HomeMy WebLinkAboutSWG2024-00311 - SWG Application / Design - 7/19/2024 MASON COUNTY 415NBSHELTONSTREET,S 427-9R WA98584
SHELFAIR 380-42]-98]0,EXT 400
4 aELFAIR:380.2]5.448],EXT 400
Public Health & Human Services FILM,360482-5269,EXT 400
FAX M0427-]]87
On-Site Sewage System Permit: SWG2024-00311
APPLICANT ANDRADESERGIO Phone:
Address: P O BOX 408 GIG HARBOR,WA 98335
OWNER ANDRADESERGIO Phone:
Address: P O BOX 408 GIG HARBOR,WA 98335
SEPTIC DESIGNER BOB PAYSSE• Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
Site Address: E Mason Lake Dr E
Primary Parcel Number: 221045200073
Permit Description: New 2bd pressure trench
Permit Submitted Date: 0711912024
Permit Issued Date: 0812912024
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $540.00 (addNorel We may be reaoired won mmallomn or system).
Permit Expiration Date: 08/28/2027 (beeadondned,m, )
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 Forth, 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.gov/health/environmentaYonsite/oss4nspection-request.php or call:
360-427.9670,extension 400.
4
OFFICIAL USE ONLY
WTESKLNED:
MASON COUNTY I G y n
COMMUNITY SERVICES °^ °° .M ` OR
In
Publle Health(Cmmmun�HeaIHU Immvbl HeaHH)
m,N 5wG l - 3 o p
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ON-SITE SEWAGE SYSTEM APPLICATION 3 'n
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APFLGNT PHONE m Ol
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SERGiO ANDRADE
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MANNGnCCRFS6.STREET.CITY 6TATE,➢P fAEE
PO BOX 408 GIG HARBOR WA 98335 m
SRESTPE55-SiflEET,CITY.LP CODEs
XX E MASON LAKE DRIVE EAST GRAPEVIEW WA 98546 N)
NANEOFLESIGIER PHONE I N
ROBERT H. PAYSSE 360 426-1803
NWE GFINSTAL!ER PHONE O
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PERMITTTYc!mlxt mal DRINIMNGVNTERSOURCE y lO
FV: RcSIOEWTIAL OSS ffCOMMUNITY OSS FI COMMERCIALOSS ir PRIVATE INDIVIDUAL WELL GPRIYATE TIM1QPARTY WELL 2 IA
TIFF JF .N;a htl e) Q PUBLIC WATER SYSTEM
..: !.ENCONSTRUOTION/UPGRADES ff REPAIR I REPLACEMENT OTHEROETNLSfa affM ewl)N STABLE IX REPAIR I I�
A— ❑ SURFACINGSEVIAGE I9ENSTINGFNLURE ❑SHORELINE
. CxS.GNFORM(REQUIRED) IiKSERTic DESIGN(REQUIRED) BEDROOMS LOTME 0 IN
_ '.,AVERI5(IF APPLICABLE! 2 0.20 I O
DIREeQe:,S TC SITE.0 SITE CQVDTUNS:I.,,beYetlpeN)
N t1WY 3, LEFT ON MASON BENSON ROAD. FOLLOW PAST FIRE STATION TO LEFT I o
ON MASON LAKE DRIVE EAST. CONTINUE TO SITE ON LEFT ACROSS STREET r I o
FROM ADDRESS 1431 & 1441 0
STE.ifUSi BC FLADDED FROM MAINflO.M ANO TFYIH0LE5 M1Al IN,
FUOOFO NI/N 1E41 NOLENWBERS. W
OFFICIAL USE ONLY BELOW THIS LIN
UPGFADE/FAILURE SDURCE(ta,rcpeNry gapaul '
❑VOLUNTARY OMAINTENANCEIPUMPING ❑SUILD!NGPERMIT CIHOMESALE OCOMP ❑OTHE '
INSP' � ENTS/WNOITIONS
I
RECORD OMWNG AND INSTALLATION REPORT
REOUIRED FOR FINALAPPROAL
INSPE SIGNATURE DATE APPLICATION E%%MTCN DATE TCNAPPROVFNISSUED BY DATE
TR FAW MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED IYl2615
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 4 — 5 2 — 0 0 0 7 3
A design will be reviewed when 3 cooler 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
•Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist.
