HomeMy WebLinkAboutSWG2024-00009 - SWG Application / Design - 1/5/2024 At, 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,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2024-00009
APPLICANT MCGARY JOHN A Phone:
Address: 5821 NE PARK POINT DR SEATTLE, WA 98115
OWNER MCGARY JOHN A Phone:
Address: 5821 NE PARK POINT DR SEATTLE, WA 98115
SEPTIC DESIGNER BOB PAYSSE* Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 1380 E MASON LAKE DR E
Primary Parcel Number: 221045200068
Permit Description: New SFR-3BR Pressure
Permit Submitted Date: 01/05/2024
Permit Issued Date: 01/31/2024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $540.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/29/2027 (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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
LEN
1 1 2024OFFLY
MASON COUNTYDATE RECENED ICOVED
COMMUNITY SERVICES AMOU E I DO _ RECEIV: . v
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Public Health(Community Health/Environmental Health)0
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360 427 9670,ext.400 or 3601754467,ext.400 ��� w.a75 N.6tn Street Shelton,WA 9858a 4024 _ / `O!1O9 O v v Z 6
ON-SITE SEWAGE SYSTEM APPLICATION
m• n
APPLICANT PHONE m
JOHN MCGARY z
c
MAILING ADDRESS-STREET CITY STATE.ZIP CODE g
5821 NE PARK POINT DR SEATTLE WA 98115 CO
X/
SITE ADDRESS-STREET.CITY,ZIP CODE
1380 MASON LAKE DRIVE E GRAPEVIEW WA 98546 N)
NAME OF DESIGNER PHONE N
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE I _a
o
TBD
F, Io PERMIT TYPE(select one) DRINKINGt WATER SOURCE
Mr RESIDENTIALOSS COMMUNITY OSS COMMERCIAL OSS Wt.
PRIVATE INDIVIDUAL WELL b-PRIVATE TWO-PARTY WELL Z
TYPE OF WORK(select one) F-r PUBLIC WATER SYSTEM I
wI NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE IX REPAIR (Ti
SUBMITTALS �� El SURFACING SEWAGE El EXISTING FAILURE ❑SHORELINE
CO
t�.DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS ' LOT SIZE O N I
b WAIVER(S)(IF APPLICABLE) 3 0.31 0 I
DIRECTIONS TO SITE AND SITE CONDITIONS'(ex locked gate) • O
HEAD OUT MASON LAKE ROAD TOWADS MASON LAKE. TURN LEFT ON MASON I o
LAKE DRIVE EAST. TRAVEL TO SITE ADDRESS 1380 ON NON-WATER SIDE. PDI I— I
SIGN POSTED. -
(3)
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I CO
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER.
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
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SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V- Y G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
SPE TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APP`ICATI N APPROVED/ISSUED BY DATE
t -- -.4—.2-7
1/41-111 (.13(i /14)
TH '� AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 4 — 5 2 — 0 0 0 6 8
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-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 .a.•r size: 11"X 17"
Permit Number: SWG .20 e? 00 O'1 Designer's Name: ROBERT H.PAYSSE
Applicant's Name: JOHN MCGAR Designer's Phone Number: 360-426-1803
Mailing Address: 5821 NE PARK POINT DR Designer's Address: 3083 E MASON BENSON RD
SEATTLE WA 98115 GRAPEVIEW WA 98546
Ci State Zi' Ci State Zi•
. 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
❑Gravity IFS Pressure rifTrench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH.40
Daily Flow:Operating Capacity 270 gpd Length 50 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1500 gal Number 3
Receiving Soil Type(1-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices
Required Primary Area 450 ft2 Total Number of Orifices 39
Designed Primary Area 450 ft2 Diameter 3/16 in
Designed Reserve Area 450 ft2 Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 150 ft Schedule/Class SCH.40
Elevation Measurements Length 18 ft
Original Drainfield Area Slope 12 % Diameter 1.25 in
New Slope,If Altered 12 % Preferred manifold configuration used? Ed Yes 0 No
Depth of Excavation Up-slope 13 in Transport Pipe
from Original Grade Down-slope 9 in Schedule/Class SCH.40
Designed Vertical Separation 24+ in Length 50 ft
Gravelless Chambers Required? 0 Yes 61 No 0 Optional Diameter 2 in
Pump Required? 66 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1500 gal
Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 23 gpm NiTimer gElapse Meter la'Event Counter
