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Home My WebLink AboutSWG2024-00073 - SWG Application / Design - 2/28/2024 HELTON, WA MASON COUNTY 415 NBTHELTON:STREET, 0427-967 ,EXT 404 SHELTON:360 275-9670,EXT 400 BELFAIR:360-275-048],EX7400 Public Health & Human Services ELMA:360482-5269.EXT 400 FAX:WO-427-7787 On-Site Sewage System Permit: SWG2024-00073 APPLICANT BUMGARNER ET AL AMANDA& Phone: JOHNNY Address: 301 W FREDSON RD SHELTON, WA 98584 OWNER BUMGARNER ET AL AMANDA& Phone: JOHNNY Address: 301 W FREDSON RD SHELTON,WA 98584 SEPTIC DESIGNER BOB PAYSSE' Phone: 360-426-1803 Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546 Site Address: 303 W FREDSON RD Primary Parcel Number: 319071200090 Permit Description: Repair 2bd pressure trench with Class A waiver Permit Submitted Dale: 02/28/2024 Permit Issued Date: 04/29/2024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (additional roes may l required uwn Installation or s,sWrn), Permit Expiration Date: 03/0712025 (based on dam of nspwtior) 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 Drainfield installation not to exceed designed upslope and downslope depth specked 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.govlhealthlenvironmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY WTERECEiYEP ® MASON COUNTY COMMUNITY SERVICES NOS 0 .,DW- ED°"' m m PugkHWU�COmmun Sry HezhWfnvlmnmental HeahN � � SWG N'PQ o 0 A 2 O ON-SITE SEWAGE SYSTEM APPLICATION > z m m r;u NT PHONE r NDA BUMGARNER 425-241-0386 c ADDRESS.STREET.CITY.STATE.ZIP CODE W FREDSON RD SHELTON WA 98584 a DRESS-STREET.CRY.ZIP CODE W FREDSON RD SHELTON WA 98584 F DESIGNER PHONE BERT H. PAYSSE 360-426-1803 £INSTALLER PHONE c I(D D y I O ttPE(MMwn) `` DRINKING VNTERSW0.CE RESIDENTIAL OSS FTCOMMUNITYOSS F2COMMERCIALOSS Jr PRIVATE INDIVIDUAL WELL GPRIVATE TWO-PARTY WELL 2 I J F WORK(MONT.1 Q PUBLIC WATER SYSTEM NEWCONSTRUCTIONIUPGRADES 9REPAIRIREPLACEMENT OTHERDETAIIS(avrec10"MIpv) ❑TABLE IX REPAIR I � SUBMITTALS ❑ SURFACING SEWAGE m EXISTING FAILURE ❑SHORELINE mr IN DESIGN FORM(REOUIRED) ��SEPTIC DESIGN(REQUIRED) BEDROOMS TWO LOT SIZE 4AC x O WAIVERS)(IF APPLICABLE) DRECTIONS TO SITEAND SRECONUTIONS'.C. SN4dpb) "CONTACT APPLICANT PRIOR TO SITE VISIT-- o r O TURN ONTO FREDSON RD FROM HWY 101. TRAVEL TO SITE ADDRESS AND BLUE I� MAILBOX 301, TURN LEFT ONTO SHARED DRIVEWAY. GO TO PDI SIGN & STAY Ito RIGHT. GO PAST HOUSES TO GREEN RIBBONS & FOLLOW TO D/F SITE. SIZE MUSTBEFIAOOEDFRLW YANI flOADAMD iE9TMgE9 YD3TYF4GGED NfIN 1E3TXOLENLMBERS o OFFICIAL USE ONLY BELOW THIS LINE UWRADEIFAILURESOUPGEB I NWPSNMI OVOWNTARY E3MNNTENANCOPUMPING ❑64JILDINGPERMIT MHOME SALE ❑COMPLAINT DOTHER'. INSFECTOR SGLLWS COMMENTSICONONIONS OA(v �S ,j I Y-uot-) C70 w,e . ; 5 RECORD IXUVANG AND INSTALLATION REPORT SOILCODESt REQUIRED FOR RI APPROVAL. V=VERY G=GRAVELLY S=SAND L=LOAM SI=SILT C=CIAY E=EXTREMELY R=ROOTS INSPECLOR SIGNATURE DATE APPUCATICREXPRATICNDATE APPUCATICNAPPROVEO'IfrSUEDBY DATE �- K w (ram THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW OR THE MASOM COUNTY WEESITE I REVISED 1WO015 DESIGN FORM-PAGE ONE Assessor's Parcel Number: 3 1 9 0 7 - 1 2 - 0 0 0 9 0 A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist •Scaled plat 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 sine I I'X 