HomeMy WebLinkAboutSWG2025-00107 - SWG Application / Design - 3/31/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
FHA,
BELFAIR:360-275-4467,EXT 400
3 Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00107
APPLICANT LAKE LIGHT LLC Phone: 206 778 3949
Address: 37829 37TH AVE S AUBURN, WA 98001
OWNER LAKE LIGHT LLC Phone: 206-778-3949
Address: 37829 37TH AVE S AUBURN, WA 98001
SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287
Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380
Site Address: 51 E Herron PI
Primary Parcel Number: 220185400081
Permit Description: New 3-bedroom pressure system with NuWater BNR-500 ATU
Permit Submitted Date: 03/31/2025
Permit Issued Date: 06/11/2025
Issued By: David Anderson
Current Permit Fees Paid: $720.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/17/2028 (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 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 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: 3, 3I I a'0 5 . D
0117 COMMUNITY SERVICES AMOUNTA RECEIVED: IECE D Y:
Public Health(Community Health/EnvironmentalHealth) . m
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360-427-9670,ext.400 a 360.275-4467,e5[400 x
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415 N.6th Street-Shelton,WA 98584 S d\/G �; ,5 - 00 t 0R- o
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CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE m
LAKE LIGHT LLC, 206-335-3689 7
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MAILING ADDRESS-STREET.CITY,STATE,ZIP CODE
37839 37TH AVE S AUBURN WA 98001 1 m
-SITE ADDRESS-STREET,CITY,ZIP CODE
Herron PI, Shelton WA 98584 p l(N)
NAME OF DESIGNER PHONE
Jim Zimny 360-516-7287 IN
NAME OF INSTALLER PHONE v I (1
_ �V/
DRINKING WATER SOURCE N I 1
PERMIT TYPE(select one) O
F1 RESIDENTIAL OSS n COMMUNITY OSS fl COMMERCIAL OSS ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL ZI M
TYPE OF WORK(select one) 2 PUBLIC WATER SYSTEM V
H NEW CONSTRUCTION/UPGRADES I-1 REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR b I(/1
❑ SURFACING SEWAGE ❑EXISTING FAILURE ❑ SHORELINE
SUBMITTALS W S
34 DESIGN FORM(REQUIRED) W1 SEPT)C DESIGN(REQUIRED) BEDROOMS LOT SIZE
3 9625 Sq ft
'] WAIVER(S)(IF APPLICABLE) O t
Io
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gale)
Traveling North on HWy 3 take a rt on E. Agate Rd. In 3.8 Mi take a left on E.Aagte Rd. I o
In 1.6 Mi take a left on Timberlake Dr. In 350 ft take a Left on E Herron DR.in .2 mi take a
left on E Herron Pl. lot is on the left in 100ft. marked with pink Ribbons. ° I O
Follow to test holes. r
IC'
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED W?H TEST HOLE NUMBERS. I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
p 71 7"-s:o- le' IAd f ( e3)
i istre rt-5z" t.4 Med$ (Ty1- ►) to bolifiel
Iltt: 0_ 16 G titecl 5
rt,-Z Iced S L,f Pockets 04 (T ota5
? -4 i"eiJ , +d bo't"'1
7 ft3:o_5C(t1 (ma, fa bo fork
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.
INSPE IGNATURE DATE APPLICATION EXPIRATION DATE APPLICATIO PPROV D/ISSUED BY DATE
( / (7/?ôc
` (1l f zvl /l1/70 2-5
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12(7/2015
Re_ &es;-5,-i ' zzelg-'y . c)oo8ti
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2- 2- ' ' 2- 2 2 2 2
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 2025-00107 Designer's Name: 1 Jim Zimny
Applicant's Name: Lakelight Ilc Designer's Phone Number: 360-516-7287
Mailing Address: 37839 37th Ave s Designer's Address: 7178 Windflower pl nw
Auburn wa 98001 City State Zip Seabeck WA 98380
CLEAR FORM desi nS@IC •►• cornCity State Zip Designer's Email a Pd 9
DESIGN PARAMETERS
Treatment Device Plf D1IMrov(4// sib
❑Glendon 0 Sand Filter 0 Mound 0 Sand Li)ed Drainfield 0 Recirculating Fijltter 0 ATU 6N R.N 5 1 L1°tem
Treatment Level(check all that apply): 0 A gia B 0 C e BL1 L°i BL2 Lai BL3 CSI N RFCp ✓ 02
5
/60
Drainfield Type
❑ Gravity Et Pressure N'Trench In Bed ❑ Sub Surface o '
Septic Tank/Drainfield Specifications Laterals it t-
Number of Bedrooms 3 - Schedule/Class ,. 3034 $Ck'4Q pe
Daily Flow:Operating Capacity 270 gpd Length .4. t•► 35 . ft/ r'
C6r.
