Loading...
HomeMy WebLinkAboutSWG2025-00321 TANK ONLY - SWG Application / Design - 8/12/2025! . MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 M .: BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Tank Only Permit: SWG2025-00321 COUtkA OWNER FOUCHT RICHARD Phone: Address: 100 E DETROIT DR ALLYN, WA 98524 APPLICANT FOUCHT RICHARD Phone: Address: 100 E DETROIT DR ALLYN, WA 98524 SEPTIC DESIGNER BOB PAYSSE* Phone: 360-507-1498 Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546 Site Address: 100 E DETROIT DR Primary Parcel Number: 121055101026 Permit Description: Replace septic tank Permit Submitted Date: 08/12/2025 Permit Issued Date: 08/29/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 08/12/2028 (based on date of inspection) Type of Work OSS Repair Components being Replaced: Septic Tank Only Surfacing Sewage? No Existing Failure? No Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 2 Drinking Water Source: Public Water System Additional Details: 1200 gallon 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 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 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/OR DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.govlhealth/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED' /� o Q - I,9 - go F x. MASON COUNTY v of vo(A/ c COMMUNITY SERVICES AMOUNT RECEIVE RECEIVED BY (n Q �/J v_ m Public Health(Community Health/Environmental Health) C u) 360 427 9670.ext.400 w 360-276•4467.ext 400 /'' /� O 4'S Al6th Street Shelton.WA 98S84 SWG / I c ✓ oo Q I OPJ\ Z Ui ON-SITE SEWAGE TANK ONLY APPLICATION v P. m n m APPLICANT PHONE m r RICHARD FOUCHT z c MAILING ADDRESS-STREET.CITY.STATE,ZIP CODE n g 100 E DETROIT DR -ALLYN WA 98524 \J// 4-r-3 / m SITE ADDRESS-STREET,CITY.ZIP CODE Q 100 E DETROIT DR -ALLYN WA 98524 NAME OF DESIGNER PHONE I N ROBERT H. PAYSSE 360-426-1803 j NAME OF INSTALLER PHONE Q CZ:z, v TBD TYPE OF WORK(select one) DRINKING WATER SOURCE /y� CD %/ O ❑ NEW CONSTRUCTION/UPGRADES RI REPAIR/REPLACEMENT ❑ PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-••' r WELL Z U1 0 PUBLIC WATER SYSTEM DETROIT DR COMPONENT(S)TO BE REPLACED/INSTALLED 1 ❑ SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE I U1 0 OTHER 2 0.30 0 TANK(S)SETBACK CHECKLIST r I OTHER DETAILS(select all that apply) 0 ❑ SURFACING SEWAGE ❑EXISTING FAILURE 0 SHORELINE 0 100FT+PUBLIC/COMMUNITY WELLS n 1 X I O SUBMITTALS 0 50FT+PRIVATE WELLS,SURFACE WATERS.STREAMS,RIVERS ' IR PLOT PLAN(REQUIRED) © TANK CROSS SECTION(REQUIRED) ❑ 10FT+DRINKING WATER SUPPLY LINES ❑ PUMP DETAILS(IF APPLICABLE) ❑ WAIVER(S)(IF APPLICABLE) ❑ SFT+PROPERTY!EASEMENT LINES,FOUNDATIONS,FOOTINGS PLOT PLAN CHECKLIST r I c) B PROPERTY LINES AND EASEMENTS © EXISTING/PROPOSED STRUCTURES B EXISTING/PROPOSED OSS COMPONENTS AND LINES ❑ WELLS WITHIN 100FT 0 WATER SUPPLY LINES 0 DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... I IV ❑ DIRECTION OF SLOPE/CONTOURS ❑ PERIMETER!CURTAIN DRAINS Ill NORTH ARROW 0 SCALE BAR DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate) NORTH HWY 3. RIGHT ON GRAPEVIEW LOOP RD. FOLLOW TO RIGHT ON DETROIT DRIVE. CONTINUE TO SITE ADDRESS ON RIGHT. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT 0 OTHER: COMMENTS/CONDITIONS N an n \C. SEWAGE TANKS MUST BE LISTED UNDER DOH'LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS AND LIDS TO SURFACE,AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE C it riL K / 3 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 1 0 5 — 5 1 — 0 1 0 2 6 A design will be reviewed when 3 copies of each of the following are submitted: v 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: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG c2Ca6- oo 2.1 Designer's Name: ROBERT H.PAYSSE Applicant's Name: RICHARD FOUCHT Designer's Phone Number: 360-426-1803 Mailing Address: 100 E DETROIT DR Designer's Address: 3083 E MASON BENSON RD ALLYN WA 98524 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 Drainfield 0 Recirculating Filter 0 ATU U Other Treatment Level(check all that apply): ❑A ❑B ❑C ❑ BL l ❑BL2 ❑ BL3 ❑ E ❑N Drainfield Type ❑Gravity 0 Pressure 0 Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class - Daily Flow:Operating Capacity 180 gpd Length - ft Daily Flow:Design Flow 240 gpd Diameter - in Septic Tank Capacity(working) 1200 gal Number - Receiving Soil Type(1-6) - Separation - ft Receiving Soil Appl.Rate - gpd/ft2 Orifices Required Primary Area - ft2 Total Number of Orifices - Designed Primary Area - ft2 Diameter - in Designed Reserve Area - ft2 Spacing - in Trench/Bed Width - ft Manifold Trench/Bed Length - ft Schedule/Class - Elevation Measurements Length - ft Original Drainfield Area Slope - % Diameter - in New Slope, If Altered - % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope - in Transport Pipe from Original Grade Down-slope - in Schedule/Class - Designed Vertical Separation - in Length - ft Gravel-based Drainfield Required? 0 Yes lid No Diameter - in Pump Required? 0 Yes lifNo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day - Diff. in Elevation Between Pump&Uppermost Orifice - ft Dose quantity - gal Drainfield Squirt Height/Selected Residual(head) - ft Chamber Capacity(flood) - gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head - gpm 0 Timer 0 Elapse Meter 0 Event Counter Calculated Total Pressure Head - ft If Timer: Pump on - ,Pump off - Comments APPROVED SEPTIC TANK REPLACEMENT ONLY AUG 2 9 2025 MASON COUNTY ENVIRONMENTAL HEAI�—a,ised:4/14/2025 RET DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 1 0 5 — 5 1 -- 0 1 0 2 6 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ❑ Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: ❑ Soil logs 0 Trench/bed dimensions and El Septic tank Property lines critical distances within layout 0 Drainfield cover ❑ Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom ❑ Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: g Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information Buildings 0 Audible/visual alarm referenced Yes No ❑ Direction of slope indicator 0 Scale of drawing shown on scale 0 d Design staked out ❑ Waterlines bar ❑ El Recorded Notices attached FA Roads,easements,driveways, 0 Elevation benchmark and relative 0 E Waiver(s)attached parking elevations of system components 0 ll Pump curve attached 1 North arrow and scale drawing 0 El Evaluation of failure shown on scale