HomeMy WebLinkAboutSWG2025-00304 - SWG Application / Design - 7/31/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
BELFAIR:360-275-4467,EXT 400
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Public Health & Human Services ELMA:360-482-5269,EXT 400
:+=?U' • FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00304 ( �U
APPLICANT BARR WESLEY &ARAINA Phone: 360-426-4544
Address: 681 E ISLAND VIEW RD GRAPEVIEW, WA 98546
OWNER BARR WESLEY & ARAINA Phone: 360-426-4544
Address: 681 E ISLAND VIEW RD GRAPEVIEW, WA 98546
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON, WA 98584
Site Address: 681 E ISLAND VIEW RD
Primary Parcel Number: 221223190080
Permit Description: Repair/upgrade to 3bd pressure trench
Permit Submitted Date: 07/31/2025
Permit Issued Date: 08/21/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 08/06/2026 (based on date of inspection)
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.
2 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.
4 Drain field installation not to exceed designed upslope and downslope depth specified on
design form.
5 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
7 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/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
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MASON COUNTY DATE RECEIVED 0 3 ,
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— Public Health & Human Services ttll\\ryry((��`` �,
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 <
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415 N.6th Street -Shelton,WA 98584 SWG . -__WAY o ;A
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ON-SITE SEWAGE SYSTEM APPLICATION
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APPLICANT PHONE mI-
WES BARR 360-426-4544 z
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE w
681 E ISLAND VIEW RD 1, GRAPEVIEW WA 98546 m
SITE ADDRESS-STREET.CITY,ZIP CODE d
681 E ISLAND VIEW RD LLLLI = IIN PO
\ GRAPEVIEW WA 98546 I N
NAME OF DESIGNER itall Cr \ PHONE I N
CINDY WAITS '-' 360-701-0205
NAME OF INSTALLER PIA
—I PHONE 0
TBD '' � I
o m U) N
PERMITRM TYPE(select one) 9RMfllfMG WATER SOURCE O
IVI RESIDENTIAL OSS COMMUNITY OSS [h COMMERCIAL OSS 5 PRIVATE INDIVIDUAL WELL G PRIVATE TWO-PARTY WELL Z I N
TYPE OF WORK(select one) h PUBLIC WATER SYSTEM I
b-NEW CONSTRUCTION/UPGRADES Lnq REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I ('`)
SUBMITTALS SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
�
Gz COI ILYr DESIGN FORM(REQUIRED) fJ SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1!2025') r
]5WAIVER(S)(IF APPLICABLE) 3 2 AC ❑ YES Q NO 0 CO
DIRECTIONS TO SITE AND SITE CONDITIONS (ex locked gate)
GO NORTH ON HIGHWAY 3, TURN RIGHT ONTO ISLAND VIEW RD, PARCEL IS ON I o
THE LEFT SIDE OF ROAD, SOIL LOGS ARE BETWEEN THE RESIDENCE AND THE r- I o
ISLAND VIEW DR. -1
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SITE SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. O
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE Ifor reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ['COMPLAINT ['OTHER:
INSPECTOR SOIL LOGS COMMENTS!CONDITIONS
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0/1; t, ,,Aui LA ei t/ 1 to‘ -.t r toy a(711""' \erINA---
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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
wo.t5- bilArrn1 q 1-3PS-----
THIS FORM MAY BE ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE 3025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 2 2 3 1 9 0 0 8 0
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: 1/"X 17"
/ PARCEL IDENTIFICATION
2
Permit Number: SWG ' O'O2O O y Designer's Name: CINDY WAITE
Applicant's Name: WES BARR Designer's Phone Number: 360-701-0205
Mailing Address: 681 E ISLAND VIEW RD, __ Designer's Address: 80 E PICKERING LANE
GRAPEVIEW WA 98546 City State Zip SHELTON WA 98584
City State Zip Designer's Email cindyewaite@msn.com
DESIGN PARAMETERS
Treatment Device
❑Glendon 0 Sand Filter ❑ Mound 0 Sand Lined Drainlield CI Recirculating Recirculating Filter 0 A 0 Other
l
Treatment Level(check all that apply): 0 A i0 n 0 C ❑ B1,1 0 B1.2 0 BL3 0 E ❑N
JDrainfield Type
❑Gravity i 'Pressure fir Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCHEDULE 40
Daily Flow:Operating Capacity 270 gpd Length 48,48,45,40,36 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1200 gal Number 5
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl. Rate .6 gpd/ft2 Orifices
Required Primary Area 651 ft2 Total Number of Orifices 45
Designed Primary Area 600 ft2 Diameter - 3/16 in
Designed Resew Area 600 ft- Spacing •i�11 60 in
-.0
Trench/Bed Width 3 ft 1
; ka.F t ; anifold
Trench/Bed Length 217 ft Schedul Cla s,,�' ;1,1'Z, SCHEDULE 40
.. . As t
Elevation Measurements Length . , as •"vl 1-2 ft
Original Drainfield Area Slope 4 % Diame 4 $ .It^ .. 2 in
New Slope. If Altered % Preferre• .ifold cfa n 1..' '1 Yes 0 No
.r s , CINDYYpE
Depth of Excavation Up-slope 8 in �; LICENSED D = lik ,Urt 6i, .
