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Home My WebLink AboutSWG2023-00304 - SWG Application / Design - 7/20/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 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: SWG2023-00304 APPLICANT OLYMPIA OYSTER COMPANY Phone: 1.360.426.3354 Address: 1042 SE BLOOMFIELD ROAD SHELTON, WA 98584 OWNER OLYMPIA OYSTER COMPANY Phone: 1.360.426.3354 Address: 1042 SE BLOOMFIELD ROAD SHELTON, WA 98584 SEPTIC DESIGNER Bob Paysse -Pioneer Digging Inc Phone: 360-426-1803 Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: 1170 SE Bloomfield Rd Primary Parcel Number: 319211400000 Permit Description: New SFR -2BR pump to Gravity Permit Submitted Date: 07/20/2023 Permit Issued Date: 07/31/2023 Issued By: Jeff Wilmoth Current Permit Fees Paid: $780.00 (additional fees may be required upon installation of system). Permit Expiration Date: 07/25/2024 (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: ma soncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. :':`:; iUL 2 1 2023 OFFICIAL USE ONLY MASON OU TY RECEIVED (DATE RECENED: — Al".7• '; COMMUNITY _ - C U) AA10U CFi � RECEIV co (J) Public Health(Community Health/Environmental Health) — C 360-427.9670,60.400 or 360.275-4467.ext.400 VIIIV 41S N.6th Street•SheltotWA 98584 J Gq -, C) _3 - . O 2 z di 6 - ON-SITE SEWAGE SYSTEM APPLICATION + . . :U -, 4 .. D $ APPLICANT PHONE r1 m OLYMPIA OYSTER COMPANY z c MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE g 1042 SE BLOOMFIELD ROAD SHELTON WA 98584 m xi SITE ADDRESS-STREET,CITY,ZIP CODE XXXXSE BLOOMFIELD ROAD SHELTON WA 98584 I (A' NAME OF DESIGNER PHONE ROBERT H. PAYSSE 360-426-1803 NAME OF INSTALLER PHONE v I CO TBD < PERMIT TYPF(select one) DRINKING WATER SOURCE - N RESIDENTIAL OSS FCOMMUNITY OSS w _ COMMERCIAL OSS IT PRIVATE INDIVIDUAL WELL 5"PRIVATE TWO-PARTY �'_ 0 ' I � TYPE OF WORK(select one) {� 7 PUBLIC WATER SYSTEM GROUP A Pn ff NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I -I SUBMITTALS 0 SURFACING SEWAGE RI EXISTING FAILURE 10 SHORELINE DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE W F) WAIVER(S)(IF APPLICABLE) 2 28 59 O I o ...,'S TO SITE AND SITE CONDITIONS.(ex locked gate) I HEADING SE ON OLD OLYMPIC HWY (AWAY FROM CASINO), TURN LEFT ON ( o BLOOMFIELD ROAD. ABOUT 1 MILE DOWN GO PAST OLYMPIA OYSTER SIGN TO I- 1ST ROAD ON RIGHT. FOLLOW DOWN TO RV SITE ON RIGHT AND PDI SIGN. SEE --I CD SITE PLAN. I o ISITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. II I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS �t � t\n ti� COMMENTS(CONDITIONS 6 _3'6 c)/ i. 2 ° Z°23 L-.' 6t, , y_ oz.:) \ .....j‘_______ , We°'e 0 "----7% :a y 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 GJ1 -7-25-z3 7 26- -( A ,,JJ...,A,,,. -7-3t- T S FlIaMAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 I . I', DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 1 9 2 1 — 1 4 — 0 0 0 0 0 "' A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. '.I 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. . L IDENr'IFIiCAT 1�1 '` This form may be scanned and available for public view on the Mason County Web site.Maximum paper siz ; 11" 7 Permit Number: SWG 202,3—003 0 Y( Designer's Name: ROBERT H. PAYSSE Applicant's Name: OLYMPIA OYSTER CO. Designer's Phone Number: 360-426-1803 Mailing Address: 1041 SE BLOOMFIELD RD Designer's Address: 3083 E MASON BENSON RD SHELTON WA 98584 GRAPEVIEW WA 98546 City State Zip City State Zip 02zit ..