HomeMy WebLinkAboutSWG2024-00280 - SWG Application / Design - 6/21/2024 MASON COUNTY 415N6SHELTON:STREET, 0427-9 7 ,EXT 404
SHELTON:360<2]-9670,EXT 400
BELFAIR:360-275<d67,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2024-00280
APPLICANT ARNOLD DALE R&LINDA A Phone: 360-280-3545
Address: 260 E WILLOW BLUE LN SHELTON, WA 98584
OWNER BANG STEPHEN L&DESOLEE J Phone:
Address: PO BOX 62 SHELTON,WA 98584
SEPTIC DESIGNER BOB PAYSSE• Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
Site Address: 30 E PINE TREE PT
Primary Parcel Number: 221321190313
Permit Description: New 3bd pressure trench with Class B waiver
Permit Submitted Date: 0612112024
Permit Issued Date: 08/06/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 laddiuonbl Mes mey be required upon in¢telletlon of ayrbm).
Permit Expiration Date: 07102/2027 cbaeed on dM.bf,ne w,.n)
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 Asbuilf 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/onsite/oss-inspection-request.php or call:
360.427.9670,extension 400.
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ON-SITE SEWAGE SYSTEM APPLICATION a 'n
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DALE ARNOLD c
MAILIN3PWRE55-STREET CITY.STATE,ZIP CODE
260 E WILLOW BLUE LANE SHELTON WA 98584 a
SREADDRESS-STREET CITY.LP CODE
30 E PINE TREE PT SHELTON WA 98584 IN
NPYEOF CESNINER PIICME IIV\
ROBERT H. PAYSSE 360-426-1803 I�
NAME OF INSTALLER PHONE 0 I
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®NEWCCNSTRUCTIONIUPGRADES EDREPAMIREPIACEMENT OTNERDETAILS(wl OMMe0PY1 []TABLE IX REPAIR
SUBMITTALS O SURFACING SEWAGE ISEMSTINGFAILURE E3WOREUNE
WDESIGNFWM(REOUIRED) ®SEPTIC DESIGN(REWIRED) BEDROOMS LOTSIZE
PiIi,LAALE) 3 1 ACRES
DIRECTIONS TO SITE AND SITE CONDITIONS:(V.k WR)
N HWY 3, RIGHT ON PICKERING RD. RIGHT ON PINE TREE COVE BEFORE
SPENCER LAKE BAR. FOLLOW TO PINE TREE PT. SEE SITE PLAN. PDI SIGN o I(N
POSTED.
STE MMSTNE FYOOCo FROM MAWRDADAND MST HOLUMUSTBE FUODED.THR NOTE MMFKRS I�
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADEI FAI WRESWNCE(Tp^pAN WRXRs) ./�AF
OVOLUNTARY [3MNNTENANCE/PUMPING O BUILDING PERMIT E3xOMESALE OCOMPIAINT DGTNER: ��YY
IM4FECTgi SOILLOGS �r_^ A ',M�,, y�, GOIMENTSICONDTIMS Z
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RECORD CRAW NGAND INSTALLATION REPORT
SOILCODES:
V=VERY a�G"VEILY S,SANO L=LOAI4 SI=SILT C=CLAY E-EXTREMELY R•ROOTS REQUIRED FOR FIWLLAFPROVAL.
IWPECQR SIGMTURE DATE PRLIGTION E%RMTICN DATE MPUGTMAPFROVEW ISSUED BY MTE
it(llo, -1 Iz 12-7 Icql'l �16(2 Li
TNO FORMIMYMSCANNWMDAV "KEMR WBLICWEWON THE MASON CWNYWEWITE I REMSED1272Me
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 3 2 — 1 1 — 9 0 3 1 3
A design will he reviewed when 3 copies of each of the following are submitted:
"Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist.
