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SWG2025-00089 - SWG Application / Design - 3/25/2025
C 1 t MASON COUNTY 415NBSHELTON:STREET,SHELTON, -96M,EB8584 ® SHELTON:3604761A67.EXT 400 BELFAI0.:380.2]5-d487,E(T 400 Public Health & Human Services ELMA:38b4a2-5269,EXT doh FAX:36(1427-7797 On-Site Sewage System Permit: SWG2025-00089 APPLICANT LOW BRENT&SOPHIA Phone: Address: 440 W BULB FARM RD SHELTON,WA 98584 OWNER LOW BRENT&SOPHIA Phone: Address: 440 W BULB FARM RD SHELTON,WA 98584 SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON,WA 98584 Site Address: UNKNOWN Primary Parcel Number: 519144190010 Permit Description: Conforming repair 3bd pressure bed Peril Submitted Dale: 03/19/2025 Permit Issued Date: 03/27/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $825.00 (addidewl we may be reaured upon adderslbn o0yslem). Permit Expiration Date: 03/25/2026 (eased w dale a nap"on) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staBper Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslops depth speed on design form. 4 Installeris responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic DesigneNEngineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED, FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masonwuntywa.govlheattWenvimnmentallonsiteloss-inspection-request.php or call: 360-427.9670,extension 400. OFFICIAL USE ONLY pgTF WANED: COUNTY O3 2015 c w COMMUNITY SERVICES °° (A PuhliaX«hM1 ltom unity NeakNEnn onmmtal HeekM1l R N SWG 2015 - _ o A Z 41 ON-SITE SEWAGE SYSTEM APPLICATION 3 A m m APPLICANT %ZONE r BRENT LOW 360 451-1633 MAIUNGADDRESS STREETCWSTATE,ZIPCODE �+ 440 W BULB FARM RD SHELTON WA 98584 SITEAOORESS�STREET.CITY ZIP CODE 440 W BULB FARM RD o� SHELTON WA 98584 °f SAME OF DESIGNER PHONE CINDY WAITE 360-701-0205 NAME OF IN$TµLC PHONE JA R w PERMITTYPEryeMYane) DRINKING WATER SOURCE O RESIDENTIAL OSS FICOMMUNITYOSS IICOMMERC DES 9 PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARW WELL Z IA IRE OF WORK pa4 .) Cr PUBLIC WATER SYSTEM 1 ETNEWCONSTRUCTIONIUPGRADES ITREPAIRIREPLACEMENT OTHERDETALS(SISSSIretaaWI []TABLE IX REPAIR I IA SUBMITTALS ❑ SURFACING SEWAGE m EXISTING FAILURE ❑SHORELINE DESIGN FORM(REQUIRED) KSEPTIC DESIGN(REOUIREO) SEDRWNS LOT SUE - ElWAIVER(S)(IFAPPLILABLE) 12+ACRES x I DIRECTIONS TO SITE AND$IIE CONDITIONS (BY band ING) (�`o GO OUT CLOOUALLUM ROAD, TURN LEFT ONTO BULB FARM ROAD, TURN RIGHT INTO DRIVEWAY AT THE 90DEGREE LEFT TURN, SOIL LOGS ARE BY THE BARN. r EXISTING SYSTEM IS A 50 GALLON BARRELL LAID SIDEWAYS WITH MINIMUM O _o DRAINFIELD. 5?EMUSI BE FLAGGE°FROtl YAW RMDANGTESThOLE$YU.4TIEFLADfiED hTTMTESi HOLENUY9ER5 I o OFFICIAL USE ONLY BELOW THIS LINE UPGPADEIFNWRE50VRCS(lw Y—Y,Slm ) ❑VOLUNTARY []MAINTENANCEIPUMPING O BUILDING PERMIT ❑HOMESALE OCOMPLAINT OOTHER' INSPECTOR SOIL LOGS COMMENTS/CONDITIONS RAV04v- elowk* OVA -�i-I�• anti ���.� ,�'W- �°-►�''L'� w0.00dlS W RE 0 DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S•SAND I L-LONE $i=SILT C=CLAY E•EKTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL INSPEODR SIGNATURE DATE AFFLICAnm EtFIRATION DATE APPLICATIONAPPROED'V ISSUED BY GATE THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED,Nimis DESIGN FORM—PAGE ONE Assessor's Parcel Number: 5 1 9 1 4 _ 4 1 — 9 0 0 1 0 q) A design will be reviewed when 3 conies of each of the following are submitted: f Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist •Sealed plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist. Thle fdsn may be Seamed and available for ubllc vkw on the Mellon County Web albs.Maximum Puri size: I! 