HomeMy WebLinkAboutSWG2026-00017 - SWG Application / Design - 1/20/2026 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 Tank Only Permit: SWG2026-00017
APPLICANT M AND NJ HOLDINGS II LLC Phone:
Address: A SERIES OF M AND NJ HOLDINGS LLC HENDERSON, NV 89002
OWNER M AND NJ HOLDINGS II LLC Phone:
Address: A SERIES OF M AND NJ HOLDINGS LLC HENDERSON, NV 89002
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: 11 E WILBURS WAY
Primary Parcel Number: 320053390070
Permit Description: Add septic tank with pump in 2nd comp.for COM2025-00116 to pump
to DF at 320053390110
Permit Submitted Date: 01/20/2026
Permit Issued Date: 01/29/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $550.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 01/29/2029 (based on date of inspection)
Type of Work OSS New Construction
Components being Replaced: Septic Tank Only
Surfacing Sewage? No Existing Failure? No
Shoreline? No Horizontal Setbacks Met? Yes
Number of Bedrooms: 0 Drinking Water Source: Public Water System
Additional Details: Septic tank with pump in 2nd comp.
Permit Conditions:
3 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
2 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
4 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for
final installation approval.
5 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
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/OR 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
-- DATE RECEIVED:
4 ' ` MASON COUNTY O► 1,9i idc(e to n
/, -16 -`� COMMUNITY SERVICES AMOUNT D: RECEIVED BY:
C
��� tc. CO Ca
Public Health(Community Health/Environmental Health)
',' 360,427-4470.exe 400 or 360.275-4«57,ex1.400 SWG
/� ('���']��.� - - 1 0
415 N.6th Street-Shelton,WA98584 SWG Vow ,a00 7 °z x
ON-SITE SEWAGE TANK ONLY APPLICATION
m n
APPLICANT PHONE m
r
Mason County Garbage c/o: Maples Excavating Maples Office (360)463-8474 c
MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE E
911 SE Arcadia Rd, Shelton, WA 98584 CO
SITE ADDRESS-STREET.CITY,ZIP CODE
CO
11 E Wilburs Way, Shelton, WA 98584
NAME OF DESIGNER PHONE N
Arrow Septic Designs, Inc (360)898-2255
NAME OF INSTALLER PHONE O O
Maples Excavating (360)463-8474
5 O
TYPE OF VVORK(select one) DRINKING WATER SOURCE O
® NEW CONSTRUCTION/UPGRADES 0 REPAIR/REPLACEMENT 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL Z C.Jl
COMPONENT(S)TO BE REPLACED/INSTALLED PUBLIC WATER SYSTEM i
Ili1 SEPTIC TANK 0 PUMP TANK 0 RV HOLDING TANK BEDROOMS LOT SIZE CO
❑ OTHER Commercial 1.16 acres to
OTHER DETAILS(select all that apply) TANK(S)SETBACK CHECKLIST O W
❑ SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE ® 100FT+PUBLIC/COMMUNITY WELLS 0
X CO
SUBMITTALS I® S0FT+PRIVATE WELLS,SURFACE WATERS,STREAMS,RIVERS
® PLOT PLAN(REQUIRED) @ TANK CROSS SECTION(REQUIRED) II® 10FT+DRINKING WATER SUPPLY LINES O
fill PUMP DETAILS(IF APPLICABLE) 0 WAIVER(S)(IF APPLICABLE) ® 5FT+PROPERTY/EASEMENT LINES,FOUNDATIONS,FOOTINGS
r O
PLOT PLAN CHECKLIST r
IN PROPERTY LINES AND EASEMENTS III EXISTING/PROPOSED STRUCTURES liii EXISTING/PROPOSED OSS COMPONENTS AND LINES
El WELLS WITHIN 100FT ® WATER SUPPLY LINES IN DRIVEWAYS/PARKING 0 SURFACE WATERS,STREAMS,RIVERS,ETC... �)
I DIRECTION OF SLOPE!CONTOURS 0 PERIMETER/CURTAIN DRAINS El NORTH ARROW E SCALE BAR
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex locked gate)
Head toward N 6th St on W Alder St., Take the 3rd exit from roundabout onto N 1st St.,
Continue on Northcliff Rd., Turn (R) onto N 13th St., Turn (R) onto Johns Prairie Rd., Turn
(R) onto E Wilburs Way. Build site is the 1st on the (R)
. o
;G
OFFICIAL USE ONLY BELOW THIS LINE
t_..
