HomeMy WebLinkAboutSWG2024-00314 - SWG Application / Design - 7/22/2024 MASON COUNTY 4I5 N6SHELTON: 60427-O70.EXT 400
SHELTON:360-275 O.EXT 400
4 BELFAIR:360-2]6-MB],EXT 400
Public Health & Human Services ELM&360i8z�,EXT 400
FAX:360i2]-]]8]
On-Site Sewage System Permit: SWG2024-00314
APPLICANT SMITH ET AL SUZANNE E Phone:
Address: 70 E ROCKY POINT LN BELFAIR,WA 98528
OWNER SMITH ET AL SUZANNE E Phone:
Address: 70 E ROCKY POINT LN BELFAIR,WA 98528
SEPTIC DESIGNER BOB PAYSSE' Phone: 360426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
SEPTIC INSTALLER BOB PAYSSE' Phone: 360426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
Site Address: 70 E Rocky Point Ln
Primary Parcel Number: 122335000004
Permit Description: 3-bedroom Nu Water BNR500 system w/subbiurface drip: Non-
Conforming Repair
Permit Submitted Date: 07122/2024
Permit Issued Date: 07124/2024
Issued By: David Anderson
Current Permit Fees Paid: $805.00 (addnioeai yeas may ea reamed upon inataUtidn urayvem).
Permit Expiration Date: 07/23/2025 (based oa dare of l aWmioa)
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 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 Fami, Record Drawing, and Installation tee 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/healthienvironmental/onsiteloss-inspection-request.php or call:
360-427.9670,extension 400.
OFFICIAL USE ONLY
® MASON COUNTY D.LRBD .1 - �I
w D
COMMUNITY SERVICES ANOU Co A"'"` m y
o m
Publl,M B,IrnT iu Havhl% nNmn...IH.M) G y
m�P-f eRm w v mDSuar.m mFn-aW,YMMw SWGja� - CEO 5 °q
z u
ON-SITE SEWAGE SYSTEM APPLICATION n A
m
S n
PPPLICAM PHONE TE
SUZANNE SMITH z
MAILING ADDRESS-STREET C ..STATE DP CODE �a
70 E ROCKY POINT LANE BELFAIR WA 98528 z
SITE ADDRESS-STREET.CITY,ZIP LOGE
SAME
NAMEOFDESIGNER —E I N
ROBERT H. PAYSSE 360-426-1803
.ME OF INSTALLER PHONE
PIONEER DIGGING INC. 360-426-1803 m w
PERMITTYPE(Sel —) CI DMNMNG WATER SOURCE O
ff RESIDENTIALOSS LI:C COMMUNITYOSS FlCOMMERCUILOSS IRPRNATEINDMOUALML F31PRIVATETWDPARTYWELL 2 IOU
TYPE OFA0RK Nw0W.) 7 PUBLIC WATER SYSTEM ,
[ NEWCONSTRUCTIONIUPGRADES irREPAIRIREPIACEMENT OTHERDFTNL (m6YflNMxry 0TABLE IX REPAIR IGTI
SUBBSUBMITTALSOSURFACINGSEWAGE E3EXISENGFAILURE Ia SHORELINE
W
9DESIGN FORM(REQUIRED) i9SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE Q I �
5" W R(S)(IFAPPUCASLEI THREE x to
UR MIONSTOSITEANDSITEMMUTIONS:(u,ktle )
FROM ALLYN OUT HWY 302 TO RIGHT ON ROCKY POINT LANE, JUST BEFORE o
COUNTY BORDER. TRAVEL TO SITE ADDRESS. o I o
artEMuar�wwxvm FRaMMWxADADAxD rEarxaaaMwraErRwxGED MTRITearxaexulBERs I I 'P
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADEIFAIWRESOURCEIW, tMPu m)
❑VOLUNTARY EIMAINTENANCEIPUMPING O BUILDING PERMIT OHOMESALE [3COMPLAINT OOTHER:
IHSFECTOR SCILLDGS CCMMEN B ICONDTICNS
See So�� rog ; �m 6/28llal�
under' r2�a�s^ �e,dmr f S�bwr�-baz36
RECORD DRAWNG AND INSTALLATION REPORT
V=YERY G=GMVELLY S=6WD L=IDAN B=SILT C=CNY E=E%RiEMELY R=flCOTb REQUIRED FOR FINPLAPPROVAL.