17" ^ PARCEL IDENTIFICATION Permit Number: SWG ZW-JM_- 006 J__�2 Designer's Name: ROBERT H.PAYSSE Applicants Name: AMANDA BUM g GARNER Designer's Phone Number: 360-426-1803 Mailing Address: 301 W FREDSON RD Designer's Address: 3083 E MASON BENSON RD SHELTON WA 98584 GRAPEVIEW WA 9854a City Stare Zip City State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Mak.Medel ❑Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity Pressure BiTrench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 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) 1200 gal Number 2 Receiving Soil Type(Ifi) 3 Separation 10 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 300 ft2 Total Number of Orifices 26 Designed Primary Area 300 ft2 Diameter 3/16 in Designed Reserve Arco 300 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 100 ft Schedule/Class SCH.40 Elevation Measurements Length 10 IF Original Drainfield Arco Slope 10 % Diameter 125 in New Slope,If Altered 10 % Preferred manifold configuration used? @(Yes ❑No Depth of Excavation Up-dopy 12 in Transport Pipe from Original Grade ppµa-slupc 9 in Schedule/Class SCH.40 Designed Vertical Separation 24+ in Length 450 f Gravelless Chambers Required? ❑Yes III No Cl Optional Diameter 2 Pump Required? Id Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 45 it Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) __2_ft Chamber Capacity(Flood) AM )eTAO gal Uppermost Orifice 9 Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 15.3 gpm RITlmer G(Elapse Meter fig Event Counter Calculated Total Pressure Head 55 ft If Timer: Pump on 2.4 MIN ,Pump off 6 HRS Comments AP P R O V E D PERFORM DRAW DOWN AND ADJUST TIMER SETTINGS AFTER INS APR 12 2024 MASUN CA7 E�4ROWE5TAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 1 9 0 7 — 1 2 -- 0 0 0 9 0 Permit Number. SING DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lid Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: A Soil logs 56 Trench bed dimensions and if Septic tank 61 Property lines critical distances within layout EX Drainfield cover Ed Existing and proposed wells fid D-Box/Valve box locations Reference depth from original grade within 100 ft of property E9 Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and surface water and critical areas E9 Observation port location bottom EZ Location and orientation of 59 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 56 Manifold placement ❑ Sand augmentation components Gil Orifice placement Other cross-section detail: Location and dimension of Rf Lateral placement with distance l6 Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 11 Buildings R1 Audible/visual alarm referenced Yes No RJ Direction of slope indicator if Scale of drawing shown on scale Ei ❑ Design staked out 56 Waterlines bar ❑ if Recorded Notices attached Roads,easements,driveways, ❑ 1f Waiver(s)attached parking [if ❑ Pump curve attached R1 North arrow and scale drawing ❑ [if Evaluation of failure shown on scale bar Non-residential justification ❑ 1f Waste strength ❑ Rf Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation R1 Yes ❑ No ?eAk- -P Z12-41 12�-X Signature of Designer 0 Dat The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: Environmental Health SiJecialist Date CAUTION: DESIGN APPROVAL 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: ✓ 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: 12/72015 FRED5ON ROAD 1 I 1 EXISTING SHARED AT"TI I II� DRIVEWAY 11 APPROVED — — APR 12 2024 APPROXIMATE �� I I 'I�ABONCCURNEAVIRON41E6iAL�� EXISTING WELL i I RET I / I 1 ! 