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Home My WebLink AboutSWG2024-00296 - SWG Application / Design - 7/10/2024 e 415 N 6TH STREET,SHELTIN,WA 98564 MASON COUNTY SHELTON:360-27 - 470,EXT 400 BELFAIR:360-275-0467,EXT 400 ELMA:360482-5269.EXT 400 Public Health & Human Services FAX:360427-7787 On-Site Sewage System Permit: SWG2024-00296 APPLICANT GREEN KAREN Phone: 360-275-2619 Address: 5471 NE NORTH SHORE ROAD BELFAIR,WA 98528 OWNER GREEN KAREN Phone: 360-275-2619 Address: 5471 NE NORTH SHORE ROAD BELFAIR, WA 98528 SEWAGE DESIGNER BOB ' Phone: 360-426-1803 E Mason Address: 3083 Mason Benson Road GRAPEVIEW,WA 98546 Site Address: 5471 NE NORTH SHORE RD Primary Parcel Number: 222101200071 Permit Description: Table 9 repair 2bd ATLI to sandlined bed Permit Submitted Date: 07/10/2024 Permit Issued Date: 08/0612024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (aaeMoneH«a may�M�U«Uaon meefttU,U ray ml. Permit Expiration Date: 0711612026 (cased on data ar UsIdOO Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staHper 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 0 27 alth/ extension tal/ nsite/oss-inspection-request.php or call: OFFICIAL USE ONLY pRRPKENfP. -IO - MASON COUNTY MD KENfD% o IT COMMUNITY SERVICES _ - N N gyY[NRYN ICmlmuntty neaXvfnwmnmmwlHwhFl N O >mns.«rmw A SWG Z -v+xa.w.+ew V V y ON-SITE SEWAGE SYSTEM APPLICATION 3 wnorvE � PPPLILFNT O 1 1 1 3 KAREN GREEN MHl1NGADOREss-srREET.cm.DATE.LPCOCE BELFAIR WA 98528 A 5471 NE NORTH SHORE RD SITEADDRE&S STREET LPCODE BELFAIR WA 98528 I ^� 5471 NE NORTH SHORE RD P NAME OFCESIONER ROBERTH. PAYSSE 360-426-1803 N nT P ONE O NAME OiIN6rALLER 5 TBD °' > DNNwwvwTER saRCE PERMITT'IK fa4Man1 O 9 RESIDENTIPL O35 ffCOMMUNITYOSS �COMMERCIALOSS QPUBLICPRIVATEWATER SYSTEM LL 6PRNATETWOPPRTY WELL I I E TVFEOFNURNIeNYIP'Y1 REPAIR Ix I > ELNEYVCONSTRUCTIONIUPGRADES ffREPNRIREPLACEMENT OTOSURF=NGSEWAGEEO EMSTINGL FAILURE m SHORELINE 03 SLRMITTNs I NJ p'. LOT 52E Iy.DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEpi00M6 2 BEDS 1'40 x IO ff WNVERIS)PF APPLICABLE) dRECI1011S TO SITEANO SITE CCNdTICfl6:(M. SITE bLMPMI I o TO LFROMANDON RDA ON OUT NORTH SHORELEFT (WATER SIDE).RSEE SITE PLAN. 5471. JUST BEFORE r I o 0 I > y2YI13TYEFlAIWEO TROY YAMRDADAMOTESTNOLE9 YD9TKflA00EO YTfMlF9THOEYMIIEFNI OFFICIAL USE ONLY BELOW THIS LINE UMRAOEEFAILUREWUNCErym�mwiP° ) ❑VOLUNTARY ❑MNNTENANCEIPUMPING ❑BUILDING PERMIT [3110MESAm CIOOMPLAINT E3HERZ 0T �m 1 IN6PECTOR SgLLC(i4 .�G � 1 f- Tt I i 4 MS II-vb �^o 1 RFF �0z� L REOOTO DRMWNGAND INSTALLATION REPORT SOILCODEG=GRAVELLY 5=BIND L•LOAM E=SILT C.CIAV E-E%TREYELV R^ROOTS REQUIRED FOR%NLLAPPROVAL �—ECPTIONE%%RAYON � LlTe IN6PECtt1R SIGNANREVN THIS FORM MAY ES3 NEDANDAVAILAELEFORPUBLN VIEWON THE MASON COUNTY WEBSfIE REN 1NM16 DESIGN FORM-PAGE ONE Assessor's Parcel Number: 2 2 2 1 0 - A design will be reviewed when 3 co i s of each of the following are submitted: v Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist. This form may in scanned and available for public view on the Mason County Web sloe.vluximum a er siee: 11"X17" _ PARCEL IDENTIFICATION ..: .. ROBERT H.PAVSSE Permit Number: SWG 17 Designer's Name: 360-4261803 KAREN GREEN Designer's Phone Number: Applicant's Name: 3083E MASON BENSON RD Mailing Address: 5471 NE NORTH SHORE RD Designer's Address: BELFAIR WA 98628 Ci State Zip GRAPEVIEW it 98 Zi Ci Sinte Zi .