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HomeMy WebLinkAboutSWG2026-00077 - SWG Application / Design - 3/18/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,97 ,WA 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: SWG2026-00077 APPLICANT BOOTH JASON Phone: Address: P O BOX 836 SHELTON, WA 98584 OWNER BOOTH JASON Phone: Address: P O BOX 836 SHELTON, WA 98584 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER MICHAEL LOVELY* Phone: 360-292-0909 Address: 1181 Padrich Rd CENTRALIA, WA 98531 Site Address: E Misty Acres Ln Primary Parcel Number: 421137590042 Permit Description: 3BR Pressure Permit Submitted Date: 03/18/2026 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: 03/26/2029 (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 DATERE l` CENED: /�� I�j � /' _ C Co AMOUNT RECEI V 6 RECEIVED BY: IIU (I) Public Health & Human Services c o co Environmental Health 360-427-9670,ext 400 or 360-275-4467,ext.400 "^ ≤ W 415 N.6th Street-Shelton,WA 48584 SING (_O�( — 60 z N z ON-SITE SEWAGE SYSTEM APPLICATION > M n m flI APPLICANT PHONE r Jason Booth Mike Lovely (360)292-0909 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE P.O. Box 836 [ Shelton WA 98584 M SITE ADDRESS-STREET,CITY,ZIP CODE E Misty Acres Lane ___. Union WA 98592 NAME OF DESIGNER " PHONE Arrow Septic Designs, Inc ,,,, tt�� (360) 898-2255 NAME OF INSTALLER {U V t PHONE I County Line Development, LLC 1 0 (360)292-0909 o PERMIT TYPE(select one) �t�g DRINKING WATER SOURCE O 91RESIDENTIAL OSS ®COMMUNITY OSS 55COMMERCIAL OSS PRIVATE INDIVIDUAL WELL 5 PRIVATE TWO-PARTY WELL Z TYPE OF WORK(select one) j PUBLIC WATER SYSTEM I , NEW CONSTRUCTION/UPGRADES 5]REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I SUB MI TTALS ❑SURFACING SEWAGE O EXISTING FAILURE ❑SHORELINE DESIGN FORM(REQUIRED) ®SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/12025? (71 51WAIVER(S)(IFAPPLICABLE) 3 BR 1.36 ac ❑ YES Q NO DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) Head toward W Alder St and turn (R). At the traffic circle, take 3rd exit and go up the hill. Go I o slight (R) onto E McReavy at traffic light. Turn (L) onto E Webb Hill Rd. Turn (R)onto Misty r I Acres Ln (at Gethsemane Ministries sign) Destination on (R)just before E Sunset Ridge o Rd. Yellow sign: "Booth" I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED Il7TH TEST HOLE NUMBERS. I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: I7 TORSO SO1 LOG$. a COMMENTS f CONDITIONS Lid g�5 2,`IS 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 FINALAPPROVAL (SO TOR SIG14ATU�REEQ APPLICATION EXPIRATION DATE P (CATION APPROVED!ISSUED BY DATE IS 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: 4 2 1 1 3 - 7 5 - 9 0 0 4 2 A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. 0 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"X 17" ���4L �� 1CTIOY�A,,...� Permit Number: SWG ,�t��(Q ( Designer's Name: Arrow Septic Designs, Inc Applicant's Name: Jason Booth Designer's Phone Number: (360)898-2255 Mailing Address: P.O.Box 836 Designer's Address: 171 E Vuecrest Dr Shelton WA 98584 City State Zip Union, WA 98592 City State Zip Designer's Email paulaj@hctc com va. Treatment Device ❑Glendon O Sand Filter ❑Mound O Sand Lined Drainfield ❑Recirculating Filter ❑ATU ❑Other Treatment Level(check all that apply): ❑A ❑B El C ❑BLI ❑BL2 Q BL3 El E ❑N Drainfield Type ❑Gravity Ii 'Pressure If 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) 1,200 gal Number 4 Receiving Soil Type(1-6) 4 Separation 5 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices 40 Designed Primary Area 600 ft2 Diameter 3/16 in Designed Reserve Area 600 ft2 Spacing 60 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 200 ft Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 2 % Diameter 1.25 in New Slope,If Altered 2 % Preferred manifold configuration used? G 'Yes ❑No Depth of Excavation Up-slope 13 in Transport Pipe from Original Grade Down-slope 12 in Schedule/Class 40 Designed Vertical Separation 25+ in Length 50 ft Gravel-based Drainfield Required? I 'Yes O No Diameter 2 in Pump Required? 