HomeMy WebLinkAboutSWG2023-00392 - SWG Application / Design - 9/18/2023 MASON COUNTY 415N 6THELTONT96 ,EXT 400
STREET,
SHEHEL TON, EXT 400
$H :
BELFAIR:360-275-4467,EXT 400
` ...8 Public Health & Human Services ELMA:360-482-5269.EXT 400
_ FAX:360-427-7787
On-Site Sewage System Permit: SWG2023-00392
APPLICANT COVALL RONALD W& KERIN N Phone:
Address: 312 CLEVELAND ST HOQUTAM, WA 98550
OWNER COVALL RONALD W& KERIN N Phone:
Address: 312 CLEVELAND ST HOQUIAM, WA 98550
SEPTIC DESIGNER Bob Paysse-Pioneer Digging Inc Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 90 E Bahama Dr
Primary Parcel Number: 121085001023
Permit Description: 2-bedroom OSCAR X02 system w/OS-50 coils
Permit Submitted Date: 09/18/2023
Permit Issued Date: 10/09/2023
Issued By: David Anderson
Current Permit Fees Paid: $525.00 (addnlonalTees may be required upon installation of system).
Permit Expiration Date: 10/04/2026 (based on date of nspection)
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 055.
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.
- OFFICIAL USE ONLY
MASON COUNTY0
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COMMUNITY SERVICES �l °"`"`° °�°
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ON-SITE SEWAGE SYSTEM APPLICATION n
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APPLICANT PHONE r
RONALD COVALL c
MAILING ADDRESS-STREET.CITY STATE ZIP CODE 3
312 CLEVELAND STREET HOQUTAM WA 98559 A
SITE DDRE BAHAMA DRI
-STREET C.TY ZIP CODE
VE IVE GRAPEVIEW WA 98546 I '
NAME OF DESIGNER PHONE I N
ROBERT H. PAYSSE 360-426-1803
NAME OFINS'ALLER PHONE O I —1
TBD coI o
PERMIT TYPE 6efeel ore) DRINKING WATER SOURCE Q
M RESIDENTIAL OSS ❑ COMMUNITY 055 Fh COMMERCIAL 055 H PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL 2 ICO
TYPE OF WORK(mien one) PUBLIC WATER SYSTEM PIRATES COVE
if NEW CONSTRUCTION I LPGRADES FI REPAIR/REPLACEMENT OTHER DETAILS(select all Mat app() 0 TABLE IX REPAIR I (71
SUBMIT IALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE CO
InM DE SIGN FORM(REQUIRED) P.SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE ro
I °
bWAIVER(S)(IF APPLICABLE) 2 0.31 n '
0
DIRECTIONS TO SI re AND SITE CONDITIONS (ex melee gate?
NORTH HWY 3. RIGHT ON GRAPEVIEW LOOP RD. FOLLOW TO RIGHT ON I '
LOMBARD RD. RIGHT ON PIRATES DR. LEFT ON TREASURE LANE. LEFT ON r I o
BAHAMA DR. APPLICANTS SITE IS ON RIGHT.
IN
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I W
OFFICIAL USE ONLY BELOWTHIS I INE --- -
UPGRADE I FAILURE SOURCE tlor reputing purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT [HOME SALE ❑COMPLAINT ❑OTHER'
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
if f:C- 161, S;l
fr ± q (6 1
7e2 ; 0- 0I >i't t 2023
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RECORD DRAWING AND INSTAL-Al ON REPORT
-ROIL CODES:
V=VERY G=GRAVELLY O=SAND _=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS REG-RED FOR FINAL APPROVAL
INSPECT R SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
( /i/K) 10(4/zI e1 -. (o/9/?g ]
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWEBSITE REVISED 12M2015
DESIGN FORM—PAGE ONE Assessors Parcel Number: 1 2 1 0 8 — 5 0 — 0 1 0 2 3
A design will he 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: II..X 1 T'
nn pp pp PARCEL IDENTIFICATION
Permit Number: ''
SWG WZ1-00.7 Z _ Designer's Name: ROBERT H.PAYSSE
RONALD COVALL Designers Phone Number: 360-426-1803
Applicant's Name: _ g — -
Mailing Address: 312 CLEVELAND STREET Designer's Address: 3083 E MASON BENSON RD
HOOUTAM WA 98550 GRAPEVIEW WA 98546
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon 13ioflter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter.1ppe:
ftcAerohic Unit Make/Model OSCAR X02 0 Disinfection Unit Make/Model Other: _
Drainfield Type
❑Gravity ❑ Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 ..--- _ Schedule'Class NETAFIM
Daily Flow: Operating Capacity 180 gpd ; Length 4 COILS ft
Daily Flow: Design Flow 240 gpd i Diameter 0.5 in
Septic Tank Capacity(working) 1200 gal / Number 4 LATERALS
Receiving Soil Type(1-6) 5 Separation 0.5 ft
Receiving Soil Appl. Rate 0.4 gpd/f0 Orifices
Required Primary Area 600 ft2 -' Total Number of Orifices 200 EMITTERS
Designed Primary Area 600 fh/ Diameter 0.42 GPH in
Designed Reserve Area 600 fl'- Spacing 12 in
1 rench/Bed Width 25.55 It 'd Manifold
Trench/Bed Length 23.5 ft ' Schedule/Class SCH.40
Elevation Measurements Length 25 ft
Original Drainfield Area Slope 2 % Diameter 2 in
New Slope,If Altered 2 a/o Preferred manifold configuration used? Gi Yes 0 No
Depth of Excavation Up-slope PER MFR in Transport Pipe
from Original Grade fmn„,_slope PER MFR in Schedule/Class SCH. 40
Designed Vertical Separation 12+ in length <120 ft
Gravelless Chambers Required? 0 Yes 0No 0 Optional Diameter 1 in
Pump Required? El Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day PER MFR
Diff. in Elevation Between Pump&Uppermost Orifice 20 ft Dose quantity PER MFR gal
Drainfield Squirt I!eight/Selected Residual(head) - ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice 51 Higher 0 Lower than Pump Shutoff Pump cJontrols: Please check those required.
