HomeMy WebLinkAboutSWG2024-00281 - SWG Application / Design - 6/21/2024 FEE
MASON COUNTY N6THELTON. SHELTO70 EXT 4➢4
BHELFAIR 360-42]-96]q E%T 400
BELFAIR:360-2]5-446],E%T 400
Public Health & Human Services ELMA.360482-5269,E%T 400
FAX.360-42]-]787
On-Site Sewage System Permit: SWG2024-00281
APPLICANT BOGOSIAN & LIANA M MEZO TRUST Phone:
BRANDI D
Address: 3048 BELVIDERE AVE SE SEATTLE, WA 98126
OWNER BOGOSIAN & LIANA M MEZO TRUST Phone:
BRAND[ D
Address: 3048 BELVIDERE AVE SE SEATTLE, WA 98126
SEPTIC DESIGNER BOB PAYSSE' Phone: 360426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: UNKNOWN
Primary Parcel Number: 321225000037
Permit Description: New 3bd ATU to pressure trench
Permit Submitted Date. 06/2112024
Permit Issued Date: 07108/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid. $540.00 (additional fees may be.agwned Used Installation of system).
Permit Expiration Date: 0710212027 (eased 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 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval predict backfill of
system components.
5 Installer is responsible for obtaining Septic DesignedEngineer installation approval prior to
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final instatlaton approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE R=SPONSIBLE 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/healthienvironmentalionsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
:
MASON COUNTY Tf PfCEIVFO c
® COMMUNITY SERVICES A..INFII
RACEIVILEBY I o 0
PueII HIM"
" c n,H.Ifll"U"PIT"tal Healcn) ` y
SWG L O
ON-SITE SEWAGE SYSTEM APPLICATION m
HONE m
APPLICANT r
BRANDI BOGOSIAN
MAILING ADDRESS-STREET.CITY.STATE.BE CO" 3
3048 BELVIDERE AVE SW SEATTLE WA 98126 p
DIONDE 250 E WAY TOTIPPERARY SHELTON WA 98584
NAMEOFDFEIGNER PHONE N
ROBERT HL
360-426-1803
NAME OF INSTALLER PHONE o
TBD
y N
PERpMIT TYPE(sebtl aiz DRINKING WATER SOURCE O
tP RESIDENTIAL FnCDMMERCIALOSS ff PRIVATE INDIVIDUAL WELL ff PRIVATE TWChPARTY WELL $PUBLIC WATER SYSTEM LAKE LIMERCK
iVPE OF WJRK[rekO NEW CONSTRREPAIR/REPLACEMENT OTHER DETAILS(seIIE A oa[apgID ❑TABLE IX REPAIR ul
SUBMInALB ❑ SURFACING SEWAGE ❑EXISTING FAILURE []SHORELINE
p W I �
Ip DESIGN FORM(REQUIRED) Wl SEPTIC DESIGN(REQUIRED) BEDROOMS L07RISE 0
3
dam ) 0.33 0 o
DIRECTIONS TO S17E AND SITE CONDITONS (ecmQe Alel
N HWY 3, LEFT ON MASON LAKE RD. FOLLOW TO LAKE LIMERICK AND TURN LEFT o
ON ST. ANDREWS DRIVE. FOLLOW AROUND LAKE TO RIGHT ON WAY TO r
TIPPERARY. TRAVEL TO SITE ADDRESS ON RIGHT. PDI SIGN POSTED. o 0
� W
SITEMLSTRE FLAGGE,EMS.MAIMROADAND TESlNIXES MUSTBE FLAGGED HETH TESTNOLE NLMBERS. J
OFFICIAL USE ONLY BELOW THIS LINE
UFGRAOEIFAILURE BOUNCE IIaI IepeNng pmpsses) v/ ZO<
[]VOLUNTARY []MAINTENANCEIPUMPING ❑BUILDINGPERMIT ❑HOMESALE ❑COMPLAINT ❑OTHER'. /� y
INSPECTOR BOIL EGGS COMMENT6I CONDITIONS
�. 0- ID
3D �
RECORD DEAYNNA AND INSTALLATION REPORT
SOIL CODES:
=VERY G=GRAVELLY S=SAND L=LOAM S,SLT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR IT NAT APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION E%PIRATON DATE APPLICATION APPROVED ISSUED BY DATE
1\,j 'I 1 " 'u1
THIS FORM MAYBE SCANNIED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBBITE REVISEBIBITUI5
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 2 2 — 5 0 — 0 0 0 3 7
A design will be reviewed when 3 copies of each of the following are submitted:
r Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist
v Scaled plot plan,including all applicable items on checklist. v 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..iWaximum paper size: I I 'X I' '
PARCEL IDENTIFICATION
Permit Number: SWG_. y-` -
'{ I ",1 Designer's Name: ROBERT H. PAVSSE
BRANDI BOGOSIAN Designer's Phone Number: 360-426-1803
Applicant's Name: g — - - -
Mailing Address: 3048 BELVIDERE AVE SW _ Designer's Address: 3083 E MASON BENSON RD
SEATTLE WA 98126 GRAPEVIEW WA 98546
City State Zi city State Zi
DESIGN PARAMETERS
Treatment Device
❑Glendon❑iofiller ❑Sand Filter ❑Mound ❑ Sand Lined Draintield ❑ Rcnmulming Filter_l'cpe:
IRrAerohic Cnit Make/Model NUWATERBNR500 13 DisinfcoGon Unit Make/Model Other'.