06 Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 10 A Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice I 'Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 23.6 gpm 121 Timer ❑ Elapse Meter ❑Event Counter Calculated Total Pressure Head 13.81 ft If Timer: Pump on 2 minutes ,Pump off 6 hours Comments APR tt Revised:4/14/2025 MASON COUNTY ENVIRONMENTAL HEALTH J f3W DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 1 1 3 - 7 5 -- 9 0 0 4 ,2 Permit Number: SWG DESIGN CHECKLISTS 'Y .. M Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Gd Test hole locations G6 Drainfield orientation and layout Reference depth from original grade: G6 Soil logs 66 Trench/bed dimensions and Gd Septic tank l6 Property lines critical distances within layout L f Drainfield cover box locationsl/V Box ave ❑ Existing and proposed wells D- Reference depth from original grade within 100 ft of property G1 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations GQ Laterals,trench/bed,top and surface water and critical areas g Observation port location bottom ❑ Location and orientation of Gd Clean-out location O Curtain drain collector curtain drain and all absorption l6 Manifold placement O Sand augmentation components Gf Orifice placement Other cross-section detail: G6 Location and dimension of Gd Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed Other Information G1 Buildings G6 Audible/visual alarm referenced Yes No l6 Direction of slope indicator Gd Scale of drawing shown on scale El' O Design staked out i6 Waterlines bar O El Recorded Notices attached Ed Roads,easements,driveways, El Elevation benchmark and relative O El'Waiver(s)attached parking elevations of system components G9 O Pump curve attached G6 North arrow and scale drawing O Gib Evaluation of failure shown on scale bar Non-residential justification O 9 Waste strength O 9Flow l/ The undersigned designer must be notified by i a ;t llation G6 Yes O No Signature a '�i=i7 YES ilvg�₹' 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-s egulations: Envi onifal Health 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: ,2 a ✓ 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 O�`Y • SS ''O In � ��gJj', � p r� r' Q • $ ~ � < akYSf N 3 rm, . Y vo`S7w iii Iii $ " i IiIJ k . . .. i!;i n!�H:H l'y1�!?bti�NO�IP�N3 hl�(lOS f�CS'v�U ..' ©C7 � r c g^ Sse a w: K f -TMn • s z rear a fie. '" ya � . s y G 0 p 2 p 71 1xoq E 3Z 44• . H e is V I`x ❑1 f'iN tC 6! 219 7�yp .� fF"'N �3 ❑ aC�Y'q© yizs�m =p �_ o; r-+a NJa02 �y �TS�Z zA � t}` �tl+ ��. ❑ fv i r $ r tM "i i�°n 0� � �2I�x����rCc+�$5-'�� �1 �•4" ��, m C �•�,� °"c � ,1�jK CA try+ y �� � c�`'� � '^� ��.N..#a�a�r�'a�� m C DSF1�Z'1 _ 1' x�$ o{ O yrrilla=ptZ' Qi n a Sf00349 '•.SZ1 PP�iwl�.aa'f JOHNSON '> i 'Selo �? �4��8 x�a p{�t�t�y �•� / 0 3SLoJP€ /// N oPD x ® ® J- �q'1 Audio-Visual Alarm S o QCleanout 3 1200 Gallon Septic Tank }y1 s' O 2-Compartment with 3 8RE Effluent Filter dl tL ;m�' p -" 000 Gallon Pump Chamber APR 012028 6 9 2028 $, ' 30! MASON COUNTY ENVIRONMENTAL HEALTH • �o rO {: p-Z� ' (,SL-t t2oe't 'S� zv 4o PLOT P.Prts 2(Q� 4�` Pl7LK-E'er r GCMQ�KTia+ .Jpro eTH 2: o-ZFItsE- LS�SRnw'' 25-So`r LA`JF2S 0V coo 1RACT, M t 's- 14 cQ st.iL Mo Tr L€D t e y c, jL A i®1\1 Of} g'�SR 2 _ z : "SS'` LoAt�a� t-t�•$ADD k Sp Re T 5 Soo fs 4-V Ba-4- rvjJoEfy'o' © c_ z rr7 lj' d(b• A 1 L5 t� � "` fax Lark-tit[as f'1s _C . .