This form maybe smoned and available for public view on the Mason County Web sae..Muximurs papersize: 11"X17"
PARCEL IDENTIFICATION
Permit Number: SWG Designer's Name: ROBERT H.PAYSSE
Applicant's Name: SERGIO ANDRADE Designer's Phone Number: 360-426-18M
Mailing Address: PO BOX 408 Designer's Address: 3093 E MASON BENSON RD
GIGHARBOR WA W335 GRAPEVIEW WA slaw
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biotin r ❑Sand Filter ❑ Mound ❑Sand Lined Drainfeid ❑ Recirculating Filter,Type:
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity 9f Pressure (if Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCH.40
Daily Flow:Operating Capacity 180 gpd Length 34 ft
Daily Flow:Design Flow 240 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1200 gal Number 3
Receiving Sail Type(1-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 gpd/fta Orifices
Required Primary Area 300 ft, Total Number of Orifices 27
Designed Primary Area 306 fiz Diameter 3116 in
Designed Reserve Area 306 ft' Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 102 ft Schedule/Class SCH.40
Elevation Measurements Length 18 IF
Original Drainfield Area Slope 12 % Diameter 1.25 in
New Slope,If Altered 12 % Preferred manifold configuration used? IrYes ❑No
Depth of Excavation U"lope 11 in Transport Pipe
from Original Grade ooa,_rmpr 7 in Schedule/Class SCH.40
Designed Vertical Separation 24+ in Length <50 ft
Gravelless Chambers Required? ❑Yes lid No ❑Optional Diameter 2 in
Pump Required? Iff Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 It Chamber Capacity(flood) 1200 gal
Uppermost Orifice lif Higher O Lowerthan Pump Shutoff Pump controls:Please check those required.Capacity @ Total Pressure Head 16 gpm Rf 1 e Meter m.y
Event Counter
Calculated Total Pressure Head 12.8 ft If et I p off 6 HRS
Comments 14 AUG 292024
MASON COUNTY ENVIRONMENTAL HEALTH
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 0 4 — 5 2 — 0 0 0 7 3
Permit Number. SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
B Test hole locations 0 Drainfield orientation and layout Reference depth from original grade:
Gd Soil logs R1 Trench/bed dimensions and Rf Septic tank
19 Property lines critical distances within layout 13 Drainfield cover
R1 Existing and proposed wells Rf D-Box/Valve box locations Reference depth from original grade
within 100 ft of property lid Septic tank/pump chamber and restrictive strata:
m Measurements to cuts,banks,and locations B Laterals,trench/bed,top and
surface water and critical areas 19 Observation port location bottom
65 Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption Rf Manifold placement ❑ Send augmentation
components 19 Orifice placement Other cross-section detail:
A Location and dimension of Rf Lateral placement with distance 19 Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildings j Other Information
Rf Audible/visual alarm referenced Yes No
Direction of slope indicator 66 Scale of drawing shown on scale Design
1A Waterlines 0 ❑ Desi staked out
bar ❑ fir!Rewrded Notices attached
Ib Roads,easements.driveways, P P R 0 V E Rf Warver s)attached
parking ❑ Pump curve attached
RJ North arrow and scale drawing Atl(j 2 9 2024 19 Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HE on-residentieljustiftcation
I5 Waste strength
JBW ❑ Rf Flow
DESIGN APPROVAL
j The undersigned designer mu installer at time of installation R1 Yes ❑ No st no[itied
Signature o Dr Date
The undersigned has reviewed this sign on behalf of Mason County Public Health and determined it to be in
compliance with state and local -si a regulations
A I,Jt�,�-ti, ?>-2- -zy
E irr a at Health Specialist Date
CAUTION: DESIGN APP VAL 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
If / // �/� NEIGHBORING WELLS (100'+)
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COUE�8Y1 PROP05ED WELL
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IYI\uV AN ASBNLTI INSTALL SIGNORE FEE WILL
BE CHARGED AT TIME OF INSTALLATION
PIONEER DIGGINQ NC CUSTOMER:t.2 SERGIO NDRADE TESTHOLEI TEST AS E2
PARCEL x 77104i2-00073 37,I s 33 I(Ill
31+1➢1 3»1 Ill
SEPTIC DESIGNS ADDRESS: XX E MASON IK DRE ROOTS®n KJ I<435
3G83 E IMSI) BENSS N RD. GRMFVIE WA 985 DESIGNER: ROBERT R PAYSSE
OFFICE 3&M2&I803 FAX-3&a4272353 SHEET: SREPIAN SCALE r=20' o„a.ww. F . —
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FINISHED THREADED CAP
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GRADE i"ORIFICES 012:00
FILTER I W/ SHIELDS
I FABRIC I
90' SWEEP
rl
RISER OR
GLUED TEE
W HP"I'ov VALVE BOX
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AUG 2 9 2024 1 Ara
MASNCOUNTYENVIRONMEN1�LfiEAITH
REST. LAYER 1JRW
EXPIRES
CHECK VALVES BALL VALVES
AN ASBUILTI INSTALL SIGNOFF FEE WILL (A5 NEEDED)
BE CHARGED AT TIME OF INSTALLATION
PIONEERPIONEER DIGGINQINC cusr°MER sFRcao ANDRADe TEST HO EI: TE5CLS
PARCEL k 22104-52-01M 03](I L5 33 Q5
3]�HILL 35�TdL
SEPTIC DESIGNS ADDRESS: XX E MASON IK DRE ROOTS@3] RWTS 035
3063EMA.5ONBENFONRD. GRVFAEW,WAWk, DESIGNER: ROBERT H.PAYSSE
0MCE-36R426IN03 FAX 360,42]-2353 SHEET: DF DETAIL SCALE: P=10'
24"RIBBED RISERS W/BOLTON WATER-TIGHT LID5
CLEANOV7 USE RISER LID ADAPTERS WITH NO GASKET LID$
L==
FINISHED GRADE
WATER-TIGHT
JOINTS
INLET
OUTLET
TWO WAY TEE
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WATER-TIGHT 4"051
JOINTS EFFLUENT
r FILTER
TANKS MUST BE
ON STATE DOH f2OO CAL L0NWA7ER77CHT
APPROVED LIST CONCRETE-SEG77CTANK
OF SEWAGE
TANKS
PUMPTANK5 -
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OVER1000GAL . ..:^ .• . ' '' : '. r r^^4y
REQUIRES TWO .."- [ -.Y :•/ ;Q.`
ACCESS RISERS ^. .........
