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swg2026-00060 - SWG Application / Design - 3/25/2026
A MASON COUNTY 415 N 6TH STREET SHELTON,70,EXT 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: SWG2026-00060 APPLICANT ANAYA CARLOS P Phone: Address: 1507 WASHINGTON ST SHELTON, WA 98584 OWNER ANAYA CARLOS P Phone: Address: 1507 WASHINGTON ST SHELTON,WA 98584 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: 70 E Panorama Dr Primary Parcel Number: 320215601005 Permit Description: 3BR Nuwater Permit Submitted Date: 03/06/2026 Permit Issued Date: 03/25/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/18/2029 (based on date of inspection) Permit Conditions: I 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 DATE RECEIVED: O� 0( N > •.�.�, AM0UNTRECEN : RECEIVED BY: Public Health & Human Services i57o s N Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 0 415 N.6th Street-Shelton,WA 98584 S W G — Z to ON-SITE SEWAGE,SYSTEM APPLICATION > m n \� PHONE APPLICANT r✓ � Joel Roswall (425) 890-6865 O0 C MAILING ADDRESS-STREET.CITY.STATE.ZIP CODE 2038 Beverly Beach Dr N • %Olympia WA 98502 @D m SITE ADDRESS-STREET.CITY,ZIP CODE 70 E Panorama Dr Shelton WA 98584 PHONE Q. NAME OF DESIGNER fV Arrow Septic Designs, Inc``: ,. (360) 898-2255 CL a NAME OF INSTALLER i PHONE v I O PERMIT TYPE(select one) DRINKING WATER SOURCE 0 RESIDENTIAL OSS ElCOMMUNITY OSS IdCOMMERCIAL OSS 11 PRIVATE INDIVIDUAL WELL El PRIVATE TWO-PARTY WELL Z I — TYPE OF WORK(select one) i]PUBLIC WATER SYSTEM 91NEW CONSTRUCTION/UPGRADES L,.l3REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR 0' SUBMITTALS (I ❑ SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE I, (DESIGN FORM(REQUIRED) iSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE I WAS LOT CREATED AFTER O 5]WAIVER(S)(IF APPLICABLE) 3 BR .21 ac ❑ YES p NO n r CIO DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) Go out Hwy 3 and turn (R) onto E Agate Rd. Turn (R) onto E Crestview Dr. Turn (L) onto E I Panorama Dr. Destination on (R). Across from blue manufactured home #81. ® I o I0 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. 0 OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT DOTHER: INSPECTOR SOIL LOGS COMMENTS I CONDITIONS 3 5 3 CS [S \J 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 P LIGATION APPROVED/ISSUED BY DATE GJ - ! 2 (s 3-2 Revised:4/14/2025 5 IS FbR MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 - 5 6 - 0 1 0 0 5 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 er Mason County Web site.Maximum paper size: 11"X17" j Nis CAT O i,, ; Sl�.. ` '₹.'�xa...��,ro,.� .A/.. ............. ' ?i� v ku ,w+.3 Permit Number: SWG —OchO(ejC Designer's Name: Arrow Septic Designs, Inc Applicant's Name: Joel Roswall Designer's Phone Number: (360)898-2255 Mailing Address: 2038 Beverly Beach Dr NW Designer's Address: 171 E Vuecrest Dr Olympia WA 98502 City State Zip Union, WA 98592 City State Zip Designer's Email paulaj@hctc.com �r ��f�r�"'k" u�-..a�., 2 "�`.fy�3 aff,.. ,y `'�"-�`"� �sv� „�•d`;m€ e,�-� �s��''�,w�„�' r a.... � C C m Treatment Device ❑Glendon ❑Sand Filter ❑Mound O Sand Lined Drainfield ❑Recirculating Filter El ATU NuWater BNR-500 I]Othesro0 gallon pre-trash tank Treatment Level(check all that apply): ❑A I]B El C ❑BL1 0 BL2 El BL3 El E 21 N Drainfield Type ❑Gravity 'Pressure [Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield 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) NuWater BNR-500 gal . ' :Number 3 Receiving Soil Type(1-6) 3 Separation 5 ft Receiving Soil Appl.Rate 0.8 gpd \ Orifices Required Primary Area 450 ft2 Total Number of Orifices 30 Designed Primary Area 450 ft2 Diameter 3/16 in Designed Reserve Area 450 ft2 \. Spacing 60 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 150 ft Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 3 % \ Diameter 1.25 in New Slope,If Altered 3 % Preferred manifold configuration used? 