HomeMy WebLinkAboutSWG2025-00154 - SWG Application / Design - 5/19/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
A 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: SWG2025-00154 tj )
APPLICANT FRASER JAMES & MICHELLE Phone: 425-765-9537
Address: 10131 NE 116TH PL KIRKLAND, WA 98034
OWNER FRASER JAMES & MICHELLE Phone: 425-765-9537
Address: 10131 NE 116TH PL KIRKLAND, WA 98034
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 531 N MOUNTAIN VIEW DR
Primary Parcel Number: 422095400095
Permit Description: Conforming Repair/upgrade to 3bd sandlined bed
Permit Submitted Date: 04/28/2025
Permit Issued Date: 05/19/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 05/02/2026 (based on date of inspection)
Permit Conditions:
1 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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY DATE RECEIVED: b , / AY - Zo
,l. COMMUNITY SERVICES //y�J/�-/�/��� CO Cl)Cn
AMOUNT RECEIVED:/((��� RECEIVED BY. / _" — C
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Public Health(Community Health/Environmental Health) (n
415 N. th Street
et.400Sht ot n,3 WA78M67,ext.400 2'O — `'�,� /�' / co
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ON-SITE S A A GE SYSTEM APPLICATION n a
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APPLICANT PHONE m
JIM FRASER 425-765-9537 r-
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE N `
10131 N E 116TH PL KIRKLAND WA 98034 z
SITE ADDRESS-STREET.CITY.ZIP CODE N
531 N MT VIEW DR a ci..' I' . HOODSPORT WA 98548 I
NAME OF DESIGNER ' PHONE I N
CINDY WAITE 360-701-0205
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NAME OF INSTALLER CO PHONE v I IV
DRINKING WATER SOURCE - I o
PERMIT TYPE(select one) Q
pr RESIDENTIAL OSS h.-COMMUNITY OSS F COMMERCIAL OSS 6 PRIVATE INDIVIDUAL WELL 6 PRIVATE TWO-PARTY WELL Z I
TYPE OF WORK(select one) I PUBLIC WATER SYSTEM LAKE CUSHMAN
t� I
Pr h-NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) El TABLE IX REPAIR I (xi
SUBMITTALS�MI El SURFACING SEWAGE 21 EXISTING FAILURE 0 SHORELINE
1„ DESIGN FORM(REQUIRED) V SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE COI
�j WAIVER(S)(IFAPPLICABLE) 3 76'X138 a I o
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate)
GO TO LAKE CUSHMAN, TURN LEFT ONTO CLUBHOUSE WAY, TURN LEFT ONTO N I o
FAIRWAY DR, E, TURN LEFT ONTO N MT VIEW DR, FOLLOW TO ADDRESS, PARCEL -I r- I 0
IS ON THE THE LEFT SIDE, SOIL LOGS ARE IN FRONT OF THE RESIDENCE
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I U1
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS r CONDITIONS
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RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
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THIS FORM MAY B SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN'FORM=PAGE ONE Assessor's Parcel Number: 4 2 2 0 9 — 5 4 — 0 0 0 9 5
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: II"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG Zb 2 f:DO/Sy Designer's Name: CINDY WAITE
Applicant's Name: JIM FRASER Designer's Phone Number: 360-701-0205
Mailing Address: 10131 N E 116TH PL Designer's Address: 80 E PICKERINTG LANE
KIRKLAND WA 98034 SHELTON WA 98584
City State Zip City State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter 0 Sand Filter ❑ Mound IFISand Lined Draintield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model Cl Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity fi 'Pressure 0 Trench 1Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCHEDULE 40
Daily Flow: Operating Capacity 270 gpd Length 36 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1200 gal Number 4
Receiving Soil Type(1-6) 1 Separation 2 ft
Receiving Soil Appl. Rate 1. gpd/ft2 Orifices
Required Primary Area 360 ft2 Total Number of Orifices 60
Designed Primary Area 360 ft2 Diam r 3/16 in
Designed Reserve Area 360 ft2 Spa 30 in
Trench/Bed Width 10 • ft Manifold
Trench/Bed Length 36 ft ed le/
OF 4S y s� . p
It~.yi s
Elevation Measurements .. Seli�'
Original Drainfield Area Slope >1 % ...Diat1 2 i°fj, in
5100418
New Slope, if Altered °/ cy, PrerknreviAtralifolt figuration used? 0 Yes gNo
L CENSED DESIGNER
Depth of Excavation Up-slope 39 Transport Pipe
from Original Grade Down-slope 39 in xSchedule/Class SCHEDULE 40
Designed Vertical Separation 25+ in Length 10 ft
Gravelless Chambers Required? 0 Yes 0 No 0 Optional Diameter 2 in
Pump Required? 55 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump& Uppermost Orifice 10 ft Dose quantity 45 gal
Drainfield Squirt Height/Selected Residual (head) 2 ft Chamber Capacity(flood) 1200+ gal '`q
Uppermost Orifice ffif Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 35.4 gpm litTimer [1 'Ela se Meter p btif Counter
Calculated Total Pressure Head 12.21 ft If Timer: Pump on ,Pump off
Comments
GRAVEL BASE DRAINFIELD REQUIRD, CONCRETE TANKS REQUIRED, PUMP CONTROLS TO BE
SET AT TIME OF INSTALLATION.