,.( Drainfield Type
❑Gravity 56 Pressure [if Trench ❑ Bed ❑ Sub Surface Drip
Septic Tank/Drainfreld Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH.40
Daily Flow: Operating Capacity 270 gpd Length 25 ft
Daily Flow: Design Flow 360 gpd Diameter 1,25 in
Septic Tank Capacity working) BNR500 gal Number 6
Receiving Soil Type(1-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 gpd/fte Orifices
Required Primary Area 450 ft'' Total Numberof Orifices 42
Designed Primary Area 450 ft' Diameter 3/16 in
Designed Reserve Area 450 ft, Spacing 48 in
Trench/Bed Width 3 ft Manifold
TrencaRed Length 150 it Schedule/Class SCH. 40
Elevation Measurements Length 48 it
Original Drainfield Area Slope 2 % Diameter 1.25 in
New Slope, If Altered 2 % Preferred manifold configuration used? fgYes ❑No
Depth of Excavation Up-Mane 12 in Transport Pipe
from Original Grade uowo-slope 11 in Schedule/Class SCH. 40
Designed Vertical Separation 24+ in Length -150 ft
Gr.elless Chambers Required? ❑Yes RJ No D Optional Diameter 2 in
Pump Required? 56 Yes [IN. Dosing and Pump Chamber
Pump/Siphon Specifications Number nfd.scs/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 33_it Dose quantity 60 gal
Drainfield Scum Height/Selected Residual(head) 2 b Chamber Capacity(Flood) 1500 gal
Uppermost Onfice tf Higher ❑Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 42.5 Him RfTimer ItElapse Meter 19 Event Counter
Calculated Total Pressure Head 24-8 ft If Timer: Pum 1 MIN ,Pump off 4 HRS
Comments
JUL 09 20211
F
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 2 2 -- 5 0 -- 0 0 0 3 7
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ed Test hole locations 91 Drainfield orientation and layout Reference depth from original grade:
6d Soil logs 56 Trench/bed dimensions and 1d Septic tank
61 Property lines critical distances within layout [9 Drainfield cover
9 Existing and proposed wells E6 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property G6 Septic tank/pump chamber and restrictive strata:
m Measurements to cuts, banks,and locations fd Laterals,trench/bed,top and
surface water and critical areas [9 Observation port location bottom
10 Location and orientation of [Z Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 1f Manifold placement ❑ Sand augmentation
components Z Orifice placement Other cross-section detail:
Location and dimension of E9 Lateral placement with distance E6 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
Buildings E9 Audible/visual alarm referenced Yes No
la Direction of slope indicator 66 Scale of drawing shown on scale d ❑ Design staked out
lid Waterlines bar ❑ lig Recorded Notices attached
9 Roads,easements,driveways. ❑ td Waiver(s)attached
parking L9 ❑ Pump curve attached
61 North arrow and scale drawing ❑ 9 Evaluation of failure
shown on scale bar Non-residential justification
El tf Waste strength
❑ Rf Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation R1 Yes ❑ No
�� 6�� � 7 �
Signature of Design6e Date
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: I r
Environmental Health Specialist 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: 12/7/2015
WAY TO TIPPERARY
DOUBLE SLEEVE WATERLINE rm2mzmm
IF WAN 10FTOF DRAINFIELD
OR SEPTIC LINES Q NOTE TOIN5TALLER:PROPOSED 3 BED. PRIMARY � I OLD FILL MATERIAL
& RESERVE AREA > FOUND ON LOWER END
oI OF DKAINFIELD. KEEP
I TRENCH DEPTH AT MIN.
b" INTO ORIGINAL SOIL.
