HomeMy WebLinkAboutSWG2025-00383 - SWG Application / Design - 10/28/2025 415 N 6TH STREET,SHELTON,WA 98584
A MASON: COUNTY SHELTON:360- - ,EXT 400
BELFAIR:360-27275-44674467,EXT 400
l— Public Health & Human Services ELMA:360-482-5269,EXT400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00383
APPLICANT GOBLE TIMOTHY&JODY Phone:
Address: P 0 BOX 1123 SEABECK, WA 98380
OWNER GOBLE TIMOTHY&JODY Phone:
Address: P 0 BOX 1123 SEABECK, WA 98380
SEPTIC DESIGNER TOM WEAVER* Phone: 360-620-7054
Address: 3912 STEELHEAD DRIVE NW BREMERTON, WA 98312
Site Address: UNKNOWN
Primary Parcel Number: 320215502015
Permit Description: New 3bd pressure trench
Permit Submitted Date: 09/24/2025
Permit Issued Date: 10/28/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $720.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 10/08/2028 (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
ap. ... MASON COUNTY DATERECENEO-. 6 c a ( ^ a5
AMOUNT RECENED RECEIVED Et
Public Health & Human Services ki 0� jyirgtLeb v r
Environmental Health 360-427-9670,ext.400or 360-275-4467,ext 400 �t N y
415 N.6th Street-Shelton,WA 985S4 SWG aoa5 -- 003E3 2
z In
ON-SITE SE , AGE SYSTEM APPLICATION 3) z
APPLICANT PHONE co r
Timothy Goble C 360-621-6437 0 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE /� N -.I 2,
PO Box 1123 «zzz,�����"''7777 Seebeck WA 98380 88 El
. ,/
SITE ADDRESS-STREET,CITY,ZIP CODE r�CJ) . to
East Ashwood L a a Shelton WA 98584 I w
NAME OF DESIGNER 11
(LJz_ic55 CD
PHONE N
Tom Weaver C 360-620-7054 C)
NAME OF INSTALLER PHONE v 0
41
a N.)
PERMIT TYPE(sekc t one) DRINKING WATER SOURCE 0
®RESIDENTIAL OSS EICOMMUNITY OSS EICOMMERCIAL OSS El PRIVATE INDIVIDUAL WELL i1 PRIVATE TWO•PARTY WELL Z -•,
TYPE OF I GRK(seascf one) ®PUBLIC WATER SYSTEM
N
3I NEW CONSTRUCTION/UPGRADES ED REPAIR I REPLACEMENT OTHER DETAILS(taACYalIMIappi0 ❑ TABLE X REPAIR
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE ❑SHOREUNE
CO
EDESIGN FORM(REQUIRED) '41 SEPTIC DESIGN(REQUIRED) BEDROOMS LOT ME WAS LOT CREATED AFTER4/12025? r0 01
IdIWAIVER(S)(IF APPLICABLE) 3 .17 Acre D YES 0 NO I
7C O
DIRECTIONS TO SITE AND SITE CONDITIONS:(es Ixkedgale)
Take Agate Rd toward Timberlake Plat N N
3,8 miles turn Right on E Crestview Dr
2 miles turn Left onto E Hillcrest Dr I O
300'turn Right onto E Wood Ln —I
800'turn Leh onto E.Ashwood Ln
Lot Is on the rlght between 20 and 40 East Ashwood Ln -1
(D
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. 01
OFFICIAL.USE ONLY BELOW THIS LINE --
UPGRADE I FAILURE SOURCE Or reporting purposes)
0 VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE OCOMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS
I_ _, COMMENTS/CONDITIONS
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SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT
V=VERY G=GRAVELLY S=SAND L-LOAM SI-SILT C-CLAY E-EXTREMELY R=ROOTS REOUIREO FOR FINAL APPROVAL
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
litrUilbilf Carl f ate I - (0 t I 5 -vrf$ V (o/ fz
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2026
I
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 — 5 5 — 0 2 0 1 5
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 Tier size: 11"X 17"
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Permit Number: SWG 7j02S--oo n- Designer's Name: Tom Weaver
Applicant's Name: Timothy Goble Designer's Phone Number: 360-620-7954
PO Box 1123 Designer's Address: 3912 Syeelhead Dr NW
Mailing Address:
Seebeck WA 98380 City State Zip
Bremerton WA 98312
City State Zip Designer's Email '�
:;,::viz
Treatment Device
❑Glendon 0 Sand Filter ❑ Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU U Other
Treatment Level(check all that apply): 0 A ❑ B 0 C 0 Bt.! 0 BL2 ❑ BL3 11 E ❑ N
Drainfield Type
❑Gravity 6 Pressure siTrench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH 40
Daily Flow:Operating Capacity (210) 360 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 5 ft
Receiving Soil Appl. Rate .6 gpd/ft' Orifices
Required Primary Area 600 ft2 t/ Total Number of Orifices 40
Designed Primary Area 600 ft2 Diameter 3/16 in
Designed Reserve Area 600 ft2 Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length V O 4145 ft Schedule/Class SCh 40
Elevation Measurements Length 20 ft
Original Drainfield Area Slope 3 % Diameter 2 in
New Slope, If Altered _ % Preferred manifold configuration used? lif Yes 0 No
Depth of Excavation Up-slope , 0 12 in Transport Pipe
from Original Grade Down-slo ' 11 in Schedule/Class Sch 40
Designed Vertical Separation 24 in Length 10 ft
Gravel-based Drainfield Required? 0 Yes Ei No Diameter 2 in
Pump Required? 56 Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff. in Elevation Between Pump& Uppermost Orifice 4 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,200 gal
Uppermost Orifice Eif Higher 0 Lower than Pump Shutoff
Pump controls: Please check those required.
