HomeMy WebLinkAboutSWG2025-00014 - SWG Application / Design - 1/17/2025 MASON COUNTY 415 N 6TH STREET SHELTON, ,E 98584
SHELTON:360-2754467,EXT 400
BELFAIR:360-275-0487,EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX:360 27-7787
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On-Site Sewage System Permit: SW132025-00011
APPLICANT SYKES TRUSTEE JANE M Phone: 360-463-3843
Address: THE SYKES FAM RES TRUST GRAPEVIEW,WA 98546
CONTACT HEALEY CONSTRUCTION LLC Phone: 360-277-5035
Address: PO BOX 2007 BELFAIR, WA 98528
OWNER SYKES TRUSTEE JANE M Phone: 360-463-3843
Address: THE SYKES FAM RES TRUST GRAPEVIEW, WA 98546
Site Address: 811 E Mason Lake Dr E
Primary Parcel Number: 221055000042
Permit Description: Nuwater BNR500 Addition to unpermitted drainfield(2 BR)
Permit Submitted Date: 01/17/2025
Permit Issued Date: 02/13/2025
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $825.00 (a461bonai roes may a �Wn upon lnsleAatlon onymam).
Permit Expiration Date: 0112812028 (basin on dins or inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staNper 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.gov/health/environmentaYonsite/oss-inspection-mquest.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY
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811 E MASON LAKE DRIVE E GRAPEVIEW WA 98546 z
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NUMEOFCESIGIER PHONE I N
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE O
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SUBMRTALS O SURFACING SEWAGE EI EASTING FAILURE CI SHORELINE DD
®DESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSME r o
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N. HWY 3 TO LEFT ON MASON BENSON RD. CONTINUE PAST FIRn72025
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OFFICIAL USE ONLY BFLOW THIS LINE
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OWLUNTART E3MAINTENANCEIPUMPING O BUILDING PERMIT OHOMESALE OCOMPLAINT ❑OTRER:
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V=VERY O•GFAVELLY 6•WIO L=LOAM Si•SILT L=CIAT E•E%TRENELV fl•ROOTS REWIRED FOR FINALMPRONY.
IN ORSNiFUTURE GATE APPLKATILN EAPIRATION MTE LKA MPROVE I$$UEO BY GATE
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F Y BE SCANNED AND AVAILABLE FOR PUBLIC NEW ON THE MASON COUNWMEIBIITE REV D1W=15
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 0 5 — 5 0 — 0 0 0 4 2
A design will be reviewed when 3 copies of each of the following are submitted:
•Completed design form that has been signed and dated. I 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 be scanned and available for public view on the Mason County Web site.Merranum rsize: ll"X l7"
PARCEL IDENTIFICATION
Permit Number: SWGZ0)_'0-0nD( u Designer's Name: ROBERT H.PAYSSE
Applicant's Name: THE SYKES FAM RES TRUST Designer's Phone Number: 380<28-1803
Mailing Address: 811 E MASON LAKE DRIVE E Designer's Address: 3083 E MASON BENSON RD
GRAPEVIEW WA 98546 GRAPEVIEW WA 98548
city State Zi city State zip
D
Treatment Device
❑Glendon Biofilta ❑Sand Filter O Mound ❑Sand Lined Drainfield ❑Recirculating Fiber,Type:
R(Aerobic Unit Mske/Model 4UWATERMR500 O Disinfection Unit Make/Model Other:
Drainfield Type
IiGravity ❑Pressure friTrench O Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class -
Daily Flow:Operating Capacity 180 gpd Length VARIES ft
Daily Flow:Design Flow 240 gpd Diameter 4 in
Septic Tank Capacity(working) BNR500 gal Number 3
Receiving Soil Type(1-6) - Separation 6 ft
Receiving Soil Appl.Rate - gpd/8' Orifices
Required Primary Area - W Total Number of Orifices -
Designed Primary Area - ft, Diameter - in
Designed Reserve Area - ft2 Spacing - in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 105 ft Schedule/Class -
Elevation Measurements Length - ft
Original Drainfield Area Slope - % Diameter - in
New Slope,If Altered - % Preferred manifold configuration used? O Yes O No
