HomeMy WebLinkAboutswg2026-00091 - SWG Application / Design - 4/1/2026 MASON COUNTY 415N 6TH STREET,SHELTON,7 ,WAE 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: SWG2026-00091
APPLICANT Micah Halverson Phone: 360-490-6365
Address: PO Box 1519 SHELTON, WA 98584
OWNER WORKMAN JAMIE Phone:
Address: 120 E TIMBERLAKE DR SHELTON, WA 98584
SEPTIC DESIGNER MICAH HALVERSON* -Olympic Phone: 360-490-6365
Construction
Address: PO BOX 698 ELMA, WA 98541
SEPTIC INSTALLER JAMIE WORKMAN* Phone: 360-463-9573
Address: PO Box 776 SHELTON, WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 220185000214
Permit Description: New 3bd Glendon M31
Permit Submitted Date: 04/01/2026
Permit Issued Date: 04/13/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/09/2029 (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.
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
• . • MASON COUNTY DATE RECEIVED: Oz/
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AMOUNT RECE V D� RECEIVED BY:
Public Health & Human Services W_ M
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Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 C
415 N.6th Street-Shelton,WA 98584 SV\IG (h _ O O 0
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ON-SITE SEWAGE SYSTEM APPLICATION
m n
APPLICANT PHONE M
WORKMAN, JAMIE 360-463-9573 z
MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE
PO Box 776 4 eo Shelton WA 98584 m
SITE ADDRESS-STREET CITY ZIP CODE r
Undeveloped -Land
NAME OF DESIGNER ''-J �. PHONE m
_ I fV
Micah Halverson ' 360-490-6365
NAME OF INSTALLER PHONE D
WORKMAN, JAMIE <_
PERMIT TYPE(select one) DRINKING WATER SOURCE
r�
!RESIDENTIAL OSS COMMUNITY OSS I!I COMMERCIAL OSS I5!PRIVATE INDIVIDUAL WELL l i PRIVATE TWO-PARTY WELL Z 00
TYPE OF WORK(select one) a PUBLIC WATER SYSTEM Timberlakes
NEW CONSTRUCTION!UPGRADES IJ.,IREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) O TABLE X REPAIR Cal
SUBMITTALS O SURFACING SEWAGE ❑ EXISTING FAILURE O SHORELINE
DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/2025? r0 I O
3 C7 t
EWAIVER(S)(IF APPLICABLE) .3ac ❑ YES ❑✓ NO
DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate)
From E Agate Road turn onto E Timberlake Drive,turn right onto E Lakeshore Drive W, turn I C
left onto E Agate Drive. Subject lot is on left. Test holes are marked with pink ribbon o Iry
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED W/TH TEST HOLE NUMBERS.
OFFICIAL USE ONLY BELOWTHIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER:
INSPECTOR SOIL LOGS � COMMENTS/CONDITIONS
Th : 0 ,," '4-
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D '1-f 4SL (v't7--wt ' d ca'+ W$ I
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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 APPLICATION APPROVED/ISSUED BY DATE
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 0 1 8 - 5 0 - 0 0 2 1 4
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 1O_- 0 Designer's Name: Micah Halverson
Applicant's Name: WORKMAN,JAMIE Designer's Phone Number: 360-490-6365
Mailing Address:
PO Box 776 Designer's Address: PO Box 1519
Shelton Wa 98584 City State Zip Shelton Wa 98584
City State Zip Designer's Email halversondesignIlc@outlooklM
DESIGN PARAMETERS
Treatment Device
El Glendon ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter O ATU ❑Other
Treatment Level(check all that apply): p A El B ❑ C El BL1 ❑BL2 ❑BL3 ❑E El N
Drainfield Type
❑ Gravity O Pressure El Trench ❑Bed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class Per Glendon
Daily Flow: Operating Capacity 270 gpd Length " ft
Daily Flow:Design Flow 360 gpd Diameter " in
Septic Tank Capacity(working) 1200 gal Number
Receiving Soil Type(1-6) 4 Separation " ft
Receiving Soil Appl.Rate .6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices
Designed Primary Area 619 ft2 Diameter " in
Designed Reserve Area 616 ft2 Spacing " in
Trench/Bed Width 17 ft Manifold
Trench/Bed Length 47 ft Schedule/Class
Elevation Measurements Length ft
Original Drainfield Area Slope 3% % Diameter " in
New Slope,If Altered same % Preferred manifold configuration used? ❑Yes O No
Depth of Excavation Up-slope 0 in Transport Pipe
from Original Grade Down-slope 0 in Schedule/Class 40
Designed Vertical Separation 15"+ in Length 25 ft
Gravel-based Drainfield Required? l!I Yes ❑No Diameter I in
Pump Required? 56 Yes ❑No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day Per Glendon
Diff.in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity gal
Drainfield Squirt Height/Selected Residual(head) N/A ft Chamber Capacity(flood) 1200 gal
Uppermost Orifice F!1'Higher ❑ Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @ Total Pressure Head 2.25 gpm Cf Timer ❑ W'apse Meter O Event Counter
Calculated Total Pressure Head 15.3 ft If Timer P1 d pump off Glendon
Comments
APR 13 2026
h ASON COUNTY ENVIRONMENTAL HEALTH
hEiRevised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 0 1 8 -- 50 -- 0 0 2 1 4
Permit Number: SWG 2 0 4 -tDppc1.
