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HomeMy WebLinkAboutSWG2026-00083 - SWG Application / Design - 3/20/2026 MASON COUNTY 415 N 6TH STREET,SHELTON, ,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: SWG2026-00083 APPLICANT STICKLEY TRUST DATED JULY 20, Phone: 206-730-6822 2017 Address: KENNETH DAVID &COLETTE MICHELLE STICKLEY TRUSTEE RENTON, WA 98059 OWNER STICKLEY TRUST DATED JULY 20, Phone: 206-730-6822 2017 Address: KENNETH DAVID & COLETTE MICHELLE STICKLEY TRUSTEE RENTON, WA 98059 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 Site Address: UNKNOWN Primary Parcel Number: 419103300000 Permit Description: 4BR Pressure Bed Permit Submitted Date: 03/20/2026 Permit Issued Date: - 04/06/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/31/2029 (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 MASON COUNTY 5AEC NED: BVE : RECER/EDBY: W Cl) Public Health & Human Services IP N Environmental Health 360-427-9670,ext 400 or 360-275.4467,ext.400 ��� � / _ Cl) Q 415 N.6th Street-Shelton,WA 98584 lt�'1 0 ; z N ON-SITE SEWAGE SYSTEM APPLICATION z v n � E A m APPLICANT PHONE r Ken Stickley (206)730-6822 C MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE 13229 184th Ave SE �I Renton WA 98059 M SITE ADDRESS-STREET,CITY,ZIP CODE WA 98584 728 W Wivell Rd ? Shelton NAME OF DESIGNER PHONE Arrow Septic Designs, Inc (360) 898-2255 NAME OF INSTALLER PHONE D I PERMIT TYPE(select one) � DRINKING WATER SOURCE RESIDENTIAL OSS 9_A1COMMUNITY OSS t r 1.13COMMER S PRIVATE INDIVIDUAL WELL 1 PRIVATE TWO-PARTY WELL z I C) TYPE OF WORK(select one) PUBLIC WATER SYSTEM y]NEW CONSTRUCTION/UPGRADES JREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR w SUBMITTALS ❑ SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE IW ®DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/12025? r 5]WAIVER(S)(IF APPLICABLE) 4 BR 40 ac O YES NO X I O DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) I Head toward W Alder St and turn (R). At the traffic circle, Take the 1st exit. Slight (R) after Azteca Super Market(on the right) onto S 1st St. Turn (L) onto Wivell Rd. Stay on Wivell r O until you see a chain link gate straight in front of you. Take a (L) and drive between 2 carports. Cross wooden bridge. Drive through cow pasture. Test holes on (R). I 0 SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I O OFFICIAL USE ONLY BELOW THIS LINE UPGRADE!FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS!CONDITIONS . f l b3 Lf5 1 / Do� krA \ ' 1J-vii', ( kJ\J RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Sir SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL. IN CTOR SIGNATURE - DATE APPLICATION EXPIRATION DATE CATION APPROVED! BY DATE 3S MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE I Revised:4/14/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4 1 9 1 0 - 3 3 - 0 0 0 0 0 A design will be reviewed when 3 conies 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. i°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" Permit Number: SWG "C`l'` Designer's Name: Arrow Septic Designs, Inc Applicant's Name: Ken Stickley Designer's Phone Number: (360)898-2255 Mailing Address: 13229 184th Ave SE Designer's Address: 171 E Vuecrest Dr Renton WA 98059 City State Zip Union, WA 98592 City State Zip Designer's Email paulaj@hctc.com r... r >w .r 4 IF,SION I ARt [ lTERSF a,. } e b s.d k Treatment Device ❑Glendon O Sand Filter ❑Mound O Sand Lined Drainfield O Recirculating Filter ❑ATU ❑Other Treatment Level(check all that apply): ❑A ❑B O C ❑BL1 ❑BL2 El BL3 0 E ❑N Drainfield Type ❑Gravity fi 'Pressure I 'Trench O Bed O Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class 40 Daily Flow:Operating Capacity 360 gpd Length 45 ft Daily Flow:Design Flow 480 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 6 Receiving Soil Type(1-6) 4 Separation 9+ ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 800 ft2 Total Number of Orifices 54 Designed Primary Area 810 ft2 Diameter 3/16 in Designed Reserve Area 810 ft2 Spacing 60 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 270 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? if Yes O No Depth of Excavation Up-slope 18 in Transport Pipe from Original Grade Down-slope 17 in Schedule/Class 40 Designed Vertical Separation 30+ in Length 120 ft Gravel-based Drainfield Required? O Yes 11 No Diameter 2 in Pump Required? l>6Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 120 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,200 gal Uppermost