HomeMy WebLinkAboutSWG2023-00136 - SWG Application / Design - 4/14/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
L SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
�i- Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00136
APPLICANT CORREA KENT & CYNTHIA Phone:
Address: PO BOX 3395 RENTON, WA 98056
OWNER CORREA KENT & CYNTHIA Phone:
Address: PO BOX 3395 RENTON, WA 98056
SEPTIC DESIGNER Bob Paysse - Pioneer Digging Inc Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 1111 E MASON LAKE DR EAST
Primary Parcel Number: 221055000017
Permit Description: Replace septic and pumps tanks
Permit Submitted Date: 04/14/2023
Permit Issued Date: 04/17/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/17/2026 (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 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 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: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY C 'Q
MASON COUNTY DATE RECEIVED. Li , ILA r,�23
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.Il. `} COMMUNITY SERVICES AMOUN��j EIV : RECEIVEDRY,
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Public Health(Community Health/Environmental Health) '�\ C
360-427.9670.ext.400 or 360-275-4467,ext.400 A G ///��� I
415 N.6th Street-Shelton,WA 98584 ,/{/ an D- — (� 0 \�1 O 2
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ON-SITE SEWAGE TANK ONLY APPLICATION
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APPLICANT PHONE m m
KENT & CYNTHIA CORREA z
MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE r � Q �}U� r E
PO BOX 3395 - RENTON, WA 98056 G i� I l5 C r m
SITE ADDRESS-STREET,CITY,ZIP CODE x'
1111 E MASON LAKE DRIVE EAST-GRAPEVIEW, WA 98546
' APR 14 2023 j I N
NAME OF DESIGNER PHONE I N
ROBERT H. PAYSSE 360 426 1803 By
NAME OF INSTALLER PHONE
a
TBD <
TYPE OF WORK(select one) DRINKING WATER SOURCE N 0
0
® NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I C.71
COMPONENT(S)TO BE REPLACED/INSTALLED ❑ PUBLIC WATER SYSTEM I
❑� SEPTIC TANK 01 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I Ul
❑ OTHER 2 0.42 CO
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST b I 0
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE 8 100FT+PUBLIC/COMMUNITY WELLS n 1
O
SUBMITTALS CI SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
❑F PLOT PLAN(REQUIRED) ®TANK CROSS SECTION(REQUIRED) El 10FT+DRINKING WATER SUPPLY LINES O
Er PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) 0 SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS.FOOTINGS
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PLOT PLAN CHECKLIST _ C)
8 PROPERTY LINES AND EASEMENTS I! EXISTING/PROPOSED STRUCTURES ® EXISTING!PROPOSED OSS COMPONENTS AND LINES
8 WELLS WITHIN 100FT ® WATER SUPPLY LINES ® DRIVEWAYS/PARKING E SURFACE WATERS,STREAMS.RIVERS,ETC...
El DIRECTION OF SLOPE/CONTOURS ® PERIMETER!CURTAIN DRAINS ® NORTH ARROW ® SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate)
NORTH HWY 3. LEFT ON MASON BENSON RD. FOLLOW AND CONTINUE THRU
INTERSECTION W/ MASON LAKE RD. AT STOP SIGN TURN LEFT ON MASON LAKE
DRIVE EAST. FOLLOW TO SITE ADDRESS 1111 ON RIGHT (LAKE) SIDE OF ROAD.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
O VOLUNTARY 0 MAINTENANCE/PUMPING BUILDING PERMIT 0 HOME SALE ❑COMPLAINT 0 OTHER:
COMMENTS I CONDITIONS ` .�j 9iv
V
4 .
•
.A.,
SEWAGE TANKS MUST BE LISTED UNDERU ('\DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS
AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE) RECORD DRAVv1NG AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
t.-------- VI 1 ri I 24) \ger\JUlfhfC4r1 1(A-3
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/72015
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•
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 5 — 5 0 — 0 0 0 1 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. v Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. v 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 1?"
°,_.. PARCEL IDENTIFICATION
Permit Number: SWG 9-0- ✓ —b U 6 Designer's Name: ROBERT H.PAYSSE
Applicant's Name: KENT&CYNTHIA CORREA Designer's Phone Number: 360-426-1803
Mailing Address: PO BOX 3395 Designer's Address: 3083 E MASON BENSON RD
RENTON WA 98056 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 ❑Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class
Daily Flow:Operating Capacity 180 gpd Length ft
Daily Flow:Design Flow 240 gpd Diameter in
Septic Tank Capacity(working) 1500 gal Number
Receiving Soil Type(1-6) 3 Separation ft
Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices
Required Primary Area ft2 Total Number of Orifices
Designed Primary Area ft2 Diameter in
Designed Reserve Area 300+ 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 EXISTING
Designed Vertical Separation in Length 175 ft
Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in
Pump Required? 0 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 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 gpm lifTimer ('Elapse Meter gfEvent Counter
Calculated Total Pressure Head ft If Timer: Pump on TBD ,Pump off TBD
Comments
REPLACE EXISTING SEPTIC AND PUMP TANK AND DEMONSTRATE RESERVE AREA.
