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Home My WebLink AboutSWG2023-00462 - SWG Application / Design - 10/27/2023 (2) MASON COUNTY 415N6 SHELTON. 027-9 ,EXT 400584 H STREET, ,SHELTON,W 98 BELFA I R:360-275-4467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT400 FAX 36OA27-7787 On-Site Sewage System Permit: SWG2023-00462 APPLICANT PINKERTON JOHN RANDALL& LORI Phone: 760-707-4159 Address: 5679 GAZANIA CT ORCUTT, CA 93455 OWNER PINKERTON JOHN RANDALL& LORI Phone: 760-707-4159 Address: 5679 GAZANIA CT ORCUTT, CA 93455 *SEPTIC DESIGNER BOB IPhone: 360-426-1803 YY Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: 341 E Fox Ln Primary Parcel Number. 220035000024 Permit Description: New 3-bedroom NuWater BNR500 system: Revision Permit Submitted Date: 10/27/2023 Permit Issued Date: 09112/2024 Issued By: David Anderson Current Permit Fees Paid. $790.00 of sys�em} Permit Expiration Date: 11/09/2026 T.-d—dais oi Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department stall per Mason County Title 17. 2 Permit most 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 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/oss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY ® MASON COUNTY • �1 • Z3 m COMMUNITY SERVICES '�' � ^� coo m y NBkNWM K�wnm+Nry4Nea^Iv4nNmnmeMal Heahhl C BB M N,MM`LL SWG ZOIS- °z 2 N ON-SITE SEWAGE SYSTEM APPLICATION a m a APPLICANT vMONE m m r RANDY PINKERTON z MAILING ADONESS-STREET,CRY STATE.ZIP COM 5679 GAZANIA CT ORCUTT CA 93455 z SITEADDRESS 3 STREET DE 41 E FOX LANE SHELTON WA 98584 NPIAE OF DESIGNER PHONE N ROBERT H. PAYSSE 360-426-1803 NAME OFINSTA,.A PHONE O 0 TBD <_ PERMITTYPE(yNCy MBI GRINNING WATER SOURCE ¢ c p N O mi RESIDENTIALOSS LJCOMMUNUYOSS UCOMMERCIALOSS E PRIVATE INONIOUAL WELL PRIVATE TVAPARTY WELL = IOU TYPE OF WDRK Nm PM) TJ PUBLIC(WATER SYSTEM if NEW CONSTRUCTION I UPGRADES ff REPAIR)REPLACEMENT OTHER DETAILS IMN IOPP XXXO []TABLE IX REPAIR al SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINE Fc�'DESIGN FORM(REQUIRED) HSEPTIC DESIGN(REOWREOI BEDROOMS IaTSPF r I0 ffWNVBR(SJ(IF APPLICABLE) THREE x I ' 0 NFPC90N5 TO SITE AND SITE CCNLYTIONS.(ft N~MMI) NORTH HWY 3. RIGHT ON PICKERING RD. TRAVEL TO HARSTINE IS. ACROSS 1 0 BRIDGE AND TURN LEFT AT INTERSECTION. CONTINUE NORTH ON ISLAND TO LEFT r ON FOX LANE. CONTINUE TO SITE ADDRESS ON LEFT. o 0 IN SSEE ALSO PREVIOUS DDE�s'GN UNDER SW G20071-00783 MDMeER:_ I A OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(M HIPrt p,Ngs) ❑VOLUNTARY OMAI�NITENANOE/PUMPING OBVILDINGPERMIT ❑HOMESALE DOOMPUINT DOTHER: rN LR�IL�,4 4 �� /� ' O4MENi51COrvORIONB k ft al 36'' (uI/ 1 �( /clot Il�g f Z�ZS rein 0-�6' (71W I �l 4 lrylo f 7tf1: 0- 79 „ 6Gf iy/t/3 411-) ReSf Gf Zg"" w/Mol I( �ora/' _ TNL = O-lb , 651- TyeG `i M04 f(rclill RECORD ORANTNG AND INBTALUTIONREPoRi L� V=VERY G=GRAVELLY S=BIND L=LOAM &=SILT C=CUM E EXTREMELY R=ROOTS REQUIRED FOR FINAL APPI Vyv LFSPECTORSWNA�� RATE APPLICATIONION"PI�/�� '��APPLI'�OED BY iE THIBFORy MAYSEISCAXXEO LE FqL PUSUC MEW ONE MASON COUNTY WEBSITIE U/ y 0E%VIrySEJ+//yN�rzJ'tS Y/ AM// 1I/ 9/70 M DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 