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Home My WebLink AboutSWG2025-00275 - SWG Application / Design - 7/8/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 ` BELFAIR:360-275-4467,EXT 400 r Public Health & Human Services ELMA:360-482-5269,EXT400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00275 APPLICANT Zimny, Jim Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 OWNER HUBBLE TODD & DIANE Phone: 1-253-380-3737 Address: 51 E DUNOON PL SHELTON, WA 98584 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 WINDFLOWER PL NW SEABECK, WA 98380 SEPTIC INSTALLER RICHARD MOORE* Phone: 360-509-1342 - Rich Address: PO BOX 963 BELFAIR, WA 98528 Site Address: 881 E EAGLE POINT DR Primary Parcel Number: 421227590072 Permit Description: New 3bd pressure trench Permit Submitted Date: 07/08/2025 Permit Issued Date: 09/03/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 08/06/2028 (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 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/healthlenvironmentallonsiteloss-inspection-request.php or call: 360-427-9670, extension 400. ONLINE OFFICIAL USE ONLY MA0SON COUNTY 01 - 08 �5 w, cn Public Health & Human ServicesAMOUNT 555RECEIVED BY: v N 65 Environmental Health 360-427-9670,ext.400 or 360.275-4467,ext.400 /�_./ C 415 N.6th Street-Shelton,WA 98584 S W G c V (� OJpC/ /� Z N i � CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION D ra APPLICANT PHONE m m Todd Hubble z c MAILING ADDRESS•STREET,CITY,STATE,ZIP CODE g 51 E DUNOON PL . Shelton WA 98584 °m° SITE ADDRESS-STREET,CITY,ZIP CODE 881 Eagle point dr, Shelton WA 98584 I - , NAME OF DESIGNER PHONE Jim Zimny 360-516-7287 N NAME OF INSTALLER PHONE 0 ( -- Rich Moore 360-509-1342 < I PERMIT TYPE(select one) DRINKING WATER SOURCE ti Or RESIDENTIAL OSS h COMMUNITY OSS f COMMERCIAL OSS ii PRIVATE INDIVIDUAL WELL in PRIVATE TWO-PARTY WELL z TYPE OF WORK(select one) 2 PUBLIC WATER SYSTEM I Of NEW CONSTRUCTION/UPGRADES rl REPAIR/REPLACEMENT OTHER DETAILS(select ell that apply) I 0 TABLE X REPAIR SUBMITTALS CI SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE cov El DESIGN FORM(REQUIRED) El SEPTIC DESIGN(REQUIRED) BEDROOMS l0T SIZE WAS LOT CREATED AFTER4/1/2025? O I �j ❑ WAIVER(S)(IF APPLICABLE) 3 1.46 1 ❑1'ES ✓❑NO C)7 I DIRECTIONS TO SITE AND SITE CONDITIONS (ex tacked gate) vJ from Sheltoton take hwy 101 north6.4 miles to eagle Point Dr and take rt.FOLLOW .7 I 0 MILES AND SEE PINK RIBBONS ON YOUR LEFT. FOLOOW TO THE TEST HOLES. I- I C I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I - - OFFICIAL USE ONLY BELOW THIS LINE ------ " UPGRADE/FAILURE SOURCE(for reporting purposes) 1 ❑VOLUNTARY I]MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑ THER: INSPECTOR SOIL LOGS COM ENTS/CONDITIONS : t -3 6 \J S .S(0I- S f- � 1)°' ''' ) rep` - r M = 0-I�(G. VA S 1 S 0 IC_ c-t—bo y I RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Sr=SILT C=CLAY E= REMELY R=ROOTS REQUIRED FOR FINAL APPROVAL IN TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE W /mac �16 J?ti '.13/71----- THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE RrrvIU d E/3/2O215 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 2 1 2 2 7 5 9 0 0 