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HomeMy WebLinkAboutSWG2022-00318 - SWG Application / Design - 6/3/2022 s e MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 s COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400 ELMA:360-482-5269,EXT 400 Building,Planning,Environmental I lealth,Community Health FAX:360-427-7787 On-Site Sewage System Permit: SWG2022-00318 APPLICANT JORDAN TURNER ET AL Phone: Address: JESSICA T WESTERHOFF ALLYN, WA 98524-6710 OWNER JORDON TURNER Phone: 1.360.271.1464 Address: 230 E NELSON ROAD ALLYN, WA 98524 SEPTIC DESIGNER Alex L Paysse Phone: Address: 3083 E Mason Benson Rd GRAPEVIEW, WA 98546 Site Address: 230 E NELSON RD Primary Parcel Number: 122294300020 Permit Description: New four bdrm-gravity trench with Class B waiver Permit Submitted Date: 06/03/2022 Permit Issued Date: 07/15/2022 Issued By: Luke Cencula Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/30/2025 (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 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 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: www.co.mason.wa.us/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED: \ MASON COUNTY • 3 • c 1. .II, . COMMUNITY SERVICES AMOU NED. • RECEIV W m Public Health(Community Health/Environmental Health) Cl)r Cl) 360-427-9670,ext.400 or 360-275-4467,ext.400 �� aps12. — (�Q NO 415 N.6th Street-Shelton,WA 98584 8 TT z 6 ON-SITE SEWAGE SYSTEM APPLICATION E XI m n APPLICANT PHONE m JORDAN TURNER z c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E 230 E NELSON ROAD ALLYN WA 98524 m XI SITE ADDRESS-STREET,CITY,ZIP CODE " 230 E NELSON ROAD ALLYN WA 98524 I NAME OF DESIGNER PHONE rV ALEX L. PAYSSE 360-426-1803 NAME OF INSTALLER PHONE 0 I IV HOMEOWNER INSTALL R (7) IV PERMIT TYPE(select one) DRINKING WATER SOURCE O IL rr RESIDENTIAL OSS COMMUNITY OSS UL COMMERCIAL OSS 17 PRIVATE INDIVIDUAL WELL L PRIVATE TWO-PARTY WELL Z CO TYPE OF WORK(select one) Q PUBLIC WATER SYSTEM FA.,NEW CONSTRUCTION/UPGRADES ff REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR I I SUBMITTALS ElSURFACING SEWAGE ElEXISTING FAILURE ElSHORELINE 03 L1g DESIGN FORM(REQUIRED) EiTSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE 0 CO nWAIVER(S)(IF APPLICABLE) 4 5.49 0 ' DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) o NORTH HWY 3. TOWARDS ALLYN. JUST BEFORE ALLYN, TAKE RIGHT ONTO I I o GRAPEVIEW LOOP ROAD. CONTINUE SOUTH ON GLR TO LEFT ON NELSON ROAD. r FOLLOW TO END OF PAVEMENT AND TURN RIGHT. CONTINUE DOWN DIRT ROAD TO o 0 SITE ON RIGHT. RECENTLY CLEARED AND NEW DRIVEWAY INSTALLED. PULL INTO Iry SITE AND SEE SITE PLAN FOR DETAILS AND TEST HOLE LOCATIONS. SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. O OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT El HOME SALE ❑COMPLAINT El OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS CIDC° — 3Sr 65 L , T'--'- r r tet,, 5a•-e.