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HomeMy WebLinkAboutSWG2023-00070 TANK ONLY - SWG Application / Design - 3/6/2023 C•C_, MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON: 360-427-9670,EXT 400 • BELFAIR:360-275-4467,EXT 400 't Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2023-00070 APPLICANT COLLINS ROBERT B & ELLEN L Phone: Address: 7425 166TH AVE NE STE C220 REDMOND, WA 98052 OWNER COLLINS ROBERT B & ELLEN L Phone: Address: 7425 166TH AVE NE STE C220 REDMOND, WA 98052 SEPTIC DESIGNER Bob Paysse -Pioneer Digging Inc Phone: 360-426-1803 Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: 2730 E MASON LAKE DR WEST Primary Parcel Number: 221055200037 Permit Description: Replace septic and pump tank for future SFR Permit Submitted Date: 03/06/2023 Permit Issued Date: 03/07/2023 Issued By: Rhonda Thompson Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/07/2026 (based on date of inspection) Type of Work OSS New Construction Components being Replaced: Septic and Pump Tanks Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 3 Drinking Water Source: Private Well/Spring Additional Details: ST and PT 1500 g Permit Conditions: 4 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 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 1 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/OR 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. OFFICIAL USE ONLY DATE RECEIVED: MASON COUNTY -- - - .I I. � COMMUNITY SERVICES AMOU T IV �- — RECEIV-► i� o Cn Public Health(Community Health/Environmental Health) C � cn 46015 4N 7 Stre70,et Shelton, w 360-2o,WA ext.400 S W G 6 �' V 415 N.6th Street Shekorl.WA 98584 cm O z cn ON-SITE SEWAGE TANK ONLY APPLICATION D 73 m 0APPLICANT HONE m ITI I- ROBERT & ELLEN COLLINS z MAILING ADDRESS-STREET,CITY.STATE.ZIP CODE g 7425 166TH AVE NE STE C220 - REDMOND, WA 98052 CO SITE ADDRESS-STREET,CITY,ZIP CODE 2730 E MASON LAKE DRIVE WEST - GRAPEVIEW, WA 98546 I N NAME OF DESIGNER PHONE N ROBERT H. PAYSSE 360-426-1803 NAME OF INSTALLER PHONE CI 1 TBD (7) I o TYPE OF WORK(select one) DRINKING WATER SOURCE O III NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT ❑a PRIVATE INDIVIDUAL WELL 0 PRIVATE TWC-PARTY WELL Z 101 COMPONENT(S)TO BE REPLACED/INSTALLED 0 PUBLIC WATER SYSTEM 1 ❑O SEPTIC TANK III PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I al o OTHER THREE 0.28 OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST W I N O 1 ❑ SURFACING SEWAGE 0 EXISTING FAILURE ID SHORELINE I 100FT+PUBLIC/COMMUNITY WELLS n CD SUBMITTALS ❑O SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS ❑� PLOT PLAN(REQUIRED) I@I TANK CROSS SECTION(REQUIRED) 0 10FT+DRINKING WATER SUPPLY LINES I o © PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) © 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST Q I o © PROPERTY LINES AND EASEMENTS 0 EXISTING/PROPOSED STRUCTURES ® EXISTING/PROPOSED OSS COMPONENTS AND LINES --4 ❑u WELLS WITHIN 100FT IR WATER SUPPLY LINES III DRIVEWAYS/PARKING III SURFACE WATERS,STREAMS,RIVERS,ETC.. I W ❑u DIRECTION OF SLOPE/CONTOURS ® PERIMETER/CURTAIN DRAINS III NORTH ARROW III SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) J NORTH HWY 3 LEFT ON MASON LAKE ROAD. FOLLOW TO MASON LAKE AND TURN LEFT ON MASON LAKE DRIVE WEST. CONTINUE AROUND LAKE TO SITE ADDRESS 2730 ON RIGHT (WATER SIDE). OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) __ -. ❑VOLUNTARY 0 MAINTENANCE/PUMPING BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: j FL; (4 B QQ COMMENTS(CONDITIONS Q..e) (6t,rz e_Ocs.1(. kf PLAn9 IA n k- get- 01 MAR 06 2023 .". By SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CURRENT MINIMUM SIZE RE AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE) RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE ......----- 31Z 7/2- 3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 5 — 5 2 — 0 0 0 3 7 A design will be reviewed when 3 copies of each of the following are submitted: 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. 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: 11"X 17" PARCEL IDENTIFICATION �07 0 Designer's Number: SWG . '5— Name: ROBERT H.PAYSSE Applicant's Name: ROBERT&ELLEN COLLINS Designer's Phone Number: 360-426-1803 Mailing Address: 7425 166TH AVE NE STE C220 Designer's Address: 3083 E MASON BENSON RD REDMOND WA 98052 GRAPEVIEW WA 98546 City State Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: ❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class Daily Flow:Operating Capacity 270 gpd Length ft Daily Flow: Design Flow 360 gpd Diameter in Septic Tank Capacity(working) 1500 gal Number Receiving Soil Type(1-6) Separation ft Receiving Soil Appl.Rate gpd/ft2 Orifices Required Primary Area ft2 Total Number of Orifices Designed Primary Area ft2 Diameter in Designed Reserve Area ft2 Spacing in Trench/Bed Width ft Manifold Trench/Bed Length ft Schedule/Class Elevation Measurements Length ft Original Drainfield Area Slope % Diameter in New Slope,If Altered % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation up-slope in Transport Pipe from Original Grade Down-slope in Schedule/Class SCH.40 Designed Vertical Separation in Length <50 ft Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in Pump Required? 56 Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 65 Diff. in Elevation Between Pump&Uppermost Orifice 8 ft Dose quantity 4 gal Drainfield Squirt Height/Selected Residual(head) NA ft Chamber Capacity(flood) 1500 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 32 gpm EiTimer ['Elapse Meter iifEvent Counter Calculated Total Pressure Head 10 ft If Timer: Pump on 2 MIN ,Pump off 6 HRS Comments TANK INSTALL ONLY. EXISTING DRAINFIELD USED. INSTALL NEW PUMP AND CONTROL PANEL W/ NEW 1500 GALLON TANKS. DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 0 5 — 5 2 -- 0 0 0 3 7 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 6LI Test hole locations g Drainfield orientation and layout Reference depth from original grade: Soil logs g Trench/bed dimensions and i Septic tank g Property lines critical distances within layout M Drainfield cover g Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: Measurements to cuts,banks,and locations g Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom g Location and orientation of Clean-out location 0 Curtain drain collector curtain drain and all absorption kg 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 Buildings g Audible/visual alarm referenced Yes No 10 Direction of slope indicator g Scale of drawing shown on scale 0 d Design staked out g Waterlines bar 0 11 Recorded Notices attached Roads,easements,driveways, 0 l;?1 Waiver(s)attached parking (1 0 Pump curve attached g North arrow and scale drawing 0 l'Evaluation of failure shown on scale bar Non-residential