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SWG2025-00471 - SWG Application / Design - 12/30/2025
MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584 J` 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: SWG2025-00471 APPLICANT PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 OWNER EMPIRE HOME CONSTRUCTION LLC Phone: 360-751-8062 Address: P O BOX 241 KELSO, WA 98626 Site Address: 110 E Hillcrest Dr Primary Parcel Number: 320215804020 Permit Description: Empire Home Construction - New 3BR Manufactured Home Permit Submitted Date: 12/29/2025 Permit Issued Date: 01/16/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $825.00 (additional fees may be required upon installation of system). Permit Expiration Date: 01/05/2029 (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/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. ~ OFFICIAL USE ONLY MASON COUNTY DATE RECENEO I r� /a J� D. c Cl) al.. AMOUNT RECEI RECEIVED BY: CO m -1; Public Health & Human Services V• gas 0.4l.in4E ( v m Environmental Health 360-427-9670,ext 400 or 360-275-4467,ext.400 ^ _ OO L� I N O ��� 1�j)� 415 N.6th Street- Shelton,WA 98584 V1` a z N ON-SITES ..SYSTEM APPLICATION PHONE (n r APPLICANT (360)751-8062 cp z C'V Empire Home Construction Elll MAILING ADDRESS-STREET,CITY.STATE,ZIP CODE 1 y m P.O. Box 241 WA Kelso98626 m CV W SITE ADDRESS-STREET,CITY.ZIP CODE WA 98584 , W 110 E Hillcrest Dr I Shelton PHONE m N.) NAME OF DESIGNER ^ �.---y 898-2255 Arrow Septic Designs, Inc r-,== , m (360) - cno PHONE 0 NAME OF INSTALLER —`. Mason County Excavating (360)490-3144 Z ( N DRINKING WATER SOURCE O PERMIT TYPE(select one) �.PRIVATE TWO-PARTY WELL Z FiL RESIDENTIAL OSS COMMUNITY OSS (COMMERCIAL OSS EPRIVATE INDIVIDUAL WELL -1 '-,PUBLIC WATER SYSTEM I TYPE OF WORK(select one) '—� "NEW CONSTRUCTION/UPGRADES EREPAIR/REPLACEMENT OTHER DETAILS(Select all that apply) O TABLE X REPAIR 01 O SURFACING SEWAGE O EXISTING FAILURE 0 SHORELINE co SUBMITTALS r CO DESIGN FORM(REQUIRED) (SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? WAIVER(S)(IFAPPLICABLE) 3 BR 19 ac ❑ YES ❑✓ NO n 7 C) DIRECTIONS TO SITE AND SITE CONDITIONS.(ex locked gate) 41b 41. Go out Hwy 3 and turn (R) onto E Agate Rd. Turn (R) onto E Crestview Dr. Turn (L) onto E I Hillcrest Dr. Destination on (R). Yellow sign: "Empire Homes" r I 0 o --I N N of SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. O OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) 0 VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS 6../ ) ' (j RECORD DRAWING AND INSTALLA'ION REPORT SOIL CODES: REQUIRED FOR FINAL APPROVAL V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS ECTOR SIGN TURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE L) i l-≤,.42•(9 t -5 -3-1 I M 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: 3 2 0 2 1 - 5 8 - _0 4 0 2 0 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 X 17 PARCEL II*ItTIFICATION Permit Number: SWG A Designer's Name: Arrow Septic Designs. Inc v�� --(.... --)LA� \ 898-2255 Applicant's Name: Empire Home Construction Designer's Phone Number: (360) Desi er's Address: 171 E Vuecrest Dr Mailing Address: P.O. Box 241 � Kelso WA 98626 City State Zip Union, WA 98592 City State Zip Designer's Email paulaj U@hctc.COIf DESIGN,PARAMETERS Treatment Device O Glendon O Sand Filter 0 Mound O Sand Lined Drainfield O Recirculating Filter O ATU U Other Treatment Level(check all that apply): ❑A 0 B O C O BL1 O BL2 