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HomeMy WebLinkAboutSWG2026-00025 - SWG Application / Design - 1/27/2026 A• MASON COUNTY 415 N 6TH STREET,SHELTON, ,E 98584 SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 II Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2026-00025 APPLICANT Jim Zimny Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck,WA 98380 OWNER GARCIA REID KEONE Phone: Address: PO BOX 364 GRAPEVIEW, WA 98546 Site Address: E Grapeview Loop Rd Primary Parcel Number: 121082290100 Permit Description: Build anew SFR w/new Pump to gravity OSS Permit Submitted Date: 01/27/2026 Permit Issued Date: 03/18/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system). Permit Expiration Date: 02/04/2029 (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 Drainfield 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. r OFFICIAL USE ONLY r=m�'` ' x MASON COUNTY D'' of r s-ba2co . > . 0) • �A•a F ,., AMOUNT REC RECEVED BY: 9V Public Health & Human Services 47v nNLIOC O W m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 S WG 0 415 N.6th Street-Shelton,WA 98584 - O00, O 2 V) ON-SITE SEWAGE SYSTEM APPLICATION g 73 APPLICANT PHONE M / Reid Garcia 360-801-2381 ), ��\ z MAI07/ M PLOGBOXSS-364EET,GcITY,STATE,ZIP CODE RAPEVIEW WA 98546 /�" ~7 � m \ SITE ADDRESS-STREET,CITY,ZIP CODE / . ✓,,'Y , , ✓ §,,,,,, ..Nc- Fi�� E Gra eview loo Rd, Gra eview Wa 98546 ,8 >Np p p ,� �, NAME OF DESIGNER PHONE 18 _ , Jim Zlmny .360-516-7287 /.!/ NAME OF INSTALLER PHONE G PERMIT TYPE(select one) . . DRINKING WATER SOURCE mRESIDENTIAL OSS Fl COMMUNITY OSS n COMMERCIAL OSS PRIVATE INDIVIDUAL WELL *—PRIVATE TWO-PARTY WELL ZI TYP F WORK(select one) 0 PUBLIC WATER SYSTEM � �JEW CONSTRUCTION/UPGRADES X REPAIR/REPLACEMENT OTHER DETAILS(se/ecf all that apply) O TABLE X REPAIR N SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W 1 ❑r DESIGN FORM(REQUIRED) El SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? 0 0 WAIVER(S)(IF APPLICABLE) 3 2.92 rlYES _JNO n DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) X From Shelton travel 12 mi to E grapeveiw loop rd and take left. Follow for 4.2 mi and take p left. follow up drive way to site on the Rt. r o -I Pink Flags Mark the test hole W SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. 0 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT 0 HOME SALE 0 COMPLAINT O OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS Y .- tb 45 (, 7'-e4 6/ / ' / miy\--(-- 2--7 5i/-4-6 I 1 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. INSP R SIGNATURE DATE APPLICATION EXPIRATION DATE AP CATION APPROVED/ISSUED BY DATE 'THI FOR AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE IJRevlsed:01/09/2026 //I • 'DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 1 "0 8 2 2 9 :0 1 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: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG alDa-.p - OLXYa'j Designer's Name: • Jim Zlmny Applicant's Name: Reid Garcia Designer's Phone Number: 360-516-7287 Mailing Address: PO BOX 3640 Designer's Address: 7178 windflower pl NNZW - , Grapeview wa 98546 City State Zip Seabeck wa 98380 , CLEAR FORM E "� City State Zip Designer's Email apddesigns@icloud.com DESIGN PARAMETERS Treatment Device O Glendon O Sand Filter O Mound O Sand Lined Drainfield O Recirculating Filter O ATU O Other Treatment Level(check all that apply): O A O B ❑C O BLl O BL2 O BL3 erE O N Drainfield Type VVGravity O Pressure EfTrench O Bed O Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 3034 Daily Flow: Operating Capacity 270 gpd Length 50 ft Daily Flow: Design Flow 360 gpd Diameter 4 in Septic Tank Capacity(working) 1200 gal Number 4 Receiving Soil Type(1-6) 4 Separation 5' CTC ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices NA Designed Primary Area 600 ft2 Diameter