UPGRADE/FAILURE SOURCE(for reporting re rtin Pu poses) ' n'-7
; _ n�
❑VOLUNTARY ❑MAINTENANCE/PUMPING BUILDING PERMIT ['HOME SALE ['COMPLAINT ❑OTHER: l ti COMMENTS/CONDITIONS I I
Wtivi r tor '4in 2-fiv - tomreatmurk , id
SEWAGE TANKS MUST BE LISTED UNDER DOH"LIST OF REGISTERED SEWAGE TANKS". TANKS MUST MEET CURRENT MINIMUM SIZE REQUIREMENTS,EQUIPPED WITH RISERS
AND LIDS TO SURFACE.AND INCLUDE AN EFFLUENT FILTER(IF APPLICABLE). RECORD DRAWING AND INSTALLATION REPORT REQUIRED FOR FINAL APPROVAL.
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE
I291 I-� ittivinflon l(zit fib
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 7/9/2019
Arrow Septic Designs, Inc.
171 E. Vuecrest Dr.
Union, WA 98592
January 15, 2026
Mason County Department of Health Services
415 N 6th St
Shelton, WA 98584
RE: Mason County Garbage— New Shop/Office Building— Parcel#32005-33-90070
Dear Inspector:
Mason County Garbage plans to build a Shop with Office building at their property located at 11 E Wilburs
Way, Shelton, WA. There is an existing septic system tied to the building they have at 81 E Wilburs Way.
The current septic system has a 1,200 gallon 2-compartmemt septic tank followed by a 10x45 gravity
drainfield bed (450 sf). There are no septic records for this system on the property, but with legacy sizing
of a 1.0 ap rate, it would be sized for a maximum of 450 gallons per day.
Daily Design Flow for both buildings is conservatively calculated at 324 GPD maximum including current
and future projected use (see flow calculations below).
Usage of the proposed buildings is to be general office and meeting space. Waste strength is anticipated
to be similar to residential usage with the main anticipated activities being employee restroom use, hand
washing, lunch dish rinsing, etc. No chemicals or industrial products are to be put down the drains or into
the septic system and waste strength is expected to be similar to residential.
The new building will have a 1,200 gallon 2-compartment traffic rated concrete septic tank with a
reinforced top, concrete risers, and steel lids to support vehicle traffic and parking. An on-demand pump
will be placed in the second chamber to send the waste to the inlet of the existing septic tank. The
transport pipe is to be 2" schedule 40 minimum and open up into 4" schedule 3034 to slow down the flow
before entering the existing tank. The new building has restroom floor drains and a janitorial floor sink so
an explosion proof pump and controls will be required if a lift pump is needed.
Sizing Calculations:
10 current employees in existing building at 81 E Wilburs Way
8 future employees in new building at 11 E Wilburs Way
18 maximum employees x 13 gpd = 234 gpd
Approx 30 drivers' bathroom use at shift change x 3 gpd = 90 gpd
Total maximum anticipated usage= 234+ 90 = 324 gpd, less than the 450 GPD existing sizing
This is a conservative sizing as employees work 5 days per week,with very little weekend usage.
If you need fu information, please contact my office at(360) 898-2255.
Sincerely, • •1
Paula oRns `::. Ap pRw ED
Lice Ons i 9stew=4.,Treatment System Designer SAN 2 9 2026
•L1 . PAULA JOY J0HNS0N.4:
ExR •
MASON COUNTY ENVIRONMENTAL HEADt2.0
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APPROVED I >; .4t&T, �6
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JAN 2 9 2026 1
MASON COUNTY ENVIRONMENTAL HEALTH 1 `II , at O
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**Note to installer** .-- r�
Sleeve waterline when within 10' Gov.' `f: '•3Cb.
of septic transport line. Maintain ,� _ .a ����' '
10' minimum between water �
Yr7�'• 51 ./.7s,-',..