Orifice Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 31.86 gpm 9 Timer O B(apse Meter ❑ Event Counter Calculated Total Pressure Head 10.98 ft �Tirter Pttltl pn 2 p?l. utes ,pump off 6 hours Comments AP 06 2 ' . . . ,. .., uv r Ll L f1 1 „p � Revised:4/14/7 DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 1 9 1 0 — 33 -- 0000k 0 0 0 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ed Test hole locations 0 Drainfield orientation and layout Reference depth from original grade: E6 Soil logs g Trench/bed dimensions`and E Septic tank E6 Property lines critical distances within layout 6d Drainfield cover R1 Existing and proposed wells g D-Box/Valve box locations Reference depth from original grade within 100 ft of property 11' Septic tank/pump chamber and restrictive strata: 19 Measurements to cuts,banks,and locations 21 Laterals,trench/bed,top and surface water and critical areas E6 Observation port location bottom ❑ Location and orientation of 21 Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement 0 Sand augmentation components 66 Orifice placement Other cross-section detail: 66 Location and dimension of Ed Lateral placement with distance Ed Observation ports/clean-outs primary system and reserve area to edge of bed Other Information B1 Buildings 56 Audible/visual alarm referenced Yes No E6 Direction of slope indicator l Scale of drawing shown on scale d O Design staked out ❑ Waterlines bar O 9 Recorded Notices attached G6 Roads,easements,driveways, El Elevation benchmark and relative 0 9 Waiver(s)attached parking elevations of system components 21 ❑Pump curve attached Ei North arrow and scale drawing 0 Cl Evaluation of failure shown on scale bar Non-residential justification t ❑ El'Waste strength ❑ C6 Flow The undersigned designer must be notified by in t s tion El'Yes ❑ No .. r. e j;'PAJJpHNCpN . — Signature of si Ii3SCf�bggi�i�l_a" 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: (1,/ M4,v - �(e '2CP Envir to Health Specialist Date i CAUTION: DESIGN APPRO AL 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 1, ✓ 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 / : r77 Q Audio-Visual/ : : Alarms QCleanout/7 O3 1200 Gallon Septic Tank epS}� 2-Compartment with U°) �` 4 S _ g Effluent Filter c� )+ ©,e, ^'\t -� 1 2-00 Gallon Pump Chamber (�� ,y� •® ® �kc PcSED O5 Valve Control Box ® v1� / •���C p< WAS •.Y�/1' 5100349 •: �- \ �. I '° PAULA JOY JOHNSON ' � !3V It D,VG 2 • F 11 / _toot 0 2.5 50 'ti ut w� _____ T _ �4 I f D- ULO t - PLB'C QLA\-I 24-5t MIED�V�'t bP�NO No t-iao K�rJ 5Tt�KU �{ 9 c t 4ti ie-3 -� _'l 2 V\1 1t)1 . t-i- D Q C1Lt b►` c1-�� I Cl S v SPN9 Ne N-zo Q�g P�crEP ® M **Note to installer** wELL 8^p ;p "� Sleeve waterline when within 10' L S Z� 1 ` V�' � of septic transport line.Maintain �.� s. p 10' minimum between water �y f'' line and septic tanks/drainfield. MASON COUW Y ENVII-�ONNIENTAL HEIAJA 2 �� Z tr�35' %ems C M A �5 0 3dto S• 1., .a�s !� LJ5• 1 y�.�,.ti ors �.(5 01, ScA SCREW ON CAP Q 5' /0 /S ZOf 45 DEGREE ELBOW OR, 45 ' TRENCH END MANIFOLD (540" ) • LATERAL SWEEPING 90 ORIFICES (oo" OC ( 9 ORIFICES ) 3o FROM MANIFOLD END OF (4" FROM ELBOW DITCH•, ELBOW 6" FROM END OF TRENCH L)1 DETAIL CLEAN OUT NOTE, O=OBSERVATION PORTS--TO BE 4" PERF. NOTE, CLEANOUT TO BE FROM 0 TO 6 PVC PIPE FROM BOTTOM OF TRENCH INCHES BELOW FINISHED• GRADE. TO FINISHED GRADE. REMOVABLE MARK ENDS WITH REBAR. CLEAN OUT CAP SHALL BE INSTALLED ON . REQUIRED- AT END OF EACH LATERAL. OBSERVATION PORT PIPE.CLuE !('t4 Ou 'BO1tON -5o P'PE e4 JT 13r REMaV6D. MINIMUM OF (o CN SYSTEM. ��uALGR2Q� LATERALS ARE TO BE CENTERED ' IN TRENCHES ' } 7 ' Ala•2 t droc" .As I , �►�0N 000T'f ENVIRONiViENTAL HEALTH ,: .:._• • "-o .9 y�j�. PAULA JOY JOHNSON Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 1 540 45 60 9 30 30 2 540 45: 60 9. 30 30 3 540 45 60 g, 30 30 4 540 45 60 9 30 30 5 540 45`: 60 .9` 30 30 6 540 45.. 60 9 30 30 Total Lateral Length 270 Total#Orifices 54 GPM= 31.86 Dynamic Head Calculations Selected residual pressure: 2 ft. Length (Ft.) #Orifices Transport Pipe 120 ` 54 2.09 ft. Feeder Total Lateral Line Length Lateral#1 45 2 47 9 0.21 ft. Lateral#2 45 11 56 9 0.25 ft. Lateral#3 45 20' 65 9 0.29 ft. Lateral#4 45 29 74 9 0.33 ft. Lateral#5 45 38 83 9 0.38 ft. Lateral#6 45 :47 92 9 0.42 ft. Total Elevation Lift 5.00 ft. Total Dynamic Head C 10.98 ft. F GAII 4 J '.!'