HomeMy WebLinkAboutSWG2025-00134 - SWG Application / Design - 4/14/2025 415 N 6TH STREET,SHELTON,WA 98584
014 ': MASON COUNTY SHELTON:360- ,EXT400
BELFAIR:360-2754467275-4467,EXT 400
✓
—� '� Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00134 L,OU '
APPLICANT ROGERS JEFF & NANCY Phone:
Address: 5255 E MERCER WAY MERCER ISLAND, WA 98040
OWNER ROGERS JEFF& NANCY Phone:
Address: 5255 E MERCER WAY MERCER ISLAND, WA 98040
SEPTIC DESIGNER BOB PAYSSE* Phone: 360-507-1498
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 220 N POTLATCH DR
Primary Parcel Number: 423185000010
Permit Description: New 2bd ATU to pressure trench with local waiver
Permit Submitted Date: 04/14/2025
Permit Issued Date: 05/06/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/23/2028 (based on date of inspection)
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 Drain field 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/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
DATE RECEIVED: O'/, 'I — /J" n IC
MASON COUNTY L/-.UG J c cUn
ifflif COMMUNITY SERVICES AMOUNT RECEIVE555- RECEIVED BYC/
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Public Health(Community Health/Environmental Health) w
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.7S N.6th Street�Shelton WA 98584 V`Y/G L W o �
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ON-SITE SE GE SYSTEM APPLICATION z x
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APPLICANT PHONE mr
JEFF ROGERS Z
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MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE w
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o' MERCER ISLAND WA 98040 m
5255 E MERCER WAY Q �,
SITE ADDRESS-STREET.CITY,ZIP CODE 4g � HOODSPORT WA 98548 � �
220 N POTLATCH DR (�`A�J Qa�
NAME OF DESIGNER V/ ` PHONE I N
����IIII
ROBERT H. PAYSSE 7 360-426-1803
IO.)NAME OF INSTALLER
TBD m PHONE 0<
PERMIT TYPE(select one) DRINKING WATER SOURCE O
giRESIDENTiAL OSS 11 r COMMUNITY OSS Il.l COMMERCIAL OSS b PRIVATE INDIVIDUAL WELL b-PRIVATE TWO-PARTY WELL Z 100
2- PUBLIC WATER SYSTEM CUSHMAN t
TYPE OF WCRK(select one)
ptl NEW CONSTRUCTION/UPGRADES REPAIR!REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR I (.31
SUBMITTALS
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINECCI
pp110 O I
If DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE
I
WAIVER(S)(IFAPPLICABLE) 2 0.26 0 x I O
DIRECTIONS TO SITE AND SITE CONDITIONS'(ex.locked gate)
N HWY 101. LEFT ON HWY 119/ LAKE CUSHMAN RD. FOLLOW UP HILL AND TO I O
INTERSECTION W/ STAIRCASE RD. TURN LEFT ON STAIRCASE RD. TURN LEFT ON o r I O
MT. TEBO WAY. CONTINUE DOWN HILL TO LEFT ON POTLATCH DR. CONTINUE TO
SITE ADDRESS 220 ON RIGHT (WATERSIDE).
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(for reporting purposes)
N 0 VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER'
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
`-c-k, 0 -VO
J( T,€ 1-Pit I
11t2 -,. 0/ )\ M (6 1_
RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES: REQUIRED FOR FINAL APPROVAL.