TO GRADE s' v
vcvva`h'wrsse
PUMP TANKS
LOCATED ATHGHER AQUAWORKS Enwk �
ELEVATION THAN CONTROL PANEL
winMER MNTCAVNTEa 24"RIBBED RISERS
DRAINFIELD MUST Neova METEa s+ �=��-s�E��,AH r W/WATER TIGHT LIDS
HAVEANTI-51PHON 11
DEVICE INSTALLED. FINISHED GRADE
TRANSPORT LINE
INLET UNION @ BALL VALVE
D O LLONWW R77CHT
._ r e LY E7FpUMo TANK
p .5 CAL. IN.)
WATERJO GH JOINTS
UG 2 9 2*4
MASON d NTY ENVIRONMENTAL HE�IRESSURE TRANSDUCER
USE TANKS FITTED J@W (OP.FLOATS) CHECK VALVE
W/CAST IN WATER
TIGHT FITTWG5 FOR USE RUBBER
INLET/OUTLESAND PUMP BUCKET: GROMETS FOR
CAST IN RISER BUCKET HEIGHT MUST BE TRANSPORT LINE
ADAPTERSTO AT LEAST HEIGHT OF PUMP AND ELECTRICAL
ENSURE WATER ON RISERS. MAKE
TIGHTNE55 SURE ALL HOLES
ARE WATER-TIGHT
PIONEER. DIC.CJN , INC PARCEL x..2 SERCIO ANIDRADE BGSLE NA
PARCEL 210432-00073 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRES-q:XXE MASON IK DR.E COMPACTED LEVEL SOILS. RUN CROSS
"3EIvWJNBENEVNRD. GRAPWIEWWAWB DESIGNER: ROBFATHPAYSSE CONNECTIONS INTO ORJGINAL50ILSTO
JEFICE 3 42&003 FAX-36 27-2353 SHEET: TANKS SCALE NA AVOID SETTLING.
bhbF Pumps
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APPROVE
AUG 2 9 2024
MASON
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LATERAL LATERAL FEEDER TOTAL OWFICE owFla DIST.To TOTAL
LATERAL# LENGTH PIPESIZE LENGTH LENGTH OMFICE DISCHARGE SPACING WORIFICE HEAD
(feet) (inches) (feet) (feet) SIZE(Inch) RATE(W-) (feet) (inches) ORIFICE (feet)
1 34 1.25 3 37 3/16' 0.59 4 12 9 0.17
2 34 1.25 9 43 3/16" 0.59 4 12 9 0.19
3 34 1.25 18 52 3/16" 0.59 4 12 9 0.24
DRAINFIELD HEAD(feet) 0.60
TRANSPORT LINE HEAD(feet) 0.24
�. ELEVATION CHANGE(feet) 5
RESIDUAL/SQUIRT(feet) 2
EXTRA LOSS/FITTINGSvw) 5
f
j. TOTAL DYNAMIC HUD(feet) 12.84
TOTAL GALLONS PER MINUTE a93
PIONEER DIGGING, INC cUSToMJt: ANDRADE
PAacEL c aa104-sza+52-0 oo73
SEPTIC DF.,IGNS ADDRESS: XXEMASONLKDRE
3083 E MASJN BEWN Itu. c;0..ArEV M WA 98546 DESIGNER: R.OBER.T K PAYSSE
OMCE-3& 426I813 TAX-3NF42]-2353 SHEET: CALCb 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 Ito 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 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 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.
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 wmpacted 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.ATII,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 10ft to waterlines with all septic components. If less than link 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 1011 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 27�.���tlpry apdLn,,enance
information,refer to Mason Count Public Health Homeowner's Manual,which sAtrusikdG
a ec ive l a tproval.
14.System owner should be cautious of landscaping around septic components. 2 9 2024
can cause premature failure of the drainfield area. In addition,bushes and trees"�J "0
away from lids and other septic maintenance points. ENVIRONMENTAL HEALTH
JBW
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.
�3d
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PIONEER DIGGDVG, WG RCE 22,052�p"'3°�ADE
SEPTIC DESIGNS ADDRESS: XXEMASONLKDRE
3083 E MA.v,JN BEW)N RD. GRAPEVIEW,WA 9a546 DESIGNER: ROBFRT H.PAYSSE EX ES
OM 36 42&Bffl FAX-3G}427BB SHEET: NOTES SCALE NA