`•• 5100349 N� PAULA JOY JOHNSON � 2 'MPSoN j 4�� ,� s 3 Bronze construction available(139 series) High head version available(145 series) Double shaft seat versions available for added protection Flow-Mate on models 140/145. For more information,see Technical Data Sheets FM2782,FM2 783. In high head dewatering or effluent applications where pumping performance is critical, this robust a PUMPPERFORMANCE CURVE MODEL 137174°1745 family of pumps is known for reliability, ,5 durability and performance. These ,z 7, pumps are especially suited for harsh environments.Zoeller's cool run design m cs and corrosion-resistant,powder coated ,9 epoxy finish add up to a long-lasting, u trouble-free product. APPLICATIONS: • STEP or onsite applications I -i i i - 2 u • Water transfer ,o • Light commercial dewatering e zs SPECIFICATIONS: �• 4 m : = • 1-1/2"NPT discharge 4 1° • 112 HP through 1 HP MADE IN THE USA - " � t ty � • Available in automatic or nonautomatic US Psi AN nil pfLCUtI "e 5 us ,m ,n • Model 137,139,140:1/2"(12 mm)spherical solids i AI capacity with vortex impeller 5, i�Y a m w a w m m m so ,m • Model 145:3/4"(19 mm)spherical solids capacity with : ¢" 75 rG'T✓ ®�� Zmvvcrswxurea 752656 vortex impeller 7)7 A• � EN OEM PUMP PERFORMANCE CURVE MODEL 151/152/153 Dose-Mate This is our fastest growing line of effluent t4 45 1 pumps.The 150seriesistrulyaworkhorse designed for reliability under extreme 12 40-- conditions in an effluent environment. 150 series pump curves cover a wide range = t0 35 15z of applications. They are well suited to 30 applications with Low pressure pipe(LPP) ` 8 151 and enhanced flow STEP systems.Zoeller's i? 25 cool run design and corrosion-resistant, 0 6 20 powder coated epoxy finish, in addition to the hermetically seated, oil-filled motor 15 and non-clogging vortex impeller add up to 4 a long-lasting,trouble-free product. 10 �J• 2 APPLICATIONS: --- - • STEP or onsite applications 0 MADE IN THE USA 1° 20 30 40 50 60 70 80 90 100 • Light commercial dewatering USISUAMAORROFUSCUNiINi GALLONS LITERS 0 40 80 120 160 260 240 280 320 360 �� SPECIFICATIONS: FLOW PER MINUTE 014508 • 1-1/2"NPT discharge `, • 3/10 HP through 1/2 HP • Available in nonautomatic or with a variable level piggyback mechanical switch • 1/2"(12 mm)spherical solids capacity with vortex thermoplastic impeller For more information,see Technical Data Sheet FM2 784. ©All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoelterpumps.com 9 D vdG D�see 1.200'! woImET FLOATING MAT ` a_ _- M MRACE VALVE• STORAA63R fl - AMZPI3�II0M VALVE' MNM WA?L�it ALAtR LEVEL WOi4 OFF LEV .• 1110L.0 FLOATBM FOR RLOAT T p• -`yam .Ck=VALVE• Utf.I •- C�i/Glit Pt 4AMBER snow • 'AS 1� Septic Tanks must meet standards required by WAC chapter 246-272C and xxiauufaer must be on Dept of Health list of registered sewage tanks. FIGURE.2 ----- ... _-a,,, 35 of 65 7 a { w Septic 9 eot o, J/We I INSTALLATION &MAINTENANCE Pressure Distribution Systems • ` 5100349 PAULA JOY JOHNSON LiC Srb ri15i�Ng�1 - b` 1. Install Laterals with contour of the ground. 2. Install trench bottoms level. 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. 8. Install 1/8"mesh non-corrosive pump screen(min. 12 sq. ft. surface area,not to interfere with controls or floats.) Or pump screen may be substituted with Bio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. �a 10. Install check valve in pump outlet line to prevent system fr=oran bac , c the pump chamber. t�l construction between laterals and man fo ri ld with ofi es rted t 6 o'clock. 11. Tee to Tee �d�� Install laterals to the manifold with the orifices at T 'clot , o glue) a -pressure • Environmental Health Dept. a i W2����bc) and glue test and En p approval,tu o ��• laterals to manifold. Orifice shields may be used 11 i orifices �iijtj2 o'clock position in lieu of turning the orifices down to the 6 o'clock position. 12. 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. 13. 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. 14. Divert all storm water runoff away from on-site sewage system. 15.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 16. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 17.No vehicular traffic over drainfield area or tanks. 18. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 19. All materials and workmanship must meet County and State regulations. 20. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 21. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. • 22. 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. 23. All transport lines under driveways or parking areas must be encased to prevent crushing. 24. Homeowner is responsible for all property lines and easements.