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HomeMy WebLinkAboutSWG2025-00186 - SWG Application / Design - 5/20/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 14 SHELTON:360-427-9670,EXT 400 u BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00186 Lois APPLICANT WING ZACHARY A Phone: Address: 7000 20TH AVE NE SEATTLE, WA 98115 OWNER WING ZACHARY A Phone: Address: 7000 20TH AVE NE SEATTLE, WA 98115 SEPTIC DESIGNER BOB PAYSSE* Phone: 360-507-1498 Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: UNKNOWN Primary Parcel Number: 121084300230 Permit Description: New 3bd OscarXO2 Permit Submitted Date: 05/20/2025 Permit Issued Date: 05/28/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/22/2028 (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 MASON COUNTY DATE RECEIVED r✓�� ZD `'J\ � Cn \J c Cn AMOUNT RECEIVED: RECEIVED BY: CO W Public Health & Human Services �c c o Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 //� `. l� — 0 V 1 -— 0 415 N.6th Street -Shelton,WA 98584SWG 0 Z (n ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHO%I- m ZACHARY WING z c MAILING ADDRESS-STREET.CITY STATE,ZIP CODE g 7000 20TH AVE NE SEATTLE WA 98115 m SITE ADDRESS-STREET,CITY,ZIP CODE m i XXX STRETCH IS. RD S GRAPEVIEW WA 98546 NAME OF DESIGNER PHONE I N ROBERT H. PAYSSE 360-426-1803 NAME OF INSTALLER PHONE ❑ I ' TBD < PERMIT TYPE(select one) DRINKING WATER SOURCE � o RESIDENTIAL OSS COMMUNITY OSS .❑COMMERCIAL OSS 5-PRIVATE INDIVIDUAL WELL I❑ PRIVATE TWO-PARTY WELL Z I CO TYPE OF WORK(select one) 7 PUBLIC WATER SYSTEM - _ 1 NEW CONSTRUCTION/UPGRADES ffREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE co DESIGN FORM(REQUIRED) ASEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER4/1/2025? 0 I W b-WAIVER(S)(IF APPLICABLE) 3 0.75 0 YES Q NO 0 1 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I 0 N. HWY 3 RIGHT ON GRAPEVIEW LOOP RD. CONTINUE PAST FIRE STATION ONTO I o STRETCH ISLAND ACROSS BRIDGE. RIGHT AT INTERSECTION ONTO STRETCH r ISLAND RD. SOUTH. CONTINUE TO SUND RD ON LEFT. TURN ONTO SUND RD AND o N SITE IS ON RIGHT. SEE SITE PLAN. I c,a SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I 0 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT 0 OTHER. INSPECTOR SOIL LOGS COMMENTS/CONDITIONS (;AAI -t- h015 I-`r-{- (ESL. (pip_ Li -N-1 : 0- 16 6 SL1 L6-f r►�►-t- r : 0.16CAS L, I cvr►nw -- 11t -' 0 -1 c� (�,5 L1 I Dd t RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE 07VAIii 7k,Z2- c& I2,e ` t-/moo/zs - THIS FORM MAY BE SoANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 4 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 1 0 8 — 4 3 — 0 0 2 3 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: 1/"X 17" PARCEL IDENTIFICATION _ Permit Number: SWG .°Mlac 0 0!Q) 6 Designer's Name: ROBERT H. PAYSSE Applicant's Name: ZACHARY WING Designer's Phone Number: 360-426-1803 7000 20TH AVE NE Designer's Address: 3083 E MASON BENSON RD Mailing Address: _ SEATTLE WA 98115 City State Zip GRAPEVIEW WA 98546 City State Zip Designer's Email pioneerdigging@yahoo.com DESIGN PARAMETERS Treatment Device OSCA-4. X m 2_ I 0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑ Recirculating Filter 0 ATU LI Other Treatment Level(check all that apply): EA ❑ B ❑C It BLI ❑ 1312 ❑ BL3 ❑E ❑N Drainfield Type 0 Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class NA Daily Flow:Operating Capacity 270 gpd Length - ft Daily Flow: Design Flow 360 gpd Diameter - in Septic Tank Capacity(working) 1200 gal Number 3 LATS/6 COILS Receiving Soil Type(1-6) 4 Separation - ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices - Designed Primary Area 612 ft2 Diameter - in Designed Reserve Area 612 ft2 Spacing - in Trench/Bed Width 17 ft Manifold Trench/Bed Length 36 ft Schedule/Class SCH. 40 Elevation Measurements Length 50 ft Original Drainfield Area Slope 15 % Diameter 1 in New Slope, If Altered 15 % Preferred manifold configuration used? ❑ Yes ❑No Depth of Excavation Up-slope NA in Transport Pipe from Original Grade Down-slope NA in Schedule/Class SCH. 40 Designed Vertical Separation 12+ in Length 260 ft Gravel-based Drainfield Required? 