Loading...
HomeMy WebLinkAboutSWG2025-00068 - SWG Application / Design - 3/3/2025 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 On-Site Sewage System Permit: SWG2025-00068 APPLICANT KLEIN PETER&CINDY Phone: Address: 3821 109TH AVE SE SNOHOMISH, WA 98290 OWNER KLEIN PETER&CINDY Phone: Address: 3821 109TH AVE SE SNOHOMISH, WA 98290 SEPTIC DESIGNER ALEX PAYSSE* Phone: 360-507-1546 Address: 3089 E Mason Benson Rd GRAPEVIEW, WA 98546 SEPTIC INSTALLER TBD Phone: Address: 123 XXX XX, XX. 00000 Site Address: 470 E Camus Dr Primary Parcel Number: 120313100000 Permit Description: New SFR-4BR Pressure Permit Submitted Date: 03/03/2025 Permit Issued Date: 07/02/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $725.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/13/2028 (based on date of inspection) Permit Conditions: I Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 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. OFFICIAL USE ONLY MASON COUNTY 0ATERECENED �3 /J CE - 025 COMMUNITY SERVICES AM0UNTRECENED /`/ RECE+NEDBW. Co m Public Health(Community Health/Environmental Health) ✓^ C N 366427-9670.eat400 a 360.275-4467,art.400 w ^ 0 415 N.6th Sheet-Shelto S\/VG WA 98584 /��■ e / 09* _ .J V V V f (�J Z N ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE m 171 PETER KLEIN z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE -g L,p 3821 109TH AVE SE N SNOHOMISH WA 98290 m `vF, SITEADDRESS-STREET,CITY,ZIP CODE c' XXX E CAMUS DRIVE LL o SHELTON WA 98584 NAME OF DESIGNER PHONE I `� ALEX L. PAYSSE 360-426-18031360-507-1546 (C) NAME OF TBD INSTALLER PHONE D I to PERMIT TYPE(select one) DRINKING WATER SOURCE 0 I W 21 RESIDENTIAL OSS EICOMMUNITY OSS ®COMMERCIAL OSS ®PRIVATE INDIVIDUAL WELL 51 PRIVATE TWO•PARTY WELL Z I TYPE OF WORK(select one) MI PUBLIC WATER SYSTEM pU;NEW CONSTRUCTION/UPGRADES 1REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR W SUBMITTALS ❑ SURFACING SEWAGE ❑EXISTING FAILURE 19 SHORELINE MIt L11 DESIGN FORM(REQUIRED) ISEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I 0 biWAIVER(S)(IF APPLICABLE) 4 , 22 AC o I o DIRECTIONS TO SITEAND SITE CONDITIONS:(ex.locked gate) NORTH HWY 3, RIGHT ON PICKERING RD. FOLLOW ACROSS HARSTENE ISLAND BRIDGE. RIGHT ON SOUTH ISLAND DR. RIGHT ON HARSTENE ISLAND RD SOUTH. I FOLLOW TO THE END &TURN LEFT ON CAMUS DRIVE. CONTINUE TO END OF ROAD & GATE W/ PDI SIGN POSTED AT SITE. SEE SITE PLAN. to 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 I FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS!CONDITIONS All ii 51 SOIL CODES: R OR NO AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS B QUIRED FOR FINAL APPROVAL IN ECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE AP CATION APPROVED/ISSUED BY DATE IS F Y BE SCANNED- N AVAILABLE OR PUBLIC EW ON_ MASON COUNTY WEBSITE REVISED 1?J7/2015 Prom... From Mason FOR �� � Printed from Mason County DMS DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 0 3 1 - 3 1 - 0 0 0 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"X17" ,.. N 'ARGFTIII N F IGAx1CC1 Permit Number: SWG 2025-00068 Designer's Name: ALEX PAYSSE Applicant's Name: PETER KLEIN Designer's Phone Number: 360-507-1546 Mailing Address: 3821 109TH AVE SE Designer's Address: 3089 E MASON BENSON RD SNOHOMISH WA 98290 City State Zip GRAPEVIEW WA 98546 City State Zip Designer's Email alex@alpinesepticdesign.com F$ PARAME'1U..