HomeMy WebLinkAboutSWG2025-00457 - SWG Application / Design - 12/4/2025 a , 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: SWG2025-00457 OUarY
APPLICANT HALL SHERLYN NICOLE Phone:
Address: 50 E HICKORY PL SHELTON, WA 98584
OWNER HALL SHERLYN NICOLE Phone:
Address: 50 E HICKORY PL SHELTON, WA 98584
SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION, WA 98592
SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: 50 E HICKORY PL
Primary Parcel Number: 320055000029
Permit Description: Repair 4bd sandlined bed
Permit Submitted Date: 12/03/2025
Permit Issued Date: 12/04/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 11/24/2026 (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.govlhealth/environmentallonsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
ASON COUNTY DATE RECEIVED: I^ / ! 3IQJU -L
C
0,4-:'
AMOUNT RECGrVED: ReCEwED 3r m
Public Health & Human Services It [ blRoPc � `K�W
SWG a5 -
Environmental Health 360-427-9670,ext.400 or 360.275-4467,ext.400 0
O �
415 N.6th Street-Shelton,WA 98584 �c� � z 6
z -0
ON-SITE SEWAGE SYSTEM APPLICATION m n
m
PHONE r
"N (580) 584-1473 z
Sherlyn Lowe �� �"
MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE Sr �ItOn WA 98584
50 E Hickory PI � � 1:3
SITEADDRESS-STREET.CITY,ZIPCODE . I W
same 1
NAME OF DESIGNER 19
Arrow Septic Designs, Inc L /2 0 � (360) 898-2255 I 0
NAME OF INSTALLER t::``+�� C
PHONE" ci
Maples Excavating ,, (360) 463-8474 I o
�I.- KING V4'ATER SOURCE
PERMIT TYPE(sete�one) I.
�
IE RESIDENTIAL OSS COMMUNITY OSS COMMERCIAL OSS •I PRIVATE INDIVIDUAL WELL I'PRIVATE TWO-PARTY WELL Z
J PUBLIC WATER SYSTEM IV
TYPE OF WORK(select one) I i
ENEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS•select a)!tnat apply) 0 TABLE X REPAIR
0 SURFACING SEWAGE Ed EXISTING FAILURE 0 SHORELINE oi
O I O
SUBMITTALSMI
DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 411;2025, r
WAIVER(S)(IF APPLICABLE) 4 BR .24 ac 0 YES 0NQ I O
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex.locked gate) O
Head north on N 6th toward W Alder and turn (R). At the traffic circle, take the 3rd exit and
turn (R) onto N 13th St. Turn (R) onto E Oak Park Way. Turn (L) onto E Hickory PI. 0 I 0
Destination on (L). Two-story greenish gray house with white trim. "50" on garage I N
N
col
CO
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS,
-- OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE!FAILURE SOURCE(for reporting purposes)
['VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ['COMPLAINT ❑OTHER:
COMMENTS/CONDITIONS
INSPECTOR SOIL LOGS
clAi N. 0 -' t c, G L I (- b'5 CCU to s l c-5
(Z5I galrc1 ) G 51-ho*
b` O IC C'i,s L r I 6-b� % -c/b0
( 60-i qvwt))
l ,VVV��` N QV it> 2.. 3 ( 1 6 Id d-P-- RECORD DRAWING AND INSTALLATION REPORT
SOIL CODES: REQUIRED FOR FINAL
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS APPROVAL. DATEINSPEC?OR SIGNATURE DATE APPLICATION EXPIRATION DATE
APPLICATION APPROVED/ISSUED BY
PrIVIN)Cii'll 11C1-‘i (i '2,‘4 174 ‘R/Vt v,cirlit fZ/fi'zc
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
Revised:4/i 4/2025
INN
•
• -•-•
DESIGN FORM—PAGE ONE
Assessor's Parcel Number: 3 2 0 0 5 — 5 0 — 0 0 0 2 9
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. '1 Scaled layout sketch.including all applicable items on checklist.
