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HomeMy WebLinkAboutSWG2025-00370 - SWG Application / Design - 9/12/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 ` 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 Permit: SWG2025-00370 APPLICANT MANGENG BENJAMIN Phone: 775-340-8651 Address: 5831 SE ARCADIA RD SHELTON, WA 98584 OWNER MANGENG BENJAMIN Phone: 775-340-8651 Address: 5831 SE ARCADIA RD SHELTON, WA 98584 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 Site Address: SE Arcadia Rd Primary Parcel Number: 220301094092 Permit Description: New 4BR SFR - Oscar X02 Permit Submitted Date: 09/12/2025 Permit Issued Date: 10/14/2025 Issued By: Jeff Wilmoth Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/06/2028 (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. 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 MASON COUNTY DATE RKENED: ( /� ' I ^ a� . >, V' L AMOUNT RECE D: RECEIVED BY: 0 Cl) -__ Public Health & Human Services 655 1 �scnv b o m Environmental Health 360-427.9670,ext.400 or 360-275-4467,ext.400 /� yO -Shelton,WA98584 SWG �_ /O.� _ 60 370 v �C lJ Z fn ON-SITE SEWAGE-�� SYSTEM APPLICATION z la APPLICANT ( �--�1 l PHONE M m Benjamin Mangeng 1ELl (775)340-8651 Z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE N I C 5831 SE Arcadia Rd. 1 1 N Shelton WA 98584 CD m SITE ADDRESS-STREET,CITY,ZIP CODE N SE Arcadia Rd. Shelton WA 98584 I N NAME OF DESIGNER PHONE IV Dale L. Tahja (360)463-8023 w I NAME OF INSTALLER r , CO PHONE vI CD PERMIT TYPE(select one) DRINKING WATER SOURCE �+ I 0.)RESIDENTIAL OSS b7COMMUNITY OSS ffCOMMERCIAL OSS i PRIVATE INDIVIDUAL WELL El PRIVATE TWO-PARTY WELL Z O TYPE OF WORK(select one) PUBLIC WATER SYSTEM Ml NEW CONSTRUCTION/UPGRADES ffREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I —_t SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE El DESIGN FORM(REQUIRED) Q SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER4/1/2025? 0 I CD ❑ WAIVER(S)(IF APPLICABLE) 4 3.1 acre DYES ✓ONO Z CO DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I Go north on Arcadia Rd., 5.8 miles, turn left onto Castle Way, property is first big cleared I .p. grass field on the left. b I o -I Ico N SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I N OFFICIAL USE ONLY BELOW THIS LINE — — UPGRADE I FAILURE SOURCE(for reporfing purposes) ❑VOLUNTARY ❑MAINTENANCEIPUMPING 0 BUILDING PERMIT 0 HOME SALE 0 COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 'ir,� 1 1.7 s i L :i�,,,. w �' ~+~ 1 it ~ c 111CA Or ILI Li p J 1`" RECORD DRAWING AND INSTALLATION REPORT• �1/ SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R-ROOTS REQUIRED FOR FINAL APPROVAL. IN CTOR SIGNATURE DATE APPLICATION EXPIRATION DATE AP (CATION APPROVED/ISSUED BY l/ DATE IV��'�J I 'ly,' /46 ,LIA,,, IOJ��i `�S TH F AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:6/3/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 3 0 j 1 0 9+4 0 9 2 A design will be reviewed when 3 copies of each of the following are submitted: i_ 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: 11"X 17" PARCEL IDENTIFICATION Permit Number: SW G 20 q-U037o Designer's Name: Dale L.Tahja Applicant's Name: Benjamin Mangeng Designer's Phone Number: (360)463-8023 Mailing Address: 5831 SE Arcadia Rd. Designer's Address: 2450 W.Deegan Rd.W. Shelton WA 98584 City State Zip Shelton WA 98584 City State Zip Designer's Email daletahja@gmail.com DESIGN PAR. METERS:"._ Treatment Device ❑ Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 RecirculatingL�Filter Ate,' Oscar X02 0 Other Treatment Level (check all that apply): 0 A I'B 0 C 0 BLl ❑rc BL2 0 BL3 0 E 0 N Drainfield Type ❑ Gravity 0 Pressure 0 Trench 0 Bed ieSub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class