Depth of Excavation Ur-Slone - in Transport Pipe
from Original Grade Da„m-stag - in Schedule/Class EXISTING
Designed Vertical Separation - in Length - ft
Gravelless Chambers Required? ❑Yes III No O Optional Diameter - in
Pump Required? 1f Yes ONO Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 45-50 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) NA ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice d Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity(alp Total Pressure Head 10 gpm IfTimer GfElapse Meter RrEvent Counter
Calculated Total Pressure Head 55 R If Timer: Pumoniiii,. N off 6 HRS
Commen srrnUVE
FEB 13 2V5
ALIH
JBW
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 1 0 5 — 5 0 — 0 0 0 4 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
21 Test hole locations EX Drainfield orientation and layout Reference depth from original grade:
bd Soil logs Ill Trench/bed dimensions and If Septic tank
0 Property lines critical distances within layout fd Drainfield cover
0 Existing and proposed wells Rf D-Box[Valve box locations Reference depth from original grade
within 100 ft of property 19 Septic tank/pump chamber and restrictive strata:
19 Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas Id Observation port location bottom
19 Location and orientation of [Z Clean-out location ❑ Curtain drain collector
curtain drain and all absorption E6 Manifold placement ❑ Send augmentation
components EZ Orifice placement other cross-section detail:
66 Location and dimension of E6 Lateral placement with distance Rf Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
la Buildings R1 Audible/visual alarm referenced Yes No
6d Direction of slope indicator Ed Scale of drawing shown on scale ❑ Ef Design staked out
Id Waterlines b ❑ lid Recorded Notices attached
Id Roads,easements,driveways, P P R 0 V E ❑ RfWaiver(s)attached
parking ❑Pump curve attached
0 North arrow and scale drawing FEB 13 2025 [if Evaluation of failure
shown on scale but MASON COUNTY ENVIRONMENTAL HEAL Non-residential justification
❑ 1f Waste strength
JBW ❑ Rf Flow
DESIGN APPROVAL
The undersigned designer must be notifie installer at time of installation Rf Yes ❑ No
- t �11IL5-
Signature of Designer Date
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
13
E im al ealth Specialist Date
CAUTION: DESIGN APP OVAL IS VALm 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: D�_t3-2
✓ 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: 12n2015
/ \
/ EXISTING DRAINFIELD
1 �/p RECENTLY RE-INSTALLED
1 I O BY HOMEOWNER
1
I 0 APPROXIMATE APPROXIMATE EX15TING
EXIST. o TRANSPORT LINE
OSS PER RECORDS i HOME
I WELL DESIGNER WAS NOT INVOLVED
W/ RECENTDRAINFIELDWORK
\ _ _ & NO INSPECTION OF WORK
\\
WAS COMPLETED PRIOR TO BACKFILL GRAVEL& PIPE WAS
/ A \\\� ��\ REPLACED LIKE-FOR-LIKE ON
otG\A
\ THE EXISTING SYSTEM PER
o OWNER.
PERMITINSTRUCTIONS:
PUMP OUT&ABANDON EXISTING
// TANK(S), INSTALLNUWATER&
/ 1 P/TANK. CONNECT TO EXISTING
Q I TRANSPORT LINE, RE-USE
I I
Y I EXISTING D It {FIELD AREA.
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I / I EXIST. I �;— n uE
1\ WELL / HOME FEB 13 26,
MASONC�NTV E
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WELL \I J 1
PROPOSED NUWATER
& PUMPTANK
/ F➢BEfi X N,E 6E
EXPIRES
---y AN ASBUILTI INSTALL SIGNOFF FEE WILL
MASON LAKE -- BE CHARGED AT TIME OF INSTALLATION
CLLSTOMER: JANESYICES TEST 40J NA
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SEPTIC DESIGNS ADDRESS: BBEMASONLICDR
3033E MASON BENSON M. GRAPEV M WA 9xz+o ISSE DESIGNER: ROBERT EL PA
OFFICE-360426M FAX-3 60 429-235 3 SHEET: SIIEPLAN SOLE te40' nmxrswxcu wa
DESIGNER WAS NOT INVOLVED W/
RECENT DKAINFIELD WORK& NO I
INSPECTION OF WORK WAS
EXISTING DRAINFIELD
COMPLETED PRIOR TO BACKFILL. RECENTLY RE-INSTALLED
GRAVEL& PIPE WAS REPLACED BY HOMEOWNER
LIKE-FOR-LIKE ON THE EXISTING I
SYSTEM PER OWNER.