+: 4JJi 1 v Si Treatment Device ❑Glendon ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑ Recirculating Filter ❑ATU ❑Other Treatment Level(check all that apply): ❑ A El B El C ❑ BLI ❑BL2 ❑BL3 0 E ❑N Drainfield Type 'Gravity ❑Pressure O Sub Surface Drip Septic Tank/Drainfield Specifications terals Number of Bedrooms 4 Schedul O 2729 PERF Daily Flow:Operating Capacity 360 gpd Length ® 50 ft Daily Flow:Design Flow 480 gpd Diamete 4 in Septic Tank Capacity(working) 1500 gal Numbe 4 Receiving Soil Type(1-6) 3 Separat 10 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 —� J9JJrifices Required Primary Area 600 ft2 Total Number of Orifices - 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 3034 Elevation Measurements Length 30 ft Original Drainfield Area Slope 25 % Diameter 4 in New Slope,If Altered 25 % Preferred manifold configuration used? l'Yes O No Depth of Excavation Up-slope 32 in Transport Pipe from Original Grade Down-slope 23 in Schedule/Class 3034 Designed Vertical Separation 36 in Length 50 ft Gravel-based Drainfield Required? d Yes ❑No Diameter 4 in Pump Required? O Yes RfNo 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 Pum controls:Please check those required. Capacity @ Total Pressure Head - gpm ❑ l'tr 6zia ' eter ❑ Event Counter V Calculated Total Pressure Head ft ur f Time Pp on ,Pump off Comments JUL 0 2 2O3 Ff, MASON COUNTY ENVIRONMENTAL HEALTH JBWN Revised:4/14/2025 'DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 0 3 1 -- 31 -- 0 0 0 0 0 Permit Number: SWG HECK ; T)ESIGN.C IST Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch R1 Test hole locations 11 Drainfield orientation and layout Reference depth from original grade: E6 Soil logs Rf Trench/bed dimensions and Rf Septic tank E9 Property lines critical distances within layout [ 1 Drainfield cover 11 Existing and proposed wells l6 D-Box/Valve box locations p p Reference depth from original grade within 100 ft of property if Septic tank/pump chamber and restrictive strata: E1 Measurements to cuts,banks,and locations 11 Laterals,trench/bed,top and surface water and critical areas 1i21 Observation port location bottom E1 Location and orientation of l6 Clean-out location O Curtain drain collector curtain drain and all absorption O Manifold placement O Sand augmentation components O Orifice placement Other cross-section detail: E6 Location and dimension of if Lateral placement with distance if Observation ports/clean-outs primary system and reserve area to edge of bed Other Information E�1 Buildings ❑ Audible/visual alarm referenced Yes No 1 Direction of slope indicator IZ Scale of drawing shown on scale 16 O Design staked out 19 Waterlines bar O M'Recorded Notices attached E1 Roads,easements,driveways, El Elevation benchmark and relative .O lI