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SWG2025-00385 - SWG Application / Design - 10/17/2025
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 (M .: SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 f Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2025-00385 APPLICANT Zimny,Jim Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 OWNER SWOPE KATHLENE DAWN Phone: Address: PO BOX 544 BELFAIR, WA 98528 SEPTIC DESIGNER Zimny,Jim Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 Site Address: 151 NE BEDROCK RD Primary Parcel Number: 223097690151 Permit Description: New 4bd ATU to pressure trench Permit Submitted Date: 09/25/2025 Permit Issued Date: 10/17/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system). Permit Expiration Date: 10/15/2028 (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 • ON COUNTYDATE RECBVED: d 5 MASON CO N AMOUNT RECEIVED CO Cl) .17"V: ,= Public Health & Human Services O.N(ANC 0 N - Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400' SW G — C)O 3 p> O 73 0 415 N.6th Street- Shelton,WA 98564 , Z 73 CLEAR FORMON-SITE SEWAGE SYSTEM APPLICATION D. n m PHONE r APPLICANT 360-516-0557 z �� , C KATHLINE SWOPE �,, „ MAILING ADDRESS-STREET CITY,STATE.ZIP CODE 2 F �� � m PO BOX 544 BELFAIR WA 98528 �� m S TE ADDRESS STREET,CITY ZIP CODE �� /� I i 151 BEDROCK RD , BELFAIR WA 98528 0'�� PHONE �jn�, r� I N NAME OF DESIGNER 360-516-7287 �`,,//' pV JIM ZIMNY c� I Vi NAME OF INSTALLER PHONE , � G N Io DRINKING WATER SOURCE O I .- PERMIT TYPE(select one) ® PRIVATE TWO-PART' WELL Z � lo(RESIDENTIAL OSS n COMMUNITY OSS fl COMMERCIAL OSS r7 PRIVATE INDIVIDUAL WELL PUBLIC WATER SYSTEM TYPE OF WORK(select one) Oil NEW CONSTRUCTION/UPGRADES r7 REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR ❑ SURFACING SEWAGE ❑ EXISTING FAILURE 0 SHORELINE O SUBMITTALS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? SEPTIC DESIGN(REQUIRED) BEDROOMS 1 C— n t ❑ DESIGN FORM(REQUIRED) CI SEPTICZ 5 ©YES ONO • I ❑ WAIVER(S)(IF APPLICABLE) DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate) FROM BELAFIR TRAVEL 3,5 MILES ON OLD BELFAIR HW TTO BAR CCKSMITH RD CREEK I DEWATTO RD. TAKE LEFT AND TRAVEL 8.4 MILES TO NE TAKE LEFT. FOLOOW .9 MILES AND TAKE LEFT FORK TO MUNSEN D. FOLLOW 1.1 0 MI TO BEDOCK RD AND TAKE LEFT.IN 400 FT THE DRIVE IS ON LEFT Ic/>I WITH PINK RIBBONS �� SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS _ OFFICIAL USE ONLY BELOW THIS LINE----- UPGRADE I FAILURE SOURCE(for reporOng purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING 0 BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: COMMENTS I CONDITIONS INSPECTOR SOIL LOGS IkV D -7%1 \I ElSLi Z ft i I 1 -qk-1/: D -3(0 \ SLj a -I-fil 1 1 : © - J SLi --fr--f;11 0 -TT v(i,S1-7 27i 11 RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: REQUIRED FOR FINAL APPROVAL V=VERY G=GRAVELLY S=SAND L=LOAM St=SILT C=CLAY E=EXTREMELY R=ROOTS DATE 1� ��� INSPECTOR SIGNATURE DATE APPLICATION EXPIRAfv ON DATE APPLICATION APPROVED/ISSUED BY I I S 8 `0 I THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:6/3f2025 