'X IT' •E71 ARCEL IDENTIFICATION JPermir .Number: SE>G /_O?6 _C)DO o/ Designer's Name: CINDYWAITE Applicant's Name: dRENT LOW Designer's Phone Number: 960.70M205 Mailing Add:ess: 440IN BULB FARM RD Designer's.Address: SQ E PICKERINTG.LANE SHELTON WA 98* SHELTON WA QNN C;' State ZI city State Zip ➢ESIGN PARAMETEB6 Treatment Device ❑Glendon 2;ofihi f 13 wend Finer 13.Mound ❑Sand Lined Draimiald O Recirculating Filter,Type. ❑Aerobic Unit Mnke/Model 17 Disinfection Unit Make/Model Other: ❑Gravity ,./ Drainfleld Type y Ira Pressure Sr Trench Cl Bed a Sub Surface Drip Septic TanklDrainfteld Specification Laterals Number of Bedrooms 3 Schedule/Class SCHEDULE40 Daily Plow: Operating Capacity 270 gpd Length 45 111 Daily Flow Design Flow 360 gpd I Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Numb 3 Receiving Soil Type(1-6) 3 Sep&^ ft Receiving Sent Appl. Rate .8 gpd/ftz Orifices Required Primary Area 450 }ja T rifices 7 2 j Designed..Primary Area 4— 5_50 1� pq� 3/16 in Designed Reserve Area 450+ ft' It 60 j n Trench/Bed Width 10 ft CiNo u t IT ,u. Maoil'old U E E Trench/Bed Length 45 ft E%i'iaES YtOi Elevation Measurements Length Original Drainfleld Area Slope 3 /v Diameter in New Slope-If Altered % Preferred manifold configuration used? C3 Yes OfNo Depth of Excavation 6 in Transport Pipe from Original Grade Domn-slept 24 ft 1��I � in ScheduldClass SCHEDULE 4p IY 1 Designed Vertical Separation 247 in Length 5.10 Graveness Chambers Required? ❑Yes O No 12 Optional Diameter 2 in Pump Required? Rf Yes ❑No Dosing and Pump Chamber Pomp/Siphon Specifications Number ofdoses/day 6 Diff in Elevator.Setween Pump&Uppertnes Orifice, 8 ft Dose quantity 45 gal q ➢rainfield Squirt Height/Selected Residual(head) (i ft Chamber Capacity(flood) 1475 gal I.UppermosrOnfice❑ Higher ❑Lower than Pump Shutoff Pump controls: Please check those required. Capacity Q Total Pressure Head 16.93 Spin MITimer GdElapse Meter lif Event Counter Calculated Total.Pressure Head 10.04 ft If Timar: Pump on -Pump off 1.Comments CONCRETE TANKS REQUIRED, GRAVEL BASE DRAINFIELD REQUIRED,TANKS SHOULD BE SET TO ALLOW GRAVITY FROM (EXISTING aARN AHED PROPOSED KENNEL, FILTERS TO BE USED ON ANY WASHING STATION TO PREVENT HAIR GOING INTO THE SEPTIC TANK, PUMP CONTROLS 70 BE SET AT TIME OF INSTALLATION.270 GALLONS PER DAY tIESIGN FORM—PAGE TWO Assessor's Parcel Number:5 1 9 1 4 _ 4 1 -- 9 0 0 1 0 Permit Number: SWG i DESIGN CHECKLISTS seated Plea Plan Sewed Layout Sketch Cross-Section Sketch Id Test hole locations 95 Drainfield orientation and layout Reference depth from original grade: id Soli logs 56 .Trench/bed dimensions and Ef Septic tank 111i Property lines critical distances within layout la' Ft ffrmg and proposed wells �� ox/Valve box locations Drainfield from, cover within 100 ft of roe Reference depth from original grade property rtY I � tic tank/pump chamber and restrictive strata: [a Measurements to cuts, banks,and ilocations Pf vl 69 Laterals, manch/bed,top and staface water and critical areas lid bservation port location (17 bottom � cation and orientation of � lean-out location ❑ Curtain drain collector curtain.drain and ail absorption 66 Manifold placement ❑ Sand augmentation components m. Location and dimension of Ed riYice placement Other cross-section detail: Primary.system and reserve area 9 etal Placement with distance lig Observation ports/clean-outs to edge of bed Buildings, Other Iaformatioa a Direction of slope indicator lidAudible/visua�alarm referenced Yes No Waterlines Ed &ca!e of drawing ss i'oTn on scale It ❑Design staked out b�. ❑ ❑ Recorded Notices attached Ed Reads, eacemems,driveways, ❑ ❑Waivers)attached padetr�g Qf ❑Pump curve attached Noriharraw and scale drawing ❑ ❑ Evaluation of failure shown ar,scale oar Non-resldeatial justification ❑ ❑ Waste strength ❑ ❑ Fiow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation Ed Yes ❑ No GLr/ 2 ea - SigniltumWiDesigner Data The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance evith state and local on-site regulations: 3/2-711-(�- Environmental Health Specialist 1 Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 1 ✓ The Onsite Sewage Permit has not expired, the Permit Expiration Date is: 312SII?�_ ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system rrst be installed by a certified installer, unless prior authorization is lobtained 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. Updated Date: 12/7/2015 �3 'tr °B �� y $e $yp �' s as'§ gE ff k )p @ i9It12 4 I---I RRy IE f 1 ` I I � � � Jam' ,ry.;• i (�' � I �I C � �@ °9 � n Y gp AP R04D tSjNQ* 27 2025 q4� 2 . . . RET A'LTHss W x�r9 pp gg =�e�IN jj k / e p s gg-p66 Q $gqq88 _ `eac p p p pdQ4z mQ letR � .ag . °ep ` i.. ..j..B4l � Qf yy Rp. E Q �fls 4 a . zii ;4 • •o, 1 �SFdi a: k��C �� �.�e£811 41 �G�f�Q��i 99�� °'?_°-.:. 9 l n vm m 4dSb�J� '.I.'LMe t PPROVEID� j ƒ }4 ) A R 2025a & MASON COUNTY ENORONMENTAL HEALTH ® RET \ \/\ 2 \ | \ . # ) ? $ § e } / \ k2 I K 2 ^ i { \ r { / 2 < $ a ; < \ : - - \ ) \ \ \ } } { / a % > « E ] ea4) 0 E tCL * ® • \ 3g ) f ) / arL = �: a ' ® ww ¥ w \ & coca © \ . . . | ^� \ � . . ° ® I � ORIFICE SPACING 5 Lateral# Length Length Orifice # Distance from Distance from end Length# # (Feet) (Inches) Spa Orifce5 feeder line of end of lateral i' 4S 540 60 9 2.5 2.5 45 2 45 540 60 9 2.5 2.5 45 3 4S 540 60 9 2.5 2.5 45 41 0 135i J27 130 TRANS LENGTH 10 CiP'MI 15.93 K (2" SCHEDULEN 40)r,. , 284.5 FRICTION LOSS Squirt I 2I I Elevation difference 8 TOH 30.048331 i 7nb 0 TRENCH CROSS SECTION 3x } St00E18 �'E O LI R gg ExowB 'JSM10 J-` Ie pf -706 APPROVED y 1II MAR 2 7 2025 MASON COUNTY ENVIRONMENTAL HEALTF RET DRAINFIELD LAYOUT Sal 4-0 GOI2xver D.� 1?�f/i fumy -('auk 241, ap a yN E ware DESIGNER ExviRFS o5n0i ' X7=CLEANOUTIOBS PORTS(3) SL! (, - yp° LS X2=D BOXIVALVE BOX SL 2 (> X3=Check Valves 4(> T rr a7y �4ti� X4=Flow Controlva v090 IN1Ilul X5=Soi' Logs �eS�'[vae 4rmt, APPROVED MAR 2 7 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET APpROVED AN SON COUNry 1015 EREi°NMEh'rA(HEALTH C LE.wAITE. LICENGED DESIGNER J'MgES ObN THREADED CAP OR PLUG ✓Qt•��' 6"PVC LAST ORIFICE; WITH j ORIFICE SHIELD$IF ORIFICE ORIENTATION IS BACKFILL UPWARD MATERIAL O O O �� PRESSURE LATERAL I PVC HOSE OR Q°o C "' *0 o AS SPECIFIED LONG SWEEP \v a o oO ELBOW ` , \�''\ �\ � ORAIN ROCK;S"MIN. UN018T1:rt8ED SO SELOW PIPE 6"PVC WITH DRAIN HOLES; E%TEN TO BOTTOM OF TO MONITOR P 1 INFILTRATIVE SURFACE MONITOR Np yyI//LL ym CINDV E4WAITS LICENSED DMGNEI ?xh.13 ]4 id, y s -O SECURED LID WITH GAS TIGHT SML n i1 1 24'DIAMETER Z 9 V AG"88 RI88R FINISNORADE 10 y O x % r a —�Ta PLOP s Y ROM.aMMAGE alulmm EODRDE. IgOAnA�MAT APPMV= BVLUW 3T y, RL `o amlMcrre ACE PT LICDESIGNER yti�e;A..j3'c�j, Lxl-.Ls j Q GNDY E.WAItE. T' LICENSEp DESIGNER SECURlD/yWD WITN.y18TIGNT SEAL e � [xNiv[s as.loi TMIBANO' ION �'OIAMSTBR RMMN 8AA0E _ i ACGESSR!SER URVIOE VALVE• RRGMEfd�1f0 t G Z TAMi1 \�,—1 TO GRAWRELD h - T ANT NwxwATER ALARM LBVtt VALVE. vva WORNINpV ME RKIIIIIIIINDENTm NORMAL TIMEN OFF LEY@I, ', _+ FLOAT am ENOL"O UMP FOR FLOAT SEDIMENT BH A OUD• MOUN CNICR VALVE IB" SWIM TS BURMSRSIStJ 03NTR2FI9AL PULP �,�Mff f'y Aya� 'ASNSEDSG j rJ i i '� i �F e . rtyPumps- �Pu �np Specifications `' CI�Ii��II�� 250-Series Subme=rsible Sump ! Effluent Pump ui �. ., iii•iiii �►7iiiii ' 49 Vaiii►�ii MASON c iliiiii►�i ' �Ilr iiii Installation Notes Pressure Distribution System: 51914-41-90010 440 W Bulb Farm Rd The prepared site plan is not a e rvey. It's the owner's responsibility to verify property lines, utility lines (water, se er, power, phone and gas) prior to installation. 