Daily Flow: Design Flow 360 gpd Diameter�, I... jsZ S At's' in
, Septic Tank Capacity(working) MR: 500 gal Number �P • .0► 3
ReceivingSoil (1-6) 1 Se . .� y 41 3033 �"i�► 5' CTC ft
Type P , . ..u,MZm,ry •
� LICENSEd DESIGNER
Receiving Soil Appl. Rate f01��a 1.2 gpd/ft2 �.""'`�.. %%%%% •mow, Orifices
Required Primary Area 300 ft2 Total Number of in i es 24
Designed Primary Area 300 ft2 Diameter 1/8 in
Designed Reserve Area 300 ' ft2 Spacing ! 60 in
Trench/Bed Width 3 I ft 1 Manifold
i
Trench/Bed Length 105 ft Schedule/Class sch 40
1 Elevation Measurements Length 2 ft
Original Drainfield Area Slope 5 % Diameter 2" in
New Slope, If Altered 5 % Preferred manifold configuration used? it Yes 0 No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Down-slope 15 in Schedule/Class sch 40
Designed Vertical Separation 24 in Length
25 ft
Gravel-based Drainfield Required? 0 Ycs e No Diameter 2 in
Pump Required? eYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump&Uppermost Orifice 6 ft Dose quantity 45 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1000 gal
Uppermost Orifice l'Higher 0 Lower t p Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head gpm ! Timer Fr Elapse Meter Q( Event Counter
Calculated Total Pressure Head 15.3 ft If Timer: Pump on 1 min 20 secs ,pump off 4 hrs
Comments
Revised:4/14/2025
DESIGN FORM-PAGE TWO Assessor's Parcel Number; 2 2 2 2 2 ---2 2 - .2 2 2 2 2
Permit Number. SWG 2025-00107
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
P, Test hole locations 0 Drainfield orientation and layout Reference depth from original grade:
O Soil logs Lot Trench/bed dimensions and Er Septic tank
0 Property lines critical distances within layout 0 Drainfield cover
0 Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 0 Septic tank/pump chamber ` and restrictive strata:
O Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and
surface water and critical areas 6a Observation port location bottom
0 Location and orientation of 0 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 0 Manifold placement 1 0 Sand augmentation
components El' Orifice placement ! Other cross-section detail:
O Location and dimension of15 V Observation ports/clean-outs
primary system and reserve area Lateral placement with distance
to edge of bed 1 Other Information
0 Buildings V Audible/visual alarm referent ed Yes No
gDirection of slope indicator 0 Scale of drawing shown on s�Cale 0 ifr Design staked out
O Waterlines bar 0 Lg Recorded Notices attached
O Roads,easements,driveways, El Elevation benchmark and relative 0 0 Waiver(s) attached
parking elevations of syst .i components 0 0 Pump curve attached
0 North arrow and scale drawing : •ir 0 10 Evaluation of failure
shown on scale bar �"" V4
.� Non-residential justification
...co ..# 0 0 Waste strength
�� "4 x "tA 0 ❑ Flow
The undersigned designer must be notified b , n I. ler at time .F installat,on liYes 0 No
S-26-2, ' : N
Signatur; /, •, igner Date di '')
The undersigned has reviewed this design on behalf of Mason County Public Health and deter`rnined if' ilae in
compliance with state and local on-site g lations: &Nry 1I 1 c:O
1 (/// 25 (4'4, <711
Envi nmental Health Specialist Date O�'9 o��4/7gl
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: -Y/45,
✓ The design is stamped "Approved"by Mason County Public Health. LI I I ��,�r17
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✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: W v
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note: The system must be installed y a certified installer,
unless prior authorization is obtained from ason 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
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Advantage Perc & Design
Timely-Reasonable-30 Years of Local Experience
Construction Notes for Pressure Distribution 3 Bedroom System:
Pressure Distribution w/graveless chambers (Rock and pipe may be substituted)
Install 3-35' Laterals of 1 1/4" sch 40 PVC pipe.
Install on 5'foot centers.
1/8" Orifices on 60" centers beginning 30"from the beginning of the lateral and oriented at 12 O'clock.
Install 12" trench depth on low side of trench and maintain 24" of vertical separation
Install level and along contours.
Only Install in dry weather only.
Use 500-Gallon trash tank, 1000 gallon BNR-500, and 1000 gallon pump tank.