Waiver(s)attached parking elevations of system components O EI Pump curve attached 1�1 North arrow and scale drawing O g Evaluation of failure shown on scale bar Non-residential justification ❑ 16 Waste strength ❑ d Flow I. DESIGI�';APPROVAL<�, �, The undersigned designer must be oti by installer at time of installation Cd Yes O No Slgn ure of Designer 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 'te regulations: A - Z - ,Z En�/ironntal 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: - 13 ✓ 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 \• " n 75' STREAM BUFFER \\ °�� a I' 0 \ p, 40'WETLAND BUFFER '-- � 2 2026x, / \\ MASON GtiQNTY ENVIRONME NTAL HEALTH / \ /11 \5 \ Y PROPOSED WELL FUTURE GARAGEII \\ STREAM I I \\ Ii�� Ft100� < / I W/L / \ RV DROP N N APPROXIMATE FUTURE HOME 65'± SEPTIC TANK / 4 BEDROOM DRAINFIELD +I (PRIMARY & RESERVE) 0 Lo EXISTING ACCESS/TRAIL APPROXIMATE OHWM / O 4 WASH, - - APPROXIMATE 50' BANK SETBACK PER 2 ALEX L.PAY`EJ`°� GEO. REPORT // �-LICENSEDDESIGNEft EXPIRES / CUSTOMER: PETER KLEIN TEST HOLE 1 TEST HOLE 2 TEST HOLE 3 N 0-6 DUFF 0-6 DUFF 0-6 DUFF E �� PARCEL: 1 2 0 3 1 - 3 1 - 0 0 0 0 0 6-72 GMS 6-72 GMS 6-72 GMS ALPINE SEPTIC SITE:470 E CAMUS DRIVE ROOTS @60 60 ROOTS©60 60 ROOTS @60 60 DESIGN-- ALEX L PAYSSE,DESIGNER SHEET:SITE PLAN 2 SCALE: 1"=60' DISCLAIMER: THIS IS NOT A SURVEY. REFERENCES INCLUDE:APPLICANT/COUNTY PROVIDED PLATS OR 3089 E MASON BENSON RD SURVEYS,FIELD MEASUREMENTS AND COUNTY GIS. DESIGN INTENDED FOR SEPTIC PURPOSES ONLY. GRAPEVIEW WA 98546 IPROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER DEPARTMENT/AGENCY REVIEW. DESIGNER NOT 360.507-1546 0 0.5 1 2. RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS. OB PORT SEPTIC TANK *BM ORIGINAL& /Npp FILTER I FINISHED GRADE O 16"+ FABRIC I O I I M N WASHED I D-BO�1AS 'UL 02 2 2026 i ROCK I O �� ONCOUNTYENVIRO i i ��Q NMENTAL HEALTH i I 4" 3034 36„ VERIFIED DEPTH ,YH ,, i REST. LAYER I �A f t lv �Q' pd1 3 E QL' 'aF h A \ vd INtF M ,J �V O ç ' 1fr �f'IY�'�..°' , , 'I E O S/TINLET (24.0") Q' y S�gWAS J S/T OUTLET (27.0") D-BOX INLET (63.0") /ç x° LATERAL 1 (65.0") a x1 �lEr G� 5110393 �> LATERAL2 (95.0") � ALEX L:PAYL SE $ LATERAL3 (125.0") OB PORT LICEIVSEDDESIGNEf2 *ELEVATIONS APPROXIMATE (X4) EXPIRES f f CUSTOMER: PETER KLEIN TEST HOLE 1 TEST HOLE 2 TEST HOLE 3 N ___ 0-6 DUFF 0-6 DUFF 0-6 DUFF ( �� ., PARCEL: 1 2031 - 3 1 - 0 0 0 0 0 6-72 GMS 6-72 GMS 6-72 GMS ALPINE S E P T 1 C SITE:470 E CAMUS DRIVE ROOTS @ 60 ROOTS @ 60 ROOTS @ 60 -DESIGN- ALEX L PAYSSE,DESIGNER SHEET: DETAIL 1 SCALE: 1„=10' DISCLAIMER: THIS IS NOT A SURVEY. REFERENCES INCLUDE:APPLICANT/COUNTY PROVIDED PLATS OR 3089 E MASON BENSON RD SURVEYS,FIELD MEASUREMENTS AND COUNTY GIS. DESIGN INTENDED FOR SEPTIC PURPOSES ONLY. GRAPEVIEW WA 98546 PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER DEPARTMENTIAGENCY REVIEW. DESIGNER NOT 360-507-1546 0 0.5 1 2 RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS. D-BOX DETAIL RISER/LID TO RISER/LID TO FINISHED FINISHED GRADE GRADE it . Ii U D-BOX 1I _ /� *USE SPEED LEVELERS ' TO EQUALIZE FLOWS b ' Lr R jit JUL 022025 �5 CLEANOUT 24"RISER&LID TO FINISHED GRADE MASON COUNTY ENVIRONMENT AL HEALTH W/THREADED CAP (ENSURE RISER IS SEALED TO TANK 8 WATER-TIGHT CONNECTION) FINISHED GRADE TO PUMP TANK OR OF Y° + d 44x• FROM / ___ 1 A BUILDING j^ c WATER—TIGHT JOINTS 1500 GALLON SEPTIC TANK +�� MUST BE STATE APPROVED TANK }`' �,�; .;� INSTALL TANKS PER MANUFACTURER .z INSTALLATION INSTRUCTIONS +�, '•;� k ti� v 4"ORENCO 'rt OUTLET FILTER v YAs j. (OR EQUIVALENT) zyN Gj� y 511O � . c ;u. Z ALEX L.PAY' 'E ' LICENSED DESIGNER?� 1�•^^..n k�x L, r .'1�:�! .i :T» ,rw. s r ♦X .. ?,h di.yr EXPIRES CUSTOMER: PETER KLEIN TEST HOLE 1 TEST HOLE 2 TEST HOLE 3 /N\ . 0-6 DUFF 0-6 DUFF 0-6 DUFF PARCEL: 1 2 0 3 1 - 3 1 - 0 0 0 0 0 6-72 GMS 6-72 GMS 6-72 GMS ALPINE SEPTIC SITE:470 E CAMUS DRIVE ROOTS @ 60 ROOTS @ 60 ROOTS @ 60 -DESIGN- ALEX L PAYSSE,DESIGNER SHEET: DETAIL 2 SCALE: NA DISCLAIMER: THIS IS NOT A SURVEY. REFERENCES INCLUDE:APPLICANT/COUNTY PROVIDED PLATS OR 3089 E MASON BENSON RD SURVEYS,FIELD MEASUREMENTS AND COUNTY GIS. DESIGN INTENDED FOR SEPTIC PURPOSES ONLY. GRAPEVIEW WA 98546 PROPOSED DEVELOPMENT MAY BE SUBJECT TO OTHER DEPARTMENT/AGENCY REVIEW. DESIGNER NOT 360.507-1546 0 0.5 1 2 RESPONSIBLE FOR SETBACKS UNRELATED TO SEPTIC COMPONENTS. General 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 pjJgjr 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&lines, unless approval within design/permit provides a reduced setback. Additional sleeving& install details may apply on reduced setbacks granted. 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 I Oft upslope of drainfield areas. 12. Field staking and measurements taken are approximate. Installer may need to re-stake/layout drainfield laterals/beds prior to installation, level w/contours using a laser level in order to maintain the approved depth of excavation. Contact designer w/any problems related to drainfield layout prior to attempting installation. 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 246-272A. For operation and maintenance information, refer to Mason County Public Health Homeowner's Manual, which should be received after installation approval. 14. System owner should be cautious of landscaping around septic components. Root intrusion can cause premature failure of the drainfield area. In addition, bushes and trees should be kept away from lids and other septic maintenance points. 15. Changes made at time of installation may impact designer calculations, pump sizing, and compliance w/county and state requirements. Contact design prior to install w/any proposed variations from design. Changes may result in additional fees& permitting. 16. 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. `\ CUSTOMER: PETER KLEIN 1 ALPI PARCEL: 12031 - 31 - 00000 fit } y� µ7 �y°o�Z� E SEPTIC —DESIGN— SITE:470 E CAMUS DRIVE a' r4 �j�c�ix� 9 ALEX L PAYSSE,DESIGNER ?ALEX L PAYv'EJ�� 3089EMASONBENSONRD SHEET: NOTES SCALE: NA `' JUL 02 t`_ G�1 O.•...................... GRAPEVIEW WA 99546 N 4r LICENSED DESIGNER 360-507.1546 0 0.5 t SON COUNTY ENVIRONMENTAL HEALTH EXPIRES