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HomeMy WebLinkAboutSWG2026-00024 - SWG Application / Design - 1/27/2026 • y MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 Y SHELTON:360-427-9670,EXT 400 y BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT FAX: 7400 On-Site Sewage System Permit: SWG2026-00024 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: 4141 E Grapeview Loop Rd Primary Parcel Number: 121082290110 Permit Description: Replace existing demo'd house and replace existing tank with new tanks and tie into permitted OSS Permit Submitted Date: 01/27/2026 Permit Issued Date: 03/18/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $275.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/27/2029 (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 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 6 All development(structures) must be 165'from the stream. No clearing in the 150'Stream Buffer 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. .1 ---r\ pvii< or) �� -t ie c ��-- OFFICIAL USE ONLY • • -')4 MASON COUNTY DATERECENED: of 1 ReIaoacP C N +;f, AMOUNT RE�IVEDBY. Cl) ,.. '' Public Health & Human Services v m Environmental tht H- h WA985,eId 400 or 360-275-4467,exL400 SWG aO c — 6Q.®P.� O 2 415 N.6th Street-Shelton,WA 98584 z (n ON-SITE SEWAGE SYSTEM APPLICATION v v g m APPLICANT PHONE m Reid Garcia 360-801-2381 z / c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE U � 1 PO BOX 364 GRAPEVIEW WA 98546 / ,/7 ; ci mm SITE ADDRESS-STREET,CITY,ZIP CODE J' `/ c 4141 E Grapeview loop Rd, Grapeview Wa 98546 ��;A '`(,��, NAME OF DESIGNER PHONE v4V'''. !�Jim Zlmny 360-516-7287 8' . NAME OF INSTALLER PHONE \ v. <::-Ir PERM IT TYPE(select one) DRINKING WATER SOURCE j D-) C O Il RESIDENTIAL OSS n COMMUNITY OSS !n COMMERCIAL OSS X PRIVATE INDIVIDUAL WELL PRIVATE TWO-PARTY WELL z Q0 0. l TYPE OF WORK(select one) PUBLIC WATER SYSTEM I M NEW CONSTRUCTION/UPGRADES ❑ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) O TABLE X REPAIR N SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W ID DESIGN FORM(REQUIRED) 0 SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/20257 is (N O WAIVER(S)(IFAPPLICABLE) 3 6.23 rYEs VINO n tt DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate) (� From Shelton travel 12 mi to E grapeveiw loop rd and take left. Follow for 4.2 mi and take O left. follow up drive way to site on the Rt. r O -i Pink Flags Mark the test hole N O SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. OFFICIAL USE ONLY BELOW THIS LINE UPGRADE!FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT O HOME SALE O COMPLAINT O OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 1 2 �� - s4-(, 05s (51,6j 1---- )_ zi 52, ek.i24,4n )) IAA/^/ ry t]'� 7( 9,p i, �i) SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILTrC=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. IN TOR SIIGN�ATTURE DATEL1' f� L ON EXPIRATION DATE PLI ATION APPROVED!ISSU D BY �j TE THI F MAY BE SCANNED AND AVAILABLE FOR UBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:01/09/2026 Draft III Designer Info: 395' Jim Zimny APD 7178 Windflower PL NW `p Seabeck,WA 98380 z II o I APDdesigns(�icloud.com j Applicant Info: 35' Reid Garcia 4141 E grapeview Loop RD Grapeview WA LEGEND Datum NAD83 f 12108-22-90110 ©- Bench 4�� Mark Proposed new 3 bedroom(home ilk S WelPlg 30 i — Property Line ___ _ ----- --- Power Line 44---77410- --100' well Rasli 1 --- Water line ; % i • / Not A Survey "' % abandoned well P ���; Z„ m l V i..?t;v I AWw/ I O1 5c :r"3' 0' ' 3 1 , well / l q LICE, , r , 7 ,. Access and egress easem,ny ‘\\ 1-70'2,cc) 335' /� I ....;... 4 •• N 35' \\; ------ - 1 exisitng ho demo'd I Date: o ;5'4- 297' I 1/10/2026 20'Exisitng _ OSS permitted 5/30/89 cn and Attached to the ` 121082290100 records Scale I 1" = 100' 225 205' I Not A Survey 30 '~100'well Radi I 7 7-I• /- ••• / `/ \ Designer Info: •• . proposed new 3 bedroom home \� Jim Zimny • / �� APD / / \` I 7178 Windflower PL NW/ Zo // �� Seabeck,WA 98380 M / abandoned well I • � i I 0 >; I APDdesigns@icloud.com o• i AW i I '� Applicant Info: o s/o w i Pp i well I I Reid Garcia ! 