•
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 0 5 -- 5 0 -- 0 0 0 1 7
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations 0 Drainfield orientation and layout Reference depth from original grade:
O Soil logs g Trench/bed dimensions and g Septic tank
Bj Property lines critical distances within layout l;?' Drainfield cover
0 Existingand proposed wells D-Box/Valve box locations
Reference depth from original grade
within 100 ft of property Lif Septic tank/pump chamber and restrictive strata:
g Measurements to cuts, banks,and locations
171 Laterals,trench/bed,top and
surface water and critical areas lif Observation port location bottom
g Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement 0 Sand augmentation
components
Gd Orifice placement Other cross-section detail:
Location and dimension of g Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
Buildings g Audible/visual alarm referenced Yes No
El Direction of slope indicator g Scale of drawing shown on scale 0 d Design staked out
g Waterlines bar 0 g Recorded Notices attached
g Roads,easements,driveways, 0 g Waiver(s)attached
parking 0 l 'Pump curve attached
10 North arrow and scale drawing 0 M Evaluation of failure
shown on scale bar Non-residential justification
❑ RI Waste strength
❑ l Flow
DESIGN APPROVAL
The undersigned designer st be notifi d by i taller at time of installation 121 Yes 0 No
Li Signature o De( Li
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:
t\-1 IZ3
Environmental Hea h Specialist Date
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CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. ) `i 1�
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1
✓ 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
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PROPOSED RESERVE AREA I �� .�_-- ��
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//EXISTING TRANSPORT --- Q `L��, \\\ �4 P P R O VE p
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MASON COUNTYENyIRON.MENTAI HEALTH
/EXISTING I I C I I RET
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PROPOSED RETAINING WALL I %j_ I i ��, �,„ ,y%
BEHIND NEW GARAGE I j / �tI.7 41'� 1
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PROPOSED 1500 SEPTIC TANK / I I / ��'4•.. :-' �I
& 1500 PUMP TANK __ - I // EXPIRES
EXISTING TANKS -- =T y\j--�—/'---
TO BE PUMPED &
ABANDONED PER CODE
��\ �� \-- I � PROPOSED ADDITION
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// EXISTING HOME I_L` \ `�
/ W/DECK I \� \�
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/ I I / I "I I EXISTING WELL
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AN ASBUILT!INSTALL SIGNOFF FEE WILL
\\ ��\ // \ // BE CHARGED AT TIME OF INSTALLATION
PIONEER DIGGING, NC T CUR I•
L#:2 KENr CO17 INO TEST HOLES PROVIDED. HISTORY OF AREAIC. PARCEL# 2105-50-00017 PE 3:LOAMY TO MEDIUM SANDS
SEPTIC DESIGNS ADDRESS: 111EMASON LAKE DR E3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE TSR SYVEYS. IELDEASESURVREre�!V TSORSU NY,FIELD MEOSEDMENfSLOPCNT GIS.E SINTENDEDFOR SEPTIC
OFFICE-36(}426-I803 FAX-360-4272353 SHEET: SITE PLAN SCALE: 1n=40 TE TIAGENCY REVIP EWO ESIGNFR NOT RE oNSIB E FOR SETBACI STUNRELATTED TOPTIC COWONENTS.
9
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24"RIBBED RISERS W/BOLT ON WATER-TIGHT LIDS
CLEANOUT USE RISER LID ADAPTERS WITH NO GASKET LIDS
a FINISHED GRADE >t
- o117-4"
WATER-TIGHT
JOINTS
< S i
INLETn �
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TWO WAY TEE (�
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WATER-TIGHT '' ' OSI
): EFFLUENT
JOINTS ' - °i FILTER
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4. 1500 GALLON WA7ER77GHT •:4 . t
` CONCRETESEPT/C TANK
TANKS MUST BE �� D
ON STATE DOH I— P R o •` ���
APPROVED LIST ; U:'
Fs;:i. ,
O TANKS E ^.•PAVA�.e'r,t6'.Ai� •� i i. "_. • •k •
.... K �' v =.
RET 'I �y,�"°''1 ""
PUMP TANKS ,%•;,''�
OVER 1000 GAL. AQUAWORKS �,,i%P���o
REQUIRES TWO CONTROL PANEL
W/T1MER,EVENT COUNTER 'S ELECTRICAL WORK DONE 24"RIBBED RISERS
ACCESS RISERS &HOUR METER
TO GRADE o W/By LICENSED ELECTRICIAN WATER TIGHT LIDS
>t - a I FINISHED GRADE
ELECTRICALCONDVIT • "WWI 1
} c TRANSPORT LINE
•
`j I\ P UNION & BALL VALVE
1500 GALLON WATER770-/T
CONCRL it PUMP TANK
i 4; (28.5GAL./IN.)
