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SWG2024-00124 - SWG Application / Design - 3/29/2024
MASON COUNTY 415 N6SHELTON: 60427-Q70,EXT 400 SHELTON:360-275 660,EXT 400 4 BELFAIR:360-2]5498],E%T 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360427-1187 On-Site Sewage System Permit: SWG2024-00124 APPLICANT BOWERS DANA&BENJAMIN Phone: 1.509.690.7227 Address: 1491 E JENSEN RD SHELTON,WA 98584 OWNER BOWERS DANA&BENJAMIN Phone: 1.509.690.7227 Address: 1491 E JENSEN RD SHELTON,WA 98584 SEPTIC DESIGNER PAULAJOHNSONe Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 Site Address: 1491 E Jensen Rd Primary Parcel Number: 321307500160 Permit Description: New SFR-3BR Pressure Permit Submitted Date: 03/29/2024 Permit Issued Date: 05/16/2024 Issued By: Jeff Wilmoth Current Permit Fees Paid: $540.00 (addidomi revs may 5e required upon lnazelleeon or syeNm). Permit Expiration Date: 03/29/2027 (easedondmemin.Pc.n) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staffper Mason County Title 17. 2 Permit must be installed by a Mason County Caddied Installer unless prior written authorization from Mason County is obtained. 3 Drainfield 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 bacMlll 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-mquest.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY D 2�3 cF I0 ® COMMUNITY SERVICES MKI"m"' Ib N NMM Xahh Kan�n�X®hM1/fnulronm/nul XeeltN SWG Ab1A OOt'14 w-o A Z N ON-SITE SEWAGE SYSTEM APPLICATION > 'a is m m APPUCAxT vHOxE 0 Dana Bowers (509) 690-7227 z MAIUNGADONESS E,nPGDDE 1491 E Jensen Rd Shelton WA 98584 a STEAODRESA STREED CITY ON COW Same NAMEONOESCNER (360) 898-2255 F I AJ Arrow Septic Designs (36 NAME OF INSTALLER PWNE 0 Maples Excavating (360)463-8474 H w PERMIT TYPE(wMIwN) GRINNING WATER SOURCE 0 I�RESIOENTIALOSS FUCOMMUNNYOSS FCOMMERCIALOSS JOPRIVATEINDNIDUALNELL FjPRNATET PARTYWEU_ Z O n,PEO<V.CYN WNPPMI CP,PUSUC NNTER SYSTEM IWNEWCONSTRUCTION/UPGRADES LUREPAIRIREP.ACEMENT OTTER DETMI_SfWW 0 YPY) 13 TABLE IN REPAIR I -4 Su6pMI.TTAIS 0SURFACINGSEW'AGE O EXISTING FAILURE SHORELINE W 1XI:OESIGN FORM.(REONREO) Iig'SEPTICOESIGN(REOUIRED) SEORC<MB I 10T 6¢E Q I � L,UWVVER(S)(IFAPPUCABLE) 3 6.01 Acres x O WRECTION6iO SITE AND SITE DON p!i!pN5 rye.KKNM Wtt/ Go up Northcliff Rd. Turn right onto N 13th St. Continue on E Brockdale Rd. Turn right onto E Jensen Rd. Property will be on the left with a yellow sign reading: "TR 16". o I 0 10) yIEYWiYE FfA00EDfAOM MAINAWO AND LEST NOLEBMWTQEMRBEYMFX TAETN ENVMEAI OFFICIAL USE ONLY BELOW TMI5 LINE -------- UPGRADE/FAILURESOQNCEDar,,nppu ) OVOLUNTARY [3WIN7ENANOEIPUMPING O BUILDING PERMIT OHOVESALE ❑COMPLAINT OOTHER: INSAID IR SOL LOGS COMMENTSICONOTION6 b 9dL000F9_ RECORD DRAWNGAND INSTPLNTION REPORT V-VERY G-G ELLY 3-SANp L-LWM SPSILT C-GAY E-EXTREMELY R=ROOTS RE UW WFCPFINALIFFNCYAL. IN C R4GNANRE CA ARFLICATION EXPIRATION DATE A III !6SIEO BY DATE 5 q-Ir- � -27 TH O BE SCANNED ANO AVAIIABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE (IU RENSED I..E DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 1 3 0 — 7 5 — 0 0 1 6 0 A design will be reviewed when 3 comes 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. v Cross-section sketch.including all applicable items on checklist. Tbis form may be smnoed and available for public view on me Mason County Web site.Maximum a er size: PARCEL IDENTIFICATION ' Arrow Septic Despns,Inc Permit Number: SWG 2024-00027 Designer's Name:Dana Bowers Designer's Phone Number: (360)898-2255 Apphcant's Name: 171 E Vueereat Or Mailing Address: 1491 E