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HomeMy WebLinkAboutSWG2026-00055 - SWG Application / Design - 4/13/2029 MASON COUNTY 415 N 6TH STREET,SHELTON, ,WA EXT 98584 • • va ■Y 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: SWG2026-00055 APPLICANT EMBREY SCOT&JANELLE Phone: Address: PO BOX 1643 YELM,WA 98597 OWNER EMBREY SCOT&JANELLE Phone: Address: PO BOX 1643 YELM, WA 98597 SEPTIC DESIGNER JIM HUNTER* Phone: 360-753-1226 Address: PO BOX 162 OLYMPIA, WA 98507 Site Address: 180 E Mason Lake Dr E Primary Parcel Number: 221085500038 Permit Description: NEW 3bR GRAVITY BED Permit Submitted Date: 03/02/2026 Permit Issued Date: 04/13/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $575.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/25/2029 (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: masoncountywra.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. ' r ® s��,� mss.«♦;"�m:.'�.r: OFFICIAL USE ONLY MASON COUNTY DATE RECEIVED: Og/Oi / o • C Cl) AMOUNT RECE ED: RECEIVED BY: Public Health & Human Services 6-7 DI m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 co 415 N.6th Street-Shelton,WA 98584 S WG acLLp vvVJVV Z Cl) ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHONE rn JANELLE EMBRY 360-580-9269 Z C MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE C PO BOX 1643 o YELM WA 98597 W SITE ADDRESS-STREET,CITY,ZIP CODE 180 E MASON LAKE DR yj GRAPEVIEW WA 98546 NAME OF DESIGNER __ PHONE a` JIM HUNTER a 360-753-1226 IIA71 NAME OF INSTALLER /�C PHONE PERMIT TYPE(select one) DRINKING WATER SOURCE O ❑ RESIDENTIAL OSS ❑ COMMUNITY OSS ❑COMMERCIAL OSS ❑ PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL Z h^ TYPE OF WORK(select one) ❑ PUBLIC WATER SYSTEM rJ ❑ NEW CONSTRUCTION!UPGRADES ❑ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I3 SUBMITTALS ❑ SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE ❑� DESIGN FORM(REQUIRED) 0 SEPTIC DESIGN(REQUIRED) BEDROOMS I LOT SIZE I WAS LOT CREATED AFTER4/1/2025? I \ ❑ WAIVER(S)(IF APPLICABLE) 3 0.24 YES NO C) Ic DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) MASON LAKE RD TO MASON LAKE DR E. I Id ® to I� SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. N�� OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) o VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT❑HOME SALE❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS!CONDITIONS d 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. LPECTOR SIGNATURE DATE APPLICATION EXPI TION DATE P ICATION PROVED/ISSUED BY DATE kk4 ___________ Revised:01109!2026 TH S M O AY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE DESIGN FORM—PAGE ONE Assessoris2arcel Number: 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"X17" PARCEL IDENTIFICATION Permit Number: SWG - Designer's Name: Applicant's Name: --S a--e(j p Designer's Phone Number: ( _7-5 3-(�2�o Mailing Address: (• Designer's Address: �,d c ,� Q `O -I City State Zip pl y Om q-r j o7 i( y State Zip Designer's Email -Q .C Gti DESIGN PARAMETER Treatment Device ❑Glendon ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter 0 ATU ❑Other Treatment Level(check all that apply): ❑A ❑B ❑C ❑BLl ❑BL2 ❑BL3 ❑E 0 N Drainfield Type Gravity f Pressure ❑Trench Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms -j Schedule/Class Daily Flow: Operating Capacity Z'(J gpd Length -Z S ft Daily Flow:Design Flow 3 Ce O gpd Diameter in Septic Tank Capacity(working) l-L-.Sc7 gal Number (p Receiving Soil Type(1-6) Separation ` , 3 ft Receiving Soil Appl.Rate 0 ve gpd/ft2 Orifices Required Primary Area 4,.SO ft2 Total Number of Orifices .'