HomeMy WebLinkAboutSWG2024-00451 - SWG Application - 11/25/2024 TON,WA
MASON COUNTY 415NBTHELTON: , 0427-97 ,EXT 400
SH STREET,
,SHEL-9670.EXT 400
BELFAIR:360-2754467,E%T 400
Public Health & Human Services ELMA:360 825269,E%T 400
FAX:360427-7787
On-Site Sewage System Tank Only Permit: SWG2024-00451
OWNER TIMLICK ALLER CYNTHIA B Phone:
Address: 617 S 210TH ST DES MOINES,WA 98198
APPLICANT TIMLICK ALLER CYNTHIA B Phone:
Address: 617 S 210TH ST DES MOINES,WA 98198
SEPTIC DESIGNER BOB PAYSSEe Phone: 360-426-1803
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
Site Address: UNKNOWN
Primary Parcel Number: 519085000136
Permit Description: Septic tank replacement
Permit Submitted Date: 11/25/2024
Permit Issued Date: 12/02/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $265.00 (additional lees may be revered upon mstallenoo of system).
Permit Expiration Date: 1210212025 (based on date of mepo,:dod)
Type of Work OSS Repair
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? Yes
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 2 Drinking Water Source: Public Water System
Additional Details: 1200 cement tank
Permit Conditions:
5 Installer is responsible for obtaining Septic DesignerlEngineer 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.
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 backfil/of
system components.
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.
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/OR 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-requ"t.php or call:
360-427.9670,extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE TANK ONLY APPLICATION 3
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CYNTHIA TIMLICK ALLER c
MAIUNGADD ESS-STREET,CITY,STATE,OP CODE 9
617 S 21 OTH ST-DES MOINES,WA 98198 NOV 151011 m
$ITEACORESS-STREET CItt,21P CODE 'A
1560 W STAR LAKE DRIVE, ELMA B
NAME OF DESIGNER PIgNE
ROBERT H. PAYSSE 360-426-1803
NAMEOFIMSTALIER PNJEE O
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[] NEWCONSTRUCTIONIUPGRADES ■ REPAIR/REPLACEMENT O PRIVATE INDIVIDUAL WELL O PRIVATE TWOPARTY WELL Z IOD
COMPONENT(S)TO BE REfl.ACEW INS14LED m PUBLIC WATER SYSTEM STAR LAKE WE
0 SEPTIC TANK 0PUMPTANK ORV HOLDING TANK EEDROOMS I LOTSME I Vl
O OTHER 2 0.48w CD
OTHER DETNLS fMIMBtlfM WW TANK($)SETESCKCXECKLIST Q
D SURFACING SEWAGE D EXISTING FAILURE DSHOREUNE 0 100FHPUBUC/COMMUNITYWELLS 0 I O
SLEMmuS M SDPTF PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
■ PLOT PLAN(REQUIRED) 0 TANKCROSS SECTION(REQUIRED) ■ 1OFT+DRINKINGW'ATER SUPPLY LINES I O
[] PUMP DETAILS(IFAPPUCABLE) E] YWNER(S)DFAPPUCABLE) I ■ SFT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
PLOT PUN CHECKLIST Q
PROPERTY LINES AND EASEMENTS ■EXISTING PROPOSED STRUCTURES ■EXISTING/PROPOSED OSS COMPONENTS AND LINES ~
■ WELLS WTHIN IOUFT E WATER SUPPLY LINES ■ DRIVEWAYS/PARKING ■SURFACE WATERS,STREAMS.RIVERS,ETC... I IOU
0 DIRECTION OF SLOPE/CONTOURS ■ PERIMETERI CURTAIN DRAINS ■NORTH ARROW ■SCALE BAR
DIRECTIONS TO SITE AND SITE CCNUTIWIS.Awb Ag M) `
HEAD OUT CLOQUALLUM ROAD TOWARDS ELMA. STAY RIGHT ONTO SATSOP
CLOQUALLUM RD. TURN RIGHT ON STAR LAKE DR. FOLLOW TO SITE ADDRESS
1560 ON LAKE SIDE. SEE SITE PLAN
OFFICIAL USE ONLY BELOW THIS LINE
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[]VOLUNTARY INTENANCE/PUMPING ❑BUILDING PERMIT []HOME SALE [ COMPLAINT ❑OTHER:
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SEMAGETAWLSMWTSEUSTEDUNCERO -LISTOFREGISTE EDSEWAGETANKS. TANKS MUST MEETCURRENT MINIMUM SIZE REQUIREMENTS,EDUIPPE WTH RISERS
ANDUDSNSURFACEPMDINCLUCEANEFFLUEWFILTEROFP lCPBLEI. REC DMAWNGANDIWTALUTIONREPIX REQUIREDFMFIWLLAPWt L.
INSPECTOR SIGNATURE DATE APPUCATKN EXNRATICN DATE APPLICATIONAPPROVEDIISSUEOBY DATE
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12O2D15
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SEPTIC DESIGNS ADDRESS: L560WSEARLAKEDR
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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 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 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
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 ION to waterlines with all septic components. If less than 30ft 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 10N in each direction of crossing.
10.This design may include waiver applications with speck 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 30N downslope and 10N 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 and maintenance
information, refer to Mason County Public Health Homeowner's Manual,which should bdlreP%P Bfler'7lclt IWcjltipproval.
14.System owner should be cautious of landscaping around septic components. Root intrusion
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can muse premature failure of the drainfield area. In addition,bushes and trees should be kepPEC 02 2024
away from lids and other septic maintenance points. MASON COUNTY ENVI NMENTAL HEALTH
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.
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SEPTIC DESIGNS ADDRESS: 1560 W STAR LAKE DR "
30x3 E�N 9ENSON RD. fdUl'EVIEW,WA 9x5M DESIGNER: ROBERT H.PAYSSE EXPIRES
OFFICE-360426LB03 FAX-360927-2353 SHEET: NOTES SCALE NA