Capacity @ Total Pressure Head 24 gpm f Timer 0 B(apse Meter ❑event Counter
Calculated Total Pressure Head 10 ft If Timer: Pump on at min ,Pump off 4 Hours
Comments AP P R O V
ED
OCT 2 8 2025
URN Cf',IINTY Fti`v9PnkiLIFUTAI NFAI Tl'
RET Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 2 1 -- 5 5 -- 0 2 0 1 5
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ei Test hole locations 121 Drainfield orientation and layout Reference depth from original grade:
FZi Soil logs 0 Trench/bed dimensions and g Septic tank
Property lines critical distances within layout 0 Drainfield cover
❑ Existing and proposed wells lid D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 0 Septic tank/pump chamber and restrictive strata:
m Measurements to cuts, banks, and locations 171 Laterals, trench/bed,top and
surface water and critical areas 0 Observation port location bottom
m Location and orientation of 0 Clean-out location 0 Curtain drain collector
curtain drain and all absorption 0 Manifold placement 0 Sand augmentation
components 6Q Orifice placement Other cross-section detail:
❑ Location and dimension of lidLateral placement with distance fi� Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
Pi Buildings 10 Audible/visual alarm referenced Yes No
• Direction of slope indicator l21 Scale of drawing shown on scale Cl It Design staked out
Waterlines bar ❑ el Recorded Notices attached
O Roads,easements,driveways, 0 Elevation benchmark and relative ❑ el Waiver(s)attached
parking elevations of system components LI ❑ Pump curve attached
O North arrow and scale drawing
0 l'Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ 0 Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation 0 Yes 0 No
��� //-e-- /G �/a
Si nature of Designer 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:
eq\_,Q3A149(6114 0(7,19ti 11)(
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: U (CV?)
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 Mason County Web site. Revised:4/14/2025
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Placement of home is crltiosf to mace septic design world
APPROVED ,,
OCT 28 2025 1n` l II I )Z
MASON COUNTY ENVIRONMENTAL HEALTenchiswit ��wrw�n -1-0 N�1'�1 NVS01 L'.
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/ ® t :�J valve Box 0-2C SW Lawn
Inlet• 92'el to lank e� Woo despoil To EOM*our
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126' = �a -, Box
• S o-�0" Recent fill
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/. THOMAS E.WEAVER'•. 1,
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East Ashwood LA
Pressure Distribution 30 East Ashwood Ln
1,200 gallon Septic tank
1 ,200 gallon pump tank
All tanks with water tight risers to the surface
Five laterals 40' long
Trebch depth 12"
End Manifold with individual valves
Transport line to be 2" dia. Sch 10'
Laterals to be 1.25" diameter sch 40 with a valve in each lateral and access to surface
Have access ports on lateral ends for inspection and cleaning - Sweeping 90's
Residual squirt height - Minimum 24"
Orifices - size - 3/16" - Spacing 60" ( Eight per leg)
Orifices at 12 o'clock (Orifice covers if installed in gravel)
Checkmate valve (or Equiv.)
Controller - SJE Rhombus or equivalent
Timed dosing set for 6 times per day, 60 gallons per dose (360 gpd)
Pump Liberty 280 or equivalent APPROVED `fit v[AtwM
•
00333
THOMAS WEAVER
MASON COUNTY ENVIRONMENTAL HEALTH
28 2025 _..,� sib ata
RET -/
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Performance Curve: 290-Series
50- - - - ---—-- 16
45 ,
40 , ------- - 12
30 -` -------a — Q g
125 .R.2b 3
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io 3
51 ..
0 o
0 10 20 30 40 50 60 60 PO
Flow (GPM)
t 4 f i -t-- -----}- I f----I
36 76 114 151 189 227 265 301 341
Uters Per Minute
Recommend Liberty 280 Pump s'. .t V,
ii„-;:,..:,,44„N..
3/16" Orifices @ 2' residual head = .59 i.�THOMASE� 3=,AVER '
2" Transport line @ 40gpm = .027' head/lineal ft "���� `�r• 'cY":.
Every 90° = .162' head Every 45° = .07' head ' /ZZ/).,
Number of orifices 40 X .59 = 24 GPM
1 10
Transport loss 1 + Fitting loss + elevation life 6 + 2' residual =
APPROVED
OCT 2 8 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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APPROVED !
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O C T 2 8 2025
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APPROVED
OCT
MASON COUNTY ENVIRONME281025NTAL HEALTH
RET
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f t -I' OCT 2 8 2025
MASON COUNT!'E',ViRONMENTAL HEALTH
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PRESSURE DISTRIBUTION
DRAINFIELD
APPROVED
OCT 28 2025
MASON COUNTY ENVIRONMENTAL HEALTH
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APPROVED M
OCT 2 8 2025
MASON COUNTY ENVIRONMENTAL HEALTH
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