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SiLT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE
APPLICATION APPROVED/SSUED BY DATE
qwn
THIS FOR:i MAY BE ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
REVISED 12/72015
sasommusur
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 3 1 8 — 5 0 — 0 0 0 1 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. Maximum paper size: I I"X I 7"
PARCEL IDENTIFICATION
0 0 l�, g
ner's Name: ROBERT H. PAYSSE
Permit Number: SWG �� � 1 Designer's
JEFF ROGERS Desi ner's Phone Number: 360-426-1803
Applicant's Name: g
Mailing Address:
5255 E MERCER WAY Designer's Address: 3083 E MASON BENSON RD
MERCER IS. WA 98040 GRAPEVIEW WA 98546
City State Zip City State Zip
DESIGN PARAMETERS
'l2r0 is! o/J Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
GiAerobic Unit Make/Model
NUWATER BNR 500 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity El Pressure I'Trench 0 Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class SCH.40
Daily Flow:Operating Capacity 180 gpd Length 15 ft
Daily Flow: Design Flow 270 gpd Diameter 1.25 in
Septic Tank Capacity(working) BNR500 gal Number 7
Receiving Soil Type(1-6) 4 Separation 9 ft
Receiving Soil Appl.Rate 0.8(B) gpd/ft2 Orifices
Required Primary Area 300 ft2 Total Number of Orifices 35
Designed Primary Area 315 ft2 Diameter 3/16 in
Designed Reserve Area 315 ft2 Spacing 36 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 105 ft Schedule/Class SCH. 40
Elevation Measurements Length 54 ft
Original Drainfield Area Slope 5-20 % Diameter 1.25 in
New Slope,If Altered 5-20 % Preferred manifold configuration used? gYes 0 No
Depth of Excavation Up-slope VARIES in Transport Pipe
from Original Grade Down-slope VARIES in Schedule/Class SCH.40
Designed Vertical Separation 36+ in Length <50 ft
Gravelless Chambers Required? 0 Yes I 1 No 0 Optional Diameter 2 in
Pump Required? 54 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
Diff. in Elevation Between Pump&Uppermost Orifice 23 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1500 gal
Pump controls: Please check those required.
Uppermost Orifice 54 Higher 0 Lower than Pump Shutoff Capacity @ Total Pressure Head 20.6 gpm [Timer gEIa pse Meter l 'Event Counter
Calculated Total Pressure Head 30.8 ft If Timer: Pump on 1.5 MINI ,pump off 6 HRS
Comments APPROVED
MAY 0 6 2025
MASuN I,oUN I Y LNVIRONYENTAL HEALTH
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 3 1 8 — 5 0 -- 0 0 0 1 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Yi Test hole locations Gd Drainfield orientation and layout Reference depth from original grade:
g Soil logs It Trench/bed dimensions and Elf Septic tank
g Property lines critical distances within layout EX Drainfield cover
box locations
g Existing and proposed wells Gd D-Box/ValveReference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
l7i Measurements to cuts,banks,and locations if Laterals,trench/bed,top and
surface water and critical areas g Observation port location bottom
IZI Location and orientation of Gd Clean-out location 0 Curtain drain collector
curtain drain and all absorption 64 Manifold placement 0 Sand augmentation
components g Orifice placement Other cross-section detail:
g Location and dimension of 64 Lateral placement with distance 21 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
O Buildings It Audible/visual alarm referenced Yes No
1 Direction of slope indicator 54 Scale of drawing shown on scale g 0 Design staked out
g Waterlines bar 0 g Recorded Notices attached
g Roads,easements,driveways, g 0 Waiver(s)attached
parking 121 0 Pump curve attached
g North arrow and scale drawing
0 i 1 Evaluation of failure
shown on scale bar Non-residential justification
❑ 11 Waste strength
❑ l Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at
�� 'me of installation 54 Yes 0 No
C.---84-(4.1 -- -- M $ ZI
Signature o 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:
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved" by Mason County Public Health. l (,�3��
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: _i/
✓ 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: 12/7/2015
N. POTrAT VJOI ►
CH DRIVE -m '
i� '1`
PROPOSED 2 BED. — — ��
PRIMARY & RESERVE illitre: I _ _
(7) - 3'X15' LATERALS
(75'+ TO LAKE) I 1O .-I �,
I I I Ir .111111111111114 /�'
ABANDON EXISTING j
OSS COMPONENTS: I r/`r. I 32 -6 �I
PUMP OUT& FILL �_� / i L_ I
W/ C-33 SAND '�'+���,.. ————
►r�i/// / I
��, ` 1 �`y I CURRENT PROPOSED
I b`jy I I FLOORPLAN
��i� EXISTING CABIN
- ��/���/// (TO BE REPLACED)
•11
_, — y _
___r-- pl
�\ -_--
I .,,/
NI/WATER & TOP OF
PUMP TANK EXISTING BANK
___ �� (50'+ TO LAKE)
I —� I APPRov �� q
NO CURTAIN/FOUNDATION `r I E V
DRAINS ALLOWED ON NEW MASONCOUNnY 06 ?025
HOME OR WITHIN 30FT p EtiVIRONMENTEA
q�HEALTH
DOWNSLOPE RET
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1_____ __ _
- ��
.7,,.."....,
SIC0317
, ,
Y„,
ROBERT H PAYSSE 7
LAKE CUSHMAN EXPIRES
''':.N.--7 AN ASBUILT/INSTALL SIGNOFF FEE WILL
�' BE CHARGED AT TIME OF INSTALLATION
' I CUSTOMER: JEFF ROGERS I FST HOLE I: TEST60HOLE 2
PIONEER DIGGING, IN PARCEL# 42318 50 000 0 L*cT `''' TS
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I;;,� .(a 5�� ROO fS @ ill
SEPTIC DESIGNS ADDRESS: 220 N POTLATCH DR \,ICI I » NO Rts•[AI.