__( Designed Primary Area 4 Ca 0 ft2 Diameter 'I( " in Designed Reserve Area c-(¢ 0 ft2 Spacing L l in Trench/Bed Width 0 ft Manifold Trench/Bed Length •Z3 y ft Schedule/Class -4 O Elevation Measurements Length (Q.L a'1 ft Original Drainfield Area Slope rp C.p % Diameter '. in New Slope,If Altered I A- % Preferred manifold configuration used? ..Yes 0 No Depth of Excavation Up-slope in Transport Pipe from Original Grade Down-slope 9 `' in Schedule/Class Designed Vertical Separation )Z4ç - in Length 2� ft Gravel-based Drainfield Required? ❑Yes 1 .To Diameter '2 in Pump Required? r/ Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff. in Elevation Between Pump&Uppermost Orifice ;Z S ft Dose quantity i�0 gal Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) ( Z SO gal Uppermost Orifice higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head S s__ gpm Pimer lapse Meter Dvent Counter Calculated Total Pressure Head °r,. (0 3 k'3 ft If Timer: Pump on i©2.5- ,Pump off (O 2.3 Comments If p Ap }J .v ,n COUNTY ENVIRON M Revised: 6/11/2025 ENTAL HEALTH J13 DESIGN FORM—PAGE TWO Assessor's Parcel Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch r Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: Ci1 Soil logs O Trench/bed dimensions and 0 Septic tank Property lines critical distances within layout ❑ Drainfield cover IZ(Existing and proposed wells 0 D-Box/Valve box locations within 100 ft of roe ❑ Septic tank/ um chamber Reference depth from original grade property m' p tank/pump and restrictive strata: D Measurements to cuts,banks, and locations ❑ Laterals,trench/bed,top and surface water and critical areas O Observation port location bottom 121 Location and orientation of 0 Clean-out location 0 Curtain drain collector curtain drain and all absorption ❑ Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: Ef Location and dimension of 0 Lateral placement with distance ❑ Observation ports/clean-outs primary system and reserve area to edge of bed C'I Buildings Other Information 0 Audible/visual alarm referenced Yes No Ef Direction of slope indicator 0 Scale of drawing shown on scale 0 0 Design staked out EJ Waterlines bar 0 0 Recorded Notices attached la Roads, easements, driveways, 0 Elevation benchmark and relative 0 ❑Waiver(s) attached p g e`le ;'iofi' o"f�y� c�"mponents p arkin ❑ ❑Pum curve attached § ❑ ❑Evaluation of failure North arrow and scale drawin " � tt� k, { shown on scale bar -, APR E f4a„� F ffiJ� Non-residential justification �" ' `� � 0 0 Waste strength MAS0 COUNTY ENVIRONMENTAL HEALTH ❑ ❑Flow JE N APPROVAL The undersigned designer must be notifre tal er it e of installation 0 Yes IPd'No Signa - o Designer 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 on- regulations: Env o n 1 Healtn pcialist 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: ✓ 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. 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 PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL#: 22108-55-00038 DATE SUBMITTED: 03/26/26 LEGAL/LOT#: PARADISE SHORES ESTATES SUBMITTED BY: JIM HUNTER #12 APPLICANT: JANELLE EMBRY ADDRESS: PO BOX 1643 r r 0 V YELM,WA 98597 IIJ APR 13 I.CALCULATIONS MASON COUNTY ENVIRONMENTAL HEALTH NUMBER OF BEDROOMS= J sVkl RESIDENTIAL GPD FLOW= 360 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.8 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 460 FT2 TRENCH LENGTH OR BED CONFIG.