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SWG2025-00322 - SWG Application / Design - 8/12/2025
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 J` 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 Tank Only Permit: SWG2025-00322 APPLICANT CLARK BRIAN R&DIANNE P Phone: Address. PO BOX 683 SHELTON, WA 98584 OWNER CLARK BRIAN R &DIANNE P Phone: Address: PO BOX 683 SHELTON, WA 98584 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER THAD BAMFORD* Phone: 360-790-2364 Address: 301 WALLACE KNEELAND BLVD STE 224-332 SHELTON, WA 98584 Site Address: 321 E LAKESHORE DR EAST Primary Parcel Number: 220175000012 Permit Description: Replace old biomax unit and pump basin with Nuwater and pump tank Permit Submitted Date: 08/12/2025 Permit Issued Date: 08/15/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $270.00 (additional fees may be required upon installation of system). Permit Expiration Date: 08/15/2026 leased on date of inspection) Type of Work OSS Repair Components being Replaced: Septic and Pump Tanks Surfacing Sewage? No Existing Failure? Yes Shoreline? No Horizontal Setbacks Met? Yes Number of Bedrooms: 2 Drinking Water Source: Public Water System Additional Details: Nuwater BNR500 and pump tank Permit Conditions: 1 Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 4 Mason County Asbuilt Form, Record Drawing. and Installation fee must be submitted for final installation approval. 5 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 055. 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/OR DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. u--IL AL USE ONLN -MASON COUNTY V,, 03 - I • 0. 5 .I COMMUNITY SERVICES °i . 10 ilall o co PublicN I h y H h En,onmenta(+NI B, - (A SWG aaa5 - 0o3 o S Zrn ON-SITE SEWAGE TANK ONLY APPLICATION 3 A m 0 m APPuu.rt ^- r- Brian & Dianne Clark (360) 868-4452 z c k:..13 ADDRESS SREE CotSLIIE LP:ODE i -1 m P.O. Box 683, Shelton, WA 98584 "' :, a- A S TE ADLRESS-S.REET.Oa,ZIP 969E O N I N 321 E Lakeshore Dr E, Shelton,WA 98584 NAME OF D ESIeNE.R IP-":HE (I CD N Arrow Septic Designs, Inc 1 (360)898_2255 AE OF NS n1EP. ,-)-0,..., p o Bamford Septic Repair (360)790-2364 O C7 ' y N RK rt,a on l -9lnJKlr v WFEF... ..= � OPE DE Z o NEW CDNSRUD':ON I UPGRADES O REPAIR!REPLACEMENT ❑ .PRIVATE INDIVIDUAL -AL 0 PR = .ND-PARrVfL+ 2 J • O E sno HE aTALAC ❑ `IC WA EP tee. _ _ aBFPTL.TANK OPUMP TANK ❑ FV HOLDING TANK SEEtiIo,O ❑ OTHER 2 BR 28 acres CO 0O O ❑ SURFACING SEWAGE Ni EXISTING FAILURE 0 SHORELINE ' ® 100E--DUBLC/COMMU N.TA,NEL_S 0 o "— 0 SOFT-PRI✓rE WELLS..SLR=ACE WA'6PS,S-.EAMJ.4IYEPS NASD PLOT ❑. PLCT PLAN(Rc-0uIREo, ® TANK DRCSS'Ec-on tR ,.JIB q. 0 (o T+DR NKING RGUPPLV_INES P O 3 PUMP DETAILS(IF APPLICABLE) ❑ NAVER(B)(IF APPLICABLE g 5FH'PROPER TY EASEMEND L NES.FOUNDATIONS FOOTINGS r 0 Dr FLAN E-KLST 0 (3 PROPERTY ONES ANO EASEMENTS E EX STING;PROPOSED STRUCTURES L3DNS"AG PROPOSED O OMPONEENTS AND LI NES -1 ® WELLS WTHIN TOOK ❑ BA ER SLPDLY LINES E DRI ENAYS,PARKING O SURFACE A'A ER5.STREAMS