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HomeMy WebLinkAboutSWG2023-00488 - SWG Application / Design - 11/16/2023 MASON COUNTY 415N 6TH STREET,SHELTON,WA 98584 S7 00 BELFAIR.360 275-4467, EXT 4 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00488 APPLICANT PAYSSE ROBERT H & PATRICIA Phone: 1.360.426.1803 Address: 3083 E MASON BENSON RD GRAPEVIEW, WA 98546 OWNER PAYSSE ROBERT H & PATRICIA Phone: 1.360.426.1803 Address: 3083 E MASON BENSON RD GRAPEVIEW, WA 98546 SEPTIC DESIGNER Bob Paysse - Pioneer Digging Inc Phone: 360-426-1803 Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: 1940 E Mason Lake Dr E Primary Parcel Number 221041290101 Permit Description: 2-bedroom gravity system for ADU Permit Submitted Date: 11/16/2023 Permit Issued Date: 11/28/2023 Issued By: David Anderson Current Permit Fees Paid: $780.00 (additional lees may be,equied upon installation of system). Permit Expiration Date: 11/22/2026 (based on date of nsperlmn) 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/environmentallonsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY rtare M. MASON COUNTY DATEHEwF2 1 i - L .)› _ c n - i)' COMMUNITY SERVICES ^^°'T`b0 •• mo m �t ARI Health AL hErvmn anal Health < CO SWG )L)l•)- p04C116 Ig 53 Oft-SITE SEWAGE SYSTEM APPLICATION 3 A m m RC__ " & PATH?-_, A PAYSSE 360-426-1803 I ti L=CUBE 3 70>- ASON -NEON ROAD GRAPEVIEW WA 98546 m Ig4O - iN BFIySON ROAD 6/54- GRAPEVIEW WA 98546 I N) IN -2( A r: PAYS E 1360-426-1803 I� E - - --- <o I o IIP- 1 DR K ER OXEYE 1 • lJN TA CSS r COMMERCIAL OSS I Fl RI AT E INDIVIOJAL WELL f PRIVATE.TWO-PARTYWEL- Z I A ❑ PUBLICLATE] 1 STEM =CE C 4 P ' AcPLv.^.ENENT I. a . - -PPh% ❑ TABLEIXREPA.R I — ❑ SURFACING SEWAGE 0 EXISTING EALURE 0 SHORELINE CO 7SE O sce,REQUIRED) A LOT SZE r I N _. TWO 2.51 - -- - - - �<. 1 c° S - LE'-T ON MASON BENSON ROAD. FOLLOW PAST FIRE STATION 1 I c .i E.SECTION. UP AND OVER HILL DOWN TO MASON LAKE. BEFORE r I\ I I MA ON LAKE DRIVE EAST, SITE IS ON LEFT. SEE SITE PLAN. I E E.A3LER'NI iM1 TES(NCLE NLMBERS. I -a ____----- OFFICIAL USE ONLY BELOW THIS LINE -- - _ -,_.-GIPING 0 SIDE NG PERMIT El HOME SAE ❑OOMPAIIVT ❑OTHER. Q.IIfISISYI SOS PIIf7 I mnusrvislm IO aAs #1O61 ' 604415 into _ 6`1 V6,III'lfi/5 -%.7 {v0 ilejF Tit 3:0- 6`I 116.1 ?udS 0, 4.6., v6 zld$ i• 140 1 S! IF, p1(XO RECORD CRAP NT AND I NSTALLAIOA REPORT -__ _aREMEL -scams ' REXI.PM FOR ,L APPROVAL APPLICATION APPROAFCA/ISSLED BA DATE 42— I1/ll/7,7 1 II177,/W76 Mt—' 11/Z Via a3 ;HIE' _ .. 5 SCANNED A . AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 272C-5 0-le 4tkr/5 4' 110 0-cc" &Itself all o/6.14IAlI DESIt:' :ORYI—P%ICEONE Assessors Parcel Number 2 2 1 0 4 — 1 2 — 9 0 1 0 1 A de.igu n 1.1 he reviewed w hen 3 copies of each of the following are submitted: "Contrite:,. Jsign form that has been signed and dated. v Scaled layout sketch. including all applicable items on checklist a Soaleat Ho' 2 ian including all applicable items an 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.%Actinium paper size: I I k I- p ) PARCEL IDENTIFICATION Pc I ...... 