HomeMy WebLinkAboutSWG2025-00161 - SWG Application / Design - 5/2/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
I. BELFAIR:360-275-4467,EXT 400
�r 4 Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00161 LOOM"))
APPLICANT SEATON RICHARD ALLEN &JANELLE Phone:
REAVES
Address: 15310 35TH AVE E TACOMA, WA 98446
OWNER SEATON RICHARD ALLEN &JANELLE Phone:
REAVES
Address: 15310 35TH AVE E TACOMA, WA 98446
SEWAGE DESIGNER BOB PAYSSE* Phone: 360-507-1498
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: 151 E BAHAMA DR
Primary Parcel Number: 121085305009
Permit Description: New 3bd OscarXO2 with local waiver for deck footings
Permit Submitted Date: 05/02/2025
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.
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OFFICIAL USE ONLY -
A : MASON COUNTY DATE RECEIVED 1^ lc N D
AMOUNT RECEIVED: RECEIVED BY:
Public Health & Human Services J , 5 "€.1( 9 o m
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Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 — �C) I 5-
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415 N.6th Street -Shelton,WA 98584 SW ZS
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT P..0\L m
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RICK SEATON z
MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE g
15310 35TH AVE E TACOMA WA 98446 m
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SITE ADDRESS-STREET,CITY ZIP CODE
151 BAHAMA DR GRAPEVIEW WA 98546
NAME OF DESIGNER PHONE N
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE
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PERMITRM TYPE(select one) DRINKING WATER SOURCE
W RESIDENTIAL OSS ECOMMUNITY OSS ff COMMERCIAL OSS lff� PRIVATE INDIVIDUAL WELL ff PRIVATE TW W O-PARTY ELL Z I CO
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TYPE OF WORK(select one) PUBLIC WATER SYSTEM PUD 1 PIRATES COVE I
W-NEW CONSTRUCTION I UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I Ul
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE CISHORELINE W
ILA DESIGN FORM(REQUIRED) VSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? O W
Ltd WAIVER(S)(IFAPPLICABLE) 3 0.22 El YES M NO n I
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gale)
SUGGESTED ACCESS OFF BARBARY DR. N HWY 3. RIGHT ON GRAPEVIEW LOOP I U'
RD. RIGHT ON LOMBARD RD. RIGHT ON PIRATES DRIVE. LOOP AROUND TO LEFT r
ON BARBARY DRIVE. DRIVE TO END FOR SITE. SEE SITE PLAN o 0
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I CD
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE I FAILURE SOURCE(tor reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
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SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
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
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THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 1 0 8 — 5 3 — 0 5 0 0 9
A design will be reviewed when 3 conies 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.
'd 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..14uximum puper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG2O 75-— CU 1 L / Designer's Name: ROBERT H.PAYSSE
RICK SEATON Designer's Phone Number: 360-426-1803
Applicant's Name:
Mailing Address: 15310 35TH AVE E Designer's Address: 3083 E MASON BENSON RD
TACOMA WA 98446 City State Zip GRAPEVIEW WA 98546
City State Zip Designer's Email pioneerdigging@yahoo.com
DESIGN PARAMETERS
Treatment Device 0�—.,9- X O Z
❑ Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑ Recirculating Filter 0 ATU U Other
Treatment Level(check all that apply): ❑A ❑B ❑C ❑ BLI ❑ BL2 ❑ BL3 OE ON
Drainfield Type
0 Gravity 0 Pressure 0 Trench 0 Bed ❑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) 5 Separation - ft
Receiving Soil Appl. Rate 0.4 gpd/ft2 Orifices
Required Primary Area 900 ft2 Total Number of Orifices -
Designed Primary Area 900 ft2 Diameter - in
Designed Reserve Area 900 ft2 Spacing - in
Trench/Bed Width 20 ft Manifold
Trench/Bed Length 45 ft Schedule/Class SCH. 40
i Elevation Measurements Length 50 ft
Original Drainfield Area Slope 14-20 % Diameter 1 in
New Slope, If Altered 14-20 % 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 10 ft
Gravel-based Drainfield Required? ❑ Yes tt No Diameter 1 in
Pump Required? g Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day PER MANF.
Diff. in Elevation Between Pump& Uppermost Orifice 15 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 &I Timer g Elapse Meter lig Event Counter
Calculated Total Pressure Head 50 ft If Timer: PumpAn fb 1Pp q!'f@ PER MANF.
