HomeMy WebLinkAboutSWG2025-00383 - SWG Application / Design - 9/24/2025 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: SWG2025-00383
APPLICANT GOBLE TIMOTHY& JODY Phone: 360-621-6437
Address: P 0 BOX 1123 SEABECK, WA 98380
OWNER GOBLE TIMOTHY&JODY Phone: 360-621-6437
Address: P O 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- REVISION 12.29.25
Permit Submitted Date: 09/24/2025
Permit Issued Date: 12/29/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $885.00 (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.
. 1(2 \ii\S 0 A, \-7/.) -2j1)7
OFFICIAL USE ONLY Mall" . ASON COUNTY °M" 6 Oa • a,'4 - a'5*
Public Health & Human Services AMOUNT a �"N`Dr i
3 al
415N.EnvIro umnte,t Sh3bP4W 9670,$584 .400a3L0215416T,"At 400 SING ad a5 - 00353 g 0
415 N.bth Street•SMitorti WA 98561 xi
ON-SITE SE , AGE SYSTEM APPLICATIONI i
APPLICANT ar: PHONE co r
Timothy Goble 116 360-621-6437 kj a z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E� `�
PO Box 1123 p \ Seabeck WA 98380 m
SITE ADDRESS.STREET.cnY,ZIP CODE -, 4 f °
East Ashwood L a Shelton WA 98584 co
NAME OF DESIGNER �1 PHONE
Tom Weaver cl. 360-620-7054 0 +N
HARE OF INSTALLER �� PHONE O CD
PERMIT TYPE Woof 000 DRINKING WATER SOURCE I N
®RESIDENTIAL 038 EICOMMUNITY OSS COMMERCIAL OSS EI PRIVATE INDIVIDUAL WELL EI PRIVATE TWO-PARTY WELL 2 I
TYPE Of WORK(M dOno) m PUBLIC NICER SYSTEM r
tip NEW CONSTRUCTION IUPGRADES ED REPAIR IREPLACNEW OTHERDETAILS(*Nod /Aa1well ❑ TABLE XREPAIR 1 N I Cji
-SUBpMM 1TTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHOREUNEtO
IODESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOT ME WAS LOT CREATED AFTER 4/V202V r I
cri
EIWAIVER(S)(IF APPLICABLE) 3 .17 Acre ❑ YES Q NO I
7C I o
DIRECTIONS TO SITE AND STE CONDITIONS:Nj bdudDAM)
Take Agate Rd toward Timberlake Plat Il\D I N.
3.8 miles turn Right on E Crestview Dr
2 mks turn Lett onto E Hillcrest Dr r I O
300'turn Right onto E Wood Ln O4
800'tum Left onto E.Ashwood in I Lot Is on the right between 20 and 40 East Ashwood Ln 'j
Ul
BITE MUST BE FLAGGED FROM MAIN ROAD ANO TEST nosr MIN
I
Luwu cn
OFFICIAL.USE ONLY BELOW THIS LINE—UPGRADE r FAILURE SOURCE(Id nporth°purposal)
CI VOLUNTARY 0 MAINTENANCE(PUMPING ❑BUILDING PERMIT 0 HOME SALE 0 COMP LAINT CI OTHER:
INSPECTOR SOIL LOGS cOW&NTS/CONDITIONS
3I nor 7/Z3/2_, -IT-r 4.a,t TSovi
(4k - -f-c--6 `(3Lr Ty-r -I�tt•Z - Q 1 o A ►I
ti
J trod Sic r pe - `•► ) to s - (o - 32 b
�(� k-+-e. Ot 6( a Gcw o-ter 3?„-tt8 v�r
alb -� `t lit t-t�i I
,of UV,o, -{-k en � t\e``� T -�-q > 3tK +0+a c s o 1
RECORD ORAYANQ AND INSTALLATION REPORT
SOIL CODES:
V a.VERY 0-GRAVELLY S•SAND L-LOAM SI•SET C•CLAY E•EXTREMELY R•ROOTS REQUIRED FOR FINAL APPROVAL
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUEDeY DATE
Ittpielf
Wi rQ18(DC 10` ?/ ' a ' bm (OIn-8fLc
THIS FORM NAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THI MASON COUNTY WEBSITE Revised:4/1412025
Printed From Mason L ouniy. DMS 1on i 1-2-T1z
Printed from Mason County DMS
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:
1 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 . blic view on the Mason . Web site.Maximum i 0 Der size: 1 1"X 17"
. _ .