4141 E grapeview Loop RD I Grapeview WA I , i # 1\\ / 12108-22-90110 -5.1 �\ / / O • �. . � exisi[ng h�me e o'd / // / J. ks to be abandoned --- i I e `-..1, y �7 T #1 �� I j 7' v > o''y �nm,''an �' N LICENSED DESIGNER iD 0 60 24' v Th#1 .y z2�,>. ,..emu- --;:-.7, :', X1.01 0-32" sandy loam over compacted silt loa I 1-2�-2(� Type 4 LEGEND Datum NAD83 20 35' ©- Bench Mark S iILI Fig — Property Line Date: -••- Power Line 1 1/20/26 --- Water line ol in I Not A Survey 1 I Scale 1" = 50' 225 I Not A Survey I 205' SEWAGE SYSTEM PERMIT APPLICATION, Na :_ ' 43ernlit Expires / �► /a... I MASON COUNTY DEPARTMENT OF GENERAL SERVICES t FOR DEPARTMENT USF_ ONLY ENVIRONMENTAL HEALTH DATiE. BASIS FO FEE AMOUNT RECEIPT# 303 NORTH 4TH/PO.BOX 186/SHELTON,WA 98584 - I ,�[!/ ems''! PHONE (206)427-9670 '67 '4. 9 e- < `�•/ APPUANT SIGNATURE SITE: .RrApproved . 0 Not Approved, • ADDR SS PHONE J, rp I 3,.t 7 BY, ✓ P a Bak 7-y EL FAA R �Q� V _ PROPERTY OWNER a— D GN.SYSTEM REQUIRED �. ADDRESS__~ PHONE I11 ,NSTALLATION. ,k l Approved:` O Not Approved SEWAGE _-- SEWAGE- BY: j;r�IJ..tf"' 4F .+r. CONTRACTOR DESIGNER .�,,,,,,� - �',- Ja hi a�!a ___ ---------- DEP TO WATER TABLE 1 IEGA DESCRIPTION �a 1v/u I N W /y eff!Sec C .. Thu t f , .> .. A1 WWrI SOILTYPE TYPE OF NO. OF LOT nceel f•"-' BUILDING__ BEDROOMS_ _3 —.__SIZE X_- - SINGLE RESIDENCE Er PUBLIC WATER ri WATER SYSTEM SYSTEM LJ NAME -- COMMERCIAL ONLY LIQUID WASTE G.P.D.__-_ ----- . DIRECTIONS TO SITE: SEPTIC TANK (Siff GAL. PUMP REQ./8.'5 a r C-.AF'z U C-I 144• f%aTiov 7-04 N - DISTRIBUTION TILE TOTAL /67.. r". FEET a,,,,,i__/A r A;c_T I 1,,o!'_.14I C-[.- / 4-frc. FILTRATION AREA TOTAL 3 7,5" SQUARE FEET 'J n j'j- !?6,c_O_4 ti j?1 c ki r_.--_-----._-._.----- FINAL INSPECTION REQUIRED BEFORE BACKFILLING ' ."1 " I I DEPTH OF 2 STRAW OR PAPER ---S z_ 1 Q s+--..Z-z- [o c IQ --- ► liv. '' i4 A w4 k-l °' I STONE ,1�1 :S :11. .V.474,�.w,. • OVER TILE—. -- 1,41.;,..,:,4,....„.,p,....1„3,4„.....41, f `�` h• ?'cT • :` ...Ili et as i....4„;, I STONE SITE PLAN AND SPECIAL STIPULATIO S 1÷._- ]-tea I UNDER TILE (INDICATE DIRECTION OF DRAINAGE) CROSS SECTION OF TRENCH + it C GD' M1 o� .`O jjZ 040 fn r4' O k . O E1. 1 ------ -i I WHITE-OFFICE COPY;YELLOW-INSTALLERS COPY;PINK-PROPERTY OWNER'S COPY;GREEN-BUILDING DEPT.COPY L • - SECURED Ln)WITH OA8 TIGHT SEAL _ / DIAMETER ACCESS RISER L\ ' FINISH GRADE -, 1-1 ""'� ly J TO PUMP / s.-- — — CHAMBER FROM SEWAGE / SOURCE _ FLOATING MAT __ APPROVED EFFLUENT - PP Ira. SEDIMBITS • • 2•SD SEPTIC TANK SECURED UD WITH GAS TIGHT SEAL THREADED UNION ?Z4'DIAMETER ACCESS RISER SERVICE FINISH GRADE ' - VALVE* • I r< E [(�fly • MOM SEPTIC TO ORA INFIELD TANK EMERGENCY STORAGE ANTI SIPHON VALVE* HIGH WATER ALARM LEVEL WORKING VOLUME INDEPENDENT FLOAT wwa,AI swm ncc II.ever FOR FLOAT ENCLOSED PUMP MOUNTING SEDIMENT SHROUD* CHECK VALVE* 18'SEDIMENTS I ,SUBMERSIBLE CEf�TiRIFIICtJIL PUMP • I CCU p PUMPCHAMBER i�ti*�nw�� I 11 ,,G,/, *AS NEEDED FIGURE 2 S �t�fl ir O Iv n arm LIC DESIGNER - -_ • /•—Z6-2(o Media Gallery X Liberty Pumps 280- 1/2 HP Cast Iron Submersible Sump/Effluent Pump (Non- Automatic) performance cu e: 280-series 4 OD Um r.:�.w....p... .:y- ....a OkT.caasR'a Cvi+:II • _ ..�...gyp.....t....! ..f:._:w 0 5 10 15 20 25 30 35 40 45 50 55 50 65 70 US. Gallons Per Minute 7U'. .1;1 LI _ hS!i;NEH ZCo • S t1• l — �r 1 4tti ,t J Advantage Perc & Design I If?1 ' tV-R^diOIldl.) 'O-3O 'ie rs OI LOC :i ! EX ,oerienc ' Construction Notes for Tank replacement: Properly Abanodon existing septic tank and pump tank Use 1250-Gallon septic and 1000-gallon pump tank wit locking lid risers to the surface of the ground. 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 tip' • ZP 23 CY .1, u9 .n Zim"I 1 LIC . OFS;C,NER k(1 I 20 • CO Advantage Perc&design 0 APDdesigns(a@icloud.com 0 (360) 516-7287