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
56 Test hole locations 6Z' Drainfield orientation and layout Reference depth from original grade:
61 Soil logs 21 Trench/bed dimensions and 9 Septic tank
66 Property lines critical distances within layout Q( Drainfield cover
61 Existing and proposed wells 6Z1 D-Box/Valve box locations
p p ose Reference depth from original grade
within 100 ft of property 21 Septic tank/pump chamber and restrictive strata:
G6 Measurements to cuts,banks, and locations 6Z( Laterals,trench/bed, top and
surface water and critical areas 21 Observation port location bottom
21 Location and orientation of 66 Clean-out location 0 Curtain drain collector
curtain drain and all absorption 21 Manifold placement 0 Sand augmentation
components 21 Orifice placement Other cross-section detail:
66 Location and dimension of 21 Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
21 Buildings Other Information
21 Audible/visual alarm referenced Yes No
21 Direction of slope indicator 9 Scale of drawing shown on scale 0 F!1 Design staked out
21 Waterlines bar 0 21 Recorded Notices attached
66 Roads, easements,driveways, 0 Elevation benchmark and relative 0 Waiver(s) attached
parking elevations of system components 9 ❑ Pump curve attached
21 North arrow and scale drawing 0 6Z(Evaluation of failure
shown on scale bar Non-residential justification
0 21 Waste strength
0 21 Flow
DESIGN APPROVAL
The undersigned designer must be notified by installer at time of installation 21 Yes ❑ No
A cal 3aA .a. 3/30/2.024
Signature of 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-site regulations:
Environmental Health Spe ialist 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: —I
✓ 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:4/14/2025
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1 V 1.Halverson Design LLC D*0 WORKMAN, JAMIE Site Info: Parcel#22018-50-00214 SHEET NUMBER
PO Box 1519 Shelton Wa 98584 Mailing: PO Box 776 TIMBERLAKE #1 LOT: 214
Haiversondesi nllc outlook.conl Shelton, WA 98584
REVISION#:
• Page 2 of 4
deanout between Pump Curve z o
-2 sewage source 24"access 2X with gas tight lids for PVA1 005 w W
-O and tank
Finished Grade renco
250
1200GaI. Septic Tank EvA'
6"Minimum-
36"Max N d
Flow 2% Extend handle if more ci) c
than 24"from Lid. O
PJI ill III fl 200 IZ V-
Floatin Mat :
>1%Grade to Pump Chamber ' ' Y
Baffle per code N Q
pass through hole blo-tube I N i J
per plan i. --
W
FTW0436-28 150
/ __________ _____ F o H
m ca 5
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sediments
Q
T
y:.... .._..
