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HomeMy WebLinkAboutswg2025-00068 - SWG Application / Design - 3/13/2028 MASON COUNTY 415NBHELTON: , 0427-97 ,EXT 00 HSTREE SHEL-ON,W 985U S BELFAIR:360-275-0 67,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2025-00068 APPLICANT KLEIN PETER&CINDY Phone: Address: 3821 109TH AVE SE SNOHOMISH,WA 98290 OWNER KLEIN PETER&CINDY Phone: Address: 3821 109TH AVE SE SNOHOMISH,WA 98290 SEPTIC DESIGNER Alex Paysee` Phone: 360-426-1803 Address: 3083 E Mason Benson Rd GRAPEVIEW,WA 98546 SEPTIC INSTALLER TBD Phone: Address: 123 XXX XX,XX. 00000 Site Address: 470 E Camus Dr Primary Parcel Number: 120313100000 Permit Description: New SFR-4BR Pressure Permit Submitted Date: 03103/2025 Permit Issued Date: 03/2412025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $555.00 (edditienellees may Ce required upon installation orsmiem), Permit Expiration Date: 03/1312028 (beeadondahamsp.mn) Permit Conditions: 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. 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/envimnmental/onsite/oss-Inspection-mquest.php or call: 360427-9670,extension 400. OFFICIAL USE ONLY ® ML ftblic ID SMImn WA9B5M - EPECENER 'MASON COUNTY �3-2oZ5 H s MD9Y: (n COMMUNITY SERVICES 1MOU..MEb�55 PKE o m PubIX XxXM1 ICommunhyllMhNEmimnmmMlNMMI � y SWG 2025 - 000V DO O O A 2 N ON-SITE SEWAGE SYSTEM APPLICATION ; z APPLIOANT PHONE ") m PETER KLEIN © i c M4ILINGADIXtE55-BTNEEf.C11Y.5LATE.2IP CODE •; l 3821 109TH AVE SE K"'v SNOHOMISH WA 98290 m SXEADDREW-STREETCITYBIPCODE C== A (c` XXX E CAMUS DRIVE u(_u) or' SHELTON WA 98584 / Cu NAMEOFOESIONER ¢ PHONE I N l ALEX L. PAYSSE 360-426-1803 / 360-507-1546 (C) NAME OF INSTALLER �—� PNONE I0 TBD `"� �0 5 PERMIT 1%Nalxipn) CI DRINKING NMTER SOURCE w W RESIDENTIALOSE EDCOMMUNITYOSS 15COMMERCIALCES ®PRIVATE INDIVIDUAL WELL EEPRIVATET PARTY WELL = I � TYPEOFNORK(eFlw ) M PUBLIC NNTER SYSTEM JENEWCONSTRUCTIONIUPGRADES ffREPAIRIREPLADEMENT OTNFRDETAILS(eefwfMrfMfa A OTABLE IX REPAIR IW SUBB.L ALE O SURFACING SEWAGE O EXISTING FAILURE 19SHORELINE WDESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEIXOOIMs LOT 52E O EUMVER(S)(IF APPLICABLE) 4 22 AC x I L )RECKONS TO SITE AND SITE CONDITIONS'.(u.Kbv ) O NORTH HWY 3, RIGHT ON PICKERING RD. FOLLOW ACROSS HARSTENE ISLAND o BRIDGE. RIGHT ON SOUTH ISLAND DR. RIGHT ON HARSTENE ISLAND RD SOUTH. r FOLLOW TO THE END &TURN LEFT ON CAMUS DRIVE. CONTINUE TO END OF o 0 ROAD & GATE W/ PDI SIGN POSTED AT SITE. SEE SITE PLAN. I o SREMMSTREFIAMEOWDMMAMROADAMTESTNOIESM TBEF{ApDEDNTTRTESTMOIFNLMXERS OFFICIAL USE ONLY BELOW THIS LINE UMARDEIFAILURE SOURCE( w MW Pru w) OVOLUNTMY OMAINTENANCEPUMPING OBUILDINGPERMIT OHOMESALE OCOMPIAINT MOTHER: INSPECTORWIILLOGS COMMENTSICONDTIONS T)- kijpSC41i &%5 "LEODES: RECORD DRAYAMAND INSTALLATION FUMNT V=VERY G=GRAVELLY S=SAND L=LOAM &=SILT C=DAY E=EXTREMELY R=ROOTS REQUIRED MR FIW.LAPPROVAL. IN CLOfl 91GN4T(VflE.q 64TE APPLICATION EXPIRATION DATE AP CATION APPROVED/ISSUED BY WTE (� — y 0 WYM WANNEDA AVAII.ABLEFORPUBLICWEWONTHEMASONCOUMTYWEBSIIE REVISEDT..E DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 0 3 1 — 3 1 — 0 0 0 0 0 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 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.lwuimum paper size: 11"X 17- PARCEL IDENTIFICATION Permit Number: SWG Z025- 6001,B' Designer's Name: ALEX L.PAYSSE Applicant's Name: PETER KLEIN Designer's Phone Number: 360-426-1803 Mailing Address: 3821 109TH AVE BE Designer's Address: S083 E MASON BENSON RD SNOHOMISH WA M90 GRAPEVIEW WA 98548 city State ZiDESIG Ci State Zi ". N PARA Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Dminfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit MakGModel Other: Drainfseld Type ❑Gravity RfPressure fil(Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class SCH.40 Daily Flow:Operating Capacity 360 gpd Length 50 It Daily Flow:Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity(working) 1500 gal Number 4 Receiving Soil Type(1-6) 3 Separation 10 ft Receiving Soil Appl.Rate 0.8 gpd/ft' Orifices Required Primary Area 600 fit Total Number of Orifices 52 Designed Primary Area 600 fit Diameter 3/16 in Designed Reserve Area 600 It'- Spacing 48 in Tmnch/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class SCH.40 Elevation Measurements Length 30 ft Original Dminfield Area Slope 25 a/o Diameter 1.25 in New Slope,If Altered 25 / Preferred manifold configuration used? 0 Yes ❑No Depth of Excavation Up-slope 27 in Transport Pipe from Original Grade pawnslapn 18 in Schedule/Class SCH.40 Designed Vertical Separation 24+ in Length -100 ft Gmvelless Chambers Required? ❑Yes @rNo 0 Optional Diameter 2 in Pump Required? fi'eYes O No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 20 ft Dose quantity 80 gal Dminfield Squirt Height/Selected Residual(head) 2 if Chamber Capacity(flood) 1500 gal Uppermost Orifice IldHigher O Lower[Iran Pump Shutoff Pump,cofntrols:Please check those required. RI Capacity @ Total Pressure Head 30 gpm Timer li(Elapse Meter IrEVent Counter Calculated Total Pressure Head 30 ft If Timer: Pump on 1.3 MIN Comments PERFORM DRAWDOWN TEST &ADJUST TIMER SETTINGS AS NEEDE A a MAR 2 4 2025 JBW DESIGN FORM—PAGE TWO Assessor's Parcel Number: l 2 0 3 1 — 3 1 -- 0 0 0 0 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 0 Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: ld Soil logs 0 Trench bed dimensions and Ef Septic tank 0 Property lines critical distances within layout 0 Drainfield cover 0 Existingand proposed wells 0 D-Box[Valve box locations P P Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom 0 Location and orientation of 0 Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation components 0 Orifice placement Other cross-section detail: 0 Location and dimension of Ed Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed m Buildings g Other InforTrtation lid Audible/visual alarm referenced Yes No m Direction of slope indicator 0 Scale of drawing shown on scale Design d ❑ staked out 0 Waterlines bar ❑ 1f Recorded Notices attached 0 Roads,easements,driveways, ❑ 1f Waiver(s)attached parking 0 ❑ Pump curve attached 0 North arrow,and scale