= 10 FT X 23 FT TWO BEDS II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1250 GAL.CONCRETE NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= GRAVELLESS CHAMBERS ROCK DEPTH BELOW PIPE= GRAVELLESS CHAMBERS SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAL/SEASONAL SATURATION= >2'-0" FILL DEPTH= 1'-0" TRENCH WIDTH= N/A IV.PUMP REQUIREMENTS DOSING VOLUME IN GALLONS= 60 NUMBER OF DOSES PER DAY= 6 LIC�NcE')f+�Clr,tycR Xnt_f. PAGE 2 V.PRESSURE CALCULATIONS USING PIPE CLASS= 40 ORIFICE DIAMETER= 3/16 LATERAL#1 = SQUIRT HEIGHT(FT)= 3.00 (NOTE(2) ORIFICE DISCHARGE RATE=(11.79)X(ORIFICE DIAMETER)SQ2 X SQ ROOT OF(TOTAL PRESSURE HEAD) ORIFICE DISCHARGE RATE= 0.71792 LATERAL LENGTH IN FEET= 23.00 ORIFICE SPACING= 19" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 13 LATERAL DISCHARGE RATE= 9.333 LATERAL#2= SQUIRT HEIGHT(FT)= 3.00 ORIFICE DISCHARGE RATE= 0.71792 LATERAL LENGTH IN FEET= 23.00 ORIFICE SPACING= 1'g" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 13 LATERAL DISCHARGE RATE= 9.333 LATERAL#3= SQUIRT HEIGHT(FT)= 3.00 ORIFICE DISCHARGE RATE_ r baY1 0.71792 LATERAL LENGTH IN FEET= =`3, 23.00 i ORIFICE SPACING= 1'9" DISTANCE FROM END CAP= APR I 2i'o NUMBER OF HOLES= LATERAL DISCHARGE RATE= MASON COUNTY ENVIRONMENTAL HFALT 9.333 LATERAL#4= SQUIRT HEIGHT(FT)= 3.00 ORIFICE DISCHARGE RATE= 0.71792 LATERAL LENGTH IN FEET= 23.00 ORIFICE SPACING= 19" DISTANCE FROM END CAP= 10" NUMBER OF HOLES= 13 LATERAL DISCHARGE RATE= 9.333 A O v' .( aT ' 51I(A)173 c `� JAMES R.FF x,nER LICENSED N S!GNER EX PUS: 03122/`Z..6i PAGE 3 LATERAL#5= SQUIRT HEIGHT(FT)= 3.00 ORIFICE DISCHARGE RATE= 0.71792 LATERAL LENGTH IN FEET= 23.00 ORIFICE SPACING= 1'9" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 13 LATERAL DISCHARGE RATE= 9.333 LATERAL#6= SQUIRT HEIGHT(FT)= 3.00 ORIFICE DISCHARGE RATE= 0.71792 LATERAL LENGTH IN FEET= 23.00 ORIFICE SPACING= 19" DISTANCE FROM END CAP= 1'0" NUMBER OF HOLES= 13 LATERAL DISCHARGE RATE= 9.333 LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) AB 27.00 2.00 55.998 1.3348 BC 30.00 2.00 27.999 0.4114 CD 1.80 2.00 18.666 0.0117 DE 3.40 2.00 9.333 0.0061 EF 23.00 1.00 9.333 1.1203 TOTAL= 2.8843 **TOTAL HEAD LOSS ** 1)FRICTION LOSS THROUGH SYSTEM= 2.8843 2)ELEVATION DIFFERENCE = 3.7500 1 3)RESIDUAL = 3.0000 TOTAL 323 �? _ jAb fES 4 hi 1�aTER �� L{ JAMES �,TgTER MASON COUNTY ENVIRONMENTAL HEALTH E' ' s 03/22!-L MYERS ME45 SERIES CAPACITY LITERS PER MINUTE 0 50 (00 150 200 250 300 350 1 50 5 40 12 '� w ft 30 9 _Z 20 - 61 F- 10 3 F" 0 0 0 10 20 30 40 50 60 70 80. 90 100 CAPACITY GALLONS PER MINUTE E = APR 1 3 L€jr,.� # MASON COUNTY ENVIRONMENTAL HEALTH f9" I1O!J273 ,e • FL10EPvCrIJ�;R5! F r ..,.P'rz>ec: t.J GENERAL CONSTRUCTION NOTES BED DIMENSIONS - 10 FT X 23 FT TWO BEDS /(' BED DEPTH - SEE BED SECTION 1 "° LOAMY AND/SANDY LOAM FILTER FABRIC GRAVEL - N/A = ORIGINAL GRADE BACKFILL - APPROVED EXCAVATED MATERIAL IH 1" PVC PERF. PIPE SEPTIC TANK - NEW 1250 GAL.WATERTIGHT TANK O O O 1'-0" 2�. GRAVELLESS CHAMBERS PUMP CHAMBER - 1250 GAL,.WATERTIGHT I" r __________ _____ PUMP MODEL - MYERS ME45 SET TO PUMP AT 60 GAL. 1 $ INTERVALS. CHECK VALVE AND HIGH LEVEL ALARM REQUIRED 3'-4" NOTE: PLACE ORIFICE AT12 O'CLOCK USE "T"TO "T" TYPE CONSTRUCTION NOTE: ALL FOOTING DRAINS, ROOF DRAINS, AND STORWATER RUN-OFF `' BED SECTION 10' °° ¢� MUST BE DIVERTED AWAY FROM ANY