0 Yes g No Diameter 1 in Pump Required? F1 Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day PER MANF. Diff. in Elevation Between Pump&Uppermost Orifice 25 ft Dose quantity PER MANF. gal Drainfield Squirt Height/Selected Residual(head) - ft Chamber Capacity(flood) 1200 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 8.3 gpm l ' Timer gtf Elapse Meter Wi Event Counter Calculated Total Pressure Head 50 ft If Timer: Amp P NF. t5 off PER MANF. _ Comments X02 KIT INCLUDES LOT-30 PUMP: 1/2 HP / 120V MAY 28 2025 MASON COUNTY ENV1RONMENTAI HFAI TE1 _ RET Revised:4/14/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 8 -- 4 3 -- 0 0 2 3 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch g• Test hole locations Drainfield orientation and layout Reference depth from original grade: E� Soil logs gTrench/bed dimensions and g Septic tank Property lines critical distances within layout C,t?f Drainfield cover gExisting and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: g Measurements to cuts,banks, and locations g Laterals,trench bed,top and surface water and critical areas g Observation port location bottom O Location and orientation of g Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement 0 Sand augmentation components C,f Orifice placement Other cross-section detail: Location and dimension of g Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed El Buildings Other Information CI Audible/visual alarm referenced Yes No Direction of slope indicator g Scale of drawing shown on scale g 0 Design staked out 1 Waterlines bar 0 g Recorded Notices attached Roads, easements,driveways, p Elevation benchmark and relative ❑ g Waiver(s)attached parking elevations of system components 0 M'Pump curve attached g North arrow and scale drawing 0 g Evaluation of failure shown on scale bar Non-residential justification ❑ Cif Waste strength ❑ g Flow DESIGN APPROVAL The undersigned designer must be notified Q?A4 iedinstaller at time of installation g Yes ❑ No CI -lc(.2 -- Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to he in compliance with state and local on-site regulations: Environmental Health S cialist Date CAUTION: DESIGN APPROVAL IS VALID 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: S(Ez7/zG V 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. Revised:4/14/2025 1 / WATERLINE CROSSING: FOLLOW PIPELINE SEPARATION GUIDELINES EXISTING DBL SLEEVING AT CROSSING ETC... GARAGE & PROPOSED X02 / FUTURE TAN KS - 50'+ FUTURE WATERLINE: BUILDING FROM OHWM MAINTAIN 10'+ FROM AREA SEPTIC COMPONENTS & LINES --.[.. .............71: .400, Zr SQ • `''1 EXIST. i / *OP') <> GARAG I Ar : // .i.71n, // ' CASE s INLET / s .'------,,,, , /,i$ III. / ii // I° / _ 1 °° 7 / : 0 ; 3 / I ar 1 / O .1011 1 / 7 PROPOSED 3 BEDROOM R OSCAR XO2 DRAINFIELD -1 / (PRIMARY& RESERVE AREAS) MAINTAIN 5'+ FROM _ TANK TO FOUNDATION. / __ -'V__ INSTALL CLEANOUT // �\ BETWEEN HOME & TANK f� , PROPOSED DRAINFIELD \ i' FOR NEIGHBORING P ` LOTA ��O V E D i MAY 8 2025 �'�. �� MASON COUNTY ENINRONMENTAL HEALTH ,1''' yT„ ,/// ' R 10 F WAS o� RBIT i',..�eir �: ;� 1 I • I I 4.O. `ROBERT H31PAYSSE 7.. 1 COMMUNITY �:.�:'- •'-�'. cr .c .�� I WELL / EXPIRES 1� / AN ASBUILTI INSTALL SIGNOFF FEE WILL `/ BE CHARGED AT TIME OF INSTALLATION CUSTOMER: ZACHARY WINGTEST HOLE I: TEST HOLE 2: TEST HOLE 3: PIONEER DIGGING, INC. PARCEL#:12108,43-00230 0-19 S.LOAM 0-12 S.LOAM 0-27 S.LOAM 19+MOTT 12+MOTT 27+TILL SEPTIC IC DESIGNS .