drawing ❑ 91 Evaluation of failure shown on scale bar Non-residential justification ❑ 1f Waste strength ❑ (if Flow DESIGN APPROVAL The undersigned designer must��be yo[if y installer at time of installation 0 Yes ❑ No /Ll l Z�28/LS Si�ofDesrgner IDate The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local ite regulations: A" 3 zY zs virc a tO Health Specialist Date CAUTION: DESIGN APP OVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. yy ✓ 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. It nib This form may be scanned and available for public view on the Mason Coun Updated e. AFN MAR Z42Q3 MASON COONTVENORONMFVT41 up�j,.. i i i IIHS' f/- I I I / i I I I / I I � IN 1` STREAM PUGETSOVND 1 , I N, `\ I SEE SITE PLAN 2 FOR DETAILS «u '• P PRO VE - MAR 4 2025 ECAMVS DRIVE c u - , MASON COUNTY ENVIRONMENTAL HEA'TH AN ASBUILTI INSTALL SIGNOFF FEE WILL J13W BE CNARGEO AT TIME OF INSTALLATION 6 PIONEER DIGGING, ING CUSTOMER: PEIFR IaDN TEST HOLE l TEST HOLE 2 T HOLE 3: rARCEL%:120918k0M 06 E DUFT OG E.DUFF F.F.W o-rz cuvroLs srz cuvxs n_cnavMs SEPI IC DESIGNS ADDRESS )ONECAMIEDR ROOTSa60 ROOT6@60 &c TS®60 3083EMA'ONBfRWNRD. CRAPE EWWA98596 DESIGNER: ALIXLPAYSSE OFRU-360V2 003 FA%-360-0T/-M3 SHEET: SIE nMI SCALE P=2D0' z°LP°. rcmwn rn.nuwxci.Erw.E.ww I 1 I \ . 75'STREAM BUFFER 1\ I \ • 40'WETLAND BUFFER I 1 I PROPOSED WELL It-- R100' GARAGE I 1 ` 1 RV DROP APPROXIMATE FUTURE HOMELO IMPROVE 65'+ / K MAR 2 4 2025 SEPTIC SON COUNTY ENVIRONMENTA H & PUUMPMP TAN JBW 4BEDROOMDKAINFIELD o (PRIMARY& RESERVE) EXISTING ACCESS / TRAIL / , . '•. `ter.1 APPROX. OHWM APPROX. 50' .u.iou Far>g It• I u .:. BANK SETBACK `. PEP GEO. REPORT .' AN ASBWLTI INSTALL SIGNOFF FEE MILL BE CHARGED AT TIME OF INSTALLATION HOL F F.F. PIONEERPIONEER DIGGING, CUSTOMER PErERp� TESTHIFF TEST WIT TEST HOLE 3: PARCEL A:W31-3F00000 O6 DISF Db D6 DUFF bT2 G1lV KS 672 GWM4M5 b72 GAlV AlS SEPTIC DESIGNS ADDRESS )00(E GUMS DR ROOTS@w RDDTSOW RJJTs@w W63E)AASONBegSONRD. GRAPEMFWWA98 DESIGNER: AM L PAYSSE OFFICE-3604261803 FAX 3Gtr42]-]353 SHEEP: SITE PLAN SC'AUf• P=60 —S—N—EDTO e r r A. r r � KLEIN TEST HOLE 1: THT �U I TES r HOLE 3 • ' 0 ICLISTOMER . .. . . ORIG.& OB PORT FIN.GRADE IBIS pumps CLEANOVT I I FILTER FABRIC N _m r o a r uw v r m •s se r. my I WASHED j ROCK I I I I r u I I I I I I I I I • I I I I VERIFIED DEPTH ( NO REST. LAYER) I • I • r r r r v r v r v m• irlr•• LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE OIST.TO TOTAL LATERLL# LENGTH PIPESOE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 15TORIFICE ORIFICES HEAD (feet) (Inches) (feet) (feet) RATE(Rpm) (het) (Inches) (feet) 1 50 1.25 3 S3 3/16' 0.59 4 12 L3 0.47 2 s0 1.25 10 60 3/16' 0.59 4 12 13 0.54 3 s0 1.25 20 70 3/1G, 0.59 4 12 13 0.62 4 50 1.25 30 60 3116' 0.59 4 12 13 0.72 DRAINFIEIDHEAD(feel) 2.35 TRANSPORT LINE HEAD(feet) 1.62 ELEVATION CHANGE(feet) 20 RESIDUAL/SQUIRT(feet) 2 "'� ••yrl ERTRA LOSS/FITTINGS Ifeetil 5 Maer AUt LIX8 PAVSg \ T&VftAMC&ADfast) 30.97 ,cr • u s 40 LLISTOMAR 2 4 2025 PIONEER DIGGING, INC PARCEL . 