HomeMy WebLinkAboutswg2025-00032 - SWG Application / Design - 1/31/2025 SHELTON,WA
584
MASON COUNTY 415N6THELTON: , 0427-97 ,EXT 400
SHELTON:360-2754467,EXT 400
BELFAIR:3fi0-2]5446],E%T 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX 360427-7787
On-Site Sewage System Permit: SWG2025-00032
APPLICANT FEWELL STEPHEN D Phone: 253-318-4831
Address: 4703 PACIFIC HWY E FIFE, WA 98424
OWNER FEWELL STEPHEN D Phone: 253-3184831
Address: 4703 PACIFIC HWY E FIFE, WA 98424
SEPTIC DESIGNER Alex Payees, Phone: 360426-1803
Address: 3083 E Mason Benson Rd GRAPEVIEW, WA 98546
SEPTIC INSTALLER TBD Phone:
Address: 123 XXX XX, XX. 00000
Site Address: 570 E Strong Rd
Primary Parcel Number: 221287790042
Permit Description: New ADU 3-bedroom Gravity System
Permit Submitted Date: 02/05/2025
Permit Issued Date: 02/25/2025
Issued By: David Anderson
Current Permit Fees Paid: $555.00 laddid.nalfeee may be repaired upon intlaretion of system).
Permit Expiration Date: 02/12/2028 (based w date of insparnon)
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 Drainffeld 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 055.
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/healthionvironmental/onsiteloss-inspection4equest.php or call:
360-427.9670,extension 400.
�JOFFICIAL USE ONLY q
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MASON COUNTY H
COMMUNITY SERVICES
PubY[XWM,I�CommunXyHnklVFnvlmnmmtalHnhM11
SWG A)Z5 OW32 35519
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLIGM L� PHONE
STEPHEN FEWELL 253-3184831 c
MAIUNG ADDRESS-STREET CITY.STATE,ZIP CODE N 3
4703 PACIFIC HWY E FIFE WA 98424 m
SITE ADDRESS�STREET,
Cltt,LP fAOE
570 E STRONG RD m SHELTON WA 98584 ^�
NAME OF DESIGNER nn n U- : PHONE I N
ALEX L. PAYSSE LEI 360-426-1803/ 360-507-1546 (C)
NWEOFINSTPLLER [g FIIWE
TBD H I N
PERGMR WPEJY .) C CRIWNGV TER=ACE O
m�.RESIDENTOLOSS Li!COMMUNITYOSS EICOMMERCIALOSS 9PRNATEINDIVIDUALWELL E PRIVATE TWCHPARW WELL = I00
TYPEOFWDRI((aPN .) PUBLIC WATER SYSTEM
jr NEW CONSTRUCTION I UPGRADES GREPAIRIREPLACEMENT OTHER DETAILS(aMalM.rt W [3 TABLE IX REPAIR I -4
sLm[TTALS GQ 13 SURFACING SEWAGE ❑EXISTING FAILURE O SHORELINE
m..DESIGN FORM(REQUIRED) ASEPTIC DESIGN(REQUIRED) BEDROOMS LOTSME r ( -4
6Wk VER(S)(IFAPPUCABLE) THREE 2.55A
DIRECTIONS TO SITE AND SITE CONDTIONS'.(W.WW IW V
NORTH HWY 3, RIGHT ON PICKERING RD. LEFT ON STRONG RD. CONTINUE TO CD
SITE ADDRESS 570 ON RIGHT. PDI SIGN POSTED. SEE SITE PLAN. c o
IA
SREMWTBE"WED FROIN MAIN R ANGTESTN000 MUST BE FLAGGED MITNTE8TMIXENWKRA I N
OFFICIAL USE ONLY BELOW THIS 11NE
UFGRACEIFAILUREBOWCEIRvn W WNR )
[3VOWNTANY []MAINTENANCE/PUMPING [3 BUILDING PERMIT 13HOMESALE [3COMPUJNT OOTHER:
INSPECTORSOLLOGS _ COMMENTS/CCRDRIONS
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9dL CODR. RECORD DRAWNG AND NSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L=LWM &•SILT C=CIAY E=EXTREMELY R•ROUTS REQUIRE FORRNALAPPROVAL.
