HomeMy WebLinkAboutSWG2023-00303 - SWG Application / Design - 7/17/2023 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
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SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
x P Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00303
APPLICANT SULLIVAN WILLIAM 0 & PATRICIA A Phone:
Address: 36222 22ND AVE SOUTH FEDERAL WAY, WA 98003
OWNER SULLIVAN WILLIAM 0 & PATRICIA A Phone:
Address: 36222 22ND AVE SOUTH FEDERAL WAY, WA 98003
SEPTIC DESIGNER Bob Paysse -Pioneer Digging Inc Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 2170 SE Crescent Dr
Primary Parcel Number: 319045400061
Permit Description: Upgrade to Nuwater
Permit Submitted Date: 07/17/2023
Permit Issued Date: 07/26/2023
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $255.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 07/17/2026 (based on date of inspection)
Permit Conditions:
1 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
4 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
1 OFFICIAL USE ONLY
DATE RECEIVED: 7 _ ( 1
: :$ MASON CO' N VEp cni.
COMMUNI i J • AMOUF CEE4 `:, RECEIV BY. CO (p
Public Health(Community Health/Environmental Health) l _ C N
415Cn
360 N 76 9670,ext.Shelton,
It 36WA 5 467,¢x[.400 / .^1 C� CO•-• O xl
415 N.6th Street-Shelton,WA 98584 \x\b ..1\- - v
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ON-SITE SEWAGE TANK ONLY APPLICATION › z
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1 P? .7..A.l PHONE
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WILLIAM SULLIVAN z
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MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE W
36222 - 22ND AVE SOUTH / FEDERAL WAY, WA 98003 m
SITE ADDRESS-STREET,CITY.ZIP CODE
2470 SE CRESCENT DRIVE / SHELTON I co
NAME OF DESIGNER PHONE
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE v I co
TBD Z I
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TYPE OF WORK(select one) DRINKING WATER SOURCE O
. ®.NEM/CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I -P
❑ PUBLIC WATER SYSTEM FAWN LAKE WS
COMPONENT(S)TO BE REPLACED/INSTALLED 1
❑ SEPTIC TANK ❑ PUMP TANK ❑RV HOLDING TANK BEDROOMS LOT SIZE CTI
II OTHER NUWATER BNR500 2 0.22 al
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST 0 I
❑ SURFACING SEWAGE ElEXISTING FAILURE ElSHORELINE lig 100FT+PUBLIC/COMMUNITY WELLS 0
X O
SdBMI' ALS E SOFT+PRIVATE WELLS,SURFACE WATERS,STREAMS:RIVERS 1
❑1 PLOT PLAN(REQUIRED) B TANK CROSS SECTION(REQUIRED) J 10FT+DRINKING WATER SUPPLY LINES I I 0
❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) I I SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
r PLOT PLAN CHECKLIST CD
I
® PROPERTY LINES AND EASEMENTS ® EXISTING/PROPOSED STRUCTURES ❑ EXISTING/PROPOSED OSS COMPONENTS AND LINES —I
IN WELLS WITHIN 100FT II1 WATER SUPPLY LINES IN DRIVEWAYS/PARKING ❑O SURFACE WATERS,STREAMS,RIVERS,ETC... 0)
go® DIRECTION OF SLOPE/CONTOURS ■ PERIMETER/CURTAIN DRAINS ® NORTH ARROW ® SCALE BAR
DIRF^T:3i4B TO SITE AND SITE CONDITIONS(ex.locked gate)
TURN INTO FAWN LAKE COMMUNITY. AFTER GATE TURN LEFT ON CRESCENT
DRIVE AND CONTINUE ALL THE WAY AROUND LAKE TO SITE ADDRESS 2170 ON
RIGHT.
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OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(for reporting purposes) - _
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑rr 1 f,T r f '([ 1
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COMMENTS/CONDITIONS V 5 U
i' JUL 1 2023
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SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS'. TANKS MUST MEET CURRENT MINIM .t' F?ATgliaiVEAITS TRISERS
AND S TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL.