R,VERS.ETC . _ Na DIREGT:ON OF SLOPE,CONTOURS in PERiME r=R,CURTAIN DRAINS I CRT-ARROW IE SCALE BAR N N L ALET DNSTO BYE A N1D IP45 .f.eTe. Go out Hwy 3 and turn (R) onto E Agate Rd. Turn (L)to stay on E Agate Rd. Turn (L) onto E Timberlake Dr. Turn (R) onto E Herron Dr/E Lakeshore Dr W. Turn (R)onto E Timber Pkwy. Turn (L) onto E Lakeshore Drive E. Destination on (L). **ATTENTION: If you go out, arrange with owner so they can open the gate" ❑VOLUNTARY ❑VANTENA.C&FJM°NG 0 321_D:NG PERMIT D HOME SALE ❑00M ::T 0O--ER j{ I .. F olo:'oS VAR\(0.t g-t 0 OeLLUX ‘1/44 NtMia+I4✓ '° rekAttei nnC.- SEWAGE..N SMUS PEJ5 DL '.. .0 US .. PF-STE3 S AAG_TANKc -N p JETT C. . . ...V-Z.- F ,..NTCFtn 5BRS .:P5m6A.UPE r DTE DATE A N-.ON soe.EY CATION FCb (IC i v,P&uL 91[SI THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSFTE E. Fi +-C- Arrow Septic Designs, Inc 171 E. Vuecrest Dr. Union, WA 98592 August 4, 2025 Mason County Department of Health Services 415 N 6th St Shelton,WA 98584 RE: Brian & Dianne Clark Property(Parcel#22017-50-00012)Tank Replacement Dear Inspector: Attached is a tank replacement permit for an existing 2-bedroom home located at 321 E Lakeshore Dr E., Shelton, WA 98584. This system installed in 1997 originally had a Biomax K-6 treatment tank followed by a 300 gallon pump vault and pressurized drainfield. The drainfield is slightly oversized at 504 sf installed vs 400 sf required. The owner has had ongoing maintenance issues with the Biomax tank and it needs to be replaced. We plan to replace it with a NuWater BNR-500 which meets TLB,TLC, BL2, BL3 TLE and TLN without disinfection. The tank will be placed in the same location so it still meets the 5o foot setback from the lake. As part of this upgrade,the 300 gallon pump tank will be upgraded to a 1,000 gallon standard size modern pump tank. A new NuWater control panel will also replace the old controls. The system is to have a timer, counter and elapse meter. All tanks will have risers and lids to the surface to accommodate ongoing operation and maintenance. The property owner's contact information is as follows: Brian & Dianne Clark PO Box 683 Shelton, WA 98584 (360) 868-4452S If you need I * . formation, please contact my office at(360) 898-2255. _ ,w WA 3m'C� APPROVED Sincere.- ;' yj, 3•r; q ?t.PAULA JOY JOHNSON.*I AUG 15 2025 ..ei% ° Ssc ( 11 M450hoCL4� ;, --,, r4L D iti " "�s_v.D HEALTH Paula J.Johnson a-It-tS KET Licensed Onsite Wastewater Treatment System Designer LITtLEw L-L_ Nu_ T, rN LAKE /C\J\,l �\ BuU4 HEAD -1,"l .$� . tLQV (71 SG�t-E : I ° s2c , a io zo 'bo 4G I 53 6"O fB y v� PLOT PL4r.1 P,RIPrts -c- DIRr3E GLA12K ppri cc_41 220 11 - Go - Coo t-a SL•Pt O 32t E LI41LE5 tIe 2E DR E_ © ' . eQo �. mew SHE Pou) � O00' uA 485B4 ;" e / t- k ' Lo V64Ep Pi 2CN xev: 01 Audio-Visual Alarm E XISrnNv I 0O Cleanout 2 e r( ONu W ater BNR-500 ATU Tank 1,000 Gallon Pump Chaber I La'- S;el.wm b l I O Valve Control Box N0 Ell-ISTIISf 6w t-tA ePE -1-2P-A Kenn-iA �+� 3eo r- (>PdI nr✓ PU IAP 7-Pt"- �T ' BE p .