Comments �M f 9
X02 KIT INCLUDES LOT-30 PUMP: 1/2 HP / 120V MAY 2 8 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET Revised: 4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 8 — 5 3 -- 0 5 0 0 9
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
g Test hole locations CJ1 Drainfield orientation and layout Reference depth from original grade:
66 Soil logs g Trench/bed dimensions and if Septic tank
g Property lines critical distances within layout Drainfield cover
g Existing 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
6I Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption g Manifold placement 0 Sand augmentation
components
g Orifice placement Other cross-section detail:
60 Location and dimension of Lateral placement with distance l Observation ports/clean-outs
primary system and reserve area to edge of bed
gBuildings g Other Information
g Audible/visual alarm referenced Yes No
• Direction of slope indicator l Scale of drawing shown on scale d 0 Design staked out
Waterlines bar 0 g Recorded Notices attached
6tj Roads, easements,driveways, p Elevation benchmark and relative 0 G1 Waiver(s)attached
parking elevations of system components 0 g Pump curve attached
EZI North arrow and scale drawing 0 I 'Evaluation of failure
shown on scale bar Non-residential justification
❑ 561 Waste strength
❑ ['Flow
DESIGN APPROVAL
The undersigned designer mu t be notified by ins a at time of installation g Yes 0 No
Signature o 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:
‘R'INA)f\
Environmental Health Sp ialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. I��
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: S
✓ 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
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DRIVE RET EXPIRES
AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
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PIONEER DIGGING, NC CUSTOMER: RICK SF009 TES!HOLE I: TES-I HOL_2: T F:4I I I0 1.E 3: I I SI HOC[.-I:
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PARCEL# 12108 53-05009 26+MOTT 26+MOTT 24+IMOTT 19+MOTT
1 SEPTIC DESIGNS :\DDRFSS: 151 BAHAMA DRIVE ROOTS @ 26 ROOTS @ 26 ROOTS @ 24 ROOTS @ 19
DISCLAIMER THIS IS NOT A SURVEY.REFERENCES INCLUDE:APPLICANT/COUNTY PROVIDED
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 L)E.0 IGNER: ROBERT EL PAYSSE PATS OR SURVEYS.FiELDMEASUREMENTSANDCOUNTYDIS DESIGNINENDEDFORSEPTIC
OFFICE 36(}426 I803 FAX 3611427 2353 SI WET: SITE PLAN SCALE 1 =20' PuRPOSES ONLY PROPOSED LOPMENT MAY BE SUBJECT TO OTHER
DEPARTMENT/AGENCY REVIEW DES GNEA NOT RESPONSIBLE FOR SETBACKS UNRELATED TO
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PARCEL# 12108-53-05009 26+MOT( 26+MO1T 24+Mor( 19+MOTT
SEI'I IC DESIGNS :ADDRFSS: 151 BAHAMA DRIVE ROOTS @ 26 ROOTS @ 26 ROOTS @ 24 R OI:S @ 19
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3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISCLAIMER THIS IS NOT A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED
PUTS OR SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS.DESIGN INTENDED FOR SEPTIC
OFFICE-360-426-1803 FAX 360 427-2353 PURPOSES ONLY PROPOSED DEVELOPMENT MAY 8E SUBJECT TO OTHER
SI I(.FT: DF DETAIL SCALE 1"=10' DEPARTMENT/AGENCY RENEW DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO
SEPTIC COMPONENTS
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LOWRIDGE ONSITE TECHNOLOGIES DRAWING ID:X02 Tanks SCALE:NTS
DRAWN BY: DBM CK BY: DAVE LOWE DATE:rv:02.22.2023
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INSTALL OSCAR
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A. N. `� ` MASON COUNTY ENVIRONMENTAL HEALTH
EXPIRES
AN ASBUILT!INSTALL SIGNOFF FEE WILL RET
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PIONEER. DICCING, INC. CUSTOMER: RICK SEAToIv TEST 110L.E is TEST 110LE z TEST HOLE 3: TEST HOLE 4:
PARCEL#:12I0 RICK
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SEPTIC DESIGNS ADDRFSS: 151 BAHAMA DRIVE ROOTS @ 26 ROOTS @ 26 ROOTS @ 24 ROOT S @ 19
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: R.OBERT H.PAYSSE FLATS O DISCLAIMER THIS IS NOT A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED
PLATS OR SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS.DESIGN INTENDED FOR SEPTIC
OFFICE-360 426-I803 FAX-360-427-2353 PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER
SHEET: DF DETAIL(2) SCALE NA DEPARTMENT/AGENCY REVIEW.DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO
SEPTIC COMPONENTS
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 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.
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 revP RVV��I1�aa��yy��tipp xval.
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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 28 2025
away from lids and other septic maintenance points. MASON COUNTY E Y1RONYE.NTAL 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. r oF„ i
PIONEER DIGGING, INC. CUSTOMER: RICK SEATON
PARCEL#:12108-53-05009 ` �ceEslr.o3sursse
SEPTIC DESIGNS ADDRESS: 151 BAHAMA DRIVE cryF
3083 E MASON BENSON RD. CRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE EXPiREG
OFFICE-36(}426-1803 F.AX-360-427-2353 SI I 111-: NOTES SCALE NA