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HomeMy WebLinkAboutSWG2025-00394 - SWG Application / Design MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 A •: 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: SWG2025-00394 Lou wry APPLICANT DDOLAN TRUST DONALD W & PATRICIA Phone: Address: DONALD W & PATRICIA A DOLAN TRSES SHINGLE SPRINGS, CA 95682 OWNER DOLAN TRUST DONALD W& PATRICIA Phone: Address: DONALD W & PATRICIA A DOLAN TRSES SHINGLE SPRINGS, CA 95682 SEPTIC DESIGNER TOM WEAVER* Phone: 360-620-7054 Address: 3912 STEELHEAD DRIVE NW BREMERTON, WA 98312 Site Address: 2820 E PHILLIPS LAKE LOOP RD Primary Parcel Number: 220055200057 Permit Description: New 2bd ATU to pressure trench Permit Submitted Date: 09/29/2025 Permit Issued Date: 12/15/2025 Issued By: Rhonda Thompson Current Permit Fees Paid: $555.00 (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 emM. : MASON COUNTY DATE RECEIVED: VIA• - ap _ w`c 5 c CD AMOUNT RECEVED: RECEIVED BY: (J1 Public Health & Human Services 55rj mill e(µQ CO m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 SWG a -� < 0) 415 N.6th Street -Shelton,WA 98584 0�3�' E O z x -13 ON-SITE SEWAGE SYSTEM APPLICATION axi m n APPLICANT PHONE m Robert B Pocuis fir----- � 360-621 -6437 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE = 3 16923 Olympic View Dr NW - Silverdale WA 98383 : co SITE ADDRESS-STREET,CITY,ZIP CODE N (n 2820 E Phillips Lake Loop C� N Shelton WA 98584 r N NAME OF DESIGNER (c• jw PHONE CD N Tom Weaver L�-n.tl Cl) 360-620-7054 NAME OF INSTALLER C r-� MM� PHONE 0 0 I W y O PERMIT TYPE(select one) DRINKING WATER SOURCE0 — ®RESIDENTIAL OSS 5COMMUNITY OSS ECOMMERCIAL OSS Ln1 PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL Z Cri TYPE OF WORK(select one) PUBLIC WATER SYSTEM I g NEW CONSTRUCTION/UPGRADES El REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ElTABLE X REPAIR 0) C.71 SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE BI SHORELINE CO ®DESIGN FORM(REQUIRED) MUSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER4/1/2025? r0 N LJWAIVER(S)(IF APPLICABLE) 2 .33 Acre n I ❑ YES ❑y NO X 0 DIRECTIONS TO SITE AND SITE CONDITIONS(ex locked gate) Turn onto E Pickering Rd - Go 1.3 miles O � ��J�� 0 Turn onto E Phillips Lake Rd go one mile± Take a slight left onto E Phillips Lake Loop Rd O 0 House is on the left and just before & adjacent to 2810 E Phillips Lake Loop Rd SEP 2 9 2025 L. Cn Cn BY: _. . ._ v ., 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 ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS : p ,2° 6 L 4 10 ,7D -} t I 4 lkA 7 : 0 - 1'6 6 St- \d1 KM) �zbi- -►l -c\-\--20 : 0 -To 6c L v -7 tt1 RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE An \ to `) i t< 1©i 1 O'd? 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 0 0 5 — 5 2 — 0 0 0 5 7 A design will be reviewed when 3 copies of each of the following are submitted: • Completed design form that has been signed and dated. 