'Yes O No Depth of Excavation Up-slope 10 in Transport Pipe from Original Grade Down-slope 9 in Schedule/Class 40 Designed Vertical Separation 13+ in \ Length 60 ft Gravel-based Drainfield Required? O Yes No Diameter 2. in Pump Required? 5Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost orifice 5 ft Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice 'Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 17.7 gpm IYf Timer ❑ Fil'apse Meter ❑event Counter Calculated Total Pressure Head 8.29 ft If Timer: Pump on 2 minutes ,pump off 6 hours Comments f, "i •, MAR 252o 5 2 ¢' MASON COUNTY ENVIRONMENTAL HEALTH Revised:4/14/2025 JB } r t , DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 2 0 2 1 - 5 6 -- 0 1 0 0 5 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch R1 Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: E6 Soil logs g Trench/bed dimensions and Ef Septic tank It Property lines critical distances within layout Rf Drainfield cover ❑ Existing and proposed wells Rf D-Box/Valve box locations Reference depth from original grade within 100 ft of property 54 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks, and locations l Laterals,trench/bed,top and surface water and critical areas 19 Observation port location bottom ❑ Location and orientation of fig Clean-out location 0 Curtain drain collector curtain drain and all absorption Rf Manifold placement 0 Sand augmentation components � Orifice placement Other cross-section detail: E6 Location and dimension of Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information Rf Buildings El' Audible/visual alarm referenced Yes No 56 Direction of slope indicator I Scale of drawing shown on scale 0 Design staked out B1 Waterlines bar ❑ Recorded Notices attached El Roads,easements,driveway , ' ev ti b z chmark and relative ❑ Waiver(s)attached parking , e eve o a . components ❑Pump curve attached 56 North arrow and scale dr +' � ❑ [Evaluation of failure shown on scale bar f BAR 25 20 u , - Non-residential justification 0 iI Waste strength MASON COU TYENUIRONrL ❑ Flow C. 6 The undersigned designer must be notified b •on 'Yes 0 No EXPIRES 9x15! a cJv� Signature of Designer Date The undersigned has reviewed this deli non behalf of Mason County Public Health and determined it to be in compliance with state and local on rte egulations: Env on e Healt 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: 3 -[ ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. 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BAR �� � •� O Cleanout ^ H COUNTY� VIRONM`NTAt. � t� ASON ,� O3 500 GaJlv n -Trash tankk �s Cgan 500 ATU Tank • O4 Nu�later BNR= O 1,000 GaflOfl Pump Chamber 5100349 �) 6 Valve Control Box PAULA JOY JOHN-Solt' DCPIR&5 '15%GF"� 3'�P�26 ^- 2 "( p1 58c'-r- L 1 /e c1 éo �1A ` D Y i�'r�G eI S a c i n1f �— J G�,kQ lam• O - Fpc� - 7 - zz 71 t iii: - (, S"Lr & 'f ___ [ 1 . 3 `r y� 5100349 C� r PAULA JOY JOHNSON -Ir L'tCf�(�lEn1��Sr:�� SCREW ON CAP brr 'r �gcr 2. r NOTE?j 45 DEGREE ELBOW OR O=OBSERVATION PORTS--TO BE 4" SWEEPING 90 • PVC PIPE FROM BOTTOM OF TRENCH LATERAL TO FINISHED GRADE. REMOVABLE END OF • CAP SHALL BE INSTALLED ON DITCH-. OBSERVATION PORT PIPE. GLUED ON DETAIL TEE AT BOTTOM. CLEAN OUT MINIMUM OF '" -j IN SYSTEM. NOTE, CLEANOUT TO BE FROM 0 TO 6 LATERALS ARE TO BE CENTERED. INCHES BELOW FINISHED GRADE. IN TRENCHES MARK ENDS WITH REBAR. CLEAN OUT REQUIRED AT END OF EACH LATERAL. ; END MANIFOLD (600" ) p;` 50 ' TRENCH OC ( O pRIFICES) F' � . ORIFICES Lo 3d'"FROM MANIFOLD MAR " 3D«FROM ELBOW o; �� L4 o� ç53 %JASO l COUNT(FNV R0WAENT,',!HE-.ern Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 1 600 50 60 i0i 30 30 2 600 50 60 lOt 30 30 3 600 50 60 10 . 