HomeMy WebLinkAboutSWG2025-00354 - SWG Application / Design - 10/23/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
J` SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00354 COO M11
APPLICANT KIRIMLIOGLU OZGE Phone: 917-545-3015
Address: 18551 AURORA AVE N UNIT 773 SHORELINE, WA 98133
OWNER KIRIMLIOGLU OZGE Phone: 917-545-3015
Address: 18551 AURORA AVE N UNIT 773 SHORELINE, WA 98133
SEWAGE DESIGNER BOB PAYSSE* Phone: 360-507-1498
Address: 3083 E Mason Benson Road GRAPEVIEW, WA 98546
Site Address: UNKNOWN
Primary Parcel Number: 322325050022
Permit Description: New 3bd pressure trench with drainfield on separate parcel
322325050022
Permit Submitted Date: 09/08/2025
Permit Issued Date: 10/23/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 09/24/2028 (based on date of inspection)
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.
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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
J L . MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
8 All development(including clearing and ground disturbance) shall comply with the
recommendations of the Geological Assessment, prepared by All American Geotechnical
Inc., dated November 19, 2024.
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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY--
MASON COUNTY DATE RECEIVED: ` � _• �_ 3
0 ,,,. c CO
AMOUNT RECEIVED: RECEIVED BY: CO (/)
--.f= Public Health & Human Services c � o m
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 EZ O
415 N.6th Street -Shelton,WA 98584 S W G aca 5 - co 3 5 Li
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ON-SITE SEWAGE SYSTEM APPLICATION D >
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APPLICANT PHONE m
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OZGE KIRIMLIOGLU z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE g
18551 AURORA AVE N UNIT 773 SHORELINE WA 98133 m
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SITE ADDRESS-STREET.CITY.ZIP CODE
XXXX, NOT ADDRESSED UNION WA I c''
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NAME OF DESIGNER PHONE I m
ROBERT H. PAYSSE 360-426-1803
NAME OF INSTALLER PHONE O II\)
TBD
PERMIT TYPE(select one) DRINKING WATER SOURCE -
Iir RESIDENTIAL OSS h COMMUNITY OSS 15ICOMMERCIAL OSS h--PRIVATE INDIVIDUAL WELL b PRIVATE TWO-PARTY WELL Z I N
pa
TYPE OF WORK(select one) PUBLIC WATER SYSTEM PUD I UNION
Pr NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I (.T1
SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W
Pr
DESIGN FORM(REQUIRED) lI SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025' 0 1 CD
tan WAIVER(S)(IF APPLICABLE) 3 0.38 0 YES Q NO n I I
Cji
DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gale;
FOLLOW MCREAVY RD OUT TO UNION. LEFT ON KUHN AVE. CONTINUE TO I o
ADDRESS 280 KUHN AND TAKE ALLEY ACCESS TO SITE. o I 0
IN
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I N
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)❑VOLUNTARY 0 MAINTENANCE/PUMPING CI BUILDING PERMIT CI HOME SALE ❑COMPLAINT ❑OTHER: 1
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS CDLJ
17: 0 ((jS L a(ot— Y L � m
LLII
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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
‘4cZS\—)\pi\Aril Ril-'01ec 1 z'4 '18 elmiityvew ��("?;Sr/A----
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
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' DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 2 3 2 — 5 0 — 5 0 0 2 2
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 o_ s •Gcissti Designer's Name: ROBERT H.PAYSSE
Applicant's Name: OZGE KIRIMLIOGLU Designer's Phone Number: 360-426-1803
Mailing Address: 18551 AURORA AVE N UNIT 773 Designer's Address: 3083 E MASON BENSON RD
SHORELINE 98133 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 Recirc lating Filter 0 ATU NUWATER U Other
Treatment Level(check all that apply): 0 A KB 0 C 0 BLI BL2 ❑BL3 El E ON
Drainfield Type
❑Gravity lif Pressure ViTrench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH.40
Daily Flow:Operating Capacity 270 gpd Length 68 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) BNR500 gal Number 3
Receiving Soil Type(1-6) 4 Separation 9+ ft
Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices 51
Designed Primary Area 612 ft2 Diameter 3/16 in
J Designed Reserve Area 612 ft2 Spacing 48 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 204 ft Schedule/Class SCH.40