in Designed Reserve Area 600 ft2 Spacing in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class NA Elevation Measurements Length ft Original Drainfield Area Slope 15 FA % e p P 4,,� r - in New Slope,If Altered 15 o Preferred rnanifol figuration used? Cl Yes ID No Depth of Excavation Up-slope 12 MAR 1 % Lao Transport Pipe from Original Grade Down-slope 8 MAS( I C�UN tl Y§ � � �S.HEALTH sch 40 Designed Vertical Separation 18 in Isgt 100' ft Gravel-based Drainfield Required? O Yes 1r No Diameter 1 1/2" in Pump Required? P'Yes O 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) 1' ft Chamber Capacity(flood) 1000 gal Uppermost Orifice O Higher O Lower than P mp Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 2U gpm llf Timer lg Elapse Meter Event Counter Calculated Total Pressure Head 20' ft If Timer: Pump on 3 min ,pump off 4 hrs Comments Revised:6/1 1/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number:,1 2 :1 0 8 ,2 .2 '9 0 1 0 (::, Permit Number: SWG acp_t-e- C)L'(�6 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch er Test hole locations le Drainfield orientation and layout Reference depth from original grade: V Soil logs 2r Trench/bed dimensions and 2r Septic tank Ef Property lines critical distances within layout f Drainfield cover Er Existing and proposed wells 12r D-Box/Valve box locations Reference depth from original grade within 100 ft of property ET Septic tank/pump chamber and restrictive strata: @( Measurements to cuts,banks,and locations le Laterals,trench bed,top and surface water and critical areas fie Observation port location bottom ✓ Location and orientation of V Clean-out location O Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: 2r Location and dimension of le Observation ports/clean-outs Er Lateral placement with distance primary system and reserve area to edge of bed Other Information 2r Buildings Er Audible/visual alarm referenced Yes No if Direction of slope indicator le Scale of drawing shown on scale 0 PlDesign staked out Er Waterlines bar 0 0 Recorded Notices attached Er Roads,easements,driveways, it Elevation benchmar .c� d relative : Fe O Waiver(s)attached parking n- e ons of syste�r ,gipone O O Pump curve attached le North arrow i nlepaRn0 8'=� -13 0 0 Evaluation of failure .. « �+ shown on sca' a> I' `' +min� Non-residential justification MAR 1 `"" 0 0 Waste strength r o' � �.' � 0 0 Flow �RnNP'iENTAL HEALTH :-,---Tc., + �,1AS0N T(EPIV D SI "It-1M to- The undersigned designer must be notified by ' to r at time installation P'Yes 0 No /— Z6-2 G, Signature o ner 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 ads ,,, ,,Le9, regulations: 3 -rs-,,, Env' ontn al Health Specialist Date CAUTION: DESIGN APPR VAL 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: 2- LI , ✓ 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:6/11/2025 g.125' W° k = Designer Info: Q Jim Zimny o CO w APD Th#1 z I--. 7178 Windtlower PL NW 0-30" sandy Loam o .0 2 Seabeck,WA 98380 Ia type 4 w APDdesigns@icloud.com Th#2 _ 1 0-31" sandy Loam 35' O type �4' — 4 — Applicant Info: " z Reid Garcia o Th#1 &‘ '. CO E grapeview Loop RD 0-28" sandy Loam 125' Grapeview WA Proposed # type 4 p 12108-22-90100 3 bedroom30 home ___ 30' Co 00NI d 9►P ui 1 ? s�o C z n 3 .i� w) ��/ ^ LICEIjj' DESIGNER Access and egress easement /_2c>Z P% e 0 h 35' ,,, O o o Date: Pc) b o 1/10/2026 �P ', LEGEND Datum NAD83 e 20' 35' ©- Bench Mark In 4. Soil Log al _ — Property Line ---- Power Line Scale --- Water line I 1" = 100' Not A Survey Not A Survey O O 111' i • Area of Detail Y' , iE iQ rkral Q z E �, �; Designer Info: ID Jim Zinuiy ado's "® � APD cc 7178 Windflower PL NW gam M Seabeck,WA 98380 - ---- — --- - 30' APDdesigns@icloud.com Applicant Info: - . Re Garcia 1 E grapeview Loop RD Grapeview WA Proposed # 3 bedroorr 12108-22-90100 home o0 r., m O 00 Y ,4e -..