HomeMy WebLinkAboutSWG2025-00208 - SWG Application / Design - 12/9/2025 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
L 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: SWG2025-00208
APPLICANT Zimny, Jim Phone: 360-516-7287
Address: 7178 windflower pl nw Seabeck, WA 98380
OWNER REDMAN DUNCAN C JR & KIMBERLY Phone: 425-444-8582
Address: 12117 SE 91ST ST NEWCASTLE, WA 98056
SEPTIC DESIGNER Zimny, Jim Phone: 360-516-7287
Address: 7178 windflower pl nw Seabeck, WA 98380
Site Address: 1731 NE Haven Way
Primary Parcel Number: 223305000059
Permit Description: New 2bd ATU to pressure trench with local waiver
Permit Submitted Date: 06/02/2025
Permit Issued Date: 12/09/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $720.00 (additional fees may be requi-ed upon installation of system).
Permit Expiration Date: 10/15/2026 (based on date of inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 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
all, : MASON COUNTY 6(yzo zs-
cw
SS RECEIVED 04i(nn CO m
AMOUNT REC9VED /
f. . Public Health & Human Services S /^ - .A // g m
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 SWG i11�� �O��/� U) O
415 N.6th Street-Shelton,WA 98584 U V o 2
2 6
CLEAR FORM ON-SITE SEWAGE SYSTEM APPLICATION 3 P3
M n
APPLICANT PHONE mr
Duncan Redman 425444-8582 E
MAILING ADDRESS-STREET CITY.STATE.ZIP CODE Ci
12117 SE 91ST ST NEWCASTLE WA 98056m
SITE ADDRESS-STREET,CITY.ZIP CODE
1731 NE Haven Way, Beflair, WA 98524 r IN
NAME OF DESIGNER PHONE I^13
Jim Zimny 360-516-7287
NAME OF INSTALLER PHONE 0 I\r\I
62-
PERMIT TYPE(sekxt one)
DR'•"CING WATER SOURCE - Q%W1 "r'v M wk.... O I
II RESIDENTIAL OSS r1 COMMUNITY OSS n COMMERCIAL OSS 0 PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z I 0
I1 PUBLIC WATER SYSTEM
TYPE OF WORK(select one) I ,^
ONEW CONSTRUCTION/UPGRADES Iq REPAIR/REPLACEMENT OTHER DETAILS(sck.,•t all that apply) 0 TABLE X REPAIR (/\l
SU4kt'TTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE W r
O I
DESIGN FORM(REQUIRED) .SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025/ I
0,WAIVER(S)(IF APPLICABLE) 2 14810 Sq 0 YES Q NO 0 I C
DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate) I
Traveling from Belfair go 3.6 miles on Northshore rd and take the rt to NE Belfair Tahuya I C
Rd. r I
Travel 4 miles to NE Haven Way. Follow for 1.8 ,miles to 1731 Haven way on the left.
0
o 10
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WM-I TEST HOLE NUMBERS. 1 1,4)
•
--- --- OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(tor reportng purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT OHOME SALE ['COMPLAINT ❑OTHER: /�',
INSPECTOR SOIL LOGS �'6( COMMENTS/CONDITIONS 7' yr
pc.
�".1 \, - "gfi \I (q C L k 5(0 t_,......4-- ) fultk9e IVQ,1A)
1 0 5
G2 O 3 Ai S
� - ;,b ZZ erne. , 4 -11 11 \-\„), 3 0-6 A3I I
Q) IIl
.� �, RECORD DRAWL AND INALGTNRTI
SOIL CODES: REQUIRED FOR FINAL APPROVAL.