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 ,, ,. .-"�"r.: . "... _1.. umvravity 'Pressure [O Trench 0 Bed D Sub S-u:f^ce h+-i�. Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 2729 PERF Daily Flow:Operating Capacity 180 gpd Length 50 ft Daily Flow:Design Flow 240 gpd Diameter 4 in Septic Tank Capacity(working) 1200(EXISTING) gal Number 2 Receiving Soil Type(1-6) 3 Separation 9 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 300 ft2 Total Number of Orifices - Depigped.Primary Area 300 ft2 Diameter ,"I $. in 1 • Designed Reserve Area 300 ft2 Spacing - in Trench/Bed Width 3 ft Manifold Trench/Bed Length 100 ft Schedule/Class 3034 Elevation Measurements Length 9 ft Original'Drairifeld Area Slope 0 % Diameter 4 in New Slope,If Altered 0 % Preferred manifold configuration used? lilYes 0 No Depth of Excavation Up-slope 22 in Transport Pipe from Original Grade Down-slope 22 i Pd /(Øs V CI 3034 :..� <50 ft Designed Vertical Separation 36+ Loth i 4, Offige!?'.�,thambers Required? 0 Yes B1 No 0 gtio I t et r 1 2023 4 ,�_ itl No S"N CC UNTY ENV/ROW- 0l 'v Pump Required? 0 Yes i o and Pump Chamber Pump/Siphon Specifications Nu�Woses/dayEA TH - '� t Dif .. in Elevation Between Pump&Uppermost Orifice - ft Dose quantity - gal Drainfield Squirt Height/Selected Residual(head) - ft Chamber Capacity(flood) - gal y Pump controls: Please check those required. Uppetidsi'>^Yifice❑Higher ❑Lower than Pump Shutoff Capacity @ Total Pressure Head - gpm ❑Timer ❑Elapse Meter 0 Event Counter Calculated Total Pressure Head - ft If Timer: Pump on - ,Pump off - Comments INSTALL RISERS AND EFFLUENT FILTER ON.,EXI ST ING SEPTIC TANK. . 1 - ,,DESIGN FORM-PAGE TWO Assessor's Parcel Number:3 1 9 2 1 - 1 4 -- w-�'-0- - 0,,,.0... Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 1 ! 'R'i'''lest hole locations Ig Drainfield orientation and layout. Y Reference depth from original grade: g Soil logs g Trench/bed dimensions and l Septic tank Pi Property lines critical distances within layout lif Drainfield cover g Existing and proposed wells lif D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: 1 Measurements to cuts,banks, and locations _E EX Laterals,trend5/bed,.top;and surface water and critical areas 12f Observation port location bottom 0 Location and orientation of g Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components 12i Orifice placement Other cross-section detail: 121 Location and dimension of g Lateral placement with distance i Observation ports/clean-outs 1 ; ,, 1, primary system and reserve area to edge of bed g Other Information Buildings lifAudible/visual alarm referenced Yes No IZi Direction of slope indicator S e or iushown on scale g 0 Design staked out g Waterlines .: �J ❑ M'Recorded Notices attached g Roads,easements,driveways, ROVE E ❑ R1 Waiver(s)attached harking • ; JUL , ❑ i 'Pump curve attached ! 