T
100
or• •el - -
sand Pea G av'3"
All inlet,outlet,crossover LO
piping to or from tanks 0
requires ASTM 3034
or better and must be PVC'. c0
ti
use orenco HVX O O
24" access 2X with gas tight lids discharge assemblies
U m =
(Anti-Siphon when pumping down slope)
Finished Grade 50 = = = = = = = = = = = = Q
Exterior J-Box a
x May use Orenco style L
to 1200 Gallon Pump Chamber O :�
check valve Interior Box
m flow to soil dispersal unit
O
conduit to control panel 00 4 8 12 16 CU
(NO DIRECT BURY t^IIRE) Net Discharge(gpm) Owner/
inlet pipe C •+-- Applicant:
Emergency Storage - �
Place crossover pipe r ,
on native undisturbed soil V
when tanks are not iniine. co o
Vtorking Volume 0 o
Transducer APR 1 3 2026 _ c 0
x
I MASON COUNTY ENVIRONMENTAL HEALTH o
$ Orenco PVU68 a ump per plan: RET O 0 U
Lu or similar Orenco product—' '
Orenco PVA1005 �
sediments
:Y.
_ 3 nd Graver•
dv
All Tanks must be on kNashington Dept.of Health registered list of sewage tanks. \ /J'
p ≥ 0 N
All tanks must comply with capacity ratings,usage and limitations on list. m
https://www.cloh.wa.gov/Portals/1/Documents/Pubs/331-046.pdf.
i�wtPwas�ttt O fD
Traffic rated tanks and lids must be engineered by manufacturer or licensed engineer. UN ED DESK 1 ER a- _
Install Tanks according to manufacturer specifications.
If tank hole is stony or hard pan tanks must be bed onto 3"sand or pea gravel. �'��
A
• Page 3 of 4
WashingtonGl2010 Biol'ilterDesignManual "1 f�iQ V�►W® r X Intelligent Pump Controller
November 29,2A10 Q 1lalue Panel D
Pa 170(23 by INFILTRATOR z
External Splice Box Technical Data Sheet W s
Glendon BIoFBter Model M31 Worksheet w it
Slopes 0-≤5% Applications Standard Features R Benefits N
Basin Capacity,GPD 120 Orenco's External Splice BOX is engineered specifically for pressurized water and •Watertight for pro- •Bottom entry allows
wastewater treatment systems and is especially suited for use in locations prone to looped submergence conduit or direct-
Basin Dimensions' 10'L 6' W 5' D high groundwater and other wet conditions.It attaches outside the access riser 01 00 per lh listing(type bury cable to always The IPC-S02 has all the same features
underground tank 6P) remain below mint- and benefits of ourmaller more
Simplex '
mum burial depth control panel Ina smaller mo affordable _ 1 5
Soil Absorption Rate.GaPFt1!Day -6 1 HV,.•�_ arrarledcvnsma ve rsrr,omoos •Attaches outside of enclosure.We specificaly designed the ,�a+AQUArFOTx illy
±" access riser to allow •Molded of IPC-S02 Value Panel wish a 25%cost
Fxreml5pl-ftaftsonalachictvr inspeclibn witfrout W-re5iShM WG Pal
thgreand—t / IYor use of a smaller- ada
\ �Aesomupn area \. ( `' nZ "` t" connection betwee ache most competaive advanced ump r �
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G _ pt'cn � r ?r' '"" ,`�-. •(2 earl ally s the spl ce box and n controller in the vrastewater industry. k,- � '. `^�, i
m,oam••aarvmro.ss smo. s, r 1' ,, .. riser - -.