bar Non-residential justification ❑ It Waste strength ❑ El Flow DESIGN APPROVAL The undersigned designer must be notified install at time of installation El Yes 0 No 2 i nature of Designer Date ignature • 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 regu tions: Environmental Health Specialist 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: ' 2m JZ4 ✓ 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 -N0' r__ _ _ _ _ DI I DETROIT DRIVE APPROVEI I) \ 1 MASON COUNTY ENVIRONMENTAL HEALTH DRIVEWAY/ RET PARKING i WATERLINE j ''\\ I (APPROXIMATE) GARAGE HOME I I I I 4"CLEANOUT I PROPOSED GARAGE I I SEPTIC TANK 7GARAGE ADDITION EXISTING DRAINFIELD i - 1 (APPROXIMATE, PER O EXISTING SEPTIC TANK ONLINE O55 RECORDS) ' (PUMP&ABANDON) I I I RECONNECT NEW SEPTIC TANK INTO EXISTING D-BOX/ DRAINFIELD PROJECT NOTES: PUMP OUT& ABANDON °�"S" EXISTING SEPTIC TANK. INSTALL NEW A,r,T SEPTIC TANK AND CONNECT INLET AND o� S`°°"' ROBERT H PAYSSE OUTLET TO EXISTING. E;cPtRES AN ASBUILT/INSTALL SIGNOFF FEE WILL BE CHARGED AT TIME OF INSTALLATION CUSTOMER: RIC1-IARD FOUGHT TANK ONLY PIONEER DIGGING, INC PARCEL#:12105-51-01026 SEP I IC DLSI(.\I ADDRESS: 100 E DETROIT DR 3083 E MASON BENSON RD. GRAPE IEW,WA 985* DESIGNER: ROBERT EL PAYSSE DISCLAIMER.THIS IS NOT A SURVEY.REFERENCES INCLUDE APPLICANT/COUNTY PROVIDED PLATE OR SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS DESIGN INTENDED FOR SEPTIC OFFICE 360-426 I803 FAX 360 427 2353 SHEET: UBJECT TO OTHER DEPARTMENT/AGENCY REVIEW DESIGNER NOPuRPOSES ONLY PROPOSED T T RESPONSIBLE FOR SNT MAY BE ETBACKS UNRELATED O SITE PLAN SCALE 1"=2A' SEPTIC COMPONENTS J • L zI ICTQ z Z Q V i;f�� Q 0 a t- oL v� w 1 `hifi�1: p t_�ij U.-1 1-1-1f- -1 " " y 0/ f ac Z ,i Tig LU z w' Cs�'•. so"`? X1C15. w 0 1w- O -� .p ,W Lac N Q W z dZ " H L o r 1� , y o w I 4 Ozw < • 1-z-• ::: •-•••1- .?_i LT: it,: ,, = , ,_. 1- <A Li., w0 < , , ,._ v ,- w co dir IIIIIITIiiLLI i••! Z Q 17) ! II .... E < F— = p J .Q' '1' < P Z Oj , 7 0 0 0 0 > H N ;IlkL w LO W w .1 t = 0 >_. w p Ni<�• lik o O t , 1 "; J p p �- f t Iy Np W` cm N ' w•. <' �/ 8 O I . W r - W / p-> 1� V Q Q Lu cc -� 0/ N !. Z U u7 w co P cc ?. C O pz In o O �' Q 0 V wv' N �, U am cV 0 ce i~:. T , 1 U __. <rn c•il al Q0 /- II Z <M ( 1 :2 x w i= 0 x O OO 1``'— I wQJ ZO 0 M 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 24 2 or operation and maintenance information, refer to Mason County Public Health Homeowner's Manual,which shou e vROVsEleon approval. 14. System owner should be cautious of landscaping around septic components. Root intrus0G 2 9 2025 can cause premature failure of the drainfield area. In addition, bushes and trees* N l ti!r ENVIRONMENTAL HEALTH away from lids and other septic maintenance points. RET ottk 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 IW variations from design. Changes mayresult in additional fees and permitting. proposed g g .�',*WAS,,,;rAVel PIONEER DIGGING, INC. CUSTOMER: R]CHARD FOUGHT �' �.�•� • PARCEL#:12105 51-01026 , ne=_ai�r IL,ssE •4../ SEPTIC DESIGNS ,NDDRFSS: 100E DETROIT DR �• 'F. 3083 E MASON BENSON R.D. CRAPEVIEW,WA 98546 DESIGNER: ROBER.T H.PAYSSE EXPIRES OFFICE-360 4261803 FAX-360 427-2353 SI If I I: NOTES SCALE NA