INSPECTOR SIGNATURE GATE APPUCATANEXPIRAVCNWTE APPL ROVEDISSUED BY LATE
Z 12 * Z IZ( ZDt 2
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED IWA015
DESIGN FORM-PAGE ONE Assessor's Parcel Number: 2 2 1 2 8 — 7 7 — 9 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. °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 may be scanned and available for public view on the Mason County Web site.Yluximum papei vice: I I X/7
PARCEL IDENTIFICATION
Permit Number: SWG Z026- G0032 Designer's Name: ALEXLPAYSSE
STEPHEN FEWELL
Applicant's Name: Designer's Phone Number: 360-426-1803
Mailing Address: 4703 PACIFIC HWY E Designer's Address: 3083 E MASON BENSON RD
FIFE WA 98424 GRAPEVIEW WA 98W
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Send Filter ❑Mound ❑Sand Lined Dmmfield ❑Recirculating Filter,Type-
❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other
Drainfield Type
dGmvity ❑Pressure G(Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms THREE Schedule/Class 2729 PERF_
Daily Flow:Operating Capacity 270 gpd Length 30 ft
Daily Flow:Design Flow 360 - gpd Diameter 4 in
Septic Tank Capacity(working) 1500 gal Number 5
Receiving Soil Type(1-6) 3 - Separation 10 ft
Receiving Soil Appl.Rate 0.8 gpd/ftr Orifices
Required Primary Area 450 ft Total Number of Orifices NA
Designed Primary Area 450 ftr Diameter - in
Designed Reserve Area 450 - ftt Spacing - in
Trench/Bed Width 3 - ft Manifold
Trench/Bed Length 150 ft Schedule/Class 3034 _
Elevation Measurements Length 40 ft
Original Drainfield Area Slope 2 % Diameter 4 in
New Slope,If Altered 2 % Preferred manifold configuration used? O Yes O No
Depth of Excavation Up-oope 18 in Transport Pipe
from Original Grade roxm-slope 17 in Schedule/Class 3034
Designed Vertical Separation 36+ in Length 5-10 IT
Gravelless Chambers Required? ❑Yes III No O Optional Diameter 4 in
Pump Required? ❑Yes III No Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day NA
Diff.in Elevation Between Pump&Uppermost Orifice it Dose quantity - gal
Drainfield Squirt Height/Selected Residual(head) _ft Chamber Capacity(flood) - gal
Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head - gpm OTimer OElapse Meter ❑ Event Counter
Calculated Total Pressure Head - ft If Timer: Pump on - ,Pump off -
Comments
DESIGN FORM-PAGE TWO Assessor's Parcel Number:2 2 1 2 8 - 7 7 - 9 0 0 4 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scald Layout Sketch Cross-Section Sketch
fid Test hole locations 69 Drainfield orientation and layout Reference depth from original grade:
E6 Soil logs Rl Trench/hd dimensions and Rf Septic tank
0 Property lines critical distances within layout [a Drainfield cover
61 Existing and proposed wells 21 D-Box/Valve box locations Reference depth from original grade
within 100 it of property E6 Septic tank/pump chamber and restrictive strata:
10 Measurements to cuts,banks,and locations 9 Laterals, trenchlbd,top and
surface water and critical areas Observation port location bottom
m Location and orientation of 19 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption lif Manifold placement ❑ Sand augmentation
components 19 Orifice placement Other cross-section detail:
ig Location and dimension of 66 Lateral placement with distance Rf Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
Ib Buildings Rf Audible/visual alarm referenced Yes No
0 Direction of slope indicator Rf Scale of drawing shown on scale Rf ❑ Design staked out
10 Waterlines bar ❑ [if Recorded Notices reached
61 Roads,easements,driveways, ❑ Rf Waiver(s)attached
parking ❑ 6d Pump curve attached
id North arrow and scale drawing ❑ 19 Evaluation of failure
shown on scale bar Non-residential justification
❑ Rf Waste strength
❑ Ef Flow
DESIGN APPROVAL
The undersigned designer must n fie/ installer at time of installation A Yes ❑ No
_1 / 3/1zS—
'— Signmu of Designer Date -1 w
The undersigned
A has reviewed this design on behalf of Mason County Public Health and determined it t 1
compliance with state and local on-si gulations: -
/1071C �gs°� 'Po, !�
Envt mm�tal Health S cialist Date C°UNryFNh 1 S<219 40
✓AUONDESmpedPPROV ONLY UNDER FOLLOWING)CON/DjTTJQNFvlg The is design by Mason County Public Health.
H
✓ 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.
LPdatcd Ueta: 12/7/201>
� Tee, T
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MAINTAIN 504 tiC
FROM ALL WELLS ROq�
TO SEPTIC TANK. . \
MAINTAIN 100'+ I /
FROM ALL WELLS I
TO DRAINFIELD.