Capacity Q Total Pressure Head 7.8 gpm ICITIIner fifFlapse Meter 211Event Counter
Calculated Total Pressure Head 74.2 ft If Timer: Pump on PER MFR pnagy�.
Comments . L \y •' @" 4
DISCHARGE PUMP FOR X02 IS PROVIDED BY LOWRIDGE ONSITE TECH. OCT9 2023
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• DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 8 -- 5 0 -- 0 1 0 2 3
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations IZ Drainfield orientation and layout Reference depth from original grade:
Iii Soil logs Hi Trench/bed dimensions and 21 Septic tank
21 Property lines critical distances within layout WI Drainfield cover
• Existing and proposed wells D-Box/Valve box locations Reference depth from original grade
within 100 tt of property 21 Septic tank/pump chamber and restrictive strata:
El Measurements to cuts, banks,and locations g Laterals, trench/bed,top and
surface water and critical areas Observation port location bottom
El Location and orientation of 2i Clean-out location 0 Curtain drain collector
curtain drain and all absorption 21 Manifold placement 0 Sand augmentation
components
gf Orifice placement Other cross-section detail:
IA Location and dimension of 21 Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
O Buildings 21 Audible/visual alarm referenced Ycs No
21 Direction of slope indicator g Scale of drawing shown on scale It 0 Design staked out
I Waterlines bar 0 LZ Recorded Notices attached
O Roads, easements.driveways, ❑ NI Waiver(s)attached
parking 0 Is Pump curve attached
g North arrow and scale drawing 0 I21 Evaluation of failure
shown on scale bar Non-residential justification
O If Waste strength
❑ g Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation It Yes 0 No
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Signature of Design Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determ'u'a
compliance with state and local on-si egulations: f 0 `�IIC^, i
MOO Z3 ° t `x ?0-3
ironmental Health Specialist Date r _
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:;,,
V. The design is stamped "Approved by Mason County Public Health. �� �����
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is:
✓ 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: I2/I2015
INSTALL OSCAR X02 PER
MANUFACTURER INSTRUCTIONS
CASE
PROPOSED OSCAR INLET
X02 TANKS. 501* \
TO SHORELINE \
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W/ RESERVE
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AN INSTALLOFSIGNOFFINSTALLATION
FEE WILL
BE CHARGED AT TIME OF INS
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SIPTIC DESIGNS AODRI_>S: 90EBAHAMA DR
30%3E \14>o\BF\NON RD GR NFL\ILV,V.A 985 Ic. IX^IC\FR: ROBERT N PAYSSE
JIIILL 3.10-12e 1803 F4A 3GO 427 235 i -.III FT SITE PLAN SCALE P=30` NC,ROA 0N DESIGNER NOT RSET¢ aTO
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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. AB 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 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 mayor
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 rerqr➢varlrf�0� lfproval.
14. System owner should be cautious of landscaping around septic components. Root in An y_
can cause premature failure of the drainfield area. In addition,bushes and trees should be kept OCT O 9 2023
away from lids and other septic maintenance points. _
15. Changes made at time of installation may impact designer calculations,pump siziyrnd - + -
compliance w/county and state requirements. Contact designer prior to install w/any
proposed variations from design. Changes may result in additional fees and permitting. ;`,F'„,,,w
PIONEER DIGGING, ING pm<LI`lFm 8-5orno�� �- ,-
SLPI IC DESIGNS vDD »RI 90 E BAHAbA DR
i(33 E\tV N RFV :N Ia) GR 1I'LA IL' .3(:a 98510 DLICNIR. ROBERT EL PAIGE
Li]k1 360-126IN03 I:9A 3611 I272353 Si Ill(I: NOTES SCALE NA