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HomeMy WebLinkAboutSWG2026-00138 - SWG Application / Design - 5/7/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,-967 ,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: SWG2026-00138 APPLICANT CHRIS ELSTROTT* Phone: 360-561-5000 Address: 128 NORTH RIVER STREET MONTESANO, WA 98563 CONTACT Nau Family Construction LLC Phone: 2533754964 Address: PO BOX 1418 Eatonville, WA 98328 CONTRACT OWNER DAVID NAU* Phone: 206-658-5612 Address: PO Box 1418 EATONVILLE, WA 98328 OWNER GUSHEE DEAN E &TERRI L Phone: 253-375-4964 Address: 110 SE LAZY DOG LN SHELTON, WA 98584-4806 Site Address: SE Lazy Dog Ln Primary Parcel Number: 220297590054 Permit Description: New Home, SF Well, OSS Permit Submitted Date: 05/07/2026 Permit Issued Date: 06/03/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/01/2029 (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 DATE RECEIVED: C AMOUNTRECER/E RECEIVED BY. Io CO Public Health & Human Services r�-�rj b� 2 rn Environmental Health 360-427-9670.ext.400'or 360-275-4467.ext.400 t 415 N.6th Street Shelton,WA 98584 I S W G CV).I n _ /7/1/ O ON-SITE 1 � APPLICATIONrn I D 0 n APPLICANT MAY 182026 2026 j l ONE r MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE SITE ADDRESS-STREET,CITY,ZIP CODE ', NAME OF DESIGNER PHONE NAME OF INSTALLER I PHONE I PERMIT TYPEAselect one) DRINKING WATER SOURCE ®i 11" ESIDENTIAL OSS ❑ COMMUNITY OSS ❑COMMERCIAL OSS OI.�PP{IVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL 0 TYPE OF W (select one) ❑ PUBLIC WATER SYSTEM EW CONSTRUCTION I UPGRADES ❑ REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR Iv SUBMITTALS ❑SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE w �ESIGN FORM(REQUIRED) TIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/ 025? r ❑ WAIVER(S)(IFAPPLICABLE) ,/ t q . YES NO I� DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked �gate) p p/Q P 4r o1',4lc W/s4 Rte. ens J441#*' G/f/ 4/ fs ®I C 4y .≤®Gvf/ osPJ T s 7 , zesp Gv T ®✓r/ & I A Tye/.d /7 43-y 4ø I SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST B F GGED WITH TEST HOLE NUMBERS.wv- `�R P�'Ods w I i I / I OFFICIAL USE ONLY BELOW THIS LINE T / SI UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT❑HOME SALE❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS 6 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. RECTSIGNATURE I DATE APPMAY BE SCANNED AND AVAILABLE FOR PUBLIC1 VIEW ON THE MASON COUNTY WEBSITE Revised:'01/09/21 26 DESIGN FORM—PAGE ONE Assessor's Parcel 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 cheickli st. This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17, I l P RCELIDENTIFICATION Permit