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HomeMy WebLinkAboutSWG2026-00010 - SWG Application / Design - 9/1/2026 ® MASON COUNTY "5N6THSTREET 60-27sO67.EXT 564 SHELTON.360-427-9670.EXT 400 BEI FAIR:360-275-4467.EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2026.00010 APPLICANT Jones, Brandon Phone: 3605504277 Address: po box 3031 Silverdale,WA 98383 OWNER TIEF SEAN R&DEBORAH Phone: 1.610.416.1618 Address: 26939 W POTTER DR BUCKEYE, AZ 85396 SEPTIC DESIGNER Brandon Jones -Horizon Wastewater Phone: 360-550-4277 Address: PO Box 3031 SILVERDALE, WA 98383 Site Address 121 NE LAKEWAY DR NORTH Primary Parcel Number: 223107990711 Permit Description: New 3bd ATU to pressure trench-REVISION 9.1.26 Permit Submitted Date: 01/09/2026 Permit Issued Date: 0410212026 Issued By: Rhonda Thompson Current Permit Fees Paid: $910.00 (additional lees may ea,spired upon laaallamnmsystem. Permit Expiration Date'. 01/16/2029 Ib�ci oa oafs of mspasfine) Permit Conditions: 7 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 downs/ape 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. 8 Property is limited to 2,550 square feet of impervious surface within 200 of the OHWM of the lake. This is a combined square footage of the house, accessory structures. driveways, patios, decks, etc. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. 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. MASON COUNTY 415 S427-96 .EXT 400 BHELTON'.360-42596]0,EXT 400 BELFAIR'.360-275-4467.EXT 400 Public Health & Human Services ELMA:360182-5269,ExT400 FAX'.360127-7787 9 Maintain 10ft from tanks to waterline. Use approved mitigation from section CI-9 of the department of ecology's "Criteria For Sewage Works Design,"when sewer transport lines are within 10ft of water supply lines. 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/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFIaA USE ONLY MASON COUNTY DATE os L AMouur FOORNEo-. RECHtcO ay. Wm Public Health & Human Services Ed 4151 N 6th SUl lte-SF3.L. A9985 ert.100 of 3663]5-dd6J,ert.IW ��( �� — \)C)OI O A 415 N.fi[M1 Street Health WA 6O-427 4 98584 O_Ily� U 2 4 ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT HONE IT LEGACY HOME CENTER � ! (360)-340-2680 7 MAILING ADDRESS-STREET CITY STATE ZIP CODE , L.D�n 23495 NE Hwy 3 BELFAIR WA 98528 z SITE ADDRESS-STREET.CITr ZIP CODE - _ ` . 121 NE LAKEWAY DR �,�.1, BELFAIR WA 98528 NAME OF DESIGNER (1 PHONE h\ BRANDON JONES J (360)-550-4277 NAMEOFINSTAL_ER PHONE Ii O.RINKING WATER SOURCE — PERMIT rvPE(selenane) 0 WE RESIDENTIAL 055 FI COMMUNITY 055 COMMERCIAL OSS PRIVATE INDIVIDUAL WELL bPRIVATE TWO-PARTY WELL z lO TYPE OF WORK(seleeaae) PUBLIC WATER SYSTEM if NEW CONSTRUCTION'UPGRADES 5 REPAIR/REPLACEMENT OTHER DETALS,select all that app/) ❑ TABLE (REPAIR h SUSMITTAL5 ❑SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE w BEDROOMS LOT SIZE WAS LOT CREATED AFTER 41'2025? r Q✓ DESIGN FORM REQUIRED) : ASEPTIC DESIGN(REpUIRED! � O WAIVER(S)(IF APPLICABLE) 3 1.8 acre OYES ONO DIRECTIDNS TO SITE AND SITE CONDITIONS(ey.lecked gslel FROM BEAR CREEK DEWATTO RD, TURN SOUTH ONTO NE BLACKSMITH DR. Id AFTER 1-MILE, CONTINUE ONTO LAKEWAY DR. TURN RIGHT AT THE TEE ONTO NE r LAKEWAY DRIVE. DRIVEWAY LOCATED IN CUL-DE-SAC. SITE.1.C R.AGGEO FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WIIW TEST NOLE NUMBERS. