HomeMy WebLinkAboutSWG2024-00199 - SWG Application / Design - 5/7/2024 i
MASON COUNTY 475N 6 SHELTON: ,SHELTO70,EXT 400
BHELTON:36IN275 670,E%T 400
4 BELFAIR:380.2754467,EXT 400
Public Health & Human Services ELMA:360.46MM,EXT400
FAX:360427-7787
On-Site Sewage System Permit: SWG2024-00199
APPLICANT MURDYCHERYLYNN K Phone: 360-426-4815
Address: 1181 E MASON LK DR E GRAPEVIEW,WA 98546
OWNER MURDY CHERYLYNN K Phone: 360-426-4815
Address: 1181 E MASON LK DR E GRAPEVIEW,WA 98546
SEPTIC DESIGNER BOB PAYSSE• Phone: 360426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
Site Address: 1170 E Mason Lake Dr E
Primary Parcel Number: 221045200050
Permit Description: 3-bedroom NuWater BNR500 system
Permit Submitted Date: 0510712024
Permit Issued Date: 0512112024
Issued By: David Anderson
Current Permit Fees Paid: $540.00 (additonal roes a y na wulw upon imwiiaon dr wm).
Permit Expiration Date: 05/17/2027 @asad on aete MmspeeJon)
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 forobtaining Mason County installation approval prior to ball of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
e Mason County Asbuilf Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 088.
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 USEONLY -
WiEPECENEP MASON COUNTY �•
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ON-SITE SEWAGE SYSTEM APPLICATION ; A
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APPLICANT PH.M' E m
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LYNN MURDY
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MNLIN3ACORESS-STREET CITY.STATE.ZIPCODE m
1181 E MASON LAKE DR E GRAPEVIEW WA 98546 a
SITE ADDRESS-STREET CITY,ZIP CCOE
1170 E MASON LAKE DR E GRAPEVIEW WA 98546 ^�
NAME OF DESIGNER PHOxE N
ROBERT H. PAYSSE 360-026-1803
NAMEOFINSTALLER PHONE O
TBD y I o
PERMITTYPE(abdoIN) IXONKINGYMTERSOURCE O
®RESIDENTIALO.SS EDCOMMUNITYOSS 5COMMERCIALOSS �i PRIVATE INDIVIDUALWELL If PRNATETNOPARTYWELL 2 IA
T,� IaWM ) PUBLIC WATER SYSTEM
ff NEWCONSTRUCTIONIUPGFADES 51REPAR/REPLACEMENT OTEERDETAILS(aMcIaatlut MlNY) [3 TABLE IX REPAIR I (T
SUBNITTPL6 Ll SURFACINGSEIWGE E3 EXISTING FAILURE 0 SHORELINE
EDESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r IN
IIr,WMVER(S)(IFAPPUCABLE) 3 D•2 lO
DRECTONGTOSITEAND SITECONDTION6NAM ph)
N HWY 3. LEFT ON MASON LAKE ROAD. CONTINUE TO MASON LAKE DRIVE EAST o
ON LEFT. FOLLOW ROAD TO SITE ADDRESS 1170 ON RIGHT. o I o
0
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SIIFMUST BE FLAGGED(AOY MAIN ROAD AND TEST NOTES NUST BEfIAOOm MTIM1E51MplNalllENB.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRKEIFATWRE fOMRCEBa IN gryNa)
O VOLUNTARY OMNNTENANCANCEPUMPING E3 BUILDING PERMIT OHOMyE SALE OpCOMPLAINT OOTHER:
INSPECTONSOLLCGS TII Z� JO� COMMENTS/CONDITIONS
Two---jI Tell5 to beffm
T H -Z:0 $ L (it MAY 0° 2024
F•50" eGiQterAS fo o n l �Ci�syru�e� By
RECORD DRAWNG AM INSTALLATION REPoRT
SOLCODES:
V=VERY G=GRAVELLY S=SAND L-LONI S1=SILT C=CLAY E=E%TPFMFIY R=RODTS REQUIRED FOR FINALAPPRO6LL.
INSPECLOR SIp URE �y DATE ARLGTONE%F.ICNMTE APFLICAi APFAOVEdISSUEDBY DATE
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWE&SITE REMSEDlWQMS
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 4 — 5 2 — 0 0 0 5 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. ♦Scaled layout sketch,including all applicable items on checklist
"Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist.
