HomeMy WebLinkAboutSWG2022-00589 - SWG Application / Design - 11/28/2022 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
M .: BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2022-00589
APPLICANT Gregg Jarcznsk Phone:
Address: PO Box 1303 NORTH BEND, WA 98045
OWNER PETERSEN CINDY L Phone:
Address: 160 E SODERBERG RD UNIT N37 ALLYN, WA 98524
SEPTIC DESIGNER Bob Paysse - Pioneer Digging Inc Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: UNKNOWN
Primary Parcel Number: 222222390132
Permit Description: New 6bd ATU to pressure trench with Class A waiver
Permit Submitted Date: 11/28/2022
Permit Issued Date: 04/27/2023
Issued By: Rhonda Thompson
Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 12/08/2025 (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.
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.
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OFFICIAL USE ONLY Cr v
MASON COUNTY DATE RECEIVED 111 • IS e Vimcn)
AT COMMUNITY SERVICES AMOS �EI� �. RECEIVED W U)
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Public Health
- (CommunityHealth/Environmental Health) C n
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415 N.6th Street-Shelton WA 98584 SWG AONA, - ao E O Z 6
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ON-SITE SEWAGE SYSTEM APPLICATION
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m• n APPLICANT PHONE m
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GREGG JARCZNSK z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E
PO BOX 1303 NORTH BEND WA 98045 co
514751 ITE ADDRESS
ESTREET,
STATE ROUTE 106 BELFAIR WA 98528 I I"
NAME OF DESIGNER PHONE I N
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE v I N
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PERMIT{ TYPE(select one) ��-77 DRINKING WATER SOURCE
MI
I 1 RESIDENTIAL OSS SCOMMUNITY OSS IECOMMERCIAL OSS 51 PRIVATE INDIVIDUAL WELL IYII PRIVATE TWO-PARTY WELL Z I N
TYPE OF NORK(select one)
PUBLIC WATER SYSTEM 1
A NEW CONSTRUCTION/UPGRADES EREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I iv
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W
®DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r I co
®WAIVER(S)(IF APPLICABLE) 6 4 ACRES 0• i• 0
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gale)
TRAVELING NORTH ON STATE ROUTE 106 FROM UNION TURN RIGHT ON SHARED I o
ACCESS AT ADDRESS 14760. TRAVEL UP PAST HOUSE UP TO GATE. THRU GATE r
UP A COUPLE HUNDRED FEET TO DRAINFIELD SITE ON LEFT, SEE SITE PLAN. -I
HOME SITE UP ABOVE ON HILL. I w
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I N)
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT 0 HOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
0 ( -(15-i i I Si-►^',�--�'� --- (2//6 ( Z
11 u {7SL13Zfi—` t1 5/53k v\1 ‘;-
Cj--N2 -�l I ups'' fir_ 0- 5 ,( 0-mreA— ,
vc./yw - -2); o- 3 j-h 11
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
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
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CAI vrvirl lq(2),-2,z_ ,E ) 001-2,c-, (
THIS FORM MAY BE SCANNED AND AVAILABLE FO
R PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 2 2 — 2 3 — 9 0 1 3 2
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 ma be scanned and available for •ublic view on the Mason Coun Web site.Maximum •a•er size: 11"X 17"
- . ': 7% ''';'• '''''' "-''-'''''-' ''' ' .' 7 4-':"61-4 ' g g' J1,7,77-*:' no : ..'-.7.`;'':‘:,7-1 j;f:..':,4 :'1'4•
Permit Number: SWG 2 0 1--Z'0 01-5 1 Designer's Name: ROBERT H.PAYSSE
Applicant's Name: GREGG JARCZNSK Designer's Phone Number: 360-426-1803
PO BOX 1303 3083 E MASON BENSON ROAD
Mailing Address: Designer's Address:
NORTH BEND WA 98045 GRAPEVIEW WA 98546
Ci State Zi• Ci State Zi.