Number: SWG aC).0— 0`1�(� Designer's Name: C4/e,_'S 7-lea Applicant's Name: D4vio ,V,4e4 Designer's Phone Number: 3G6 - 5 /—S 'o ' Mailing Address: f O Weepy LY/8 Designer's Address: I2 ti eiviz s . City State Zip _____ ___ City State ' Zip Designer's Email e-/s.',— / h1 :.. . .. DESIGl\T'PA1RAiv IETERS:'d Treatment Device ❑Glendon ❑ Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter ❑ATU j_________ Other uyr Treatment Level(check all that apply): ❑A ❑ ❑C ❑BLI ❑BL2 ❑BL3 ©'E ❑N / Dr nfeld Type ❑Gravity l P ssure r®Wench ❑Bed 0 Sub Surface Drip Septic Tank/Drainfield Specificatiobs Laterals Number of Bedrooms 3 Schedule/Class 4' ) Daily Flow:Operating Capacity ' 3E g' gpd Length ,ro ft •Daily Flow:Design Flow ; gpd Diameter /yy in Septic Tank Capacity(working) p gal Number y Receiving Soil Type(1-6) Separation ft Receiving Soil Appl.Rate gpd/fte Orifices Required Primary Area Go® ft'` TotalNNumber of Orifices S 2. Designed Primary Area 62a ft2 Diameter 3`/6 in, Designed Reserve Area ft2 Spacing __ in Trench/Bed Width .2 '. ft Manifold Trench/Bed Length Z✓� I ft Schedu /Class c4) Elevation Measurements Length a,7 ,ft Original Drainfield Area Slope 2 % Diameter z New Slope,If Altered 2— I; % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation Up-slope 2S in Transport Pipe from Original Grade Down-slope �, in Schedule/Class G/D Designed Vertical Separation Z� in Length FO ft Gravel-based Drainfield Required? les 0 No Diameter 2. in Pump Required? Os 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day .3 Diff.in Elevation Between Pump&Uppermost Orifice 4" ft Dose quantity / ., gal Drainfield Squirt Height/Selected�Residual (head) 4 5 ft Chamber Capacity(flood) /2 gal Uppermost Orifice gi co troll: P ease c e txhose uired. Hi her 0 Lower than Pump Shutoff P U, D L F,eq Capacity @ Total Pressure Head Y3 gpm // infer C lap eter` nt Counter Calculated Total Pressure Head /3, I ; I � �� ft I '.Tn er: Pu o /.3�5.6.�,Tfn�:� Pump off I Comments &y ij ' rtt�7Y #i r l -..' MASON COUNTY ENVIRONMENTAL HEALTH Revised:6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number f Z 2 U L2 g 9 O oil S Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled your Sketch Cross-Section Sketch 1 CYTest hole locations infield orientation and layout Referent epth from original grade: © l logs g T_ench/bed dimensions and � tic tank ❑arty lines - critical distances within layout Cr infield cover xisting and proposed wells D-B x/Valve box locations Reference depth from original grade within 100 ft of property G c tank/pump chamber and restrictive strata: Measurements to cuts banks,and be tions aterals,trench bed,top and s e water and critical areas ation port