HomeMy WebLinkAboutSWG2023-00342 - SWG Application / Design - 8/10/2023 MASON COUNTY 415 N 6TH STREET, SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
BELFAIR: 360-275-4467,EXT 400
r Public Health & Human Services ELMA: 360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00342
APPLICANT Stacy Patrick Phone:
Address: 8202 NE SR HWY 104 STE 103 KINGSTON, WA 98346
OWNER Stacy Patrick Phone:
Address: 8202 NE SR HWY 104 STE 103 KINGSTON, WA 98346
SEPTIC DESIGNER Bob Paysse - Pioneer Digging Inc Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: XXX E Olympic View Dr
Primary Parcel Number: 222235106009
Permit Description: 2-bedroom pressure system
Permit Submitted Date: 08/10/2023
Permit Issued Date: 09/11/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/10/2026 (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 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.
OFFICIAL USE ONLY
MASONCOUNTY DATE RECEIVED: %.111.
I O 'COMMUNITY SERVICES AMOU C ' RECEIVE
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Public Health(Community Health/Environment al Hedith) C
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PI-ONE m
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STACY PATRICK c
MAILING ADDRESS-STREET CITY STATE,ZIP CODE g
8202 NE STATE HWY 104 STE 103 KINGSTON WA 98346 co
SS-STREET.CITY.ZIP CODE
XXX SITE EOLYMPIC VIEW DRIVE BELFAIR WA 98528 I r`'
NAME OF DESIGNER PHONE N
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE v N
TBD
PERMIT TYPE(select one) DRINKING WATER SOURCE - I N
W.RESIDENTIAL OSS b COMMUNITY OSS In COMMERCIAL OSS b-PRIVATE INDIVIDUAL WELL b"PRIVATE TWO-PARTY WELL Z C.J
TYPE OF WORK(select One) &T PUBLIC WATER SYSTEM TRAILS END LAKE
I
II NEW CONSTRUCTION I UPGRADES I] REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑TABLE IX REPAIR N 01
SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE co
IW-DESIGNFORM(REQUIRED) IA SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r
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6WAIVER(S)(IF APPLICABLE) 2 0.33 C I
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DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate)
NORTH ON TRAILS ROAD TOWARDS HWY 106. TURN RIGHT ONTO TRAILS END a' rn
DRIVE. FOLLOW AROUND LAKE TO RIGHT ON CREST DRIVE. TAKE 1ST LEFT ON r I o
OLYMPIC VIEW DRIVE. SITE IS AT END OF ROAD, SEE SITE PLAN. o
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS.
OFFICIAL USE ONLY BELOW THIS LINE -
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING O BUILDING PERMIT 0 HOME SALE ['COMPLAINT ['OTHER
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
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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 SI NATURE DATE APPLICATION EXPIRATION DATE APPL 1 APPROVED/ISSUED BY DATE
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THIS FORM Y BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
•
'i DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 2 3 — 5 1 — 0 6 0 0 9
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-sectifln sketch,including all applicable items on checklist.
This form may be scanned and ava7able for public view on the Mason County Web site.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG Designer's Name: ROBERT H.PAYSSE
Applicant's Name: STACY PATRICK Designer's Phone Number: 360-426-1803
Mailing Address: 82002 NE ST.HWY 104 STE 103 Designer's Address: 3083 E MASON BENSON RD
KINGSTON WA 98346 GRAPEVIEW WA 98546
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑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 lif Pressure tt�Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 ✓ Schedule/Class SCH.40
Daily Flow:Operating Capacity 180 gpd ' . Length VARIES ft I
/
Daily Flow:Design Flow 240 gpd / Diameter 1.25 in i
Septic Tank Capacity(working) 1200 gal ✓ Number 3
Receiving Soil Type(l-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 gpd/ftY Orifices
Required Primary Area 300 ft2 ../ Total Number of Orifices 26
Designed Primary Area 300 ft2 / Diameter 3/16 in
Designed Reserve Area 300 ft2 `/z Spacing 48 in
Trench/Bed Width 3 ft / Manifold
Trench/Bed Length 100 ft `Z' Schedule/Class SCH.40
Elevation Measurements Length 18 ft
Original Drainfield Area Slope 9 % Diameter 1.25 in
New Slope,If Altered 9 % Preferred manifold configuration used? et Yes 0 No
Depth of Excavation Up-slope 9 in/ Transport Pipe
from Original Grade town-slope 6 in' Schedule/Class SCH.40
Designed Vertical Separation 24+ in Length <50 ft
Gravelless Chambers Required? 0 Yes lid No 0 Optional Diameter 2 in
Pump Required? fill Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 12 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1200 gal-7
Uppermost Orifice Ild Higher CILower than Pump S utoffP controls:Please check those required.