3083 E MASON BENSON RD. GRAPEVIEW,WA 98540 DESIGNER: ROBERT H.PAYSSE PLATS P StN IAS IS EOT SURVEY.
REFERENCES
EFER N CESO INCLU 0DE APPLIC N TICOUNTY PR ROVICED
T-T7�TAT ,�T� �/�,L ry PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER
OFFICE 360 42618U3 FAX 3G0 427 2353 SI I I'I.I: 51 1 E PLAN SCALE: IN=2L� DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSNBIE FOR SETBACXS UNRELATED TO SEPTIC COMPONENTS `
1Ij
F-1- - _
11"110
I 1
5' Wear, 1 10' FOUNDATION
I � / BLD SETBACK
I • " ,, • , O I I
° I
OB PORT I r---__
& C/O ---\ '4ZIT, ,,i I I ,
I <<�� I� CURRENT PROPOSED I
I `'�'1� 10 ~I I FLOORPLAN 1 I
I /`,r,�, r I I 1
rear"
' I b ,, A a / ABANDON EXISTING I
OSS COMPONENTS:
PUMP OUT& FILL I
I W/ C-33 SAN,„,,
D 1
I i ifizpr. , :, I
I
k.
• / APPROVED------'' -F
, I ,� � 'jjl ,I '����► '�• ;;I lo
� MAY 0 6 2025 1 I
MASON COUNTY ENVI NMENT.AL HEALTH i ;/
1 / 1 ai, D' 4 a A , :','1: ,,
RET
EXISTING CABIN
I eras (TO BE REPLACED) I
Are1/,
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itejriCrlir, 1 . ''.:;
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.._i NUINATER Sz Cay ll,
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PUMP TANK / EXPIRES
(501+ TO LAKE) AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
CUSTOMER: JFFF ROGERS TEST HOLE I: TEST HOLE.Z: ,
PIONEER DIGGING, INC. PARCEL 42318 50 00010 RooTc o 50 Roa s @ 50
SEPTIC DESIGNS ADDRESS: 220 N POTLATCH DR \s•RI<I \l. NO RIS.lAl.
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBFRT H.PAYSSE PLATS ORE SURVEYS.FIELDNO MEASUREMENTS ANDCOUN A SURVEY.REFERENCES CLUDE DESIGN INTENDED FO PROVIDED '
PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER
OFFICE-36l1-426-1803 FAX-360-427-2353 SHEE I DF DETAIL SCALE: 1"=10' DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO
SEPTIC COIAONENTS.
ORIG. & ORIG. &
OB PORT FIN. GRAPE —AiOB PORT FIN. GRADE
CLEANOUT CLEANOUT
i
SANDY FILTER I SANDY FILTER
COVER FABRIC-\ N I COVER FABRIC
N- :i::i:i::'' ri : =% : N I -\1 4
• • • r • • • •. r_ • • i i�%i; i:� i r • • � i :• • • i:� • •
r •7• •'• • • r • I • I • •L • • •-• III -% rI1III
: . . ::. . r •: r . •.