11. I I � R10GY I i EXISTING WELL � \ I � — ___— 1 / A'' ` APPROXIMATE I r CROSS STREAM AT CULVERT, SEE EXISTING WELL I � i 1 BELOW WAIVER REQUIREMENTS. DRY WEATHER CONDITIONS I MAY BE REQUIRED FOR 1 \1\ I R70p, v PROPER INSTALLATION i SEA50NAL DRAINAGE 11 I I FECROSSINGGECROSSING REM II II INSTALL LESLEEVETRANSPORT LINE IN 5CH. TRANSPORT L WITHIN LOFT ON EASIDE OF "'�\\\"` LINE WITHIN NG. INSTALL SKIDS.TRANSPORT LINE 3FT BELOW I PROPERTY M OF STREAM. BOVNDARIES LL TRAN5PORT LINE WITHIN IO•DICULAR DIRECTION TO STREAM. ORM PRESSURE LEAK TEST PERMITIGATION REQ'S. PROPOSED 2 BEDROOM e� DRAINFIELD - �> FOt WY6R I I ,rZiE<tn „k AN ASBUILTI INSTALL SIGNOFF FEE WILL I ELFi- i BE CHARGED AT TIME OF INSTALLATION I CUSTOMER:AMANDA BUM TEST HOLE I: TEST HOLE a PIONEER DIGGING, NC— PARCEL x3190712-00090 36' ;ems SEPTIC DESIGNS ADDRESS: 303 W FRmsON RD Ra:I> ,� R I:c�ie 3083EMA.SONBENSONKD. GRAPIATEW,WA9854 DESIGNER: ROBERTH.PAYSSE OFT3CE-3 426BO3 FAX-3RO4212353 SHEET: SITEPLAN SCALE 1'=,W FREDSON ROAD — \ t / I I II II I I AT,\T JL�y DRIVEWAY I I I PROVEr EX15TING �I APR 12 2024 DRAINFIELD MASG LWINTYEWRC�NME\T„lnc4_l. EXISTING I II PET SEPTIC TANK ——— EXISTING / \ ,�\\\ HOME � �' ❑ I EXISTING I APPROX.ISG I \\ i WELL // III 1 WELL 111 I t EXISTING I I t I DRAINFIELD I II I (FAILED) GARAG i —I\ / ;40 I PUMP OUT EXISTING SEPTIC TANKdo FILL W/ PEA GRAVEL EXISTINGHOME PROPOSED 2"SC \ TANKS AN ASBUILTI INSTALL SIGNOFF FEE WILL TRANSBE CHARGED AT TIME OF INSTALLATION PIONEER DIGGING, ING A '"�ABIA9 T� HOLE 1: TFST LI1907-1200090SEPTIC DESIGNS 03WFRFDSONRD30R3EMASJN'BFNSON RD. CRAPEVIEW,WA 9S546 ROBFRT HPAYSSEOFFICE-360426ISU3 FAX-30l 4D2353 RAN(2) SCALE P=50 o eO° AN ASBUILTI INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION •. VALVE BOX RISER/LID OR VALVE BOX L.� 9 S�Op F BALL VALVES / CHECK VALVES OBSERVATION PORT FINISHED CLEANOUT GRADE C/O & 1 OBS. PORT FILTER 11 FABRIC I ORIGINAL J GRADE it I WASHED ROCK THREADED CAP APPROVED IN APk 12 2024 12ORIFICES0 I I :00W/ SHIELDS7COUNTYENVIRONYENTALHFALTH RET 90' SWEEP REST. LAYER GLUED TEE CUSTOMER: AMANDA BUM II-'I I0LE V. TEST HOLE PIONEER DIGGING, INC PARCE k.31907 2-00090 ;�'i 36TILL SEPTIC DESIGNS ADDRESS: 303 W ERFDSON RD 1,@ 36 Ii V IS 93b 3083 E MA N BEN4 EI RD. GRAPEVIEW.WA 9S54 DESIGNER: ROBERT R PAYSSE OFFICE-3& 4261803 FM 3( Y427 2353 SHEET: DFDETAB. SCALE P=16 OrencoTechnical Data sheet PF-Series Submersible Effluent Pumps: ,gg t-Phase, W-Hz, 4-inch (100-mm) Solea.■HI U-T'S" Applications Features/Specifications 350I 300 250 t w:r ma�atwaeJ sworn rim - ' ' .