8l.A C 203`0048(j Designers Name. ROBERT H. PAYSSE ROPE'.T H. PAYSSE360-426-1803 Apr Lai �.:ne. Designer's Phone Number: Mailing 3083 F MASON BENSON RD Designers Address: 3083 E MASON BENSON RD GRAPE:/IEW WA 98546 GRAPEVIEW WA 98546 City State Zip City State Zip DESIGN PARAMETERS Treatment Device G. I� _i, ❑o _-::mr ❑ NIou:id ❑ Sand Lind Drainlleld 0 Recirculating Filler.Tic. ❑ 4:.�� ,Lka'A9ow. ❑ 6minketion I-nit Make.Noclel f Other. � Draineld Type EV/CCu\L. C Pressure tS Trench ❑ Bed 0 Sub Surface Drip . a.tic TanklDi-ainfield Specifications Laterals NLL uc:..:-,aS ins 2 Schedule:Class 2729 PERF Da cretin (epee n 180 gpd 1 Length 34 ft Da 3, i_n Flow 240 gpd I Diameter 4 in Scut_Ti. . CI!) 1200 gal Number 3 Re... _ . ,pe(1-61 3 Separation 10 ft Re _ �vppL Race 0 8 god/ft' Orifices 300 tt- Fatal Number of Orifices - 306 ti: Diameter - in 306 It: Spacing - in r. 3 it Manifold 102 ft Schedule/Class 3034 Fievatiun \leasu rements Length 20 ft . ..d -era Slone 16 .o Diameter 4 in N, ,red 10 o Preferred manifold configuration used? V Yes 0 No 24 in Transport Pipe Pm ii e) Grade B, _ 21 in ScheduleClass 3034 _ , - . )c-.a-atin- 36+ in Length <50 ft 3.. _ Required" ❑ Yes No 0 Optional Diameter 4 in .... ❑ Yes `3 No Dosing and Pump Chamber eurnpiSip'ai.n Specifications N umber of dosesday - 7iI'. ie ) <an Between Pomp& U ppennos.Orifice It Dose Dose quantity - gal Lahr Seia<red Residual (heac i - ft Chamber Capacity(flood) - gal _ O Higher ❑ Lower than P.tnp Shutoff Pump controls: Please check those required_ Ca . 2 Pressure I lead - _ apm ❑'Rimer ❑Elapse Aleter 0 Event Counter Ca carer. ra' Pressure I!cad - II If Timer: Pump on - ,Pump off - ' ,1iE[ 2ORM—PAGE TWO .'assessor's Parcel Number: 2 2 1 0 4 — 1 2 -- 9 0 1 0 1 Permit Ns tuber: SWG DESIGN CHECKLISTS -t2 ';.,t '=lan Scaled Layout Sketch Cross-Section Sketch E'l _ . isle:ocat'one la Drainfeld orientation and layout Reference depth from original grade: .r sines t I eh'bed dimensions and gSeptic tank Ic i tl dislars within layout g Drainfield cover e and nropesed wells g D-BOJValse box locations Reference depth from original grade I Ou t1 of pi oncrly ! g Septic tankepump chamber and restrictive strata: 90 - -suremen s to arils, banks, and locations lg Laterals. trench/bed, top and _, realer and cr.lical areas i Observation port location bottom _. _ ,_.._ ,cd erie_raiion of 2 Cleat:-out location ❑ Curtain drain collector _—..._iein and a,, absorption I It Manifold placement It Sand augmentation Orifice placement Other cross-section detail: tion and dimension of r t Lateral placement with distance ll Observation ports/clean-outs in and :esenc area to edge of nag Other Information 2 Audible:s Isca I alarm referenced Yes No u iv) a: slope indicator g Scale of drawing shown on scale d 0 Design staked out ._ . an Ines bar 0 lg Recorded Notices attached L. Is easements. :Lis ew'ays, 0 fd Vs aiver(s)attached O g Pu np curve attached -re ti ands ale drawing ❑ g Evaluation offailure in scale En I Non-residential justification ❑ la Waste strength ❑ A flow DESIGN APPROVAL .end designer Insist be noti tied bbiinsta ler at time of installation Cigl Yes ❑ No Signat are of Designer Date se end has is lessed this design on belmifof Mason County Public Health and determined it to he in t^ ice rr ith state and local on sit ulations: IIIzg� — Environmental Health Specialist Date 4. _ ,a: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: gn is stamped-Approved- by Mason County Public Health. �� ���� 's:t wexpired. S a _ Permit has not the Permit Expiration Date is: -1eld site cend:tions have not been altered to ads ersely affect conditions of design approval. 