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE,FAILURE SOURCE Om reporting Purposes) ❑VOLUNTARY O MAINTENANCEIPUMPING O BUILDING PERMIT ❑HOME SALE OC0MPLAINT O OTHER'. INSPECTOR SOIL LOGS COMMENTS I CONDITIONS � l5i0n - -VA rea vren f only. RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S-SAND L=LOAM Si SILT C=CLAY E=EXTREMELY R-FOOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVEDI ISSUED BY��IIATE it h 6I THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised'.6/3/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 . 2 3 1 0 7 9 9 0 7 1 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. 'Sealed layoutsketch,including all applicable items on checklist ' Scaled plot plan,including all applicable items on checklist. "Cress-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: 11"X 17" �&' &i PARCEL IDENTIFICATION Permit Number. SWG (�(/LCO"lA &ifl Designer's Name: BRANDON JONES - LEGACY HOME CENTER Designer's Phone Number: (360)-550'4277 Applicant'.Nam 23495 NE HWY 3 Designer's Address. PO BOX 3031 Mailing Address- BELFAIR WA 98528 City State Zip SILVERDALE WA 98383 City State Zip Designer's Email BRANDON@HDrimnwastewater.com DESIGN PARAMETERS Treatment Device ❑ Glendon ❑ Sand Filter 0 Mound 0 Sand Lined Drainfteld ❑ Recirculating Filter L9 ATU BNR500 ❑Oilier Treatment Level(check all hat apply)- 0 A ell ❑ C ❑ BLI 0 BL2 ❑ BI I ❑ E ❑N �/ Drainfield Type ❑ Gravity rl Pressure 0 Trench 0 Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily llow'. Operating Capacity 270 gpd Length 50 ft Daily Flow. Design Flaw 360 gpd Diameter 1 in Septic Tank Capacity(working) 1200 gal Number 4 Receiving Soil Type(I-b) 4 Separation 5(0/C) fl Receiving Soil Appl.Rate .6 gTd1R2 Orifices Required Primar) Area 600 fl' Total Number of On [ices 68 Designed Primary Area 600 fta Diameter 1/8 in Designed Rcscrve Area 900 ft- Spacing 36 in Trench/Bed Width 3 ft Manifold Trench/lied Length 50 ft Schedule/Class 40 Elevation Measurements Length 5 ft Original Drainfield Area Slope 10 o Diameter 2 in New Slope, If Altered n Preferred manifold configuration used? 65Yes D No Depth of Excavation trv•']^9= 13 in Transport Pipe from Original Grade Do ni-slope 10 in Schedule/Class 40 Designed Vertical Separation 12 in Length 100 ft Gravel-based Drainfield Required? 0 Yes e No Diameter 2 in Pump Required'! Ef Yes ❑ No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 12 Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 30 gal Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1200 gal Uppermost Orifice Pf Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @:Total Pressure Head 29.5 6Tm P1 Timer Id Elapse Meter 5T Event Counter Calculated Total Pressure Head 22.9 Il If Timer Pump on 1 M ,Pump off 2H Couuneits PUMP TIMER SETTINGS SHOWN ARE APPROXIMATE. ACTUAL SETTINGS TO BE CONFIGURED AFTER FIELD PERFORMANCE TESTING COMPLETED. Revised:6/I 121125 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 3 1 0 7 9 9 0 7 1 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ef Test hole locations 9 Drainfield orientation and layout Reference depth front original grade: V Soil logs V Trench/bed dimensions and V Septic tank Property lines critical distances within layout 9 Drainpcld cover • Pxisting and proposed wells D-Dox/Valve box locations Reference depth from original grade within IOU ft of property V Septic tank/pump chamber and restrictive strata: V Measurement,to cuts,banks,and locations V Laterals, trench/bed, top and surface water and critical areas V Observation port location bottom V Location and orientation of V Clean-out location ❑ Curtain drain collector curtain drain and all absorption V Manifold placement 