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HomeMy WebLinkAboutSWG2025-00286 - SWG Application / Design - 7/17/2025 584 MASON COUNTY 415N6T"ELTON:STREET,SHELTQ70,EXT 400 BELFAIR:360-275-4467, EXT 400 Public Health & Human Services ELMA 360-42-5269, EXT 400 FAX 360-427-7787 On-Site Sewage System Permit: SWG2025-00286 APPLICANT CORBIN CLYDE 0 Phone: 360-271-2804 Address: PO BOX 2594 SILVERDALE, WA 98383 OWNER CORBIN CLYDE 0 Phone: 360-271-2804 Address: PO BOX 2594 SILVERDALE, WA 98383 SEPTIC DESIGNER BOB PAYSSE` Phone: 360-507-1498 Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: 1051 NE Tahuya River Rd Primary Parcel Number 322127500110 Permit Description: New 2BR sfr- pressure Permit Submitted Date: 07/17/2025 Permit Issued Date: 08/19/2025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system) Permit Expiration Date: 08/12/2028 (based on date of inspernont Permit Conditions: 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 2 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 5 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 7 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 8 No clearing or development within wetland or slope buffers. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. 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 PAIEflED j 5 MASON COUNTY 5 RECEIVED C Public Health & Human ServicesAMOUNT LD55�j — y Environmental Health 36a>n-95Jq ext.400 or 36o-v S-M6L ext.400 /� Eyr-� O CD 415 Nett Street-Shelton,WA 98504 SWG a.O L5 - 0 bays b Q 2 Z C ON-SITE SEWAGE SYSTEM APPLICATION > > m o APPLICANT PHONE m r CLYDE CORBIN z c MAILING ADDRESS.STREET CITY STATE,ZIP CODE E PO BOX 2594 SILVERDALE WA 98383 A SITE ADDRESS-STREET.CITY ZIP CODE y 1051 TAHUYA RIVER RD iv /✓�TAHUYA WA 98588 I (i) NAME OF DESIGNER PHONE I N ROBERT H. PAYSSE 360-426-1803 NAME OF INSTALLER PHONE a I N TBD _< PERMIT TYPE(select awl DRINKING WATER SOURCE - p In RESIDENTIAL OSS ftCOMMUNITY OSS h COMMERCIAL O55 IW- PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z I N TYPE OF WORK reefed one/ a PUBLIC WATER SYSTEM NEW CONSTRUCTION/UPGRADES fTREPAIR/REPLACEMENT OTHER DETAILS(serett an that apply/ 0 TABLE X REPAIR I -.'j SUBMITTALSp ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE CON Ln DESIGN FORM(REQUIRED) or SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/'/2025e O I L NAIVER(S)(IF APPLICABLE) 2 5.23 C YES Q NO Q r Q DIRECTIONS TO SITE AND S.E CONDITIONS./er Wed gate) FROM BELFAIR OUT NORTH SHORE RD. RIGHT ON BELFAIR TAHUYA RD. I CONTINUE PAST HAVEN AND COLLINS LAKE. LEFT ON TAHUYA RIVER RD. FOLLOW r TO SITE ADDRESS 1051 ON LEFT. PDI SIGN POSTED. - I , SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST SE FLAGGED WITH TEST HOLE NUMBERS. I o OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE Or reporting purposes} ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT DHOME SALE ❑00MPIAINT (OTHER._ INSPECTOR SOILOGS COMMENTS/CONDITIONS N«a 2 VD9. to s yv - -17 ifu 51�� ;6 RECORD DRA N INSTALLATIONR SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E+EXTREMELY R=ROOTS REQUIRED F FINAL APPROVAL I P CTO SIGNATURE DATE APPLICATION EXPIRATION DATE ?TAT ION APPROVED/ISSUED BY DATE (..,ar - 4- u -2-5 icry-b.