O BL3 OE 0 N Drainfield Type O Gravity I 'Pressure C'Trench O Bed O Sub Surface Drip Septic TanlfDrainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow: Operating Capacity 270 gpd Length 50 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 4 Receiving Soil Type(1-6) 4 Separation 9 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 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 200 ft Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 5 % Diameter 1.25 in New Slope,If Altered 5 % Preferred manifold configuration used? [if Yes O No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down_slope 10 in Schedule/Class 40 Designed Vertical Separation 25+ in Length 110 ft Gravel-based Drainfield Required? O Yes to No Diameter 2 in Pump Required? Ftf Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Duff. in Elevation Between Pump&Uppermost Orifice 15 ft Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice @f Higher O Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 23.6 gpm gi Timer O F apse Meter ❑Event Counter Calculated Total Pressure Head 19.54 ft If Timer: Pump on 2 minutes ,pump off 6 hours Comments JAN 1 6 _ :.�/ '>�7 '1,;SON COUNTY ENVIRONMENTAL HEAL? 1 ® J3W Revised: 4/14/2025 • DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 1 - 5 8 -- 0 4 0 2 0 Permit Number: SWG c7�0a5—CDCA1 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch g Test hole locations g Drainfield orientation and layout Reference depth from original grade: g Soil logs RI Trench/bed dimensions and g Septic tank critical distances within layout Eg Drainfield cover Property lines g D-Box/Valve box locations ❑ Existing and proposed wells Reference depth from original grade within 100 ft of property lif Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts, banks, and locations (if Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom ❑ Location and orientation of g Clean-out location O Curtain drain collector curtain drain and all absorption g Manifold placement O Sand augmentation components g Orifice placement Other cross-section detail: g Location and dimension of Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed Other Information g Buildings 64 Audible/visual alarm referenced Yes No g Direction of slope indicator Qi Scale of drawing shown on scale g O Design staked out g Waterlines bar O g Recorded Notices attached g Roads,easements,driveways, p Elevation benchmark and relative O E Waiver(s)attached parking elevations of system components M' O Pump curve attached O Evaluation of failure g North arrow and scale drawing o cV Non-residential justification p sty ii, +_` fit"'4, • O Waste strength / '; 4 iii Flow JAN 1 $2 — DE770, AL 1 iJUL.MASI N CUUN I Y nyhuIVi�, t I !-LhLi r'- '-:-'?:::;` ' fib•;U•. The under • -,+ designer must be notified by in r ri ation g Yes O No Signature MtiEgi Na Pi" Date EXPIRES il4, The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on ' regulations: (n / (./N, V-A-9.- ....- Envi o 'e t. Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 1 ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: - 6— a ✓ Drainfield site conditions have not been altered to adversely affect conditions of design pproval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Revised:4/14/2025 ..,�. .I,,.. 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Z SP' I ZS i' I% `' ,= 01A - . 