Treatment Device
0 Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
'Aerobic Unit Make/Model NUWATER BNR7500 Disinfection Unit Make/Model Other:
Drainfield Type
0 Gravity liti Pressure IlTrench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms - SIX Schedule/Class SCH.40
*I Daily Flow:Operating Capacity 540 gpd Length 60 ft
Daily Flow:Design Flow 720 gpd Diameter 1.25 in
Septic Tank Capacity BNR750 gal Number X 1 cta4--Ctio,
Receiving Soil Type(1-6) 4 Separation 9-10 ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 1200 ft2 Total Number of Orifices 84
Designed Primary Area 1260 ft2 Diameter 3/16 in
Designed Reserve Area 1260 ft2 Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 420 ft Schedule/Class 3034
Elevation Measurements Length 60 ft
Original Drainfield Area Slope 7 % Diameter 1.25 in
New Slope,If Altered 7 % Preferred manifold configuration used? 'Yes CI No
Depth of Excavation Up-slope 9 in Transport Pipe
from Original Grade Down-slope 7 in Schedule/Class SCH.40
Designed Vertical Separation 24+ in Length 50 ft
Gravelless Chambers Required? 0 Yes El No 0 Optional Diameter 2 in
Pump Required? RI Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 8
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 90 gal
Orifice 12 ft Chamber Capacity 1800+ gal
Uppermost Orifice F71 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 49.56 gpm li'Timer lirElapse Meter tif Event Counter
Calculated Total Pressure Head 30.68 ft If Timer: Pump on 1 MIN ,Pump off 4 HRS
Comments
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 2 2 2 — 2 3 -- 9 0 1 3 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
it Test hole locations i21 Drainfield orientation and layout Reference depth from original grade:
g Soil logs g Trench/bed dimensions and g Septic tank
g Property lines critical distances within layout l' 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:
Ez( Measurements to cuts,banks,and locations 0 Laterals,trench bed,top and
surface water and critical areas g 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
i Orifice placement Other cross-section detail:
• Location and dimension of i Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildings g Other Information
ti Audible/visual alarm referenced Yes No
Direction of slope indicator i Scale of drawingshown on scale It 0 Design staked out
10 Waterlines bar 0 M'Recorded Notices attached
g Roads,easements,driveways, [ 0 Waiver(s)attached
parking g 0 Pump curve attached
g North arrow and scale drawing 0 21 Evaluation of failure
shown on scale bar Non-residential justification
❑ It Waste strength
❑ g Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation g Yes 0 No
W9ji - , ,14-e I 112g1 zz
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:
Environmental Healt pecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. Q�
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: t2 f v(2�
✓ 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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EXPIRES I I AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
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CUSTOMER: GREGG JARCZNSK OLE 1: 1 L HOLE 2 TEST HOLE 3:
PIONEER DIGGING INC. PARCEL# 2Y)79 23 90132 3TEST H-34 .I. 0-33I GLS 0-34 GLS
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! 34+SI 1. 33+SL L 34+S
SEPTIC DESIGNS ADDRESS: 14751 E STATE RT 106 ROOTS-34 ROOTS-33 ROOTS-34
3083E MASON BENSON RD. CRAP EVIEW,WA 98546 Da PLATS
OR
TIM IS NOT A SURVEY.REFERENCES INCLUDE APPLIDESIGN INTENDED FOR SEPTIC
PURPOSES ONLY. PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER
OFFICE 360-426-1803 FAX 360 427 2353 SHEET: SITE PLAN SCALE 1"=5 V ry CEPARTMENT/AGENCY REVIEW CESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TC
SEPTIC COMPONENTS.
AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
OB. PORT& CLEANOL T (TYP)
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MASON COUNTY ENVIRONMENTAL HEAL ;is' F;eE�.''''Z' '• ,'se •`�
4"3034 SEWER LINE RET / EXPIRES
CUSTOMER GREGG JARCZNSK TESTH)LE I: TEST THOLE 2 TEST HOLE 3:
PIONEER DIGGING, INC. PARCEL# 2????2390132 34+SI.L 33+SLL 34+SLL
SEPTIC DESIGNS ADDRESS: 14751 E STATE RT 106 ROOTS•34 ROOTS-33 ROOTS-34
3083 E MASON BEPLSON R.D. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE PATLAIMER:THIS FEOT A FS `UCE oOR
PLATS OR SURVEYS. IlDAFASURELENTAND COUNTY D INTENDED SEPTIC
OFFICE 360 4261803 FAX 360 427 2353 SHEET: DF DETAIL SCALE 1 =10' PURPOSES ONLY DEPARTMENT AGENCY RENEWPROPo�CNER NOT RESPONSIBLE FOR DEVELOPMENT IAAY BE SSETBACKS UNRELATEUBJECT TO OTHER
SEPTIC COMPONENTS.
Simi .
OB PORT
FINISHED GRADE CLEANOUT
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FILTER ORIGINAL
+ FABRIC I GRADE
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RESTRICTIVE LAYER
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APPROVED !`
APR 27 2023 , ,. .„
MASON COUNTY ENVIRONMENTAL HEALTH s a .�;• . `
RET5,C0317
'!a FOBERT M MAT5SE
THREADED RISER OR VALVE BOX EXPIRES
CAP TO FINISHED GRADE ADJUST TO
NUMBER
_ OF SYSTEM
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" ORIFICES @ 12:00
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LATERALS
W/ SHIELDS (
90° ,a,..• _ -� -'-' — —
SWEEP r '0'�'e"d'�"it"•"•'e"v"v: — —\ \ —
BALL
GLUED TEE CHECK VALVES VALVES
(AS NEEDED)
AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
CUSTOMER: GREGG JARCZNSK TFS1 H��LE I: TEST HOLE 2 TEST HOLE 3:
PIONEER DIGGING, INC. 0-34 s 033GLS 0-34 CIS
PARCEL# 2?�??23 90132 34+SI.1. 33+SL L 34+SI.1.
SEPTIC DESIGNS ADDRESS: 14751 E STATE RT 106 ROOTS-34 ROOTS-33 ROOTS-34
PLATS DISCLAIMER:THIS SNOT A SURVEY.REFERENCES INCLUDE:APPUCANTENDEDY PROVIDED
3083 E MASON BENSON R.D. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE FIATS OR SURVEYS.FIELD MEASUREMENTS AND COUNTY G15 DE5 SM INTENDED FOR SEPTIC
_ PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER
OFFICE 360 4261803 FAX 360 427 2353 SHEET: DF DETAIL(2) SCALE NA DEPARTMENT/AGENCY RENEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO
SEPTIC COMPONFMS.
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Pump Specifications
FL100 Series �,
Submersible Effluent Pump
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USE PUMP SPECIFIED OR EQUIVALENT
: 1111111111111111111110111 . BASED ON DESIGN SPECIFICATIONS.
IMMO . CHANGES TO DESIGN, SUCH AS PUMP TANK
0 l0 r . . tl . .. . . . .. .. LOCATION, MAY IMPACT PUMP SYSTEM
"'""" REQUI REM ENTS.
LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE DIST.TO TOTAL TOTAL
LATERAL# LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1ST ORIFICE ORIFICES HEAD
(feet) (inches) (feet) (feet) RATE(gpm) (feet) (inches) (feet)
1 60 1.25 3 63 3/16" 0.59 5 30 12 0.48
2 60 1.25 9 69 3/16" 0.59 5 30 12 0.53
3 60 1.25 18 78 3/16" 0.59 5 30 12 0.60
4 60 1.25 27 87 3/16" 0.59 5 30 12 0.67
5 60 1.25 36 96 3/16" 0.59 5 30 12 0.74
6 60 1.25 45 105 3/16" 0.59 5 30 12 0.81
7 60 1.25 54 114 3/16" 0.59 5 30 12 0.88
DRAINFIELD HEAD(feet) 4.71
TRANSPORT LINE HEAD(feet) 1.97
APPROVEDELEVATION CHANGE(feet) 12
APR 2 7 2023 RESIDUAL/SQUIRT(feet) 2
EXTRA LOSS/FITTINGS(feet) 10
MASON COUNTY ENVIUQNMENTAL HEALTH
RE IT TOTAL DYNAMIC HEAD(feet) 30.68
TOTAL GALLONS PER MINUTE 49.56
PIONEER DIGGING, INC. CPARca# 777 723-90132CzNSK
SEPTIC DESIGNS ADDRESS: 14751 E STATE RT 106
3083 E MASON BENSON R.D. GR.APEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE
OFFICE-360-426-I803 FAX-360-427-2353 SHEET: CALCS SCALE NA
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DUAL PORT AERATOR
4'CLEANOVT3 FT• LID VENT OPTIONAL IN GROUND BLOWER LOCATION
FROM FOUNDATION GHT UD IN SCRISER EWS
WATERTIGHT V D AND SCREWS
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TANKS MUST BE 4:' NUWATER
ON STATE DOH '_;
APPROVED LIST BNR750 .. . •o ,
OF SEWAGE Is.
TANKS ' DItMERvu(2)
�" ,•O PARALLEL TO TANK WALL
• 0 SLUDGE RENRN
P..• .• • • j.1:.1 :;:: '. .
PUMP TANKS PP7R r �
OVER 1000 GAL • • • V�V
REQUIRES TWO APR 2 7 2023
ACCESS RISERS TO GRADE NVWATERCONTROLPANEL— A�(�/'SI �S.�JNTy ENVIRONMENT T pi BED RISERS
+ I RET /�'/ATER TIGHT LIDS
I FINISHED GRADE
ELECTRICAL WORK DONE 6
By LICENSED ELECTRICIAN
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INLET UNION&BALL VALVE
WATER-TIGHT • 1800 CANON WATERTIGHT
JOINTS CONCRETEPI/MP TANK
C32.5 GAL./IN.) .
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CHECK VALVE
USE TANKS FITTED •- HIGH WATER FLOAT
W/CAST IN WATER •
TIGHT FITTINGS FOR .
INLET/OUT-LESAND ON/OFF FLOAT
CAST IN RISER USE RUBBER
ADAPTERS TO - GROMETS FOR
ENSURE WATER PUMP BUCKET TRANSPORT LINE
TIGHTNESS •• AND ELECTRICAL
a _ 4 •.• .�. •'..' ` • ,• . ON RISERS. MAKE
d SURE ALL HOLES
ARE WATER—TIGHT
CUSTOMER: GREGG JARC7NSK SCALE NA
PIONEER DIGGING, INC. PARCEL# 2?2��23 90132 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRESS: 14751 E STATE RT 106 COMPACTED LEVEL SOILS. RUN CROSS
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: R CONNECTIONS INTO ORIGINAL SOILS TOOBERT H.PAYSSE AVOID SETTLING.
OFFICE-360-426-I803 FAX-360-427-2353 DI-SIGNPAGE'\GE TANKS DETAIL
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$300.00 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 loft 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 loft 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. 11 • p, sss�ary4e,€s should be kept
away from lids and other septic maintenance points. LJ V
APR 2 7 2023 `,.
MASON COUNTY ENVIRONMENTAL HEALTr
2E T '1
CUSTOMER: GREGG JARCZNSK aN, . f r?:t •
PIONEER DIGGING, INC. PARCEL#:29'M-23-90132 SIC0317
Y t144'� FOBE91'h 0.1YSSE
SEPTIC DESIGNS ADDRESS: 14751 E STATE RT 106 � '
3083 E MASON BENSON RD. GKAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE EXPIRES
OFFICE-360-426-1803 FAX-360-427-2353 SHEET: NOTES SCALE NA