''Scaled plot plan,including all applicable items on checklist. '1 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"
. „ .,i.. CG A Et 1 CATION w . ,: ,..... . �-"
Permit Number: SWG QZp95' Do 4�7
Designer's Name: Arrow Septic Designs, Inc
Sherlyn Lowe Designer's Phone Number: (360)898-2255
Applicant's Name: ------- 171 E Vuecrest Dr
50 E Hickory PI Designer's Address:
Mailing Address: --
Shelton WA 98584Union, WA 98592
CityState Zip
a'
City State Zip Designer's Email paulaj@hctc.com
x 04% . . : R _ , .:D.EMIG,N..,rPARA PARAMETERS
lv1E
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑ Recirculating Filter 0 ATIJ U Other
Treatment Level(check all that apply): ❑A 0 B 0 C: 0 BL.I 0 BI,2 ❑ B1.3 P7 1', ❑N
Drainfield Type
❑Gravity Eif Pressure 0 Trench gBed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class 40
Daily Flow:Operating Capacity 360 gpd Length 60 ft
Daily Flow:Design Flow 480 gpd Diameter 1.25 in . /
Septic Tank Capacity(working) 1,200 gal ./ Number 4 1/
Receiving Soil Type(1-6) 3 V Separation 2.5 ft
Receiving Soil Appl.Rate 0.8 gpd,'ft` Orifices
Required Primary Area 600 ft Total Number of Orifices 104
Designed Primary Area
600 ft2 Diameter *5/32* in
Designed Reserve Area 600 ft2 Spacing *28* in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 60 ft Schedule/Class 40
Elevation Measurements Length 7.5 ft
Original Drainfield Area Slope 0 % Diameter 1.25 in
New Slope.If Altered 0 % Preferred manifold configuration used? GliYes ❑No
Depth of Excavation Up-slope 21+24=45 max in Transport Pipe
from Original Grade Down-slope 21+24=45 max in V Schedule/Class 40
Designed Vertical Separation 18+ in Length 90 ft
Gravel-based Drainfield Required? i 'Yes 0 No Diameter 2 in
Pump Required? Elf Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 4
DRY.in Elevation Between Pump& Uppermost Orifice 8 ft Dose quantity 120 gal V
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1,500(1,200 min) gal
/ Pump controls:Please check those required.
Uppermost Orifice Higher 0 Lower than Pump Shutoff
Capacity @ Total Pressure Head 66.56 gpm i1 Timer 0 Elapse Meter ❑d vent Counter
Calculated Total Pressure Head 26.38 ft if Timer: Pump on 1.5 minutes ,Pump off 6 hours
Comments APPROVED
DEC 04 2025
1 ere 0 MASON COUNTY ENVIRONMENTAL HEALTH Revised:4/14/2025
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 0 5 — 5 0 -- 0 0 0 2 9 _ ,
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
FA Test hole locations 66 Drainfield orientation and layout Reference depth from original grade:
0 Soil logs lt Trench/bed dimensions and • g Septic tank
• Property lines critical distances within layout QJ Drainfield cover
0 D-Box/Valve box locations
❑ Existing and proposed wells Reference depth from original grade
within 100 ft of property 0 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts.banks,and locations 0 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 E4 Manifold placement ll Sand augmentation
components Q! Orifice placement Other cross-section detail:
Ei Location and dimension of Lateral placement with distance G ' Observation ports/clean-outs
Elf primary system and reserve area to edge of bed Other Information
iZI Buildings 64 Audible/visual alarm referenced Yes No
IZ1 Direction of slope indicator Gd Scale of drawing shown on scale if 0 Design staked out
0 Waterlines bar 0 !Recorded Notices attached
0 Roads,easements,driveways, p Elevation benchmark and relative 0 of Waiver(s)attached
parking elevations of system components M' 0 Pump curve attached
ig North arrow and scale drawing E( 0 Evaluation of failure
shown on scale bar Non-residential justification
• 0 I'Waste strength
AV_ •. 0 G 'Flow
DE '� A P VAL
The undersigned designer must be notified by °' •� � • ,i +' Ilation l4 Yes 0 No
,4 i . "
� PA��� 0.349 ...,.t. f 1..ZS_LO
+`O„ i.JOY JOriNSON ` Date
SignatureA ro •til F
EXPIRE
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:
Environmental Healt 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: ,L �--)-(I1