0ATUWA7rvM9O Ot a •'a. 6� �.7i 4.r E If "a.a. se,..L'o• ,seALe.I,coo' • Q I I$w Tw 0440 i i �L; s0 !25' 173 Rn__ , 01:131,2- 3 110' sC'/ ' �E 10145 t•14" - ' Ns. -T — ' 2 6 ! t \41 72[o `--Th T---- 0 to 2O so 40 1I 5%SLoPC I k 1 PI-e,T PLA t•1 Ak\ --` V42.: EMPIRE R oN\E CoN5TROGfitog � Q Rt _ l'--6202. 1- se-0402.0 ______ o \t-1-G REST D R �..-� --- .�____ S* LTo r , v\l i 9858 4 _________ ?....... a., tom-O,, 1 -re s- ct't4 i-^� 0 Z"1 1 x 48 i PREP cSE'D I -k--442. : 0 - 3-7' C,rZ Et.z N �- R o o ' �t5 -5 3R 6ps�D� ' (t o NA pctV•R t f tkoLS.5 A -,TcR '-- I 1' 0 3 (4)--L1 x5D' @ a ` 0 .C_ _ —r— ''1 V.) v-r f- R6 5E fzJ.E IN BETT+�J'��N '\„O \S 3D ttsi\°-.Y,, \ i PPROV !.. • Cam^ l AI IS PRtdele.A I JAN 1 5 2178 .,,6�:_4. ` 1 MASON COUNTY ENVIRONMENTAL HEALTH I ?RePasEt> E k-1 tL_L.L2ES'7- DR • WR-s's•fk. JBW y`h?\ Bev: hr G¢ --1.4, i . Audio-Visual Ala. • `Cu.o� WAe •.2°r.,f 3 Cleanout 3.4 oy,}.%3 1200 C-ai1on Septic'rm. 1). 2-Compartment with Q PAULA s, a4g Effluent Filter `- JOY JOHNSON 2� \n l O 1000 Callon Pump ChPrmber s rim OValve Control Box Z -86 (09 ) (�,�••412Lor,,,�rvinvd •ZjN, s7e.•JtS .*; Q 0 1 daS MOJJd Jr. �• ••I I'• _ �w,s,c9 P �s > + �iSd • ,.Nary. Z. ,y'm_ vo-a«+� vw� �+ouee �+o taap • � s )41 !'4 J9 ; J4 ,�•�. w , aq � P«4 3 Di. ►ope sxxg 9 of Omar; aq 4 N t{CPCC `•1 4'x tmi .ia un)08 1°04 14d Ytd .4 01 4240 3° P443V ��S • 0of i�N r maIA uo,.oas-990...1D plauupJa Accra •°,2-63a s4* • x• 1 571 i .youaJ j so pu3 woJj. „0E' f tU •� • .- ssD ! 'g I•1 1 'lDJa}o1 - d .9 I poli T „ , / -O ,09 's seDL4 JO .9 t /E CO 1. ) f .sat i ^ .zic-z 1 ,,01 ia4° 1 017 'Pat-ioS „gZ• ! ,05 (4) 1 9Qs►Y 'Nrrr{ rd0 J ' ' 21-Y9 ,OZ ,0 t .0 � �_ iF3 4 I I I .Ot s .t QP3$ -V•4e42.4 'loXD-{ plaisup_ic pa)!o':aa i : o P°04.t. mar H1ld3H 1H1NaWN0311\N31\1NfO0 NOSdW . 7 5 d Ndf A n ,iti A d a C II e n-vp-1 •5l 1 1 5g Nil VOaa 4 • ? cif"' v cf °J 0 • ,.?•0,6 tar'INN J%' * 11..1 ►1-;m•-7S t+1yNO) aniro(\ 0 . 1 CS a N rn Lb'e.36ss `-1" " I Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 30 1 600 50 60 10 30 30 2 600 50 60 10 3O 30 3 600 50 60 10 4 600 50 60 10 30 30 Total Lateral Length 200 I I Total#Orifices 40 GPM = 23.6 Dynamic Head Calculations Selected residual pressure: 2 ft. Length (Ft.) #Orifices Transport Pipe 110 40 1.10 ft. Feeder Total Lateral Line Length Lateral#1 50 2 52 10 0.29 ft. Lateral#2 50 11 61 10 0.34 ft. Lateral#3 50 20 70 10 0.38 ft. Lateral#4 50 29 79 10 0.43 ft. Total Elevation Lift 15.00 ft. Total Dynamic Head j" 19.54 ft. r'�. ). 44!: 2,.r • �•o1 rosy ••� f c ;t 0 ,.,I v i—• . ...T. 1a h. �r t ,„,,,k. a . E fib. ,:_,,,5100349 V.) JAN 1 J +f.�?�:� }1�.j yru PAULA JOY JOHNSON ` , MASON COUNTY EhVIRONMENTA� r ,�.,mss F ��Pi N7.-- 1 NEA� H 2,-217-2S JS O • 137 Bronze construction available(139 series) f i • ,, ▪ High head version available(145 series) • Double shaft seal versions available for added protection Flow-Mate on models 14O/145. For more information,see Technical Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping PUMP PERFORMANCE CURVE performance is critical, this robust _ �_ MODEL 132/4011/5 family of pumps is known for reliability, N. 1: durability and performance. These � n- „ , pumps are especially suited for harsh ' r.