justification ❑ i1 Waste strength ❑ f'Flow DESIGN APPROVAL The undersigned designer must be notifies e. ins . ler at time of installation g Yes 0 No et;, Z., 1 Signature of Designer 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: f? Th Environmental Health Spe ialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING C NDITION: ✓ The design is stamped"Approved"by Mason County Public Health. I 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. Updated Date: 12/7/2015 :f 7........./ \ \ \ ter// /`� MASON LAKE ______ \ / / �y `J� A •) I _ - -r - "r D ' EXIST. / \ max/ `� I WELLI, V // � \ // III 7, . I EXIST. I I I \� I WELL �1 �� s c / I I EXIST. \,I I M 0 1' Q / I R 1 /-t WELL I o R50' -- --lI I I 1 1 I I rn II I /I Q 11 1 _ I% �// \\ / i FUTURE DECK/PATICF LOCATE NEW i \ / I / _ \�� TANKS 50'+ FROM I ��.--r/ �// LAKE AND ALL / I N/ I EXISTING CABIN WELLS, 5'+ FROM I j I /�-�! �_ k7 BUILDING pL-�_,4./ - / O FOUNDATIONS, \ �`� I r 2� / // \\\ 0 `\1-171--r: 7G 1 I 00, // // O I � i 11 I N. // \\\ FUTURE HOME j _--1 I PROPOSED NEW TANKS `� ��N�_-�J' 11500 GAL. SEPTIC TANK .‘c---- -G- ❑ _ W ,' 1500 GAL. PUMP TANK N I EXISTING TANKS PUMPED /_. II-"_./kii I CONNECT NEW TANKS TO AND ABANDONED -1- I I EXISTING DRAINFIELD. _"N 1 TRAFFIC RATED TANKS 101+ I REQUIRED IF LOCATED IN NC -----AI DRIVEWAY/PARKING I RESERVE AREA i EXISTING 3 BED. DRAINFIELD 20'X 60' (1200SF) I i 12'X 30' (360 SF) PER / / 1990 COUNTY RECORDS / /1 / , / I /'R-i/ 1 l,-..'... I� I /J� / N. _7 /� r W., I / :� NO FOU 'ATION DRAIN _ /_ - --I '•. • x•, ' • 30 DOWN GRADIENT OF / Y ��Q,+' RCBERT hlIitlYSSE �'`` PRIMARY/RESERVE DRAINFIELD nASON 1AKE pRIVE WEST m ;x EXPIRES AN ASBUILT/INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGING INC. CUSTOMER: ROBER.T COLLINS NO TEST HOLES DUG,TYPE 3 LOAMY GRAVELLY PARCEL# 22105 5200037 SANDS ARE INDICATED ON 1990 APPLICATIO\ AND TYPICAL FOR AREA SEPTIC DESIGNS ADDRESS: 2730 E MASON LK DR W 3083 E MASON BENSON RD. CRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DIBCwMER THIS IS NOT A SURVEY.REFERENCES INCLUDE ADPIJCANTICOUNTY PROVIDED /y PLATS OR SURVEYS FIELD MEASUREMENTS PRO COUNTY GIS DESIGN INTENDED FOR SEPTIC OFFICE 36(}4261803 FAX 360 427 2353 SHEET: SITE PLAN SCALE I"=3 V DDEETARTMENT/AGENCY REVIEW UROSES ONLY O SED DE DEVELOPMENT RESPONSIBLE FOR SETBACKS UNRELATED TO A SEPTIC COMPONENTS — 24"RIBBED RISERS WI BOLT ON WATER-TIGHT LIDS CI :AN:OI .. USE RISER LID ADAPTERS WITH NO GASKET LIDS —\( —,—fi FINISHED GRADE i a ` - rzi WATER-TIGHT !s E .T -A. JOINTS i N: I I S 1--�---1— ----1 i _. �'- `..-,. •-z`•z''/y':/7 f c TWO WAY TEE t WATER-TIGHT ';: 4"OSI JOINTS "` ':' EFFLUENT —• 4! — FILTER TANKS MUST BE `4 1500 GALLON WATER77GHT ': ON STATE DOH c CONCRETESEPT/C TANK .;� APPROVED LIST <� A P P R O V '� D USE TANKS FITTED OF SEWAGE , =wfi W/CAST IN WATER ^' • TIGHT FITTINGS FOR TANKS ' "a MAR 0 7 202 ' INLET/OVTLESAND .arx��•r.'* AlHEAL,,,CAST IN RISER `1 . :, • _--'? ,;ry �....... e ' .. ADA RS TO C ENSURE WATER ►�, ,4, TIGHTNESS t. `0: ,'. 4N AQUAWORKS i? • CONTROL PANEL (' Stern 't"ti W/TIMER,EVENT COVNTER+1. ' ROBERT N iH er, ` Rt HOUR METER ELECTRICAL WORK DONE 24' RIBBED RISERS ` ••I - .