7elsfearn may be scanned&W aiaaYdafor a
vtwwmthe Msem Coon Wabslaedfasiarrre rain: 11"x/7"
Permit Number: SWG o Designer's
signer's Name: ROBERT H.PAYSSE
Applicant's Name: DALE ARNOLD umber: 360426-1803
Mailing Address: 260 E WILLOW BLUE LN goer V 1�W 3083 E MASON BENSON RD
SHELTON WA 98684 1 GRAPEVIEW WA 98:W8
City State Zi DESIG CityState 2i
RAMETERS
Treatment Device'---_..
❑Glendon Biofilwr ❑Sand Filter O Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
❑Aerobic Unit Make/Model ODisinfwtion Unit Make/Model Other:
Drainfreld Type
❑Gravity 9 Press= 6dTrench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH.40
Daily Flow:Operating Capacity 270 gpd ''4 Length 50 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working)1ST aVMVr gal Number 3
Receiving Soil Type(1-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 gpd/ftr Orifices
Required Primary Area 450 ft' Total Number of Orifices 39
Designed Primary Area 450 fe Diameter 3116 in
Designed Reserve Area 450 11' Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 150 ft Schedule/Class SCH.40
Elevation Measurements Length 27 It
Original Grainfield Area Slope ,/ % Diameter 1.25 in
New Slope,If Altered <e Preferred manifold configuration used? S(Yes O No
Depth ofExravation UP-elope 12 in Transport Pipe
from Original Grade Doom.slope 11 in Schedule/Class SCH.40
Designed Vertical Separation 24+ in Length <50 ft
Gmvelless Chambers Required? ❑Yes Id No Cl Optional Diameter 2 in
Pump Required? Id Yes 17 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 10 it Dose quantity 60 gal
Grainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(Flood) 1500 gal
Uppermost Orifice If Higher 17 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 19.6 gpm 9Timer Skala,Meter R(Event Counter
Calculated Total Pressure Had 23 ft If Timer: Pu p I ff 4 HRS
Comments
AUG 0 6 202'1
MASON COUNTY ENVIRONYENTALHEALTK
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 3 2 — 1 1 -- 9 0 3 1 3
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Id Test hole locations 0 Drainfield orientation and layout Reference depth from original grade:
16 Soil logs R1 Trench/bed dimensions and 56 Septic tank
Ib Property lines critical distances within layout Gf Drainfield cover
Ib Existingand proposed wells Ed D-BoxfValve box locations
P W Reference depth from original grade
within 100 ft of property Eli Septic tank pump chamber and restrictive strata:
19 Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
m Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 1f Manifold placement ❑ Send augmentation
components E9 Orifice placement Other cross-section detail:
Ib Location and dimension of Rf Lateral placement with distance Rf Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
!� Buildings R1 Audibletvisual alarm referenced Yes No
is Direction of slope indicator Rf Scale of drawing shown on scale Design
l$ ❑ Desi staked out
R1 Waterlines bar ❑ Rf Recorded Notices attached
Ia Roads,easements,driveways, ❑ Ef Waiver(s)attached
parking [if ❑ Pump crave attached
R1 North arrow and scale drawing ❑ Rf Evaluation of failure
shown on scale bar Non-residential justification
❑ Rf Waste strength
❑ [if Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation Rf Yes ❑ No
Signaturd of Desi er Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulattioo.:
et / j�
Environmental Health Speci list Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onshe 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.
