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HomeMy WebLinkAboutSWG2026-00089 - SWG Application / As-Built - 3/27/2026 MASON COUNTY 415N 6TH STREET,SHELTON, 967 ,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: SWG2026-00089 APPLICANT JONES JOSHUA& LACEY Phone: Address: 9570 SW ALSEA DR TUALATIN, OR 97062 OWNER JONES JOSHUA& LACEY Phone: Address: 9570 SW ALSEA DR TUALATIN, OR 97062 SEPTIC DESIGNER CINDY WAITE* Phone: 360-701-0205 Address: 80 E PICKERING LANE SHELTON, WA 98584 Site Address: 321 N Mount Jupiter Dr Primary Parcel Number: 422045000080 Permit Description: New SFR 2-bedroom pressure system with bed drainfield Permit Submitted Date: 03/27/2026 Permit Issued Date: 04/17/2026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 03/30/2029 (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 ®U N TY DATE RECEIVED: 03b_-If AM0UNTRECEIVED: RECEIVED BY: Public Health & Human Services cPc- 4J v m Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 5 415 N.6th Street-Shelton,WA 98584 S W G I _ c c c '9COO VV ` Z N ON-SITE SEWAGE SYSTEM APPLICATION z m APPLICANT PHONE rn 0 rn JOSHUA JONES 504-741-5973 z C MAILING ADDRESS-STREET,CITY,STATE,ZIP COD 9570 SW ALSEA DR TUALATIN OR 97062 rn SITE ADDRESS-STREET,CITY,ZIP CODE 321 N MT JUPITER DR - HOODSPORT WA 98548 NAME OF DESIGNER O PHONE 360-701-0205 CINDY WAITE ^' NAME OF INSTALLER PHONE v I N TBD PERMIT TYPE(select one) DRINKING WATER SOURCE RESIDENTIAL OSS 5COMMUNITYOSS ñiCOMMERCIALOSS f PRIVATE INDIVIDUAL WELL ff PRIVATE TWO-PARTY WELL 0 TYPE OF WORK(select one) PUBLIC WATER SYSTEM LAKE CUSHMAN W NEW CONSTRUCTION/UPGRADES nREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR (71 SUBMITTALS ❑ SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS I LOTSIZE WAS LOT CREATED AFTER4/1/2025? O I 'WAIVER(S)(IF APPLICABLE) 2 .22 AC ❑ YES Q✓ NO C) DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) GO TO HOODSPORT, TURN LEFT ONTO LAKE CUSHMAN ROAD, TURN RIGHT AT I DOW MT, TURN RIGHT ONTO JUPITER DR, PARCEL IS;ON THE LEFT SIDE OF THE r ROAD, IT HAS A SILVER SOLID GATE, WILL NEED TO REACH OVER AND UNDO THE CHAIN {THERE IS NO LOCK) I co SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I 0 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 i11:U- 60" VG1,ft45 -0bdfm I1t a Cz'' vC� S (iype ) 1-0 -b /fr C!-) 10-. e' C1i mec SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL. INSP TOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLIC 10 APPROVED/ISSUED BY DATE( CZ 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: 14 1 2 1 2 ' 0 1 4 ' 1 0 0 0 1 0 8 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 ail 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" PARCEL IDENTIFICATION Permit Number: SWG 1' (7� p — Designer's Name: CINDY WAITE Applicant's Name: JOSHUA JONES Designer's Phone Number: 360-701-0205 Mailing Address: 9570 SW ALSEA DR Designer's Address: 80 E PICKERING LANE TUALATIN OR 97062 City State Zip SHELTON WA 98584 City State Zip Designer's Email cindyewaite@msn.com DESIGN'PARAMETERS Treatment Device ❑Glendon ❑ Sand Filter 0 Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter 0 ATU ❑Other Treatment Level(check all that apply): O A O B ❑ C ❑ BLI ❑ BL2 ❑ BL3 O N Drainfield Type ❑Gravity [Pressure ❑Trench idBed O Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms i 2 Schedule/Class SCHEDDULE 40 Daily Flow: Operating Capacity 180 gpd Length I 38 ft Daily Flow:Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) 1200 gal Number 3 Receiving Soil Type(1-6) 3 Separation 2.5 ft Receiving Soil Appl. Rate I .8 gpd/ft2 Orifices Required Primary Area 300 ft2 Total Nu e Orifices 24 Designed Primary Area 304in ft2 Diame Q- u 3/16 Designed Reserve Area 300 ft2 S 4 60 in Trench/Bed Width 8 ft `' ;,�. Manifold Trench/Bed Length 38 ft dule/Class �� 51Q i8 Elevation Measurements n INDY E WAITS' NEED DEI,SIGNER ft Original Drainfield Area Slope >1 % EXPIRES b5ilol in New Slope, If Altered % Preferred manifold configuration used? ❑ Yes 6 'No Depth of Excavation Up-slope : 21 in Transport Pipe from Original Grade Down-slope 21 i in Schedule/Class SCHEDULE 40 Designed Vertical Separation 24+ in Length 30 ft Gravel-based Drainfield Required? l!1'Yes O No Diameter 2 in Pump Required? 