≥ > c n m 2 3 3 JHJ TTp aA � Hm � otis y � . mnx nom "m Iii mz Vin ' zy ('rm- NOT !Z0 $ A ' my H '° t F a m n /' ,/' / G) � — m � Am A O v� Ty � < G) t / Rl � Z y o m o a m H p o T r o a Z `- "G A A O$ � � 00 / n A V 3 a p Rl ro �m tom / A v p � o � oco A v_i a n a w C Or w/ AX yooaao �y � o w m n a m om ym a00� 0 ^-Z � O y A m ^ on AA /Q�2p�b y o r- Zp2 / / X - tomO _ p m m � me m o pAa aaa Z y A O , n mC p rny� O 2 a 2 � m yA m Q2 '? 2pZ Ili T_ Hm rp m2oz p 'Ay k m < 3 v' N o� � �' � . zmmym�y v _..m3mma / O OyO o e a v moo' o I / T � Ain N lb 3 o N / y n m m tUc e F a s m � / / 22 n big �2 m o A O m N . CA N p 3oin ny y Q o N m c�3i 3 p DRIVEWAY o cz m o m o li m °z w na oZ � T o X � O � U pa y o wA oao m s •, V QJ pQ oak n w y O_ � n � z 5 w m O F) n O_ n cn X11 � r -' um _ I ! I—�� I