� DESIGN PARAMETERS Treatment Device ❑Glendon Bkfilter ❑Send Fitter ❑Mound R(Sand Lined Dmmf..Id ❑Recimuladng Filter,TYP': firAerobic Unit Meke/Model NUWTER BNR5W ❑Disinfection Unit Make/Model Other: Drainfield Type ❑Sub Surface Drip ❑Gravity R1 Pressure R(Trench OBed Laterals Septic Tank/Drainfield Specifications Number of Bedrooms 2 SCH.40 Schedule/Class 180 gpd Length 50 ft Daily Flow:Operating Capacity 1.25 in Daily Flow:Design Flow 240 gpd Diameter Number 4 BNR750 Septic Tank Capacity(working) P� 2.5 ft Receiving Soil Type(1-6) 3 Separation Receiving Soil Appl.Rate 0.8 gPd/ 52 Required Primary Area 300 ft, Total Number of Orifices Orifices 500 }� Diameter 3/16 in Designed Primary Aree 48 in Designed Reserve Area 500 ftr Spacing 10 ft Manifold TrenchBed Width SCH.40 Trench/Bed Length 50 ft Schedule/Class Length 7 ft Elevation Measurements 1.25 in Original Drainfield Area Slope 0 % Diameter New Slope,If Altered 0 / preferred manifold configuration used? 4yes ONO Depth of uP-slope 14+12(C33) in Transport Pipe Excavation from Original Grade Down-slope 14+12(C33) in Schedule/Class SCH.40 12+ in Length <25 ft Designed Vertical Separation 2 in Gmvelless Chambers Required? ❑Yes 1j No 0 Optional Diameter Pump Required? If Yes 0 No Dosing and Pump Chamber Number of 4 Pump/Siphon Specifications Bel Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 1600 gal 2 ft Chamber Capacity(flood) Drainfield Squirt Height/Selected Residual(head) Pump controls:Please check those required. Uppermost Orifice 21 Higher 0 Lower than Pump ShutotT SITimer GYElapse Meter 6gEvent Counter Capacity @ Total Pressure Head 30.7 gpm 2MIN ,Pump off 6 HRS Calculated Total Pressure Head 14.3 ft If Timer: Pump on P Comments APPROVED AUG 0 6 2024 RET DESIGN FORM—PAGE TWO Assessor's Parcel Number.- - - 1 0 — 1 2 -- 0 0 0 7 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ili Test hole locations lZ Drainfield orientation and layout Reference depth from original grade: m Soil logs bil Trench/bed dimensions and Ef Septic tank IS Property lines critical distances within layout [9 Drainfreld cover m Existing and proposed wells 19 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 19 Septic tank/pump chamber and restrictive strata: m Measurements to cuts,banks,and locations Gd Laterals,trench/bed,top and surface water and critical areas 19 Observation port location bottom 19 Location and orientation of E6 Clean-out location ❑ Curtain drain collector curtain drain and all absorption fid Manifold placement ❑ Sand augmentation components 56 Orifice placement Other cross-section detail: m Location and dimension of Lateral placement with distance Rf Observation ports/clean-outs primary system and reserve area to edge of bed Other Information m Buildings lid Audible/visual alarm referenced Yes No id Direction of slope indicator 21 Scale of drawing shown on scale 9 ❑ Design staked out id Waterlines bar ❑ 9 Recorded Notices attached ❑ if Waiver(s)attached m Roads,easements,driveways, parking [if ❑Pump curve attached ❑ Evaluation of failure In North arrow and scale drawing shown on scale bar Nan-residential justificulon ❑ 66 Waste strength ❑ 51 Flow DESIGN APPROVAL rundemignedner must be notified by installer at time of installation 66 Yes ❑ No 2A,r Signature of s er Date viewed this design on behalf of Mason County Public Health and determined it to be in and local on-site regulatiore: �� Environmental Health SPeCt4ist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: -1 The design is stamped"Approved-by Mason County Public Health. �1�6 �2 ✓ 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. Datc: 12'7201 i EXISTING WELL 1 \ EXISTING \ -ice WELL P. - / I / I ` I PROPOSED 2-BED EXISTING 1 TABLE-9 REPAIR ' ' HOME 10'X50' BED5Y5. / / 1 - T (OVERSIZED) PVMPOVT& ' ABANDON EXIST. TANK(5). INSTALL 1 �I APPROXIMATE TRASH, NVWATER I �f BVLKHEAD & PVMPTANK l HOOD 1 / 0 CANAL 300SQFr 9T i ROVED TABLE-9 RESERVE AREA v� �� 9i � AUG 0 6 2�4 1 �� MA N COUNTY ENVIRPNMENT LHEALTH 1 /RE`f I .7 1 � NT i d V ,� AN ASBUILTI INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION 9 CUSTOMER: KARFN GRFFN TEST HOLE t TEST HOIS LE 2 PIONEER DIGGING INC. 5H M 38.�N R'Ro PARCEL k:21210-12-00071 SI.NORFS 9mGNN5.�E SEPTIC DESIGNS ADDRESS: 5471 NORTH SHORE RD I NM l o Il RS 3083 E M0.50N 80450N RD. GRnPEVIEw,wn 9R54ti DESIGNER: R08FRT H PAYSSE .�,.E �a Z ... OFTICE-3b 26M03 FA%-36042]-2353 SHEEN: SfTE PLAN SCpI F• I"=3d 600-GALTRASH _ ' 1� -a__--OBPORT NUWATER BNR500 %�------ - - & C/O (W 1500 PUMP TANK Ik BULKHEAD �111 0% SLOPE I I HOOD �VALVE CANAL i ,r OB PORT ORIGINAL FINISHED GRADE C/O (X4) GRADE (6"* COVER MATERIAL) ----- --7T �r N 30" 12"C-33 SAND -------- --- ----------- ry THREADED RESTRICTIVE CAP LAYER ' "ORIFICES C>1 -D.Q w. W/ SHIELDS APPROVED n F AUG 06 2024 !L 90, MASON COUNTY ENVIRONMENTAL HEALTH L SWEEP RET AN ASBUILTI INSTALL SIGNOFF FEE WILL BE CNM XD AT TIME OF INSTALLATION GLUED TEE TEST HOLEL TEST HOLE 2: DIGGING, ING GusCEL V.2 2"-OOGRF� 51+W Discs PIONEER ,,DDR s mw Otani Sk NO RE SS«SGN a ADDRFS4 SC7I NORTH giOREitD LnrFA TIDE WATFA.� SEPTIC DESIGNS T HPA155E DESIGNER: ROB�L 3053EMASON BOO RD. GRAPEVIEW. PrIO' OFFICE-36tr4261803 FAX-3EM771353 SHEET: DF DETAO. SCAIc 24'RIBBED RISERS CLEANOUT W/WATER TIGHT LIDS FINISHED GRADE INLET OVTLET TWO WAY TEE USE TANKS FITTED WATER-TIGHT W/CAST IN WATER JOINTS TIGHT FITTINGS FOR INLET/OURESAND "CALLONWA7ER7761ir CAST IN RISER CONGTE7F7RASH7ANK E APAPNSVRE SURE WATER TANKS MUST BE TIGHTNESS ON STATE DOH APPROVED LI5P ::r`'.7.:•.•.: i: OF SEWAGE TANKS APPROVED AUG 0 6 2024 MASON COUNTY ENVIRONMENTAL HEALTH RET CIISTOMEII KAREN CRPIId SCALE NA PIOM=,WNKD. NG, INC. PARCEL 222"W07I INSTALLTANKS ONORIGINALOR NS ADDR.M' 547INORTH )RE COMPACTED LEVEL 50ILS. RUN CROSS DESIGNER: R.OBFILT PAYSSE CONNECTIONS INTO ONGINAL50ILS TO 3093 E. PEYIEW,WAN546 AVOIDSETTLING. 360427M3 DESIGN PAGE TANKS yxnnary tYY IN- A,TANKS MUST BE ON STATE POH APPROVED LIST NVWATER OF SEWAGEGE gNR500 TANKS ° USE RUBBER PUMP TANKS x �LML..,.P�� OVER IOOO GAL n :L� r GROME75 FOR REQUIRES TYVO , . o • ° TRANSPORTLINE ACCESS RISERS ' OS /C AND ELECTRICAL TO GRADE PP !