-corn G..)5 ml f JUN u 3 -? I, Li SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE !OI3b1'�'�/ZZA..c.. 3 b , ' -0� 1,5 1115 j)0»- FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WE'� REVISED 12/7/2015 , DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 2 2 9 — 4 3 — 0 0 0 2 0 A design will be reviewed when 3 copies of each of the following are submitted: '1 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. '1 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 paler size: II"X 1 7" PARCEL IDENTIFICATION Permit Number: SWG 76..?•OCY3 I g Designer's Name: ALEX L. PAYSSE Applicant's Name: JORDAN TURNER Designer's Phone Number: 360 426-1803 Mailing Address: 230 E NELSON ROAD Designer's Address: 3083 E MASON BENSON ROAD ALLYN WA 98524 GRAPEVIEW WA 98546 City State Zip City State Zip DESIGN PARAMETERS CA.,tr..e. CirriTreatment Device ❑Glendon BioYilter Nand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type I 'Gravity 0 Pressure I 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms FOUR Schedule/Class 2729 PERF Daily Flow:Operating Capacity 360 gpd Length 54 ft Daily Flow:Design Flow 480 gpd Diameter 4 in Septic Tank Capacity 1500 gal Number 5 Receiving Soil Type(1-6) 4 Separation 10+ ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices - Designed Primary Area 810 ft2 Diameter - in Designed Reserve Area 810 ft2 Spacing - in Trench/Bed Width 3 ft Manifold Trench/Bed Length 270 ft Schedule/Class 3034 Elevation Measurements Length 45 ft Original Drainfield Area Slope 12 % Diameter 4 in New Slope,If Altered 12 % Preferred manifold configuration used? EiYes 0 No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope 6-8 in Schedule/Class 3034 Designed Vertical Separation 18+ in Length 25-50 ft Gravelless Chambers Required? 0 Yes t No 0 Optional Diameter 4 in Pump Required? 0 Yes gNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day - Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity - gal Orifice - ft Chamber Capacity - gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head - gpm ❑Timer 0Elapse Meter 0 Event Counter Calculated Total Pressure Head - ft If Timer: Pon - ,Pump off - Comments APPROVEli JUL 1 5 2022 ``sP"4 IA50N COUNTY ENVIRONVOUN LYC DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 2 2 9 -- 4 3 -- 0 0 0 2 0 Permit Number: SWG C) —0031 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch • Test hole locations 121 Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and l 1 Septic tank g Property lines critical distances within layout Drainfield cover Bl Existingand proposed wells D-Box/Valve box locations p p Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: EZf Measurements to cuts,banks, and locations GE Laterals,trench bed,top and surface water and critical areas Observation port location bottom 6Z( Location and orientation of g Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components g Orifice placement Other cross-section detail: Location and dimension of g Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information I Buildings g Audible/visual alarm referenced Yes No Direction of slope indicator g Scale of drawing shown on scale g C� 0 Design staked out Pi Waterlines bar ❑ Rr Recorded Notices attached lig Roads,easements,driveways, 0 [ I Waiver(s)attached parking 0 g Pump curve attached 21 North arrow and scale drawing ❑ LI Evaluation of failure shown on scale bar Non-residential justification ❑ RI Waste strength