6g Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump&Uppermost Orifice 6 ft Dose quantity 45 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1455 gal Uppermost Orifice 'Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Head 14.16 gpm Timer lI Elapse Meter 6I Event Counter Calculated Total Pressure Head 8.11 ft If Timer: Pump on ,Pump off Comments PUMP CONTROLS TO BE SET AT TIME OF INSTALLATION AT 180 GPD I�l® Revised: 6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number:; 4 , 2 2 0 4 5O;0 0 0 8 0 Permit Number: SWG U ( �ccIc7 DESIGN CHECKLISTS Scaled Plot Plan I Scaled Layout Sketch ✓ Cross-Section Sketch Lam! Test hole locations ✓ Drainfield orientation and layout Soil logs VReference depth from original grade: Trench/bed dimensions and I Se tic tank 1121' Property lines �critical distances within layou� p Drainfield cover Existing and proposed wells 1, D-Box/Valve box locations within 100 ft of property ../ Septic tank/pump chamber, Reference depth from original grade and re trictive strata: p lcleasurements to cpts, banks, and ( locations f Id g9I /surface water and critical areas © Observation ort location�f Laterals,trench/b d,top and p bottom 7 Location and orientation of Elf' Clean-out location ✓ ❑ Curtain drain collector curtain drain and al absorption 4fold placement ❑ Sand augmentation components 4il(/lanf 1 Orifice placement ✓ Other ross-section detail: 1d Location and dimension of primaprimary system and reserve area Lateral placement with distance fi Observation ports/clea uts Buildings to edge of bed �/ g i Other Information 21 ❑ Audible/visual alarm re�renced Yes No Direction of slope indicator ,/ vk 4,w Scale of drawing showryon scale ❑ Design staked out ✓ Waterlines Vibar ✓ ❑ ❑ Recorded Notices attached Roads,easements,driveways, Elevation benchmark and relative ❑ Waiver(s)attached parking / elevations of system components ❑ Pump curve attached North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar ✓ Non-residential justification ❑ ❑ Waste strength O ❑ Flow DESIGN APPROVAL The undersigned designer must be notified, v installer at time of installation ❑Yes O No f Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determin " tote in compliance with state and local on-site r ulations. Environmental Health Specialist Date 2 CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING o��ry64 . ���� ✓ The design is stamped"Approved"by Mason County Public Health. CONDIT � J� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 2f�Z 4��Fj ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: 11he 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 321 Mt Jupiter Dr, Hoodsport,WA 98:48, USA,West Mason Township, Parcel Id: 4220 000080 2 A udioNisu_I l 7 3 f Clean out 4 11200 gallo_ic tank ::� t' a 5 1 1200 pump tank = ; 0 6 Pr unary drainfield I30e - 7 !Reserve drainfie_Id ' " 8 I Waterline — ' o - do 9 'Tranport line — a� � I--------------------, 77- A ti _;_ 9 ---------- - -_-_i BEN /- ------------ -- ------ - ----------------- -- --- ____ I -=CH MARSj �-- ---�; on — I 1I-100.00 i_- -Septic-tank- Pump Tank i- _ 3 99.00 j �t G - z Bottom of drainfiele,' 4f 50 p I GIS Legend WA Mason 10 it Contours �� � ;� fps �.. �_- •�-�.m..-. — _ Scale=7 A ORIFICE SPACING Lateral# Length i Length Orifice # Distance from Distance from end Length# # (Feet) (Inches) Spacing" Orifices feeder line of end of lateral 1 38 456 60 8 1.5 1.5 38 2 38 456 60 8 1.5 1.5 38 3 38 456 60 8 1.5 1.5 38 114 24 115 TRANS LENGTH 30 GPM I 14.16. K (2"SCHEDULEN 40); 1 284.5 FRICTION LOSS + 10.11165564 Squirt 2 Elevation difference ! 6 TDH 18.1165564 UNP(EN,VIR � , rIENTAL HEA l� TRENCH CROSS SECTION O CINDY E WAITE '�•, LICENSED DF,SIGNEc- -H---- ' 9 'I ! fVU DRAINFIELD LAYOUT — i PlZ o 4 . X1=CLEANOUT/OBS PORTS X2=D BOXNALVE BOX X3=Check Valves (,�;? e' ,�.� t, X4=Flow Control Val res 3 ;,v I/ �'� , l�"� . .. Q u �� Q418 X5=Soil Logs I CINDY E WAITS' LICENSED DESIGNER ô0 (/ llu UJ� �•'4°Tfi� , THREADED CAP OR PLUG 6"PVC LAST ORIFICE;WITH ORIFICE SHIELDS IF BACKFILL ORIFICE ORIENTATION IS MATERIAL I Ii UPWARD \ t o �p�° � PRESSURE LATERAL PVC HOSE OR \ 0 0 0, O°O 0O0Q AS SPECIFIED LONG SWEEP \/''P ° °°Coo ELBOW \ " _ DRAI FROCK;6"MIN. UNDISTURBED SOIL -/ -�--� 6"PVC WITH DRAIN HOLES; EXTEND TO �..: BOTTOM OF GRAVEL TO ``" MONITOR PONDING INFILTRATIVE SURFACE• O EN DESIGNER WilTE ONIT R NG/CLE OUT LICEN PORT (EXAMDLE); i f, I to ' I I • SECURED LID WITH GAS TIGHT SEAL 24'DIAMETER ACCESS RISER FINISH GRAfz DE �..TO PUMP FROM SEWAGE CHAMBER SOURCE FLOATING MAT APPROVED EFFLUENT FILTER SEDIMENTS sEPTIC T G P aYEIAU k4s r4p'1 o� 17 o�4/ ' 4��// SEOUREDJ ID WITH GAS TIGHT SEAL THREADED UNION "4 r/( 'C(f 24'DIAMETER f(T/ FINISH GRADE RISER SERVICE VALVE* FROM SEPTIC TANK TO DRAINFIELD BM6RONVOTORAQE II HIGH WATER ALARM LEVEL ANTI SIPHON VALVE* WORKING VOLUME INDEPENDENT NORMAL TIMER OFF LEVEL I I _ FLOAT STEM ENCLOSED PUMP FOR FLOAT SEDIMENT SHROUD* MOUNTING CHECK VALVE 7S" ' �0.