'h._ _ Note: The system must be installed by a certified installer, .in_r1:s prior authorization is obtained from Mason County Public Health. `_r sty lhzion Fee is required. This ".. -a may be scanned and available for public view on the Mason County Web site. Updated Date: I r712015 NOV 2 I7023 EXISTING 3 BEDROOM RECEIV PRIMARY& RESERVE �` \ P.,��1��:� — ED (SWG99-0172) `����" �/� \ ' 4i' 4s ' __ �i/ `. Oak q O EXISTING SEPTIC TANK EXISTING 3 BEDROOM HOME IIj .�o= � o� ESTINGWELL % I I I t \ S-O (2-PARTY) I 1 II / I 1 I _ J � / I,, ! I \\\/ .. I I A � WATERLINE �� PROPOSED 2 BEDROOM PROPOSED i I j PRIMARY& RESERVE SEPTIC TANK of i'or 4p11 —_.E I I , Nis t:,or.. _ iiti:r..14:: I I I I 5> . .A.rn-,r<M --'', PROPOSED --� I "� % <°�'" ')'%`)` ��- 2 BEDROOM ADU FUTURE . I CARPORT 30'ACC ESS/VI'ILITY EASEMENT AN ASBUIETI INSTALL SIGNOFF FEE WALL BE CHARGED AT TIME OF INSTALLATION I PIONEER DIGGING, INC. CUSTOMER: ROBERT R PAYSSE TEST HOLE O£2 TER HOLE 3 PARCEL It 72104-1290101 0:60 ca.Ms o«I a u 0-60 Gus ROOI5-60 ROOIS-W ROOD-60 SEPTIC DESIGNS ADDRESS: X:a MASON BFNSON RD 3083 E MASON BENSON RD. GRMFVIEW.WA 98546 DESIGNER: ROBERT FL PAYSSE OFFICE-360-426I803 FAX-3614427-2353 SHEET: SITE PUN SCALE I'=50' wsox' er. „e.„o,,,rn%Nsi t retai�u,,,,,ATUTD G\ AN ASBUILT/INSTALL SIGMOFF FEE WILL I 1 ,� <Nov 2 9022 BE CHARGED AT TIME OF INSTALLATION �� it ��- RECEIVED tibi • __L D-BOX 1 � O /- TANK / SEPTIC . .0,# • C,Q e 3/S PROPOSED ORIG. & FIN. HOME GRADES OB PORT FILTER — I USE SPEED FABRIC j ; LEVELERS TO EQUALIZE FLOWS f J1. ,3ififkr WASHED ROCK K .o Ni I RISER/LID TO FINISHED GRADE PIONEER DIGGING, INC CUSTOMER ROBERT I L PASSE TEST IIOLE L TEST HOLE 2 TEST HOLE 3 PARCEL 4721041290101 060UA15 030(LAE 060GIWS WOE, 60 ROOT\ 60 ROOTS-60 SEPTIC DESIGNS ADDREU: Ka MASON BENSON RD 3083 E MASON BEN:ON RD. GRAI'EVIEW,WA 98546 DESIGNER: ROBERT H.PASSE OFFICE 3604261tl03 FAX-3a14272353 SHEET OF DETAIL SCALE P=10' =.®a.R W7, .E FOR u,..ME r.E,A.ED,a . . ._ ' :\\ \ H. I& . . P. . . \ \ b. \ [ \ \ ; I - © } > [ < ( p.,[, s, - \ 1 - y > — i - _ \ \ % ) - _ » \ « ° - | r- \ \ ) Lli_ 9 Z - � � : CU4 it \ \ . , , , § © / ~ ^ } \ i.ate , � } , . i w § \ \ \ ° - - _ > \ § 2 5 \ - ` V . y «: - .� - 2 \ : « \/ k \ - - . \ x - « ' - 3 < \ : % : \ \ y 7 - s ' § : § \ \ & / 9 : - - . a = « c72 O o \ j \ i , • .., p y I \ , 0 U : \ ? - - : : : \ § . 2_� \ »_, : « « I- __ ` l) \ \ » � \ K00 ƒ� Lu r _D \ \ \\ . / / } § \ % / _ • « \ § c ° x = � m G z z 0 § Hz ; Z , \ ^ / E. \ , 9 \ • Instalari.s & System lotes 1- Installer -_st contact desi=.ler for final inspection of the installation prior to cover. All components, includingtanks, lids, transport Ir�.e drainfield, and water lines must be open for inspection. A$350.00 fee will be charged for time involved with the inspect.-` _.. _cnstc'latic- r rd creation of tha record drawing. The designer reserves the right to charge additional fees if m_CI,Is •_ : ere needed do to installation errors or inaccessible components. 