from Original Grade 1 o��r.-slr a "'�r.�'. _' �6`�`y/
p 6 in Schel. .x two...Ls J51W C DULE 40
Designed Vertical Separation 24 in Length 25 ft
Gravel-based Drainfield Required? 0 Yes 66 No Diameter 2 in
Pump Required? fill Yes 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) 2 ft Chamber Capacity(flood) 1200 gal `
Uppermost Orifice Higher CI Lowe:than Pump Shutoff t Pump controls: Please check those required. l\,�
Capacity @ Total Pressure Head 26.55 gpm l 1' Timer IiIi Elapse Meter Ig Event Counter
Calculated Total Pressure Head 8.31 ft If Timer: Pump on ,Pump off
Comments
CONCRETE TANKS REQUIRED, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION AT
270GPD.
Revised:6/11/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 2 2 3 1 9 0 0 8 0
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
UI Test hole locations ' Drainfield orientation and layout Reference depth from original grade:
Ili Soil logs it Trench/bed dimensions and UI Septic tank
V Property lines critical distances within layout ' Drainfield cover
V Existing and proposed wells 14r D-Box/Valve box locations Reference depth from original grade
within 100 ft of property it Septic tank/pump chamber and restrictive strata:
Measurements to cuts, banks,and locations
Wr Laterals,trench/bed,top and
surface water and critical areas
V Observation port location bottom
{I Location and orientation of i lI Clean-out location 0 Curtain drain collector
curtain drain and all absorption ! V Manifold placement 0 Sand augmentation
components
V Orifice placement Other cross-section detail:
iI Location and dimension of lac Observation ports/clean-outs
primary system and reserve area Lateral placement with distance
to edge of bed Other Information
V Buildings
V Audible/visual alarm referenced Yes No
Direction of slope indicator in=Scale of draw� 6� b shown on scale � ❑ Design staked out
V Waterlines bar 0 0 Recorded Notices attached
V Roads,easements.driveways. of Elevation benchmark and relative 0 0 Waiver(s)attached
parking i elevations of system components V 0 Pump curve attached
North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
•
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation ❑ Yes 0 No
C t b..)
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Signature 6f Desi ner Date
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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 regulati ns:
(031
Environm ntal Health Specialist 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: ()[ G(2-?6
✓ 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 HealthHealtki,
f0
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site. Revised:6/11/2025
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ORIFICE SPACING 5
Lateral # Length Length Orifice # Distance from Distance from end Length #
4 (Feet) (Inches) Spacing " Orifices feeder line of end of lateral
_ 48 _576 60 10 1.5 1.5 48
—_ 2 48 576 60 10 1.5 1.5 48
3 45 540 60 9 2.5 2.5 45
4 40 4801 60 8 2 2.5 39.5
5I 36 4321 60 8 0.5 0.5 36
2171 45 216.5
TRANS LENGTH } 251 ' I
GPM I ! 26.551
K (2" SCHEDULEN 40) 284.5[1
FRICTION LOSS 0.3107472'
Squirt 1 2
?Elevation difference ' 6' 1
L IM ' 8.3107472,
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AUG 21 2025
MASON COUNTY ENVIRONMENTALRET HEALTH
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'DRAINFIELD LAYOUT
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X1=CLEANOUT/OBS PORTS CS
X2=D BOXNALVE BOX/ t j
X3=Check ValvesC /) / u pi. �QN
X4=Flow Control Valves CS ) , U a �c tee l3 APPROVED
X5=Soil Logs AUGpi,t t) pi 2 1 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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RISER WITH LOCKING LID
TO DRAINFIELD
PRESSURE LATERALS
A A• FLOW CONTROL VALVE
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T
i SLOTS AS
I.f1 i`- REQUIRED
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FLAP CHECK `l
VALVE
LONG SWEEP 90 t
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DEGREE ELBOW l . \r
SECTION A-A
WASHED ROCK
DRAIN SUMP
APPROVED
TRANSPORT PIPE FROM
PUMP CHAMBER AUG 2 1 2025
•
MASON COUNTY ENVIRONMENTAL HEALTH
RET
DRAINFIELD CONTROL BOX 12/
(SLOPING GROUND; MANIFOLD BELOW LATERALS)
•
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THREADED CAP OR PLUG
6"PVC
11 --- LAST ORIFICE;WITH
ORIFICE SHIELDS IF
BACKFILL ORIFICE ORIENTATION IS
MATERIAL ' UPWARD
1\\\/\\\ \\/� •♦/ /\//\/�� 6--24"
\rod �o .'•.•
�\\ �00 O to v7300o �— PRESSURE LATERAL
PVC HOSE OR l\\ °o •• . ,9 o o°o AS SPECIFIED
LONG SWEEP \/ ,; !O°00
ELBOW / °�O\
\�\\ \, �\\ DRAIN ROCK;6"MIN.
