HomeMy WebLinkAboutswg2025-00069 - SWG Application / Design - 3/11/2025 MASON COUNTY 4ISNB SHELTON: ,SHELT967 ,EXT 404
$HSTREE STREET,
ON, EXT400
BELFAIR:360-275-0 67,EXT400
Public Health & Human Services ELMA:360482-5269,EXT400
FAX:360427-7787
On-Site Sewage System Permit: SWG2025-00069
APPLICANT RAVANDER DAVID ROBERT Phone:
Address: 9021 WILLOW GROVE RD LONGVIEW, WA 98632
OWNER RAVANDER DAVID ROBERT Phone:
Address: 9021 WILLOW GROVE RD LONGVIEW,WA 98632
SEPTIC DESIGNER BOB PAYSSE' Phone: 360-507-1498
Address: 3083 E Mason Benson Road GRAPEVIEW,WA 98546
SEPTIC INSTALLER TBD Phone:
Address: 123 XXX XX,XX. 00000
Site Address: 4280 E Mason Lake Dr W
Primary Parcel Number: 222335000015
Permit Description: Reconfigure 3BR Nuwater pressure drainfield
Permit Submitted Date: 03/03/2025
Permit Issued Date: 03/1212025
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $555.00 (adtllaonaI fees may W repaired upon installation of system).
Permit Expiration Date: 0311112028 (based oa date ofinspecaon)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staHper 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 upstope and downs/ope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backffll of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill ofsystem 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.govlhealth/environmentaUonsite/oss-inspection-request.php or call:
360427.9670,extension 400.
OFFICIAL USE ONLY
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MASON COUNTY G 5 y D
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DAVID REVANDER n n n c
Y.VUNGPLORE&S-6TREET,CIfY,STATE.2IP CODE
9021 WILLOW GROVE RD 9 o LONGVIEW WA 98632 m
SREADDRESS-STREET,CRTLP CODE f�) •'�'
4280 MASON LK DRIVE WE GRAPEVIEW WA 98546 ^)
NAMEOFMSIGNER PHONE
ROBERT H. PAYSSE 360-426-1803 N
NAMEOFINSTALLER G m PHONE O IIV
TBD
PERMITttPE(sab —' GG�� DRIN.W IMTER SOURCE I W
�IRESIDENTIALOSS 5CCMMUNITYOSS 15COMMERCIALOSS Or PRIVATE INDNIDUALWELL 151PRIVATET IVATY%NELL = I W
TYPE OF MRK Na one) PUBLIC WATER SYSTEM
9NEWCONSTRUCTION/UPGRADES EIREPAIR/REPLACEMENT OTHERCETAILS(~---A0N) [3 TABLE IX REPAIR IUI
SUBMITTALS 0 SURFACING SEWAGE [3 EXISTING FAILURE 0 SHORELINE m
DESIGN FORM(REQUIRED) 19SEPIC DESIGN(REQUIRED) WOROOMS LOT SIZE 0 I �
I]IWAIVER(S)(IFAPPLICAB E) 3 0.42
OPECTIONSTOSITEANOSITECCNDTIONS:(m.la ,,h) O
NORTH HWY 3. LEFT ON MASON LAKE RD. FOLLOW PAST LIMERICK TO MASON LAKE.
LEFT ON MASON LAKE DRIVE WEST (BACKSIDE). CONTINUE AROUND LAKE TO SITE o
ADDRESS 4280 ON RIGHT (WATERSIDE). o 0
NO NEW TEST HOLES, SEE DESIGN
ETIEYMSTBEEIAGGEOIAOYYAM RJAO ANO TEST MOlE9YMST KFIAGOm MlIM1EST MOLENIMBERS.
OFFICIAL USE ONLY BELOW THIS LINE
UPGRAOEI NNWRE SOURCE I Iep NNiPvee)
OVOLUNTARY OMAINTENANOE)PUMPING [3 BUILDING PERMIT OHOMESALE OCOMPLMNT DOTHER:
INSPECTORMLLOGS COMMENTSICONOMONS
vo r\f&j P P R O V ED
MAR I I I'll
ASON COUNTY ENVIRONMENTAL HEALTH
JBW
8gL000FS. RECORD DRAWNGAND INSTALLATION REPORT
V•YERY G=GMY£LLT 5=6PfD L•LOPlI &•SILT C•CUY E=FMRENE-Y R=RCOTS REpUIREUI-UKHNALAPRVO .