WATERLINE/SEWER
CROSSINGS WILL NEED
EXIST. WELL + -- \I - TO BE DBLSLEEVED.
1
j EXIST. WELL "�� \I EXIST. WELL
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00 II
II �R100' I I I
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PROPOSED
3 BEDROOM I 11 FVTURE2
PRIMARY BEDROOM \\
& RESERVE® ` ADi ----//
w, EXI5TING TANK
& DRAINFIELD
'"PROPOSED SYSTEM
18 HAS BEEN SIZED TO
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AIF,�q®ryTyg 1400NC OF TH E 1 BED. CABIN
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SEPTIC DESIGNS ADDRESS 570EMONG RD ROOISow AOOrS 0633 Rools@5
3083E MASON BENSON RD. GWEV ,,WA 98546 DESIGNER: ALEX L PAYSSE
OFFICE-36 2&1803 FAX 27-2353 SHEET: SFTEPLAN SCALE r:50'
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MASON"'NrYENVIRO�MENT ••"'•'
D JA I AI HEAL N
MAINTAIN MINIMAL REQUIRED SLOPE IN
DISTRIBUTION LINES AND TRANSPORTLINE, N®p
HOLDING TANK INLEfAS DEEP A$ POSSIBLE r lu -
FOR FUTURE ADU CONNECTION. s
/ AN ASBUILTI INSTALL SIGNOFF FEE WILL
BE CMFIGED AT TIME W INSTALLATION
CUSTOMER: STEPHE N FFWHL TEST HOLE I: TEST HOLE 2 TESF HOLE 3:
PIONEER DIGaNQ INC PAR 2a3zan�oou &WL3 063 LM D54INS
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SEPTIC DESIGNS ADDRESS SMESTRONGRD ROOIs@63 Aa01sa54
3083 E MASON BENSON RD. CRMEVIEW,WA98546 DESIGNER: ALEX L PAYSSE
OF ICE-360,4261803 FAX-3 60 427 23 5 3 SHEET: DF DEIAB. SCALE: P=10'
OBSERVATION PORT
W/ COVER/LID
b"+ COVER FINISHED GRADE
FILTER
I FABRIC
,T ORIGINAL GRADE
WASHED
I ROCK
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MAINTAIN MINIMAL REQUIRED
SLOPE IN DISTRIBUTION LINES M
AND TRANSPORT LINE, HOLDING
TANK INLETAS DEEP AS POSSIBLE AEt L`aiMwse
FOR FUTURE ADUCONNECTION.
I
AN CHARGE INSTALL OFSIGNOFF FEE TION
I i ILL
BE CHARGED AT TIME OF INSTALLATION
REST. LAYER
24" RISER OR VALVE BOX
TO FINISHED GRADE
D-BOX
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APPROVyl LEVELERS TO
EQUALIZE FLOWS
FEB 2 51015
SONCOUNTYENVIRO"ENTAL HEA
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PIONEER DIGGNG, NC- CLETOMER: SEPHEN FEWELL IFSF HOLE TET t, E2 TEST HOLE 3:
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SEPTIC DESIGNS ADDRESS: 570ESTILONGRD ROOLlC61) Roofs4G3 ROOI,c cast
3083 C Mm0\BFN.l)N RD. GRAPFYILw.WA 9%5N, DESIGNER: AIEX LPAYSSE
OFFICE-361N261803 FAY-3W 129-2353 SHEET. DE DETAa(2) SCALE NA DEav orscxmxo,ncwoxueu we vnvcs uxxa.fr
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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 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 10ft to waterlines with all septic components. If less than Soft 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 verify satisfactory operation. The system owne ]6�°n' _ is
responsible for the continuous operation and maintenance of the system per WAC 246-272A. For operation and r .
information,refer to Mason County Public Health Homeowner's Manual,which should be receivedfter install�iiQn ap
14.System owner should be cautious of landscaping around septic components. Root intrusion gS�H���N CCB?�r1
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept
away from lids and other septic maintenance points. igp�y�
15. Changes made at time of installation may impact designer calculations,pump sizing,and 4 FNTq�H°44
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.
t9
FEWELL
PIONEER DIGGW�INC CUSTOMER: _9om2
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SEPTIC DESIGNS ADDRESS: 570 ESIRONG RD
3083EhtAYJNBEN:JNRD, GKMEVIEW,WA98146 DESIGNER: ALIXLPAYSSE
OFRCE-3604M]803 FAx-3604272353 SHEET: MOTE SCALE: NA