� SEDIMENTS ��� F.�Sti,29 t. SUBMERSIBLE Co •N< 1 c� . .',. C RI GAL ° ..� �k• P CA a� LICENSED GN.I ,, *AS NEEDED Pump Specifications II ' JJ 250-Series Submersible Sump / Effluent Pump hs!� r���rr�rrrr I - Z1' rrrrrrrr�r r��r -r i4 :ii ' EFE1 ___ j iTi ___ _ _ -� Installation Notes Pressure Distribution System: 42204-50-00080 321 Mt Jupiter Dr 1. The prepared site plan is not a survey. It's the owner's responsibility to verify property lines, utility lines (water, sewer, power, phone and gas) prior to installation. 2. Installerjto contact the designer prior to starting installation. 3. Installer Ito contact the designer for final inspection 4. Extremelcare to be taken on clearing the property 5. Concrete tanks required 6. Gravel based drainfield required 7. Keep wheeled vehicles off the drainfield area before, during and after installation. tracked equipment only 8. All ground, surface water and roof drains must be diverted away from the septic tanks and drainfield. Ensure the final grade slopes away from these areas and water doesn't collect onlor around them. Use swales, berms, catch basin and tight lines, curtain drains, etc. to divert all waters. 9. Curtain drains can be no closer than 10' upgradient and 30' down gradient of the drainfield i 10. Exposed restrictive layers, cuts, banks, etc. can be no closer than 50' downhill from the drainfield. 11. Install access risers on the septic tanks, valve box and ends of laterals. 12. Make sure septic tank risers are epoxied or caulked to cast in riser rings on tank. 13.Septic tank can be moved but must meet required setbacks. 14. Pump controls to be set at 180 GPD 15. Lids must form a water and gas tight seal with the access risers. 16. Install effluent filter at the septic tank outlet. 17. This system must be installed by a Mason County Certified installer. 18. Deviation from this design without prior approval from the designer and Mason County Health Department will make this design null and void. 19. This design was sized per Washington Administrative CodeWAC246-272A-0230. The operating capacity is based on 45 gallons per day per capita with two persons per bedroom. The minimum design flow per bedroom per day is the operating capacity of ninety gallons multiplied by 1.33. This results in a minimum design flow of one hundred twenty gallons per day. This creates a surge factor of 33% but anticipated flow is ninety gallons per bedroom per day. 20. Install laterals with contour of the ground. 21. Install trench bottoms level and always maintain a minimum of six inches into native soil.. 22. Filter fabric required over drain rock prior to backfillin a drain rock extends above the original grade, run the filter fabric at least 'rich ;down the trench wall into original grade. S�.olp.1N_�Sy 9T acv �; gO \ 51Qn,jg 1 O •CINDY E.WA \ LICENSE 1b, iii""""' UPiRES O5,10, System Owner Responsibilities: 1. Operation and Maintenance is required by Washington State Department of Health and Mason Bounty Health Department. 2. The septic tank and pump tank should be pumped every three to five years or as needed. 1 3. System owners are responsible for having maintenance performed annually. 4. System owners are responsible for responding to septic issues in a timely manner. 5. System owners shall not at any time change or alter settings in the control box. 6. Keep the flow of sewage at or below the approved design operating capacity. 7. Keep waste strength at residential waste strength parameters. 8. Spread loads of laundry through the week. 9. Do not use excessive bleach or detergents with added whiteners. 10. Do not shower, do laundry and dishwasher at the same time 11.Antibiotics can kill or impair the biological process in the septic tank. 12. Leaky plumbing can hydraulic overload your on-site septic system. 4r O CINDY E WAITS ��:, LICENSED DESIGNER EAPIRE5 U5Y19r