WASHED ROCK WASHED ROCK
+
20% SLOPE ° 5% SLOPE
VERIFIED DEPTH --\ VERIFIED DEPTH
I '
I I
RISER/LID OR
VALVE BOX
/--- TO FINISHED
GRADE
BALL VALVES
THREADED CAP / ---F-1-----#1,--I
I I I
I ''" \
"ORIFICES 0 12:00
W/ SHIELDS
''':'700 =�j.dtat liWdoz-�Oz. CHECK VALVES ADJUST TO
# OF LATS
90* 7 . Tto,.tr,r---4.,...r.,,,,,•-•,,,,,,...
(AS NEEDED)
IP.
SWEEP Y:;-1110:--; �--L—:-:-;
I iI rl rl I�I r� •r�Y�r� ,
\-- GLUED TEE
APPROVED
MAY 0 6 2025 ft;./ .. .. P
`'-„ao9E 51„3177 SE ..h`±
MASON COUNTY ENVIRONMENTAL HEALTH ,s�:a..., `r' `
RET EXPIRES
AN ASBUILTI INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
CUSTOMER: JEFF ROGERS 'I I L`I I I: 060TES Cis
2:
PIONEER DIGGING, INC. PARCEL# I I 42318 so 00010 ROO'S @ 50 RJJ►:S @ 50
E
SEPTIC DESIGNS ADDRESS: 220 N POTLATCH DR \."RI 1 \' No,
,RI:,....„LA).
r �T DESIGN!-R: ROBERT H.PAYSSE DISCLAIMER: THIS IS NOT A SURVEY.REFERENCES INCLUDE.APPLICANT/COUNTY PROVIDED
3083E MASON BENSON RD. CR APEV IEW,V✓A 9854(T PLATS OR SURVEYS.FIELD SURVEEMENTSANDCOUNTYGIS DESIGN INTENDED FOR SEPTIC
PURPOSES ONLY PIEW DES DEVELOPMENT MAY RE SUBJECT RE TEDTO
OFFICE-360-426-1803 FAX-360-427-2353 SHEET: DF DETAIL(2) SCALE NA OTHER
DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO
SEPTIC COMPONENTS •
DUAL PORE ABA',
DESIGNER RECOMMENDS INSTALLING AIR BLOWER ABOVE GRAD,
if LIP VENT AND WTININ ARTIFICIAL ROCK ORHOVSING
e CLEANOVT 3 FT• 14•CAST IN RISER W/
FROM FOUNDATION
� r-: WATERTIGHT LID AND SCREWS
1
1 2 do—
.-34 1•PVC.(r,P) r ':'PVC AIRUNE
SANITAR•7.. - T- T. ! --+-�MASTS:
Y COUPLING FF `
■• I @ REDUCED 777
F`1.3 ^LTLET TO PUMP TANK
/ • \--•I'PV:SII%DGE t `WATERTIGHT
I; J RETURN LINE • �J '' FLEXIBLE FITTING
FlE`IiBIE r- ,
+• -
TANKS MUST BE '
ON STATE DOH '
APPROVED LIST NUWATER
OF SEWAGE BN R..500 4
•
TANKS ' PROVED f . o
PUMP TANKS 4 ° USE RUBBER
OVER GAL. MAY O 6 2025 ' D,Fla
PARALLEL TO
(31 / •• �PARA°LLELTOTANKWALSLVDGERETVRNf • GROMETS FOR
REQUIRES TWO .. ::;' TRANSPORT LINE
ACCESS RISERS MAS 7 JNTY ENVIRONMENTAL HE.�T'. • ° 1 •
AND ELECTRICAL
•TO GRADE RrT I�3.••R•• .` '• ON RISERS. MAKE
PUMP TANKS .•• .° '• : :. SURE ALL HOLES
LOCATED AT HIGHER ARE WATER-TIGHT
ELEVATION THAN
DRAINFIELD MUST
HAVE ANTI-SIPHON NIMEATERCONTROL PANEL
DEVICE INSTALLED. 24"RIBBED RISERS
WI WATER TIGHT LIDS
0
TT • FINISHED GRADE
(
L- ELECTRICAL WORK DONE `
BY LICENSED ELECTRICIAN
jr)
ELECTRICAL CONDUIT - '► TRANSPORT LINE
• I ' • • --4 •_ i'
•
a UNION ez BALL VALVE
WLETisk
•
WATER-TIGHT - • 1SOO GALLON WATER77GHT
JOINTS CONCRETEPII/MP TANK
•
CHECK VALVE
HIGH WATER FLOAT
01444. USE TANKS FITTED
t, •. ON/OFF FLOAT W/CAST IN WATER
`�1 . TIGHT FITTINGS FOR
°` " • PUMP BUCKET — INLET/OVTLESAND
cic
��� CAST IN RISER
e a.-• ►`r` • 1 _ • ADAPTERS TO
sswa» .. `I • A •. - - . -• .. . . I ENSURE WATER
Az' ROBEEsr H Bit , F. •` i TIGHTNESS
I' . .� ' -(•t'.
