HomeMy WebLinkAboutSWG2026-00041 - SWG Application / Design - 2/12/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-427-9670,EXT 400
I .� BELFAIR:360-275-4467,EXT 400
.,. 'V Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2026-00041
APPLICANT EDDINGS,JASMEN F&CALEB Phone:
Address: 3733 GOLDEN EAGLE LOOP SE OLYMPIA,WA 98513
SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205
Address: 80 E PICKERING LANE SHELTON,WA 98584
Site Address: 1151 W Highland Rd
Primary Parcel Number: 520241190130
Permit Description: New SFR 3BR Nuwater
Permit Submitted Date: 02/12/2026
Permit Issued Date: 02/26/2026
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 02/23/2029 (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 Drainfield 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.
•
1.-,.,... /�OFFICIAL USE ONLY
DATE RECEIVED: / // I ; ,. • . MASON COUNTY l( /\� e
N
AMOUEC RECEIVED BY:^ /'�
Public Health & Human Services I'�Y(i CO Cn
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 ≤ CO
415 N.6th Street-Shelton,WA 98584 S W G cot b —O CO q l Z xi
ON-SITE SEWAGE SYSTEM APPLICATION
m n
APPLICANT PHONE M
JASMIN/CALEB EDDINGS 269-719-0466 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE E
3733 GOLDEN EAGLE LOOP SE OLYMPIA WA 98513 m
SITE ADDRESS-STREET,CITY,ZIP CODE '
1151 W HIGHLAND RD SHELTON WA 98584 I °"
NAME OF DESIGNER PHONE I� �-� g"�,p p-O gry ry 9-� I N
CINDY WAITE 360-701-UW III�L��° q�i�JJ�
NAME OF INSTALLER PHONE i ill
® I O
TBD FEB 12 2026 Z
PERMIT TYPE(select one) ��, DRINKING WATER SOURCE 1 - I N
IR RESIDENTIAL OSS 5I COMMUNITY OSS IFCOMMERCIAL OSS WI PRIVATE INDIVIDUAL Vrely E--11 PRIVATE TWO-PARTY WELL Z I -P
TYPE OF WORK(select one) PUBLIC WATER SYST I
IgNEW CONSTRUCTION/UPGRADES E REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE X REPAIR I
SUBMITTALS 0 SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE
�.�.�, CO
Lr_r1DESIGN FORM(REQUIRED) In!(SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? I-
�
5]WAIVER(S)(IF APPLICABLE) 3 6.8AC Q YES 0 NO 0 i
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
GO OUT SHELTON MATLOCK ROAD, TURN LEFT ONTO HIGHLAND ROAD, I Q
PROPERTY IS ON THE LEFT SIDE OF HIGHLAND. PARK ON THE CLEARED LOT r I
EAST OF THE PARCEL, DRAINFIELD ENVELOPE IS MARKED OUT. THE LOT HAS o
NOT BEEN CLEARED. I w
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I C)
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE ['COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
2._5L L.,,1_,
0 )
-[-- - --k---(\(
2,0 ')L ,
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 PLI ATION APPROVED/ISSUED BY DATE
2 23�2(e 2- 3—�7 (,�� 2-26�CeISia(Loci,
MAY SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE� Revised:4/14/2025
DESIGN FORM PAGE ONE Assessor's Parcel Number: 51 2 0 F2 4 11-11i91-0 1f3 l 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.
d 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 IDENTIFICATION- _ _
Permit Number: SWG 6L;Jt(2 OD(NI Designer's Name: CINDY WAITE
Applicant's Name: JASMIN/CALEB EDDINGS Designer's Phone Number: 360-701-0205
Mailing Address: 3733 GOLDEN EAGLE LOOP SE Designer's Address: 80 E PICKERING LANE
OLYMPIA WA 98513 City State Zip SHELTON WA 98584
City State Zip Designer's Email cindyewaite@msn.com
DESIGN PARAMETERS:
Treatment Device
❑Glendon 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter 0 ATU 0 Other
BNR500
Treatment Level(check all that apply): 1f 11
❑A illJ B 0 C 0 BL IBL2 1BL3 YJ11 E YJ N
Drainfield Type
❑Gravity Pressure 5 'Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Sehe qle/Gass SCHEDULE 40
ll 1 L 3
Daily Flow: Operating Capacity 270 gpd Length V 't�' 50 ft
Daily Flow: Design Flow 360 ill
j t``
gpd s -`'1 Diarp t IA
11.25Septic Tank Capacity(working) 1000TRASH,BNR 500gal N tuber �pj',° x4
MAS0JC�UNTY ENVIRONMENTAL LTN
Receiving Soil Type(1-6) 4 Separation 9 ft
Receiving Soil Appl. Rate .6 jra
gpd/ft2
Required Primary Area 600 ft2 Total Numb r of Orificgs 40
Designed Primary Area 600 3/16
ft2 Diametex<:� .. .•� in
Designed Reserve Area 600 ft2 Spacin '';`' `.:.