lit* DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 0 9 7 6 9 0 1 5 1 A design will be reviewed when 3 conies of each of the following are submitted: v 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. v 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: SWG 2025-00385 Designer's Name: Jim Zimny Applicant's Name: Kathleen Swope Designer's Phone Number: 360-516-7287 Mailing Address: PO BOX 544 Designer's Address: 7178 Windflower pl NW Belfair wa 98228 City State Zip Seabeck Wa 98380 CLEAR FORM City State Zip Designers Email DESIGN PARAMETERS Treatment Device �/ ❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter Lf ATU 0 Other Treatment Level(check all that apply): 0 A trB 0 C 0 BL 1 0 BI.2 0 BL3 0 E ❑N Drainfield Type ❑Gravity erPressure liTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class S 41 . 9/0 .ifr32r. a° Daily Flow:Operating Capacity 480 gpd Length 50 ft Daily Flow: Design Flow 360 gpd Diameter 1/1/4" in Septic Tank Capacity(working) 1000 gal Number 4 Receiving Soil Type(1-6) 4 Separation 5' ft Receiving Soil Appl.Rat40114nn 69 .8 gpd/ft` Orifices Required Primary Area 600 ft2 Total Number of Orifices 44 Designed Primary Area 600 ft2 Diameter 1/8 in Designed Reserve Area 800 ft2 Spacing ;ket 60 in Trench/Bed Width 3 ft ti„ i t Manifold Trench/Bed Length 200 ft Schei.,,.. 00 ., �# sch 40 •Elevation Measurements Le 'P't 2' ft :2 . ►r Original Drainfield Area Slope 8 % ► o rS!GRzk r 2 in %%� -S�. .i.....--..4 New Slope,If Altered 8 °/„ Prefe ( m8rai8 i Titration used? ®'Yes 0 No Depth of Excavation Up-slope 77 10 in Transport Pipe from Original Grade Down-slope 12 in Schedule/Class sch 40 Designed Vertical Separation 12 in Length 20' ft Gravel-based Drainfield Required? 0 Yes le No Diameter 2 in Pump Required? P'Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff.in Elevation Between Pump&Uppermost Orifice 2' ft Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) 5' ft Chamber Capacity(flood) 11008 gal Uppermost Orifice 0 Higher 0 Lower tlta;t�tt1np Shutoff Pump controls:Please check those required. W� Capacity @ Total Pressure Head 1 yy 1 gpm Er Timer Er Elapse Meter WI Event Counter Calculated Total Pressure Head 15.9 ft A p ( Din 30 secs ,pump off 4 hrs Comments OCT 17 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET Revised:6/11/2025 I • DESIGN FORM —PAGE TWO Assessor's Parcel Number: 2 2 3 0 9 7 6 9 0 1 5 1 Permit Number: SWG 2025-00385 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch et Test hole locations 2' Drainfield orientation and layout Reference depth from original grade: a Soil logs Er Trench/bed dimensions and d Septic tank Er Property lines critical distances within layout 2' Drainfield cover of Existingand proposed wells 2' D-Box/Valvc box locations p Iro Reference depth from original grade within 100 ft of property a Septic tank/pump chamber and restrictive strata: El Measurements to cuts, banks,and locations Er Laterals,trench/bed,top and surface water and critical areas a Observation port location bottom Er