o lI Flow DESIGN APPROVAL The undersigned designer must be F otified b install a time of installation gYes 0 No 22 LO i_ a ur o Desig 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 regulations: nvironmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: V The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: :VAA_ 3 , 1)0.1..5 ✓ 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: 12/7/2015 2APEV/E►N _ 1-19 Op ROAD I KEEP POTABLE WATERLINES 10'+ I 1 FROM SEPTIC COMPONENTS AND z..:, .•y) LINES �,. /' t•Ii!rg,! • i ,..,,,,,.31 „I 23 N C 1 1 I �/ APPROX. WELL LOCATION r / 1,00'+ UPHILL OF DRAINFIELD I I 1 II I INSTALL RV DROP 1 k \ r_ 2��01 �'�\ r I , '�►PPROVE POSSIBLE 11\y, \�I-1- I JUL 1 5 2022 ,� SEPTIC TA N K i I I ASON COUNTY ENVIRONMoa.H�'�' LOCATION LYC z.a 1 _` C 1 • PROPOSED HOME 4 BEDROOM 1 N DRAINFIELD /rt—,_, ATTENUATION ZONE I I DRIVEWAY I I APPROX. CLEARING V Il i I\o BOUNDARY I NELSON ROAD \ \ r /CURRENT ACCESS 263' AN ASBUILTI INSTALL SIGNOFF FEE WILL - - '` \ yy BE CHARGED AT TIME OF INSTALLATION 1 PIONEER DIGGING, NC. PARCEEM#:12229 4D3-0 0 0 RNER 0-30 TEST GSL HOLE I: TEST0-32 GSL HOLE 2: TEST0-30 HOGSLLE 3: SEPTIC DESIGNS ADDRESS: 230 E NELSON ROAD 30+MOTT. 32+MOTT. 30+MOTT. 3083 E.MASON BENSON RD. GRAPEVIEW,WA 9854 ALEX PAYSSE DISCLAIMER:THIS IS NOT A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED DESIGNER:PLOT L.1A`1 SSE PLATS OR SURVEYS,FIELD MEASUREMENTS AND COUNTY GIS.DESIGN INTENDED FOR SEPTIC �T� p `l SHEET: l LO l PLAN SCALE. 1"=100' PURPOSES ONLY. PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER OFFICE-36V 426-I003 FAX-36V-42•I-2353 DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS. / 4" - 2729 PERFORATED PVC INSTALLED LEVEL D-BOX OBSERVATION PORT 0 EA. END W/ RISER/LID TO FINISHED . \ R E \G A D \ A 1 I I I M irimioirim r/ haft I I I- 1,— \\ \ \\ \ 4 3034 PVC / \\\\-\\ \ • , / \ \ ' / \O. wri\e eiresse \ ,/ ess issitia ri\a,.\ 7 / \ \\\\ 4 r c u� / d 0 g 5 ., '4 4 i *\\\\,\ \ \\\N /rt , ir t- r / 8 CLEARING BOUNDARY \\\\,1 z '+ Z o SYSTEM HELD 50 FROM zn PROPERTY LINES N 0 / Z / / I \ / / . I I O / INSTALL LATERALS LEVEL W/ CONTOURS �t� I / / it )r � ;t• / / - ti 1 a 'MBEt1 / UL " . 1 �; , / AN ASBUILT/INSTALL SIGNOFF FEE WILL "?' 1 n 22 / BE CHARGED AT TIME OF INSTALLATION / PIONEER DIGGING INC. CUSTOMER JORDAN TURNER TEST HOLE I: TEST HOLE 2: TEST HOLE 3: PARCEL#:12229 43-00020 0-30 GSL 0-32 GSL 0-30 GSL p E MASON SEPTIC DESIGNS ADDRESS: 230 E THIS NELSON ROAD 30+MOTT. 32+MOTT. 30+MOTT. 3083 BENSON RD. GRA1 EVIEW,WA 98546 DESIGNER: ALEX L.PAYSSE EY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED PUNT OR SURVEYS SFELLD MEA NOT A SUREMENTS AND COUNTY GIS.DESIGN INTENDED FOR SEPTIC OFFICE-360-426-1803 FAX-360-427-2353 DEPARTMENT AGENCY REVIEW.DESIGNER NOTPURPOSES ONLY PROPOSED RESPONSIBLE SUBJECTMENT MAY BE RESPONS BLE FOR SETBACKS UNRELATED TO SHEET: DF DETAIL SCALE 1"=10' SEPTIC COMPONENTS. OBSERVATION PORT FINISHED GRADE 0,1 . e Ar •. �I .1 INSTALL 6"+I OF SANDY i I COVER MAtERIAL ORIGINAL ' k ••;�.'i . j FILTER FABRIC GRADE rS.�Ir �:• ,1 f i�� l,,l�,1„,,,,1,„.,idp i •I 1 AL , :PAYSSE ..it -rei ..:.�:.� �:., J:.�..i..�..�..