UI,,l(,N l ORM—PAGE TWO Assessor's Parcel Number:4 2 2 0 9 -- 5 4 -- 0 0 0 9 5
Permit Number: SWG Z4)2f CQISY
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ell Test hole locations PI Drainfield orientation and layout Reference depth from original grade:
Et Soil logs EZi Trench/bed dimensions and Qf Septic tank
6d Property lines I critical distances within layout 611 Drainfield cover
existing and proposed wells Ili D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 6d Septic tank/pump chamber and restrictive strata:
I I& easurements to cuts, banks, and locations 12f Laterals, trench bed, top and
surface water and critical areas rilObservation port location bottom
GY4Location and orientation of Y Clean-out location 0 Curtain drain collector
curtain drain and all absorption p.. Manifold placement [YSand augmentation
components li- Orifice placement Other cross-section detail:
lid Location and dimension of
liii
primary system and reserve area Lateral placement with distance 12i Observation ports/clean-outs
to edge of bed
i21 Buildings Other Information
[>!'Audible/visual alarm referenced Yes No
Iii Direction of slope indicator
Bf Scale of drawing shown on scale RI 0 Design staked out
0 Waterlines bar 0 0 Recorded Notices attached
6t Roads, easements, driveways, 0 0 Waiver(s) attached
parking 0 0 Pump curve attached
0 North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by in alley at time of installation El Yes 0 No
C
Signatur f 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-site regu ' ns: ll�� r rY/) 1 \61am(��JrY � ILS--
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
V The design is stamped"Approved"by Mason County Public Health. 2--1 1
V The Onsite Sewage Permit has not expired, the Permit Expiration Date is: (.2..._I--a
✓ 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.
Updated Date: 12/7/2015
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ORIFICE SPACING 2.5
Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing " Orifices feeder line of end of lateral
1 36 432 30 15 0.5 0.5 36
-
2 36 432 30 15 0.5 0.5 36
3 36 432 30 15 0.5 0.5 36
4 36 432 30 15 0.5 0.5 36
144L 60 147.5
TRANS LENGTH 10
GPM 35.4
K (2" SCHEDULEN 40) 284.5
FRICTION LOSS 0.211643
Squirt 2
Elevation difference 10
TDH 12.211643
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APPROVED �4 oh'V
MAY ' 9 2025 ��
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X1=CLEANOUT/OBS PORTS C' 1', �����lft 1m • `„b0M•
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X3=Check Valves 0-1)
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X5=Soil Logs C?2 G„/ p J,/ rout*
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APPROVED
EFFLUENT
FILTER
SEDIMENTS
ROVED
OVED
MrpICALI MAY 19 2025
SECURE7 ID WITH GAS TIGHT SEAL MASON COUNTY ENVIRONMENTAL HEALTH
TMRIIMD UNION
24"DIAMETER
ACCESS RISER
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NORMAL TIMER OFF LEVEL - I FLOAT STEM
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Specifications
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280 Series 1 /2 hp .I,
Submersible Effluent Pump APPROVED
LITERS PER MINUTE MASON COUNTYEMAYN'VIRONMENTAL192025 HEALTH
40 0 50 100 150 200 250 12 RG I
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280 PI R010/7/2015 CCopyright 2015 Liberty Pumps Inc All rights reserved Specifications subject to change without notice
Installation Notes
Sand Augmented Pressure Distribution System:
42209-54-40095 511 N Mountain View DR
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. Pump controls to be set at time of installation 270 GPD
3. Install system during dry weather with acceptable soil conditions
4. Gravel based drainfield required.
5. Clean Course sand to be used.
6. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
7. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
8. All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain drains,
etc. to divert all waters.
9. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
10. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
11. Install access risers on the septic tanks, valve box and ends of laterals.
12. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
13. Lids must form a water and gas tight seal with the access risers
14. Install effluent filter specified in this design at the septic tank outlet.
15. This system must be installed by a Mason County Certified installer.
16. Deviation from this design without prior approval from the designer and Mason County
Health Department will makelthis design null and void.
17. This design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety
gallons per bedroom per day.;
18. Install laterals with contour ofMthe ground
19. Install trench bottoms level and always maintain a minimum of six inches into native soil
20. Install locator tape on top of all drainfield laterals.
21. Install threaded clean outs at the ends of all I rals (caps must extend to within six
inches of finish grade and be in a valve box own on diagram.
22. Install audio/visual alarm
23. Filter fabric required over drain rock prio ``bac . If the drain rock extends above
the original grade, run the filter fabric g i 9 down the trench wall.
APPROVED MAY 19 2025
MASON COUNTY ENVIRONMENTAL HEALTH
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System 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 tank 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 any time change or alter settings in the control box.
6. System owner agrees to read 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.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing can hydraulic overload your on-site septic system.
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5100418 N'
O� CINDY E WAITE
LICENSED DESIGNER
ExIINLS 0510!
APPROVED
MAY 19 2025 l�
MASON COUNTY ENVIRONMENTAL HEALTH
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