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS
I CTOR SIGNATURE DATE APPLICATION E1(PIRATION DATE
APPLICATION APPROVED/ISSUED BY DATE
AIrY-1 CoVtli o !. i4 ;� fill -1A"
�u�,
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 3 0 5 0 0 0 0 5 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. 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"1'17"
PARCEL IDENTIFICATION
Permit Number: SWG Z.o-t- - Uv Z o$ Designer's Name: Jim Zimny
Applicant's Name: DUNCAN REDMAN Designer's Phone Number: 360-516-7287
Mailing Address:
12117 SE 91ST ST Designer's Address: 7178 Windflower pl NW
NEWCASTLE WA 98056 City State Zip Seaabeck Wa 98380
CLEAR FORM apddesigns®idoud.com
City State Zip Designers Email
DESIGN PARAMETERS
Treatment Device
❑Glendon CISand Filter 0 Mound 0 Sand Lined lhaintield 0 Recirculating Filter 'eA1U BNR 500 ❑Other
Treatment Level(check all that apply): 0 A 0 B ❑C 0 RI] eBL2 0 B1,3 0 E erN
,D
rainfield Type
it
❑Gravity 'Pressure Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class Sch 40
Daily Flow:Operating Capacity 180 gpd Length 15 ft
Daily Flow: Design Flow 240 gpd Diameter 1 in
RV-)Tank Capacity(working) 1000 gal Number 7
Receiving Soil Type(1-6) 4 Separation 5 ft
Receiving Soil Appl.Rate( Q n b) 0.8 gpd/ft` Orifices
Required Primary Area 300 62
Total Number of Orifices 27
Designed Primary Area 300 ft2 Diameter 1/8 in
Designed Reserve Area 300 ft2 Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 100 ft Schedule/Class Sch 40
Elevation Measurements Length 2 ft
Original Drainfield Area Slope 2% % Diameter 2 in
New Slope.If Altered 2 % Preferred manifold configuration used?EYcs 0 No
Depth of Excavation Up-slope 6 in Transport Pipe
from Original Grade Down-slope 6 in Schedule/Class sch 40
Designed Vertical Separation 24 in Length rla 100 ft
Gravel-based Drainfield Required? 0 Yes d No Diameter 2" in
Pump Required? P1Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump&Uppermost Orifice 20 ft Dose quantity 30 gal
Drainfield Squirt Height/Selected Residual(head) 5 ft Chamber Capacity(flood) 1000 gal
Uppermost Orifice 0 Higher 0 Lower the.jt,�1u np Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 1 L gpm La(Timer VI Elapse Meter ' Event Counter
Calculated Total Pressure Head 25.5 ft If Timer: Pump on 2 min 15 sees Bump off 4 hrS
Comments APPROVED
DEC 0 9 2025
IICIsnt,,4 CXUNTY ENV RONMENTAL HEALTH
RET Revised:6/11/2025
Ammirmy
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 3 3 0 5 0 0 0 0 5 9
Permit Number: SWG 2 c 2�' O02og
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
le Test hole locations V Drainfield orientation and layout Reference depth from original grade:
Er Soil logs erTrench/bed dimensions and Er Septic tank
fd Property lines critical distances within layout V Drainfield cover
ef Existing and proposed wells firD-BoxNalve box locations Reference depth from original grade
within 100 ft of property er Septic tank/pump chamber and restrictive strata:
g Measurements to cuts,banks,and locations 129 Laterals,trench/bed,top and
surface water and critical areas Er Observation port location bottom
er Location and orientation of le Clean-out location 0 Curtain drain collector
curtain drain and all absorption Er Manifold placement 0 Sand augmentation
components Er Orifice placement Other cross-section detail:
V Location and dimension of le Lateral placement with distance V Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
fig Buildings erAudible/visual alarm referenced Yes No
Er Direction of slope indicator V Scale of drawing shown on scale 0 0 Design staked out
✓ Waterlines bar 0 0 Recorded Notices attached
Er Roads,easements,driveways, V Elevation benchmark and relative 0 0 Waiver(s)attached
parking elevations of system components V 0 Pump curve attached
et North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ 0 Flow
ii ESIGN APPROVAL
The undersigned designer must be notifies '' • er at time of installation VYes ❑ No
Sign. . , t-signer 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:
Environmental Health pecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
/ The design is stamped"Approved"by Mason County Public Health. I✓ O ��
The Onsite Sewage Permit has not expired,the Permit Expiration Date is:_ l 1/
✓ Drainfield site conditions have not been altered to adversely affect conditions ofdesign 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
v,
N
O
41kh
N
0 O
Ol 'I.
0 II
'--1 L
1- 7NNE HA V o a ��
WAY
w # f
.
``� = 1 N. E E E�` v,1 co
sb o
� O I
I
>
v, >, o
v
k CV
2 . O t-L
L L L U s— v Vic,
_ U U U E o = a3,c
\ i� E E E m o a a 3
ip 0 O 05 O O 0 O
m
I ` � I I
O m N m vi m ui vi I
_ -z - rP N
.--I N av
.� I a.0 I >- I a_ a
Q I- r\ I- 0 1- o E- I-
20 .
I j z ai•. �l a
>paa m • • Z
o Q Quo
U c 2w co O)
0 > ir, Lo
' E = « mo o
0
`� zw .sLo
a QZ ;_ o
/ 0 a U ,� _) CO
w Q Z M
i Co DID -tCV
/' 71- . N 0 ,-+ F- *k
�.' N U ;r
Z
��. N Z; ov
LLi
C
�� O XN O a; O
V.) W 4- :; .=
c E ? o
6, Nn «) � C
,n E0, r• v Q.
