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SWG2025-00380 - SWG Application / Design - 9/19/2025
MASON COUNTY 415 N 6TH STREET,SWA 98584 SHETREE ,SHELTON, 42 TON, ,EXT 400 584 rnt BELFAIR:360-2754467,EXT 400 �✓ , Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00380 I O J APPLICANT JBF DEVELOPERS LLC Phone: Address: 2916 NW BUCKLIN HILL RD 162 SILVERDALE, WA 98383 OWNER JBF DEVELOPERS LLC Phone: Address: 2916 NW BUCKLIN HILL RD 162 SILVERDALE, WA 98383 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: UNKNOWN Primary Parcel Number: 221232250020 Permit Description: New 3bd pressure trench Permit Submitted Date: 09/19/2025 Permit Issued Date: 09/26/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 09/24/2028 (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. I 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATE RECEIVED: r4. MASON COUNTY Q / g aoa-s� cn OU CEIVED: RECEIVED BY rn Public Health & Human Servicesj�jcj htG''� Environmental Health 360-427-9670,ext.400 or 360-27S-4467,ext.400 p�G/' � � -upaao N O 415 N.6th Street-Shelton,WA 98584 S V y Z N ON-SITE SEWAGE SYSTEM APPLICATION rn n rn PHONE r APPLICANT PHONE (360)649-7391z JBF Developers MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE 2916 NW Bucklin Hill Rd #162 Silverdale WA 98383 coco SITE ADDRESS-STREET:CITY.ZIP CODE Grapeview WA 98546 Iv April Ave NAME OF DESIGNER PHONE I N Arrow Septic Designs, Inc (360) 898-2255 PHONE O I —.1. NAME OF INSTALLER C CO IN PERMITRMIJI TYPE(select one) { �I DRINKING WATER SOURCE IE RESIDENTIAL OSS COMMUNITY OSS ■.U3COMMERCIAL OSS U!PRIVATE INDIVIDUAL WELL El PRIVATE TWO-PARTY WELL Z I W ®PUBLIC WATER SYSTEM I I TYPE OF WORK(select one) I N l NEW CONSTRUCTION/UPGRADES ®REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR 0 SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE SUBMITTALS om; O I N I DESIGN FORM(REQUIRED) HSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/12025? 1 .WAIVER(S)(IF APPLICABLE) 3 BR 5.02 ❑ YES ❑' NO X I cri DIRECTIONS TO SITE AND SITE CONDITIONS:(en.locked pale) Go out Hwy 3 and turn (R) onto E Island View Rd. Turn (L) onto Thomas Rd. Turn (R) onto E April Ave. "Lot 2" on big sign at driveway on (R). Just before tall wood fence. o I 0 IN SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE(tor reporting purposes) 0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT El HOME SALE 0 COMPLAINT 0 OTHER: COMMENTS I CONDITIONS INSPECTOR SOIL LOGS � Vik\: 0 -' 3() \I0n�.S ,SOAK L�s1S "I''�r _LS 1rI . '"Aki- NZ AA Gins ( uto +- cq As0d RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: REQUIRED FOR FINAL APPROVAL V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS DATE ^INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY/l/74I I IONAM414A 01 1-2,11K 14 12,1 I 2,ti t-r\V(S4?<WI 1 THIS FORM MAY BE 1CANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 1 2 3 — 2 2 — 5 0 0 2 0 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,including all applicable items on checklist. This form may be scanned and available for .ublic view on the Mason County Web site.Maximum ••• r size: 11"X 17" ���pp� F ,� i r' 'a� `l'� f:.. nl `a �`A ":s d i2 ..:. ,.. .. .. te. ;wR^- -.... Permit Number: SWG J)c" Uc 3 Designer's Name: Arrow Septic Designs,Inc Applicant's Name: JBF Developers Designer's Phone Number: (360)898-2255 2916 NW Bucklin Rd#162 Designer's Address: 171 E Vuecrest Dr Mailing Address: Silverdale WA 98383 City State Zip Union, WA 98592 Cit `}State Zip Designer's Email pauIaj@hctc.com 9 , - .1 <: i 4..240041� _ - C`@r.e+u "I'-,.k ip a!.:"Y s,".t .W. V �..