0 Sand augmentation components Orifice placement Other cross-section detail: V Location and dimension of V Lateral placement with distance If Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information V Buildings V Audibletvisual alarm referenced Yes No V Direction of slope indicator S Scale of drawing shown on scale O VDesign staked out V Waterlines bar ❑ VRecorded Notice,attached V Roads, casements,driveways, V Elevation benchmark and relative ❑ V Waivers)attached parking elevations of system components Er ❑ Pump curve attached V North arrow and scale drawing O O Evaluation of failure shown on scale bar Non-residential justification ❑ O Waste strength O ❑ Flow DESIGN APPROVAL the undersigned designer must be notified by installer at time of installation VYes O No 8/28/2026 Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to he in compliance with state and local on-site r mlations: Environmental Heal�pecialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. i 'ft I I he Onsite Sewage Permit has not expired,the Permit Expiration Date is: V Draintield 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: 6/1112025 O O �+ ra p 3 0 9 m5a o s�o �a�5a- Ga i�o o' oksrso ¢w€ aaaw ws ._ , w 1h a s M4 ; I � s. � a g3� " a e a S a Baca Q 3 s 1 Aga qq vi a age = x ffi £ a rs N 1 M ..gy ss e "z� Soy KK c 8 '' �$ � � c Ywn � s �a`k Y�. a iY�]ok�oe"e8 duos gF 'g IF ]z C z� 3 as gauss as @s r ka e .,yx sa �£ E, 3� # s1 S e s P Yg � ' s n„ ' 1A o ese --fix' x 3 es g as se aka 5 x £e yep: i gs c e s st ; ass xy � s' 3 a Ys £ ! 3' Y a s z` es .an qkk - s Y 5 ! 8 7 k + n ;p 3 r 3 q eke 3 €¢3 a isi s $y aG a 5 a z a n�kc2e£s4 q s € 3 °sr ! s3s£ a gff-a � x€a a q Kas x £3 rs,43 sag qsa =5 3 . a£Nysg2qu k j Y £: � 5 43�y" z 44 k8 F3 Y- s 5[3 a z .k�g Ii I'. T. � O' tF�P�i 4154. i A I I I vl I„. S H LIr —�' Fn I a IU I I 41 41 II I . �I a �o ow I a�F u 3e. CJ J� m m m ft �,� - € o N N T s s 1} Zr H ¶1 mZ ft I_JOL±j h5 I' Os H _____________________ �'�Ny Ali TH : E. Uj Ug II in cn in zOo I� a nnna Gc so C • } � \ � \©» \ ( / � � � •• •• �� \ � \q • » m §f° ) 9( 3 ( \ 7Th } \ ) © 2 K ) \ ! w_ «_ r � . _ . »<? , \ < m � � ` ! ; ! | ! \ ! | ! , fl hId!! m ' ! F. � ( ! . z ` ! , lam --- L . . \ � � ~§\ ?� () _ �� � _ -4 bs ! ©- - - H. iI! : 1, It 6a > o5 ° I' z l _ ht rrijriii !I , j: Q` ` r J 1 CLIENT: CONTROL LEGACY HOME CENTER PANEL ----- O PARC 1. h : 223107990711 CONTINUOUS CONDUIT TO PUMP JUNCTION BOX PROJECT ADDRESS: 121 NE LAKEWAY DR BELFAIR, 98528 4"XB" TREATED POST 4' SHEET ID: E-201 POURED CONCRETE 7' FINAL GRADE, 1 REVISIONS : HORIZON (3EU) . 550 . 4277 1. LOCATE CONTROL PANEL WITHIN VIEW OF P.O. Sox 3031 PUMP TANK ACCESS LID. Silverdale, WA 93383 2. CONTROL PANEL MAY ALSO BE INSTALLED ON EXTERIOR WALL IF INSULATORS ARE USED TO DAMPEN POSSIBLE MOTOR _ CONTACTOR NOISE. t.-� 3. INSTALL CONTROL PANEL IN AN EASILY n ACCESSIBLE AND SHADY AREA (IF 1 , POSSIBLE) TO AVOID TEMPERATURE Pq, EXTREMES WHICH CAN BE DETRIMENTAL . TO ELECTRICAL COMPONENTS. CONTROL PANEL MODEL SPECIFIED: . •.s :'.;nom NuWATER PANEL o?' ''•ms's ,+„krprdon, R;,Jones •. 8/28/2026 (N.T.S.) SFh::I:l ., OF 10 N m O �. W 1 o f Sa W 0 3" i trcn s5a ,.P u � Ned)Hal'VeeH o!weuAa Rlol C � oVNo ? qN Aid % H� 5 _ [odsc o5 illl =zl"oco � gsmP Ea_o ,`a-`c E _' s ; a3o VEESZu � acooV"a a = r a o..�a-zzsz���oorc� .. s_ &� ���_�� P3S� So § \ ( > / a / I \ � } � \ � ! ) K § /\ ( ) , , !IIDD ( - - / . ` . . \ , / 7 ; . . . . . - :\ , y\ z Li LiLJ ° \ \( H Li y \ / MR \ ( } ) 0 Li - } � ! _ ) ( ( - \\ }\ }