14 North and scale drawing �023 ❑ l�PumpEvaluation �i.)t iii'rl i MASON COUNTY ENVIRONMENTAL HEAL" Non-residential justification shown arrowon scale bar JBW 0 g Waste strength ❑ l Flow DESIGN APPROVAL 'the undersigned designer must be notified by installer time of installation g Yes 0 No , • •. ,f, ti-r- i ( 1 r(2-3 ignature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and deternlipegtittg kip tam`pAiance with state and local on-site regulations: p. ': .,I,+I ,/t,(/14 7-3t , 3 vuetal Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. . • ;2:. The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 7—.2-5_ C 11 / 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, kmless prior authorization is obtained from Mason County Puhlic...flealth. 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 -- _-- BLOOMFIELD RD- dp,4y�.AAL1t•___-_._.--- ,._ .---=I - / /''F i /- � ' ,'I I I N\,, I I '� �'° ' I <\ I 31921-14-00000 r � i It \ I II \ I II I COMMUNITY I EXISTING\�\ I II , $NA WELL (800'+ FROM ACCESS ROADS w DRAINFIELD AREA) _-_ ===_= ==____ I EXISTING & J N. 'PROPOSED OSS SEE SITE PLAN 2 _ �i' _ - _- I = II EXISTING -_ - , , - � STRUCTURES /= �` OLYMPIA OYSTER . N` 31921-14-00010 \: COMPANY - / \ • .. N \ i i tt- -• 11 �' OYSTER BAY l/ `ti PPRoVE ,, ,/. 1 -' 1 Ys. JUL 3 1 2023 EXPIRES .. .ASON COUNTY ENVIRONMENTAL HEALTH JBW 11.;?'\ AN ASBUILTI INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION CUSTOMER OLMYPIA OYSTER CO. TEST HOLE I: 2: PIONEER DIGGING INC. PARCEL#:31921-14-00000 .58�d S 0-58TEST Cd SHOLE f ROOTS 10 45 ROOTS T'4Z45. SEPTIC DESIGNS ADDRESS: 10XX SE BLOOMFIELD RD 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISCLAIMER THIS IS NOT A SURVEY.REFERENCES INCLUDE'APPLICANT/COUNTYPROVIDED PLATS OR SURVEYS.FIELD MEASLREMENTS COUNTY OIS.DESIGN INTENDED FOR SEPTIC OFFICE 360 4261803 FAX 360 427 2353 PURPOSES ONLY LOPMENT MAY BE SUBJECT TO OTHER SHEET:SITE PLAN SCALE I"=200' DEPARTMENT/AGENCY REVIEW ESIONER SED NOT RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS. . _ I -` I -, 31921-14-Qp000 31921-14-00010 I SLEEVE SEWER LINE OR WATERLINE 10' I BOTH DIRECTIONS AT CROSSING War' ` I EXISTING 1200 GAI.. ----- EXISTING FAILED I SEPTIC TANK DRAINFIELD I _- D-BOX._ I EXISTING RV I _. _ joo 4 -, o. (� r /.e:zi I EXIST. +I SHED :�Ol�ll 1�1ZIlI I O _ m .7;,,;� ' OB. PORT (X2) f I \ APPROXIMATE ' , I WATERLINE LOCATION INSTALL TWO 50' LATERALS -1)0P i4itt. OF EXISTING I I INSTALL 30 MIL LINER 4' DEEP 1 LAI ERAL. INSTALL D-BOX AND I (ROOT BARRIER FOR DOWNSLOPE MAPLES) CONNECT TO EXISTING SEPTIC TANK. INSTALL RISERS AND EFFLUENT I ii�, FILTER ON EXISTING TANK. I tttt, A P P R 0 V E ' c:%-& , ,e% t e. RC`BERT�MNCWYSBE :\ s � 2023 EXPIRES 1 V IASON COUNTY ENVIRONMENTAL HEALTH AN ASBUILT!INSTALL SIGNOFF FEE WILL J B W BE CHARGED AT TIME OF INSTALLATION o-ss cis PIONEER DIGGING, INC. CUSTOMER: OLMYPIA OYSTER CO. TEST HOLE I: TEST HOLE 2 o-5a cis PARCEL#:31921-14-00000 ROOTS TO 45 ROOTS Tc).0 SEPTIC DESIGNS ADDRFSS: 10XX SE BLOOMFIELD RD - --- 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISCUUMER IS NOT A°URVEY. s "� DDD . PLATS ORS.RIYSFIE FIELD .EN$NCourtYcs oEs�NINTE INTENDED MAY BE SUBJECT TO OTHER OFFICE-360 426-I803 FAX-360-427-2353 SHEET:SITE PLAN(2)SCALE l"=20' oRwvo NTAGENCY REVIEW DESIGNER NOT RESPSED ONSIBLE FOR SETIMICS UNRELATED TO sEPnc coNroNExrs USE SPEED LEVELERS TO EQUALIZE FLOW OBSERVATION PORT /-- ORIGINAL& i . \ r FINISHED GRADE / ,,,� I . V t ( I - I � D—BOX - ) FILTER FABRIC I I . \ / N .�,.= ..-o, . =..=.- -. -. N .0.....A0Tv..4,04....coo.c. tit�=..• arg02.��I�af��1� RISER/LID •��•� ��•�'•�•�'•�•�•�•� TO FINISHED - ♦ I GRADE I i....;....