0 3 — 5 0 — 0 0 0 2 4 A design will be reviewed when 3 copies of each ofthe following are submitted: v Completed design form that has been signed and dated. °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 form may be scanned and available for public New on Me Mason Countv Web sore..Worrimuna center size: II 'A 17" PARCEL IDENTIFICATION Permit Number: SWG2.b73-0OY[d2 Designer's Name: ROBERT H.PAYSSE Applicant's Name: RANDY PINKERTON Designer's Phone Number: 360426A803 Mailing Address: 5679 GAZANIA CT Designer's Address: 3083 E MASON BENSON RD ORCUTT CA 93455 GRAPEVIEW W 98546 City State Zip City Spit! DESIGN PARAMETERS if ' l�-EV t Sl cvl Treatment Device ._SFr ❑Glendon monitor ❑Sand Filter ❑ Mound ❑Sand Lined Dmmfield ❑Recirculating Filter,Type: - n IifAerobic Unit Make/Model NUWATERBNRWO E3 Disinfection Unit Make/Model Other: �l Drainfield Type ❑Gravity lal Pressure Rr Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfteld Specifications Laterals Number of Bedrooms 3 Schedule/Class SCH.40 Daily Flow:Operating Capacity 270 glad Length 50 - ft Daily Flow: Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) BNR500 gal Number 4 Receiving Soil Type(1-6) 4 - Separation 9 ft Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 600 - ft, Total Number of Orifices 52 Designed Primary Area 600 ft' Diameter 3/16 in Designed Reserve Area 600 fi- Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class SCH,40 Elevation Measurements Length ft Original Drainfield Area Slope 8 % Diameter in New Slope,If Altered 8 % Preferred manifold configuration used? ❑Yes O No Depth Of Excavation UP slope 10 in Transport Pipe from Original Grade �,m-slope 7 in Schedule/Class SCH.40 Designed Vertical Separation 18 in Length <50 ft Gravelless Chambers Required? ❑Yes III No O Optional Diameter 2 in Pump Required? 56 Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number fdoses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 14 R Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1500 gal Uppermost Orifice IfHigher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 30.7 gpm gTimer 9171apse Meter Rr Event Counter Calculated Total Pressure Head 24.1 it If Timer: Pump on 12 MIN ,Pump off 4 FIRS Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 0 0 3 — 5 0 -- 0 0 0 2 4 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch IJ I est hole locations 19 Drainfield orientation and layout Reference depth from original grade: m Soil logs Ed Trench/bed dimensions and Septic took Property lines critical distances within layout (ifIZ Dminrainfieldld cover Existing and proposed wells R1 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 19 Septic milk/pump chamber and restrictive strata: m Measurements to cuts,banks,and locations surface water and critical areas fd Observation port locati fig Laterals,trenchibed,top andon bottom Location and orientation of lZ Clean-out location ❑ Curtain drain collector curtain drain and all absorption 56 Manifold placement ❑ Sand augmentation components lid Gg Orifice placement Other cross-section detail: Location and dimension of Rf Observation