1-3100000ETER MAS014 YTVENVIRONMENTALHEALTH PARCEL#12A31-3100000 SEPTIC DESIGNS ADDRESS: )ONECAMISDR •JgW 3083EWSONBDSONRO. GRAPEVIEWWA98W DESIGNER-- AUX LPAYSSE OFFICE-360-426I803 FAX-3 6 0 427 2353 SHEET: CALLS SCALE NA 24"RIBBED RISERS W/BOLTON WATER-TIGHT LID5 CLEANOUi USE RISER LID ADAPTERS WITH NO GASKET LIDS FINISHED GRADE WATER-TIGHT )DINTS INLET OURET TWO WAY TEE i s 4"051 EFFLUENT WATER-TIGHT FILTER )OINT5 TANKS MV5T BE ON STATE DOH C f"GAL1.0NWA7ER77GHT APPROVED LIST '' C0NCRE1FSEV77C TANK OFSEWAGE Z. TANKS , .. PUMP TANKS OVERIODOGAL. "'y` .: �:.,:, f Z••ya REQUIRE57W0 p •..;:•::. .; • . ume ` , ACCESS RISERS rt�Eiae% TO GRADE "�„q• MEW '" PVMPTANK5 LOCATEDAT HIGHER AQVAWOR ELEVATION THAN CONTROL PANEL W/TMER EVEHOUR MER VL<EUL EUMICAE r21WATED RISERS DRAINFIELP hHOVRMElE0. nLKENseo ELErni<wn I W/WATER TIGHT LIDS HAVE ANTI-SIPHON 1111 DEVICE INSTALLED. FINISHED GRADE EtURR.L..Wrt TRANSPORT LI NE INLET uy�Q4 g1EgAy V,g1,V LSlX7QALLONWA7ER77GHT fU [r'N/ {f[I /V� U CONCRE7PM/Afo TANK (28 GAL/IN.) MAR [ 4 2025 WATER-TIGHT ON COUNTY ENVIRONMENTAL HE TH )OINT5 JBW PRESSURE TRANSDUCER CHECK VALVE (OR FLOATS) USE TANKS FITTED W/CAST IN WATER USE RUBBER TIGHT FITTINGS FOR INLET/OUTLESAND PUMP BUCKET GROMETS FOR CAST IN RISER BUCKET HEIGHT MUST BE TRANSPORTLINE ADAPTERS TO Ai LEAST HEIGHTOF PUMP AND ELECTRICAL ENSURE WATER ON RISERS. MAKE TlGHTNE55 SURE ALL HOLES ARE WATER-TIGHT CUSTOMER: PETER KLEIN PLENA PIONEER DIGGING, WG PARCELa 17D31-314)0000 IN5TALL TANK5 ON ORIGINAL OR SEPTIC DESIGNS ADDRES&)00(E CAMIS DRIVE COMPACTED LEVEL SOILS. RUN CROSS 3093 E MASON BENVJN RD. GRAPEVIEW,WAW8 DESIGNER ALEX LPAYSSE CONNECTIONS INTO ORIGINALSOIL5TO OFRCE-3 4W RW FAX-3Gtr4Z/-P353 SHEET: TANKS SCALE NA AVOIDSETTLING. Installation & System Notes 1. Installer must contact designerforfinal inspection ofthe installation priorto cover. All components,includingtanks,lids, transport line,drainfield,and waterlines 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 Ito 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. Drainfiield 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,Glendon,) 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. 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 1011 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 loft 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. F��rr0 Naration and maintenance information,referto Mason County Public Health Homeowner's Manual,which should be re aDretnatjp gpprpyal. 14.System owner should be cautious of landscaping around septic components. Root intrusI r r ry V V `L can cause premature failure of the drainfield area. In addition, bushes and trees should be k MAR 14 2025 away from lids and other septic maintenance points. MASON COUNTY a NMENTgL - 15. Changes made at time of installation may impact designer calculations,pump sizing,and HEA 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. �. PIONEER. DIGGING, INC CUSTOMER P"To"amv PARCEL k.=31-3WOM nme SEPTIC DESIGNS ADDRESS: )ME CAM1bDR AUrt"0a� 3083E MASON BENSON 2D C"TVIEW,WA 985* DESIGNER: AM L PAYSSE OFFlCE-36o-4261803 FAx-3 27-2353 SHEET. NOTES SCRIP NA