location bottom Location and orientation of bout location Curtain drain collector Gutmxdn and all absorption D1- old placement Sand augmentation col ponents 1 Orifice placement Other cros ction detail: COY Location and dimension placement with of ateral ,� � pry y system and reserve area distance �'observation ports/clean-outs Cdr 'ld' s of bed Other Information g Au Y/visual alarm referenced Yes No u lion of slope indicator ' tale of drawing shown on scale ❑ C� CWaterlines es �staked out M ba ❑ Ike ded Notices attached Imo-loads, easements,driveways, on benchmark and relative ❑ aiver(s)attached earl ' D..4 elevations of system components ❑ p curve attached orth arrow and scale;drawing ❑ valuation of failure shown on scale bar I on-res' ential justification ❑ Waste strength ❑ Flow ; I DESIGN APPROVAL The undersigned designer must be notified b installer at time of installation es 0 No Signature of Designer Date The undersigned has reviewed this design o behalf of Mason County Public Health and determined it to be in compliance with state and local on- to r gulations: Envir ealth Specialist Date CAUTION: DESIGN APPROVAL IS 4ALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"`Approved"by 1lason County Public Health. ✓ The Onsite Sewage Permit has not exp'led,the Permit Expiration Date is: ✓ Drainfield site conditions have not been"altered to adversely affect conditions of design approval. I { Please Note: The system must be installed by a certified installer unless prior authorization is obtained from Mason County Public Health. E1 An Installation Free is required. This form may be scanned and available for public view on the Mason County Web site. Revised:6/1;1/2025 f ' (lTrrT x_ eo,vA l .. Skookum Rd �e�y� CG i CAz Z7�/z r7aa cr3�✓.r , am A ej yam _ iT�®g o c q 3 e� �s,� - ARCADtA cn ci R % Rid e } r ' r awnview i 5 i ,,f®•rte-�� wE�c. Sa' z O JYC �J t TIcGI dO jj1 ti , Bedroom residence= 6 G.P.D. Cprissry) ba D� G.P.D. Creserve) I i! 4 3G� G.P.D. —3 '2� Cgrinsry) !! 0 6 GPD /SF. Gam ✓ /d ' i— J ��Utl —=,' f � ,;' AGO G.P.D. =?�GtiJ Creser.Je) • ,Z7f3_rZ� f,% ` �� G.P.D /S.F. MASON COUNTY ENVIRONMENTAL HEALTH 1. DRAINFIELD, SEE DETAILS �_ZZ„ SG G,�, �CAPrc D T�� 2. BFNC14WARK EL. - 100• ,gSSMzED Tom, - r .. J NOTE% /7OS� Tirt7G'R", GOUa/T!.%.2 � G�2o�iYa /fir 5�7/rr� z2 GO G/h �1 /J7�Yc�c r2EQa_ S2T '�•2 �Jl2 /2o GriLSpush- 3. fZpo GAL. CONCRETE SEPTIC TANK. - r�os�s/©tea. a. /aoo GG_ eessw -- 7 4 t t. X37- 73 /Yled Se o -.60 /190 Si G Y (r esfr r 37 '1 5. 2' 5c ' V' PVC DELIVERY LINE. 0 6 Sa L" 6. d" PVC.ASTH 3034 TIGHTLINE. ? r3- 3 Sa G•y: MI2. SLOPE = 2% 6 �y G�i SG 7. 4" PVC CLEANOUT, I.E..