I PE 0 SIGNATURE DATE APPLICATION EXPIRATION DATE APPL ON APPROVED/ISSUED BY DATE
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T S MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
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DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 1 9 0 4 — 5 4 — 0 0 0 6 1
A design will be reviewed when 3 conies 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: I I"X I "
PARCEL IDENTIFICATION i
Permit Number: SWG 2.02.3 — UO 303 Designer's Name: ROBERT H. PAYSSE
Applicant's Name: WILLIAM SULLIVAN Designer's Phone Number: 360-426-1803
Mailing Address: 36222-22ND AVE SOUTH Designer's Address: 3083 E MASON BENSON RD
FEDERAL WAY WA 98003 GRAPEVIEW WA 98546
City State Zip City State Zip
Treatment Device
0 Glendon Biofilter 0 Sand Filter ❑Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
'Aerobic Unit Make/Model NUWATER/BNR500 0 Disinfection Unit Make/Model Other: TANK ONLY
Drainfield Type
-Q-Gravity 0 Pressure 0 Trench 0 Bed ❑Sub Surface-Drip - 1
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class EXISTING
Daily Flow:Operating Capacity 180 gpd Length - ft
Daily Flow:Design Flow 240 gpd Diameter - in
Septic Tank Capacity(working) BNR500 gal Number -
Receiving Soil Type(1-6) EXISTING Separation - ft
Receiving Soil Appl.Rate - gpd/ft2 Orifices
Required Primary Area - ft2 Total Number of Orifices -
Designed Primary Area - ft2 Diameter - in
t
' Designed Reserve Area 915 ft2 Spacing - in
Trench/Bed Width - ft Manifold
Trench/Bed Length - ft Schedule/Class -
Elevation Measurements Length - ft
Original Drainfield Area Slope - % Diameter - in
NOVii,Sfope,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 -
Designed Vertical Separation - in Length - ft
Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter - in
Pump Required? 0 Yes le No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day -
Diff.in Elevation Between Pump&Uppermost Orifice - ft Dose quantity - gal
Drainfield Squirt Height/Selected Residual(head) - ft Chamber Capacity(flood) - gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Gslllaeity @ Total Pressure Head - gpm ❑Timer ❑Elapse Meter 0 Event Counter
Calculated Total Pressure Head - ft If Timer: Pump on - ,Pump off -
Comments
REPLACE EXISTING SEPTIC TANK W/ NUWATER BNR500, CONNECT TO EXISTING DRAINFIELD
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)DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 1 9 0 4 — 5 4 .,:0....0,...0---fi.-_1.---.--.1
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations PI Drainfield orientation and layout Reference depth from original grade:
! "let"Soil logs g Trench/bed dimensions and
g g Septic tank
66 .Property lines critical distances within layout l' Drainfield cover
66 Existing and proposed wells 21 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Gi! Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks,and locations g Laterals,trench/bed,top and
1 ; -------surface water and critical areas Ig Observation port location bottom
g Location and orientation of lifClean-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
# ., _., , Buildings IiiAudible/visual alarm referenced Yes No
gl Direction of slope indicator g Scale of drawing shown on scale 0 It Design staked out
g Waterlines bar 0 M'Recorded Notices attached
1„
g Roads,easements,driveways, P
p R o v E •: . Er Waiver(s)attached
parking AI If Pump curve attached
•
. .North arrow and scale drawing JUL 2 6 2023 : I Evaluation of failure
shown on scale bar on-residential justification
MASON COUNTY ENVIRONMENTAL HEA_ 11 Waste strength
JBW ❑ al Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation g Yes 0 No
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i P�atur�o� ? I signer Date
�3
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local o - ite regulations: `7 7,
\,Aro .--.
En it to ealth Specialist Date
CAUTION: DESIGN APPR VAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ •The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 7--'2 2(Q
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. I
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
I .
f CRESCENT DRIVE
EXISTING 2 BEDROOM DRAINFIELD
330 SOFT PER COUNTY RECORDS� APPROX. EDGE OF PAVEMENT
(PER HOLMAN SURVEY)
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\ \�� /�� `PROPOSED RESERVE
1 / ' , , 915 SOFT AVA LALBE
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‘ ::%' OUTSIDE OF PRIMARY
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75' FROM I �\ \ �� /
..,,, ...., . LAKE I ���.......
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- ____�, ,� /ij4_ i '' EXISTING TANK/
-_�_ / �/ PROPOSED NUWATER
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EXISTING WALL -
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EXISTING WALL
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I PUMP OUT& REMOVE EXISTING 2 I
EXISTING SEPTIC TANK. BEDROOM I
INSTALL NUWATER HOME
BNR500 AND CONNECT P1PROV.E
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4 UL 2 6 2023
J :� U\COUNTY ENVIRONMENTAL HEALTH
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APPROX. EDGE
L\ _ I OF LAKE
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t I 4 iy1 `FAWN LAKEN 1. ,
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- ,.SPIRES ♦ AN ASBUILT/INSTALL SIGNOFF FEE WILL
♦ BE CHARGED AT TIME OF INSTALLATION
PIONEER DIGGING INC.