�:iudnir N 1 1 L3 LT '.T_;YLYr!Y' Y #— rbo priori or lY'i-r.... ' .r!�"ice"iY"iY�iY�iY, OBSERVATION i PORT 4" - 2729 PERFORATED PVC Co WASHED INSTALL 6"+OF ROCK SANDY COVER N MATERIAL 1 ii -T 0 0 0 RESTRICTIVE LAYER •".'�' �*'� .4.'0.... r' SLIP CAP GLUED TEE APPROVED RISER/LID JUL 1 5 2022 RISER/LID TO TO FINISHED DE .00 ENVu-rv1�o ENtp,�N0``FINISHED GRADE —\ MI SESPEED LEVELERSTO EQUALIZE INSTALL D-BOX O 0 FLOWS LEVEL AN ASBUILT/INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGING9 11 SIC• CUSTOMER JORDAN TURNER PARCEL#:17299 43-00020 TEST HOLE l: TEST HOLE 2: TEST HOLE 3: 0-30 GSL 0-32 GSL 0-30 GSL SEPTIC DESIGNS ADDRESS: 230 E NELSON ROAD 30+MOTT. 32+MOTE. 30+MOTT. • p EDESIGNER: ALEX L.PAYSSE DISCLAIMER:THIS IS NOT A SURVEY.REFERENCES INCLUDE'.APPLICANT/COUNTY PROVIDED 3083 MASON BENSON RD. GRAPEVIEW,WA 98546 PLATS OR SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS DESIGN INTENDED FOR SEPTIC p SHEET: DF DETAIL(2) SCALE NA PURPOSES ONLY. PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER OFFICE-36(}426-I()U3 FAX"360}}427-2353 DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS. Npv, Z i--- 7 Z Z _ (.3 < Q < 0 C2 0 1.- I-- 1--' GLI Z I-- Z Z 1 • ':4 • " • 0 C75 ° f•-• LLI -----, < /--' > 0 CD ---J I___ Lii < CI) 0 Z Q.../ `-^-, I- 0 Lei cc LU Li_ ,ce 4 ,i) = r 1 ..1'go i inn I...Lull .. ",....-!•,,:: 3:„..-•:...." .•.: < ,e Z 2 — >-' 2 ... • -ha-- ' r cd o E-, .• i .;..., ..r.,v ''• --/ 0 0 C.L. i• • • 7.; - 6.li/).!..3.1 '•_..fr4g < (..) " 0 =I" Vl I . • (I'l 0 u ai — Laj 6 ,-,_ •• 1 ..-.. •- , •tc H ,.,, ,.. 1--- .....- I•• - -- , i it; z i . a ttmtrfrtr7 (...) ..-.. I LH 1—' U Z I— u.t F tl 0 > = -;...-, L.0 < 0 WI .. . I- 1--- ' ---.. I— Z < ., .....- •• •••.. ... w ,-• 'ie' (' < z ...s .....• oI- , i•-• Cl, ...-• ••• _1 < -- ..... L.L.1 zo . . 0 0 •. cr) Niiiiii cc (...7 ...., H .-.., Z .. ..., CI, LU .. . WI 1 al 0 I . Pe C../.1 in c't --I LLJ Z '-1 z rze L-u v-, ... .. .. 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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 prior to 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. Risers and lids must be brought to finished grade and left accessible for future operations and maintenance. Component manufacturers (ex. ATU, 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. 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 10ft 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 30ft 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. For operation and maintenance information, refer to Mason County Public Health Homeowner's Manual,which should be received after installation approval. 14. System owner should be cautious of landscaping around septic components. Root intrusion can cause premature failure of the drainfield area. In addition;ti!es It be kept away from lids and other septic maintenance points. I , . •�1� • JUL 1 5 2022 I r, f ENTP�N�` u rnu �QuZY EMIIRD �°4: PIONEER. DIGGING CUSTOMER JORDAIetTURNER i ./r% + , 11 V C. PARCEL#:12229 43-00020 r AL 1(L•U9 P = t, SEPTIC DESIGNS ADDRESS: 230 E NELSON ROAD +k: • "% 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ALEX L.PAYSSE F,• '? �1 1 3 OFFICE-360-4261803 FAX-360-427-2353 SHEET: NOTES SCALE NA