INSPECTO0.51GN4TURE DATE MPLICATICN E%PIRATION WTE APPLIGT P0.p4£DIISSUED BY DATE
3/2 31'? Zo2
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISEDIWMIS
s DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 2 3 3 — 5 0 — 0 0 0 0 4
A design will be reviewed when 3 copies of each of the following are submitted:
v Completed design form that has been signed and dated. 0 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. :Maximum papersize: 11"X 17"
' 1 PARCEL IDENTIFICATION
Permit Number: SW(j AC% Y • !*31 Designer's Name: ROBERT H.PAVSSE
Applicant's Name: SUZANNE SMITH Designer's Phone Number: 360-426-1803
Mailing Address: 70 E ROCKY POINT LANE Designer's Address: 3083 E MASON BENSON RD
BELFAIR WA 98528 GRAPEVIEW WA 9H548
City State Zip city State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Itecimuleting Filter,Type:
gAembic Unit Make/Model NUWATERBNR500 O Disinfection Unit Make/Model Other.
Drainfield Type
❑Gravity ❑Pressure ❑Trench ❑Bed E21'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms THREE Schedule/Class NETAFIM
Daily Flow:Operating Capacity 270 gpd Length 150 ft
Daily Flow:Design Flow 360 gpd Diameter NA in
Septic Tank Capacity(working) BNR500 gal Number 6
Receiving Soil Type(1-6) 3 Separation 2 ft
Receiving Soil Appl.Rate 0.8 gpd/fe Orifices
Required Primary Area 450 11' Total Number of Orifices 600
Designed Primary Area 1200 ft' Diameter ,42 GPH in
Designed Reserve Area NA-REPAIR ftt Spacing 12 in
Trench/Bed Width 25 It Manifold
Trench/Bed Length 48 ft Schedulc/Class SCH.40
Elevation Measurements Length 48 ft
Original Drainfield Ares Slope 3 % Diameter 1 in
New Slope,If Altered 3 % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation UPalape SEE DESIGN in Transport Pipe
from Original Grade gown-un, SEE DESIGN in Schedule/Class SCH.40
Designed Vertical Separation 12+ in Length EXISTING ft
Gmvelless Chambers Required? ❑Yes It No 0 Optional Diameter 1 in
Pump Required? I6Yes []No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day EXISTING
Diff.in Elevation Between Pump&Uppermost Orifice 10 it Dose quantity EXISTING gal
Dminficld Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) EXISTING 1500 gal
Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 10.6 Spun 21Timer G(Elapse Meter GTEvenl Counter
Calculated Total Pressure Head 115 ft If Timer: Pump on EXISTING Pump off EXISTING
Comments
USING EXISTING TANKS, PUMP, PANEL ETC... CONNECTING TO EXISTING HEADWORKS.
DRAINFIELD ONLY INSTALLATION. SEE DESIGN
DESIGN FORM—PAGE TWO Assessor's Parcel Number: l 2 2 3 3 — 5 0 — 0 0 0 0 4
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Id Test hole locations 66 Drainfield orientation and layout Reference depth from original grade:
IM Soil logs R1 Trench/bed dimensions and Rf Septic tank
0 Property lines critical distances within layout 61 Drainfield cover
IM Existing and proposed wells 19 D-BoxNalve box locations Reference depth from original grade
within 100 It of property E6 Septic tank/pump chamber and restrictive strata:
19 Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
19 Location and orientation of 0 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Rf Manifold placement ❑ Sand augmentation
components E9 Orifice placement Other cross-section detail:
to Location and dimension of Ef Lateral placement with distance ❑ Observation ports/cleanouts
primary system and reserve area to edge of bed Other Information
E9 Buildings Rf Audible/visual alarm referenced Yes No
Z Direction of slope indicator 66 Scale of drawing shown on scale ❑ 1f Design staked out
Ia Waterlines bar ❑ 1f Recorded Notices attached
Sd Roads,easements,driveways, ❑ Rf Waiver(s)attached
parking ❑ Et Pump curve attached
Z North arrow and scale drawing ❑ E6 Evaluation of failure
shown on scale bar Non-residential justification
❑ 1f Waste strength
❑ 9Flow
I)FSICN APPROV.II.
The undersigned designer must be notified by installer at time of installation 5�Yes ❑ No
Signature of Designer Date A PPR/'►
jThe undersigned has reviewed this design on behalf of Mason County Public Health and determined it ib{7 kvt 7 A
compliance with state and local on-Me regulations: C� jaz U
170/7C) f RASON�oNNn 25 &24
vironmental Health Specialist Date QVIRONM A(
A fNI /t,'QM
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. /9
✓ The Onsite Sewage Permit has not expired the Permit Expiration Date is: �( L �/�t�
✓ 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
1 R0CKYVO/1VTL4NE
FENCE LINE I ! / MgS���ONNrY�Nu/Rp 707y �.
1 / 1 DJq NMENrq/ryfA`,..
I }
� I Q
EXISTING DRAINFIELDAREA I 1 EXIST,
1 I WELL
PROPOSED DRAINFIELD
1,200 SOFT- 600 LN FT
INSTALL LEVEL =f I \
W/CONTOURS 1 tz = / \\
I
EXIST, TANKS
! --�- EXISTING
EXIST.