✓ 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
Arrow Septic Designs
171 E. Vuecrest Dr.
Union,WA 98592
November 25, 2025
Mason County Department of Health Services
415 N 6th St
Shelton,WA 98584
RE: Sherlyn Lowe Property(Parcel#32005-50-00029)Evaluation of Failure&Upgrade
Dear Inspector:
Attached is a septic upgrade design for a property located at 50 E Hickory P1, Shelton,WA 98584. The
existing 4-bedroom septic system was installed with a permit in 1980. It has an existing 1,200-gallon 2-
compartment septic tank followed by a 160 LF(480 SF)drainfield trench. The owner has been having
issues so the existing septic was recently inspected and has deficiencies.The drainfield is not accepting
water. If the installer verifies the tank is in acceptable condition, it can be kept/re-used. It will need the
risers sealed to the tank and an effluent filter will need to be added. A cleanout should be added between
the house and tank if there is not an existing one.
Proposed is a new 1,500-gallon pump chamber(1,200 minimum but oversized for extra surge flow).The
new drainfield consists of a 10' x 60' (600 sf)sand-lined pressure bed due to excessively gravelly soils
using an application rate of 0.8.The system will also have a control panel including timed dosing,a
counter and elapse meter to prevent overuse and facilitate ongoing operation and maintenance. We have
designated a full reserve drainfield area. The old drainfield is to be abandoned in place.
This property is on a water system and there are no known wells or surface water within 100 feet.
The property owner's contact information is as follows:
Sherlyn Lowe
50 E Hickory P1
Shelton,WA 98584
(580)584-1473
If you need further information,please contact my office at(360)898-2255.
Sincerely APPROVED
�Y 4 2025
.-- • ...It). DEC 0
[L.` MASON COUNTY ENVIRONMENTAL HEALTH
.; RET
510 349
:..�0; PAULA JOY JOHNSON
Licriald a astewater Treatment System Designer
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MASON COUNTY ENVIRONMENTAL HEAL'H EYFI " ' --
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;/e-T.ATkauLLswpanniNic 4 ti �yos,Ei• . - DSZ 'a �ODT PORTS—TO SE 4' 70t
PVC PIPE BOTTOM OF TRENCH
EBD O£DDET TO FINISHED GRADE. RE V BLE
�� CAP SMALL BE INSTALLED
CLEAN OUP ONOBSERVATION PORT PIPE.
r' #47 **f of oSscIW poeT
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To BE FROM II TO TOTAL OF if IN SYSTEM.
I BELOW FINISHED GRADE. 13 T` 1s3sTrku. AVItortort aC C13Soo
MARE ENDS Wris REBAR. CLEAN OIIT - **LATERALS ARE TO BB CENTERED
REQU RED AT END OF EACE LATERAL. IN TRENCHES.
Length Length Orifice # Distance from Distance from
Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Cleanout(In.)
1 720 60 28 26 10 10
2 720 60 28 26 10 10
3 720 60 28 26 10 10
4 720 60 28 26 10 10
Total Lateral Length 240
Total#Orifices 104 GPM = 66.56
(with 5/32 orifices)
Dynamic Head Calculations
Selected residual pressure: 5 ft.
Length (Ft.) #Orifices
Transport Pipe 90 104 5.27 ft.
Feeder Total
Lateral Line Length
Lateral#1 60 4 64 26 2.06 ft.
Lateral#2 60 2 62 26 2.00 ft.
Lateral#3 60 2 62 26 2.00 ft.
Lateral#4 60 4 64 26 2.06 ft.
Total Elevation Lift . 8.00 ft.
Total Dynamic Head t. 26.38 ft.
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APPROVED
DEC 0 4 2025
MASON COUNTY ENVIRONMENTAL HEALTH
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Pump Specifications ��IL! M II , ,
FL74 Ser
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Submersible Effluent Pump r
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Flow(Liters Per Minute)
0 38 76 114 151 189 227 265 303 341 379
80 I t I I i I• I 24 cn
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FL70_Pl RIOi?4_017 CCopyright 2017 Liberty Pumps Inc All rights reserved Specifications subject to charge without notice i
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FL70-Series Electrical Data
FULL i THERMAL STATOR CORD
MODEL HP VOLTAGE PHASE LOAD LOCKED OVERLOAD WINDING LENGTH DISCHARGE AUTOMATIC WGT.