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line and septic tanks/drainfield. �Q.. PAULA JOY JOHNSON .4\
EXP6Z(.S� ��S/1 J -S�v.0
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2-Compartment Septic Tank with Solids Pump in Second Chamber
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SHRED LID WITH GAS TIGHT SEAL
24'DIAMETER
11 ACCESS RISER \ •
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SEDIMENTS
APPROVED
JAN 292026
MASON COUNTY ENVIRONMENTAL HEALTH
RET
XLE50 and XLE70-SERIES
IibEfPUmps
Explosion-proof Submersible Sewage Pumps for Hazardous Locations
A Family and Employee Owned Company
!I-Series- ° cam` `��S aaa b-NTS
p 46
1/2 hp - XLE50-Series
3/4 hp - XLE70-Series
2" Solids Handling
2" or 3" Discharge
Class 1, Division 1, Groups C and D
Class 1, Zone 1, Group IIA and II8 ,
Features -
• Heavy cast iron constructionPOWDER
• Dual shaft seals TOUGH'
•Seal fail sensor
•2 Vane,semi-open cast iron impeller
(bronze optional)
•416 Stainless-steel rotor shaft £;
•1-1/2"Threads provided at power cords
Id. rrd
for optional conduit connection
For use with ISS-Series and
ISD-Series intrinsically safe panels. _
Consult factory for proper panel sizing. _:
s
APPROVED
JAN 2 9 2026
MASON COUNTY ENVIRONMENTAL HEALTH Patent:See
Dual Sized Discharge RET www.ertyPumps comlpatents
2"or 3"
{SSPI!) } SA' Meets FM Standards
C US
' XLE50-Series and XLE70-Series
Impeller Dimensional Data
Cast Iron(standard), bronze option available r_ ':3.1in
(order"B"models) 'm)
i
ORS;�:� • i r7'NF^u5CHARGE FLANGE
Motor �� 2'NP'DISCHARGE(FLANGE REMOVED)
9.2in
1233mm] 1
Submersible type,oil-filled,hermetically sealed j •
Motor Housing ,
,
Class 30 heavy cast iron
3.6in
Shaft 1"' ,
Dual seats,silicon carbide with BU NA-N
elastomers and stainless steel housing 27
An
18.11n 1554nm
Bearings 1e6m 1m]
Upper and lower ball bearings 7.in
Thermal Protection 1_.._ l L_.. - '._.._...__ 1 t
2.5in
?dtmm1
1-phase models-built into motor windings with
automatic reset.3-phase models require overloads in Performance Curve
the control panel 60 Hz, 1725 RPM
Liters Per Minute
Capacitor 757 2271 3785 530.° 6814
35 107
External run capacitor required in control panel,
1-phase only 30
N
7.6 a;
Seal Fail Sensor LL 25 IOU) aa
20
Integral moisture sensing probe(func nag ' e _. ! a
indicator in control panel-see ISS or Keno V E D is
f431) 4'6 i
panels) o >o
JAN 2g '°
zo2s 5 LS
Max Fluid TemperaturEMASONCOUNnEhV1RONMENT
AL HEALTHcT7
104°F(40°C)Continuous duty rated 0 20 '° 60 80 Gallons oo Minute o 140 160 180 200
RET US Per t
MODELS HP VOLTS HZ PHASE FULL LOAD CAPACITOR DISCHARGE CORD WEIGHT
AMPS KIT SIZE LENGTH
e - _-_,_ __,_„„-___T_T____J,_-=.,..:,z_,-__-r-,,:=:;;,;gv_=-rt4t.: :g ,4 2"8,3' ' _.„_,----,,,_:
XLE52M 2 1/2 208/230 60 1 5.5 K001513 2' 8 3" 25' 96 lbs
XLE54M-2 1/2 440-480 60 3 1.8 N/A 2" Er 3" 25' 96 lbs
XLE71M-2 3/4 115 60 1 14 K001514 2"&3" 25' 96 lbs
XLE73M-2 3/4 208/230 60
3 4.5 N/A 2"&3" 25' 96 lbs
XLE7SM-2 3/4 575 60 3 1.6 N/A 2"8-3 25' 96 lbs
25 cords are standard.For 35'or 50'cords,add"-3"or"-5"suffix respectively.Example:XLE51M-3
Cast iron impeller standard.For bronze impeller add'8'to model number.Example:XLE518M-2
NOTE:3-phase modes require a control panel with overloads property sized for the pump.See intrinsically safe control panels
iSS-Series(simplex)or!SD-Series(duplex)literature for complete control panel information.Consult factory for proper control panel sizing.
Specifications subject tocnange witnournotce. ._:.,. 5-7000 Apple :ec.-.;e Lie-Bergen,f•:ew York 144_6
Copyright C Liberty Pumps,Inc.2020 Ali rights reserved.L_rr006737-R02/20 Phone 800-543-2550-Fax 585-494-1839- Liberty?urnps.com
TANK PUMPING REPORT
Site Name:
L°cat'°":81 E WILBURS WAY Service Company:
Shelton
Tax ID: 320053390110 Maples Excavating & Septic LLC
Use: 911 SE Arcadia Rd
Shelton,WA 98584
3604638474
Serviced:01/07/2026 by: Shane Maples Submitted 01/08/2026 by:Shane Maples
Dump Location:Bio-Recyding Jurisdiction ID:320053390110
COMMENTS
TANK:Septic Tank-2 Compartment
Tank Pumped: YES
Tank Size(Gallons)(Number only, no text): 1200
Effluent level within operational limits(if NO explain in comments): YES
Total Gallons pumped from tank(Number only, no text): 1200
Effluent returning back into tank after pumping: NO
Tank depth below grade(inches):
Access Risers installed to grade(N/A if not present): YES
Tank Construction Material: Concrete
Tank Condition Good: YES
Baffles in good condition(N/A if not present): YES
Effluent screen cleaned(N/A if not present): N/A
Effluent surfacing around site components(N/A if not checked): NO
Tank abandoned after pumping: NO
Were repairs made to the Tank or Tank Components?(if YES explain in comments): NO
Compartment 1 Scum accumulation(Inches, if other specify): 4
Compartment 1 Sludge accumulation(Inches, if other specify): 6
Compartment 2 Scum accumulation(Inches, if other specify):
Compartment 2 Sludge accumulation(Inches, if other specify):
This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance.