- SS environments. Zoeller's coot run design 0 C and corrosion resistant,powder coated N epoxy finish add up to a long-lasting, u 3 •}3 trouble-free product. n rn APPLICATIONS: s "11 • STEP or onsite applications i"-. r C • Water transfer 4, ' 111 • Light commercial dewatering - p ` Z SPECIFICATIONS: 4 • 1-1/2"NPT discharge �• • 1/2 HP through 1 HP g MADE IN THE USA 0 • Available in automatic or nonautomatic USIISANAJ0Rm0FUSC0NTIYT ' 0 u tos r • Model 137,139,14O:1/2"(12 mm)spherical solids G capacity with vortex impeller ,0 a p o 10 90 u a 9C 109 C.4.1.0,6 • Model 145:3/4"(19 mm)spherical solids capacity with 1t4 '" Y aw PI,NW, 152556 vortex impeller 151 15 , w PUMP PERFORMANCE CURVE mac• b r MODEL 151/152/153 Dose-Mate i, • 5D- This is our fastest growing line of effluent 1a- 153 . pumps.The 150 series is truly a workhorse . designed for reliability under extreme 12- m conditions in an effluent environment. 15O series pump curves cover a wide range - '' = 1D 3 152 of applications. They are well suited to u 30 applications with low pressure pipe(LPP) e- 151 and enhanced now STEP systems.Zoeller's 25 cool run design and corrosion-resistant, , 5_ zo powder coated epoxy finish, in addition to the hermetically sealed, oil-filled motor 15 and non-clogging vortex impeller add up to 4- a long-lasting,trouble-free product. 10 APPLICATIONS: igirdomulle �1 5 • STEP or onsite applications ��- o MADE IN THE USA 10 20 3o ao 50 60 70 80 90 100 • Light commercial dewatering USIY6AWARIIY0FLUI 0ITEU GALLONS SPECIFICATIONS; LITERS 0 e0 R0 170 160 260 2i0 260 320 360 FLOW PER MINUTE 014500 • 1-1/2"NPT discharge r .,,,, • 3/1O HP through 1/2 HP 4' APp Ft 4N 6 E *, " .' • Available in nonautomatic or with a variable level piggyback mechanical switch ,,,.n^ • 1/2"(12 mm)spherical solids capacity with vortex JAN 9 5 /' 3 i 414 thermoplastic impeller For more information,see Technical Data Sheet FM2784. ©All rights reserved. ZOELLER PUMP CO. 15O2-778-2731 18OO-928-7867 I zoellerpumps.com 9 . E I �! 1! j 2Q'sir , : I itiimeEss=Mk i H 1 t - �— ? ,, s , . 5 t jr t �R • i S{f � ' . i i f i .� 06'60' � 1 t i mG ' t 5 3 ti sass # I _ JiPNICIVID 'i i # as E �, i F 2 € io2 i I I 2 • i i t y c e ASLMii mot.._- von, b -I1 / { 1i ! SEPTIC Tim MASON COUNTY ENVIRONMENTAL HEALTH 1 L) i WW2 i i I FORM GRAM . Nz----- maw saw= r TANK ;Y �Z. - i } t s . ..'. � ii ii � '� yf H WATER.ALARM ? VALVE sag nada f 3 3 TOUR OFF LEVEL E : MIDENT i! J S1794 s i i z I 3 �t3 s • I =ASAP i } **Note.: $EptEC Tanks must meet standards required by Wk;:.chapter 2.46-272C 3'irir� a� # E i f and manufacturer must be on the DeL i3.Heai`c.h F z�?re�•.�.'z.:.c�u sewage c:: c. F I :1...A:c e O, audio Septic Do igto, Such ,.. INSTALLATION & MAINTENANCE � � ' '\/‘ . Pressure Distribution Systems ` 5, ,49 Nt ''' : PAULA JOY JOHNSON...: ,.. .. 1. Install Laterals with contour of the ground. 1 LrCrtstiUlESiGN�a" 2. Install trench bottoms level. " '� 3. Install locator tape or rebar at each end of all drainfield laterals. c2-Z9-2� 4. Install observation ports as indicated on the plot plan. One required at distal end of each lateral in drainfield with bottom extending to the drainrock/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. 5. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 6. 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). 7. Install audio/visual high water level alarm. 8. 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. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 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. All transport lines under driveways or parking areas must be encas 1"to egr c „�`h g 24. Homeowner is responsible for all property lines and easements. 1 ; ; JAN 1 5 ?, (9.6--b MASON COUNTY ENVIRONMENTAL HEALTH JIM