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APPROXIMATE EXISTING // Jgw ALTq
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AN ASBUILTI INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
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SEPTIC DESIGNS ADDRESS-'SR E
ROMASONLIC DR
3083EMASON BEIJSON RD. GRAI'EVIEW,WA98546 DESIGNER: ROBFIIT HPAYS�
OFFICE 360-Q&003 FAX-36042/-M3 SHEET: DFDETAIL SCALE P=b'
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TANKS MUST BE ae
ON STATE DOH •�
APPROVE[)LISTR NUWATE OFSEW
OF gNR500
TANKS
PUMP TANKS '
OVER 1000 GAL oar,,," 1, USE RUBBER
REQUIRESTWO FAIL FL `-11-LIL—I"'I' GROMET5FOP,
ACCESS RISERS • . o TRANSPORT LINE
TO GRADE AND ELECTRICAL
ON RISERS
PUMPTANKS .. ..:.,. .. : . ... ( .°� : . -; :, .. .. .. VREALL E HOLES
LOCATED AT HIGHER ARE WATER-TIGHT
ELEVATION THAN
DRAINFIELD MUST
HAVEANTI-SIPHON NUWATER CONTROL PANEL
DEVICE INSTALLED. 24"RIBBED RISERS
W/WATERTIGHT LIDS
PLASTIC TANKS MAYBE
USED ON THIS DESIGN DUE FINISHED GRADE
TO ACCESS.FOLLOW
ANTI-BUOYANCY FVYI"'"'u`
CEn5ED ELECRJCNN
MEASURES PER MNFR ELEcnicamewi* N RT LINE
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INLET UNION&BALL VALVE
WATER-TIGHT 1200r,4LLOA(WA7ER77GHT
JOINTS CONCRE7EPUMP TANK
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ON/OFF FLOAT W/CAST IN WFER
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PUMP BUCKET CAST IN RI5ER
ADAPTERS TO
xceeui°n°wrssE `e . ENSURE WATER
...r: ... ... . ...... .: TIGHTNESS
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EXPIRES
PIONEER DIGGING, INC CUSTOMER: JAt�5Y1�5 SCALE NA
PARCEL;.221055000042 INSTALL TANKS ON ORIGINAL OR
SEPTIC. DESIGNS ADDRESS: 911 EMASON IK DR COMPACTED LEVEL SOILS. RUN CROSS
M.83 E MASON BENBON M. GRMEv1EAEAA98546 DESIGNER: ROBERT N PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO
OF 36U42&1803 FA%-3604Z/-2353 DESIGN PAGE TANKS DETAIL AVOID SETTLING.
SubmersibleFL50 Series 1/2 hp
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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 installerwith 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 tabor
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 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 Soft 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 30ff 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 verify satisfactory operation. The sy o eroperator is
responsible for the continuous operation and maintenanceof thesystem per WAC 246-272A. er aintenance
information,refer to Mason County Public Health Homeowner's Manual,which should be re ppnn after instay� oval.
14.System owner should be cautious of landscaping around septic components. Root intruofr'NCOUNFFB 13 Yz,,-�/►
can cause premature failure of the drainfield area. In addition,bushes and trees should be kept
away from lids and other septic maintenance points.
15. Changes made at time of installation may impact designer calculations,pump sizing,and fNTq/NF;
compliance w/county and state requirements. Contact designer prior to install w/any r
proposed variations from design. Changes may result in additional fees and permitting. ,.„„� ,
PIONEER DIGGING, WC CDSTOMER: N 6YKF5
PARCEL k 2210505�5000042 .coed'."'R"ireee
SEPTIC DESIGNS ADDRESS: BB B MASON LK DR
3083 E MASON BEIJSON RD. G EVIEW,WA9a546 DESIGNER: ROBERT N PAYScE EXPIRES
OFFICE 3604261803 FAX-360427-2353 SHEET: NOTES SCALE NA