Jensen Rd Designer's Address: WA 995a4 Union, WA 985M m Shelton Zi city State City State zip '.. : ;I})ySIGiYPARAM 1'6RS Treatment Device ❑Glendon Bioblter ❑Sand Filter ❑Mound ❑Sand Lined Dminfield ❑Recirculating Filter,Type: [3 Aerobic Unit Make/Model ❑Disinfection Unit MA-IModel Odter. Drainffeld Type ❑Sub Surface Drip ❑Gravity er pressure ❑Trench G(Bed Septic Tank/Drainfteld Specifications Laterals 3 Scludule/Class 40 Number ofeedrooms 45 ft Daily Flow:Operating Capacity 270 gpd Length 360 'gpd Diameter 1.25 in Daily Flow:Design Flow 4 Septic Tank Capacity(Working) 1.200 gal Number Receiving Soil Type(1-6) 3 Separation2.5 ft Orifices Receiving Soil APPI.Rate 0.8 gpd/ftt Or 36 Required Primary Area 460 1112 otal Number of Orifices Designed Primary Ana 450 it? Diameter 3f16 in Designed Reserve Area 450 ftr Spacing 60 in Trench/Bed Width 10 ft Manifold Trenchd3ed Length 45 ft Schedule/Class 40 Elevation Measurements Length 7.5 ft Original DI If Area Slope 3 % Diameter 1.25 in New Slope,If Altered 3 a/o Preferred manifold configumiion used? IidYes ONo Depth of Excavation Uydope 30 in Transport Pipe from Original Grade Dovaslope 26 in Schedule/Ches 40 Designed Vertical Separation 42+ in Length 80 ft Omveliess Chambers Required? ❑Yes 16Nu ❑optional Diameter 2 to Pump Required? Id Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 15 ft Dose quantity 0 gal 1900 gal DminSeld SquirtHeiglV Selected Residual(heed) 2 It Chamber Capacity(flood) Pump controls:Please check those required Uppermost Drift"Il f Higher [3 Lower than Pump Shutoff Timer Elapse Meter M(Event Counter Capacity Q Total Press=Head 21.24 Spun2 minutes Pura off 6 hours Calculated Total Pressure Head 18.53 ft If Timer: Pump on P Comments MAY 16 2024 MASON COUNTY ENVIRONMENTAL HEALTH. JBW DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 7 3 0 — 7 5 — 0 0 1 5 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Rl Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: Ed Soil logs Rf Trench/bed dimensions and 56 Septic tank 61 Property lines critical distances within layout G1 Drainfield cover 19 Existingand proposed wells ❑ D-BoxNalve box locations P P� Reference depth from original grade within 100 ft of property Iff Septic tank/pump chamber and restrictive strata: 0 Measurements to cuts,banks,and locations 6d Laterals,trench/bed,top and surface water and critical areas 16 bottom Observation port location bottom ❑ Location and orientation of 56 Cleanout location ❑ Curtain drain collector curtain drain and all absorption 1d Manifold placement ❑ Sand augmentation components 19 Orifice placement Other cross-section detail: 0 Location and dimension of Rf Lateral placement with distance 9 Observation ports/cleanours primary system and reserve area to edge of bed 19 Buildings Other Information Rf Audible/visual ferenced Yes No 5d Direction of slope indicator Rf Scale of dra h , n scale If ❑Design staked out A Waterlines bar _ f ❑ Rf Recorded Notices attached R1 Roads,easements,driveways, ❑ fif Waiver(s)attached parking _ •.NN 61 ❑Pump curve attached l� North arrow and scale drawing 109 ❑ 69 Evaluation of failure shown on scale bar ~ PAULN JOr JOH. SON'. Non-residential justification . .IL' 1) H. WI M" ❑ Rf Waste strength aes ❑ lif Flow DESIGN APPROVAL The undersigned designer most be not by in taller(y(1.t time _of�installation 66Yes ❑ No `TI��-�\11�1Ltl�l\ MTV"u S t.1'Ti� Signature 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 regulations: rv_2y Env/br6falfil 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: ✓ 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 sibe. Updated Date: 12/7/2015 Y Ygl£ pe 15E iq. ° c " � < R iggk o a < Ilia °X W wxas w wrx � p 23�3' ti V &aka ............. $ iiiiiekcckii Eat 40 $ G P P R 0 V Ex MAY 16 2024 MASON COUNTY ENVIRONMENTAL HEALTH �• G JBW a : c, 4,Ea^ Pz.eM - Wz';\6"A — I �- IP er�l 3a iD-OMV I� � Cvee's 8a:-rfa- 9' BARN Te; Ic- i5 so7.V :s' SLoOe \edF aa�U= { �-1}Y�OZT[ 5G' KeW. OAudio-Visual Alarm U © 12DO Gallon Septic Tank 2-Effluent F tmeat with .