OS-50 coils Daily Flow:Operating Capacity 360 gpd Length 25 ft Daily Flow:Design Flow 480 gpd Diameter Netafim Bioline in Septic Tank Capacity(working) 1,000 gal Number 8 Receiving Soil Type(1-6) 5 Separation 2 ft Receiving Soil Appl.Rate 0.4 gpd/ft2 Orifices Required Primary Area 1,200 ft2 Total Number of Orifices 400 emitters Designed Primary Area 1,200 ft2 Diameter Netafim Bioline in Designed Reserve Area 1,200 ft2 Spacing 6 in Trench/Bed Width 24 ft Manifold Trench/Bed Length 50 ft Schedule/Class Sch.40 Elevation Measurements Length 450 ft Original Drainfield Area Slope 5 % Diameter 1 in New Slope,If Altered 4 %, Preferred manifold configuration used'? 0 Yes 0 No Depth of Excavation Up-slope 0 in Transport Pipe from Original Grade Down-slope 0 in Schedule/Class Sch.40 Designed Vertical Separation 16 in Length 5 ft Gravel-based Drainfield Required? 0 Yes ei No Diameter 1 in Pump Required? ElYes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 360 Diff,in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 1.33 gal Drainfield Squirt Height/Selected Residual(head) drip ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice 0 Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 30 gpm It Timer 1 EkApsF,,,,Me4rE t Counter Calculated Total Pressure Head 50 ft If Timer: Pump on r 0.48 min. ,Pomp off 4752 thin. Comments >1.. AudioNisual Alarm required. Install within Lowridge Onsite Techn• 'Q recthrtments. 1 iiisii MASON COUNTY ENVIRONMENTAL HEALTH `'IM Revised: 6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number 2 2 0 3 i 0 i 1 0 9 4 0 9 2 Permit Number: SWG 2425 - G43)D DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Pc Test hole locations V Drainfield orientation and layout Reference depth from original grade: V Soil logs le Trench/bed dimensions and fer Septic tank er Property lines critical distances within layout V Drainfield cover er Existing and proposed wells 2r D-BoxNalve box locations Reference depth from original grade within 100 ft of property le Septic tank/pump chamber and restrictive strata: er Measurements to cuts,banks,and locations Laterals,trench bed,top and surface water and critical areas er Observation port location bottom le Location and orientation of le Clean-out location 0 Curtain drain collector curtain drain and all absorption pf Manifold placement V Sand augmentation components er Orifice placement Other cross-section detail: le Location and dimension of ler Lateral placement with distance Er Observation ports/clean-outs primary system and reserve area to edge of bed Q( Buildings Other Information le Audible/visual alarm referenced Yes No le Direction of slope indicator le Scale of drawing shown on scale P( 0 Design staked out le Waterlines bar 0 0 Recorded Notices attached er Roads, easements,driveways, 'Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components V 0 Pump curve attached le North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength ❑ ❑Flow DESIGN APPROVAL The undersigned designer must be notified b instal at time of installation VYes 0 No Signature of Designer Date 0 re The undersigned has reviewed this design on behalf of Mason County Public Health and determined � �, I 1 n compliance with state and loc9 (7)Lr site regulations: taw. � { 10 -I`��S i a� i'C l �,�,�'l (►.'° ?f ,a �, i ental Health Specialist Date %CKeS. •�i,,,. .r,1 Z 6'byf I UJ CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDI .'' — I The design is stamped"Approved"by Mason County Public Health. (O ` ^�� %‘��yk. The Onsite Sewage Permit has not expired,the Permit Expiration Date is: I 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 M n i e. L :�/11/2025 OCT 14 2025 1 . } MASON COUNTY ENVIRONMENTAL HE,S_-- JBW Mason County WA GIS Web Map ----10-7 — '------1''''--- ky,..") yV4 7 41 ef'---j \\,\..ij r . 