SEPTIC SYSTEM COMPONENT. NO SCALE TWO BEDS x:33a ' i% �P��� JAMESJER n\ �• �fl <, LIC€ Jac-i)�? G NER TO DRAINFIELD PRESSURE LATERALS Et F X3;7.2( NOTE:END OF EACH LATERAL IS TO HAVE A SWEEP 90 RISERS ARE REQUIRED TO OR ABOVE FINISHED GRADE WITH THREADED END CAP TO JUST BELOW FINISHED GRADE OVER TANK LIDS. IF GROUNDWATER OVER THE TOP OF AND SHALL BE MARKED BY BURIED REBAR SECTION FOR THE TANKS IS A CONCERN,THEN RISERS MUST BE PLACED FUTURE LOCATING WITH METAL DETECTOR OVERALL TANK LIDS TO THE SURFACE. THE RISERS O O FLOW CONTROL VALVE MUST BE SEALED WATERTIGHT AT THE JOINT BETWEEN 3/16" HOLES TANK AND THE RISER B RISER WITH LOCKING LID 1" PVC PIPE O GENERAL NOTES CLASS SCH40 TYPICAL CONSTRUCTION ANY VARIATIONS TO THIS DESIGN SHALL FIRST BE APPROVED BY JIM HUNTER AND ASSOCIATES AND THE COUNTY SANITARIAN. OWNER INSTALLER SHALL NOT REMOVE OR DISTURB ANY TOP SOIL WHILE CLEARING TREES AND STUMPS IN DRAINFIELD DRAINFIELD CONTROL BOX NO SCALE AREA. REMOVAL OF TOP SOIL COULD RENDER THE SITE UNUSABLE. OWNER SHALL BE AWARE OF THE POSSIBILITY OF TANKS FLOATING OUT OF THE GROUND SHOULD THE TANKS BE PUMPED o 1" PVC PERF PIPE DETAIL EMPTY DURING SEASONAL HIGH WATER TABLE CONDITIONS. NO SCALE ALL CONSTRUCTION MATERIALS AND THE INSTALLATION OF THIS DESIGNED SEPTIC SYSTEM SHALL CONFORM TO ALL APPLICABLE STATE AND COUNTY HEALTH DEPARTMENT REQUIREMENTS. USE OF SOME RESERVE DRAINFIELDS MAY NECESSITATE PUMP AND/OR SAND FILTER INSTALLATIONS. JIM HUNTER AND ASSOCIATES THE ADDITION OF AN APPROVED EFFLUENT FILTER IN THE SEPTIC TANK IS REQUIRED TO ENSURE THAT SOLIDS DO NOT P.O. BOX 162, OLY,WA 98507 753-1226 1HANDASSOCIATES@HOTMAIL.COM PASS TO THE DRAINFIELD CAUSING PREMATURE DRAINFIELD FAILURE AND COSTLY REPAIR. DESIGNER-JIM HUNTER ALL REQUIRED TESTS SHALL BE SUCCESSFULLY RUN PRIOR TO CALLING JIM HUNTER&ASSOCIATES FOR FINAL PUMP (A) TO BE CONTROLLED BY TIMER SET TO INSPECTION. ALL COMPONENTS,INCLUDING ALL TANK ACCESS LIDS MUST BE ACCESSIBLE FOR INSPECTION. DOSE 60 GALLONS IF AVAILABLE EVERY 4 HOURS SEPTIC SYSTEM DESIGN FOR- CONTRACTOR SHALL BE RESPONSIBLE FOR COST OF RETURN INSPECTIONS DUE TO FAILED TESTS OR INACCESSIBLE IJANELLE EMBRY COMPONENTS BASED ON MEASURED PUMP OUTPUT RATE SITE ADDR- THIS IS A SPECIAL DESIGN DUE TO ADVERSE SOIL CONDITIONS,GROUNDWATER TABLE AND/OR TOPOGRAPHY. JIM 180 E MASON LAKE DR E HUNTER&ASSOCIATES HAS DESIGNED THIS SYSTEM IN ACCORDANCE WITH ALL CURRENT STATE AND COUNTY HEALTH DEPARTMENT REQUIREMENTS AND ASSUMES NO RESPONSIBILITY FOR ITS USE OR LONGEVITY. LEGAL- PARADISE SHORES ESTATES#12 OF THE OWNER THEREFORE AGREES TO MAINTAIN AND MAKE ALL NECESSARY REPAIRS TO THE SYSTEM AT TP# NO COST TO JIM HUNTER&ASSOCIATES. 22108-55-00038 o_-- S : \ * L i_ - iT ________ F F [ T M _ S11Ri173 � o' !Are R' Aol ER LICENSEE)L EWER P V APR 13 MASON COUNTY ENVIRONMENTAL HEALTH A FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION&RECORD DRAWING � V-0 JIM HUNTER AND ASSOCIATES cuREo uo vnTN as ncNT SEAL ��„�,��,�, �®�N f SE AceEsvasEn sE]P uEFP GGEssas E R RAGAD P.O.BOX 162,OLY,WA 98507 753-1226 JHANDASSOCIATES@HOTMAIL.COM MSN GRADE FINIGI GRADE NOREAGREGI DESIGNER-JIM HUNTER FRGM SE➢TiD TANK .G..... SEPTIC SYSTEM DESIGN FOR- uERGENCf StaRnGE GESGDRDE —AnNG WT aER wGNw�R u� E uDE � JANELLE EMBREY ���� NGRNAL.R�RGFF FlL EP ® ' � EDiNENT "°"K" �� SITE ADDR 180 E. MASON LAKE DR E uEMSNRWD _ CEN�RIFlF�4 PFN/D LEGAL PARADISE SHORES ESTATES#12 OF SEPTIC TANK PUMP CHAMBER(TYPICAL) (TYPICAL) TP# 22108-55-00038 SITE#