„euep I allmi, S 1.e.2t v U-'tb kr A`^� w a v� 101 i&- C'X\Ccf-A•U‘are . ® APPROVED -\ Id` AU6152025 .ej,. ,, F�x15,-,Nc MASCNC^U' iw . . � ' elA �REI l / . ' ;6aa :<' PAULA JOY JOHNSON2o'X 26 ' VC % icu . fS-(t `41 ' >' V6 P101 TIMBERLAKE NO. 2 SECTIONS 17 & 18, TWP. 20N, R.2W, W.M. MASON COUNTY , WASHINGTON • 1/4 .1d el it III. j* zl I � oa /I' f: C 3 % '�/. III J . 71 ± 79 ➢ \ m \' .. 7' CSC 1 I -= - III - ^4� SCALE.1=100 - � t - / N :% �,,, 9MT � ,' ._... o G 9 20 o„, SHEET 2 OF 3 SHEETS — 9'.T DUAL?OST AERATOR-- WATERTIGHTWATERTIGHT - LIp VENT lh91 R,SER5mP) '`.k �( � LE- r �1 - ly •t-1 _I I 35 MAX r k 1-PVC(iTPI ( �� II. i8- ,a'PVC:' MASTIC I �1�-_��� NRLINE -1/4— �� J I ?COUPLING ( B.REDUCER I \ o Imo_ 2'TEE1'PVCSLUDGE Ilil : I2" RETURN LINE T PVC TRASH CHAMBER - I DIGESTER CHAMBER CLARIFIER j OPERATING CAPACITY417 GALLONS OPERATING CAPACITY.421 GALLONS li CHAMBER FLOOD CAPACITY A90 GALLONS ROOD CPPACiTY1i94 GALLONS 160 GALLONS II 7 � -a000191 GAL 65' 58' 554' 50- - 2. 36' e C Y X 12' • TEE APPRO. .EIp.:. • AUG 15 20 0 DIFFUSER BARS TO r " 12 RALEL TO TANS'NALL .shy N 3- M.MS1i1 VAN 1) [ IYI9 TY ti1ALHEALTH SLUDGE RETURN I RE' / sr�eR SIDE VIEW `1'eN STONE-FREE NATIVE SOIL OR COMPACTED SAND INSTALLATION INSTRUCTIONS OVER STONY SOIL 1)Excavate tank hole with vertica walls to 1 foot lamer Tan tank on all sides. 2)If bottom of hole is stony,install 3°of compact sand&level / 9'-2- -- outwithscree . _ _ -lc3)Install tank in renter ofhole,keeping 1 ft.void space on F I all sides. i20'RISERS(TYP) 24"BLOWER 4)As tank is filling with water,fill in void space y. compacthJu ''.:AST,''.:AST, granular(santly)swl hoe of large dumps of day. T OP OF LI 5)Install rest of sy eon,&affix risers to adapters with i \ \�,t/CN waterproof adhesive. [ 6)Perform watertightness test in field as required by local 4$ jurisdiction. I Y1 r 7)Upon approve:to backfill,Carefully backfill wah native RISER soils over top of tank. i TRASH CHAMBER I DIGESTER ARrFIFRI • • 8)Final grade the surface to avoid chaneiling surface water toward tank. - - -- '_- -- - --- _} TOP VIEW ;Eiy«. : AEROBIC TREATMENT TANK DETAIL FOR '\ NuWATER BNR-500 TREATMENT UNIT �. \Y ENVIRO-FLO, INC. REVISED`. Wastewater Treatment Tecnnetogres 3/01/12 t-�^�+...°s'"� P O. BOX 321161, Flowood MS 39232 SCALE, - (877)836-8 76 (601)845q7t6 fax 1 n = 1.4 ft. www.enviro-6o.net APPROVED AUG 15 2025 MASON ClUNP E'(V1RON41E&TAL HEALTH RET SECURED LID MTh OAS TIGHT SEAL THREADED UNION 2P DIAMETER I— N ACCEaRMErt SERVICE FNM GRADE _ VALVE° n � , FROM SEPTIC TANK AI LL ii- , r 1--.--e TO DRAINRELD J r EMERGENCY STORAGE ; I ANTI SIPHON VALVE- NMMI WATER AUIRSI LEVEL —+-i 1 '-y j i —1 i NORMAL TIER OFF LEVEL M/ORKFNG VOLUME I ; DIDEPENDEPIT FLOAT STEM -----7--, i ��._ I I FOR BOAT SEDIMBIT SHROUD° 1t r- CHECK VALVE° ;s r �I 1 • - __ `y 4261411.11930A1- PU— PUMPCHAMBER ❑YPICAti / •AS NEEDED Septic Tanlcc must meet standards required by WAC chapter 246-272C and -�GURE 2- f manufacturer must be on Dept of Health list of registered sewage