- __ Y 14d0'udl MduO>•SiadY 1ga61iM llm •frypn EK9t'9q 9YYa5 vYa rzblbmbxo¢astl Wg1ll OlpEbbutl Med&MM WW nJ�w.evd iry✓7 dY9M0uTuriln5m w.xi Ki516Rm5H Standard Models --.mmmcw.w.w. 100 _. Product Code Diagram �v 50 PFM FFM 41I v 0 5 10 15 20 25 30 35 40 Flow in gallons per minute(gpm) dza:' Y LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE GIST.TO TOTAL TOTAL LATERAL# LENGTH PIPESIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1STORIFICE HEAD (feet) (Inches) (feet) (feet) RATE(RPm ORIFICES) (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 APPROVEDDRAINFIEWHEAD(feet) 1.00 TRANSPORT LINE HEAD(feet) 2.03 APR 12 2024 ELEVATION CHANGE(feet) 45 kg.MQSCN C"UNiY '"'CI RESIDUAL/SQUIRT(feet) 2 7 EXTRA LOSS/Fn nNGS(feet) 5 TOTAL DYNAMIC HUD(feet) 55.03 TOTAL GALLONS PER MINUTE 15.34 PIONEER DIGGING, LNG CUSTOMER: AMANDAB AIGARTIDC PARCEL x 31907-124)0090 SEPTIC DESIGNS ADDRFS4 303 W FTLFDSON an •r'<'.F.n4A4JN BD4"ON RD. GRMEmEw,,WA 98S* DESIGNER: ROBER.T R PAYS¢ OFFICE 3604261803 FA% 3604272353 SHEET: CALC5 SCALE NA ' r 24"RIBBED RISERS W/BOLTON WATER-TIGHT LIDS CLEANOLT I VSE RISER LID ADAPTERS WITH NO GASKET LIDS 11I FINI5HEDGRADE WATER-TIGHT JOINT$ INLET OUTLET TWO WAY TEE / '+ Q WATER-TIGHT 4"051 JOINTS Ll EFFLUENT y FILTER TANKS MUST BE ,r ON STATE DOH 12O G4LLOWWA7FR77GHT APPROVED LIST C010CRL7FSEP77C TANK a` OF SEWAGE TANKS PUMPTANKS OVER 1000 GAL ae REQUIRESTWO ACCESS RISERS -^J.-;;•. y.__ , _ -;_;:,y;.r.:; •<...;. TO GRADE Q) rwv33E AQUAWORKS ' CONTROL PANEL snviaes -11mEa EVEr CMc R 24"RIBBED RISERS A Berra mErza W1 WATERTIGHT LIDS 3.uarvswea ELFCIRKEPELErn¢( w"CNE 11 FINISHED GRADE ELEaKK L ONMT TRANSPORTLINE INLET UNION& BALL VALVE 12C.0CALLOWWAMR77GH7' C0 (CRE7FPUMP rAVX (22.5 GAL./IW CHECK VALVE '.. WATER-TIGHT )OINT5 PRESSURE TRANSDUCER FLOW INDUCER COP,FLOATS) OR PUMP VAULT USE TANKS FITTED APPROVE W/CAST IN WATER TIGHT FITTINGS FOR APR 12 2024 USE RUBBER INLET/OUTLESAND GROMETS FOR CAST IN RISER -,Y��illr'n E�,4�1^�4Fh'TE�f?p�``��T�qq TRANSPORT LINE ADAPTERS TO 'Tt/RBIN PUMP AND ELECTRICAL ENSURE WATER ON RISERS. MAKE TIGHTNESS eSURE ALL HOLES ARE WATER-TIGHT PIONEER DIGGING, SIG CUSTOMER: AMANDA ELM ALE NA PARCEL k 31907-12-00090 INSTALL TANKS ON ORIGINAL OR SEPTIC DESIGNS ADDRES:303 W FREDSON RD COMPACTED LEVEL SOILS. RUN CROSS 3083 EMASt7 BE*ON RD GWDe IEW,WA 98546 DESIGNER: ROBERT FL PATSSE CONN ECTIONS I NTO ORIGI NAL SO]LS TO OFFICE 360' 2 103 FAX-3HJ4n�i353 SHEET: TANKS SCALE NA AVOID5ETTLING. 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.DO fee will be charged fort!me 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 dminfeld 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 Soft to waterlines with all septic components. If less than lift 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 10 t 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 owne{/rqp,erator is responsible for the continuous operation and maintenance of the system per WAC 246-272A. For operationt 45 IViRena nce information,refer to Mason County Public Health Homeowner's Manual,which should be received after mstayaq,?V approval. 14. System owner should be cautious of landscaping around septic components. Root intr45ion can cause premature failure of the drainfield area. In addition, bushes and trees should be kept away from lids and other septic maintenance points. F_ 15. Changes made at time of installation may impact designer calculations,pump sizing,and G" 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. m;a C PIONEER DIGGING, INC RCEL"tM g`I1°"RND` .Faceeni`9'wr¢ve 3 SEP I IL DESIGNS ADDRF.CS: 303 W FREDSON RD q... 3083EMA NBi GRMEVIEw,wA985 DESIGNER: ROBER-TKPAYSSE ExPRIES OFFICE-360,4261803 EAx 3 272353 SHEET: NOTES SCALE NA