Updated Date: 12/72015
PINE TRE
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PROPOSED 3 BED I Nh I I I I
PRIMARY DF& I I o Y 1 I j j MAINTAIN IQ'-
RESERVE AREA I i i I ITS_ FkbM ATERLINE
TO SEPTIC LINES &
COMPONENTS -
DOWNSLOPE I pR/VEWP� II
50'ATTN. ZONE 1
NO CUTS OR SOIL ---------
EXCAVATION/ I
COMPACTION
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APPROX. FUTURE I I
HOME LOCATION Z
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APPROVED
AUG 0 6 2024
MASON COUNTY ENVIRONMENTAL HEALTH
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EXPIRES
14 L --------- I AN ASBOIL INSTALL F FEE
BE CHARGED
OF INS MIO AT TIME OF INSTALLATIONN
CUSTOMER: DALE ARNOLD TEST HOLE F. TEST HOLE 2
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SEPTIC DESIGNS ADDRESS 30 E PINE TREE PF ROOTS @n eROOTS 0132
3093 E MAKJN BE I&, RD. CRMEV EW WA 98 DESIGNER: ROBERT H.PAYS¢
OFFICES 4261< FAX-3 427-2353 SHEET: SREPLAN SCALE' P=4(Y
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OB PORT AUG 0 6 2024 THREADED CAP
& CLEANOUT MASON COUNTY ENVIRONMENTAL
FINISHED RET A"ORIFICES 012000
r GRADE W/SHIELDS
ORIGINAL 90'
Mn
6"+SANDY FILL FILTER GRADE SWEEP
MATERIAL FABRIC
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BALL VALVES
RESTRICTIVE
LAYER CHECK VALVES
(AS NEEDED)
AN ASSUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
PIONEER. DIGGING, INC CUSTOMER: DAZE 0313 TET HOLEk TEST HOLE I
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AUG 0 6 2024
MASON COUNTY BIVIROWENTAL HEALT g
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LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE DIST.TO TOTAL TOTAL
LATERAL# LENGTH PIPE SIZE LENGTH LENGTH SIZE(Inch) DISCHARGE SPACING LSTORIFICE ORIFICES HEAD
Ifeet) (Inches) (feet) (feet) RATE(RPm) (feet) (inches) (feet)
1 50 1.25 3 53 3/16" 0.59 4 30 13 0.47
2 50 1.25 12 62 3/16' D.59 4 30 13 0.55
3 50 1.25 21 71 3/16" 0.59 4 30 13 0.63
DRAINFIELD HEAD(feet) 1.66
TRANSPORT LINE HEAD(feet) 0.95
ELEVATION CHANGE(feet) 10
RESIDUAL/SQUIRT Ifeet) 2
BMU,LOSS/FITTINGS(feet) 5
TOTAL DYNAMI[HEAD(feet) 19.61
TOTALGALLONS PER MINUTE 23.01
PIONEERPIONEER DIGGIl�ID CUSTOMER:,°2 90313
SEPTIC DESIGNS ADDRESS: 30EPINETRFEPf
3083E MASON RITGON RD. G EMCW.WA 985W DESIGNER: KOREILT FL PAYSSE
OFFICE-360426-1803 FAX 36D IZ7-2353 SHEET: CALLS SCAT F NA
24'RIBBED RJ5EK5W/BOLT ON WATER-TIGHTLIP5
CLFANOUT USE RISER,LIP ADAPTERS WITH NO GASKETLIDS
FINISHED GRAPE
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. .... ......... )OINT5
INLET
OUTLET
TWO WAY TEE
WATER-TIGHT a 4"OSI
JOINTS EFFLUENT
TANKS MUST B E
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APPROVED LIST COAUREMFEP77C TANK
OF SEWAGE
TANKS
PPRO
PUMP TANKS �
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ACCESS RISERS
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ELEVATION THAN W/TIMEK U.�, 2,4'RIBBEP RISERS
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TRANSPORT LINE
INLET UNION& BALL VALVE
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(28 GAL/IN.)
WATER-TIGHT
JOINTS I
PRESSURE TRANSDUCER
USE TANKS FITTED (OR FLOATS) CHECK VALVE
W1 CAST IN WATER,
TIGHT FITTINGS FOR USE RUBBER
INLErlOUTLE5ANP PUMP BUCKET GROMETS FOR
CAST IN RISER BUCKET HEIGHT MUST BE TRANSPORTLINE
ADAPI-ERSTO
ENSURE WATER AT LEAST HEIGHT OF PUMP AND ELECTRICAL
ON RISERS MAKE
TIGHTNE55 SURE ALL HOLES
ARE WATER-TIGHT
IC�C�Q INC_ CLJSTOMER_. DALE ARNOLD SCALE NA
PIONEER D PARCEL k.22132-11-90313 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDIR ELS&30 E PNM TREE Pr COMPACTED LEVEL SOILS. RUNCR,055
3083E�BR,60NRD. GRAPEVIEWWA9�� DESIGNER, MOB RT R PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO
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Installation& System Notes
1. Installer must contact designer for final inspection of the installation prior to cover. All components,including tanks,lids,
transport line,drainfield,and water lines must be open for inspection. A$350.00 fee will be charged for time involved with the
inspection of the Installation and creation of the record drawing. The designer reserves the right to charge additional fees if
multiple visits are needed due to installation errors or inaccessible components.