-P 'l w .'t<'tb':;:11:", �� .•�`�a f�:' �+.... Y .A_ Y` � �'v .a t�!.. � e _.'� a.�, ';1-aE aC,,,. .., � ,:T w..s:,'U,o'�.s.� Treatment Device 0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU Ll Other Treatment Level(check all that apply): 0 A 0 B $C 0 BLl 0 BL2 0 BL3 ice 0 N �/Drainfield Type fi ❑Gravity 'Pressure Ili Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals 1 Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 gpd Length 40 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 5 Receiving Soil Type(1-6) 4 Separation 9 ft Receiving Soil Appl.Rate 0.6 gpd/ft Orifices Required Primary Area 600 ft2 Total Number of Orifices 40 Designed Primary Area 600 ft2 Diameter 3/16 in Designed Reserve Area 600 ft2 Spacing 60 in TrenchBed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 6 % Diameter 1.25 in New Slope,If Altered 6 % Preferred manifold configuration used? GI Yes CI No ill Depth of Excavation up store 22 in Transport Pipe from Original Grade Down-slope 20 in Schedule/Class 40 Designed Vertical Separation 24+ in Length 60 ft Gravel-based Drainfield Required? it Yes 0 No Diameter 2 in Pump Required? El Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose Quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,200 gal Uppermost Orifice i3'Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 23.6 gpm I1 Timer 0 Lapse Meter ❑vEvent Counter Calculated Total Pressure Head 8.69 ft If Timer: Pump on 2 minutes ,pump off 6 hours Comments APPROVED SE? 26 2025 Revised:4/14/2025 VASON COUNTY ENIRONMENTALHEALIH RED' DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 1 2 3 — 2 2 -- 5 0 0 2 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch O Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: 0 Soil logs 0 Trench/bed dimensions and 0 Septic tank Property lines critical distances within layout Drainfield cover ❑ Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property 0 Septic tank/pump chamber and restrictive strata: Pi Measurements to cuts,banks,and locations 6if Laterals,trench/bed,top and surface water and critical areas 0 Observation port location bottom ❑ Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption 0 Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: O Location and dimension of Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information Pi Buildings 0 Audible/visual alarm referenced Yes No Direction of slope indicator l Scale of drawing shown on scale d 0 Design staked out 0 Waterlines bar 0 0 Recorded Notices attached O Roads,easements,driveways, 0 Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components 0 0 Pump curve attached 0 North arrow and scale drawing 0 Q(Evaluation of failure shown on scale bar Non-residential justification 0 g Waste strength 0 0 Flow D1 ',t AL • '' • The undersigned designer must be notified by•f..; of .44 trthllation 1i Yes 0 No a. PfQ, HULA env JOMNSOft Cr— 1$76-1.45- Signatur e1)8grapj i•• Date s �r5 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: \iZIWAAA Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. (� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1- • 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. 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"t" -2 Q ,.— 9 us LI = — p f-- '` )( Ga �' `r X 0 \ N \' ,.\ w -J to I t M z N .0 ji d : VI ® � 1- t� k Q � .ems -Z w o U ,L6PP OVED t vi Avl -� � SE 262025 � " 9 " ASO i COUN ENVIRONMENTAL HEALTH 9 d w IRET `� 4 w - Y K1. `A Sal, 0 yi S z ..•mac*..