M71 cross aectbn through Basin p„ v.> 1 r, easy wrong access
t„s - and accommodates •trehjdas three cord
multiple wiring grip plugs 10 seal 8•x 8"Enclosed N
wnfigtra8ons unusetl and grips
Rim m used= 30' GPD X 1'!4 GPD
mla bl e= 32' `",-.;4 } ' -,. Optional Features&Benefits Q
Rim av
•Can be supplied with •Alows for Em sets of L J
_ divider plates that wiling nay(Class 1
Basin volume required=264 GPD X 7_2ft3lGPD -- separate the spf�ce and eitherCfass for /COS
�- - box undo taro compart- Class M for high and Il IU
Basin volume available 300 -=-�=x `fit menu,wah two card lw voltage;includes Floattess Transducer Simple Wiring And Installation Proven Performance CO
200 x 3=600sgft r grips and one conduit a PVC corduit plug
120 .6 2 200 2 Pressure Transducer Bell replaces up Panel is the specifically designed for Since 1999.more than 14,000
Absorption area required—_GPD! GaPFt/Day= Ft. t hut)in each for dosing off the
^�" to 4 level sensing floats and provides the septic environment and provides Aquawam IPC control panels and
t wmpartrrnent second cmdua hub ft a much more accurate and reliable the installer with simple wiring that pressure transducers are serving
rut used system. safes time and money doing system ensue septic systems throughout ,FO
Primary area calculations -1 T'W X 4TL=T94sgft ,i�. • a,. start-up. North America with a success rate
-Basin area 100sgft 1 ,' Event Data Logging greater than 99%.Compare that to
-T99-180=6t9sgft Infiltrative Area Calculated Hand-held MARC(mountable Time Dosed And Demand erased traditional floatsi
and removable controller)user Technology
interface allows for easy programming Whatever your needs,the IPCS02
Reserve area calculations and event monaormg and recording can be programmed as either a time
through a standard SD card, dosed or demand dosed setting.
25.5 X 55.5=1415 sgft
1415-T99=616sgR Reserve area Calculated tfefltenafy paC R"`
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OGfa,don•BioFiltnTecbe boe, toe OtOAlI righa reserved TO Drier t'� water technologies • weeuew.ree.ae roue e
Find your nearest Bronco Distributor by carting Orenca at 800-348-9943 or diddng
'Distributor Locator•at eenco.com. S Y S T E M S
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Site Preparation for Glendon BioFilter _ - a m
Cut trees to ground level;remove excess vegetation by mowing. Rake the cut vegetation if it is 1 ® O-. Cl)
will become,matted. Prepare the site with the following goals in mind: Universal Biotube° Pump Vaults -[n■ (■oo-mm) Biotube Effluent Filters 6)
a. To break up the vegetative mat so there is no continuous restriction to the vertical flow of (rename
water,to slow the movement of water at the sand-soil interface,and to stabilize the sand For use with 0rencoO 4-inch(100-mm)Submersible Effluent Pumps ea r Applications
at the sand-soil interface. General Orercon 4-lmh Biotube°Effluent Fifers are designed to remove sot- e�
Applications Coiled lure care, its hall effluent leaving residential septic tanks.They can be used in
b. To avoid compacting the soil with heavy, equipment(light me orenm Biowbe PumioWait Includes a roo f polyetry boos- standard tarn and efsing tanks at flows of up to 1200 gpd.
p wheeled a ui menu li t track mounted Orenco Biotube"PompVaults are used to tiller effluent that is pumped log with an intro al g'whube Liter cartridge co structed of perpropylene "
equipment should be used for any traffic on the infiltrative surface and on the area 30 feet from septic tanks on separate dosing tardy in STEP systems and omst and rvc.schedule 80 PVC s„ppert pipes are mduded to eusperxt the Irni
emstewater treatment sryxens.They remo,e(wo-thuds of suspended vaua in a to openmg.'6aelero 50-tab(1727-mml,aults,w1rh rest - General
downslope of the infiltrative surface). sdds•on conga.Pump vaults hose a Biotube erfluert later aM one ii bunco 4md g dR Efluem Fates Ns.Pa eNs r es 4,439;Q3 ant
or hsosnocasgh-headef suet pumps and can be used in single- �D,e 'ot the tank ee4ent of on support pipes,are abo avadzblo. i`
c. To avoid smearing the soil. comportment septic tardy wth Ions up to 40 gym 25 Usec),When Taluent carsthrugh he rt Wes around t pudmg the pumparthe vault BOS 5,492635)are matte hnpoe the ipsmy of etfwermedtng a septic tack Owner/
FJuland flu dvaugh the hoiasmouM the perimeterinduarThee j In aresllllal six system Inreased effluent tp2ily improves s/stem A licant:
flay are greater than 40 9f4nn(2.5lfsec},a doublo-comparMrnt yep- y,�lt orbit Ions tlwugh the Rowfus to ttm external Slow mducecThe performa ce ad rodents drala field Via.