Permit Number: SWG 2025:-00 51)3 Designer's Name: Tom Weaver
Timothy Goble Designer's Phone Number: 360-620-7954
Applicant's Name:
Mailing Address: PO Box 1123 Designer's Address: 3912 Syeelhead Dr NW
Seebeck WA 98380 City State Zip Bremerton WA 98312
City State Zip Designer's Email
Treatment Device
0 Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield CI Recirculating Filter 0 ATU U Other
--
Treatment Level(check all that apply): D A OB OC OBLI C BL2 O BL3 PlE n N
Drainfield Type
0 Gravity RI Pressure cif Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class SCH 40
Daily Flow:Operating Capacity (110) 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(I-6) 4 Separation 5 ft
Receiving Soil Appl. Rate .6 gpd/ft2 Orifices
Required Primary Area 600 ft2 iv Total Number of Orifices 40
Designed Primary Arca 600 ft2 Diameter 3/16 in
Designed Reserve Area 600 ft2 Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 1/00 40 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? pi Yes 0 No
Depth of Excavation uP-sioPc n'r0 12 in Transport Pipe
from Original Grade ixwn.si„ , i
11 in ../
Schedule/Class Sch 40
Designed Vertical Separation 24 in Length 10 ft
Gravel-based Drainfield Required? 0 Yes id No Diameter 2 in
Pump Required? le Yes CI No Dosing and Pump Chamber
Pump/Siphon Specifications Number of dosesiday 6
tZ
Diff. in Elevation Between Pump& Uppermost Orifice 4 ft Dose quantity60 gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity (flood) 1,200 gal
Uppermost Orifice ril Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
Capacity (g. Total Pressure Head 24 gpm lif Timer 0 Elapse Meter 0Avent Counter
Calculated Total Pressure Head 10 ft If Timer: Pump on arnin ,Pump off 4 Hours
Comments APPROVED
r7. 17A ft) --
Pri nted From Mason County 1:445nu!..re p..1,7,r,k.up.TAI wudn:
ritnieu morn mason County UMS RFT 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
liti Test hole locations 0 Drainfield orientation and layout Reference depth from original grade:
0 Soil logs B! Trench/bed dimensions and 0 Septic tank
ili Property lines critical distances within layout El Drainfield cover
0 Existing and proposed wells fig D-Box/Valve box locations Reference depth from original grade
within 100 ft of property 121 Septic tank/pump chamber and restrictive strata:
m Measurements to cuts. banks.and locations 121 Laterals, trench/bed,top and
surface water and critical areas Gd Observation port location bottom
m Location and orientation of 0 Clean-out location 0 Curtain drain collector
curtain drain and all absorption 0 Sand augmentation
rp � Manifold placement
components fig Orifice placement Other cross-section detail:
❑ Location and dimension of Observation ports/clean-outs
0 Lateral placement with distance fig
primary system and reserve area to edge of bed Other Information
Pi Buildings 0 Audible/visual alarm referenced Yes No
121 Direction of slope indicator Gd Scale of drawing shown on scale 0 RI Design staked out
It Waterlines bar 0 0 Recorded Notices attached
it Roads,easements,driveways, 0 Elevation benchmark and relative 0 It Waiver(s)attached