Trench/Bed Width 3 p ,-`;x 60 in
ft 1' '' Manifold
Trench/Bed Length 200 ft Sc 4 ,a z.l,-
° SCHEDULE 40
Elevation Measurements -`��, •' 1-2
Original Drainfield Area Slope <1 0 A. si?:Is 'F ft
New Slope, If Altered o� o me��"� f``ti'TE�' � ' 2 in
J IC ar UES!GNER �'
% Pretend In_attifold f tratbn used? Cep Yes 0 No
Depth of Excavation Up-slope 15 `• t"' '�'} Transport Pipe
in p p from Original Grade Down-slope 15
in Schedule/Class SCHEDULE 40
Designed Vertical Separation 12+ in Length 50 ft
Gravel-based Drainfield Required? g Yes 0 No Diameter 2
in
Pump Required? B'Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Diff.in Elevation Between Pump& Uppermost Orifice 9 ft Dose quantity 45 \\:,'C
gal gal
Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1400 gal
Uppermost Orifice G 'Higher O Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 23.6 gpm g Timer FZI Elapse Meter Ri Event Counter
Calculated Total Pressure Head 11.49 ft If Timer: Pump on ,Pump off
Comments
USE EXTREME CARE CLEARING DRAINFIELD AREA, DESIGNER AND INSTALLER TO MEET ON SITE TO STAKE DRAIFIELD
AFTER CLEARING, PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION,CONTROLS TO BE SET AT 270GPD
Revised:6/11/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 5I2 12 012I4 J 4 11 1 J 9 I 0 11 J 3 J 0 I
Permit Number: SWG
DESIGN CHECKLISTS -
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
it Test hole locations l' Drainfield orientation and layout Reference depth from original grade:
izr Soil logs RI Trench/bed dimensions and
fef Septic tank
It Property lines critical distances within layout it Drainfield cover
1' Existing and proposed wells ef D-Box/Valve box locations Reference depth from original grade
within 100 ft of property if Septic tank/pump chamber
and restrictive strata:
10 Measurements to cuts, banks,and locations P/o k Mc,,, iii surface water and critical areas Laterals,trench/bed,top and
��,,,,���� l,� Observation port location bottom
"Location and orientation of Ili Clean-out location O Curtain drain collector
curtain drain and all absorption it Manifold placement O Sand augmentation
components
Orifice placement Other cross-section detail:
1,71 Location and dimension of Observation
primary system and reserve area ef Lateral placement with distance ports/clean-outs
to edge of bed
gi
Buildings Other Information
Ur Audible/visual alarm referenced Yes No
•1,7f Direction of slope indicator ! ,t �,,1
tri
Scale of drawin s� tn scale liff O Design staked out
It Waterlines bar ❑ O Recorded Notices attached
D1' Roads,easements,driveways, V Elevation benchmark and relative O O Waiver(s)attached
parking el ,do is Oro yRe ieo" °'pu�nentsb le. O Pump curve attached
It North arrow and scale drawing :� r f,.. k''; O O Evaluation of failure
shown on scale bar --
FEB 2 6 2026 ,,!; Non-residential justification
°"V7 ❑ ❑ Waste strength
MASON COUNTY ENVIRONMENTAL HEALTf O O Flow
DESIGN APOVAL
The undersigned designer must be notifie y installer at time of installation fit Yes O No
L,,,,,t, 2 / (Z
Signature of esigner ( Zeiz-,6
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 ite regulations:
Z-2 2&
4" mental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: D__-23-2 q
/ 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.
`"A\4
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
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BENCH MARK 2 Primary/reserve drainfield area
A . FOUNDATION 1 _1__100.00 3 1000 gallon trash tank j
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Trash Tank L___2 99.50 4 iBNR 500 __ i I
• k5 f BNR 500 1 I 3 99.00 5 ,1200 gallon pump tank ( _
,,� w� Pump Tank 4I 98.00 6 Proposed owners well site j
W �� 'h Bottom of drainfield I 5 102.00 7 Waterline
`��� �1b ,5 r ij a ��.,, 8 Cleanout I
ti3 ! 41.1-6, ?Z try ` A� �'Viµ.? ° L 9 Audio/visual alarm
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BENCH MARK _ 2__ Primary/reserve drainfield area
FOUNDATION 1 , 100.00 3 1000 gallon trash tank
Trash Tank 2 99.50 4 BNRv 500 ,.
BNR 500 3 99.00 5 ; 1200 gallon pump tank ,
Pump Tank 4 98.00 6 Proposed owners well s � ��M�
`i Bottom of drainfield 5 102.00 7 Waterline `.. �=y`S �:
8 Cleanout �® `_
� �,• 6p ��.__.. 9 Audio/visual alarm .. -._ .� s
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ORIFICE SPACING 5
Lateral# Length Length Orifice # Distance from Distance from end Length#
# (Feet) (Inches) Spacing" Orifices feeder line of end of lateral
1 24 288 60 10 2.5 2.5 50
2 24 288 60 10 2.5 2.5 50
3 24 288 60 10 2.5 2.5 50
4 24 288 60 10 2.5 2.5 50
1
96 40 195
TRANS LENGTH ; I 50
GPM I H 23.6"
K (2"SCHEDULEN 40)_ I . :,284:5
FRICTION LOSS :0:4998101;
Squirt I 2
Elevation difference 9
I TDH 11.49981
fish • v6 v�/
TRENCH CROSS SECTION
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LICENSED DESIGNER
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.X1=CLEANOUT/OBS,PORTS 'f iao P'� �/a /¢� .4� ,; FED 82S fit
X2=D BOX/VALVE BOX (I) MASON COUNTY ENVIRONMENTAL EALTH
X3=Check Valves i
X4=Flow Control Valves . R, ✓the I ai 1 `\,.l
X5=Soil Logs 4C., ,,'.. k.,.lis'S
; § 5TQ04.8
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LICENSED DESIGNER .
EXPIRES i,5,10/
0
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1
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LAST ORIFICE;WITH
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ORIFICE ORIENTATION IS
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MATERIAL �.j, lf
a 0 0 PRESSURE LATERAL.\ N��o °' oao�° AS SPECIFIED
PVC HOSE OR - \r10,9 ���Q o00
LONG SWEEP \/fo o � _ -)9p.aC
ELBOW _ ',,,-',...-.\\-
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MONITOR PONDING,n{ .,
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RISERWKTLOCIONGLILT
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DEGIREE ELBOW. • W Q p 0 •9
SECTION A-A
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LICENSED DESIGNER
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FEB 2 6 2026 li,7i,--;',,v
MASON COUNTY ENVIRONMENTAL HEALTH
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MASON COUNTY ENVIRONMENTAL HEALTH
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WATERTIGHT LID VENT(typ) DUAL PORT AERATOR
RISERS(TYP)
it —�rd 61 -- —
36° IMAX. 1"PVC(TYP)
\ �l I 6 T 51 [3 AIRLINE MASTIC
4"
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12" 1"PVC SLUDGE
RETURN LINE
2"PVC -f
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.
65° 58" \\`
54" 50"
53°
36° 0 0 0
0
0 0 1"X 1/2°
0 0 TEE
0 0 0
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. : °FEB P/13'0 ;+",' a •
DIFFUSER BARS(2) 12"
IN � PARALEL TO TANK WALL T
. I. T 1 G 91?H 4"
\ \ e4r\cnrIOUNTYE1\1157�lviul. PLN \ SLUDGE RETURN \ \
`,-, 1.5"TAPER
sIDE VIEW
1"m 1.4 ft. STONE-FREE NATIVE SOIL
OR COMPACTED SAND
I INSTALLATION INSTRUCTIONS I OVER STONY SOIL
1)Excavate tank hole with vertical walls to 1 foot larger than
tank on all sides.
2)If bottom of hole is stony,install 3"of compact sand&level 1 9,2° 1
out with screed. - r _,
3))Install tank in center of hole,keeping 1 ft.void space on
all sides. 24"RISERS P) 24"BLOWER
4)As tank Is filling with water,fill in void space with compact •IOUSING CAST
granular(sandy)soil free of large clumps of clay. N TOP oFLI
5)Install rest of system,&affix risers to adapters wi y -
waterproof adhesive. s'• .
6)Perform watertightness test In field as required 'o .�:•,.. I I/O
a'-8"
Jurisdiction. : 12"RISER I
7)Upon approval to backfill,carefully backfill w,a`'Olive -4-.Q
soils over top of tank. Q" 01' TRASH CHAMBER DIGESTER I I A5T. 1 CLARIFIER
8)Final grade the surface to avoid chanellin l i,,"%.: L J L J L__I
water toward tank. �;aa , _� '1',
TOP VIEW \K
51 , , :e�` 1 1"=2.82 l
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;. . = 'EATMENT TANK DETAIL FOR
y Nu WA TER BNR-500 TREATMENT UNIT
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11al ENVIRO-FLO, INC. REVISED:
e. INI♦lr- e Wastewater Treatment Technologies 3/01/12
4"' rh" °`mss P.O.BOX 321161, Flowood,MS 39232
SCALE:
_ (877)836-8476 (601)845-4716 fax 1" = 1°4 ft"
www.enviro-flo.net
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SECURER,LIDWITHDAST4GHT'SEAL
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THREADEDUNION
24"DIAMETER
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FINISH GRADE.g--�fr- --a- SERVICE
VALVE:*
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FRON'SEPTIC. ��'
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To DRAINFIELD'
EMERGENCYSTORADE r
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HIGH WATER:AL'ARM LEVEL VALVE*
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WORKING VOLUME L-_ INDEPENDENT'
FLOATSTEM
NORMAL TIMER:OFF LEVEL _ FLOAT
FOR FLOAT'
ENCLOSED PUMP ''.-0 ,I I MOUNTING
MOUNTING* CHECICVALVE*
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SEDIMENTS. *. � SUBMERSIBLE
CENTRIFUGAL.
RUMR HAMBER
I PUMP
(TYPICA ) ±ir" elpag,
*AS NEEDED
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Pump Specifications
280 Series 1 /2 hp V=
Submersible Effluent Pump
LITERS PER MINUTE
0 50 1:00; 150' 200 250
40 t i 1 12
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GALLONS PER MINUTE
280_P1 R0I0/7/2015 ®Copyright 2015 Liberty Pumps Inc. All rights reserved. Specifications subject to change without notice. IMO
Installation Notes
Pretreated Pressure Distribution System:
52024-11-901301151 W Highland Rd
1. The prepared site plan is not a survey. It's the owner's responsibility to verify property
lines, utility lines (water, sewer, power, phone and gas) prior to installation.
2. Extreme care during clearing.
3. Designer a do installer to meet on site to stake out drainfield
4. Install system during dry weather with acceptable soil conditions
5. The tanks may be moved as necessary to accommodate building requirements. Septic
tank location must meet all required setbacks.
6. BNR 500 must be installed in concrete tank
7. Trash and pump tank must be concrete
8. Gravel based drainfield required
9. Keep wheeled vehicles off the drainfield area before, during and after installation.
Tracked equipment only,
10.All ground, surface water and roof drains must be diverted away from the septic tanks
and drainfield. Ensure the final grade slopes away from these areas and water doesn't
collect on or around them. Use swales, berms, catch basin and tight lines, curtain
drains, etc. to divert all waters.
11. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the
drainfield
12. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from
the drainfield.
13. Install access risers on the septic tanks, valve box and ends of laterals.
14. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank.
15. Lids must form a water and gas tight seal with the access risers
16. This system must be installed by a Mason County Certified installer
17. Deviation from this design without prior approval from the designer and Mason County
Health Department will make this design null and void.
18. This design was sized per Washington Administrative CodeWAC246-272A-0230. The
operating capacity is based on 45 gallons per day per capita with two persons per
bedroom. The minimum design flow per bedroom per day is the operating capacity of
ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred
twenty gallons per day. This creates a surge factor of 33% but anticipated flow is
ninety gallons per bedroom per day.
19. Install bed with contour of the ground
20. Install trench bottoms level and always maintain a minimum of six inches into native
soil
21. Install locator tape on top of all drainfield laterals.
• 22. Install threaded clean outs at the ends of all laterals (caps must extend to within six
inches of finish grade and be in a valve bo shown'on diagram.
23. Install audio/visual alarm
24. Filter fabric required over drain rock pri ba illing. If the drain rock extends above
the original grade, run the filter fabric *ast 2�' es down the trench wall.
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LICENSER DESIGNER
System Owner Responsibilities:
1. Operation and Maintenance is required by Washington State Department of Health and
Mason County Health Department.
2. The septic tank and pump tank should be pumped every three to five years or as
needed.
3. System owners are responsible for having maintenance performed annually.
4. System owners are responsible for responding to septic issues in a timely manner.
5. System owners shall not at any time change or alter settings in the control box.
6. System owner agrees to read and abide by information regarding their system in the
User Manual provided by Mason County Public Health.
7. Keep the flow of sewage at or below the approved design operating capacity.
8. Keep waste strength at residential waste strength parameters.
9. Spread loads of laundry through the week.
10. Do not use excessive bleach or detergents with added whiteners.
11. Do not shower, do laundry and use dishwasher at the same time
12. Antibiotics can kill or impair the biological process in the septic tank.
13. Leaky plumbing may cause hydraulic overload your on-site septic system.
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