2.This septic design must be installed by a certified installer with the local health department. All components shall be installed
according to state,county,and manufacturer requirements. For Homeowner Installs,the owner must get approval from the
designer and local health department prior to attempting installation.
3. Designer is not a surveyor. Installer must familiarize themselves with property line locations priorto installation. Any
confusion or conflicts with line locations should be reported to the property owner. A licensed surveyor may be necessary prior
to installation to confirm all line locations. Any discrepancies found must be reported to the designer immediately.
4. Drainfield area may only be cleared by a licensed installer familiar with sensitive drainfield area preservation. The builder,lot
developer,or property owner shall not clear the drainfield area. Any clearing required for drainfield installation shall not
remove or disturb any top soil in Primary and Reserve areas. Removal or disturbance to drainfield soils could render design
void.
5.The property owner and installer are responsible for locating all underground utilities(ex.water,gas,electric)prior to
installation. Any utility locations shown within design drawings are likely approximate and may not be exact.
6.All proposed tanks must be installed on original soils or compacted gravels. Extend all tank connection lines out onto original
soil to avoid settling issues. Risen and lids must be brought to finished grade and left accessible forfuture operations and
maintenance. Component manufacturers(ex.ATLI,Glendons,)may have other requirements not listed within this design.
7.All electrical wiring shall be done by a licensed electrician or homeowner(if allowed)and must be permitted through Labor
and Industries. Designer not responsible for electrical permitting or other electrical specific code requirements.
8.The proposed septic system should be installed in dry weather conditions. Any failed attempts at installation during wet
weather conditions may render this design void.
9. Maintain loft to waterlines with all septic components. If less than 10ft is required,sleeving in sch.40 pvc is required. If
sewage transport lines and waterlines must cross,waterline must be 18"above sewage line with one of the lines sleeved in sch.
40 pvc 10ft in each direction of crossing.
10.This design may include waiver applications with specific mitigation measures pertaining to installation,operation and
maintenance of the proposed components.
11.Stormwater runoff,footing drains,roof drains must be diverted away from any septic system components. No curtain,
foundation, perimeter drains shall be installed 3Dft downslope and 10ft upslope of drainfield areas.
12.This design is site specific and intended to meet state and county requirements that are related to the system components
being proposed. Any placement of proposed buildings,proposed wells or other non-related items on these drawings may or
may not meet other requirements.
13.All onsite septic systems require regular maintenance to verify satisfactory operation. The system owner/operator is
responsible for the continuous operation and maintenance of the system per WAC 246-272A � �ligrlirdiptEOance
information,refer to Mason County Public Health Homeowner's Manual,which should be recel d e 1 a val.
14.System owner should be cautious of landscaping around septic components. Root intrusion AUG 0 6 2024
can cause premature failure of the drainfield area. In addition,bushes and trees should dbW*$COUNTY ENVIRONMENTAL HEALTH
away from lids and other septic maintenance points. T
15. Changes made at time of installation may Impact designer calculations,pump sizing,and
compliance w/county and state requirements. Contact designer prior to install w/any
proposed variations from design. Changes may result in additional fees and permitting. y
PIONEER DIGGING, ING CUSTOMER DALE Ap- O
PARCEL x.22132-990313 •Peed4'R"wraae
SEPTIC DESIGNS ADDRESS. 30 E PNE TREE IT C 'Y'
3083EM 1!1EMSONRD. GRAPEYIEW,WA98546 DESIGNER ILOBFATFLPAra EXPIRES
OFFICE-3604261803 FAX-3604272353 SHEET. NOTES SCALE NA