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Home My WebLink AboutSWG2024-00318 - SWG Application / Design - 7/22/2024 ® MASON COUNTY 415 NfiTHELTON: , 0427-970,EXT 400 SHELTON:360<27-4467,EXT 400 BELFAlft:380-275-448],E%T 400 Public Health & Human Services ELMA:360482.5269,EXT 400 FAX M0427-7787 On-Site Sewage System Permit: SWG2024-00318 APPLICANT FULLER COLBY K Phone: Address: 200 W SHADOW VALLEY DR SHELTON,WA 98584 OWNER FULLER COLBY K Phone: Address: 200 W SHADOW VALLEY DR SHELTON,WA 98584 SEPTIC DESIGNER Alex Paysee Phone: 360-426-1803 Address: 3083 E Mason Benson Rd GRAPEVIEW,WA 98546 Site Address: XXX E Union Heights Or Primary Parcel Number: 322327590032 Permit Description: New 4-bedroom pressure system Permit Submitted Date: 07/22/2024 Permit Issued Date: 09/0412024 Issued By: David Anderson Current Permit Fees Paid: $640.00 ( ddmrel I..may ba rewna .tem)_ Permit Expiration Date: 08/07/2027 (b.w an dare d Impedbn) Permit Conditions: i Proposed development subject to zoning requirements and approval by the planning department staflper Mason County Title 17. 2 Permit must be installed by a Mason County CertHied 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 back/ill 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.gov/health/environmental/onsite/oss4nspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY G R a"D7_ 2- COMMUNITY SERVICES MG DO M=E D9Y: W (/I NLIIO HW*I�WmmunM1y HezltbEnvlmnmeMel Health y 415=„�, Shll NA„M o SWG 14 - O6 �f N m O A z N ON-SITE SEWAGE SYSTEM APPLICATION n 'n APRIGM PHONE m COLBY FULLER z MNLINGADDRESS-6TREETOI..SFATE,11F=l a 200 W SHADOW VALLEY DR SHELTON WA 98584 008 6REF0gqeeE66 STREET,CITY,LPpJCE 'A XX)CUNION HEIGHTS PLACE UNION WA 98592 MMEOFCESIGNER PXCNE ALEX L. PAYSSE 360426-1803 NAME OF IWAU Efl PHONE TBD O I N L PFRMRttPE(ubttme) CC DPNUNG MTER SOURCE O) W 9RESIDENTIALOSS LMCOMMUNITYOSE ECOMMERCIALOSS EPRIVATEINDIVIDUALWELL EPRIVATETW PARTYWELL 0 IYPE OF Y.ORM aelMme) I N pp ( CC PUBLIC WATER SYSTEM PUDEt p:NEWCONSTRUCTION/UPGRADES I;REPPIR/REPLACEMENT OTHERDETAILS(aNa.m ,,T1 CI TABLE IX REPAIR I V SUBMITTAL CC 0 SURFACING SEWAGE 13 EXISTING FAILURE 0 SNORELINE DESIGN FORM(REQUIRED) I SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSIZE m I01 6NNIVER(S)(IFAPPLICABLE) 4 1.03 0 ORECTIONSTOSITEMDSITECONOTICNS:( .bcN ) _ TD NORTH ON MCREAVY RD TOWARDS UNION. JUST PAST UNION GAS STATION TURN I o LEFT ONTO UNION HEIGHTS DRIVE. CONTINUE UP STEEP HILL AND UP TO INTERSECTION. TURN RIGHT ONTO UNION HEIGHTS PLACE. TURN LEFT ONTO 0 10 FALLING STAR LANE AND CONTINUE LEFT ONTO PRIVATE/GRAVEL ACCESS. PDI I w SIGN POSTED AT END NEAR SITE. SEE SITE PLAN. BfIC MUSTBEMGGED FMOM MAMIfOAppNOIESTMO{Fy YU4T BEgABBEO MIIM 2]T XO{ENLYBER$ IIV OFFICIAL USE ONLY BELOW THIS LINE UPGRACEIFAILURESOURCEHwmMxVPiryye) R OVOLUNTARY OMAINTENANCEIPUMPING 0 BUILDING PERMIT ❑HOMESALE ❑COMPLAINT ❑OTHER: , INS TORFIB UMe CCMMFNISICON.ONS 7H1;0-Z6/7g" V4SL. Cry/a Lf) $Ox U/ZP-- ' yz. !L na oTo 40" boy al S Wt- 30-m- FySL lr JUL 19 2024 D IkSfai if"w/kli ( L rn�aG 3g'VbSc By- ___ Rtu-41LWW/ ftt SOILOODES: RECORDOUMANIA GAINSTAUTATICNREFORT V=VERY G-GRAVELLY S=SAND L=LOAM SI=SILT C-CIAY E=EXTREMELY R-ROOTS RECUIREDFGFFIMLAFPROM INSPECFORSIGNXTURE WTE gFPLIGTI EXPIRAT GTE APPLIG MPROVEWISSUEDBY DATE a �� 7 an, THM FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTYWEBSITE RMSEDIP/=S DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 2 3 2 — 7 5 — 9 0 0 3 2 A design will be reviewed when 3 copies of each of the following are submitted: a 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. Cross-section sketch,including all applicable items on checklist. This farm may be scanned and available for public view on the Mason County Web site. Maximum ppr sue: 11"X 17" PARCEL IDENTIFICATION mi Pert Number: SWG 2024 IV31 Dp Designer's Name: ALEX L.PAYSSE Applicant's Name: COLBY FULLER Designer's Phone Number: 360d2&1803 Mailing Address: 200 W SHADOW VALLEY DR Designer's Address: 3083 E MASON BENSON RD SHELTON WA mm GRAPEVIEW WA 98W Ci State Zip city State Zip DESIGN PARAMETERS Treatment Device ❑Glendon Biofiber O Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recimulating Filter,Type: ❑Aerobic Unit Meke/Model ❑Disinfection Unit Make/Model Other. Drainfield Type O Gravity Ed Pressure G(Tnach ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms FOUR Schedule/Class SCH.40 Daily Flow:Operating Capacity 360 gpd Length 54 ft Daily Flow:Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity(working) 1500 gal Number 5 Receiving Soil Type(I-b) 4 Separation 9+ ft Receiving Soil Appl.Rate 0.6 gpd/ftl Orifices Required Primary Area 800 ft, Total Number of Orifices 70 Designed Primary Area 810 ftc Diameter 3/16 in Designed Reserve Area 800+ ftt Spacing 48 in Trench/Bed Width 3 ft Manifold TrenchBed Length 270 ft Schedule/Class SCH.40 Elevation Measurements Length 40 ft Original Drainfield Area Slope 10 % Diameter 1.25 i New Slope,If Altered 10 % Preferred manifold configuration used? S(Yes ❑No Depth of Excavation Up-since 12 in Transport Pipe from Original Grade on.-slope 9 in Schedule/Class SCH.40 Designed Vertical Separation 24+ in Length <50 ft Gravelless Chambers Required? ❑Yes 1d No ❑Optional Diameter 2 in Pump Required? Rf Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdows/day 6 Diff.in Elevation Between Pump&Uppermost Orifice <10 ft Dose quantity 80 gal Drainfield Squirt Height/Selected Residual(head) 2 it Chamber Capacity(flood) 1500 gal Uppermost Orifice Ef Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 41.3 gpm dTimer 6dElapse Meter EdEVent Counter Calculated Total Pressure Head 20.25 ft If Timer. Pump on 12 MIN. ,Pump off 4 HRS Comments PERFORM DRAWDOWN AND ADJUST TIMER SETTINGS AFTER INSTALLATION DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 2 3 2 -- 7 5 -- 9 0 0 3 2 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch RJ Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: 9 Soil logs E6 Trench/bed dimensions and 1f Septic tank 0 Property lines critical distances within layout 9f Drainfield cover R1 Existing and proposed wells Rf D-BoxfValve box locations Reference depth from original grade within 100 It of property if Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations 19 Laterals,trench bed,top and surface water and critical areas Gd Observation port location bottom lin Location and orientation of fd Clean-out location ❑ Curtain drain collector curtain drain and all absorption Rf Manifold placement ❑ Sand augmentation components m Orifice placement Other cross-section detail: I;b Location and dimension of Ed Uf Observation ports/cleanouts primary system and reserve area Lateral