• Effuent YS1ter ' (tu O s+rv+.s tTZ- E �&B � PAUU JOY JOHNSON -'�S Jer''d ID00 T62074 MAY �"`,';`•_'�P—SJ�Oy • tc �Dn r �a- a ors NMEN MASON COUNTY ENVIRONMENL7� JB W qoy (r4 DRAINFIELD TOP VIEW 1 .25n ached 40 laterals 10 x 451 Pressure bed (9) 3/16n orifices 6011 O:C. 30" from bed ends 5 c.P-ae.. %- -_ ro o' 2 S1 iol IS o 51 LIIJ<9 ,� PAUTA JOY JOHN60N . L' SE:IS Y NEtt" ' ^runes %OF -- 0-08SERVATIONW ON CAP DEGREE ELBOW NOTE, LATERAL 1 PORTS--TO BE 4" "CRICE Pvc PIPE FROM BOTTOM OF TRENCH ENTO FINISHED GRADE. It REMOVABLE DI ,fir DETAIL CAP SHALL BE INSTALLED ON 30 CLEAN OUT OBSERVATION PORT PIPE. ANCHOR ON BOTTOM WITH GLUED ON TEE: NOTE, CLEANOUT TO HE FROM 0 TO . MINIMUM OF LN SYSTEM. INCHES BELOW FINISHED GRADE. MARK ENDS WITH REBAR. CLEAN 0 REQUIRED AT END OF EACH LATERA 1, Frli+r F�b.ie 7Jri s" 1 t3 LAT. pp a ' 3' 4' MAY r sa Asa- ct m,ycaa NCOU vE�F6 2024 W Length Length Orifice # Distance from Distance from Lateral# (In.) (FL Spacin Orifises Feeder Line(In.) Clean30 (In 1 540 45 60 9 30 2 540 45 60 9 30 30 3 540 45 60 9 30 30 4 540 45 60 9 30 30 Total Lateral Len th 180 36 GPM= 21.24 Total#Or�ces Dynamic Head Calculations 211. Selected residual pressure: Length(Ft.) #Orifices 80 36 0.66 ft. Transport Pipe Feeder Total Lateral Line length 0.22 ft. Lateral#1 45 4 49 9 0.21 ft_ Lateral#2 45 2 47 9 Lateral#3 45 2 47 9 0.21 ft. Lateral#4 45 4 49 9 0.22 ft Total Elevation Lift 15.00 ft. Total Dynamic Head 18.53 ft. c i]JH 'Lit � JOY JONNSpN _ uc H�s_�n i �a "ul � PpA0 M AfAyASONOOONT�,,ly 4�4 BwVMSNTA(HE9LIN 5��j Bronze onnrvttian available(139 series) High head version"Lable(145 series) Double shaft seal versions WailabLe for added protection on models 140/145. Flow-Mate For more infarmadvo see Technical Data Sheets FM2782,FM2783. In high head dawatering or effluent applications where pumping gt XWI4arflwWntaMF performance is criticat, this robust familyofpumpsiskn wenforreliability, durabi Lity and performance. These pumps are especiaLLy suited for harsh emdronmenrs.Zoefter's cool run design and corrosion-resistant Powder coated epoxy finish add up to a long-Iastin& troubte-free produm APPLMC 711019' �u . STEP or onsiva appLications Wateraansfer Light commercial dew itiumg SPECIFICATIONS: 0 • 1-1/2"NPT discharge 1]2 HP through 1 HP 104nAMA,%;1 NTMg01®nA Available in automatic or nonautomatic • Mcde113],139.14D:1/2'(22 rem)spherical solids e opacity with wmex impeller Model 145:3/4'(19 mm)spherical.soLids capacity with ,„,„„—,. ,n. wrteaimpeller �l gg PUMP PERFORM CURVE MODEL 15 / Dose- ate0pl fo\Q JIALCOT This is our fastest growing line ofefftuent " u IN pumps.The 150series istruLyaworkhorsedesigned for reliability under extreme It conditions in an effluent environment.150seriespumpcuw.e cowravAderangeof applications. They are well suited toappLications with law pressure Pipe(LPP) is and enhancedftowSTEPsystems.Zoeftefscool run design and corrosion-resistant Npowder coated epoxy finish, in addition to the hermetically seaLed,oil-filled motorand non-cLoggingvortex impeller add up toa lang4asting,trouble-free product.APPLICATIONS: STEP