0 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 a er size: 11"X 17" Permit Number: SWG 001-5**-- Designer's Name: Tom Weaver Applicant's Name: Robert B Pocuis Designer's Phone Number: 360-620-7054 Mailing Address: 16923 Olympic View Dr NW Designer's Address: 3912 Steelhead Dr NW Silverdale WA 98383 City State Zip Bremerton WA 98312 Ci State Zi s Designer's Email tweaver1431@gmail.com Treatment Device 0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield ❑ Recirculating Filter 0 ATU NuWater LI Other Treatment Level(check all that apply): 0 A 1B 0 C 0 BL1 ' BL2 0 BL3 liE 0 N Drainfield Type 'Gravity Pressure l 'Trench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class Sch 40 Daily Flow: Operating Capacity V 2e415 gpd Length 35 ft Daily Flow: Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working f6'i1) 500 gal Number 1 )443 Receiving Soil Type(1-6) 4 Separation 5 C.C. ft Receiving Soil Appl.Rate .6 gpd/ft2 Orifices Required Primary Area 400 ft2 Total Number of Orifices 28 Designed Primary Area 400 ft2 Diameter 3/16 in Designed Reserve Area 400 ft2 Spacing 60" in Trench/Bed Width 3 ft Manifold Trench/Bed Length I t-(O X ft Schedule/Class Sch 40 Elevation Measurements Length 15 ft Original Drainfield Area Slope 1 % Diameter 2 in New Slope, If Altered % Preferred manifold configuration used? i 'Yes 0 No Depth of Excavation up-slope in Transport Pipe from Original Grade Down-slAir in Schedule/Class Sch 40 Designed Vertical Separation \2) in Length 140 ft Gravel-based Drainfield Required? 0 Yes 66 No Diameter 2 in Pump Required? ef Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 6 Diff. in Elevation Between Pump& Uppermost Orifice 25 ft Dose quantity 40 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,200 gal Uppermost Orifice fi'Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 17 gpm &f Timer 0 B(apse Meter ❑event Counter Calculated Total Pressure Head 31 ft A K PPgri� �/ PO qrt ry 20 Sec ,Pump off 4 hours Comments DEC 15 2025 MASON COUNTY EN`iRONMENTAL HEALTH RET Revised:4/14/2025 • DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 0 0 5 -- 5 2 -- 0 0 0 5 7 Permit Number: SWG g 0a5- O03q I MEMDESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: Soil logs Trench/bed dimensions and g Septic tank lid Property lines critical distances within layout 671 Drainfield cover Ig Existingand proposed wells D-Box/Valve box locations p Po Reference depth from original grade within 100 ft of property fid Septic tank/pump chamber and restrictive strata: I2i Measurements to cuts, banks,and locations Gd Laterals,trench bed,top and surface water and critical areas 64 Observation port location bottom O Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption ❑ Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: 6d Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs primary system and reserve area to edge of bed 6t1 Buildings Other Information 0 Audible/visual alarm referenced Yes No 6d Direction of slope indicator RI Scale of drawing shown on scale 0 Ef Design staked out 6J Waterlines bar ❑ M'Recorded Notices attached 6d Roads,easements,driveways, O Elevation benchmark and relative ❑ Gf Waiver(s)attached parking elevations of system components Gd 0 Pump curve attached 60 North arrow and scale drawing 0 6d Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be notified by installer at time of installation 0 Yes if No Signature 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: Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped "Approved"by Mason County Public Health. \Of ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ WO 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 awl sdgi d ..] • DEC 5 2025 ! MASON COUNTY ' NVIRONMENPAL HEALY \, Tco RET L O O d J CD U CD C.3 ' 3 s 0 0 9 W o z6a z A 1 i i W o ag. 1 F.. 0 ., ‘. 