This form may he scanned and available for public view on the Mason County Web site..Wu haum u r'Le: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG Z a Designer's Phone Number:Designer's Name: ROBERT H.PAVSSE
Applicant's Name:
LYNN MURDV 360-426-1803
Mailing Address: 1181 E MASON LK DR E Designer's Address: 3M E MASON BENSON RD
GRAPEVIEW WA seas GRAPEVIEW WA 9015,16
city State ZID City State zip
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound 13 Sand Lined Dminfidd ❑Recirculating Filler,Type:
❑Aembic Unit Make/Mode1 NUWATER BNR 500 0 Disinfection Unit Make/Model Other:
Drainfseld Type
❑Gravity Ef Pressure Rf Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfseld Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH.40 r
Daily Flow:Operating Capacity 270 gpd Length VARIES ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) BNR5DD gal Number 4 -
Receiving Soil Type(1-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 - gpd1W Orifices
Required Primary Area 450 r ftz Total Number of Orifices 39
Designed Primary Area 450 ft' Diameter 3116 in
Designed Reserve Ares 450 � ft'- Spacing 48 in
Trench/Bed Width 3 ft Manifold
Tmnch/Bed Length 150 - ft Schedule/Class SCH.40 '
Elevation Measurements Length 27 ft
Original Drainfield Area Slope 13 % Diameter 1.25 in
New Slope,If Altered 13 % Preferredmanifaldconfiguration used? 6r Yes 17 No
Depth of Excavation UPslope 12 in Transport Pipe
from Original Grade paw-slope 8 in Schedulc/Class SCH.40 '
Designed Vertical Separation 24+ in Length <50 It
Gravelless Chambers Required? ❑Yes Id No ❑Optional Diameter 2 in
Pump Required? alJ Yes Cl No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 10 it Dose quantity 60 gal
Drainfseld Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1500 gal
Uppermost Orifice 9 Higher ❑Lower than Pump Shutoff Pump controls:Plesse check those required.
Capacity(d Total Pressure Head 23.6 gpm RITimer SdElapse Meter fi(Event Counter
Calculated Total Pressure Head 18 ft If Timer: Pump on 1.5 MIN pump off 4 HRS
Comments
PERFORM DRAWDOWN AND ADJUST TIMER SETTINGS AS NEEDED
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 0 4 — 5 2 -- 0 0 0 5 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
id Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
66 Soil logs 56 Trmch/bed dimensions and Rf Septic tank
61 Property lines critical distances within layout 1Z Drainfield cover
• Existing and proposed wells R1 D-BoxfValve box locations Reference depth from original grade
within 100It of property Rf Septic tank/pump chamber and restrictive strata:
® Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
0 Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Rf Manifold placement ❑ Sand augmentation
components 0 Orifice placement Other cross-section detail:
lid Location and dimension of Ed Lateral placement with distance Rf Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
61 Buildings R1 Audiblelvisual alarm referenced Yes No
0 Direction of slope indicator R1 Scale of drawing shown on scale Id ❑ Design staked out
Ed Waterlines bar ❑ 1f Recorded Notices attached
A Roads,easements,driveways, &( ❑Waiver(s)attached
parking 16 ❑ Pump curve attached
RJ North arrow and scale drawing ❑ [if Evaluation of failure
shown on scale bar Non-residential justification
❑ 9 Waste strength
❑ Rf Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation fid Yes ❑ No
rgnature of Desigrfer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and d Ve
compliance with state and local on-s a regulations:
S/Z//ZazV "Ay 2 � 2024
Environmental Health Specialist Dat`�ASC;j
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITIO]4 ^i eN7A4
HEAL H
✓ The design is stamped"Approved"by Mason County Public Health. �JZ�
✓ 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: 12/7R015
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PARCEL x.71104-52-00050 1}36 r,l. R IS @
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SEPTIC. DLSIGNS ADDRESS: V70 MABON LK DRE WO 1,A%
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TESPIONEER. DIGGING, INC CUSTOMER LYNIIJM0R50 036 CLS TESTHOLE2
PARCEL t 71J0452�0050 O36
3650 TILL ROOTs a
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J SEPTIC DESIGNS ADDRESS:
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3083 EMASON BFN£ON RD GRA'EVIwWA98546 DESIGNER: ROBMT H.
PAYS¢
OFFICE-360436-1803 FAX-36Gan-]353 SHEET: DFDEfAiL SCALE P=10'
OB. PORT FINISHED
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16"ORIFICES ® VALVES CHECK
12:00 W/ SHIELDS VALVES
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MAY 2 1 2024
\\ MASON COUNTY ENVIRONMENTAL HEALTI-,
— GLUED TEE DJA
AN ASBUILTI INSTALL SIGNORS FEE WILL
BE CHARGED AT TIME OF INSTALLATION
PIONEER DIGGING, ING c.usT°"E LYNN MI➢tDY EST 0EL TESTNOLE2
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PARCEL#:22KK75200050 365()TILL ROOTS026/48
SLPIIC DESIGNS ADDRESS: 970MASONLKDR.E ROOTS a36
3083EMA.SON Bw,Ory RD. CAAPEVI—Wn9859E DESIGNER: ROBERTHPAYSSE
OFFICE-3604261803 FAX361N2}7353 SHEEC DF DElAQ.L2) SCAIF. NA - Ew EL:�a.Eao.:a��asEre.c� xwE1E
INUI
TANKS MUST BE M
ON STATE DOH
APPROVED LIST NUWATER
OF TANKS GE BN R500 '
PUMP TANKS
OVERTOOOGAL P,rrv,�.w,,,n USE RUBBER
REQUIRES TWO o`°""" GROMETS FOR
ACCESS RISERS TRAN5PORT LINE
TO GRADE ;. AND ELECTRICAL
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PUMP TANKS .J-. s .• . . .:. •.!..