ReportlD:856537 View pump reports online at www.onlinerme.com Page 1 of 1
s
2236111 MASON CO WA
CY/23'2026 03 38 PM DELL
M AND NJ HOLDINGS #218369 Rec Fee $304 50 Pages 2
11111MPS0 9111 NN 1111!,1111010 IOI1 M J I I II I III I
Return To XStk)GP•()°2'Le —OOO1
M and NJ Holdings 11 LLC
601 Du Fort L6 ,
ar
Henderson, NV 89002 JAN Z 6 2026 y
By
Grantor(s): (1) M and NJ Holdings II LLC , (2)
Grantee(s): (1) PUBLIC
Legal Description (Abbreviated form: i.e. lot, block, plat or section, township, range)
(1) LOT: 2 OF SP#1216 AF#409854 PTN OF SW SW BOUNDARY
SETTLEMENT AF#415745, SEC 05, TWP20N, R3W(sewage system, portion of)
(2) LOT: 1 OF SP #1216 AF #409854 EX PTN OF SW SW BOUNDARY LINE
AGREEMENT AF #442479 & BOUNDARY SETTLEMENT AF #415745 SR SEG EXC IMP
ONLY S 8/170, SEC 05, TWP20N, R3W(structure)
Assessor's Tax Parcel:
(1) 32005-33-90110 (sewage system, portion of)
(2) 32005-33-90070 (structure)
DECLARATION OF COVENANT FOR ON-SITE SEWAGE SYSTEM
I (We) the undersigned grantor(s) hereby declare this covenant and place same on record
and herein, am (are) the owner(s) in fee simple 'of (an interest in) the described real estate
above under Legal Description (1) and Assessors Tax Parcel (1) situated in Mason
County, State of Washington; which the grantor(s) owns and operates portions of an on-site
sewage system and drainfield or repair area that serves a structure located on the described
real estate under Legal Description (2) and Assessors Tax Parcel (2) situated in Mason
County, State of Washington; and the grantor(s) is (are) required to maintain the on-site
sewage system in such a manner to facilitate treatment and disposal of the effluent. It is the
purpose of these grants and covenants to allow easements for placement and access and to
prevent certain practices that may have significant adverse impacts to the function of the on-
site sewage system.
NOW, THEREFORE, the grantor(s) agree(s) and covenant(s) that said grantor(s), his (her)
(their) heirs, successors and assigns will allow a utility easement for the use and purpose of
conveying sewage from one parcel to the other, to allow an easement for the purpose of
maintaining or repairing the on-site sewage system and appurtenances thereto within 10 feet
of any portion of the sewage system and to prevent practices not consistent with state and
local regulations in this area. Page 1 of 2
%
These covenants shall run with the land and shall be binding to all parties having or acquiring
any right, title, or interest in the land described herein or any part thereof, and shall inure to
the benefits of each owner thereof.
Dated on this i 2-4 day of man ttiA.nr� , 20 24 .
Signature of,r nt r :
(1)/0-4,--,\.,,, , (2)
State of Wastringtofi )
County of C.3.3ork. )
I, the undersigned, a Notary Public in and for the above named County and State, do hereby
certify that on this !2 fh day ofJa-r. , 20 2. ,
Mic.NAB) T • Sa4•.v fl .- personally appeared before me, who is known to be
signer of the above instrument, and acknowledged that he (she) (they) signed it.
GIVEN under my hand and official seal the day and year last above written.
KY\S\- \ WY\Avriant
Notary Public in and for the State of
residing at N-tAQ{ Q
My commission expires: n--It- 202A
,,% KRISTY WHISENANT
� a Notary NI
:vac-State of Nevada
�„,/ Appointment No.25-8526-01
MY kpoinUnent Expires 03-182029
//\---le
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