d. To avoid breaking of the structure of the soil. 8c tankorsepamte dosiigtank m recommended. exteral fbwinduceracemunodates one ortwo pub Crew Biowbe „i,
Pump Pouts are covered by U.B.patents y4,439,323 and 5.492,535. The Bmttdre celidge Ill lighty in the vatdt and is mm vable for
e. To remove excessive vegetation so that it does not form a biomat at the sand-soil 9awne' r 1 mAmeisrce.The fee iandlecon be ade.ed far eay remmvalof the
interface as it degrades. s°Dal pare Standard Models a r y
f. To disturb the soil no deeper than necessary. Depth is determined by the thickness of the puss-1818,Pu57-1819,Pu68-2419 Pu84-2419 PW95-3625 t Standard Models E
CC vegetation and should be no greater than 8 inches. The goal is to loosen the matted layer. F1S0444-36,t000444-36M Fivm436za FRV0436-28M 00 0
APR 13 2o2U Product Code Diagram FTY10444-36,FTW0444-6M IC) 0
Soil Preparation Process—Aspring-loaded agricultural chisel plow is the implement of choice 00
PW[I -�0-D
because it is less likely to smear the soil. An implement attached to a backhoe bucket that E Product Code Diagram 0
External flaw Lehrer i C;) CO 0
MASON CO U N TY ENVIRONMENTAL HEALTH reaches in is preferred to driving over the basal area. Agricultural cultivators the same shape as T rca >
RE T a chisel plow are also acceptable implements for soil preparation. Both of these implements are a
•
narrow rectangular shapes,which present a diamond shape to the soil. Cuttine the soil with Fr 0I]a4 I:]- -0 O
backhoe teeth is not acceptable,but chisel plows and other agricultural implements described na �be ea , Qa
above can be mounted on the leading edge of the bucket using a bar on the outside with the teeth i e''sro ° Baw a"_ 0 U
ev4tFmlxsrc t a -oec nervssa..1rez>N
attached to the bar. Alternatively,they can be mounted on a wheeled implement that is dragged Net boles rr�pta a top N —
rpi<wmro,i evmror 4.+a.curt
across the slope where the infiltrative area isplanned. Hand-spading the surface is also an 5 a,.m sa aamn.va a
P g � •
0 acceptable alternative and may be the preferred method on some sites. Rototilling is not an ee ea s ry h oam# rca:
ost'nr*o Vaull. ar,-asa,q o
or\ acceptable substitute and must not be used. A>= cn+,w.am4
� n3mm anpo°mryaxx serow
Soil Moisture Content—The important point is that a rough,unsmeared surface should be left, ° " eomneT tune, kj)
especially in fine textured soils. Careful observation is required to assure that the soil moisture a °� ant • Inlet hates 5=rx sm ax4° O
r Side view emm55,wm
content is not too high so that the soil surface is not smeared by the action of the soil preparation dz Scup a[ a.-uh(..ryree_ > x In
process. Preparation should not proceed while the soil moisture content is too high. The finer °^ a°'�' _"° P `v` l o m names 0 N
S�pp�p textured soils should not be too dry,either,as the preparation process will pulverize it, Tank Access and Riser Diameters Materials of Construction CO
V
�w destroying the structure. i Materials of Construction O co
1.1 SI R Diameter,in.(mm) PN with Full with support pipe smewlo 80 FVC
simplex pomp duplex pumps
aonme>•vaW: Pmneyleae I Vault PVC �y —r—
Immediate construction after soil preparation is desirable. Avoid rutting and compaction of the Tank access,etc oam 19 p peep
19(4831 l Biotuben cartridge Polypropylene and polyethylene Cl_ J..
Op11N2Z P P P Tank access,recommended 20(505 zit(598 fit°rater uvtrdge PolypmpytenePJC handle components PVC,polyethylene.stainless steel
prepared area by traffic. If it rains after the soil preparation is completed,wait until the soil dries Float stem srneas 4o Pvc
Riser.minimum 241000 30(T50{
out before continuing construction. Dram raNe@II Palypmpulere
X Page 4 of 4 INSTALLER GENERAL NOTES NOTICE TO PROPERTY OWNER
- Contact Designer at least 24Hrs Before install. This Septic Design has been created based on the most current regulations found in o
V
- Glendon Bio-Filter may only be installed in dry weather conditions the Washington Administrative Code, Chapter 246-272A, and the Standards and W W
- Installer must divert all stormwater away from all septic components Guidelines adopted by the Mason County Health Department, all of which are to N
- Basins must be installed level and accurately protect public health.