7 2 A design will be reviewed when 3 conies 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,incluiding all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: I 1"X 17" PARCEL IDENTIFICATION Designer's Name: ; Jim zimny Permit Number: SWG 26�— ��a�5 � Applicant's Name: Todd Hubble Designer's Phone Number: 360-516-7287 Mailing Address: 51 E DUNOON PL Designer's Address: 7178 windflower pi nw SHELTON WA 98584 City State Zip Seebeck wa 98380 CLEAR FORM apddesigns@icbud.com City State Zip Designer's Email DESIGN PARAMETERS Treatment Device ❑Glendon ❑Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 3\TU 0 Other Treatment Level(check all that apply): 0 A 0 B 0 C 0 BLI 0 BL2 0 BL3 'rF 0 N , Drainfield Type ❑ Gravity firPressure VTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class SCh 40 Daily Flow:Operating Capacity 270 gpd Length 50 ft Daily Flow: Design Flow 360 gpd Diameter 1 1/4 in Septic Tank Capacity(working) 1250 gal Number 3 Receiving Soil Type(1-6) 3 Separation 9' ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 ft2 Total Number of Orifices 30 450 ft2 Diameter 1/8" in Designed Primary Area Designed Reserve Area 450 ft2 Spacing in Trench/Bed Width 3 ft Manifold Trench/BedLength 150 ft Schedule/Class sch 40 Elevation Measurements Length 1 2' ft Original Drainfteld Area Slope 5 % Diameter 2" in New Slope,If Altered 5 % Preferred manifold confr ration used? VYcs 0 No Depth of Excavation Up-slope 12 in `Transport Pipe from Original Grade Dowi-s1„p, 9 in Schedule/Class Soh 40 Designed Vertical Separation 24 in Length 100' ft Gravel-based Drainfield Required? 0 Yes te No Diameter 2" in Pump Required? 'Yes 0 No Dosinig and Pump Chamber Pump/Siphon Specifications Number of doses/day (I 6 Diff. in Elevation Between Pump&Uppermost Orifice 20 ft Dose quantity I 45 gal Drainfield Squirt Height/Selected R si fs) —7(1 Chamber Capacity(floor) 1000 gal Uppermost Orifice'Higher 0 Lower*'J' imp Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 1 gpm ' Timer Eli Elapse Meter V Event Counter Calculated Total Pressure Head 32 't A PI# fRI®uV E [i ri 10 secs ,pump off 4hrs Comments SEP 0 3 2025 MASON COUNTY ENVIRONMENTAL HEALTH RFT i Povicoill•4/11/1111c DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 1 2 2 7 5 9 U U / 2 Permit Number: SWG r DESIGN CHECKLISTS 1 Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ler Test hole locations lie Drainfield orientation and layout Reference depth from original grade: f ' Soil logs 11 ' Trench/bed dimensions and 1 Y( Septic tank if Property lines critical distances within layout 1 er Drainfield cover er' Existing and proposed wells D- Referencebox locations jReference depth from original grade within 100 ft of property ilk Septic tank/pump chamber nd restrictive strata: et Measurements to cuts,banks,and locations Ur Laterals,trench/bed,top and surface water and critical areas lie Observation port location bottom Of Location and orientation of if' Clean-out location 0 Curtain drain collector curtain drain and all absorption Fr Manifold placement ❑ Sand augmentation components g Orifice placement Other cross-section detail: lie Location and dimension of Er Observation ports/clean-outs lie Lateral placement with distance primary system and reserve area to edge of bed Other Information 11 ' Buildings er Audible/visual alarm referenced ;Yes No el Direction of slope indicator Er Scale of drawing shown on scale ;❑ UrDesign staked out if Waterlines bar 0 0 Recorded Notices attached ' Roads,easements,driveways, V Elevation benchmark and relative 0 Waiver(s)attached parking elevations of system components IF 0 Pump curve attached Ur North arrow and scale drawing !