WELL
I j
DESIGN PROPOSAL
1. PUMP OUT EXISTING TANKS,
ALLOW DRAINFIELD 1 WEEK j EXlST/Alc
HOML, 1 \\
, \
OF REST. / \
2. REMOVE EXISTING DRIPLINE
AND REINSTALL W/ NEW , 1
FOLLOWING CONTOURS OF 1 1
SLOPE. SEE CRO55-5ECTION.
I
3. RECONNECT TO EXISTING
HEADWORK5 &TANKS.
WELL
1 i
THIS 15 A RE-IN5TALLATION OF 1
PREVIOUSLY APPROVED TABLE-9
REPAIR, SWG2018-00236 CASEbVLET
i
PIONEER. DIGGING, INC CUSTOMER,t 33SLI-so g"II" C,,T HOLo
PARCEL&Q233-5000004 TST NJLG JN FILE W/PREVlJUS D�IGN
SEPTIC DESIGNS ADDRESS: 70 ROCKY POINT LN
3083EMA.SONBFNSONRD. GR IMIMWA98546 DESIGNER: R.OBEFLTPAYSSE
OFFICE 360-4261803 FAX-360427-2353 DESIGN PAGE SITE PLAN
�®v
W430NCOU l ?'S 20Zy
\ ( ----------
\ --------------- I
I
AIRkAC I ---------------- I
RELIEF VALVES -------------------~ \
CAS NEEDEDT --------- 000,
--------
f\y --- ---1------------ "
I------------- I \
I \ __---->`-------------- I \
---y--------------- m 1 \
PROPOSED PRIMARY: I -____l__
1200SOFT- 600LNFT I (r- -- ------------ - 1 \
24LINEi025FT I \, 7
24"ON CENTER.
6 -15OFT LATERALS A---------------- / \
---�L------------- \
I _
`-- -- --- / \\
EXISTING
HEADWORKS • / \
(RE-USE) \
EXISTING TANKS 1 \ CURRENTLY
(NO CHANGES) 1 INSTALLED
I DRAINFIELDAREA
I 'SEE NOTES
� I 1
I I
NC- ETC° ,�Q1H PIONEER DIGGING, W ETEiOnEL TS HDLE2
SEPTIC. DESIGNS ADDRESS: 70 ROCKY PORrr IN 0-22LSAND 0-21LSAND
22-45 MOTT. 2F34 MOLT.
3083EMASONBUNONRD. GKVIMEW.WA98W DESIGNER: ROBFRT PAYSSE LSAND LSAND
OFFICE-36042 1803 FM 360427-2353 DESIGN PAGE DF DETAIL ROOTS-U ROOTS 21
FINISHED
GRADE 41480NC011 JJt Z$ 10
_______
-'FNrq< T
_ -4
A5TM C-33 °
1 r PROPOSED DRIPLINE
SAND
124"
ORIGINAL o. 1
GRADE
I
EXISTING
DRIPLINE 1. REMOVE EXISTING DRIPLINE,
2. SCARIFY INFILTRATIVE SURFACE W/ TOOTHED BUCKET
It 3. INSTALL 6"OF ASTM C-33 SAND
N 4. LAYOUT NEW DRIPLINE PER DESIGN.
5. INSTALL 6"OF ASTM C-33 SAND FOR COVER.
RESTRICTIVE LAYER
AIR/VAC
RELIEF VALVE
EM
P.
NETAFIM DRIPLINE
a 'Y
}" FLEX PIPINGCUSTO
PIONEER DIGGING, MG PARCEL .1 33500SWAN DO4 r22-45MOTT
PARCEL x 12733-5000004 02I HOLE z
SEPTIC DESIGNS ADDRESS 70 ROCKY POINT LN 2134 MO D
. 2134 MOTT3 3EMASJNBENSONRD. GRAPEVIEW.WAW5* DESIGNER: ROBEELT PAYSSE LSAND
OEACE-3604261803 FAX 3604Y/-2353 DESIGN PAGE MARS ROOTS-21
.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 it
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 priorto 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(it allowed)and must be permitted through Labor
andlndustries. 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 loft 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 10ft 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 Ad maintenance
information, refer to Mason County Public Health Homeowner's Manual,which should be received after in! aNA rr�roval.
14.System owner should be cautious of landscaping around septic components. Root intrusion �,..A y FA�
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept ✓ '4�
away from lids and other septic maintenance points. *4,,0*, 7 �0
15. Changes made at time of installation may impact designer calculations,pump sizing,and
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. e
d
PIONEER. DIGGING, NC- A�� , �"""
SEPTIC DESIGNS ADDR.ES4 70 ROCKY POINT IN
3083 E WSON BEN,JN R-D. GIWEVIEW,WA 985 DESIGNER ROBERT PAYSSE m
OEflcF-36na2H803 FAX-3604272353 DESIGN PAGE NOTES