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HomeMy WebLinkAboutSWG2025-00188 - SWG Application / Design - 5/20/2025 MASONCOUNTY 415 N 6TH STREET,SHELTON,WA 98584 014. : SBELFAIIR:360 275-44677,EXT 400 -�_ Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00188 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: 723 E STRETCH ISLAND RD SOUTH Primary Parcel Number: 121084300200 Permit Description: New 3bd OscarXO2 with easement AFN 2226328 Permit Submitted Date: 05/20/2025 Permit Issued Date: 06/05/2025 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 \—'�� /` A •'. J IJ (n D c rn AMOUNT RECEIVED:_ RECEIVED BY: CO:1 Public Health & Human Services J (� ,/�,�(\(y,/,�!(,� o m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 ��� — ( O 0 415 N.6th Street-Shelton,WA 98584 �f /S /Z 8 E5 x !/`� lJ C/ Z !n ON-SITE SEWAGE SYSTEM APPLICATION D 71 m 0 PHONE APPLICANT m m r ZACHARY WING z c MAILING ADDRESS-STREET,CITY,STATE.ZIP CODE g 7000 20TH AVE NE SEATTLE WA 98115 co E 7 SITE ADDRESS-STREET,CITY. 23 STRETCH 7IS IP �RD S GRAPEVIEW WA 98546 I NAME OF DESIGNER ROBERT H. PAYSSE PHONY I N 3 60-426-1803 NAME OF INSTALLER PHONE I —1 TBD _< PERMIT TYPE(select one) DRINKING WATER SOURCE 5 I CD ff RESIDENTIAL OSS COMMUNITY OSS OCOMMERCIAL OSS 6 PRIVATE INDIVIDUAL WELL ff PRIVATE TWO-PARTY WELL Z I CO TYPE OF WORK(select one) PUBLIC WATER SYSTEM I- NEW CONSTRUCTION/UPGRADES ffREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I -4 ' SUBMITTALS 0 SURFACING SEWAGE ❑ EXISTING FAILURE ❑ SHORELINE CO (n DESIGN FORM(REQUIRED) 1A SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? o I W D WAIVER(S)(IFAPPLICABLE) 3 0.6 ❑ YES Q NO 0 11 CD DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) N. HWY 3 RIGHT ON GRAPEVIEW LOOP RD. CONTINUE PAST FIRE STATION ONTO I O 1 STRETCH ISLAND ACROSS BRIDGE. RIGHT AT INTERSECTION ONTO STRETCH o 1 N ISLAND RD. SOUTH. CONTINUE TO SUND RD ON LEFT. TURN ONTO SUND RD AND -1 SITE IS ON RIGHT. SEE SITE PLAN. I o SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I C) OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ❑COMPLAINT CI OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS iI o 0 ' I t S L1 I C+ iva I ,�a�- ;'1�7") (6 Qc i lx.i_o_ A, 1/P// _± 1 'b , 0 _ (6, (iSL! I t rirVo Call itAitySt ( L 51'iMite- ' I1 1/ 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 'fir s/1zh5' s1�I� I s THIS FORM MAY BE CANNED 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 — 4 3 — 0 0 2 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.Maximum paper size: 1/"X 17" p�p ZJPARCEL IDENTIFICATION 111 Permit Number: SWG 207 .' X)l(/ Designer's Name: ROBERT H.PAYSSE Applicant's Name: ZACHARY WING Designer's Phone Number: 360-426-1803 Mailing Address: 7000 20TH AVE NE Designer's Address: 3083 E MASON BENSON RD SEATTLE WA 98115 City State Zip GRAPEVIEW WA 98546 City State Zip Designer's Email pioneerdigging@yahoo.com DESIGN PARAMETERS Treatment Device O. --,4,— X OZ ' 0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑ Recirculating Filter 0 ATU U Other Treatment Level(check all that apply): El A ❑ B 0 C 0 BI,I ❑BL2 Cl BL3 ❑ E ❑N Drainfield Type 0 Gravity ❑ Pressure ❑Trench ❑ Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class NA 1 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 7 % Diameter 1 in New Slope, If Altered 7 % Preferred manifold configuration used? ❑Yes 0 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 320 ft Gravel-based Drainfield Required? 0 Yes f1f No Diameter 1 in Pump Required? lif 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 g Timer lil Elapse Meter Ig Event Counter Calculated Total Pressure Head 50 ft If Timer: Pump on ApitIRCOVE 4 MANF. Comments X02 KIT INCLUDES LOT-30 PUMP: 1/2 HP / 120V JUN 0 5 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET Revised:4/14/2025 . DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 8 — 4 3 -- 0 0 2 0 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations L Drainfield orientation and layout Reference depth from original grade: IZ1 Soil logs g Trench/bed dimensions and t' Septic tank lii Property lines critical distances within layout 12f Drainfield cover g Existing and proposed wells Gg D-Box/Valve box locations Reference depth from original grade within 100 ft of property g Septic tank/pump chamber and restrictive strata: 10 Measurements to cuts, banks,and locations g Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom 121 Location and orientation of 171 Clean-out location 0 Curtain drain collector curtain drain and all absorption & Manifold placement 0 Sand augmentation components g Orifice placement Other cross-section detail: g Location and dimension of lil Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information !ill Buildings 64 Audible/visual alarm referenced Yes No fZ1 Direction of slope indicator RI Scale of drawing shown on scale d 0 Design staked out IZ1 Waterlines bar 0 g Recorded Notices attached 1 Roads,easements,driveways, p Elevation benchmark and relative 0 64 Waiver(s)attached parking elevations of system components 0 M'Pump curve attached IZ1 North arrow and scale drawing 0 if Evaluation of failure shown on scale bar Non-residential justification ❑ 56 Waste strength o 51 Flow DESIGN APPROVAL The undersigned designer must be notified by insta ler at time of installation 64 Yes 0 No ignature of De igner Y11--( Date 1 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 SpONAtly ist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. S'tCZ 14 ✓ 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. This form may be scanned and available for public view on the Mason County Web site. Revised:4/14/2025 MAINTAIN 5'+ FROM TANK TO FOUNDATION. FUTURE WATERLINE: INSTALL CLEANOUT MAINTAIN 1O'+ FROM BETWEEN HOME & TANK SEPTIC COMPONENTS & LINES — `'~ — + -.. 111.1% at 771 ' (2) 1"SCH. 40 Q99 APPROX. NEW 1• HOME LOCATION I / / TRANSPORT& �� / / iI RETURN LINES / / I I CASE / / I INLET iiik / ody� '' 50 I'C?$.0 ./ / <1> / i 77 oOti A M -- le- �ti, EXISTING HOME / / TO BE REBUILT 1 � ® XO2 TANKS - 50' m PROPOSED DRAINFIELD I + FROM OHWM FOR NEIGHBORING LOT _ )f APPROX. WATERLINE \� G�-' i / --------'V MAINTAIN 10'+ FROM SEPTIC FEN ' PROPOSED 3 BEDROOM————— "V: COMPONENTS & LINES �i/ OSCAR X02 DRAINFIELD '\ (PRIMARY& RESERVE AREAS) /� D [ o\/E D i/ JUN\O 5 2025 ?� i��/ /'11 1 v MASON COUNTY EN 7 RONMENTAL HEALTH y , .f C� WA R Too, R T °XI!' ah,• . I 1 ATI I P. 510317 .:*`/ 4t0ROBE[,H RAY SSECOMMUNITY I 0...: ,. n _� 1/7/7L56 WELL i EXPIRES \ / AN ASBUILT/INSTALL SIGNOFF FEE WILL / BE CHARGED AT TIME OF INSTALLATION \ I PIONEER DIGGING, INC. CUSTOMER: ZACHARY WING TEST H��Lf I TEST HOLE 2: TEST HOLE 3: PARCEL#:12108-43-00200 0-14 S.LOAM 0-17 S.LOAM 0-19 S.LOAM 14-26 MOTT 17+MOTE 19+MOTT SEPTIC DESIGNS ADDRESS: 723 STRETCH IS RD.S 26"TII.1/R-14 ROOTS-17 ROOTS-19 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DIATLA'" TWA IS NOT A SURVEY.REFERENCES INCLUDE VESIGN I TENCEDY PROVIGEC /�f vUTS OR SURVEYS FIELD MEASUREMENTS AND COUNTY GIS DESIGN INTENDED FOR SEPTIC OFFICE 36(T4261803 FAX 3604272353 SI WET: SITE PLAN SCALE 1°=SV NT MAY BE SUBJECT TO omeR DEPARTMENT/AGENCY REVIEW DESIGNER NOPURPOSES ONLY PROPOSED T RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS • PROPOSED DRAINFIELD FOR. NEIGHBORING LOT (2) 1"SCH. 40 — — TRANSPORT& _ RETURN LINES _ i i - / 98.2 // O 0 , — © _ /98? -/--------- ac....