CTOR SIGNATURE WE AFPUCATONEXPRATICNMTE U TIONAPPROVEDIISSUEDBY DATE
M MAYBE SCANNEDANDAMAILABLE FOR PUBLIC VIEWONTHE MASON DWI REM6F01'WM15
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 3 3 — 5 0 — 0 0 0 1 5
A design will be reviewed when 33 c�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
I 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 view on the Mason County Web site.Sfasimum pap,, cite: I I",Y I
PARCEL IDUMMCATION
Permit Number: SWG ZOZS' C770(ofq Designer's Name: ROBERT H.PAYSSE
Applicant's Name: DAVID REVANDER Designer's Phone Number: 360-426-1803
Mailing Address: 9021 WILLOW GROVE RD Designer's Address: 3083 E MASON BENSON RD
LONGVIEW WA 98632 GRAPEVIEW WA 98W
City State Zip City State Zip
Treatment Device
❑Glendon Biofiher ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type:
G(Aerobic Unit Make/Mod.l NUWATER3NR500 11 Disinfection Unit Makc/Model Other:
Drainfield Type
❑Gravity If Pressure G(Trench ❑Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH.40
Daily Flow:Operating Capacity 270 glad Length VARIES ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) BNR500 gal Number 5
Receiving Soil Type(1-6) 3 Separation 9 ft
Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices
Required Primary Area 450 If Total Number of Orifices 52
Designed Primary Area 450 If Diameter 3116 in
Designed Reserve Area 450 ftI Spacing 36 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 150 ft Schedule/Class SCH.40
Elevation Measurements Length 37 ft
Original Drainfield Area Slope 14 % Diameter 1.25 in
New Slope,If Altered 14 / P e i d figuration used? C�Yes O No
Depth of Excavation Upebpe 14 an �Traasport Pipe
from Original Grade no.n-slope g M 1Ig$ffc117��7ddJJaal�s SCH.40
Designed Vertical Separation 12+ Kn)yNl 140 ft
Gmvelless Chambers Required? (:]yes 16No N Y W&MENTAL HEALTH 2 in
Pump Required? Ed Yes 0No 'LBW Dosing and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 40 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity fund) 1500 gal
Uppermost Orifice D Higher ❑Lower than Pump Shutoff Pump,c/ontrols:Please check those required.
Capacity @ Total Pressure Head 30.68 gpm mTimer G(Elapse Meter RrEVent Counter
Calculated Total Pressure Head 48 ft If Timer: Pump on EXIST. r pump off EXIST.
Comments
SUMMARY: RELOCATE (2) EXISTING DRAINFIELD LATERALS AND INSTALL 4" SEWER PIPE
DOWN TO EXISTING TANKS. USE EXISTING PUMP
DESIGN FORM—PAGE TWO Assessor's Parcel Number:2 2 2 3 3 — 5 0 — 0 0 0 1 5
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R1 Test hole locations 6b Drainfield orientation and layout Reference depth from original grade:
66 Soil logs Ef Trench/bed dimensions and Gd Septic tank
9 Property lines critical distances within layout B Drainfield cover
19 Existing and proposed wells 6f D-Box/Valve box locations Reference depth from original grade
within 100 ft of property E6 Septic tank/pump chamber and restrictive strata:
IZ Measurements to cuts,banks,and locations B Laterals,trench/bed,top and
surface water and critical areas fib Observation port location bottom
m Location and orientation of M Cleanout location ❑ Curtain drain collector
curtain drain and all absorption p] Manifold placement ❑ Sand augmentation
components M Orifice placement Other cross-section detail:
6b Location and dimension of 9 Lateral placement with distance fig Observation ports/clean-outs
primary system and reserve area to edge of bed
Buildings g Other Information
Q( Audible/visual alarm referenced Yes No
m Direction of slope indicator Ed Scale of drawing shown on scale h'l ❑ Design staked out
En Waterlines b ❑ E9 Recorded Notices attached
6b Roads,easements,driveways, MOVE ❑ Ef Wmver(s)attached
parking 9 Pump curve attached
19 North arrow and scale drawing MAR 12 2015 19 Evaluation of failure
shown on scale bar MASON COUNTY ENVIRONMENTAL HEAL Non-residential justification
Ef Waste strength
JBW ❑ EfFlow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation Ef Yes ❑ No
�� ��
Signature of Designer Dale
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and loc gulations:-site re
viodWinentallrealth Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY TINDER 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:
✓ 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.
m
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site.
Cpdaled Date: 12/7/2015
I
MASON JAKE DRIVE WEST '
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1 I STREAM
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FUTURE BUILDING I 10' BUILDING SETBACK
LOCATION I I
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EXIST. J
WELL
EXISTING/PROPOSED
DRAINFIELDAREA I
(SEE DETAIL) I 1 ��
j 30' BUILDING 'o
I � SETBACK FROM
EXISTING 1 __I_____y PERIMETER DRAINS
DRIVEWAY \ \L
EXISTING NUWATER '--
& PUMPTAN PPRGVE ,y
SHARED "- ff/41—'E
� rr �(WELL(100'+) 1MAR 122M
1 0 � MASON COUNTY ENVIRONMENTAL HENL'w
114—Zz 1XISTING HOME Jaw
I
I I CAUTION TO INSTALLER, OTHER
I I UTILITIES ALONG DRIVEWAY,
EXISTING CALL IN FOR LOCATES.
WELL
5UMMARY: 1
RELOCATE (2) EXISTING
DRAINFIELD LATERALS
AND INSTALL
PIPE DOWN TO e�
EXISTING TAN KS. '' E "t
4t S01VLAKE
AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
PIONEER DIGGING, WG CIJSTOMFR: DAVE REVENADFR SCALE I' as
PARCEL x 22273i0000L5 NO NEW TEST HJL�.