See pump Chart for Pump Specs
Use Nuwater 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
Properly abandon existing septic tank and document
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FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS
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STONE-FREE NATIVE SOIL
OR COMPACTED SAND
INSTALLATION INSTRUCTIONS OVER STONY SOIL
1)Excavate tank hole with vertical walls to 1 foot larger than
tank on all sides.
2)If bottom of hole is stony,Install 3*of compact sand&level 9'-2- 4.
out with screed. .- -- \
3)Install tank In center of hole,keeping 1 ft.void space on -1 f-
all sides. I 24'RI ERS) ) 24'BLOWER
4)As tank is filling with water,fill in void space with compact I ()USING CAS
N TOP OF LI
granular(sandy)soil free of large dumps of clay. I I I I
5)install rest of system,&affix risers to adapters WWI.. , I I I
waterproof adhesive. [ i I I _tic)
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6)Perform watertightness test in field as required by loot w I i i
Jurisdiction. 12'RISER
7)Upon approval to backfill,caret lly backfill with ve ., I i 1,
soils over top of tank. 14g.ppn^. Uj1/ � II pSFSrFE II�e l
8)Final grade the surface to avoid CffiYlb�li surfaod / '' L - J
water toward tank. —— — — — '— -- - - - — -- J —
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"1,.. nh,.,,s�`� P.O.BOX 321161,Flowood,MS 39232 SCALE:
(877)836-8476 (601)845-4716 fax 1" = 1.4 ft.
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A DUAL PORT AERATOR M POLY DIFFUSER BAR(2)
H 17
B 3/8"RUBBER 90'W/CLAMPS(2) N 1"PVC(3 1/2"SECTION)
111
C 3/8"BARBED ADAPTOR X 1/2"NPT(2) 0 1"SLIP CAP
D 1/2"SLIP X 112"NPT ADAPTOR P 1/8"CLEAR PVC HOSE(OPTIONAL S')
E 1"STREET X 1l2"NPT BUSHING(3) Q 1/2"PVC PIPE(BY INSTALLER)
F 1/2"90'ELBOW(3) R 1"PVC PIPE(BY INSTALLER)
G 1"X 1"X 1/2'TEE S 2"PVC PIPE(BY INSTALLER) �< I
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H 1"90 ELBOW(3) T 1/8"BARBED ADAPTOR TO 1/1`NPT(2)
12"X 1' BUSHING U 1/2"STREET X 1/4"NPT BUSHING(2) 1' . ly
J 2"SANITARY TEE V 1/2"PVC COUPLER(2) � Jn os, m "I.
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Pump Selection9
Parameters
Discharge Assembly Size 2.00 inches I I I I 1
Transport Length 30 feet
Transport Pipe Class 40
Transport Line Size 2.00 inches g
Distributing Valve Model None
Max Elevation Lift 10 feet
Manifold Length 2 feet
Manifold Pipe Class 40 80 ,
Manifold Pipe Size 1.25 inches
Number of Laterals per Cell 3
Lateral Length 35 feet
Lateral Pipe Class 40 70
•
Lateral Pipe Size 1.25 Inches ...
Orifice Size 1/8 inches
Orifice Spacing 5 feet 11. .
Residual Head 5 feet G 60
Flow Meter None inches N t }
'Add-on'Friction Losses 0 feet leit
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Calculations o 50
Minimum Flow Rate per Orifice 0.43 gpm
Number of Orifices per Zone 24 a.
Total Flow Rate per Zone 10.4 gpm G 40 .
Number of Laterals per Zone 3 C __
%Flow Differential 1SULast Orifice 0.2 % t—
Transport Velocity 0.9 fps
30
Frictional Head Losses
Loss through Discharge 0.2 feet
Loss in Transport 0.1 feet 20
Loss through Valve 0.0 feet
Loss in Manifold 0.0 feet
Loss in Laterals 0.0 feet
Loss through Flowmeter 0.0 feet 10
'Add-on'Friction Losses 0.0 feet
Pipe Volumes • I = I ! !
Vol of Transport Line 5.2 gals 0 0 20 40 60 80 100 120 140 160
Vol of Manifold 0.2 gals Net Discharge(gpm)
Vol of Laterals per Zone 8.2 gals
Total Volume 13.5 gals
Minimum Pump Requirements PumpData Legend
Design Flow Rate 10.4 gym PFEF50 Effluent Pump System Curve:—
Total Dynamic Head 15.3 .-'feet/IN4 1/2HP,115/230V 10
Pump Curve:
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® Pump Optimal Ranger
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41 101. AA Operating Point:
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FN C i 1. Design Point:
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