**,-...;-.."1-.0:-.0; I \— WASHED ROCK GLUED TEE 1 i D—BOX 0 M titr. It. PP • A R 0 ■ E , , .. RceER;"23,YL1Y55e 7-/ -• ' JUL 3 1 2023 EXPIRES AN ASBUIL11 INSTALL SIGNOFF FEE WILL MASON COUNTY ENVIRONMENTAL HEALTH DE CHARGED AT TIME OF INSTALLATION JB W PIONEER DIGGING CUSTOMER: OLMYPIA OYSTER CO. TEST HOLE I: TEST HOLE 2 , INC. PARCEL# 3192t 14 00000 ROOTS TO 45 ROOTS TO 45 SEPTIC DESIGNS ADDRESS: 10XX SE BLOOMFIELD RD , 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DISCWME2 TIN SI EL A SURVEY.REFERENCES INCUIOS.DES1 GVRICWNTF FRONDED DESIGNER: ROBERT H.PAYSSE O ATS OR SURVEYS,FIELD SU REYENTS MID COUNTY GIS.DESIGN INRNDED fOR SEPTIC PURPOSES ONLY. PROPOSED DEVELOPMENT LNY BE SUBJECT TO OTHER OFFICE 360 4261803 FAX 3fi0 427 2353 SHEET: DF DETAIL SCALE NA OEPARTLIEMIAGENCY RENEW DESDGNEN RS PON51R E FOR SETBACKS UNRELATED TO SEPTIC COMPONEMS. 1 ail• I ..ii I .4"" . . • - 1 -.4114 aptirlb.0 iii i-- S111'f411/ 2404'- 0 ...5.-...'•'i ) f ... ...i t ,/. z ... • .% ...-,,,W6, 0 .. IN .2 •-...44i.kft TT 111 / ''''.4i';'•'• ( •kl-t- e- _ -7, ''4. -• t/' ' I-7 ..4., -- • tk C..) -...... . I-=....4. c- ..,, • ii I I 1 11 Li 6 p 1- _ 0 --.111k I :.-... = --.... ••-• d i 0 Z c 1`::.,.....: i- Z L-1-1 0 :•.,..; =1 ce LU . ..-- 1— ..j L.L. I LL_ • •.• ..,,,. .: 0 .. Mi CZ •--- U_ •• . ,.. 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'I) ce u.J n < 0 -T- O c- < • z , _. , .. 1 I . lk x a 1 i 1[14-27 ...... .N.-,-.:::i,;•*'-'7.f..i .'••• -••••••••'—'''' '• 3 en -el L5 re4 pPROV E ,1 - z Ill ' c JUL 3 1 2023 Z a rz: c.0 Li- < i— In' il Ill Z MASON COUNTY JENVIRONMENTAL HEALTI- .L.Lijj BiN z 2 ;---- u rn ..t. 0 L._ _ - - ►nstGllation & System Notes " "��1<9:r r' 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 necessdry r1or.. to insta!lation to confirm all line locations. Any discrepancies found must be reported to the designer iinmPdiately. . 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. '<.,A11:efctrical wiring shall be done by a licensed electrician or homeowner(if allowed) and must be pe;mitt8d•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 loft 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, 0 • fronri?tloil,perimeter drains shall be installed 30ft downslope and loft upslope of drainfield areas. .i :4ir. : . . , 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 fo;the continuous operation and maintenance of the system per WAC 246-272 Fo p ti� s rsance information, refer to Mason County Public Health Homeowner's Manual,which should be ry 'vai €h�tt21 i val. s 14. System owner should be cautious of landscaping around septic components. Root intr JUL 3 1 2023 can cause premature failure of the drainfield area. In addition, bushes and trees should b ent.50N COUNTY ENVIRONMENTAL HEAL.T, away from lids and other septic maintenance points. BW t44'1"r"'Changes made at time of installation may impact designer calculations, pump sizing,and "lizutHO Lab,: compliance w/county and state requirements. Contact designer prior to install w/any A' proposed variations from design. Changes may result in additional fees and permitting. �� ` „,t.,,; '•s CUSTOMER: OLMYPIA OYSTER CO. PIONEER DIGGING, INC. PARCEL#:31921-14-00000 s.�o3,, p`, Rceenr h IMYSSE rig Ge }Ct}asiL, nTIC DESIGNS .ADDRESS: 10XX SE BLOOMFIELD RD '', �c ` 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE EXPIRES' OFFICE-360-426-1803 FAX-360-427-2353 SHEET: NOTES SCALE NA