' Qr• cn <
-n
N-
M V
M a
M- =«�
HAVEN LAKE APPROVED „it.,� `_Zirr�_0 ,
DEC 09 2025 a) ..i s4,0_. 0
MASON COUNTY ENVIRONMENTAL HEALTH �'%%4
RET
Advantage Perc & Design
1 irnely•Peasonabie•30 Years of Local Experience
Construction Notes for ATU to Pressure Distribution 2 Bedroom System:
Pressure Distribution w/graveless chambers (Rock and pipe may be substituted)
Install 6-15' and 1 - 10' Laterals of 1" 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 6"trench depth into native soil low side of trench and maintain 24" of vertical separation
Install level and along contours.
Only Install in dry weather only.
Use 1000 gallon BNR-500,and 1000 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 240 Gallons Per Day
APPROVED
DEC 0 9 2025 y � 2
MASON COUNTY ENVIRONMENTAL HEALTH d' .z
RET 'CENSE ' WGRER
Advantage Perc&design APDdesigns@icloud.com • (360) 516-7287
r.
Jr' b,S.C1)!' ',.1j, (<: ilk i i 0
I 1
,1,0 , g2 0 lk E , ,
t NI li I 1
tl I o'? it 1141, 4 („,...._, 4 4z,,, yr
Ii
1
t 1 ROB
PPP 25
3 . :1 . of
' 1 i 1 i i
_"..
t i
ki
L '!I
i i r _ 3 i <
I cii 4
v 1 { 4 k# il
1
( ' 4244..........il 'II
1111
J1
0
I ,t I tillbh..1
(,...rg
lii t
2 I- t - t
z II < ir i i
t
t ( cf
1 v
Pump Selection for a Pressurized System-Single Family Residence Project
Parameters
Discharge Assembly Size 2 00 inches
100 - ----
Transport Length 60 feet
Transport Pipe Class 40 i
Transport Line Size 2.00 inches 90
Distributing Valve Model None
Max Elevation Lift 20 feet r
Manifold Length 2 feet
Manifold Pipe Class 40 80
Manifold Pipe Size 2.00 inches
Number of Laterals per Cell 7 ..-
Lateral Length 15 feet
Lateral Pipe Class 40 70
Lateral Pipe Size 1.00 inches
Orifice Size 1/8 inches m
tu
Orifice Spacing 5 feet LL
Residual Head 5 feet = 60 I 1 i
Flow Meter None inches Prerx,e
M-
'Add-on'Friction Losses 0 feet a
co
50 ! 1 I : . i i _„_�_
Calculations u \
Minimum Flow Rate per Orifice 0.43 gpm E T i- i ' ' I"
Number of Orifices per Zone 28 C i J
Total Flow Rate per Zone 12 1 gpm 0 40 '—""—
Number of Laterals per Zone 7
%Flow Differential 1st/Last Orifice 0.1 % F \
Transport Vebcity 1.2 fps \\\
30
Frictional Head Losses - :j \X
Loss through Discharge 0.3 feet
Loss in Transport 0.2 feet 20
Loss through Valve 0.0 feet
Loss in Manifold 0.0 feet \
Loss in Laterals 0.0 feet
Loss through Flowmeter 0.0 feet 10
'Add-on'Friction Losses 0.0 feet ii
Pipe Volumes 0 I i
Vol of Transport Line 10.5 gals 0 20 40 60 80 100 120 140 160
Vol of Manifoki 0.3 gals Net Discharge(gpm)
Vol of Laterals per Zone 4.7 gals
Total Volume 15.5 gals
Minimum Pump Requirements PumpData Legend
Design Flow Rate 12 1 gpm PFEF50 Effluent Pump System Curve —
Total Dynamic Head 25 5 feel 1/2HP,115/230V 10
Pump Curve
6 r f au ✓-
Pump Optimal Range
Operating Point:(_
Design Point:O
0 f
i h4' ,fir
APPROVE ®
c
007 .
o.•i V `... DEC 0 9 2025
z • z-, • 5.4 MASON COUNTY ENVIRONMENTAL HEALTH
M
r s 1' [ m s i LICEN: rr0 S!GNER RET
.%%., % %. .. %%%%%ad%
/O-/ -2 r'
._,__ .
Ni . watEmr
..,......... 7 A.le,>r 1...-,f Truutn runt Sysfirr•.a By EnWry Fio.lne
11111?!..110
_________.......
AP P ROVED
•
filEC 9 2025
\
MASON COOP(ENYIRONIIE AL HEALTH
C �J
!. .: RET �.