SEPTIC DESIGNS ADDRESS42SOMAfiONIXDRw SEEPREVIOISDENGJSWG2016W'3''
3083 EMASON BENSON RD Gk"MEWWA98546 DESIGNER: ROBERT R PAYSSE 26•36'TYI'E 3 ABOVE TILL N
OFFICE-360426 W03 FAX'36IM27 B53 DESIGN PAGE STE RAN
ABANDON/REMOVE TOP (2)
DRAINFIELD LATERALS TO INCREASE
FUTURE BUILDABLE AREA
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______ _______\_ FOUNDATION EKACK__i III
4"CLEANOUT o I
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INSTALL NEW 4"
3034 SEWER PIPE FIRM �\ I
DOWN TO EXIST.
TANKS FOR FUTURE „ I I
PLUMBING
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DESIGNERSUGGE5TS -
USE OF 45' STEP
DOWN5 ON 4"SEWER t
PIPING TO ENSURE
PROPER FLOW. j \
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MAR 12 iAp
AIASON COUNTYENVIROp J
OB PORT/ JBw 1
RE-LOCATE VALVE CLEANOUT
BOX & RE-FEED
ALL LATERALS d INSTALL (2) NEW DRAINFIELD
LATERALS BELOW EXISTING
a �
RECONFIGURED100% I
RESERVE AREA
RE-UTILIZE EXISTING
TRANSPORTLINEE1
r
AN ASBUILTI INSTALL SIGNOFF FEE WILL EXPIRES
BE CHARGED AT TIME OF INSTALLATION
SC�PIONEER DIGGING, INC. G�O"'ER °A�'�"�°� ONEsc� ITES
PARCEL#.g2ppppTS NO NEW TEST HOLE
SEPTIC DESIGNS ADDRESS: 4280MASONLKDRW SEE PREVIOLBDESGNSWUO1600323:
3083E MASON BENSON RD. GRAPEVIEW,WA 9&596 DESIGNER: ROBERT R PAYSSE 26"-36"ME 3 ABOVE TILL
OFFICE 360-4261B03 FAX-36A4272353 DESIGN PAGE DRAM=DETAO.
CLEANOUT
OBSEPWATION '• ' r r
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ORIFICE INFORMATION&GPM
LATERAL# LENGTH(FT) ORIFICE # ORIFICES DIST.TO 1ST
SPACING ORIFICE
1(EXISTING) 29 3 10 12
2(EXISTING) 34 3 12 6
3(EXISTING) 39 3 13 18
4INEW) 30 3 10 18
5INEW) 20 3 7 12
TOTAL LATERAL LENGTH 152
TOTAL#ORIFICES 52
ORIFICEOLITPUT 0.59
GPM 30.68
DYNAMIC HEAD
PVCSECTION LENGTH(FT) FEEDER TOTAL ORIFICES HEAD(FT)
LINE LENGTH
2"TRANSPORT PIPE 140 NA NA 0 2.27
LATERAL#1 29 37 66 10 0.36
LATERAL#2 34 28 62 12 0.48
LATERAL#3 39 19 58 13 0.00
LATERAL#4 30 10 40 10 0.22
LATERAL#5 20 3 23 7 0.07
TOTAL FRICTION LOSS 3.40
ELEVATION CHANGE 40
RESIDUALHEAD 2
XTRA LOSS THRU FITTINGS 3
TOTAL DYNAMIC HEAD 48.40
MAR 122079
MASON COUNTY ENVIRONMENTAL HEAT,
JBW �
PIONEER DIGGING, WG ARTE"� VE 15
SEPTIC DESIGNS ADDRca=: 428O NLKLiILw _
3093EVASONBe,E0NRD. GRMEVIEW,WA98546 DESIGNER: ILOBERTNPAYSSE EXawES
OFFICE-360426,W3 FAX 3604D-2353 DESIGN PAGE CALLS
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 drainfleld 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.ATII,Glendons,) may have other requirements not listed within this design.
7.All electrical wiring shall be done by a licensed electrician or homeowner(H allowed)and must be permitted through tabor
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 101t to waterlines with all septic components. If less than loft 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.
22.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. F pe I and maintenance
Information,refer to Mason County Public Health Homeowner's Manual,whith should be recei ttila�iva,ergYal
14.System owner should be cautious of landscaping around septic components. Root intrusio N fir/ CC
can cause premature failure of the drainfield area. In addition,bushes and trees should be k MAR i 2 A25
away from lids and other septic maintenance points. SO COONTVENVIRONMENTAf NEA1T
15. Changes made at time of installation may impact designer calculations,pump sizing,and 13W
compliance w/county and state requirements. Contact designer prior to install w/any e
proposed variations from design. Changes may result in additional fees and permitting. d
PIONEER DIGGNQ ING CUSTOMER: DAVE REVANDER
PARCEL,*.22233-50000115 w.sss
SEPTIC DESIGNS ADDRESS. 4280MASONI.K DR.W
3093 E MASON BENSON RD. G1NI MEW,WA 98546 DESIGNER ROBERT R PAYSSE EXPIRES
OFFICE 3604261803 FAX 3604D2353 DESIGN PAGE NOTFS