Location and orientation of it Clean-out location a Curtain drain collector curtain drain and all absorption et Manifold placement Ur Sand augmentation components l Orifice placement Other cross-section detail: er Location and dimension of er Lateral placement with distance Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information er Buildings Er Audible/visual alarm referenced Yes No Er Direction of slope indicator Er Scale of drawing shown on scale ❑ 0 Design staked out ✓ Waterlines bar 0 0 Recorded Notices attached ef Roads,easements,driveways, V Elevation benchmark and relative 0 0 Waiver(s)attached parking elevations of system components or ❑Pump curve attached 2' North arrow and scale drawing 0 0 Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑ Flow 1 ESIGN APPROVAL The undersigned designer must be notified b stal -r at tim• : .installation lErYes 0 No /G- /I-- 2r Signature .f ies':ner Date �+1 The undersigned has reviewed this design on behalf of Mason County Public Health and determined::,• , pie compliance with state and local on-site regulations: "%es‘' 4' ,t(I ( le` •9'•• 'i J..2;,,,t ^, L.,.LICENSED SiC _ : Environmental Health Sp ialist Date 5 �x. .A ._�; /f—/3'-Z - CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. L� (� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ 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. Revised:6/11/2025 Advantage Perc & Design Timely-Reasonable-30 Years of Local Experience Construction Notes for ATU to Pressure Distribution 4 Bedroom System: Pressure Distribution w/graveless chambers (Rock and pipe may be substituted) Install 4 -50' Laterals of 1 i/4" sch 40 PVC pipe . Install on 5'foot centers. 1/8" Orifices on 60" centers beginning 30"from the beginning of the lateral and oriented at 12 O'clock. Install 10"trench depth on low side of trench and maintain 12" of vertical separation Install level and along contours. Only Install in dry weather only. 1200 Use 1000-Gallon trash tank, 1000 gallon BNR-500, and gallon pump tank with risers to the surface of the ground. See pump Chart for Pump Specs Use Nuwater Control Panel or equivalent w/ audible and visual alarms for low and high water. System designed for typical residential waste strength sewage only. System designed for 480 Gallons Per Day APPROVED O C T 17 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET yY A te, tP ,; 02 Jwno ,tr LICENS. /G— / S'-Z� Advantage Perc& design • APDdesigns@icloud.com • (360) 516-7287 • cP N k N L, �S Z ;--\-.-, _. „ i '.. s 'lle ,Z i ) „il , -.. -b- ,..41 i I 444. ,t7-4. N i 6CI (01 sow £ ;II � � � i N tI H f I tit., 3 E !I 1 / -. •-•'----1 .. a.0. a ••t,K _.�r.'... is wt- amo «� R' .rz. APPROVED D.1. OCT 17 2025 1\ II MASON COUNTY ENVIRONMENTAL HEALTH RET Ns 1 I i ill i t t i < < 1 I E 1 i 2.5 1 i ' 044------, 11, i 4 6 ( t I i 1 ! ii e4 ir » t t c 1 t -- — - LID VENT(l DUAL PORT AERATOR —WATERTIGHT , yp) \ RISERS(TYP) \ \ i I i I 36'MAX 1'PVC(TYP) ` i IT— r o II 5 r c41 �1 .