- It is advise to place a rebar stub near observation ports and valve boxes for future locating.
-Tanks Must be on certified list of approved tanks from DOH The property owner is aware it is the property owner's responsibility to obtain all
-Tanks are to be Bed onto 3"of sand or Peagravel or to manufacturer specs. necessary county, state, and federal permits before the commencement of any
- Installer may use equivalent products meeting same standards with Owner& Designer consent development of this property or the installation of the On-Site Sewage Disposal o N
-This System must be installed and maintained according to Manufacturer Requirements System (Septic Project).
and installed by certified Glendon Installer O- Emergency Disconnect and Pump Controls Require L&I inspection and permit u; O 0
-All Electrical wires should be placed in conduit and No direct Bury wire should be used Neither the Designer, Micah Halverson nor the Mason County Health Department are co
-Transducer wire must be installed in conduit for easy replacement responsible for any disputes which may arise between neighbors, or contractors, o
- Contractor is responsible to get underground utilities located before construction subcontractors, suppliers, and engineers that are chosen to work on the Septic N w
- Place all components according to this design Project. 75 <
-All Materials and Workmanship must meet county and state regulations If this land is in a development that has a Homeowner's Association, it is the property o
- Deviation from this design without approval from designer will make this plan null and void, owner's responsibility to review and discuss with that governing body if the Septic c�
- Designer May have additional Charges for redesign work and final inspection Project is subject to specific protective covenants, restrictions, rules, or regulations O- W
-Owner is responsible for all permits and fees including any HOA/covenants rules,fees and any approval that would prevent the installation of the Septic Project. 2
process required.
- Designer requires"Owner"to approve the installation,methods and components used by installer
before final approval by designer. The Designer, Micah Halverson, and the property owner (or the person representing
- Installer must follow all conditions from Mason County to the Designer that he/she is acting as agent for the owner) have signed an cn
- Reference additional design form attached to this design. employment contract, whereby the Designer has prepared a septic design for an On-
- For any questions Please contact Designer at 360-490-6365 Site Sewage Disposal System for a residential dwelling on the land described herein.
All additional work by designer is subject to additional payment. Additional Work
includes site visits, revisions, record drawings (aka Asbuilt), consulting with owner's Li Co
engineer, project manager and/or county officials. Designer does not warrant his work ti <
to Owner's transferee or buyer.
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The property owner shall be responsible for establishing all property lines, easements < o
and if an easement for any septic drainfield, tanks, pipes ,wires or ingress/egress, 0- (n
establishing/locating the boundaries lines of that easement. 6'
i
The property owner shall assist designer and installer in locating all known wells, Z>
surface water, critical areas and buffers within 100' of the property.
The property owner is responsible for all costs associated with the employment of Owner/
contractors and those materials/components used in the installation of the designed A licant:
septic system.
The property owner is responsible for all future maintenance and inspections as J Nt o
adopted by Mason County Health Department J IC) O
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APPROVED QC
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APR 13 2026 19 Non-survey equipment was used to determine if
MASON COUNTY ENVIRONMENTAL HEALTH the proposed site would be suitable to support an o U)
RET On-Site Sewage Disposal System. The following
equipment was used to prepare this septic 0
design: Kubota excavator, Spectra Precision > X 0
Laser level (model#LL500), Komelon Steel o a5
Attention:The Glendon Biofilter, (all models), is protected by U.S.patents 4,997,568, 5,281,322 and 5,632,896: e Tape (model #N5300, Stanley 30'tape, Suunto m 6
Canada patents 2,065,350 and 2,073,969 and trade secrets. Glendon licenses this technology for use by o Tandem Clinometer and Compass, and a Keson O =
individuals and certifies them to local Health Agencies.All Installed Glendon BioFilters must meet all local health Wheel Tape (Model # RR319N). Software used
agency codes or waivers. to prepare this design: Chief Architect Premier.
"Vertical Datum: Assumed"