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UNDISTURBED SOIL P.
6"PVC WITH Qv - I
HOLES; EXT TOe,:'. I.
APPROVED BOTTOM OFF- , 1j �1,
MONITO - }' • /
AUG 2 1 2025 N T ,y��i
INFILTRATIVE SURFACE .:��` '� `dii/
MASON COUNTY ENVIRONMENTAL HEALTH of CINDY EQWAITE ��.
RET LICENSED 'ESIGN R I
MONITORING/CLEANOt�T PORT% �,s'`,n""����•`�p. S
(EXAMPLE) 13
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SECURED LID WITH GAS TIGHT SEAL
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ACCESS RISER
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FROM SEWAGE /
SOURCE FLOATING MAT
•_ APPROVED
EFFLUENT
FILTER
SEDIMENTS
SEC TANK
(TYPICAL)
SECUREQ,ID WITH GAS TIGHT SEAL
THREADED UNION
24"DIAMETER
ACCESS RISER \\ f SERVICE
FINISH GRADE € t4' VALVE*
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FROM SEPTIC 6(I Z A- �y L•i n
TANK -'►TO DRAINFIELD
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EMERGENCY STORAGE ANTI SIPHON
VALVE* hf<<dei
HIGH WATER ALARM LEVEL
WORKING VOLUME .1- INDEPENDENT
FLOAT STEM
NORMAL TIMER OFF LEVEL - -•-•0 FOR FLOAT
ENCLOSED PUMP - MOUNTING
SEDIMENT SHROUD• CHECK VA • .
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SEDIMENTS (-'111 1 SU y BL
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APPROVED .............,-r 1 flilli
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AUG 11 2U25
MASON COUNTY ENVIRONMENTAL HEALTH --
RET
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Iibejjj Pumps
Pump Specifications
250-Series Submersible ,I IdipA1,
Sump / Effluent Pump I 01'
UTERS PER MINUTE
0 20 40 60 80 100 120 140 160 180
25 1 i i I I I I I I
-7
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0 10 20 30 40 50
GALLONS PER MINUTE
250_PI RI/I7/2018 °Copyright 2018 Liberty Pumps Inc. All rights reserved Specifications subject to change without notice. Me*
Installation Notes
Pressure Distribution System
` 681 E Island View Rd 22122-31-90080
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. The tank may be moved as necessary to accommodate building requirements. Septic tank
location must meet all required setbacks.
3. Keep wheeled vehicles off the drainfield area before, during and after installation. Tracked
equipment only,
4. 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.
5. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield
6. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the
drainfield.
7. Install access risers on the septic tanks, valve box and ends of laterals.
8. Install observation ports at the beginning of each lateral and observation port and clean
out at the ends of each lateral.
9. 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 installed by a Mason County Certified installer.
13. Deviation from this design without prior approval from the designer and Mason County
4 Health Department will make this design null and void.
14. 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.
15. Install laterals with contour of the ground
16. Install trench bottoms level and always maintain a minimum of six inches into native soil
17. Install locator tape on top of all drainfield laterals.
18. Install threaded clean outs at the ends of all laterals (caps must extend to within six inches
of finish grade and be in a valve box as shown on diagram.
19. Install audio/visual alarm
111 20. Filter fabric required over drain rock prior to backfilling. If the drain roc ten
above the original grade, run the filter fabric at least 2 inches down th ~n IV
1)do
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pkignitkretriPonSibilitieS: . ' ry= l?�-1
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AUG 2 1 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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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LICFNSED DESI
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A UG 2 1 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RE