AMPS ROTOR TEMP CLASS FT
AMPS
FL72A 3/4 208-230 1 10.5 24.1 120`C/248'F B 10 1 '%OR 2" YES 61 lbs.
FL72A-2 3/4 208-230 ' 1 10.5 24.1 120°C/248°F B 25 1 '/ OR 2" YES 63 lbs.
FL72A-3 3/4 208-230 1 10.5 24.1 ( 120°C/248°F B 35 1 Y OR 2" YES 65 lbs.
FL72M 3/4 208-230 1 10.5 24.1 120°C/248°F B 10 1 'A OR 2" NO 60 lbs.
FL72M-2 3/4 208-230 1 10.5 24.1 120-C 1248°F B 25 1 A OR 2" NO 62 lbs.
FL72M-3 3/4 208-230 1 10.5 24.1 120`C/248`F B 35 1 %OR 2" NO 64 lbs.
FL72M-5 3/4 208-230 1 10.5 24.1 I 120°C/248°F B 50 1 '/:OR 2" NO 66 lbs.
FL73M-2 3/4 208/230 3 7.5 25.3 N/A B 25 1 Y OR 2" NO 61 lbs.
FL73M-3 3/4 I 208/230 1 3 7.5 25.3 N/A B 35 1 '/z OR 2" NO 63 lbs.
FL73M-5 3/4 208/230 3 7.5 25.3 N/A B 50 1 '16 OR 2" NO 66 lbs.
FL74M-2 3/4 440-480 1 3 3.5 12.7 N/A B 25 1 '/z OR 2" NO 61 lbs.
FL74M-3 3/4 440-480 3 3.5 12.7 N/A B 35 1 '/z OR 2" NO 63 lbs.
FL74M-5 3/4 440-480 3 3.5 12.7 N/A B 50 1 'A OR 2" NO 66 lbs.
FL70-Series Technical Data
IMPELLER MULTI-VANE CAST IRON
PAINT POWDER COAT
SOLIDS HANDLING s „
CAPABILITY /4
40'C 100'F CONTINUOUS DUTY
MAX LIQUID TEMP 60'C 140'F INTERMITENT
MAX STATOR TEMP 130°C/266`F
THERMAL OVERLOAD 120"C/248°F SINGLE PHASE ONLY
l SJTW(1-PH)or SEOOW(3-PH),
POWER CORD TYPE SJOOW(35'.and 50'.-1-PH)
MOTOR HOUSING CLASS 25 CAST IRON
VOLUTE CLASS 25 CAST IRON APPROVED
IMPELLER CLASS 25 CAST IRON
SHAFT STAINLESS
HARDWARE STAINLESS DEC 0 4 2025
ORINGS BUNA N MASON COUNTY ENVIRONMENTAL HEALTH
MECHANICAL SEAL UNITIZED CERAMIC CARBON RET
FL70_P3 RI0i24(2017 <Copyright 2017 Liberty Pumps lnc All rights reserved. Spc tficsaions subject to change without notice
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Septic TTnks must meet standards required by WAC chapter 246-272C andman _
u facturer must be on Dept of Health list of registered sewage tanks. FIGURE 2
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INSTALLATION& MAINTENANCE F.4.1 •�'r;,
Pressure Distribution Systems—Sand Lined Beds- � ;�t` `!'&4‘
•
S10n349 ��
1. Install Laterals with contour of the ground. "02 .10 JCY JCHNN N
2. Install bed bottom level. LE ES 1D1 'i Nga"
��s
3. Ensure sand is clean and meets C-33 standards. I (_ZS. Zs
4. Install locator tape or rebar at each end of all drainfield laterals.
5. Install observation ports as indicated on the plot plan. One required in each corner of the
bed. Two with bottom extending to the bottom of the drainrock and two extending to the
sand/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.
6. Install drainfield during dry weather and soil conditions; any soil smearing must be
eliminated by hand raking.
7. 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).
8. Install audio/visual high water level alarm.
9. 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.
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 openin .
23. Homeowner is responsible for all property lines and easements.A r HROVED
DEC 0i2025
t 6 10 MASON COUNTY ENVIRONMENTAL HEALTH
RET