ON RISERS. MAKE
ICHEgyp, yam . : . .�. .� .J� :. . .�..� .. �.. . �.. .. r. . . .
SURE ALL HOLES
L ELEVATION HTHANR /SPY b®� @.f ARE WATER-TIGHT
DRAINFIELD MUST
HAVE ANT-SIPHON �(L���
DEVICE INSTALLED. MAY 21 -2IL^IL 24"RIBBED RISERS
W/WATER TGHTLIDS
MASON COUNTY ENVIRONMENTAL HEALTH
DJA
FINISHED GRADE
LLER0.IGL xDJNE
MLI<ENSED ELE fLER0.1CIpN
EfCIkCALcONwIT TKAN5 INE
INLET UNION& BALL VALVE
WATER-TIGHT >500CALL0NWA7FR77C14T
)OINT5 CONCRF7EPt1MP TANK
CHECKVALVE
HIGH WATER FLOAT
USE TANKS FITTED
ON/OFF FLOAT W/CAST IN WATER
e• TIGHT FITTINGS FOR
f� ...w' INLET/OUTLES AND
�F PUMP BUCKET CAST IN RISER
ADAPTERS TO
:,�Do„ .. .. .... , .: • . . ,�. . ENSURE WATER
TIGHTNESS
EzaiBES
CLLSTOMER LYNN0 [.Nn
PIONEER DIGGING, INC
PARCEL#.22W452-00050 0050 INS NS TALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRESS IT70 MASON LK DR.E COMPACTED LEVEL SOILS. RUNCROS5
3083EMASONBFNSONKD. GRMEVIEWWA98546 DESIGNER: ROBERT H.PAYSff CONNECTTLING+ OORIGINALSOIL5 i0
OFEICE 36 12&1803 FAX-3604T/2353 DESIGN PAGE TANKS DECAL AVOID SERING.
libe*p„mps.
APP �C
MAY 2 12024
k'ASON COUNTY ENVIRONMENTAL HEALTH
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LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE DIST.TO TOTAL
LATERAL# LENGTH PIPESIM LENGTH LENGTH ORIFICE DISCHARGE SPACING 1STOINFICE WERE LEAD
(feet) (inches) (feet) (feet) SIZE
(inch) RATE(RPm) (feet) (Inches) ORIFICES (feet)
1 25 1.25 3 28 3/16" 0.59 4 12 7 0.08
2 40 L25 9 49 3/26" 0.59 4 6 10 0.27
3 45 L25 18 63 3/16" 0.59 4 12 12 0.48
4 40 L25 27 67 31W 0.59 4 6 10 0.37
DUUNFIELDHEAD(feet) 1.20
TRANSPORT LINE HUD(feet) 0.48
ELEVATION CHANGE(feet) 10
RESIDUAL/SQUIRT(feet) 2
EXRNLOSS/FITTINGS(feet) 5
TOTAL DYNAMIC HEAD(feeq 1R68
TOTAL GALLONS PER MINUTE 23.01
CUSTOMER LYNNMURDY
PIONEER DIGGQNG, INC PARCEL x2210+520005D
SEPTIC DESIGNS ADDRESS: 170 MASON LK DR.E
3083EM NBFMSDNRD. GRA1EVIEW,WA98546 DESIGNER ROBPILTELPAYSSE
OFFICE-360426I803 FA%-36(H27-2353 SHEET: CAL.CS SCALE NA
ths6 lotion & 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.
S.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.ATLI,Glendon,)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 10ft 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 Soft 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 should be received after installation approval.
14.System owner should be cautious of landscaping around septic components. Root intrusion
can cause premature failure of the drainfield area. In addition,bushes and trees should be kept MAY 2 12024
away from lids and other septic maintenance points. l'A
COUNTY ENVIRONMEN?;
15. Changes made at time of installation may impact designer calculations,pump sizing,and DJA
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. _a,„„M1y
PIONEER DIGGING, INC P R��0o 52-0YNN 0 o y
SEPTICDES(GNS ADDRESS 170 MASON IK DR.E Y Yi'r
3083 E MASON B04SON RD. G EviEw•WA98546 DESIGNER RABER.TRPAYSSE "PIRES
O E-3 6 0 426 1803 FAX-3604n-2353 SHEET. NOTES SCALE NA