WATER-TIGHT
JOINTS
PRESSURE TRANSDUCER CHECK VALVE
(OR FLOATS)
USE TANKS FITTED •
W/CAST IN WATER .•
TIGHT FITTINGS FOR USE RUBBER
. INLET/OUTLES AND PUMP BUCKET: • GROMETS FOR
CAST IN RISER BUCKET HEIGHT MUST BE (.:-
TRANSPORT LINE
ADAPTERS TO AT LEAST HEIGHT OF PUMPAND ELECTRICAL
ENSURE WATER _ I ON RISERS. MAKE
TIGHTNESS .' • • •'•- .. . A ...:• •••• . • • • • • a I SURE ALL HOLES
ARE WATER-TIGHT
T CUSTOMER: KENT CORREA SCALE:NA
PIONEER DIGGING, 11 v C. PARCEL it 22105 50-00017 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRFSS: IIII E MASON LAKE DR.E COMPACTED LEVEL SOILS. RUN CROSS
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO
OFFICE-360-426-1803 FAX-36(Y-427-2353 SHEET: TANKS SCALE NA AVOID SETTLING.
•
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 addition ppII `` ��ii �,J r®�hp Ip�Cept
away from lids and other septic maintenance points.
APR 17 2023 ���
MASON COUNTY ENVIRONMENTAL HEALTH •
RFT "IfriAt.
CUSTOMER: KEM CORREA •
PIONEER DIGGING INC.
5'�0317 ';\�
I ARCEL# 22I05 50-0OO17 t�Oti' FCBEftT H aY55E
SEPTIC DESIGNS ADDRESS: 1111 E MASON LAKE DR E rt
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546� DESIGNER: ROBERT H.PAYSSE EXF in
OFFICE-360-426-1803 FAX-360-427-2353 SHEET: NOTES SCALE NA
. .
280-SERIES
1/2 hp Submersible Effluent/Sump Pumps
The Liberty 280 series provides a cost effective"mid- Performance Curve:280-Series
range" pump for on-site waste water systems, liquid 40 12
waste transfer and commercial heavy-duty sump pump
applications that require higher head or more flow. 35 11
Designed around Liberty's unique"Uni-Body" casting, 30 - ' l 9
the 280-Series will provide years of reliable performance. 25 8
All Models Feature: L-- 20 2,6
- a)
•Vortex style impeller permitting passage of solids ai 15 . 5 2
up to 3/4" = 10 3
• 416 stainless steel rotor shaft
• Permanently lubricated upper and lower ball bearing 5 2
• Epoxy powder coat finish 0 0
•All fasteners-corrosion-resistant stainless steel 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70
U.S. Gallons Per Minute
• 1 t/2" Discharge I I I I I I I I
• Stainless steel bottom screen-easily removable 0 38 78 114 156 192 228 270
• Maximum fluid temperature: 140° F. Liters Per Minute
• 280-Series Cord Lengths
Model 10' 25'(-2) 35'(-3) 50'(-5) Dimensional Data:
280 Standard Optional Optional Optional Weight 29 lbs.
281 Standard Optional Optional Optional Height 13"
Major Width:10" (model 287)
283 Standard Optional Optional N/A
287 Standard Optional N/A N/A Minimum Sump Diameters:
10'cord length standard on all models.For option^i lengths, Model 281, 283...14"
add"-2,-3 or-5"suffix to model number. Model 287 VMF...10"
Example:for model 280 with 35'cord,order 280-3
Factory switch Model 281,283 Model 287
Motor Specifications settings VMF
Turn on level 13" 9.5"
1/2 hp 60 Hz 3450 RPM Turn off level 7" 4.0"
Oil filled,thermally protect p ❑R 0 V E D
115 V. Models 8.5 amps PThe Model 283 features a fully adjustable wide-angle float.
Differential adjustments can be made easily by tethering the float
208/230 V. Models 4.6 amps APR 7 2023 to the discharge pipe or other mounting point.Vertical float model
MASON COUNTY ENVIRONMENTAL HEALTH 287 is not adjustable.
I I RETri
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Model 280 �r� Model281 � :•:1� Model 283 i;;/ Model 287
ii=-- Manual, !�j-- Wide angle if- / Wlde angle '-- VMF-Series
�I�����I LI ��I�� float switch Vertical mag-
i float switch
+ with quick- T., with series � netic float for
I'� I I' I 1/I -- —
16141. Al disconnect A�l (piggy-back) ��j j smaller pits
• Irmirr � . ir plug in"
-0 will operate in
II )I;f II 'I/ II 'Jf I �I/ a 10" diameter
sump
�wR�)) 'Ql�_i�P��
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Specifications are subject to change without notice.
Liberty Pumps• 7000 Apple Thee Avenue •Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839
www.libertypumps.com _