placement with distance to edge of bed Other Information m Buildings 56 Audible/visual alarm referenced Yes No Id Direction of slope indicator 66 Scale of drawing shown on scale If ❑ Design staked out 19 Waterlines but ❑ 65 Recorded Notices attached A Roads,easements,driveways, ❑ Rf Waiver(s)attached parking if ❑Pump curve attached 0 North arrow and scale drawing ❑ [if Evaluation of failure shown on scale bar Non-residential justification ❑ 1f Waste strength ❑ Id Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation 06 Yes ❑ No .Aeapa., 711,1 Izq ry Signatulte of Des er mare - I y+-3�' 'v The undersigned has reviewed this design on behalf of Mason County Public Health and de[etming it[0 5esiar /� compliance with state and local on-si gulations: G Afgs J c fty a Z oNC011p1_yp Environmental Hesilth Spbdialist Date 'tow kH CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: 7Tj ✓ 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 ofilesign 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. Cpdntcd Date 1' 7:_101, o` I� UNION HEIGHTS PLACE NORTH R1 t� 62 ± — -- — I -----`-- ———— -— _T i 4 BEDROOM � i I DKAINFIELD (PRIMARY&RESERVE) I SEPTICTANK I PVMPTANK FUTURE I HOME (3 BEDROOM) Selo lyo lo FpOlyOlo I FUTURE I OhgaN� 1y FUTUPEWATEM IANTANI0+1-INE SHOP I ✓� epTgq�(Tq (1 BEDROOM) SEPTIC COMPONENTS & LINES I ' I / I Ii do 77 FALLING STAR LANE o - d® LLEI LOLa vArsg AN ASBUILTI INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGING, INC- C LLSTOMER COIbT FN1FR TEST HOLE L T 7 HOLE 2 TEST HOLE 3: PARCEL#:32232-7590032 3 36«% O 6 COWYhOT 36«COMI'MpF 36«CO 3A,CO MPAIOT SEPTIC DESIGNS ADDRESS. )=LMN IR7CM PL ROOTS®% KJ Ts@36 FOOTS @38 3033E MASON BDWN RD. GR wjV ,,WA mR DESIGNER ALEX L PAYS¢ OFFICE-3 4261803 FA 3 6 0-427 23 53 SHEET: SRE PLAN SCALE' PE 90 e„ �moa..or.mor ae�ro.�rewsu�ru UNION HEIGHTS PLACE NORTH ------------ -- ----------- \ I I N \ I INSTALL TRENCHES LEVEL W/ 1 \ CONTOURS TO MAINTAIN \ CONSISTENT TRENCH DEPTH. \ OBSERVATION DESIGNER STAKEOUT IS PORT&C/OUT(W L APPROXIMATEAND Y NEED TO IE IAD)USTEDAFFER \\ CLEARING AND LAND AppRO PREP \ I y3g�,� 8fp\04 ' _"`o�HryENVRd I 2014 D�q �FNTq�NFAI I \ I \ \ I I I _ I r _; I I / i i i I � / I � I / i i I / / 1.25"SCH. 40 �O MANIFOLD J�aP I � i 2"5CH. 40 AIFI 101J1 MASF TRANSPORT LINE VALVE BMX AN ASSUME,INSTALL SIGNOFF FEE PALL BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGIl�IG, INC CLLSTOMER C019Y FWIFR TEST HOE TEST HOLE 2 TEST HO E 3: PARCELx.34932-759W32 036 O 36,CO 38+ 6 36«COAN?.4JT 3N CJMPMIOT 38a 1A)MPMVJT SEPTIC DESIGNS ADDRESS XXX LABON HEICHTS PL ROOTS 36 RJOTS 036 ROOTS 3s 3083EMASONBENSJNRD. CRAPEVIEW,WAW8 DESIGNER: ALEX L PAYS¢ OFFICE-36&4 Mo3 FAX-36D47/9353 SHEET: DFDErAL SCRIP P=10' .�_��• �� a�.� OBSERVATION BALL VALVES PORT CLEANOVF FINISHED r GRADE II ORIGINAL RADE I 6co�vE FABRIC I MATERIAL ADIV5TT0 'ry #OF LATERALS CHECK VALVES OR VALVE (ASNEEDED) BOX T I WASHED I "T# I ROCK I I I INSTALLTRENCHE5L 1W/ N I CONTOURS TO MAINTAIN 1 CONSISTENTTMNCH DEPTH, :00 I DESIGNERSTMEOMS APPWXIMATEAND MAY NEED TO BE AD) EDAFTERCLFARINGAND LAND PREP 90' SWEEP RESTRICTIVE LAYERS O DgF1�INFDRMMIL3NF.GPM � pq,COG PS�CAp04 OMNCE Dln.ro ssr ii��Ium� gryF'vy/gy uTERPLx LENOIH Im x ORIF165 x svAalxG s. oR E - O�q �f'vTq/hfq(Tq 3 m A M u x a u R 5 . a u u MTALUTE xm MTALYORIFIMS m ORIBCEOU M 0� GPM U 3 