•' r • Acv,..tou z1 ' e .. a :apt, ; o0 1— 3 aV/ 3 W ,��6 40' 'll xi ^ Valve Control Box with 125. Boll Valves A� ° ��SQN SFP . O�� �ziZy f 0004, 26 20 9 25 RQNf�F,y,t 2• Transport Line ��� /��lyCi` i/ 0 1, ., . i.,„ 1.25' Feeder Lines Typical Cleanout 1/ 1, ° Typical Observa'ion Port 1.25' Lateral /30 f' I I I I I I I I ° . 60' 0e ["yF.v O' "e• ew ?e-et Detailed Drainfield t.ayoL Ll: Scale: 1' = 10' final Grade% rn== Cr to 12. 0' 10' 20' SandyLoom /—Filter Fabric Cover / Fill fr/ tiP fil 2,, 2ti (5) 40' 1 .25" Sched. 40 ._aterals 3/4. to 2-1/2' ,� I 1.25' Lateral (8) 3/ 16 Orifices C 60 O.C. • Drain Rockk — — 6' Per Lateral. 1 st & Last Orifice ,i, / 30 From End of Trench 4' 36' ile [j Screw-On Cc p 2T+, 45 Degree Elbow Lateral Restrictive Layer .__ End of Ditch Drainfield ' Cross—Section View sir Detail - Clean Ctut Not To Scale l N' f� .4Note: Cleanout to be from 0 to 6 incies below Note: 0 = Observation Port P Z• t. Finished Grade. Mark ends with Rebar. Clean Out To Be 4' PVC Pipe from Bottom of Trench ai wee - r Required at the End of Each Lateral. To Finished Grade. Removable Cap shall be • �' I 1 Installed on Observation Port Pipe. Archor ' 'it :. its: t + D e c I n C On Bottom with Glued-On Tee. �: `'_ Arrow Septic,R R ./^�7 g tvininxen of 5 Total Required ri System ' 1 5100349 % ( 3 6 0 ) v 9 v—` 2 5 5 ..07 PAULA JOY JOHNSON- Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout(In.) 1 480 40 60 8 30 30 2 480 40 60 8 30 30 3 480 40 60 8 30 30 4 480 40 60 8 30 30 5 480 40 60 8 30 30 Total Lateral Length 200 Total#Orifices 40 GPM = 23.6 Dynamic Head Calculations Selected residual pressure: 2 ft. Length (Ft.) #Orifices Transport Pipe 60 40 0.60 ft. Feeder Total Lateral Line Length Lateral#1 40 2 42 8 0.15 ft. Lateral#2 40 11 51 8 0.19 ft. Lateral#3 40 20 60 8 0.22 ft. Lateral#4 40 29 69 8 0.25 ft. Lateral#5 40 38 78 8 0.28 ft. Total Elevation Lift 5.00 ft. Total Dynamic Head .'454 8.69 ft. ,tee ' of V4a f k �;� 51CC349 0' PAULA JOY JONNSON EXPIRES 15i< 1--(lb-t-5 APPROVED SEP262025 MASON COUNTY ENVIRONMENTAL HEALTH RET APPROVED SEP262025 MASON COUNTY ENVIRONMENTAL HEALTH RET 5of8 137 13:� T4 ; Bronze construction available(139 series) i i High head version available(145 series) • Double shaft seal versions available for added protection Flow-Mate on models 140/145. For more information,see Technical Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping performance is critical, this robust -• PUMP PERFORMANCE CURVE +..__ ' ' MODEL 1371140/45 family of pumps is known for reliability, 71 durability and performance. These (_• ., n p ,IIIIIIIIIIIII::: pumps are especially suited for harsh : ,■�.�.� environments.Zoeller s cool run design " ■,■■■■■■■■ N and corrosion-resistant,powder coated C epoxy finish add up to a long-lasting, M ■,■■■•■•� trouble-free product. ••,1u■■■•■■ ,:aI _ \%��■�■�M� m APPLICATIONS: 'Ti • STEP or onsite applications u ■■,,,■■■■■■ • Water transfer �' ■■■`■••■■■ C • Light commercial dewatering a •■�,■■■■•illEIMEEMIIIIIII m SPECIFICATIONS: O! �� 0 •,''••,■■• • 1-1/2"NPT discharge © ••�'!"'•• • 1/2 HP through 1 HP — • ■■■■■1,,`•• MADE IN THE USA• Available in automatic or nonautomatic USI6AYAJ791fY0f USCOtTEt11 ■■.■.,,■"■+ • Model 137,139,140:1/2"(12 mm)spherical solids .111•111.®1111111® capacity with vortex impeller a.+G,,s • Model 145:3/4"(19 mm)spherical solids capacity with -, c +c IC a vortex impeller 110,01 FRNMI 152656 151, 152 1 7-= f i5 ''-' W PUMP PERFORMANCE CURVE • e ) - MODEL 151/152/153 Dose-Mate , 5o This is our fastest growing tine of effluent 14 45 153 I pumps.The 150 series is truly a workhorse designed for reliability under extreme 12- 40 conditions in an effluent environment. 