I � I
i
10' FOUNDATION o 1
SETBACK 1
30' DOWN5LOPE
FOUNDATION/PERIMETER
DRAIN SETBACK I 1
I
I
1 FUTURE
I BUILDING
AREA
I
1 NUWATER Rz PUMP TANK
1 50'* FROM LAKE
I
I ---
APPROVED
__-------�' JUL 08 20211
I
_---------��� � 1 MASOVC�L'FTYEI,c�40r,M:r;T4LHEALT
REi
I
- r D) FCCN'u WISE
LAKE LIMERICK ANASBUILTI INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
LUMO,MM. BRANDIBowsm IF�T I10LLI TFT HOLF.2 1FIT HOIF 3.
PIONEER DIGGWG, INC I RR( Pl-=:3212r5000037 36, III 1.1'11,011IIH �,
SEPTIC L) SIGNS NDDRE•: 2WWAYTOWPERARY Ii�olsc3n fooISA a
3081 L Nj,`.'\BFY`N RD GRAPFV1," W\9d5u. DI9G\ER: ROBEPURPAYSSE
omF L 361N20180 'hk at 0 J2'-L35i I II1 H SITE PLAN SCALE 1'=30' 'r
OBPORT & CLEANOUT FINISHED
- GRADE
v+ OB PORT & C/O
5' 4WASHEF)
FILTER
G FABRIC
I
I ROCK
I
N
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II REST LAYER
I
I 4j�"'
EADED CAP
ORIFICES@12:00
/ SHIELDS90SWEEP
VALVE
BOXED TEE
NOTE TO INSTALLER:
RISER/LID OR OLD FILL MATERIAL FOUND ON LOWER
VALVE BOX END OF DRAINFIELD. KEEP TRENCH
BALL DEPTH AT MIN. 6" INTO ORIGINAL SOIL.
VALVES APPROVED
JUL 0 R 2024 a
MASCNCCU!+7ES'+1RCNYE�1T.
RET
CHECK
A DJ UST TOzz—
VALVES -A
t/U nCfDFpI # OF LATS AN ASBUILTI INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
C J6TONIFR: BRANDI BOCOSIAN TEST L'I L 1, TFT HOLL 2 LT HOLE 3.
PIONEER DIGGING, INC P4RCEL n32122-5000037 ,6
SF P I [C DESIGNS ADORFS� 250WAYTOTIPPERARY Rool.c3b aoa1;r3a
3089EAttiJ BE\4'ARD CRAIPAILWRtiAQM5 ) DLIGNFR: FLOBE&T R PAYSSE PI POGES
-
CFII(E 3ePI2oI03 Fn\ 3W Ir/2353 IHFLT: DF DETAIL SCALE 1'=1tl M == =.�,��,
TACKS MVST BE
ON STATE DOH
APPROVED'IST NUWATEP,
oFsewncE BNP,500
TANKS
PUMP TANKS USE RUBBER
OVER 1000 CAL. A P P R O , , ,.,,. •7 GROMETS FOR
REQUIRES 7,NO TRANSPO RT LI NE
ACCESS RISERS JUL08C AND ELECTRICAL
TO CRAVE •.�•' ON RISERS. MAKF.