-�; % t RL NEl r- MASTIC 1'1 2'COUPLING S6 REDUCER 6- L—+--�__. Jai C-_-- ^-^= ;-_----------\--�^----� = P---y 1, \ 2'TEE t••PVC SLUDGE j 12' RETURN LINE �{ 2'PVC J I J 1 . ._J __— • -17: TRASH CHAMBER ` ' DIGESTER CHAMBER CLARIFIER • OPERATING CAPACITY.417 GALLONS OPERATING CAPACITY'421 GALLONS CHAMBER FI000 CAPACITY:490 GALLONS FLOOD CAPACITY.494 GALLONS 160 GALLONS i \ FLOOD:191 GAL I r- }65" 50' 54' 53' 36' c e e o u o I 1'X 1/2' APPROVEEt •o ' V J TEE —--1 OCT 17 2025 ; . - T I I 17 I MASON COUNTY ENVIRONMENTA}HE�LTIOr "' pARALELRTO TAN(K)WALL 4' RET --� 3 SLUDGE RETURN - �j 1 6'TAPER i STONE-FREE NATIVE SOIL OR COMPACTED SAND OVER STONY SOIL INSTALLATION INSTRUCTIONS 1)Excavate tank hole with vertical walls to 1 foot larger than tank on all sides. 2)If bottom of hole is stony,install 3"of compact sand&level - - 9.'2- out with screed. 3)Install tank in center of hole.keeping 1 ft.void space on I - ) all sides. I 24'RISERS(TYP) 24"BLOWER OUSING CAS 4)As tank is filling with water,fill in void space with compact TOP OF I granular(sandy)soil free of large clumps of clay. I r II I1 5)Install rest of system,&affix risers to adapters withI waterproof adhesive. 111 1 s-e' :i) 6)Perform watertightness test in field as required by local I I 1 jurisdiction. • I I 12'RISER I i 7)Upon approval to backfill,carefully backfill with native I i I soils over top of tank. ' TRASH CHAMBER 'I DlOESTER I laiSSO EBI 8)Final grade the surface to avoid chanelling surface L _ ___i L _ _J water toward tank. \ ii TOP VIEW i fl 1'=28It i i f1 i •� ,fi I ,r • ;.o�.,;� A f/ •" f Lr+ TREATMENT TANK DETAIL FOR • •;• : , r ' �'='4 • BNR-500 TREA TMENT UNIT / LICE -d$ DESIGNER it, rs• All • y. (0-I r-2 VIRO-FLO, INC. REVISED �/O�/� ,. `� � Wastewater Treatment Technologies -...* '...r.`" P.O. BOX 321161, Flowood, MS 39232 SCALE ::::r_::: (877)836-8476 (601)845-4716 fax 1" = 1.4 ft. www.enviro-flo.net r çNtVVaLew ll Aalvonc.•d Trasutraiwnt SV•ta,em By Er\Vlrc. Fla, In. T 0111114111. t; �;t. II /� \ 41* .._.-- ,, ob •,..1 N ib El T1;4 %110 % ii ,; 0 �• pill r !eo * ' i!�el LII I* ALo 13, ...•t, Q act OP %.„%h--... --,,0„,,,e- -... . to 1 i ID Wr . • u • to, a o u I) f.- ED ii Oft 0 I*: 4b '' '''. PPROV : Pta to OCT 17 2025 4 �� `� 4:1 1/4.7 COUNTY ENVIRONMENT. r LTH © 1 ok "'AVON RET lilt rr PARTS LIST NuWater NR Assembly Diagram V „ 0 A DUAL PORT AERATOR M POLY DIFFUSER BAR(2) B 3'8"RUBBER 90'W'CLAMPS(2) N 1"PVC(3 1 2' SECTION) IP C 3/8"BARBED ADAPTOR X 1/2"NPT(2) 0 1"SLIP CAP @h D 1/2' SLIP X 1/2"NPT ADAPTOR P 1/8"CLEAR PVC HOSE(OPTIONAL 5') A E 1"STREET X 1/2"NPT BUSHING(3) Q 1/2' PVC PIPE(BY INSTALLER) F 112"90°ELBOW(3) R 1" VC PIPE(BY INSTALLER) I G 1"X 1"X 1/2"TEE w � 2"PVC PIPE(BY INSTALLER) [ z_41!,6411'. H 1"90 ELBOW(3) �P ,' d% 118"BARBED ADAPTOR TO 1.'d"NPT(?) 12"X 1"BUSHING c• 1/2- STREET X 1,4"NPT BUSHING(2) 12 a J 2"SANITARY TEE O Jones 11orkZknnY v "PVC COUPLER(2) LICENSED DES NZI.f K �"PVC CROSS � 5�1 OUPLER(BY INSTALLER) L 1' COUPLER(BY INSTALLER) V- (S Z�"--' Revised 2/25/12 W. I SECURED UD WITH SEAL 1 Sr . ACCESS RMIER 1 _ l CMOH GRADE . 