�c�, : ` T BY LICENSED ELECTRICIAN [ W/WATER.TIGHT LIDS EXPIRES A a —a FINISHED GRADE 111 ELECTRICALCONDVIT _ i i I ==— i TRANSPORT LINE —� ce_ (n I , IN LET I UNION & BALL VALVE 1500 GALLON WATERTIGHT CONCRL lb PUMP TANK (28 GAL./IN.) WATER-TIGHT I JOINTS 6 PRESSURE TRANSDUCER . (OR FLOATS) CHECK VALVE g... PUMP TANKS USE OVER 1000 GAL. RUBBERRU S FOR • PUMP BUCKET: REQUIRES TWO BUCKET HEIGHT MUST BE TRANSPORT LINE ACCESS RISERS • AT LEAST HEIGHT OF PUMP AND ELECTRICAL TO GRADE '; ON RISERS. MAKE e ' • •' b SURE ALL HOLES ARE WATER-TIGHT CUSTOMER: ROBERT CO WNS SCALE:�'� PIONEER DIGGING INC. PARCEL#:22I05 5200037 INSTALL TANKS ON ORIGINAL OR SEPTIC DESIGNS ADDRFSS: 2730 MASON LK DR W COMPACTED LEVEL SOILS. RUN CROSS 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO OFFICE-3)0-426-I803 FAX-360 427-2353 SHEET: TANKS SCALE NA AVOID SE.I 1 LING. 250-SERIES 1/3 hp Sump/Effluent Pumps for Professionals! ALL MODELS FEATURE: MOTOR SPECIFICATIONS: • Rugged 1/3 hp motor, oil filled with 1/3 hp 115V 5.2 amps 60Hz thermal overload protection. Thermally Protected&Permanently Lubricated • 1/2" solids handling. Maximum Fluid Temperature:140°F • 1-1/2" discharge. • Hermetically sealed motor and switch cavities, DIMENSIONAL DATA: o > and permanently lubricated bearings. Weight: Model 257:20 lbs. 10• Liberty's UNI-BODY casting-a solid, one- Height:10.5" = 3 -13 piece housing that eliminates the lower motor Major Width:9.6" (manual model 250) _ xi seal ring found on other pumps. 23 z o • Epoxy powder coat finish PERFORMANCE CURVE Lni o N 0 • Vortex style impeller for superior PERFORMANCE CURVE m o solids-handling. Made of high temperature 25 n rn engineering polymer. • Fasteners-all non-corrosive stainless steel. 20 6 • 416 stainless steel rotor shaft. o _ • 250-series Cord Lengths ` 15 s v w —., ti a Model 10' 25'(-2) 35'(-3) 50'(-5) = to s 250 Standard Optional Optional Optional c m 251 Standard Optional Optional Optional ~ 5 2 253 Standard Optional Optional N/A . 0 257 Standard Optional N/A N/A o 0 t0 20 30 40 50 10'cord length standard on all models.For optional lengths, U.S. Gallons Per Minute add"-2,-3 or-5"suffix to model number. II Example:for model 250 with 35'cord,order 250-3 0 I I I I 38 I 114 156 192 Liters Per Minute EFFLUENT MODELS SUMP I I / EMT., EMT.._ ii, ..� l IIII =�� •_�� - Model 250 Model 251 Model 253 Model 257 VMF Manual, no switch. Quick-disconnect Wide-angle float with VMF switch, magnetically wide-angle float, series(piggy-back) operated vertical float- mercury-free. plug,allows manual operates in a 10" operation of pump. diameter sump. "'""' G • Dual safety certification for 0 C US Certifiedre the United States and Canada. Specifications are subject to change without notice. Liberty Pumps• 7000 Apple Tree Avenue •Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839 www.libertypumps.com Copyright©Liberty Pumps,Inc.2011 All rights reserved. LLIT4800-R9/11 • 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 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 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 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 a4ipi[tx j el�,J i I�/ ECsbould be kept away from lids and other septic maintenance points. I� MAR 0 7 2023 � .. ` MASON COUNTY ENVIRONMENTAL HEALTH , �F , '" �h� PET t f:•t CUSTOMER: ROBERT COLLINS �'� ` PIONEER. DIGGING INC. -�' slcomy PARCEL#:22105 52-00037 41oi RCBERT N R.IYSSE SEPTIC DESIGNS ADDRESS: 2730 E MASON LK DR.W ' I 3083 E MASON BENSJN RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE EXFiRES OFFICE-36(}426-I803 FAX-36(}427-2353 SHEET: NOTES SCALE NA