orts/clean-outs primary system and reserve area � Lateral placement with distance p m to edge of bed Buildings Other information RJ Direction of slope indicator QI Audible/visual alarm referenced Yes No m ElfScale of drawing shown on scale � ❑ Design staked out Waterlines bar ❑ 19 Recorded Notices attached Roads,easements,driveways, ❑ Rf Waiver(s)attached parking Rf ❑ Pump curve attached m North arrow and scale drawing ❑ fig Evaluation of failure shown on scale bar Non-residential justification ❑ CsJ' Waste strength El 2f low DESIGN APPROVAL The undersigned designer must be oiled by i aller at a of installation Yes ❑ No 9 (r�l�y '9AA �tureof LXsigner O" Dam The undersigned has reviewed this design on behalf of Mason County Public Healthelib�determirRd.jt tolb�e TI�A compliance with state and local on-site ulations: / �J �h "CN J\� �( / `/�O 1 vNT_e+p, 111p�y En iromnental Health Specialist Date D✓q N,yN O F CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: 7q�HcA(� ✓ The design is stamped"Approved"by Mason County Public Health. //n/�� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: !Y ✓ 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/V2015 101( SANE FUTURE WATERLINE - OFF SETBACK MAINTAIN 055 COMPONENTS TO OSS COMPONENTS / I � I II Q II / I I / I I NUWATER BNR500 / PROPOSED & PUMP TANK / 3 BEDROOM HOME I L I ' O I 1� S[ou� ro� /�20?y � I ry ' PROPOSED I �Jq NMfNTA[HEA[ , 1 � DRAINFIELD / J \ AN ASWILTCHANGE INSTALL SIGOFN ST FEE WILL BE CHANGED AT TIME OF INSTALLATION PIONEER DIGGlNq INC. C�:TOMER: RANDY PmncERroN TE8 11,11 F TEST& LE z PARCEL x 22003500=4 a 4 , o24I 2Ni3C1\IB(Ild 414x C.1\ilic V_ SEPTIC DESIC NIS ADDRES& 34[EFOxurrE x.�lscwnw3e 3083E%t1 NBE )\RD GRAMEW'.WA98W, DESIGNER: ROBE0.T H PAYSSE OFFICE-36(}4261803 PAY W127B53 Sl]LET: SUEPLAN SCALE 1'=30' VALVE BOX THREADED CAP I TRANSPORT I LINE I n"ORIFICESO 12.00 W/SHIELDS I I gp• Q II SWEEP O GLUED TEE RISER/LID OR 89S�Opf �� VALVE BOX BALL VALVES CHECK VALVES CAS NEEDED) OBPORT CLEANOUT FINAL ONG. GRADE GRADE FILTER 6'+ FILL FABRIC �- T WASHED ROCK 36" —� w R� OB PORTS '4pp REST. LAYER 1 IL L 414c04 AN ASBDILT/INSTALL SIGNOFF FEE WLL 0 ONMEN BE CHARGED AT TIME OF INBTALLATION PIONEER DIGGING, WC, arro+aFR: R 3-5" VIm TON 1p r HOLE I: E r H.,LEz PARCEL z 220RA OOOQ24 a- ''�: o-zx cv. SEPI IC DESIGNS I ADDRES: 341EF0xLAIIE 3083 E MAON BD� '.N RD. GRAPEVIEW WA 985� DE9GNFR: ROBER.T FL PAYSSE OfTICF-36(w2A-Ix03 FAx 30(422-2353 SHEET. DF DETAIL SUI,E 1•=70' .�.oases �w.,E . mo.. A 1,4 il 91 All, 2 11 All I TANKS MUST BE ON STATE DOH APPROVED INVIAZATER OF SEWAGE TANKS BNk500 PUMP TANKS OVI,P.1000 GAL USE RUBBER REQUIRES TWO ACCESS RISERS CROMETS FOR LINE To GRADE TRANSPORT AND ELECTRICAL PUMP TANKS m, A t ON RISERS MAKE LOCATED ATHIGHER SURE ALL HOLES ELEVATION THAN ARE WATEk-TIGHT )KAINFIELP MUST HAVE ANTI-SIPHON DEVICE INSTALLED NVA'ATERCONTROI PANEL A. PANEL L 24'RIBBEP RISERS W1 WATER TIGHT LIPS FINISHED GRADE 4 L' Erj-E-7- Al� TKA Lill INLET Qf UNION ft BALL VALVE 'o Pp"-,TIGHT 1500 'S�UONWAIFR77CI17' o'g"_4 A R77 117- -7'V W 'T C L,M TANK '' p L L 0'Cc"VC -TIGHT CO3VCRf7FPMA1P ASoa SLcp CHECK VALVE UNT", HIGH WATER FLOAT WATER Lo I)J,l 1)yt,4(rR TANKS FITTED N/OFFF AT ON/OFF FLOAT wi USE CAST IN WATER TIGHT FITTINGS FOR PUMP p 8 GIC T INLET/CUTLESANP BUCKET n� Pump A CAST IN RISER ADAPTERS TO ENSURE WATER TIGHTNESS ��N r PIONEER D CUSTOMER: RANDY PINICEFIXON INC MKCILL t.