❑ 0 Evaluation of failure shown on scale bar 'Non-residential justification ❑ 0 Waste strength 0 0 Flow DESIGN APPROVAL i The undersigned designer must be notified y ins ler at time ' stallation Er*'es 0 No r 7 1-2S� Signat of D Tiler 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 regulations: ', (On q 017,1 c— Environme Health pecialist 1 Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLISOWING CONDITION: ✓ The design is stamped "Approved"by Mason County Public Health.✓ The Onsite Sewage Permit ' �/ 6 IZv has not expired,the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect condition 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 +unty Web site. Revised:6/11/2025 1 Pump Selection for a Pressurized System-Single Family Residence Project Parameters Discharge Assembly Size 2.00 inches 100 Transport Length 100 feet Transport Pipe Class 40 i Transport Line Size 2.00 inches 90 1 Distributing Valve Model None I Max Elevation Lift 5 feet 1 .- ------- Manifold Length 2 feet Manifold Pipe Class 40 80 l Manifold Pipe Size 1.25 inches l . ! i Number of Laterals per Cell 3 t — — ` Lateral Length 50 feet Lateral Pipe Class 40 70 Lateral Pipe Size 1.25 inches Orifice Size 1/8 inches 0 0 Orifice Spacing 5 feet LL Residual Head 5 feet 2 60 Flow Meter None inches t— Pctrso e 'Add-on'Friction Losses 0 feet - ry d Calculations o 50 ' -}---}-*--+- Minimum Flow Role per Orifice 0.43 gpm A E ' ' Number of Orifices per Zone 33 Total Flow Rate per Zone 14.3 gpm O 40 '' Number of Laterals per Zone 3 1 %Flow Differential 1st/Last Orifice 0.6 % I- �w i Transport Velocity 1.4 fps '�. 30 Frictional Head Losses Loss through Discharge 0 4 feet Loss in Transport 0.4 feet 20 Loss through Valve 0.0 feet 1 Loss in Manifold 0.0 feet ' Loss in Laterals 0.1 feet Loss through Flowmeter 0.0 feet 10 'Add-on'Friction Losses 0.0 feet Pipe Volumes 0 1 Vol of Transport Line 17.4 gals 0 20 40 60 80 100 120 140 160 Vol of Manifold 0.2 gals Net Discharge(gpm) Vol of Laterals per Zone 11.7 gals Total Volume 29.2 gals Minimum Pump Requirements PumpData _ Legend Design Flow Rate 14.3 gpm PFEF50 Effluent Pump System Curve:— Total Dynamic Head 10.9 feet 1/2HP.115/230V 10 ( C 0 Pump Curve Pump Optimal Range: Operating Point:0 1 Design Point:0 i 11 -1,i,i'. APPROVED �. �..,.. FII SEP 0 %� f Zs l 0 3 2025 i37 4)I y �' loll MASON COUNTY ENV1R f2 20.? 1 ONMENTAL HEALTH Ai? O ENSED r i DESIGNERLICENSED 1 RET S Y S 7 t. r.1 �.� .....� . . 'AAA i 7- -2 North 0 i—--- ---—.---- n - - — = > 0 I o T II T m N.)o ,f_�L, ! • I�� z �%i 1 0 LOZ9 D 0 F O., A 0. le, Q'P z O 1t D c rD APPROVED 0 SEP 0 3 2025 z MASON COUNTY ENVIRONMENTAL HEALTH o RET 0. '_' w Nro °_° � - d a x tiU ii'• t 0 o X - rD N p m O n c " -.c>O - ��+ co D NCD - la = r5 .:: D 1 brim s�.I. 14 `G VI Oto D O r-- --I, , s.Z `�' _�.,, fu fir r+ ru m O 00 0 O V ; v -ae �� OC 'Sc.' - 6tiN 'fl v 0 - t- x ty XNi 70 0 7 . 