° , \ // ,\ / �g / PROPOSED 3 BEDROOM OSCAR X02 DRAINFIELD / (PRIMARY&RESERVE AREAS) N \ INSTALL OSCAR '' � • X02 AS PER ,,. • rN' OF . MAZULACTURER PP ROVED �A�:. OVE De S.00317 0}' RCBEriT H PAYSSE �i JUN052025 ! �� ��- A `n C c EXPIRES MASON COUNTY ENVIRONMENTAL HEALTH AN ASBUILTI INSTALL SIGNOFF FEE WILL `�- --� BE CHARGED AT TIME OF INSTALLATION RET PIONEER DIGGING, INC. PARCELMER: ZACHARY WING TEST HOLE I: TEST HOLE 2: TEST HOLE 3: 12108 43 00200 014 S.LOAM 0-17 S.LOAM 019 S.LOAM 14-26 MOTT 17+MOTT 19+MOTT SEPTIC DI SIGNS ADDRESS: 723 STRETCH IS.RD.S. 26"TILL/R.-14 ROOTS-17 ROOTS-19 • 3083 L MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISPLATSRMSSURVEYEYs IIELDT AMEASUREMENTSAND REFERENCES INCLUDE `cS DESIGNAPPLICANT/COUNTY ` NTENNDDEo PROVIDED ry PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER OFFICE-360-426-1803 FAX-360-427-2353 SHEET: DF DETAIL SCALE I"=IV DEPAR74ENTIAGENCY REVIEW.DESIGNER NOT RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS X02 Tanks Pre-cast Concrete Pre-cast Concrete Septic Tank Discharge Tank 2/3 1 J . U .. is } 4 F■I �_ I l BBC:'_-.,f ll�2 �I��' —���f� - rin i I1 '4-*- 1;" ••TNTTT„,L. illy ,i,"...-...."4.,,,,1 .- - • - •• ,P.51,r,.'r 41... KA"Vir''' • 6, It� 4 I. MrMIMEO i 1 a 4 E. 9 I � I ... elm. CTOSS SECTION LOWRIDGE ONSITE TECHNOLOGIES DRAWING ID:X02 Tanks SCALE:NTS — — DRAWN BY: DBM CK BY: DAVE LOWE DATE:rv:02.22.2023 /--.--.__.__________._____________ 17' 1` APPROVED 0, yy ; '0 , ' JUN 0 5 2025 INSTALL OSCAR ' SS • X02 AS PER e.• ' ROBERTH31RAYSSE •%,; MASON COUNTY ENVIRONMENTAL*ilk I Al i. ct Fgwr l f 'UFACTURER EXPIRES RET AN ASBUILT/INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION mow CUSTOMER: ZACHARY WING TEST HOLE I: TEST HOLE 2: TEST HOLE 3: PIONEER DIGGING, INC. PARCEL#:12108-43-00200 0-14 S.LOAM 017S.LOAM S.LOAM 17+ 19+ 14 26 MOTT 17+MOTT 19+MOTT SEPTIC DESIGNS ADDRESS: 723 STRETCH IS.RD.S. 26"TILL/R.-1,1 ROOTS-17 ROOTS-19 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE FLATS DISCUUMEFt THIS IS NOT A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED PLATS OR SURVEYS FIELD MEASUREMENTS AND COUNT'GIS DESIGN INTENDED FOR SEPTIC OFFICE-360-426-1803 FAX-360-427-2353 I T DF DETAIL A TL SCALE ,V 7 E T� PURPOSES ONLY PROPOSED DEVELOPMENT MAY BE Su&IECT TO OTHER �I 11.I 1: DL 1! (2) J�/�LL 1 V/� 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 loft 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 opei n rxiq e information, refer to Mason County Public Health Homeowner's Manual,which should be receivecteterinall 14. System owner should be cautious of landscaping around septic components. Root intrusion JUN 0 5 2025 can cause premature failure of the drainfield area. In addition, bushes and trees should be kep SON COUNTY ENVIRONMENTAL HEALT away from lids and other septic maintenance points. RET 15. Changes made at time of installation may impact designer calculations, pump sizing,and I compliance w/county and state requirements. Contact designer prior to install w/any 1W. proposed variations from design. Changes may result in additional fees and permitting. F 'T PIONEER DIGGING, �:: INC. P US ZACHARY WING ;5 PARCEL# 12108 43-00200 it I p;:' RCRER`�37va sse •4 • SEPTIC DESIGNS ADDRESS: 723 STRETCH IS.RD.S. � � : "iv '•-- f.r. 3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE EXPIRES OFFICE-360-426-I803 FAX-360-427-2353 S 11ET: NOTES SCALE NA