PUMPTANFK WE SUKEAH HOLES
LOCATED AT HIGHER PET ARE WATER-TIGHT
ELEVATION THAN
MAINFIELD MUST
HAVE ANTI-SIPHON NUWATER CD\TROL PANFL
DEVICE IN5TALLEV. W"W/W A ED RISERS
WATER TIGHT LI DS
FINISHED CRAPE
TRANSPORTLINE
UNIC.N R BALL VALVE
INLET
WATER-FIGHT f5OO C4LLOM WA7FR7767P7-
)DINT v COMCR=PLIMGTAMK
CHECK'VALVE
HIGH WATER FLOAT
V5ETANKS FITTED
ON/OFF FLOAT WE CAST IN WATER
' TIGHT FIT-n NCS FOR
AND
PUMP BUCKET LULErS
Q. CASTT IN RISER
ADAPTERSTO
'. "loll,. _ .. • ... . .. . .' ENSURE WATER
wsae "' • • ' iIGHTK Y.55
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CUSIOMER. BRANDIBOGMAN nULE:NA
PIONEER. DIGGNQ INC- 1 PARCEL c:32122-5000037 17NVEALLTAVKSO\ORICIVALOR
SEPTIC DESICNS ADDR PSS: 250 WAY TO TIPPERARY COMPACTED LEVEL SCIIS. INA CROSS
CON.I P SE FOKS I NTO ORIGI NAL 501 LS TO
IIld3 f_Mi3)V BEka1N RD- ORdPFVIER',Atid9tl516 DL4GNFR'. RDBEAT FL PAYSSE AVOIDSF'."ILING.
OFFICE-360J2GIH03 FsA-3N)1212353 DESIGN me F. TANKS DETAIL
if
c i APPROVED
JUL 08 2024 .,
MA509 COUNTY EWI,ROh41W
RET
rriwi `�<iu�I
LATERAL LATERAL FEEDER TOTAL ORIFICE TOTAL ORIFICE ORIFICE DIST.TO TOTAL
LATERAL If LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1ST ORIFICE HEAD(feet) (inches) (feet) (feet) RATE(gpm) (feet) (inches) ORIFICES (feet)
1 25 1.25 3 28 3/16' 0.59 4 6 7 0.08
2 25 1.25 12 37 3/16" 0.59 4 6 7 0.11
3 25 1.25 21 46 3/16" 0.59 4 6 7 0.13
4 25 1.25 30 55 3/16" 0.59 4 6 7 0.16
5 25 1.25 39 64 3/16" 0.59 4 6 7 0.18
6 25 1.25 4R 73 3/16" 0.59 4 6 7 0.21
DRpINFIELD HEAD
(feet)
TRANSPORT LINE HEAD(feet)
ELEVATION CHANG ERESIDUAL/SQUIRTEXTRA LOSS/FITTINGS
TOTAL DYNAMIC HEAD(feet) 42.50
TOTAL GALLONS I AMINUTE 24.78
PIONEER. DIGGNQ INC P,R1.E1[s2I22 0 00) 3n w"
SEPFIC DLSIGNS SDDKI- 250 WAY TO TIPPFRMLY
30836Mn5.'NBFNSl\BD- cKNPLVIRl[ 98546 DFIC,NIR' R.OBEPTRPAYSSE
CLFQ 36U1261803 [sA 36[HD2353 TI LEFT: CALCS SCALE: NA
Installation & System Notes
1. Installer must contact designer for fina l 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 famiIlarize 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 maybe 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 instaI erfarmliar with sensitive drainfield area preservation. The builder, lot
developer, or property owner sha I not clear the drainfield area. Any clearing required for drainfield installation shall not
removeordisturb anytop soil in Primaryand Reserveareas. Removal or disturbance to drainfield soils could renderdesign
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.AT I,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 verity 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 afAerpspl}tiPrf,afaprplw
14.System ownershould be cautious of landscaping around septic components. Root intrusion. //--j`fir+ �� �� CC
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept JUL Q 8 2024
awayfrom lids and otherseptic maintenance points. MA SON C"J11Y E�1iKC YE\TAL HE Uf
15. Changes made at time of installation may impact designer calculations,pump sizing,and BET
compliance w/county and state requirements. Contact designer prior to install w/any ' ,y
proposed variations from design. Changes may result in additional fees and permitting.
PIONEER. DIGGING, INC PAR I I II I3: BRANDI BOGOSLIN
I'4KU:1.a32122-5000037
>LPI IC. DESIGNS 1DDRF_5: 25owAYTOTIPPEJ! Y
3,83 E %t,ON aF�10�nD GR VLVIL\\,ws 1)86Ao DF9GNLR: ROBER.T FL PAYSSE
0FPICF-301112o-Iron 1:AA 3[w14272353 >111:1 I: NOTES SCALE NA