--r fvvL Apr' 3arr "i r o� S I c7 ' rç -csL $ 20 r O Q�C�L(� U 11. C�� 'r: ,� "A`�f fi �J APRA12J , Mi=Y MASON COUNTY ENVIRONMENTAL HEALTH oxte it NFtfNE pr; ;via,\ (�ratQQ U 3{� {_zs ! '� r2 t 2 -- 113,, _ tr yf� ' 510049' x. 12t, , PAULA JOY JOHNSON L7(:�iS�ti Y5'`Str`o?dS�E... 3-ck-z� _ .�n.4 _Q4 eras- ec-f- Sc.AL.Q. it SCREW ON CAP NOTE Err I ' (S'� 2 O=OBSERVATION PORTS--TO BE 4" 45 DEGREE ELBOW OR PVC PIPE FROM BOTTOM OF TRENCH LATERALSWEEPING 9U 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 ' 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. 50 ' TRENCH END MANIFOLDORIF0ICES) ORIFICES (i0" OC ( 1 O 30"FROM MANIFOLD 3D11FROM ELBOW Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 1 600 50 60 10 30 30 2 600 50 60 10 30 30 3 600 50 . . 60 10 30 30 4 600 50 60 10 30 30 Total Lateral Length 200 Total#Orifices 40 GPM= 23.6 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(Ft.) #Orifices Transport Pipe 50 40 0.50 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. Lateral#4 50 17 67 10 0.37 ft. Total Elevation Lift 10.00 ft. Total Dynamic Head 13.81 ft. _ h APR 099 MASON COUNTY ENVIRONMENTAL { �• 5100349' PAULA JOY JOHNSON � HEALTH Cite (SEr E 'Ifi�EFd EXPIRES /1 . 1 „ r Bronze construction available(139 series) High head version available(145 series) .. • Double shaft seat 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 rte" performance is critical, this robust W PUMPPERFORMANCE CURVE family of pumps is known for reliability, MODEL 137/145145 ,S durability and performance. These u pumps are especially suited for harsh environments.Zoeller's cool run design 20 85 and corrosion-resistant,powder coated , epoxy finish add up to a long-lasting, so-- trouble-free product. 11 d5 APPLICATIONS: • STEP or onsite applications 4J11111 • Water transfer ,o • Light commercial dewatering R SPECIFICATIONS: dS;4' 1-1/2"NPT discharge 15 • 1/2 HP through 1 HP WADE IN THE USA d " • Available in automatic or nonautomatic 0GANAJONQYOFNSCONT31 2 5 ds o +n • Model 137,139,140:1/2"(12 mm)spherical solids , capacity with vortex impeller m 20 40 40 m 02 +02 • Model 145:3/422(19 mm)spherical solids capacity with ` • eo 1f0 vortex impeller 152656 X °°- 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. 15oseriespumpcurvescoverawiderange = 10 35 162 of applications. They are well suited to Y applications with low pressure pipe(LPP) and enhancedflow5TEPsystems.Zoeller's a 6 26 151 cool run design and corrosion-resistant, < 6 zo powder coated epoxy finish, in addition to the hermetically seated,oil-filled motor 16 and non-clogging vortex impeller add up to 4 a long-lasting,trouble-free product. 10 z APPLICATIONS: 5 • STEP or onsite applications o MSIEBDEEJINNiT UEUSA 10 20 30 40 50 60 70 80 90 100 • Light commercial dewatering GALLONS SPECIFICATIONS: uTERs o 40 80 120 160 200 240 280 320 360 i'• FLOW PER MINUTE 014508 • i-1/2"NPT discharge �9 �f • 3/10 HP through 1/2 HP O J \J • Available in nonautomatic or with a variable Level ` `' s piggyback mechanical switch P4 APR 0 9 GP?O s " • 1/2"(12 mm)spherical solids capacity with vortex thermoplastic impeller MASON COUNTY ENVIRONMENTAL HEALTH For more information,see Technical Data Sheet FM2784. ©All rights reserved. ZOELLER PUMP CO. 1 502-778-2731 1 800-928-7867 1 zoellerpumps.com 9 ( 8 d.7 hAPPO1UM FtK y rf� ' i Y�i I•MASON COUNTY ENVIRONMENTAL HEALTH a - BATAm { rTy�^�, U RioLW - ii a A OU 2 '�EptC SG5 F�zS':EE tadi�i,�s:asw.T5'�'.c,�z:r`a4 i�%bri�: 24 -272C and T3a:isd eCii:.rr s avww V e /ttc oSJ VJ 7i rai, Sue. C- .•aQ VAB� •�\v;l'� INSTALLATION & MAINTENANCE Vii\ Pressure Distribution Systems 55 00349 PAULA JOY JOHNSON 1. Install Laterals with contour of the ground. 2. Install trench bottoms level. EXS 3-'(L 9' 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. 10. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 11. 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. 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.