Elevation Measurements Length 24 ft
Original Drainfield Area Slope 20 % Diameter 1.25 in
New Slope,If Altered 20 % Preferred manifold configuration used? 0 Yes 0 No
Depth of Excavation Up-slope 16 in Transport Pipe
from Original Grade Down-slope 8 in Schedule/Class SCH.40
Designed Vertical Separation 12+ in Length 130 ft
Gravel-based Drainfield Required? 0 Yes 0 No Diameter 2 in
Pump Required? 0 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 15 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1500 gal
Uppermost Orifice I Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 30 gpm 131 Timer lif Elapse Meter lifEvent Counter
Calculated Total Pressure Head 27 ft If T me P11 nRn 1.1 MIN ,Pump off 4 HRS
Comments AA
O C T 2 3 2025
L ASQN COUNTY F1:VIRIAVFhTAL HFALTN
R E T Revised:4/14/2025
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DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 2 3 2 — 5 0 -- 5 0 0 2 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
10 Test hole locations 6d Drainfield orientation and layout Reference depth from original grade:
0 Soil logs 0 Trench/bed dimensions and 0 Septic tank
0 Property lines critical distances within layout i Drainfield cover
0 Existingand proposed wells D-Box/Valve box locations
P P Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
O Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and
surface water and critical areas g Observation port location bottom
0 Location and orientation of g Clean-out location 0 Curtain drain collector
curtain drain and all absorption 0 Manifold placement 0 Sand augmentation
components Q( Orifice placement Other cross-section detail:
O Location and dimension of Lateral placement with distance i Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
0 Buildings 0 Audible/visual alarm referenced Yes No
ig Direction of slope indicator 0 Scale of drawing shown on scale 151 g 0 Design staked out
0 Waterlines bar 0 0 Recorded Notices attached
O Roads,easements,driveways, O Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components l' 0 Pump curve attached
O North arrow and scale drawing 0 Q(Evaluation of failure
shown on scale bar Non-residential justification
❑ [if Waste strength
❑ 0 Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation 0 Yes 0 No
9e6tAi�4� at, (
Signature of Destner 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 on-site regulations:
co ('t
Environmental Health pecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. G�✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ` 0-4 ivt
✓ 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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PPT 0 ROBERT H PAYS SE
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EXPiRES
AN ASBUILT/INSTALL SIGNOFF FEE WILL
BE CHARGED AT TIME OF INSTALLATION
PIONEER DICCING, INC. CUSTOMER: OZGE KIRIMUOGLU I EST HOLE I: I L,I HOLE 2: TEST HOLE 3:
I'ARCEL#:32232-50-50022 o 60 Ca 0-46 c sL 0-27 Ca
ROOTS @ 36 ROOTS@46 ROOFS @27
SEPTIC DESIGNS ADDRFSS: XXXX
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DISCLMAER TNIA IS NOT A SURVEY.REFERENCES INCLUDE APPLICANTICOUNTY PROVIDED
>IATS OR SURVEYS.FIELD MEASUREMENTS AND COUNTY GIS,DESIGN INTENDED FOR SEPTIC
TO OTHER
OFFICE 3604261803 FAX 360 427 2353 JEPARTMENi AGENCY REVIEW PURPOSES ONLY ODESIGNER NOT RESPONSIBLE FOR SETBACKS SED DEVELOPMENT MAY BE TUNRELA UNRELATED TO
SHEET: DF DETAIL SCALE 1"=10 SEPTIC COMPONENTS
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PIONEER DIGGING, INC. CUSTOMER: OZGE KIRIMLIOGLU TEST HOLE I: TEST HOLE 2: TEST HOLE 3:
PARCEL#:32232-50-50022 0'60 Cam• 0-16 C:. ("n ram.
ROOTS @ 36 ROOTS @ 46 ROOTS @ 27
SEPTIC DESIGNS ADDRESS: )000(
3083 E MASON BENSON R.D. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE DLATSOR TIM IS NOT A SURVEY.REFERENCES INCLUDE APPUCAMA AUNTY PROVIDED
PUTS OR SURVEYS REX MEASURE VENTS AND COUNTY GIS DESIGN INTENDED FOR SEPTIC
OFFICE-360-426 1803 FAX-360-427-2353 DEPRTMENTAG ENCY REVIEWODESIGETNOOTPRIESPONSISLE FOR SETBACKS UNELATED EO
IiFF I: DF DETAIL(2) SCALE: NA A
SEPTIC COMPONENTS
DUAL PORT AERATOR
<'CLEANOVf3 FT. DESIGNER RECOMMENDS INSTALLING AIR BLOWER ABOVE GRADE
FROM FOUNDATION 24'CAST IN RISERW/ �IID VENT1\ AND WTININ ARTIFICIAL ROCK OR HOUSING
WATERTIGHT LID AND SCREWS
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TANKS MUST BE
ON STATE DOH .