eremite applications y"�'p���s t�sg Uy�l ° ° Light ommerdaL dewarering IizgtaNlllLLn Gauaxe as zm uo m urt"s w�w ze° m sm BPETOdsc P�Hcw'pFa MiXyrt o,aw • 1-1/2L12-"NPi discharge SS O 3110 HP through 1/2 HP V E • Available in nooauomaticarwithavarizbL Lanml MAY piggyback mechanical switch MgSONC D, OUNTyY 164,4 • 1W(12 mm)spherioL s&W'tepidly with wmex thermoplastic impeller For more information,see Tohaich Date Sheet FM2]84 Jam.MEN"'y q f ®ALL rights reserved. ZOELLER PUMP CO. 1 502-]]8-2131 ( 800.92&]86T zC�erpumps.o TTy 9 l e�8 L=W.Tm Vs ACMW F-SM CLAM= noAlzm MAT MOM" memmm swim VAM AIMSM)MM �WAMALAMLRM VALVE- TX:7 I MCFPAL7n=GFF ZOUPE-NDEW. -L"T STEM + dNv-osm PLW P psckqrrjm SEDSHOff SHROM CHE=VALVE- P)?O v MAY ASolvc OUN CrVPJrAL3 Jaw team= --NoW. Saptk required zy IAJAC chaapUr 246-272C plOURE 2 0 e a.,&.P�-of,e p t a g e e r must be on the Deept Qxxau. Sepfic `�eeigno r �, INSTALLATION 8z MAINIT:NANCE •n , siooaaa a Pressure Distribuhoa Systems-Bed .u�t� " PAULA JOY JONNSON . 1, Install Laterals with contour of the ground. 'Cu >:hn 'tGN•p" 2, Install bed bottom level. °f X 3. Install locator tape or rebar at each end of all drainfield laterals. 4, Install observation ports as indicated on the plot plan. Minimum of 2 required in each bed with bottom extending to the drsinrock/native soil interface. Glue'r'to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. must be 5. Install drainfield during dry weather and soil conditions; any soil smearing eliminated by hand taking. 6. Install threaded clean-outs at the end of all laterals(cap must extend to within six inches of finished grade and be marked with locator tape or rebar). 7. Install audio/visual high water level alarm. Redundant off switch required. 8. install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft.surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank. Pull bio-tube every 6-12 months and flush back into tank. 9. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 10.Tee to Tee construction between laterals and manifold with orifices oriented at 6 o'clock. Install laterals to the manifold with the orifices at 12 o'clock, (do not glue),after pressure test and Environmental Health Dept approval,turn orifices down(6 o'clock)and glue laterals to manifold. Orifice shields may be used with orifices in the 12 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 11.Filter fabric required over drain rock prior to back filling. If the drain rock extends above natural grade,run the filter fabric at least 2 inches down the trench wall. 12.Encase all water lines within 10' of drainfield and under any driveway/parking areas. 13. Divert all storm water runoff away from on-site sewage system 14.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area 15.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years. 16.No vehicular traffic over drainfield area. 17.Inspect floats, clean filters,and test high water level alarm every 6-12 months as needed. 18.All materials and workmanship must meet County and State regulations. 19.Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 20.All manhole lids and access,sampling or inspection ports must have locking covers and be located at ground level. 21.All pressure systems with a pump chamber outlet higher than the drainfleld must have a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. 22.All transport lines under driveways or parking area must be encased to prevent meshing. 23.Homeowner is responsible for all property lines. PPROVE g � �1ASON MAY 16 20?4 COUAtTy fNVI 41 J81V A(NEALTr