Calculated Total Pressure Head 12 ft If Timer: Pump on 1 MIN ,Pump off 4 HRS
-
Comments p p R 0 V E
IAN 3 0 2024
MASON. O 1'1 ENVIRONMENTAL HEALTH
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 0 4 — 5 2 -- 0 0 0 6 8
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
El Test hole locations lifDrainfield orientation and layout Reference depth from original grade:
g Soil logs g Trench/bed dimensions and g Septic tank
lZI Property lines critical distances within layout GI Drainfield cover
g Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade
within 100 ft of property lif Septic tank/pump chamber and restrictive strata:
g Measurements to cuts,banks,and locations Z Laterals,trench/bed,top and
surface water and critical areas g Observation port location bottom
g Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement 0 Sand augmentation
components Q( Orifice placement Other cross-section detail:
g Location and dimension of Lateral placement with distance g Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
El Buildings g Audible/visual alarm referenced Yes No
Direction of slope indicator E4 Scale of drawing shown on scale d ❑ Design staked out
g Waterlines bar 0 M'Recorded Notices attached
16 Roads,easements,driveways, 0 l Waiver(s)attached
parking g 0 Pump curve attached
g North arrow and scale drawing 0 M Evaluation of failure
shown on scale bar Non-residential justification
❑ El Waste strength
❑ El Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation El Yes 0 No
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Signature ofsi ner Date'
g g
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local - ite re:ulations:
.. W4 (- 3fl-:-2-?E iroear al Health Specialist Date
CAUTION: DESIGN APP VAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"A proved"by Mason County Public Health. r -��J��
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: l
✓ 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 ob nPill-Rraitto ounty Public Health.
An Installation Fee is require E,A, JAN 3 0 2024
cQubT
This form may be scanned and available for public we l''igfl oi u ty Web site.
JB W Updated Date: 12/7/2015
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SEPTIC DESIGNS ADDRESS: 1380 MASON LK DR E ROOTS @ 40 ROOTS @ 40 ROOTS @ 20
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PLATS OR SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS DESIGN INTENDED FOR SEPTIC
OFFICE 360-4261803 FAX 360 427 2353 DEPARTMENT/AGENCY REVPURPOSES ONLY IEW l NOT RE NSI�FOR SETBACKSUNRELATED TO TO
SHEET: SITE E PLAN SCALE 1�=3� SEPTIC COMPONENTS
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GLUED TEE JBW
PIONEER DICING, INC.
.l I I O.\TER: JOHN MCGARY LEST HOLE I: TEST HOLE 2 TEST HOLE 3:
PARCEL#:22104-5200068 0-40;; `;r; � 2;;L s
SEPTIC IC_ DESIGNS ADDRESS: 1380 MASON LK DR E Roo 1• 40 RcX)TS @ 40 ROOTS @ 20
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISCLAIMER THIS IS NOT A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED
DESIGN
INTENDED
PLATS OR SURVEYS.FIELD MEASUREMENTS ANO COUNTY GIS DESIGN INTENDED FOR SEPTIC
OFFICE•36(}4261803 FAX 360 427 2353 CT TO OTNER
DEPARTMENTIAGENCY REVIEWPoDESIGNER NOT RESPONSIBLE FOR SETBACSED DEVELOPMENT PUY BE ENS UNRELATED TO
SHEET: DF DETAIL SCALE 1* KYSEPTIC COMPONENTS
24"RIBBED RISERS W/BOLT ON WATER-TIGHT LIDS
CLEANOUT USE RISER LID ADAPTERS WITH NO GASKET LIDS
, a FINISHED GRADE >R a
ii WATER-TIGHT
JOINTS
INLET\ , �"� I
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TWO WAY TEE `'
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WATER-TIGHT 4"OSI
JOINTS " — '' EFFLUENT
: : — — FILTER
TANKS MUST BE ''
ON STATE DOH 15000ALLONWATER77GHT '. •
APPROVED LIST •` CONCRE/ SEP77CTANK ''
OF SEWAGE
TANKS .. ".. y411
PUMP TANKS -oh
OVER 1000 GAL. ': :` .. 'Q•c�
REQUIRES TWO �'' I'�•.
ACCESS RISERS ::.*wf.:1;!;;;;40- :; :'it.:• ;.4ig;-<'4: ::r:%: .I :;; °' • le j •
TO GRADE s7!03,7 �I
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PUMP TANKS ,I.,iii...'''Ar . .il'211
LOCATED AT HIGHER AQUAWORKS EXPIRES
ELEVATION THAN CONTROL PANEL
VV/TIMER..EVENT COUNTER • ELECTRICAL WORK DONE 24"RIBBED RISERS
DRAIN FIELD MUST &HOUR METER BY LICENSED ELECTRICIAN
HAVE ANTI-SIPHON o W/WATER TIGHT LIDS
DEVICE INSTALLED.
I I I c I FINISHED GRADE
t LjRcCALCONDuI t �U�l —
I� V TRANSPORT LINE
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UNION& BALL VALVE
• 1500 GALLON WA7ER77GHT
CONCRETEP!/MP TANK
i 4: (28.5 GAL./IN.) •
WATER-TIGHT _ .
JOINTS 0 •
PRESSURE TRANSDUCER •
(OR FLOATS) II
CHECK VALVE
USE TANKS FITTEDW/CAST IN WATER .
TIGHT FITTINGS FOR p �i ' 0VE USE RUBBER
INLET/OUTLESAND PU V�KET. GROMETS FOR
CAST IN RISER BUCKET HEI UST Bc ' ., TRANSPORT LINE
ADAPTERS TO AT LEAST HEIG PUMFAN 3 0 2024 - AND ELECTRICAL
ENSURE WATER —i • ON RISERS. MAKE
TIGHTNESS • d ""A5QId COUN.IY ENUJKONJUtNIAI, • - ; I SURE ALL HOLES
JBW ARE WATER-TIGHT
CUSTOMER: JOHN MCGARY SCALE NA
PIONEER DIGGING, INC. PARCEL#:2210452-00068 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRESS:1380 MASON LK DR E COMPACTED LEVEL SOILS. RUN CROSS
3083 E MASON BENSON RD. GRAPEVIEW,WA 98516 DESIGNER: ROBERT H.PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO
OFFICE-360 426-I803 FAX-360-427-2353 SHEET: TANKS Sc. \I I NA AVOID SETTLING.
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Pump Specifications i ''l
280 Series 1/2 hp vi1
Submersible Effluent Pump
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EXPIRES
411,4aOrOMruni y
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Pumps
LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE DIST.TO TOTAL TOTAL
LATERAL# LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1ST ORIFICE ORIFICES HEAD
(feet) (inches) (feet) (feet) RATE(gpm) (feet) (inches) (feet)
1 50 1.25 3 53 3/16" 0.59 4 12 13 0.47
2 50 1.25 9 59 3/16" 0.59 4 12 13 0.53
5 50 1.25 18 68 3/16" 0.59 4 12 13 0.61
DRAINFIELD HEAD(feet) 1.61
TRANSPORT LINE HEAD(feet) 0.48
ELEVATION CHANGE(feet) 5
RESIDUAL/SQUIRT(feet) 2
EXTRA LOSS/FITTINGS(feet) 3
TOTAL DYNAMIC HEAD(feet) 12.08
TOTAL GALLONS PER MINUTE 23.01
APPROVE
PIONEER DIGGING, INC. CUSTOMER:E o '000, Y JAN 3 0 2024
SI I'I IC DESIGNS ADDRESS: 1380 MASON L.K DR E
3083 E MASON BENSON RD. GRAPEVIEW,WA 985* DESIGNER: ROBERT H.PAYSSE MASOtitaiNTY ENVIRONMENTAL HEALTH
OFFICE-360 426-1803 FAX-36(1-427-2353 SHEET: CALLS SCALE NA J B W
1 •
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. Designer not responsible for electrical permitting or other electrical specific code requirements.
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 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 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 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 sho beec of i stallation approval.
14. System owner should be cautious of landscaping around septic components. R truss
can cause premature failure of the drainfield area. In addition, bushes and trees s be VAIN JO 2014 E
Li,
away from lids and other septic maintenance points. A4ASON Co-uNiTY
ENVIR0
15. Changes made at time of installation may impact designer calculations, pump sizing,andJB TAL HEALTH
compliance w/county and state requirements. Contact designer prior to install w/any k`'•
proposed variations from design. Changes may result in additional fees and permitting. ,, ''.
PIONEER. DIGGING, INC. CUSTOMER: JOHN MCGARY
PARCEL#:22104-52-00068 S1C0317
0:. RCBERT M WItSSE I'
SEPTIC DESIGNS ADDRESS: 1380 MASON LK DR E 1;-.cy lYszy F
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE EXPIRES
OFFICE-36(1-426-I8(13 1\X 360-427-2353 >I Jill: NOTES SCALE NA