1 }�- —��U t le_______TO. PROM SEWAGE i0lJRDE — FLOATING MAT SEDGIMITS . i------ 060 (Try( rams A-c. i =mu . SECURED UD WITH OAS TIGHT SEAL THREADED MOW 1 ILIESSINAMERIZt N FORM GRADEJ:.F( NIRVICE - c_- . oar-,..og .r - r4: i.:I . FR01 ATu 1 �`.ri ' TDDRAIPE v. — MIEROMIDVIITORAOE AenMIMS HIGH WATER ALARM LEVEL - I VALVE* I WORKING VOLUME —� PLONISTSM NORMAL TIMER OFF LEVEL - 110 EINOLOSED KW a i SED�Ta1 RTS • OT�IFOR VAL.YE 11"~ Gf1LE OIMMIPUIIAL PIMP V2A °�""' Puy awtriM iU APPROVED ��t ,y. OCT 17 2025 r '+ i� 1 - N COUNTY NTR NT- ' `� MASO D!rME -02 � o: .,,.n t RET i LICENSEi •ESIGHER I / 0_ 1c Z (} Pump Selection for a Pressurized System-Single Family Residence Project Parameters Discharge Assembly Size 2.00 inches 100 Transport Length 20 feet �__.y_ __� Transport Pipe Class 40 Transport Line Size 2.00 inches 90 t Distributing Valve Model None Max Elevation Lift 10 feet —Manifold Length 2 feet Manifold Pipe Class 40 80 1 f Manifold Pipe Size 1.25 inches I , 1 I I I Number of Laterals per Cell 4 Lateral Length 50 feet Lateral Pipe Class 40 70 Lateral Pipe Size 1.25 inches Orifice Size 1/8 inches d ' I 1 Orifice Spacing 5 feet Residual Head 5 feet i 60 f Flow Meter None inches H Parrsos; I I 'Add-on'Friction Losses 0 feet m co i Calculations I 50 Minimum Flow Rate per Orifice 0.43 gpm R Number of Orifices per Zone 44 c Total Flow Rate per Zone 19.1 gpm i- 40 Number of Laterals per Zone 4 O %Flow Differential 1st/Last Orifice 0.6 % (— Transport Velocity 1 8 fps 30 ) , Frictional Head Losses \\\ ;_.i Loss through Discharge 0.7 feet Loss in Transport 0.1 feet 20 Loss through Valve 0.0 feel \ Loss in Manifold 0.0 feet Loss in Laterals 0.1 feet Loss through Floverneter 0.0 feet 10 'Add-on'Friction Losses 0.0 feet \ Pipe Volumes \ Vol of Transport Lino 3.5 gals 00 20 40 60 80 100 120 140 160 Vol of Manifold 0.2 gals Net Discharge(gpm) i Vol of Laterals per Zone 15.5 gals Total Volume 19.2 gals Minimum Pump Requirements PumpData Legend Design Flow Rate 19.1 gpm PFEF50 Effluent Pump System Curve.- Total Dynamic Head 15.9 feel 1/2HP,115/230V 10 Pump Curve: or g_QU. V . Pump Optimal Range: Operating Point: Design Point:O 0 c,5. . APPROVED O C T 17 2025 L1(20uJNY" \ ' `S'>r Et; , MASON COUNTY ENVIRONMENTAL HEALTH 5YsTEms /0- /S-.23-- R-T S _..._..._. ._..._..._..._..._..._.. .._. .�. ._ Seasonal Stream North 245' �'• a. r — m 40 r'' fD ~ I I I �, 1 Z - C �'< N '< 1--, 00 *00 o = I I I —, r— roQ c P I I W N S. • r — 3 N N.) (3) -NI rD � - z N -N1 ..• + .. D - < < 0 < < (D (D Co n n < < PO PL) et. (D — = -< -< (1 � (..nV) Iv IL >v fa)= = 0_ 0_ C. CI- -< ,< < — — 0 0 z 0 — PJ A) :v Iv 3 3 CD o 'U 3 3 T rnJ • O � O < .A W N N F•+ 1--. O O ➢ � m 0 00 1 ® -.. nn ko c w a - oo -I •• F-, z p, -I .- 77 X to S.. LR .. now W ' 7) VI z0 . 0 0 cl �1 N• # H n 4� I dl • • • `r1- •� • o • r-� • • 09.• �\ (D . ' ' -< NIo \ (...-"41O i i i i i i i �7 v Bedrock RD I-' A? (U r-r (D Vl ¢! 'ti a/ --I `ti m Oh (D 0 (D (D ( N -y1 F-+ _. = 0 Q• cc d j \\ cn c �_ n Q- N� / 011 rt. ; i i I �q �%�' C (I) Vi = r-r S \ ` (D o f ` '� 4 /• CT) J o Rt, cril z. VI X - Cl. c r $ 33 -,, � — >� w 0 z i