1---- •..% <PhC ....17 1 65..---L Ix 6 ,(:1 1 i l 1 • QS: ! I OC ;I) 5 ,`R..,::,,, __A_____ b1ASONCOUNTY NTA[HEAL 9/8/2025, 6:16:48 PM �� b 1:1,536 a\� -- --i 0 0.01 0.03 0.05 mil 0 County Boundary l ' ' ', l i i 1 i 9)e Y\0.X-\C5 _ 0 0.02 0.04 0.08 km D No Filled 'Cc'e -YA )_ ° Site Address (Zoom into 1:3,000) Sauces Eat HERE.Gamin,Mdemien,Increment P Corp..GEBCO,USGS, FAO.NPS.NRCAN.Geo8ase.ION,KadasOer M.Ordnrice Survey,Esri C' Tax Parcels(Zoom in to 1:30,000) (Hong Kong).(e)OpenStrestMep conalbutom,and the GIS User Community — Contours 5 ft Mason County WA GIS Web M on Mason County disdains accuracy,reliability,or liminess of wabsib info,not liable for Weiss from reliance an i.hltpaJlwwwnasarkaWywa-O DhP .. . . . Y 0 7.--%-\\` . N\ratar 9-,\ er. \4esi \f,itr.lrk-s.5 , Lt 4. . . Q .........:•ga.ri .4! g 1 . ..s. , 11 4 , J i 1 L . .., 1 .. , II 14. - ti , A., la 1 tiA 1 _ rib , . ? AP't ... t ____. . 7 f, (.. .,2, I, 41110 .11:1 .7,,,ti 11, I 0 /4. 0 I 0 AJ .&, 4 0_, l'A• . 6v.,- - t . ,PAI Or OA,‘, e 49 C? 5100214 1:1 --_______ \ / of i c-e 0 Dale L.Tahja I \CM\-) \ \14 • •'-' ir:FNSED DESIGNER 0 -- . • c: ,VIM •%•%%'10 )tc?\.\-1. \VC\Y..— ---- \ , • 0 \ ' ‘<‘ (- •'\ \. \\-0 ,:_. --- I -74 ,&A 0 . .\s,...i i \, ,t (,\.:1 , .\\••••--- . . A.. ip- - ...,N. •,..-4,7 . /- )-- - 50 OCT I 4 2025 '.:ASON COUNTY EN VIRONMENTACHE ... Jril* " 1 b,' se _._. n / ir --� ' \ \ " >> ... C� ' \ - 1c,,,__,v_r\;. \ \ , ,.„,,,,, \,,,,,4„...........„-f , .. \-- .____,. ..-- / ..„ p L •• . 1, 4% / ' . • .,. t .ir ‘,‘,,ii. 1 . .... ;i•k„ ���! 5100214 i 1I ��" it' a; • Dale L.Tsbr R U i LICENSED DE 1 Q go dir i r , ( i r Q Q= � 6' .r 0 3 P ., t; OCT 14 2025 L w ...,...., '.,ASO.COUNTY ENVIRONMENTAL HE:,_-- Y3lad .i . .,, . SUBMITTAL DATA SHEET Thermapdastic I Reinforced Thermoplastic motor bracket and discharge with built-in guide bearing.This 1/2 HP pump has a stainless steel top bearing and motor coupling.These are assembled with our A.Y.McDonald stainless steel motors.Two wire single phase models include pump,motor,and 10'lead. This four inch submersible is supplied with grounded leads meeting the National Electrical Code(N.E.C.)specifications. The performance curve below will assist you in choosing the pump that meets your needs. MODELS I E-30 6P61 ;— E - 3 P 300 — -._ _ �__ , -1--1— ,-•r?,`,-r i :7-1 -t.T—. - 1/2 HP. .122 FL •f 03 P.S.1. • C .-'..*": r--j•-.-7-1-i_. -.-:. T.;... 1 i-,--,•-c ;-i ._c--ice_.-.A. i__ .:-.:_ Ly, i_t_J_ ..S-i- '.4...1.'_.1. _... !.-..-.'. ....... .-........... ...4..:_....!-.... -tom • . _.� --. _... .._-.-._... -_ .- Simplex 0 5 10 15 20 25 30 35 40 . Duplex 0 10 20 30 40 50 eo 10 BD - Fourplex 0 20 40 60 80 100 120 140 160 FLOW GPM Specifications 'i.1• u'el •• HI''. tdl9er,31. tlni[ t117 .. •" '.;8 '„L,Y,(: LOT-30 1/2 Plastic 115 1 10.94 9.53 ! K 23 Lit.1161 SUBMITTAL INFORMATION - Stainless steel pump shell and pump shaft • - Powered by AY.McDonald submersible motors 1/2 HP. - Reinforced Thermoplastic diffusers and impellers - 1 1/4"FNPT Discharge - Thermoplastic intake screen and cable guard NO-LEAD:The weighted average of the wetted surface of this no-lead product contacted by consumable water contains less than one quarter of one percent(0.25%)lead. mow, Lowrtdge Onsite Technologies,Inc. Toll Free:1-877-476-8823 dave@lowridgetech.com r:' " `' P.O.Box 1179 Fax:1-425-335-3522 oscaronsite.com -. .-- " ~ Lake Stevens,WA 98258 A.Y.McDonald considers the Information on this assembly drawing correct when published.Item and option availability,including specifiications,are subject to change without notice. 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