— Lllyikl \ 4t-Iq-a5 TH F Y BE SCANNED AND AVAILABLE FOR PUBLIC NEW ON THE MASON COUHTYWEBSITE ( Revised:4/14/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 2 1 2 — 7 5 — 0 0 1 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. e Scaled layout sketch,including all applicable items on checklist. ' Scaled plot plan.including all applicable items on checklist. v 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-.k I �P(ARCEL IDENTIFICATION Permit Number: SWG aoas c - G Designer's Name: ROBERT H. PAYSSE Applicant's Name: CLYDE CORBIN Designer's Phone Number: 360-426-1803 Mailing Address: PO BOX 2594 Designer's Address: 3083 E MASON BENSON RD SILVERDALE WA 98383 City State Zip GRAPEVIEW WA 98546 City State Zip Designer's Email pioneerdigging@yahoo.com DESIGN PARAMETERS Treatment Device ❑ Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainlield 0 Recirculating Filter ❑.kI V U Other Treatment Level(check all that apply): 0 A ❑ 11 ❑ C ❑ BI.I ❑ BL2 7 BL3 P1 E fl N Drainfield Type ❑ Gravity g Pressure lit(Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class SCH. 40 Daily Flow:Operating Capacity 180 gpd Length 45 ft Daily Flow: Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 3 Receiving Soil Type(1-6) 4 Separation 10 ft Receiving Soil Appl. Rate 0.6 gpd/f12 Orifices Required Primary Area 400 ft2 Total Number of Orifices 45 Designed Primary Area 405 ft' Diameter 3/16 in Designed Reserve Area 405 ft2 Spacing 36 in 'french/Bed Width 3 _ ft Manifold Trench/Bed Length 135 LF ft Schedule/Class SCH. 40 Elevation Measurements Length 20 ft Original Drainfield Area Slope 2 % Diameter 1.25 in New Slope If Altered 2 % Preferred manifold configuration used? Rf Yes 0 No Depth of Excavation IC-:lone 12 in Transport Pipe from Original Grade D„nnslope 11 in Schedule/Class SCH. 40 Designed Vertical Separation 24* in Length 50 ft Gravel-based Drainfield Required? Pf Yes 0 No Diameter 2 in Pump Required? El Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Di1T. in Elevation Between Pump& Uppermost Orifice 10 fi Dose quantity 60 gal Drainfield Squirt Height/Selected Residual (head) 2 fi Chamber Capacity(flood) 1200 gal Uppermost Orifice g Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity (a1 Total Pressure Head 27 gFm r ppI toilet f" Event Counter Calculated Total Pressure Head 20 ft If Timer: p on , 6 FIRS AUG 19 2025 4 Comments gf�gr' MASON ROUT` E T. 11EN -FA,-i. mBw Revised: 4 14 2025 DESIGN FORM-PAGE TWO Assessor's Parcel Number: 3 2 2 1 2 -- 7 5 -- 0 0 1 1 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch El Test hole locations 64 Drainfield orientation and layout Reference depth from original grade: g Soil logs g Trench/bed dimensions and g Septic tank lid Property lines critical distances within layout M' Drainfield cover • Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property gr Septic tank/pump chamber and restrictive strata: g Measurements to cuts,banks,and locations 121 Laterals,trench/bed,lop and surface water and critical areas 0 Observation port location bottom VI Location and orientation of g Clean-out location 0 Curtain drain collector curtain drain and all absorption g Manifold placement ❑ Sand augmentation components 64 Orifice placement Other cross-section detail: 64 Location and dimension of g Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information to Buildings i Audible/visual alarm referenced Yes No • Direction of slope indicator 0 Scale of drawing shown on scale Hi 0 Design staked out lb Waterlines bar 0 lif Recorded Notices attached 61.1 Roads,easements,driveways, p Elevation benchmark and relative ❑ g Waiver(s)attached parking elevations of system components Rd 0 Pump curve attached m North arrow and scale drawing 0 Rf Evaluation of failure shown on scale bar Non-residential justification ❑ II Waste strength ❑ g Plow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation g Yes ❑ No • Ir. : µ.e R jw ( zs- SignatureofDesigner 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 o -site regulations: c �.