30 30 Total Lateral Length 150 Total#Orifices 30 GPM= 17.7 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(Ft.) #Orifices Transport Pipe ` `.60 f 30 0.35 ft. Feeder Total Lateral Line Length Lateral#1 50 . 2 52 10 0.29 ft. Lateral#2 50 7 57 10 0.31 ft. Lateral#3 50 12 62 10 0.34 ft. Total Elevation Lift 5.00 .ft. Total Dynamic Head 8.29 ft. sEcuR UD flits GAS TIGHT EE- r— TH IDED t[ 9 ACCESS / SERVICE VALVE • t• Jrl' �==-os�ORAWFt�fl t'iiOM SEPTIC •TAWC ECYSIPHON I___I f VALVE' NATHt ALA!l�fEL f _�r F ►T STerb TOM . ( FOR SAT .�BEDD c ( Eirl'o VAI.Vc c LL. ic.ni.u' . j ' 5100349 'sir PAUL JOY JOHNSON LfC 1=tibt:st0Nl=ft" �' �� pw, ss ds ired chapter a.6-27? and�Sr-La Septic Tanks must meet standar requ t ��i t of Health list of registered sewag manufacturer must be on Dep 35 of 65 raA� MENTAIHEA!TM WA rxV9 ication#337-022 ` �1Y ENVIRON MASON CO- �, �. Bronze construction available(139 series) High head version available(145 series) • Double shaft seal versions available for added protection FIow-Mate on models 140/145. For more information,see Technical Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping performance is critical, this robust ; W PUMP PERFORMANCE CURVE MODEL737M401145 family of pumps is known for reliability, „ durability and performance. These pumps are especially suited for harsh environments.Zoeller's cool run design - -_ and corrosion-resistant,powder coated „ epoxy finish add up to a long-lasting, trouble-free product. APPLICATIONS: • STEP or onsite applications " I I = ii I = • Water transfer ,° • Light commercial dewatering = I = I I = e u SPECIFICATIONS: • i-i/2"NPT discharge �.,la " • 1/2 HP through 1 HP MADE IN THE USA 1D • Available in automatic or nonautomatic ISIN6AL1AJUBIIYOFUS.CON1IIT : ,as ,m ,n • Model 137.139,140:1/2"(12 mm)spherical solids , capacity with vortex impeller 17 m n 403 3770 ® w ,m • Model 145:3/4"(19 mm)spherical solids capacity with ° a '4° vortex impeller FIONG[nwxul6 152656 ��, �� � #•. } to PUMP PERFORMANCE CURVE MODEL 151/152/153 Dose-Mate 50 This is our fastest growing line of effluent 14 45 153 pumps.The 150 series is truly a workhorse designed for reliability under extreme 12 40 conditions in an effluent environment. 150seriespumpcurvescoverawiderange = 10 35 152 of applications. They are well suited to 30 applications with low pressure pipe(LPP) > 8 151 and enhanced flow STEP systems.Zoeller's o 25 - coot run design and corrosion-resistant, U6 20 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 2 APPLICATIONS: �.,�•� 5 • STEP or onsite applications P•••��•�� o MADE IN I THE�USAA 10 20 30 40 50 60 70 80 90 100 • Light commercial dewatering GALLONS LITERS SPECIFICATIONS: 0 40 80 120 160 200 240 280 320 360 �� FLOW PER MINUTE 014506 • 1-1/2"NPT discharge `^, • 3/10 HP through 1/2 HP a F tf • Available in nonautomatic or with a variable Level piggyback mechanical switch ? ? Rol • 1/2"(12 mm)spherical solids capacity with vortex thermoplastic impeller , For more information,see Technical Data Sheet FM2784. INENTAL HEAL TH n�1,1��`Tjv ENVIR�N ©All rights reserved. 