EXPIRES
CUSTOMER: JFFF Roams
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PIONEER DICING, INC. PARCEL#:42318-50-00010 INSTALL TANKS ON ORIGINAL OR
SEPTIC DESIGNS ADDRESS: 220 N POTLATCH DR COMPACTED LEVEL SOILS. RUN CROSS
CONNECTIONS INTO ORIGINAL SOILS TO
>083 E MASON BENSON R.D. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE AVOID SETTLING.
OFFICE-364}426-I803 FAX-360-427-2353 DESIGN PAGE TANKS DETAIL
ABBE
bbe yPumps
ii
Pump Specifications '"- 1 .
290 Series 3/4 hp
Submersible Effluent Pump
101111.111104011
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'I APPROVED 7".
.{ �,
• - MAY 0 6 2025 � """4ry,
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MASON COUNTY ENVIRONMENTAL HEALT I ,o'.; 4' P , •
•- • RET r6'• ROBEEWM31paysse .f/\.
M►w•.1.n..w ,b-
EXPIRES
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LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE DIST.TO TOTAL TOTAL
ORIFICE
LATERAL# LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1ST ORIFICE ORIFICES HEAD
(feet) (inches) (feet) (feet) RATE(gpm) (feet) (inches) (feet)
1 15 1.25 3 18 3/16" 0.59 3 18 5 0.03
2 15 1.25 9 24 3/16" 0.59 3 18 5 0.04
3 15 1.25 18 33 3/16" 0.59 3 18 5 0.05
4 15 1.25 27 42 3/16" 0.59 3 18 5 0.06
5 15 1.25 36 51 3/16" 0.59 3 18 5 0.08
6 15 1.25 45 60 3/16" 0.59 3 18 5 0.09
7 15 1.25 54 69 3/16" 0.59 3 18 5 0.11
DRAINFIELD HEAD(feet) 0.45
TRANSPORT LINE HEAD(feet) 0.39
ELEVATION CHANGE(feet) 23
RESIDUAL/SQUIRT(feet) 2
EXTRA LOSS/FITTINGS(feet) 5
TOTAL DYNAMIC HEAD(feet) 30.84
TOTAL GALLONS PER MINUTE 20.65
PIONEER DIGGIN1G, INC. PARCELCUSTOME#:142318-50: JEFF 0--000 0
SEPTIC DESIGNS ADDRFSS: 220 N POTLATCH DR
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE
OFFICE-360-426-1803 FAX-36(1-427-2353 1 IEET: CALLS SCALE NA
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.
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. 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
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 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 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 be receece� tjor} goval.
14. System owner should be cautious of landscaping around septic components. Root intrusion ��°°'' ��-''' ��'' -
can cause premature failure of the drainfield area. In addition, bushes and trees should be kept MAY 0 6 2025
away from lids and other septic maintenance points. MASON COUNTY VIRONMENTAL HEALTH
15. Changes made at time of installation may impact designer calculations, pump sizing,and � T
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. w,a,,,; ,R
CUSTOMER: JEEE ROGERS ; �
PIONEER DIGGING, INC. PARCEL#:42318-50-00010 •
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SEPTIC DESIGNS ADDRFSS: 220 N POTLATCH DR ,b ii iii�iiii
EXPIRES3083 E MASON BENSON RD. GRAPEVIEW,WA 9854c- DESIGNER: ROBERT H.PAYSSE
OFFICE-360-426-1803 FAX 36(1-427-2353 'I IFFT: NOTES SCALE NA