parking elevations of system components 0 0 Pump curve attached
0 0 Evaluation of failure
0 North arrow and scale drawing
shown on scale bar Non-residential justification
❑ 0 Waste strength
❑ 0 Floe
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation It Yes 0 No
7----- ----;--. 11/-e'"---- /04/2_ (. —
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:
______________ gli ›f711-Fii7—c---
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved" by Mason County Public Health. 10 (0617)6
✓ 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:4/14/2025
•
Tinted From i/ ason L,ourlty DMS
Printed from Mason County DMS
1" = 20'
32021-55-02015
Placement of home is critical to make septic design work
Benchmark 195'elevation
7 60' In5o 1
5'el 5'el
1I,12 ,, Ind
11'
28 X 48' Envelop for j' 4 i 1 ti
Three Bedroom Home
7 28' 5'
Oy\ wf (4
dt v-I 4-el 01 Al-Col
48' 12,6-
- Valve Box
-CO 5'
15'
ST PT ---
.7
125' ' '
40' SL#1 0-24" Sand Loam
i X sL# 24-45" Loamy Med Sand
i
SL#2 0-24" Sand Loam
;' I O1 I ` 24-43" Loamy Med Sand
M+nW I; SL#3 0-24" Sand Loam
Obs P��m"iirrt-r. - 40' X SL#2 _t. Soils go deeper
rCt SL#4 0-10" Rece
i, OSCAR II with OS100 Coils 1 - and Loam
0 /1 ,A/ 15'X 40'
I 1. ,,1A 100% Reserver
- A `i", X SL#1
r/Vit.1 : ti...,.
r �I
i y, 5100333 . Al y
"
'THOMAS E.VlB.W.EA''• 1 0
,Eb ZI X SL#3
28'
li /°/2_ I 33'
0'el ` Crel
-Raid-side-Roadside lh
East Ashwood Ln
APPROVED
OEC 2 9 2025
MASON COUNTY ENVIRONMENTAL HEALTH
RET
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
APP
ROVED 4
ASON COUNTY ENti7ROtiMENTAL HEALTH
•
74-11 I .
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RET
Printed From Mason County DMS
Printed from Mason County DMS
Performance Curve: 290-Series
50. - -- — - 16
45
401 _ 12
A . -- , -
15 _\ 3
10 - ` .,
5*
0 10 20 30 40 50 60 t 60 PO
Flow (GPM)
I t + t i i ----1 I f---1
3! 76 111 151 189 227 265 30.E 341
Liters Per Minute
Recommend Liberty 280 Pump _ c��
3/16" Orifices @ 2' residual head = .59 ;`:,THWAS E -.AvER.
2" Transport line @ 40gpm = .027' head/lineal ft ".,� J'xPr••Ate"
Every 90° = .162' head Every 45° = .07' head ' /2 b- l
Number of orifices 40 X .59 = 24 GPM
10
Transport loss 1 + Fitting loss 1 + elevation life 6 + 2' residual =
APPROVED
N7-e-ii-tA
MASON COUNTY E'lV1RONYEVIAL HEALTH
Printed From Mason County DMS pC1
Printed from Mason County DMS
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Printed from Mason County DMS
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Prc«uTc Dhn butinn Systems- Recommended Stendaids and Guidanrc I
Effecu�•c Date.July 1,2069
ripott': Typical, Not specific for this site
SEPTIC TANK
ACCESS RISER 7 N \N
PUMP CHAMBER `_——•. _
ice--•^'r'a`., : T `/ I 4
`\ CONTROL PANEL
IML VL$ PRESSURE DISTRIBUTION LATERALS
TRANSPORT PIPE \ :,....7-1-----
— — y '" S r
MANIFOLD PIPE a `-91° ._ I s
e? I 1 CLEANOUT I MONTIORING PORTS
PRESSURE DISTRIBUTION
DRAINFIELD APPROVED
\. -iti%
MASON COUNTY ENVIRONMENTAL HEALTH
RE?
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Printed From Mason County DMS MASON COJhTtEtVIRONMENTALHEALTH
Printed from Mason County DMS RET