\DDRFSS: )00(STRETCH IS.RD.S 1ROOTS-I9 ROUTS-I2 ROOTS-27 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE A ORSLRURISISNODMEEASUREMENTSANDNC CEOUNTYGIS DAE6IGNIN DED POR VIED OFFICE-360-426-1803 FAX-360-427-2353 E PLAN SCALE 0' PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTNER SHEET:.E_T: STFE 1*=SV DEPARTMENT/AGENCY RENEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS PROPOSED DRAINFIELD _ FOR NEIGHBORING LOT (2) 1"SCH. 40 TRANSPORT& RETURN LINES 96.9 _ _ 96.9 ME© O O I T r dGJ 4((ttekiW,.otk.°14SAY I56/ -------________A APPROVED PROPOSED 3 BEDROOM MAY 2 8 2025 OSCAR X02 DRAINFIELD (PRIMARY& RESERVE AREAS) N MASON COUNTY ENVIRONMENTAL HEALTH RET INSTALL OSCAR X02 AS PER -�`` w MANUFACTURER STT0317 0. RCBERT FI PAYSSE in • c'• _ r,7 EXPIRES AN ASBUILT/INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION CUSTOMER: ZACHARY WING TEST HOLE I: TEST HOLE 2: TEST HOLE 3: PIONEER DICCING, INC. PARCEL#:12108,43-00230 0-19 S.LOAM 0-12 S.LOAM 0-27 S.LOAM 19+MOTT 12+MOTT 27+TILL SEPTIC DESIGNS '\DDRESS: XXX STRETCH IS.RD.S. ROOTS-19 ROOTS•12 ROOTS•27 3083 E.MASON BENSON R.D. GRAPEVIEW,WA 98546 DESIGNER: ROBERT FL PAYSSE P,AT OR SURVEYS IR MS IS E D MA EASuREMENTS AND COUNTY GURVEY.REFERENCES GIS DESIGN INTENDED FOR NTY�SEPTIC OFFICE-360-426-1803 FAX-360-427-2353 SHEET: DF DETAIL SCALE: 1"=10' DURPOSE5 ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTNER DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS X02 Tanks Pre-cast Concrete Pre-cast Concrete Septic Tank Discharge Tank 1 01'—imai-----1 =J I ' • Y• FUN YIEW vENTEOLO Mill i Ft .• 1- 2/3 1/3 1m .in V I a , it I i . LW S 1� • ` c e • 24 !qR s� T 8.-=7. • ('�J �vew�n E • • •^^• DV SS SECTION LOWRIDGE ONSITE TECHNOLOGIES DRAWING ID:X02 Tanks SCALE:NTS DRAWN BY: DBM CI(BY: DAVE LOWE DATE:rv:02.22.2023 / _ . 17' ..., APPRO OPS,,,y V,,. 1`r�L1 !w r',,. ' .t 1 • MAY 28 2025 INSTALL OSCAR MASON COUNTY ENVIRONMENTAL HEALTH MANUFACTURER X02 AS PER ods. ROBERT I WLYSSE r/,. �I I^-�. •0 I^I' EXPIRES RET AN ASBUILT!INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION PIONEER DICING INC. CUSTOMER: ZACHARY WING TEST HOLE I: TEST HOLE 2 TEST I IDLE 3: PARCEL • #:12108-43-00230 0-19 S.LOAM 0-12 S.LOAM 0-27 S.LOAM 19+MOTT 12+MOTT 27+TILL SEPTIC DESIGNS ADDRESS: XXX STRETCH IS.R.D.S. ROOTS-19 ROOTS-12 ROOTS-27 3083 E MASON BENSON R.D. GRMEVIEW,WA 98546 DESIGNER: ROBERT H PAYSSE DISC All R:THIS IS NO7 A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED PLATS OR SURVEYS.FiEI O MEASUREMENTS AND COUNTY GIS DESIGN INTENDED FOR SEPTIC OFFICE 360 426-1803 FAX-360-427-2353 SHEFT: DETAIL r7 C e r E T L PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER �I�FI.1: DI DL 1/W.(2) SCALE I V/l DEPARTMENT/AGENCY REVIEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO • SEPTIC COMPONENTS Asomr. 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 loft 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 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.Ao on n m I t ance information, refer to Mason County Public Health Homeowner's Manual,which should be re4b�ias aia ' rdpr,©val. 14. System owner should be cautious of landscaping around septic components. Root intrusion MAY 28 2025 can cause premature failure of the drainfield area. In addition, bushes and trees should be J J pp,t COUNTY ENVIRONMENTAL HEALTH away from lids and other septic maintenance points. ET 15. Changes made at time of installation may impact designer calculations, pump sizing,and 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. <u • „S- PIONEER DICGING, INC. CARCEL#:112108 3 0 0W"�'G SEPTIC DESIGNS ADDRESS: xxx STRETCH Is.RD.S. ( -; >;,�c, s�,F 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE =' OFFICE-360-426-1803 FAX-360-427 2353 SHEET: NOTES SCALE NA