=03-5000024 INSTALL TANKS ON ORIGINAL OR SEPTIC DESIGNS ADDRESS, 341 E FOX LANE COM?ACTED LEVEL SOILS RUN CROSS 3(183L,MA,,1 �BLN11NRD GRAPMEWNVA985w DESIGNER: ROBEILTRIPAYSSE CONNECTIONS INTO ORGINALSOR-STO AVOID SETTLING 0MCE �0 ;261803 ENX 30k�4272353 Dl:�,:IGN PALL TANICS DETAIL Igo pumpNil I MM a i . ._� . ✓,yly 1� j 1 I � Fg- SE ?Y LITERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE DIST.TO TOTAL ORIFICE IATFRALIX LENGTH LENGTH LENGTH DISCHARGE SPACING iST OPIFI[E TOTAL HEAD (inches) (feet) (inches) (feet SIZE(inch) ORIFICES ) (feet) RATE to (feet) (inches) (feet) 1 50 1.25 3 53 3/16' 0.59 4 12 13 0.47 2 50 1.25 9 59 3/16" 0.59 4 12 13 0.53 3 50 1.25 IR 69 3/16" 0.59 4 12 13 0.61 4 50 1.25 27 72 3/16" 0.59 4 12 13 0.0 DPAINFIELD HEAD(feet) 2029 TRANSPORT LINE HEAD(feet) ORS ELEVATION CHANG E(feet) 14 RESIDUAL/SQUIRT(feet) 2 EXTRA LOSS/FNTINGS Ifeet) 5 TOTAL DYNAMIC HEAD(feet) 24.11 TDTALGAUUDNSPERMINUTE 30.68 PIONEER. DIGGIlVG, INC CHSTONIFR: RANDY PINKEFLTON PARCEL,`22003-50001T24 SEPTIC DESIGNS ADDRLS<: 341EFaxuNE 31183 E<Ln.41N BEN'S`N Ro GWR IEW,WA 935K, DESIGNER: R.OBFAT H PAYSSE F OFHC 36032018113 FAC-3Ni ID2353 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 priorto 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.Drainfeld 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)priorto 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.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. B.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. Nocurtain, 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 th ystem components being proposed. Any placement of proposed buildings,proposed wells or other non-related items on elticawmgs may or may not meet other requirements. IAA//^^y+ 13.All onsite septic systems require regular maintenance to verify satisfactory operation. The system owner/operat i responsible for the continuous operation and maintenance of the system per WAC 246-272A. peratiopd mainten� information, refer to Masan County Public Health Homeowner's Manual,which should be received agbr}nstall provaC` 14.System owner should he cautious of landscaping around septic components. Rootintrusion can cause premature failure of the drainfield area. In addition, bushes and trees should be kept 0/ - away from lids and other septic maintenance points. 15. Changes made at time of installation may impact designer calculations,pump sizing,and q/TH compliance w/county and state requirements. Contact designer priorto install w/any Ng` proposed variations from design. Changes may result in additional fees and permitting. 1]IO7�ICLD DIGCJAr�jt C CLISIOMFR: RANDYPINKEFLTON 1 i�LW�, lt.it[!1`I 1191_.. PARCEL R:22003-5000024 1 SEPTIC DESIGNS ADDREl: WEFOXLAN'E 3083 Ens 10N eEWN'RD. GKAPDVIEW..WA 985N DL^IGNER: ROBERT R PAYSSE OFFICE-30cH20[NO3 FAX 3(042723i3 1,FfFFP NOTES SCALE NA