1 .6 2 iii i o o - o in a 00 CO •N ac 4 a 3 \ mew F- 01.raco co II LNN a`) E - ci_E �, a= to o J E tV -p r N 1 N O J N J -a c C N _ a 00 co c . w 1 Z > a)i o Cl) .., 3 . ,Q• ;A J O CO O - W :45li ;4r > Ft �- N M W is �1 leg'i z I.RCAtk it M• 1is�: ( yet (n (n (n 'n:A pj dooi ajei sdpHyd •3 v V ID 3U N ca o C 0 lA l � \ - n: o - �. • • ;. � . w _�� ..a..(04 ` Ilk • ; * A L. ,, • T \\\. ,4.•°., W `,.1i a) \ t 4.O C * , a I% M O 3 0 J N • N i - . o C t 1 C9L- !_co cr) C.) r ,-, U ; cc _ ca ) ca O ! o II M a U W II a0 o f z w 4 j o _ Za3 �I D0 CI II vj u_ (a L-, U �� f E APPROVED a DEC 15 2025 E " �' M SON COUNTY ENViRQh'.MENTALREALTH a RET c y, Pd dooi awl1sd!II!4d •3 AeM-4o-pj Jo a6P3 APPROVED DEC 15 2025 MASON COUNTY ENv1RONMENTAL HEALTH RET Performance Curve: 290-Series 50 - - ----- 16 45, 4.0 12 35 30 ' Q c° 25 ' • 3 = 20 ' 6 15 . L5 10 , o �� � 3 N. , of . , /� 0 10 20 30 40 50 60 80 90 Flow (GPM) I I I f - I f 4---i 76 114 151 189 227 265 303 341 Liters Per Minute - Recommend Liberty 290 Pump ;%..0.1 ‘114.7 N '1 i ilt1.%. 1 /prk 3/16" Orifices @ 2' residual head = .59 / I . s,00 a ''�� VE 2" Transport line @ 40gpm = .027' head/lineal ft ;...7HOM�sb'btE. N�a.. , Every 90° = .162' head Every 45° = .07' head 9,2sI2-S Number of orifices 28 X .59 = 17 GPM 31 Transport loss 2 + Fitting loss 2 + elevation life 25 + 2' residual = Typical Not for any specific site APPROVED DEC 15 2025 MASON COUNTY EhORONMENTAL HEALTH RET Trash Tank SEPTIC TANK ACCESS RISER NuWater - , I , CONTROL PANEL Pump Tank 7 \ PRESSURE DISTRIBUTION LATERALS TRANSPORT PIPE MANIFOLD PIPE _ -J CLEANOUT/MONTIORING PORTS I I ______ ,---- �a2 /, 4_,/.7 /A ,v(‹ Pn co JS �'� LoeF, Pp p ° d E P114c i ?< Lit IM-540 General Specifications and Illustrations The IM-540 is an injection molded two piece mid- /iJlri'irlT�IrP lrlillr`� seam plastic tank. The IM-540 injection molded plastic �'�i 1 �— I l�'S design allows for a mid-seam joint that has precise i /.o.1 i ;.� dimensions for accepting an engineered EPDM gasket. w'izi I _ — _1 �'t' Infiltrator's gasket design utilizes technology from the o �' � E ' �• TERI R water industryto deliverproven means of maintaining ,:�� , i�_4rl WIDTH a watertight seal. ! ,I� I� t t �,; FIpu;l; ,�' The two-piece design is permanently fastened using a �1.1_iAi,_Iwl_.�wl..iirt-i series of non-corrosive plastic alignment dowels and locking seam clips. The IM-540 is assembled and sold 64.9[1 648]EXTERIOR LENGT LIFTING STRAP through a network of certified Infiltrator distributors. CONNECTION TYP. (TYP.' Must be backfilled and installed in accordance with INT FTCONNFCTION (TYP.) Infiltrator Water Technologies, Infiltrator IM-Series Septic Tank General Installation Instructions andi7/1,111,,\_ \ ti/'i for shallow ground water conditions reference the Infiltrator IM-Series Tank Buoyancy Control 54 6 Guidance. EXTERIOR to ■I u u.-u Please visit www.infiltratorwater.com for the latest HEIGHT information. ICI I i�, IM-540 24 I61CI aarr.ACCESS OPEN'.NG WT 1_OCENG.C Total Capacity 552 gal(2090 L) Length 64.9"(1648 mm) .