CUSTOMER: WQ LIAM SULLNAN NO TEST HOLES PROVIDED,COUNTY RECORDS
PARCEL# 319045400061 AND INFORMATION AVAILABLE SUGGESTS 18"24"OF
SANDY LOAM(4)SOIL ABOVE RESTRICTIVE LAYERS.
SEPTIC DESIGNS ADDRFSS: 2170 SE CRESCENT DR
3083 E.MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISCLAIMER: T,IS ILT AMEAS REMENTSADDCES INCLUDE GIS D ��DED PFOR SEPTIC
OFFICE 360-426-1803 FAX 360 427 2353 DEPARTMENT/AGENCYR RENEW DESIGNER NOSES OTA.Y PROPOSED T RESPONSIBLEESPONSIBLE FOR SETBACKS UNRELATED TO I
SHEET: SCTE PLAN SCALE 1"=20' SEPTIC COMPONENTS
A9'_2" /
WATERTIGHT
LID VENT(typ) DUAL PORT AERATOR
RISERS(TYP)
1 1, i . _ .
I AIRLINE
36"MAX. 1'PVC(TYP) _
0 AI PVC MASTIC
NE
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( N.I 2'COUPLING !t
8 REDUCER 6" r
2'TEES 1"PVC SLUDGE
12" RETURN LINE 17----T
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2'PVC _..)
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TRASH CHAMBER - DIGESTER CHAMBER CLARIFIER
OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER
FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS
FLOOD:191 GAL.
65' 58" r -I
50"
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36" o e 1"X 12'
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• DIFFUSER BARS(2)
,� JUL `s 2023 O PARALEL TO TANK WALL 4.
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I 3* EtdV1RON�`IF NTAL NEA r SLUDGE RETURN
:,�'N COUN I J�� // 1.5'TAPER
SIDE VIEW
1"=1.4 ft l STONE-FREE NATIVE SOIL
OR COMPACTED SAND
OVER STONY SOIL
hr4. INSTALLATION INSTRUCTIONS `* : r ' ' 53-
1)Excavate tank hole with vertical walls to 1 foot larger than
tank on all sides.
2)If bottom of hole is stony,install 3"of compact sand&level 'Y 9I-2 t
out with screed. ———1 l
3)Install tank in center of hole,keeping 1 ft.void space on 17 ALL�""""
all sides. I 24"RISER S(IYP) 24'BLOWER I
4 As tank is fillip with water,fill in voids ace with compact I ()USING CAS
9 P P l N TOP OF LI
granular(sandy)soil free of large clumps of clay. I
5)Installi rest of system,&affix risers to adapters with I
waterproof adhesive. [ I I 1 1 ] 4I-6-
6)Perform watertightness test in field as required by local I jurisdiction. I 12'RISER I
7)Upon approval to backfill,carefully backfill with nativeII i
soils over top of tank. I TRASH CHAMBER Q TEI/GESTE� I ICIARIFIERI
8)Final grade the surface to avoid chanelling surface L .1 L I _ _J
water toward tank. N
TOP VIEW
1'=2.8 R. I
'v. o.,z '' AEROBIC TREATMENT TANK DETAIL FOR
�6 :O. Nu WA TER BNR-500 TREATMENT UNIT
:iiiiiENVIRO-FLO, INC. REVISED: �/0�/�
�� Wastewater Treatment Technologies 1
�,T„„�°° P.O.BOX 321161, Flowood,MS 39232 SCALE
... (877)836-8476 (601)845-4716 fax 1" = 1.4 ft.
__ www.enviro-ffo.net
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
iriuiiipie 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
rtinfuston'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
.YR d.
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 r egi'ired. 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. Stormw*ter 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.
3144onsite septic systems require regular maintenance to verify satisfactory operation: ThrIsPer o eiVp "a_ _,Su.
operation and maintenance of the systemper WAC 246-2 A. F r operation an m teftance
responsible for the continuous Y f''
information, refer to Mason County Public Health Homeowner's Manual, which should'be ece' �U-af2e6ir2828atio piroval.
'
14. System owner should be cautious of landscaping around septic components. Root intAci;c1NTY ENU!RONMENTAL HE;,
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept JBW
away,ff4,Qm r lids and other septic maintenance points.
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PIONEER DIGGING, INC. C'USTOi�IER wILL1AM SULLIVAN
PARCEL# 31904 54-00061 1�4:.,?e.F14 T 1 arssF :'r •
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:'4' SEPTIC DESIGNS ADDRESS: 2170 SE CRFSCEM DR.
3083 E MASON BENk�N RD. GRAPEVIEW,WA 98546 DESIGNER.: ROBERT H.PAYSSE ExPin_s
OFFICE 36o-4261803 FAX 360 427 2353 SHEET: NOTES SCALE NA I!