APPROVED LIST NUWATER
OF SEWAGE gN R500 •..-
TANKS -
PUMP TANKS • -•• ° o
OVER 1000 GAL. '` • DI?FUSER BARS(:) USE RUBBER
REQUIRES TWO �PARALLELTO TANK WALL
SLUDGE RETURN • - • GROMETS FOR
ACCESS RISERS ///' . o .•:' TRANSPORT LINE
TO GRADEt. 0 C- 2 3 2025 r. '• ':• ' • AND ELECTRICAL
PUMP TANKS ' ...••:• •: .. . .. y.. ;. . , : ;- y
.� ••• ON RISERS. MAKE
LOCATED AT HIGHER hi bUN L`UUN Ecr't�ii(l it i.EirTAL N��Y`` • • • • • SURE ALL HOLES
ARE WATER-TIGHT
ELEVATION THAN RFT
DRAINFIELD MUST
HAVE ANTI-SIPHON
DEVICE INSTALLED. NUWATER CONTROL PANEL 24"RIBBED RISERS
0
W/WATER TIGHT LIDS
I . J t R FINISHED GRADE
ELE.TR JAL 61CRK DONE G J
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EXPIRES
CUSTOIMI:K: OZC;E KIRIMLIC)GL U SCALL NA
PIONEER DI��ING, INC. PARCEL#:32232-50-50022 INSTALL TANKS ON ORIGINAL OR.
SEPTIC DESIGNS ADDRESS: )000( COMPACTED LEVEL SOILS. RUN CROSS
3083 E MASON BENSON RD. CRAPEVIEW,WA 98546 DESIGNER: ROBERT FL PAYSSE CONNECTIONS INTO ORIGINAL SOILS TO
AVOID SETTLING.
OFFICE-360-426-1803 FAX-360-427-2353 DESIGN PAGE TANKS DETAIL
Tile Pumps
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Pump Specifications
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LATERAL LATERAL FEEDER TOTAL ORIFICE ORIFICE ORIFICE DIST.TO TOTAL TOTAL
LATERAL# LENGTH PIPE SIZE LENGTH LENGTH SIZE(inch) DISCHARGE SPACING 1ST ORIFICE ORIFICES HEAD
(feet) (inches) (feet) (feet) RATE(gpm) (feet) (inches) (feet)
1 68 1.25 3 71 3/16" 0.59 4 24 17 1.04
2 68 1.25 12 80 3/16" 0.59 4 24 17 1.17
3 68 1.25 24 92 3/16" 0.59 4 24 17 1.35
DRAINFIELD HEAD(feet) 3.56
TRANSPORT LINE HEAD(feet) 2.04
ELEVATION CHANGE(feet) 15
RESIDUAL/SQUIRT(feet) 2
EXTRA LOSS/FITTINGS(feet) 5
TOTAL DYNAMIC HEAD(feet) 27.60
TOTAL GALLONS PER MINUTE 30.09
APPROVED
OCT 2 3 2025
PIONEER. DIGGING, INC.
C USTOMER: OZGE KIRIML.IOGLU SON COUNTY ENVIRONMENTAL HEALTH
PARCEL# 32232 50-50022 RET
SEPTIC DESIGNS ADDRESS: /OM
3083 E MASON BENSON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE
OFFICE-361}426-1803 FAX-360-427-2353 SH EET: CALCS SCALE NA
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.
S. 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 246-272Ao r 4T tenance
information, refer to Mason County Public Health Homeowner's Manual,which should be rece ' d a e I a approval.
14. System owner should be cautious of landscaping around septic components. Root intrusion OCT 23 2025
can cause premature failure of the drainfield area. In addition, bushes and trees should bg,kept(COUNTY ENVIRONMENTAL HEALTH
away from lids and other septic maintenance points. RPT
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 P '
proposed variations from design. Changes may result in additional fees and permitting. ,,,
PIONEER. DIGGING, INC. c`I � OZGE KIRIMLIOCd U
PARCEL#:32232-50-50022 �eeE SiC0i3V1r55E i
SEPTIC DESIGNS ADDRESS: XXXX # rr:F
3083 E MASON BENISON RD. GRAPEVIEW,WA 98546 DESIGNER: ROBERT H.PAYSSE ExP-iRES
OFFICE-360 426-I803 FAX-360-427-2353 SHEET: NOTES SCALE NA
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