�;.--• sr-- Width 61.7"(1567 mm) Height 54.6"(1387 mm) Maximum Burial Depth 48"(1219 mm) 'Is f1- Minimum Burial Depth 6"(152 mm) Maximum Pipe Diameter 4"(100 mm) Weight 169 lbs(77 kg) APPROVED TANK TOP HALF DEC 15 2025 TANK INTERIOR MASON COUNTY ENVIRONMENTAL HEALTH ALIGNMENT RET Off` TANK BOT :..1, HALF Y --- -- 9,-2' --__), WATERTIGHT -- LID VENT(typ) DUAL PORT AERATOR RISERS(TYP) II 36'MAX. 1•PVC(TYP) . il n 5I v. • ;:` / _rz_AIRLE[ MASTIC I 1` ( ^ 2'COUPLING 6' �t � I &REDUCER � - I L 2'TEE � `1'PVC SLUDGE �r 12' RETURN LINE /' V 2.PVC J \-/ ' TRASH CHAMBER `Z-I DIGESTER CHAMBER CLARIFIER OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER FLOOD CAPACITY:490 GALLONS FLOOD CAPACITY:494 GALLONS 160 GALLONS r FLOOD:191 GAL. 65' S6' I , 50• 511I• //JJ 53' 1f 1 1 ° 0 o 1'xlrr �• ° ° TEE 0 ' APPROV ° DEC 15 202 1z' DIFFUSER BARS(2) I MASON COUNTY ENVI O ME�1TAL iE h�PARALELTOTANKWALL _ 4. 3 RET SLUDGE RETURN y ir k/ 1.5'TAPER / foFff 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. g_2. 2)If bottom of hole is stony,install 3'of compact sand&level out with screed. r- (— 3)Install tank in center of hole,keeping 1 ft.void space on l 24 BLOWER all sides. 24'RISERSI(ITYP) 24 BLO CAR 4)As tank is filling with water,fill in void space with compact 1 N TOP OF LI granular(sandy)soil free of large dumps of clay. I I I 5)Install rest of system,&affix risers to adapters with I : I waterproof adhesive. E I I I 4 8' 6)Perform watertightness test in field as required by local jurisdiction. I I l 12 RISER I i 7)Upon approval to backfill,carefully backfill with native soils over top of tank. i TRASH CHAMBER I I DIGESTER I ICLA FIERI 8)Final grade the surface to avoid chanelling surface L i ` I L J water toward tank. `l TOP VIEW 1'=2.8R. AEROBIC TREATMENT TANK DETAIL FOR ,:.` #4, j `` Nu WA TER BNR-500 TREATMENT UNIT •Itiii 1g;. ENVIRO-FLO, INC REVISED: 3/01/12 %� Wastewater Treatment Technologies :;...-,.,,,.,,�,,,,. P.O.BOX 321161, Flowood,MS 39232 SCALE (877) 836-8476 (601)845-4716 fax 1" = 1.4 ft.www.enviro-flo.net SECURED LID WITH GAS TIGHT SEAL THREADED UNION• 24"DIAMETER ACCESS RISER SERVICE FINISH GRADE VALVE' II FROM SEPTIC 1114: ss TO DRAINFIELD TANK i r 1 (di EMER GE N CY STORAGE HIGH WATER ALARM LEVEL -.0 INDEPENDENT WORKING VOLUME /81 FLOAT STEM NORMAL TIMER OFF LEVEL - _% FOR FLOAT ENCLOSED PUMP MOUNTING SEDIMENT SHROUD' T'� CHECK VALVE or 4" block under pump — 18"{ SEDIMENTS + SUBMERSIBLE CENTRIFUGAL PUMP PUMP CHAMBER (TYPICAL) �riiils /V1a v/ F v 2 T .%%A,ER•. tiAs v// IL-S 6 f EXPIR oln ._-\NO WOS VA)( IV7 orr r� F 5 o c ( LbN ofi'vu5 APPROVED DEC 1 5 2025 MASON COUNTY ENVIRONMENTAL HEALTH RET oica 13 —0 111, o MI tD°"4 P. ((In) : if • n 0 Cit SIMI (07 r cr a 6 R CD , 0 a ',, r n cr , ., , , , . : 40V-. --•• ••:' , , . . . . . s. "i7 •••: • gi ...ill .r j /, w r role s• 4 i ' '4 I. . • 3 , azi ,.. . C � �j .r �-..1) pCD 0 { .: ' (P. ILI •: ,. ' - • t��tj _ , 0 , sap; • '1�` .'1 • t1 �` 1 it �R .: _. 1, \� `1 ,tv ti ', , 01 ;`'i�\�1 1,, 1 0 • .• ''1�,''•I •1,' ';\\I \ \\\\ 1 ll 1 ;1\- ilk Immo .. 1 \ \ . 0 . \\\\\\.\\\\\\\' �. Ams - • ED DEC 15 2025 (C) MASON COUNTY ENVIRONMENTAL HEALTH RET