-..-..-..-..-..-..-.p_owe1C._.._..-. C ; 90' O E _MA. $ 93' ►l .. 4„.„•4- 03 ' aiin LEGEND Datum N D83 v /- eZ CO ©- Bench Mark el • 1 -a .* Soil Log H#1 roc Date: — Property Line 76' . ,,1 ?4 Tr#3 32 14 v /--- Power Line sir e Q 1/20 26 --- Water line ;c• 5 , p e' c.N .u• Res rve E �� ' Not A Survey P~'� Th#2 a • 2,- , 4,o Scale L i • a. e15*�� 60' is 1" — 40' �'c,,,, Not A iu rvey O O Typical Trench Profile Typical D box and Rlser Assembly County Stamp 4"Clean out with removable cap Flow •6'" Min Sandy Cover locking riser lid 1 + 4'303 •e bMax T nch Dept s _ d levers ' (p`"Min , I I Trench Depth Designee Stamp 115•+° Vertical Separation '4'3034 .e • OD U MI IDIOM.I�..�U MI t ice. lq .�..70�..rt ..M1q r..III r. Restrict a layer or water table • • Jim Zimny Not to Scale Advantage Perc dr Design Not to Scale 7178 Windflower PI NW Seabeck,WA 98380. (360)516-7287 Applicant Info I& Ctc:L I A A A A A A A.A A A ^A A x A A A A A A A A A A.A A A A A A A 11 A AA J ('"`''LPG v;c•..r I .w' tad1 Screw on fitting 4°Obsevation Port Sandy Cover �r►+ W/removable cap Material t ► • UrHecu 1 e-� w A , , , , I , ,.-,-r, OM mil ►+► • V.--4% / i mid t►r 1, , :•••";* ••7i�,Gn ► Parcel Info Graveless Chamber z .� ► /_ 2x_26 ILI btu- 22-%n 1C30 Typical•Side View gravity Graveiss chamber c WI Observation/Clean Port - y 3 � TT" � cz4, . • z co Date: 3. /-lo- 2.Q, Not To Scale a , �i il a a -' av,.. rage No z of I • SECURED LID WITH GAS TIGHT SEAL 144•DIAMETER ACCESS RISER \ .!-"--------4-/L------\. FINISH GRADE _ 91 7.18 ...._=,.. ....... —TO PUMP/ — — — --t_ — 0HAMBER FROM SEWAGE SOURCE FLOATING MAT _ APPROVED EFFt.Ueirf .. en 4'Ca_ SEDIIAEHIS 2j 8C TANi{ i nAl o� {TYPICAL SECUREDv LID WITH GAB TIGHTBEAL • THREADED UNION DIAMETER44'DAETER ACCESS RISER QERVIOE ' FINISH GRADE47.=,.. . VALVE• I r< E P�r3i118 13 i0 DRAI umw \rjf TANK • EMERGENCYSTORAGE ANTI SIPHON VALVE' HIGH WATER ALARM LEVEL • INDEPENDENT WORKING VOLUME FLOAT STEM unpuee:urea npe.t ev�L FOR FLOAT MOUNTING ENCLOSED PUMP SEoIMENTBHROUD• CHECK VALVE*•- 18' SUBMERSIBLE MOMENTS CENTRIFUGAL PUMP 0O /,....P c�M!!!f OC1� l/ rYRIr 141 I 2 I 1 G ierv..44 t ''� AS NEEDED i ill , 1 , FIGURE 2 n Fs AT ,s, w „, 033 `'-' O J Allen Zhnny } ,'; ®�yq 9 1PIP C' SED DESIGNER AR 20Ai /- 2 0- t..4 MASON COUNTY ENVIRONM ENTAL HEALTH \ ) r Advantage Perc & Design 11rnely•Pensc-ornak. •3J Yours cif i_acal E_xperioncc Construction Notes for Pump to Gravity 3 Bedroom System: Pressure Distribution w/graveless chambers (Rock and pipe may be substituted) Install 4—50' Laterals of Infiltrators . Install on 5'foot centers. Install :$°trench depth on low side of trench and maintain 18" of vertical separation Install level and along contours. Install in dry weather only. Use 1250-Gallon septic and 1000-gallon pump tank. See pump Chart for Pump Specs Use Rhombus SJE Control Panel or equivalent w/audible and visual alarms for low and high water. System designed for typical residential waste strength sewage only. System designed for 360 Gallons Per Day y! 1230.12 as U br n .•a Al'on 7.100`y L E'SEDCE I; lil { gf .A, tit✓/ !- 20.2CP ;� IWAR r ko ; SAN SHU 414 NT < J 6' y6NVIRnNl14ENTaf:' F J Advantage Perc&design APDdesigns@icloud.com (360) 516-7287 Media Gallery X Liberty Pumps 280- 1/2 HP Cast Iron Submersible Sump/Effluent Pump (Non- Automatic) Performance Carve: 213 Series li . _ . .. ILIV Percxetsmr:21 • 10 •_...._.• - �—r^.t._„e._..c..e- ...x,.e.:....• •-_8..�:r._c<. s. -r s. .P -_r a .1 :.e a n, .s-,.. _., _• r s. .r-.a r -.. D...q O - -.�P-....... a - ' ♦ •-- a -•_ < .o-- • , .a 0 5 10 15 20 25 30 35 40 45 50 55 60 55 70 U.S. Gallons Per Minute Jr . p P ...4r ;', , . * fil 0a� �• C n: p 71t my I tJ� �� LIC',d: ) 7 �i Efl ��') BAR 1 T 1. .:1Z.r 4,x:1ti .Z:,A) ... 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