Capacity @ Total Pressure Head 15.3 user G�Elapse Meter G'Event Counted
i—
Calculated Total Pressure Head 19.8 F �I I• ,fa,n 1.5 MIN. ,pump off 6 HRS
Comments SEP 1 1 2023
MASON COUNTY ENVIRONMENTAL uEALTI.
DJA
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 2 2 3 -- 5 1 -- 0 6 0 0 9
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
lig Test hole locations lil Drainfield orientation and layout Reference depth from original grade:
lil Soil logs lil Trench/bed dimensions and Eif Septic tank
0 Property lines critical distances within layout Q( Drainfield cover
ro Existing and proposed wells 12i D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Ili Septic tank/pump chamber and restrictive strata:
Gd Measurements to cuts,banks,and locations 621 Laterals,trench/bed,top and
surface water and critical areas 21 Observation port location bottom
II Location and orientation of lid Clean-out location 0 Curtain drain collector
curtain drain and all absorption fid Manifold placement 0 Sand augmentation
components
!ig Orifice placement Other cross-section detail:
Ii1 Location and dimension ofle Observation ports/clean-outs
primarysystem and reserve area Lateral placement with distance
to edge of bed Other Information
0 Buildings
Eig Audible/visual alarm referenced Yes No
10 Direction of slope indicator IZI Scale of drawing shown on scale Ed 0 Design staked out
10 Waterlines bar 0 lif Recorded Notices attached
IA Roads,easements,driveways, 0 lif Waiver(s)attached
parking lif 0 Pump curve attached
IA North arrow and scale drawing 0 g Evaluation of failure
shown on scale bar Non-residential justification
❑ if Waste strength
❑ Glf Flow
DESIGN APPROVAL
The undersigned designer must be notified installe at time of installation ET Yes 0 No
6‘14
1444
Signature of signer U Date
The undersigned has reviewed this design on behalf of Mason County Public Health and deterrrl5neaitt !' �'
compliance with state and local on- • regulations: t `7g/ 54 23 M� SEP 1 1 ZQ-
s
vironmental Health Specialist Date ONOOUN
�fNVjRONMENrh` ^
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDIT 41:
I The design is stamped"Approved"by Mason County Public Health. g7/0/X?6^
I The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
I 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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DRIVE 1AN ASBUILT/INSTALL SIGNOFF FEE WILL
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SEPTIC IC_ LEST(FNS ADDRESS: XXX OLYMPIC VIEW DR ROOTS @ 35 ROOTS C'35 ROOTS @ 35
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT II PAYSSF DrDLAna TES r NOT A EUIWET.REFERENCES INCLUDE OPRICANTEDUNTY PROP.--
TMIS ORSUROErs.FE1D IEPSURENEIES PHD COW,'GE.DESIGN INTENDED FOR,L.
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SHE EI: SfTE PLAN SCALE I 30' DENATC4GENCYREVIEW DESIGNER CPO
SEPTIC COMPONENTS
AN ASBUILT!INSTALL SIGNOFF FEE WILL CLEANOUT
BE CHARGED AT TIME OF INSTALLATION
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EXPIRES
PIONEER DIGGING, INC. PARCEL R: S I AC;Y I A I RJCK TEST HOLE I TEST HOLE Z TEST HOLE 3:
0 35 GLS U 35 GCS 0 35 C 1J
PARCEL# 7�?�3 5106009 35+'lILL 35+TILL 35+TILL
SEPTIC DESIGNS ADDRESS xxx OLYMPIC vow DR R()°IS @ 35 RCOTS c4'35 ROOTS c@ 35
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3083 E MASON BENSON RD. GRAPENEW,WA 9854( DESIGNER: ROBERT I-L PAYSSE DISCLAIMER::TOO III NOT u A SURVEY..P EFEPENCES 0411/ URV DE AM-KNIT/CO PROVIDED
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E f.A1S ORSURVET S.F EID YEASUREASSIIS AND COUNT T GB DESIGN NTENDED PT FOR SE .:
OFFICE 360-426-1803 FAX-360-427.2353 SHEET: DF DETAIL SCALE I =N ' NIA S OAT
USED DEVELOPMENT
um RE SU&ECT TO OTHER
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— 24"RIBBED RISERS W/BOLT ON WATER-TIGHT LIDS
CLEANOUT USE RISER LID ADAPTERS WITH NO GASKET LIDS
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APPROVED LIST .' CONCRETE SEPTIC TANK . �:-
OF SEWAGE ~' <
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TANKS <_ ,,'� > > 2023
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PUMP TANKS e,h' " :+.y V'...