15o series pump curves cover a wide range = to- 35 tsz of applications. They are well suited to m 30 ,NNN:\\ applications with low pressure pipe(LPP) • z 151 8- 25 and enhanced flow STEP systems.Zoeller's cool run design and corrosion-resistant, o powder coated epoxy finish, in addition 6- to the hermetically sealed, oil-filled motor 15 and non-clogging vortex impeller add up to 4- a long-lasting,trouble-free product. t0 �� 2- APPLICATIONS: 5 • STEP or onsite applications o 1- ir If MADE IN THE USA 10 20 30 40 50 60 70 80 90 100 • Light commercial dewatering USIEASAI9IIIYOIIiiCOIN GALLONS SPECIFICATIONS: LITERS o A P PROVE E E) so i aso 11 �11 �o`!FLOW PER MINUTE 314504 • 1-1/2"NPT discharge i ; • 3/10 HP through 1/2 HP 1 iSEP 2 6 2025 • Available in nonautomatic or with a variable level piggyback mechanical switch MASON COUNTY ENVIRONMENTAL HEALTH • 1/2"(12 mm)spherical solids capacity with vortex RET thermoplastic impeller For more information,see Technical Data Sheet FM2784. ©All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoellerpumps.com 9 Standarna Prts and G _ I,2O07 SECURED UD W M OAS TIGHT SEAL • . 24'DIAMETER \- ACC MIERIgfER • • � fN1EK GRADE. --- --------- r----"-77Z--"---\f . . •• Cr CL—Tc7:;d , _ s i •- , - —-- 1.__)-____c"-- tr_F- FROM SEWAGE — SOURCE t FLOATING MAT !` t `..3 -. J EFFLUENT SEDIMENTS r:,/ •( / ---NA-P-P- t\11-r.. RO V E D 1442,‘,41 L• (2°kS' I- - sEPTiCTANK SEP 2 6 2025 _ , ..f.`.� MASON COUNTY ENVIRONMENTAL HEALTH . RET 6 v` j.` SECURED LID WNW CAS TIGHT SEAL T1IRFJID�unitC�`o.3.5. 5 24•METER ts.A ACCESS RSSER 110E FINISH GRADE 1 -� VALVE• t `ram t _ , FROM WPM : - CY5TORAGE1 • ' --T.TAIIIK Z--------- • .1 rx -. TO aRAwa a \ 1 . l k .i ; - ANTI IIIfIOM VALVE• . HIGH WATER ALARM LEVEL -0-..--0. NORMAL TIER OFF i SIND VOLUME1 -•sioepeweb 0 R FLOAT ENCLOSED PUMP `� ! . M IJfTUMO SEDIMENT SHROUD• VALVE- ' *--------- _________ ._ IS31 . _ t .;trim 1 suemsysistz CENTRIRMIAL alIMESNAMVER ITYp1CA►LI 'ASS ti must Tanks meet standards required by WAC chapter 246-272C and suer must be on Dept of Health list of registered sewage tanks. FIGURE 2- • .lassie 35of65 • 7 �yf axxu w Septic Desi�s tic. ' 4, INSTALLATION & MAINTENANCE v s Pressure Distribution Systems S1C349 ground. w' 8,- PAULA JOY JOHNSON • k 'iGNLIV 1. Install Laterals with contour of the ExFiRes 2. Install trench bottoms level. q-ft-2-7 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. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 10. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. 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. 12. 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. 13. 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. 14. Divert all storm water runoff away from on-site sewage system. 15. No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 16. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 17. No vehicular traffic over drainfield area or tanks. 18. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet County and State regulations. 20. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 22. All pressure systems with a pump chamber outlet higher than the drainfield must have an anti-siphon valve or a 1/8"hole drilled in the discharge pipe above the pump to prevent siphoning. Ensure anti-siphon hole sprays down/away from tank opening. 23. All transport lines under driveways or parking areas must be pf tp�Ery. 24. Homeowner is responsible for all property lines and easement 6 et, '8SEP 26 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET