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HomeMy WebLinkAboutSWG2026-00047 - SWG Application / Design - 2/23/2026 "_. k MASON N COUNTY 415 N 6TH STREET,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 400 I-c , BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 ,ti.n,ruti,nr FAX:360-427-7787 On-Site Sewage System Permit: SWG2026-00047 APPLICANT WATROUS NAOMI ROSE GILDIN Phone: Address: 161 N SCHOOLHOUSE HILL RD HOODSPORT, WA 98548 OWNER WATROUS NAOMI ROSE GILDIN Phone: Address: 161 N SCHOOLHOUSE HILL RD HOODSPORT, WA 98548 SEPTIC DESIGNER DALE TAHJA* Phone: 360-463-8023 Address: 2450 W DEEGAN ROAD WEST SHELTON, WA 98584 SEPTIC INSTALLER TJ GOOS* Phone: 360-490-0217 Address: 150 E MARISA PL SHELTON, WA 98584 Site Address: 161 N Schoolhouse Hill Rd Primary Parcel Number: 422114400400 Permit Description: Non-Conforming Repair: 2-bedroom SFR OSCAR II with OS-100 coils and no designated reserve drainfield area Permit Submitted Date: 02/23/2026 Permit Issued Date: 03/13/2026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/06/2027 (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. 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. &f_I°x5'Li ;" OFFICIAL USE ONLY .,...04-'- .,,,_ n.,,,_. ,,,. MASON COUNTY DATE RECEIVED: Q/2-5 7. -4e,---'� < AMOU GENE S RECEIVED BY E C CD 1t14 .. 4 Public Health.Bt Human Services Ca N wx , Environmental Health 360-427-9670,ext.400 or 360475-4467,ext.400 415 N.6th Street-Shelton,WA 98584 S\/\ G f�qG - 000L O 2 a J V V v V Z (A ON-SITE SEWAGE SYSTEM APPLICATION n $ E .461 1. APPLICANT PHONE rn rn Naimi Watrous (360)545-5816 Z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE Bernardston MA 01337 C 659 Brattleboro Rd. gi rn SITE ADDRESS-STREET,CITY,ZIP CODE 161 'N. Schoolhouse Hill Rd. Hoodsport WA 98548 .p NAME OF DESIGNER PHONE Dale L. Tahja ,,. (360)463-8023 N NAME OF INSTALLER PHONE N T.J. Goos ) (360)490-0217o PERMIT TYPE(select one) DRINKING WATER SOURCE ® RESIDENTIAL OSS 0 COMMUNITY OSS 0 COMMERCIAL OSS 0 PRIVATE INDIVIDUAL WELL 0 PRIVATE TWO-PARTY WELL TYPE OF WORK(select one) fiii PUBLIC WATER SYSTEM Hoodsport Water co. I 0 NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) O TABLE X REPAIR -11. SUBMITTALS 0 SURFACING SEWAGE ® EXISTING FAILURE 0 SHORELINE DI O DESIGN FORM(REQUIRED) ;'' SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2D2b. O -rl. I'„-) ❑ WAIVER(S)(IF APPLICABLE) 2 0.18acre YES 'c) I NO X DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) , C North on Hwy 101 to Hoo pow I Schoolhouse Hill Rd., property on the left. N.1-3 ...... GA, rP• 74,_.\ 1. \ r\ oc\-. \ ,cy\---eT\',Ex\)..so\C /_syk6) ... r • FEB 2 3 2026 :I c`cA\e?co\„,s . I�J� � ecjc-r\ 0 . SITE MUST BE FLAGGED FROM M IN ROAD ANDTEST HOLES MUST BE FLAGG€D WITH TEST HOLE NUMBERS. CMS _------ -O AL USE ONLY BELOW THIS LINE "• UPGRADE/FAILURE SOURCE(for reporting purposes) O VOLUNTARY ❑MAINTENANCE/PUMPING O BUILDING PERMIT O HOME SALE O COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS in: 3≥` 4 - -k otVolfan pipe. • 6-'I al- CTh&r) " tc tat qt"L-/ -40 P-911( ,O =1,r k C&rif SOIL CODES: • RECORD DRAWING AND INSTALLATION REPORT 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 xof'", 4 r APPLI ON PPROVEDI ISSUED BY r',DATE Yq 376 / 207 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE wised:01/09/2026 I DESIGN FORM-PAGE ONE Assessor's Parcel Number: 4 1 2 12 1 1 [ 4 4 ' 0 1 0 x 4. ' 0 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 a er size: 11"X17" ,µY.«-.xr, .t.�.+:; :.nn.� . : r: F -1. tir3n`6 q«.,,.. kAit:;F'll.lijE1,7TIVIPATi 170;_..¢-."r., ,+.._..i.,5x'r'-Z:4e,5 g.rA Y..4,.i,... gAga v F'- Permit Number: swG 2026-00047 Designer's Name: Dale L.Tahja Naome Watrous Designer's Phone Number: (360)463-8023 Applicant's Name: Mailing Address: 659 Brattleboro Rd. Designer's Address: 2450 W.Deegan Rd.W. Banardson MA 01337 City State Zip Shelton WA 98584 City State Zip Designer's Ita1 c Email daletahja@gmail.com a@gmai om � A Fi. ��, ( e k;F•-� ,... k �. _ �-L } �Jf. 4 xf�C S��'. S fS�' _. i -%� 7 § 7t - 7 Tab mot, `~s i r (''� k�}`'�7 ' Y�+ W r u r .. , —- .l...,1,: t . , ri�._,s: ., ,i Treatment Device ❑Glendon O Sand Filter O Mound O Sand Lined Drainfield O Recirculating Filter O ATU O Other OS I I-300 Treatment Level(check all that apply): O A O B IC O BL1 O BL2 CJ BL3 O E O N Drainfield Type ❑Gravity O Pressure O Trench O Bed r SubliS�urface Septic Tank/Drainfield Specifications Laterals p 201 Number of Bedrooms 2 Schedule/Class Neta i -icjfrie.C Iii,e® Daily Flow:Operating Capacity 180 gpd Length 50 Daily Flow:Design Flow 240 gpd Diameter 1 _ in Septic Tank Capacity(working) 1,000 gal Number 4 Receiving Soil Type(1-6) 5 Separation 1 ft Receiving Soil Appl.Rate 0.40 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 400 emitters Designed Primary Area 605 ft2 Diameter Netafin Bioline _ in Designed Reserve Area 0 ft2 Spacing 6 in Trench/Bed Width 13&17 ft Manifold Trench/Bed Length 23&18 ft Schedule/Class Sch.40 Elevation Measurements Length 160 ft Original Drainfield Area Slope 11 -15 % Diameter 1 in New Slope,If Altered % Preferred manifold configuration used? O Yes FiNo Depth of Excavation Up-slope 6 in Transport Pipe from Original Grade Down-slope 6 in Schedule/Class Sch.40 Designed Vertical Separation 24 in Length 5 ft Gravel-based Drainfield Required? O Yes Ef No Diameter 1 in Pump Required? Lo(Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 360 Duff.in Elevation Between Pump&Uppermost Orifice 12 ft Dose quantity 1.03 gal Drainfield Squirt Height/Selected Residual(head) drip ft Chamber Capacity(flood) 1,000 gal Pump controls:Please check those required. Uppermost Orifice O Higher O Lower than Pump Shutoff Capacity @ Total Pressure Head 2.8 gpm le Timer Er Elapse Meter Fr Event Counter Calculated Total Pressure Head 50 ft If Timer: Pump on 0.38 min. ,pump oft 3.62 min. Comments See pumper report on evaluation of failure. Revised:6/11/2025 t 1 DESIGN FORM—PAGE TWO Assessor's Parcel Number 4 2i2w1 1i4-41-0 ; 0 0 0 ' Permit Number: SWG 2026-00047 DES GN+ I ISTs , Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch e Test hole locations V Drainfield orientation and layout Reference depth from original grade: le Soil logs V Trench/bed dimensions and le Septic tank a Property lines critical distances within layout l r Drainfield cover ie Existing and proposed wells leD-Box/Valve box locations P A Reference depth from original grade within 100 ft of property Er Septic tank/pump chamber and restrictive strata: it Measurements to cuts,banks,and locations ifir Laterals,trench bed,top and surface water and critical areas V Observation port location bottom iir Location and orientation of le Clean-out location O Curtain drain collector curtain drain and all absorption er Manifold placement I Sand augmentation components O Orifice placement Other cross-section detail: le Location and dimension of Er Lateral placement with distance le Observation ports/clean-outs primary system and reserve area to edge of bed le Buildings Other Information Er Audible/visual alarm referenced Yes No igr Direction of slope indicator V Scale of drawing shown on scale !e O Design staked out Ef Waterlines bar O O Recorded Notices attached le Roads, easements,driveways, lia'Elevation benchmark and relative O O Waiver(s)attached parking elevations of system components V O Pump curve attached E North arrow and scale drawing O O Evaluation of failure shown on scale bar Non-residential justification O O Waste strength O ❑Flow ,DGNESI APPROV The undersigned designer must be notified by install at time of installation VYes O No \-- Rik‘‘.,-g„ (k), Nv, 3-\D.-4e,', Signature of Designer 4 Date -oer rr �it l' 4.0 �— ,,o The undersigned has reviewed this design on behalf of Mason County Public S deter��'-r Ito �f.g. a compliance with state and local on-s' gulations: MAR � ` ..- ^ `r• f � N ,-•( 1 3 2026 '`>>; o�. 2� corl� , M Envi onmenta ea th pecialist n ����N/r� tt�HEAL r/ \;; 9 6 ` CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ',� ✓. The design is stamped"Approved"by Mason County Public Health. \I, ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ) : 67� , ✓ Drainfield site conditions have not been altered to adversely affect conditions o 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:6/11/2025 '`� C - D ' 0- . -h "a,,, d ew ..� ft k D * _ v"0. \I\ ,. :4.: fs....) .. 1-- - - e 0 _4 W . , ..--- :9 ,) ( , = 0 OS ". °'. �'/ �'' oii ,---, - - ,,vi . 0 73 '''q lk ',,4- 3--7-J.=-cri• . ,. . \ 0.- - - ....i° try '`(� 0 • n ...d\ i''S'+ c. 0‘) fOz , , > 1 ----- ----77, .› . -1-. ' \---- — ,,,--,;\9\ t,. -6. ,...,- " 1-':6 Ca • , 0 0;69/ '5" -,,f,,i.„--- --: 9. 4 o (6 '*-CC)Pn AT , _ c; ico 4P frii . !,.-0. -s.,!-_,, 0 \ , O3. '. Pt- .--i-D' 'iljJ(�I/�"(�j� �' �r A/ ::,•-•• rTl .±- -.g1A Tyco...-14f4 ._._.'-- - --''----... .-_.-.____._. _ --.. ___.-.._._._ i - J^r.r. �r .� �`' 1 _.`�.•'. _y I' = II I I t 100 Ceti Detail:, .0. f � / / r I I o Sits 1 : f 1 f f 0�° vi �./2 5100214 Fi t t. , • / i O Dale L.Tahja ‘ \� � � of / LICENSED DESIGNER \ ` lam The©S-1OD OSCAR colt contains 1Q0 OAZ gph t4etntlm emitters Ina 50 sq. ft. foot print Slater concentration is 2 emirs per sq.ft. Design flow for each X100 is , AP R0 . MAR 13 2026 MASON COUNTY ENVIRONMENTAL HEAL.�Ia DJA ?VeNcp`_ *,V ...;err_ r. ^1' 'YN^ ,- .. tiw.f : ^• i E 1 j ,, • -&c,k5 e F 5- •1... ,t ..-:.Ivi:as•a.-.ar.:. •:';ar-hc rM..:ter-rr +r..i..•» a•a,:..c-_ t�. i • 1 / • N. / , i 1 i t. / 1 (/ s.. \\ -•-•'' i . 22..j A a a i 1L. -00 1 A • R \ \ /: .. I Fi 1 ,r y ItIN y + of Yvsy„��0 1t ApPROVED Z� 5100214 atf MAR 1 3 2026 o Date L.Tahja LICENSED DESIGNER MASON COUNTY ENVIRONMENTAL HEALTH ` _...., DJA ��� V k I / 4,,, v1 tO/ 1- ,..,,, ,dz `L F` Jai {yF f 9 ,l P r LN - i r F ..„ it I tA • EE k I - . z' ≤ r 6 i i I i 1 N l�T I .✓ / j •,r 9-y_`\ /- \ ,.• - I . , T. . . e ' i . I I , ,� h ` l1 ti1444 Env A �. +et r 1 `"4�' ys ^� sa ,. 4, qrn Reinforced Thermoplastic motor bracket and discharge with built-in guide bearing.This 1/2 HP pump has a stainless steel top bearing and motor coupling.These are assembled with our A.Y.McDonald stainless steel motors.Two wire single phase models include pump,motor,and 10'lead. ' This four inch submersible is supplied with grounded leads meeting the National Electrical Code(N.E.C.)specifications. The performance curve below will assist you in choosing the pump that meets your needs. 1 A MODELS I E-36 GF'i 8 300 , . ._ . . :- 1/211P 122 fl 0 53 P.S.1,1 200 -.. 5 ee 1®o 12 MP a 4 SPA6tS " .M .. _ .... DupSimlex 0 10 20 15 20 25 30 35 40 9 ��',4 ,., / p0 40 50 60 70 00 Fourplex 0 20 40 00 00 100 120 140 100 FLOW SPIT Specifications 1 ..l 1.r s 1 SiSeu' • LOT-3D 1/2 , Plastic 115 i 1 i 10.94 9.53 1}✓ 23 �- GZT.IGpx�G �•� MtgNNUM.INFORMATION - Stainless steel pump shell and pump shaft - Powered byA.Y.McDonald submersible motors 1/2 FIR - Reinforced Thermoplastic diffusers and impellers - 1114"FNPT Discharge - Thermoplastic intake screen and cable guard NO-LEAD:The weighted average of the wetted surface of this no-lead product contacted by consumable water contains less than one quarter alone percent(0.25%)lead. ,ct Lowridge Onsite Technologies,Inc. Toll Free:1-877-476-8823 dave@lowridgetech.com, P.O.Box 1179 Fax:1-425 335-3622 oscaronsite.com .4`- Lake Stevens,WA 98258 A.Y.McDonald considers the information on this assembly drawing correct when published.item and option availability.including specifications,are subiect to change without notice. Submitted bp 1/2022 I Installation/Maintenance Oscar— II 1. Install audio/visual high water alarm. 2. Divert all storm water run-off away from septic system components. 3. No curtain(french) drains allowed within loft. of the up-slope edge of the drainfield and reserve area. 4. No curtain (french) drains allowed within 30ft. of the down-slope edge of the drainfield and reserve area. 5. Have the System maintained in accordance with manufacturer's requirements. 6. All material and workmanship must meet County and State requirements. 7. Deviation from this approved design without prior approval from the Designer and Mason County Health Department will make this design null and void. 8. The prepared Site Plan is not a survey, it is the owner's responsibility to verify property line locations prior to installation. Any discrepancies must be reported to the Designer immediately. 9. Locate all utilities prior to starting installation. 10. A Final Inspection and Record Drawing fee will be charged upon completion of the installation. 11. The installer will notfy the designer,Dale Tahja (360)463-8023, 48 hours prior to the start of the installation. 12. An additional re-design fee may be charged if changes are requested from the applicant after the original design is approved. 13.All water line and sewer line crossings or areas where required separations can not be met, the Washington State Pipeline Separation Design and Installation Standards must be followed. 441 bt 441 S. 5100214 vs11 o Dale L.Tahja LICENSED DESIGNER . va ♦���� v� .T'