2.This >=c t' :resign 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 arc local health department prior to attempting installation. 3-Desisna is rod a surveyor. Installer must familiarize themselves with property line locations prior to installation. Any confusion r-conflicts with line locations should be reported to the property owner. A licensed surveyor may be necessary prior to installa:'er :o confirm all I.ne locations. Any discrepancies found must be reported to the designer immediately. 4_ 3-ai Me' a-ea may wily c-cleared by a licensed installer familiar with sensitive drainfield area preservation. The builder,lot develooer. or oroperty owner shall not clear the drainfield area. Any clearing required for drainfield installation shall not remove or it lsturb any top soli in Primary and Reserve areas. Removal or disturbance to drainfield soils could render design void. 5.The esopesty 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. Ali p-ode. AS tanks must be installed on original soils or compacted gravels. Extend all tank connection lines out onto original soil to a_vol:1 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. H'.I eiszttool‘rising shall he cone by a licensed electrician or homeowner(if allowed) and must be permitted through Labor and indostres Designer not responsible for electrical permitting or other electrical specific code requirements. B.The 2a_c:_c septic system should be installed in dry weather conditions. Any failed attempts at installation during wet weather cc.JCons may render this design void. 9. 1Aa,r:o.c refs to waterlines ,pith all septic components. If less than 10ft is required, sleeving in sch.40 pvc is required. If sewage.t a^.=port 'enes and rva:erlines must cross, waterline must be 18"above sewage line with one of the lines sleeved in sch. I 40 pvc 10ft in each direction of crossing. 1C_1hi: de:'.go :nay include v.;lver applications with specific mitigation measures pertaining to installation,operation and maintenance of the proposed components. 11. Sts'es..c_arr noff,foot:sig drains, roof drains must be diverted away from any septic system components. No curtain, foe ndatior. my-Hater drains shall be installed 30ft downslope and loft upslope of drainfield areas. 12.-____ s cite specific end intended to meet state and county requirements that are related to the system components bee-2. cc. Any p!acercnt of proposed buildings, proposed wells or other non-related items on these drawings may or may net meet other requirements. 13. All _.,., ts somic system, 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. Sys_err Tr should be ccutious of landscaping around septic components. Root intrusion can sauce re^m=--tare failure of the drainfield area. In addition, bushes and trees should be kept away from Hs zed other septic maintenance points. 13. :Lip tits .made at time of installation may impact designer calculations, pump sizing,and • compl=nce 2 /county and state requirements. Contact designer prior to install w/any . proposed mediations from design. Changes may result in additional fees and permitting. re6; ,re „„ti• rA-PIOINFE.R. DIGGING, WIG 11I to°BERT PAYSSE / _::. • - ;) <I(-. t.�Illa><: xxx nuson'BwsoN Ro ` tr �'� DI9(.NI ID ROBERTH.PAYSSE . . ' 31111 1- NOTES SCALE NA