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WATERTIGHT LID VENT(typ) DUAL PORT AERATOR RISERS(TYP) I 36'MAX. 1'PVC(TYP) o o 1I PVC MASTIC AIRLINE 4" Y COUPLING &REDUCER 6" I YTEE S= = LUDGE 12° RETURN LINE 2'PVC i 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 I t FLOOD:191 GAL 65" i Sg^ 54" 53" ' r o0 00 0 TX12" is �f I i , MAR 25 f f saw T I�g VIRO�A�ENTAL • DIFFUSER BARS(2)EN H A •; o.•• FI PARALEL TO TANK WALL_! - 4. SLUDGE RETURN 1.5'TAPER SIDE VIEW 1`=1.4 ft STONE-FREE NATIVE SOIL OR COMPACTED SAND INSTALLATION INSTRUCTIONS 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 9-2° out with screed. _ 3)Install tank in center of hole,keeping 1 ft.void space on i r 1 all sides. I 24 RISERS(fir(P) 24'BLOWER i 4)As tank is filling with water,fill in void space with compact I I GUSING CAS granular(sandy)soil free of large clumps of clay. I i I N TOP OF Lr 5)Install rest of system,&affix risers to adapters with I! I waterproof adhesive. 44 6)Perform watertightness test in field as required by local I I I I! I jurisdiction. I I I �� I I 7)Upon approval to backfill,carefully backfill with native I I i 12'RISER soils over top of tank. I TRASH CHAMBER I I DIGESTER I ICLARIFIERI 8)Final grade the surface to avoid chanelling surface L_—____ I L——_———_J L J water toward tank __ TOP VIEW 1-=28ft AEROBIC TREATMENT TANK DETAIL FOR NuWA TER BNR-500 TREATMENT UNIT ENVIRO-FLO, INC. 3/01/12 s �,e Wastewater Treatment Technologies ��rs P.O.BOX 329161,Flowood,MS 39232 (877)836-8476 (609)845-4716 fax SCALE _ www.enviro-flo.net 1 ri 1.4 ft. • . NijWaLr .hti9vcsncod,Tura..o{timrr 8,y Ertiie:xato.lrac ;. My ' L1 MAR 25 7 (\[[ ! 'k TYENVJRpN�fF�JT, t i 1 I • I s { { PARTS LIST NuWater NR Assembly Diagram A.DUAL PORT AERATOR M.POLY DIFFUSER BAR(2) B.3/8"RUBBER 80'W1'CLAMAPS(2) N.1"PVC(3'.1/2"'SECTION): C. BARBED ADAPTOR X 1/2".NPT(2) 0.1"SLIP CAP O.1)2"SLIP X 112"NPT ADAPTOR P.718"CLEAR PVC.HOSE(OPTIONAL 5� E.1'STREET X.112 NPT BUSHING(3) 0.112"PVC PIPE(BY INSTALLER) P.112'9o`:EI.BQW(3) R.1'PVC PIPE(BY INSTALLER) G.1"X 1'X 1t2"TEE S.2,-PVC PIPE(BY.INSTALLER) H.1-90'ELBOW(3) T.1/8'BARBED ADAPTOR1 O 1/4"NP'T(2) • I.2")(1"BUSHING U.1/2"STREET X'114"NPT BUS3IENG.(2) ,.2'SANITARY TEE V.1/2"PVC COUPLER(2) I(..V,PVC CROSS w.2"COUPLER.(BY INSTALL.ER). L.1"COUPLER(BY INSTALLER) Revised 2/25/12 ate Septic Doigns, Snc,, NuWater BNR Pretreatment INSTALLATION &MAINTENANCE Pressure Distribution Systems PAULA JOY JOHNSON ?' 14�. St11�'Et��In9V J'� 1. Install Laterals with contour of the ground. 2. Install trench bottoms level. 3"ro-u 3. Install locator tape or rebar at each end of all drainfield laterals. 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. Redundant off switch not required. 8. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 9. 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. 10. 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. 11. 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. 12. Divert all storm water runoff away from on-site sewage system. 13.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 14.No vehicular traffic over drainfield area or tanks. 15. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 16. All materials and workmanship must meet County and State regulations. 17. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 18. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 19. 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 opening. 20. All transport lines under driveways or parking areas must be encased to prevent crushing. 21. Homeowner is responsible for all property lines and easements. 22. Please Note: When you begin using your septic system, contact your septic installer to discuss setting up a schedule for your required Operation.&Maintenance on your NuWater pretreatment system. (O fl c-l0