>. N `6_r4 25 E iro tal Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public I Iealth. / The Onsite Sewage Permit has not expired.the Permit Expiration Date is: CC—(a - )-(6 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. P P P 0 Y E r A v This form may be scanned and available for public vi e MHUb 9 Asgn frlutLl gNeb #,S Revised:4/14/2025 46 MA.SON Gail,T 1 rf. '2r.I:I_ _ _.. .1163W NE iAHVYA RIV v ER D I - 1. PROPOSE) WELL I /- �� MAINTAIN 'fO'+ FROM FUTVRE . --) WATERLINE TO OSS HOME I LOCATION / j� COMPONENTS Sz LINES I: v I 1___ _ PROPOSED SEPTIC . I �' & PUMP TANKS F'/' --"�� PROPOSED F 2 BEDROOM �1 .\ I WETLAND B PRIMARY I I & RESERVE I I � WETLAND SETBACK (40') I I I I '�,_____ I WETLAND f SETBACK aSC') .. I I \ I I NOTE. INETLANP LOCATIONS cz SETBACKS ARE APPRONIMATE, TOP OF SLOPE PRAWN PER REPORT DONE BY ECOLOGICAL.IAND SERVICE',. SUPPLIED BY CUSTOMER. I I - -- --- WET f� I , .., � RpUE 1 I AUGA 19 2025n 1 1 I TAH VYA I .47. I RIVER I . :y e0. 0 s I --r --- v A • 3. ROC.—_ _ N — — N. — — I �N BE ASULTAT AN INSTALL SIGNOFF FEE WILL CHARGED N PIONEER DIGGING, INC MER QYDE CORBM 6I I IOU b.! IOLL 2 FSF HOLE& I'\RC LL. 39�I?75a0110 o`'1 c.a snore. in q T,I ( T.I SDP I IC DESIGNS -nDDRESc Kos9TAawA RIVER no 3na1F-+ia0v III y vao c,Rnrrvltw:o w$5R DESIGNER: ROBERTHPAYSSE .FFC I Sort 120-tlo3 Fib IOC 427I353 -41111 SEE PLAN SCALE: I'=IOU DEFTRIPIEN - IEW CEDF^ECNET=E=="TEEE FOR 5E15..0,E UNRELATED TO I I TOP OF TEE POST(100.0) �5/T INLET(945) • PUMP (90.0) �VO° XX LATERAL (9H.4) X LATERAL (98 Fi) I X LATERAL 3 (99.7) _ I \ `OA • • O • tii F • SEPTIC TANK • \x PUMP TANK I C/O & a / CB PORT a/..„tip 2" 5CH. 40 TRANSPORT LINE Ialit A \a 7/I VALVE BOX � a a _ I as _ I AS AS S S APPROVE .ate AUG 19 2025 £: it , A.as a I G Ia Jet e' B' o. ; I AN ASBDILTI INSTALL SIGNOFF FEE YNLL BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGWG, INC. A: CLYDE CORBM 016 I: TNT I: 2 I �RCLL=.32212-75-00110 ' sane. SoL ,I to�.�I. 31,+r.r 3a+(,i 301 ( I 51 P I IC DESIGNS ,NODS I^S: 1051 TAHUYA RIVER RD 3083F ra mBEN'0\RD. CR 21F\II \1 we o85 DIISIGNI It ROBERTa PAYSSE On ILL 3a*IWIno3 FAX 1 3o0272353 SI±1 1` DF DETAIL SCALE: I"=1d w �. oAA�. AS AL ..RE so OBSERVATION PORT CLEAN OUT 6"+ COVER FINISHED GRAPE FILTER FABRIC -� ORIGINAL _ & &2: ■ iyGRADE S ' 1 r?7 -) I1 I WASHED ROCK N RESTRICTIVE LAYER 1 APPROVE F ,: AUG 19 2025 RISER/LIP OR Al S7affl"'L = " ` 1 THREADED CAP VALVE BOX �[ ie 7 "ORIFICES 0 12'.00 BALL W/ SHIELDS VALVES !TT SWEEP GLUED TEE 41-t `"°""': CHECK VALVES z" CAS NEEDED) • 3 AN ASBUILT/INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION PIONEER DIGGING, NC cUSIJi11It' CLYDECORBW 51III LIIIJLLL L1II0II'3 565 41 56-41 56+41 SI.PIK. DI SIGNS -vDDRE 1051TAHUYA RIVER.w 3083E\lsq`\BE\SIN RD- CRAPF\IDA. \'.\985-Ai DHI( N FR: ROBERT H.PAYSSE , HILL 300 110 1803 IA\ 3o01292353 SIII7I: DF DETAIL(2) SCALE NA 0,E, _,.o.w s RBIEW ASIONER NGT R SPCAS EILE FOR SETBACKS °°E'^r0TO RIBBED RISERS W'/BOLT ON V A'I'ER-TIGHT LIPS CLEAKCIT USE RISER LIPADAPTERS WI Ili NO NO GASKET IDS FINISHED GRAPE _� WATER-TIGHT I -1-- �., JOINTS �I� , OUTLET i 4. 