tanks. W A now Publication 5337-022 Page35 of65 _ - 7 —` Nuv Vlfater „...,...: i4' ! APPROVED •" 1 2025 L `)AIYEW�EAITH © ~` ItI0001i a 110 h lb 4p, h dip 0 Li 9C V 1 wir ""I�-J co ' 0.lf; O ac 4, Y A a c4 • 1 Air re Ili ,11 e: 0 di CO ° to r® qt + r PARTS LIST NuWater NR Assembly Diagram //P j A.3/DUAL BET AERATOR MN 1 PVC CI.1 2 S C- 1N)) I 9 Y8'0.UB2EF 90'N/CUJdF512) N.i'PVG(3 L2"SEGRON) � C.I2 BARBEDX1/2 JPTA X 1/2ADAPTOR (2; 0 S C "SUP%113'NPi AOA?iOR P /8'CLEAR PVCHOSE OPT CEEB i; d 3TR2C x 1T xPT BUSHING(3) 0 1 2 PVC D PE BY NSTA LERi BOW/3) R BSC PIPE EN NS A.LEPI .' 1 X "X1/2 'EC S.T sSC PIPE(BY INS A LE.1 � SD ELBOW(3) 8 BARBc ADAPTOR 14 y (2) (\%�/�)((\—��D` 2 X 1 BUSHING L. 12 STREETX P G�BUSHIN :2/ ! - 2 SA. ',ARV TEE . .2 PVC COUPLER 2;. He 5 1"a VC CROSS V.=COLPLER(NY INSTALLER" �^ COUPLER(2YI NSTALLER) Revised 2/25/12 5 (Lvcoeu Septic 1`)eoigni, 9tic. - t{ yr At{ NuWater BNR Pretreatment INSTALLATION &MAINTENANCE ' I'- `.,�.y• }/ \` ^ ,,`� Pressure Distribution Systems �;� ° ., ¢¢ jl, T Q .co. fCb—SS ^k 0 `r9Urvad.9-- in Gov �cHnson "h ❑ Y C SE �@51GNEq" 1. Install Laterals with contour of the ground. �� =33rl ' 2. Install trench bottoms level. S-ce-z-S 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the drainrock/native soil interface. Glue "T" to bottom so Observation Port cannot be easily removed from ground. Install removable cap on top of port at final grade level. 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 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 not required. 8. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 9. 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. 10. 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. 11. Waterlines must be a minimum of 10' to any tank or drainfield (a reduction to 5' may be obtained with a State waiver on lots that meet minimum lot size). Encase all water lines within 10' of septic transport lines and under any driveway/parking areas. 12. Divert all storm water runoff away from on-site sewage system. 13. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 14. No vehicular traffic over drainfield area or tanks. 15. Inspect floats,clean filters, and test high water level alarm every 6-12 months as needed. 16. All materials and workmanship must meet County and State regulations. 17. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 18. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 19. All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a lib" hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down,'away from tank opening. 20. All transport lines under driveways or parking areas must be encased to prevent crushing. 21. Homeowner is responsible for all property lines and easements. 22. Please Note: When you begin using your septic system, contact your septic installer to discuss setting up a schedule for your required Operation & VlAtria�( n�U,J'our,E D NuWater pretreatment system. 1111 II'"' II'"''' I'C AUG 15 2025 MASON CC.1N71EF',1Sn yENTALHEALTH RET