YFFMMKNUO FEEDER TOTAL WCSE ON LENGTH Im UNE MNGIH ORIFICES HEAD Im w X'T NSMUPIPE 50 NA NA O LU l UTEMLxl 51 3 57 14 am ! MTEMLYx 5/ u EG 14 am MTEML83 si xl 75 u M77 MTEMLRa sC 30 H u a.96 WE"M S1 A S3 u an MTALFRICNONLOSS S75 • • a • w MARON CHANGE x �x11R tL®0 PESIDUALHUD x AIFI Lq!M LOSTTHPU fITNNGS 5 �•�-• �_�__ •'—_—•� •I I • I•{I MUL DYNAMICHUD m.E PIONEER DIGGING, INC- CUSTOMER: COLEY FULLER L33� T HOLE E TEST HOLE 2 TEST HOLE 3 6 CSL 616 G9. P38(Sl PARCEL%:327 2-7590032 COWACT 36 COMPANOT 3BF COMPMOTSEPTIC DESKM ADDRESS: XXXLAIIONHHCMSPL OTS@M KWTSOM ROOTS@3N 3083EMASONBENSONRD. CRAPEJEW,WA985* DESIGNER ALEX L.PAYSSE - OFHCE-36 26I803 FAX-3W427-2353 SHEET: DFDErAL(n SCALE NA °�°'�°F°�°'^�®°'®'�' °•��"°F"° 24"RIBBED RISERS W/BOLTON WATER-TIGHTLIDS CLFANOVT USE RISER LID ADAPTERS WITH NO GASKET LIDS FIN15HEP GRADE _ = WATER-TIGHT JOINTS INLET ; OUTLET TWO WAY TEE ;. 4 E A�WATER-TIGHT s FILTER JOINTS Oc ON NKS MUST BE5TATE DOH fJW4rGr1LLOWWA7ER77CHTSaNcoN SFp�41�?y APPROVED L15F CONCRE7ESEO77C TANK e OFSEWAG TANKS E z uR�NMEN24[ PUMP TANKS i:•,�_'.. �,.��., OVER1000GAL '�•, a' REQUIRESTYWO ' - '•� '•iq ACCE55 RISERS - 'p' -ri "' a,.�•,d::[ . a TO GRADE ' 111f11q.6 wf14 PUMP TANKS ) N LOCATEDATHIGHER AQUAWORKS CONTROL PANEL ELEVATION THAN wi nMEk EWNTCOUNnR ELErnluLv Wv NE r24^RIBBED RI5ER5 DRAINFIELDMUST aI1wRMrrtR avuaH111E11,k CAN I W/WATER TIGHTLIDS HAVE ANTI-SIPHON +Il DEVICE INSTALLED. FINISHED GRADE ILE11<AlcaMmnT TRANSPORT LINE INLET UNION&BALL VALVE LSOYlCALLONWA7FR77CHT CONCREIEo!/MOTANK (28 GAL/IN.) WATER-TIGHT DINTS PRESSURE TRANSDUCER CHECK VALVE (OR FLOATS) USE TANKS FITTED W/CAST IN WATER USE RUBBER TIGHT FITTINGS FOR INLEF/OVTLE5AND PUMP BUCKET. GROMETS FOR CAST IN RISER BUCKET HEIGHT MUST BE TRANSPORTLINE ADAPTERS TO AT LEAST HEIGHT OF PUMP AND ELECTRICAL ENSURE WATER ON RISERS. MAKE TIGHTNESS SURE ALL HOLES ARE WATER-TIGHT ISTOMER: C.OLBY FIBIFR SCALE NA PIONEERDIGGIN QPARCELx.3ZM-7590032 I N5 FALL TAN KS ON ORIGI NAL OR SEPTIC DESIGNS ADDKES4 XXX LRQON HEIGHTS PL COMPACTED LEVEL SOILS. RUN CROSS 3083EM 1313TSONRD. GRAPINIEW,WA9854 DESIGNER: ALEX L PAYSSE CONNECTIONS INTO ORIGINAL5011-5150 OFFICE-360426-1803 FAX 3604272353 SHEET: TANKS SCALE NA AVOID SETTLING. )nstallation & 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(if 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 30ft 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 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 10ft 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 own&]b Is responsible for the continuous operation and maintenance of the system per WAC 246-272A. For operation an e information,refer to Mason County Public Health Homeowner's Manual,which should be received after installartion a 14.System owner should be cautious of landscaping around septic components. Root intrusion *4$04, VFP�y 1 C can cause premature failure of the drainfield area. In addition,bushes and trees should be kept away from septic points.Changes made at tim of installationinstallationa on y 15 impact designer calculations,pump sizing,and �q�roMFNIgCHfq( 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. PIONEERPIONEER DIGGINQINC aCa COLBY SEPTIC: DESIGNS ADDRESS p KLP,30NHEICHM PL 3083EMA NBFN4�NRD GRAPEVIEKWAWa DESIGNER: AID(LPAYSSSE OFFICE-3W4261803 FAX 36R427-2353 SHEET: NOBS SCALE-