1 Nnrth . -N 623' 1 v o � I • � ° C o cn c = r., m ,,, i 4 " ,L6 .oc /111 m 9 ro N C' (A.) .' W o. u %) 0 6-P I OZ9 r ! C1 = g ,- I ! m a cn *0 o APPROVED o CD m� ro on SEP 032025 � � K o MASON COUNTY ENVIRONMENTAL HEALTH 3 ro " RET --I z 0 .. v) -v O # co —I D ,, X r, a �' -P = oop -0 a K � > 0 c r r� rD �, r, m p n a n n ca t Qv c— C iir N O Ai Ar = 5. n F4, -G O V rD C J 1 r sR r. _ l 9r (/1 .. N D co = 171 A) o` XLn NJ O -.-r r m 1 O. x Z ,v a` O o a z N 70 a riridD Advantage Perc & Design i imely•Peasonable•30 Years of Local Experience Soil Log Info for parcel #:421227590072 881 Eagle point Dr APPROVED Shelton SEP 0 3 2025 MASON COUNTY ENVIRONMENTAL HEALTH TH #1- 0-60" Loamy Sand with gravels RET Type 3 Soil over Compaction TH #2- 0-36" med loamy Type 3 Soil 36-52" type 3 with 85% gravels (,iL /I over Compaction Sy 633 0 J Y i LIEN �� IGNER • Advantage Perc&design • APDdesignsPicloud.com • (360) 516-7287 r` Advantage Perc & Design I mely•Reasonable-30 Years of Loca ' Experience Construction Notes for Pressure Distribution 3 Bedroom System: Pressure Distribution w/graveless chamb+(Rock and pipe may be substituted) Install 4—50' Laterals of 1 1/4"sch 40 PVC pipe . Install on 9' foot centers. 1/8" Orifices on 60" centers beginning 30"from the beginning of the lateral and oriented at 12 O'clock. Install 9" trench depth on low side of trench and maintain 24" of vertical separation Install level and along contours. Install in dry weather only. Use 1250-Gallon septic and 1000-gallon pump tank with locking lid risers to the surface of the ground See pump Chart for Pump Specs Use Rhombus SJE Control Panel or equivalent w/audible and visual alarms for low and high water. APPROVED SEP 0 3 2025 .:- 'o, MASON COUNTY ENVIRONMENTAL HEALTH • '�� RET 0)t%_e 7012303'1 I. • J•n,M n Jlnury tkx i LICENSE-0 OE Su;KI_rt Advantage Perc&design • APDdesigns@icloud.com • (360) 516-7287 - i SECURED LID WITH GAS TIGHT SEAL W DIAMETER ACCESS MEIER \ . 1 L FNN18H QRADE P=Iffili4=1V .::::= II- r� 41-17-1 11-1 r > > `� 11/ _ TOPUMP -.--IP 1 _ - CHAMBER FROM SEWAGE SOURCE FLOATING MAT f-.. APPROVED I I I Eft WT� SEDIMENTS �� • I Z. V) SEPTIC TANII( SECURED LID WITH GAB TIGHT SEAL THREADED UNION Sr DIAMETER ACCESS RISER N VALVE FINISH GRADE I Pr I I Eri ill SI1 TO DRAG:FIELD FROM SEPIIO TANK Ili �I STORAGE , ANTI SIPHOII VALVE• HIGH WATER ALARM LEVEL gill INDEPENDENT WORKING VOLUME FLOAT STEM I .x i cyvai I L -t. _.11.v 1_1 I FOR FLOATENOLOSED PUMP SEDIMENT SHROUD• CHECKVALVE• 18* 1 1 744---- MCAPPITIM SEDIMENTS i I--- CENTRIFUGIU. PUMP . IVV mgt.if'/y�rlp��'tu 1 5(441 ^ APPROVED •ASNEEDED SEP 0 3 2025 FIGURE 2 MASON COUNTY B.V1R0 ENTAL HEALTH r� c., ItCENSED DESIGN it % 7- 7 ' 11 -11 t W' `fir iz 1 .''.4.4.,;,.1:-.., RN. g at.r; i ...9 4--. 4 ii 1 i -1 s14, >:11,c C ik4 '-g3 1 I 1 ;11 i 4 , 0-, , I . li 1 t 1 iL. migg1 i I i 1N 3 o z a w - i, J ...., ...r.,-3 6 .,.: O Ii 'aa_ W t � � . .• awe . 1, a • a Q �; it t 1 — c 11 t < it li. 2to I ry ! t j ' L o . li < t ' 3 o a 1 i i Iii j . t= F- 1 tt i I t " / , Zii II v� f t t 4