= 91 - 36/°7�3 C°/esjr. b '� B' WATERLINE. MUST BE LOCATED MIN.10' PROM ALL SEPTIC SYSTEM COMPONENTS. OWNER: LEGAL DESCRIPTION Z6oZ� ADVANCIED ENGINEERING �� � cc+rv3T. T.P_ 2A2q-'S-�OOS6/ JOB NUMBER X28 N.Riser Street /,o i3o,, y,� 6 r?/p' �p f-.�o- -��� I1'><ontesano,WA 98563 DATE ,E�.���r�.�.; �.�• 983 GoT 5r - SP �2�ao SCE-1LE r=h�O � ®.. SFiT � OF 2 360-249-8447 �i3.7 V. �� ____AQ best CAS UL & AP 4 p {�t1(/ 1. - THIS IS A SPECIAL DESIGN DUE TO ADVERSE SOIL y 4/B -G.G Q�'.C'' �•O UP r .'MFLy.. a 77a�` •� CONDITIONS," GROUNDWATER, TABLE ANDI0R TOPOGRAPHY. Y C/-v l ADVANCED ENGINEERING HAS DESIGNED THIS SYSTEM ZN 25 ACCORDANCE COUNTY WITH ALL CURRENT STATE AND HEALTH. -DEPARTMENT REQUIREMENTS.- AND ASSUMES NO. _ RESPONSIBILITY FOR ITS USE OR LONGEVITY: THE OWNER _ - - THEREFORE AGREES TO MAINTAIN AND MAKE ALL NECESSARY '- iif'"z"G • REPAIRS TO THE SYSTEM AT NO COST TO ADVANCED y •. f �!TLR�,� - ENGINEERING. . - Y < n 2. THE CONTRACTOR SHALL BE CERTIFIED AND APPROVED BY 20 .- f/S! / G I/ Gtt—s .. _ - THETO INSTALL SEPTIC SYSTEMS__ COUNTY ��� � 3. THE.0O2iTRAC°FOR SHALL FIELD VERIFY ALL COFIFOURS, 4fF0 HP 9 r _ ° STUB OUT' ELEVATIONS, AND TRENCH DEPTHS IN �(,� S-a; ttL _ - _�(` DRAIN FIELD AREAS PRIOR TO CONSTRUCTION_ zL 4. ALL CONSTRUCTION MATERIALS AND INSTALLATION SHALL - - u _ CONFORM TO. ALL APPLICABLE STATE AND COUNTY HEALTH = QTS rte . i _ _ _ DEPARTMENNT'REQUZREMTetdTS. - - , X3.7 _ Sd . a' - 5. A"SHALL BE THE INSTALLER'S RESPONSIBILITY TO NAVE _ u ACOPY OF THIS DESIGN ONSITE AT ALL TIMES DURING CONSTRUCTION_ .. _ 6. IT SHALL B E THE OWNER'S AND/OR INSTALLER'S- LER' IO 3 6 RESPONSIBILITY TO NOTIFY ADVANCED ENGINEERING AND _ _ THE COUNTY HEALTH DEPARTMENT FOR THE REQUIRED _(INSPECTIONS PRIOR TO BACKFILLING. ' '- S"G-�t 5�0 /BUG '�`eG .I L M I/tom-+• D 7. ALL REQUIRED_TESTS SHALL BE SUCCESSFULLY RUN PRIOR - TO CALLING ADVANCED ENGINEERING FOR FINAL f.�/GT/c1�7�2 ' /ylA l��L� INSPECTION. ALL COMPONENTS, INCLUDING ALL TANK 40 p0 20 60 gp S ACCESS LIDS MUST BE ACCESSIBLE FOR INSPECTION.aAiL �� ` C *ntrUSGP.5 fc - CR f�' r c y3�, - - B: ANY VARIATIONS TO D E- EI SHALL FIRST! BE - - APPROVED BY ADVANCED ENGINEERING AND THE COUNTY d D U Uv /lZ )c 5r/.1 fl R HEALTH DEPARTMIENT._ _ .TMn/y Q �•,ft 1 R �4 f{' �'.,�L - U3l IVV��'• i lSU 4�U�4 -4. OWNER/INSTALLER SHALL NOT RE31OVE_ ANY TOP SOIT. IN J V v DRAIRFIELD AREA REMOVAL OF TOP SOIL COULD RENDER SITE UNUSABLE. * I-.AZEU&WILLIAMS C= 140 L/ . 