7.NO WAY IEE i - t' µ`O$I ' EFFLUENT WA!ER-IIGI IT i' FILTER JOINTS TANKS MUST BE rc 'r ON STATE POH 1200 CALLONWA7ER77CHT 1 APPROVED LIST if CONCRETESEG77C TANK OF SEWAGE y: ,< Ys. TANKS e PUMP IANKS OVER WOO GAL ; ` ' ,. rw+a,` REQUIRES Tl4'O TH ACCESS RISERS • v^ • +ec a ' 7 . ":y .Ci.n _- .i..M3..:d• I O GRAPE PROVE !. . 6 ' AQUA s CONTROL PA ` ' LG 1♦ 2 � � � 24 RIBBED RISERS •�o� -� .N/WATER iCHTLDS N C SO � ' I. JDMS FINISHED GRAPE _�1 in �I� �- TRANSPORT LINE UNION & BALL VALVE INLET 1200 CALLONINA7ER77CHT I P 3. PTANKS CONCRE7EGUMP TANK • Ic AI Ep A; II:CHER c (22 CAL. /IN.) LLEVA I ION THAN DRAINFIELD MUST WATER-IIIG:.T - HAVE ANTI-SIPHON JOINTS V1 DEVICE INSTALLED. PRESSURE IRANSPUCER (OR EI[JAIs) j FITTINGS CHECK VALVE VSE A FITTED W/CA N' WATER TIGHT FITTINGS FOR USE RUBBER INLET/TITLESANP PUMP BUCKET 111 I CROMETS FOR CAST INRISEl BUCKET HEIGHT MU,... BE TRANWORT LINE ADAPTERS IC AT LEAST HEIGH I OF PUMP AND ELECT RICAL ENSURE..VATER ON RISERS MAKE TIGHTNESS -� - a . . - SURE ALLHOI ES ARE WATER-TIGHT (.\12( 11 1 2'. ClY500110 M 3(4LC N1 PIONEERDIGGING, ING P\RCI1 = 3221z-75-0ollo INSTALLTANKSONORIGINALOR SEPTIC DESIGNS vDDRLS.Io5ITAHUYA RIVEN RD COMPACTED LEVEL()OILS RUN CROSS 3083 L 51353N BE NV \ RD CRPLV IF\4.35 i 08510 DLGAER ROBERT FLPAYSSE CON NF naNSINIO RCINAI.SOILS TO AVOID SETTLING OFFIcr 300is'$ A\03 G 3601212353 SI11I.I: TANKS SC L AE NA likAPuttips. Pump Specifications +f" � 290 Series 314 hp Submersible Effluent Pump • • � I • �P' .l • rwuene rwrt •�J. sE �e Z:-1 Jl t;i Y ._ LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE GIST.TO TOTAL ORIFICE TOTAL LATERAL M LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1ST ORIFICE ORIFICES HEAD (feet) (inches) (feet) (feet) RATE(Rpm) (feet) (inches) (feet) 1 45 1.25 3 48 3/16" 0.59 3 18 15 0.56 2 45 1.25 10 55 3/16" 0.59 3 18 15 0.64 3 45 1.25 20 65 3/16" 0.59 3 18 15 0.76 DRAINFIELD HEAD(feet) 1.95 TRANSPORT LINE HEAD(feet) 0.62 ELEVATION CHANGE(feet) 10 RESIDUAL/SQUIRT(feet) 2 EXTRA LOSS/FITTINGS(feet) 5 TOTAL DYNAMIC HEAD(feet) 19.58 TOTAL GALLONS PER MINUTE 26.55 APPROVE PIONEER. DIGGING, INC , ll T.MER: CLYDE CORBIN J k l \lit PI 4-32212-7500110 AUG 19 2075 SI PI lL DLSIGNS vDDR13-: 1051TAHUYA RIVER RD • _ _.. 30ri3 F RE) CR VPFV IE W AA\9115 6 DI I(.NE R: ROBERT H.PAYSSE ��1 -Si ILL 360 120 1803 FiV-360 127 2353 SIICFT: CALLS SCALE NA sl Bic 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 loft 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 mayor may not meet other requirements. 13.All onsite septic systems require regular maintenance to verify satisfactory operation. The nfvr/ erator is responsible for the continuous operation and maintenance of the system per WAC 246-272A. pera on dei information, refer to Mason County Public Health Homeowner's Manual,which should be re7� afteAbgtallati A¢pay 14. System owner should be cautious of landscaping around septic components. Root intrusidriON C' Ub t 9 2025 " Li e." can cause premature failure of the drainfield area. In addition, bushes and trees should be kept r _ ✓� away from lids and other septic maintenance points. :/em, �. 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 kg'` i' 'd proposed variations from design. Changes may result in additional fees and permitting. 'j4s2,...vs.v.. PIONEER DIGGING, INC v11cTOMER: CLYDE CORBIN PAlit EL+:32212-75-00110 J - .': se '. SI.I'I IC DI SIGNS \DDRIx., Ios1TABUYA RIVER w c;�,-Yr r`3 30R3 L AtA>OyBEN>Ov RD. GRAPE II V. U:1985Rv DIA(IN I R: ROBERT H.PAYSSE CI II\-I $'l*LmENO i 1ip 3n11.127 Zz5 Si I LE I: NOTES SCALE NA