/ [� j�,'��' : ON RISERS. MAKE ,. � . , e . •. : : SURE ALL HOLES PUMP TANK5 ARE WATER-TIGHT LOCATEDATHIGHER ALIU ELEVATION THAN DRAINFIELD MUST MASON COUNTI END�VI[R7TON4�ENIAL HEALi HAVE ANTI-SIPHON NIM,ATER NNNNTR01-PANEL 24"RIBBED RISERS DEVICE INSTALLED. W/WATER TIGHT LIDS FINISHED GRADE EIECRJGL EL0. IJC BY LKENSEG ELER0.1CWi ELEnaiuLcaNunr N TLIN UNION&BALL VALVE INLET WATER-TIGHTO S 'ON�GUMD ANK WA IFR T CHECKVALVE HIGH WATERfLOAT USE TANKS FITTED ON/OFF FLOAT W/CAST IN WATER TIGHT FITTINGS FOR INLET/OUTLE5AND PUMP BUCKET CAST IN RISER ADAPTERS TO ..,.' ENSURE WATER � , xeee�.*N arsee .. • ..• . .. „,.. TICHTNE55 r Y EXPIRES =SErFLINC. PARCEL t.2 KAREN GREENONGPIONEERDIGGING, ITIGrARCELrmlo-aaoon SOILS UNCIC DESIGNS ADDRES4 50NORTHSHORE RD OILSGINAL5 OSS TO ORIGINALSOILSTO 3083EMASONBFNSJNRD. GKAPEVIEW,WA98546 DESIGNER: R.OBFATNPAYS� OFFICE-36pg761803 FAX 3 60 47/43 53 DESIGN PAGE TANKS DETAL 4 f 1h�oiPumps Room w e E E m ; � f &�, EXPIRES LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE MST.TO TOTAL TOTAL LATERAL# LENGTH PIPESIZE LENGTH LENGTH SIZE(Inch) DISCHARGE SPACING 1STORIFICE ORIFICES HEAO (feet) (inches) (feet( (feet) RATE(gpm) (feet) (inches( (feet) 2 50 1.25 3 53 3/16" 0.59 4 12 13 0.47 2 50 1.25 2 52 3/16' 0.59 4 12 13 0.46 3 50 125 3 S3 3/16' 0.59 4 12 13 0.47 4 50 1.25 2 52 31W 0.59 4 12 13 0.46 DRAINFIELD HEAD(feet) 1.87 TRANSPORT LINE HEAD(feet) 0.42 ELEVATION CHANGE(feet) 5 RESIDUAL/SQUIRT(feet) 2 EgfN1 LOSS/FrMNGS(feet) 5 TOTAL DYNAMIC HEAD(feet) 14.28 TOTALGALONS PER MINUTE 30.68 APPROVED ur 0 6 2024 CliSTOMFA KARFN GREEN PIONEER DIGGING, INC PAR V.22210+zm071 MASON COUNTY ENVIRONMENTAL HEALTH SEPTIC DESIGNS ADDRESS: 5471NORTHSfORERD RET 3083 E MAAJ BIN"ISON RD. GIU MEW.WA 985 DESIGNER: ROREELT R PAYSSE OFFICE-360426-I803 FAX-3604272353 SHEET: CALCS SCALE NA 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. 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.ATU,Glendons,)may have other requirements not listed within this design. 7.All electrical wiring shall be done by a licensed electrician or homeowner(Hallowed)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 10h 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 19"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 verity satisfactory operation. The system owner/operator is responsible for the continuous operation and maintenance of the system per WAC 246-272A. A:tnl� s rra) ce information,refer to Mason County Public Health Homeowner's Manual,which should be received7aaft r I. 14.System owner should be cautious of landscaping around septic components. Root intrusion AVG 0 6 2024 can cause premature failure of the drainfield area. In addition, bushes and trees should be%&ON COUNTy ENWRONMENTAL HEALT,' away from lids and other septic maintenance points. RET 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 CLJSTO[208(3 NEER DIGGIl�IG, WC. PARCEL IraFR- ICARFIVGRIDN PARCEL r 7J710f2-00071 61"rv"wrs�aen. SEPTIC DESIGNS ADDRESS 5471NORTHSHORE RD E MASON aFM4ON RD. GWWIEW,wAWW DESIGNER: R.OHEILT H.PAYSSE PI _a OFFICE-36U 261803 FAx-360-427-2353 SHEET; NOTES SCALE NA