OVER1000GAL. :,� ' ,�r >; • " 7 JYV,'RO.•:4ENTAL
REQUIRES TWO �J 'r� �'�'.Q®IPIi .• _• . .• ri cALTH
ACCESS RISERS •;.i:;. .`.i;,.',:.. .::;';?. . . . •��.::w•>3v'::`�f-.:q":ei';..._.;�:. ;a:;;�•:.;i:i:., r' • 74.
TO GRADE
PUMP TANKS / - .F.
LOCATED AT HIGHER AQUAWORKS ExI-;•
ELEVATION THAN CONTROL PANEL
w/nMEREVENTCOTER I ELECRICALWORKDONE 24"RIBBED RISERS
DRAI N FI EL MUST do HOUR ME METER L gY LICENSED ELECTRICIAN
HAVE ANTI-SIPHON W/WATERTIGHT LIDS
DEVICE INSTALLED. T
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TRANSPORT LINE
INLET I UNION & BALL VALVE
• 1200 GALLON WA TER TiGHT
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WATER-TIGHT '
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JOINTS W -
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(OR FLOATS) CHECK VALVE
USE TANKS FITTED •
W/CAST IN WATER ..,
TIGHT FITTINGS FOR USE RUBBER
I NLET/OUTLES AND PUMP BUCKET. GROMETS FOR
CAST IN RISER - BUCKET HEIGHT MUST BE TRANSPORT LINE
•
ADAPTERS TO AT LEAST HEIGHT OF PUMP _— AND ELECTRICAL
ENSURE WATER 1 1 ON RISERS. MAKE
TIGHTNESS • 'a • •. - - " ' • • . ' • a} SURE ALL HOLES
ARE WATER-TIGHT
PIONEER DIGGING, INIC, CUSTOMfl SI-ACY PAIRJCK SCA E JA
PARCEL # 2222351flfi009 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRESS:XXX OLYMPIC VIEW DR COMPACTED LEVEL SOILS. RUN CROSS
3083 E MASON BENSON RD. GRAPEVEW,WA 98546 DESIGNER: ROBERT I L PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO
AVOID SETTLING.
OFFICE-360-426-I803 FAX-360.427-2353 SHI±I: TANKS SCALE NA
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LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE DIST.TO TOTAL TOTAL
LATERAL# LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1STORIFICE ORIFICES HEAD
(feet) (Inches) (feet) (feet) RATE(gpm) (feet) (Inches) (feet)
1 30 1.25 3 33 3/16" 0.59 4 30 8 0.12
2 35 1.25 9 44 3/16" 0.59 4 30 9 0.20
I _-
3 35 1.25 18 53 3/16" 0.59 4 30 9 0.24
DRAIN FIELD HEAD(feet) 0.56
TRANSPORT LINE HEAD(feet) 0.23
ELEVATION CHANGE(feet) 12
RESIDUAL/SQUIRT(feet) 2
EXTRA LOSS/FITTINGS(feet) 5
TOTAL DYNAMIC HEAD(feet) 19.78
TOTAL GALLONS PER MINUTE 15.34
PIONEER DIGGING, INC. CUSTOMER: STACY PATRIC'K
PARCH #:22293 51436009
SI.P TIC_ DESIGNS ADDRESS: XXX OLYMPIC VIEW DR
3083E MASON BENSON R.D. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE
OFFICE 360 4261803 FAX 360427 2353 SHEET CAL.CS SCALE NA
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 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 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 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 iteAoppwgs may or
may not meet other requirements. V D
13.All onsite septic systems require regular maintenance to verify satisfactory operation. The systemer/operator is
responsible for the continuous operation and maintenance of the system per WAC 246-272A. For ope bppn Lnji ytenance
information,refer to Mason County Public Health Homeowner's Manual,which should be/446.0061Oryinstallation approval.
ENV1RO;yME
14.System owner should be cautious of landscaping around septic components. Root intrusion D,Jq MENTAL HE -
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept
away from lids and other septic maintenance points.
15. Changes made at time of installation may impact designer calculations,pump sizing,and
compliance w/county and state requirements. Contact designer prior to install w/any fig'•
proposed variations from design. Changes may result in additional fees and permitting.
•
PIONEER DIGGING, INC. CUS
PATOMER: S I ACY PATR IK
RLEL it:29923 5106009 s coar J
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SEPTIC: DESIGNS ADDRESS: )00C OLYMPIC VIEW DR
3083 E MASON SON BENSON RD. GRAPENIEW,WA 98546 DESIGNER Roma I L PAYSSI: EX S
OFFICE 360 4261803 FAX 360427-2353 SHEET: NOTES SCALE NA