".".---(2
c
\ Ill V I .41 •
1] ` t 1� ly I %to • \
4111
/ I hipli
V
�� I Q
C"? [dll A
III
ii►
li) Ili ��
Lo 13- ID
O go
17
1 40,
Ifklie @
tilt
0 it 1
of y! r, 1 ) I�� M
tr ��lyl I.
.
100/
Or 0
e.-0 _. -11,
[1.1
r ilic
PARTS LIST NuWater NR Assembly Diagram 10 j
j
A DUALPORTAERATOR M POLYDIFFUSERBAR(2) 17
B 3)8'RUBBER 90'W;CLAMPS(2) N 1'PVC(3 1,2' SECTION)
C 3/8'BARBED ADAPTOR X 1/2"NPT(2) 0 1' SLIP CAP CO
D 112"SLIP X 1/2"NPT ADAPTOR P 118"CLEAR PVC HOSE(OPTIONAL 5) If
E 1"STREET X 1/2• NPT BUSHING(3) 0 112-PVC PIPE(BY INSTALLER, S9l
F 117'90' ELBOW(3) R 1"PVC PIPE(BY INSTALLER) a 8,4 I
�
1,
G 1"X 1"X 1/2"TEE S 2"PVC PIPE(BY INSTALLER) 1% �D (�
H 1"90 ELBOW(3) T 1,8"BARBED ADAPTOR TO 114"NPT(2) Are h..'i Ill
17 X 1-BUSHING U 1!7'STREET X 1 4 NPT BUSHING(2) ,\� , 11 (y
J 2"SANITARY TEE V 1/2"PVC COUPLER(2) ,r2 ,,2.0 "4-14
K I"PVC CROSS W 7 COUPLER(BY INSTALLER) ,i LICENSED I•S'CNER
I I COUPLER(BY INSTALLER) 1-1V1 iS 1 fr
/O— Y�--7 -
4 Revised 2/25/:L2
9,_2" 1.
VENTED LIDS(TYP)
WATERTIGHT DUAL PORT AERATOR ,
RISERS(TYP)
COUPLING b PIPE \ _a '
36"MAX. CAST IN UD(TYP)
lir PVC
AIRLINE /— MASTIC
.1 1 u
4" 1"PVC(TYP) � _ -1
1
I I 2"COUPLING- I
( 8 REDUCER L 6" _Li - I•--L_
2-TEE I 1"PVC SLUDGE
17' RETURN UNE y
2"PVC _
. 1
TRASH CHAMBER -- DIGESTER CHAMBER CLARIFIER
OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER
FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS
FLOOD:191 GAL.
85" r�8• r----
5 50"
4„ 53„
a a o
38„ a T1,z•
EE
APPROVED o 0
_
DEC 0 9 2025 - +r
DIFFUSER BARS(2)
MASON COUNTY ENVIRONMENTAL HEALT�i 1 ./��-�s PARALELTOTANKWALL 4.
t \
3" RET SLUDGE RETURN y
1.5°TAPER �/
IDE VIEW
1.41 '--STONE-FREE NATIVE SOIL
OR COMPACTED SAND
INSTALLATION INSTRUCTIONS OVER STONY SOIL
•-•24"BLOWER
1)Excavate tank hole with vertical walls to 1 foot larger than HOUSING CA ST
tank on all sides. ON TOP OF LID
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 r_ _ ___ _
all sides. 24"RISERd' P)
4)As tank is filling with water,fill in void space with compact
granular(sandy)soil free of large clumps of clay. { I 1
5)Install rest of system,&affix risers to adapters with { I {
waterproof adhesive. i 1\, I { {( I 4'-8"
6)Perform watertightness test in field as required by local 1- • i
jurisdiction. P �11I I 12"RISER I
7)Upon approval to backfill,carefully backfill with native ti; .,, 1i I {I
soils over top of tank *1- 11 R•• CHAMBER I PIGESTER I Ic IFt al
8)Final grade the surface to avoid chanelling surface y4" 4, Ill" J L_ _J _. __
water toward tank. ,„„a°f„3 �"`q -__-
LICENSE... TOP VIEW�♦ ♦ ♦ ♦'- ••••♦ .v.4, 1-=2.8/t.
'- ,. AEROBIC TREATMENT TANK DETAIL ,FOR
,„.
" ,i.�' Nu WA TER BNR-500 TREATMENT UNIT
iiiii. iffik*, N„..,
')4 ` EN VIRO-FL O, INC. REVISED.ED
,`�,„.zN'�-`' PW0aBstOeXwa3te2r1 1T6re1atfmlent TdelSo%gieS
a (877)836-8476 ,(60o1w)oo845-47163922
/f//
www viro-flo.net 1" = 1