10. EXISTING UTILITIES SHOWN ON THE PLANS HAVE.BEEN --_=LATERAL DATA— — * ORIFICE DIPS 1.25 inch - s y_ LATERAL,LENGTH 50.0 feet 6_ DESIGNER. O AND COMPLETENESS NOT ///��� M THE BEST INFORMATION AVAILABLE TO THE * 3_ LATERAL SPACING 9.0 feet • 7_ ORIFICE SPACING 4.0 feet (1.R 'f _ GUARANTEED ACCURACY ARE * 4. PIPHSCHBDIILS/CF.ASS 40 * S. ORIFICE DIAMBYHR 3/16 inch II - - - GUARANTEED. - 5.NUMBER OF LATNnnsc 4 9_ ORIFICESILATHRAL 12 - a *10. MANIFOLD LENGTH 27.0 feet *12..MANIFOLD DIAMETER 2 inch _, P[v-- C- SI.EE/1E 4�" *2x_ PIPS SCHEDULE/CLASS= 40 *13_ MANIFOLD TYPE END OtY CAA _= FORCSMA IN DATA=__ 3 yhPvG TN.Ce`.AtJ�.O G/dPar2 PL4G ':4=- SgivOf/Go4-7 ,eSae.YF/E6 *14_ FORCE MAIN LENGTH 80_0 feet *18_ SWING CHBCK VALVES 2 *15. PIPS SCHBDULS/CLASS 40 *19_GATE VALVES 1 - r )� ttr� �_ Y D *26: FORCE MAIN DIAMbffit 2 inch *20. VS.RE: 0 ('))t` *17. so nscxss sN3rTDs 4 fE.=98 f -ft= X74 - /� HIGH WATER'ALARM Ale, = S Y S H M HEAD -FLOW DATA=__ ! I P( 11D4 jn ,tC• n •,\\ !!! _ *2x_ CALCULATE 10 VALUES OF PRHSSURS AND PLOW AT THE PUMP USING 1-0 FOOT Q /y J (1' - ._ - MINII+RII1 PABSSURB ON THE LAST ORIFICE AND� �THE a P(AJIPCX� �� •-.Q• _ PRESSURE ON THE LAST ORIFICE. BY 1 FEET_ (^ ( )�y ^\ • _ - O• (:1 _ *z2. DRASNFZBLD SLEEaATION.ABOVE PUMP = 4 FEET I , J L .may= ••• _ - "/•• ,• SUMMARY O.F HEAD - DISCHARGE D,A T A _�'• _...• � +t' O F/Err Gv3// RSSIDOAL PLOW DELTA HEAD AT HEAD AT DELTA TOTAL TOTAL ` - 9,r1c" iT HEAD AT PER FLOW IN DISTAL FORCE HEAD IN SYSTEM. SYSTEM - O O O-u LAST DRIP LATERAL LATERAL LATERA MAIN MANIFOLD FLAW HEAD 1• GAL. CHAMBER 9. EFFL PUMP — HYDROMATIC t� (feet) (gal/min) <lot ok (feet) (feet) <10₹ok (gal/min) (feet) y� 7. 1200 GAL. WATERTIGHT CONCRETE —� ti6 �., _.________ =a=s= fj�/-5/a OR EQUAL. fJ --5 1 0 s.oz 3.4 1.10 i.x2 1.6 zo.l Gs 2. BQ7 GAL._.CHAMBER. PUMP CHAMBER WITH WATERTIGHT _ 2.00 7.10 3.2 2.19 2.22 1.3 • 28.4 8.1 RISER AND LID. IF DIFFERENT 10. "ORENCO" WATERPROOF JUNCTION " . $� r' �.1GbBOX R 3_00 8.69 3.1 3.28 3.32 1.1 34.5 10.1 "3, PUMP CHAMBER IS USED i THE 7 •� � 4_00 20.04 3.0 4.37 4.41 1.0 40.1 12.1 GAL• SEPTIC TANK 80X. 1 MERCURY FLOAT WILL CHANGE. 5.00 1.22 3.0 5.46 5_50 0.9 44.9 14..1 DOSE VOLUME = �� GALS + " 6.00 12.29 2.9 6.56 6_59 0.8 49'_2 16.1 4. "ORENCO" 24" WATERTIGHT _ 11. THREADED UNION- MASON COUNTY ENVIRONMENTAL HEALTH 7.00 13_27 2_9 7.62 7.68. 0.7 53.1 i8-0 RIBBED PVC RISER W/ LID �aS Q� 8.00 14.19. 2.9 8.71 8.76 0.7 56.7 20.0 CGROUTED ON). N3. MERCURY FLOAT SWITCHES. 12. CHECK VALVE 9.00 15_05 28 9.79 9.85 0.6 60.2 21.9 ATTACH 1'O SECURED PVC -- - OBSERVATI RP MCLEAN:OCIT 10.00 15.86 2.8: 10.87 10.93 0_6 63.4 23.8 - 5. SWITCH AND ALARM PANEL �C!! O ON`HOUSE.YFJv4"ALARM/ (i/s�•4L} CYCLE. D SET,FOR PUMP 13. Y PVC FORCEMRAIFI Volume o£.Late=ls 15.5 CYCLE. DETAIL Manifold Volume 4.7 ' /-. �� ('''� -.6L -'.E4'7NJ I'( A 1 L Total System Volume 34.2 gallons �i - - - = LQ'^• OWNER: Jot3 NUMBER 128 N.River$freet LEPT " T I D Montesano,WA 98563 �sT. 360-249-8447 N��1 .4lN/ �" DATE - SiiT � . OF �.