1. Concrete tanks required 2. Gravel base drainfield required 3. Timer to be set at 270C-PD 4. Keep wheeled vehicles off tf e drainfield area before, during and after installation. Tracked equipment only 5. All ground, surface water an I roof drains must be diverted away from the septic tanks and drainfield. Ensure the fir al grade slopes away from these areas and water doesn't collect on or around them. Upe swales, berms, catch basin and tight lines, curtain drains, etc. to divert all waters. L1 6. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield 7. Exposed restrictive layers, c ts, banks, etc. can be no closer than 50' downhill from the drainfield. B. Install access risers on the septic tanks, valve box and ends of laterals. S. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 10. Lids must form a water and gas tight seal with the access risers. 11. Install effluent filter specified in this design at the septic tank outlet. 12. This system must be installe by a Mason County Certified installer. 13. Deviation from this design wtthout prior approval from the designer and Mason County Health Department will make)This design null and void. 14..This design was sized per"ashington Administrative CodeWAC246-272A-0230. The operating capacity is based n 45 gallons per day per capita with two persons per beorcom. The minimum desi gn flow per oedroom per day is the operating capacity of ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred twenty ga,.ons per day. This reates a surge factor of 33% but anticipated flow is ninety gallons per bedroom per day 15. Install Laterals with contour o the ground. 16. Install trench bottoms level a d always maintain a minimum of six inches into native soil.. 17. Install t'nraaded clean outs the ends of all laterals (caps must extend to within six inches cf finish grade and be in a valve box as shown on diagram. 18. Install audio/visual alarm. 119. Filter fabric required over dra n rock prior to backfilling. If the drain rock an above the original grade, run the file r fabric at least 2 inches down the trenc I in - riginal MAR 27 2025 �bhl s 1A801C UNTYEN4IRONMENTALHEALTH � ucE"ueo`os"5 � RET R« Syste Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason County Health Department. 2. The septic tank and pump taink should be pumped every three to five years or as needed. 3. System owners are responsible for having maintenance performed annually. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owners shall not at ny time change or alter settings in the control box. 6. System owner agrees to red and abide by information regarding their system in the User Manual provided by Mason County Public Health. 7. Keep the flow of sewage at or below the approved design operating capacity. B. Keep waste strength at resid ntial waste strength parameters. 9. Spread loads of laundry throigh the week. 10. Do not use excessive bleact or detergents with added whiteners. 11. Do not shower, do laundry aid dishwasher at the same time 12. Antibiotics can kill or impair t is biological process in the septic tank. 13. Laary plumbing can hydrauli overload your on-site septic system. � a+e�p V E WARE LIC¢ENSENSEn OES�GNER t avu. APPRp ED MAR 27 25 MASON COUNTYENVIRO ONTAUHEALTh RET