HomeMy WebLinkAboutSWG2026-00160 - SWG Application / Design - 5/20/2026 MASON COUNTY 415 N 6TH STREET,SHELTON,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: SWG2026-00160
APPLICANT Jim Zimny Phone: 360-516-7287
Address: 7178 windflower pI nw Seabeck, WA 98380
OWNER RIDGEWAY MARLON & ELIZABETH Phone:
Address: PO BOX 566 BELFAIR, WA 98528
SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287
Address: 7178 windflower pl nw Seabeck,WA 98380
Site Address: 240 E Eagle Vista Dr
Primary Parcel Number: 222141190061
Permit Description: New 4-bedroom SFR pressure system with trench drainfield
Permit Submitted Date: 05/20/2026
Permit Issued Date: 06/10/2026
Issued By: David Anderson
Current Permit Fees Paid: $570.00 (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 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.
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
SO COUNTY
!®U T Y DATE RKFJVED. !/�6 I O ) ^� c (.. C CA
• (�q AMOUNT FICEI D: JU RECEIVED BY`:`J �J W
Public Health & Human Services -r ONLI 3EL &cO M
Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext 400 cO
415 N.6th Street-Shelton,WA 98584 SWG —
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ON-SITE SEWAGE SYSTEM APPLICATION
APPLICANT PHONE m ITt
MARLON & ELIZABETH RIDGEWAY 253-370-2989 C-� '-
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE ® W
PO BOX 566, BELFAIR WA 98528 N m
SITE ADDRESS-STREET,CITY,ZIP CODE
240 East Eagle Vista Dr, Belfair WA 98528 '�I--►=A J r3
NAME OF DESIGNER PHONE
Jim Zimny 360-516-7287 I NI
NAME OF INSTALLER PHONE m ® I (\�
PERMIT TYPE(select one) DRINKING WATER SOURCE
'ii RESIDENTIAL OSS 11 COMMUNITY OSS 1-'1 COMMERCIAL OSS W PRIVATE INDIVIDUAL WELL ❑ PRIVATE TWO-PARTY WELL
TYPE OF WORK(select one) 0� PUBLIC WATER SYSTEM
NEW CONSTRUCTION/UPGRADES ® REPAIR/REPLACEMENT OTHER DETAILS(select ell that apply) ❑ TABLE X REPAIR I1.
SUBMITTALS ❑SURFACING SEWAGE 0 EXISTING FAILURE ❑SHORELINE
17 DESIGN FORM(REQUIRED) ❑SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 4/1/20257 r I
❑ WAIVER(S)QFAPPLICABLE) 4 2.66 YES ❑NO n t
DIRECTIONS TO SITEAND SITE CONDITIONS:(ex.locked gate) I �
From Hwy 3 take E mason Benson Rd 2.5 miles to E Trails rd and take rt. Follow to St I 0
HWY 106 and take rt. In .8 miles take rt up the hill on E Eagle vista rd. Take first driveway r
on Rt. Property is the left marked with pink ribbons and an address sign.
Test holes are down the on the left(reserve)t and straight through the clearing marked with I�
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BEFLAGGED WITH 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:
S
INSPECTOR SOIL,H C?OGS QTw 4 COMMENTS/CONDITIONS
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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.
INSPECT R SIGNATURE DATE APPLICATION EXPIRATION DATE APPLI N APPROVED/ISSUED BY DATE
'( /7a Z 6 61( (L7o7 Il0
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:01/09/2026
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 2 1 4 1 1 9 0 0 6 1
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.
'Scaled plot plan,including all applicable items on checklist. Cross-section sketch, including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG - c J c7 t l p C7 Designer's Name: Jim Zimny
Applicant's Name: MARLON&ELIZABETH RIDGEWAY Designer's Phone Number: 360-516-7287
�
Mailing Address:
PO BOX 566 Designer's Address: 7178 Windflower PI NW
BELFAIR WA 98528 City State Zip Seabeck Wa 98380
City State Zip Designer's Email apddesigns@icloud.com
DESIGN PARAMETERS
Treatment Device
❑Glendon ❑Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter O ATU O Other
Treatment Level (check all that apply): ❑A ❑B O C ❑BL1 ❑BL2 O BL3 IKE ❑N
Drainfield Type
❑ Gravity 'Pressure M'Trench O Bed O Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 4 Schedule/Class sch 40
Daily Flow:Operating Capacity 360 gpd Length 55 ft
Daily Flow: Design Flow 480 gpd Diameter 1 1/4" in
Septic Tank Capacity(working) 1250 -- gal Number 5
Receiving Soil Type(1-6) 4 Separation 5' CTC - ft
Receiving Soil Appl. Rate 0.6 -gpd/ft'- Orifices
Required Primary Area 800 - ft2 Total Number of Orifices 60
Designed Primary Area 800 . ft2 Diameter 1/8 in
Designed Reserve Area 800 - ft2 Spacing 60 in
Trench/Bed Width 3 ft Manifold
Trench/Bed Length 270 ft Schedule/ ss sch 40
Elevation Measurements Length 4 'qtr" 2' ft
Original Drainfield Area Slope 2 in
or_s;Ui5r
New Slope.If Altered % used? 0 Yes 0 No
Depth of Excavation Up-Slope 9 in (6-2k Transport Pipe
from Original Grade Do,n,-slope 6 in Schedule/Class sch 40
Designed Vertical Separation 24 in Length 30 ft
Gravel-based Drainfield Required? O Yes O No Diameter 2 in
Pump Required? O Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications / Number of doses/day
6
Diff.in Elevation Between Pump&Uppermost Orifice 5 ft Dose quantity 60 gal
Drainfield Squirt Height/Selected Residual (head) 5 ft Chamber Capacity (flood) 1250 — gal
Uppermost Orifice O Higher O Lower than ,limp Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head tbi gpm a Timer ( Elapse Meter 9 Event Counter
Calculated Total Pressure Head 15 ft If Timer: Pump on 2 min 10 sec ,pump off 4 hrs
Comments
Pevicarl•h/11/M(Y)c
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 2 1 4 1 1 9 0 0 6 1
Permit Number: SWG oC _ LP X71 �e
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
( 1 Test hole locations V Drainfield orientation and layout Reference depth from original grade:
V Soil logs V Trench/bed dimensions and a Septic tank
fi Property lines critical distances within layout Q( Drainfield cover
V Existing and proposed wells D-Box/Valve box locations Reference depth from original grade
within 100 ft of property ET Septic tank/pump chamber and restrictive strata:
V Measurements to cuts, banks, and locations Id Laterals,trench/bed,top and
surface water and critical areas V Observation port location bottom
Location and orientation of V Clean-out location ❑ Curtain drain collector
curtain drain and all absorption V Manifold placement 0 Sand augmentation
components
Orifice placement Other cross-section detail:
Location and dimension of le Lateral placement with distance V Observation ports/clean-outs
primary system and reserve area to edge of bed
V Buildings Other Information
Audible/visual alarm referenced Yes No
V Direction of slope indicator
V Scale of drawing shown on scale ❑ @f Design staked out
e Waterlines bar O O Recorded Notices attached
ET Roads,easements,driveways, ✓ Elevation benchmark and relative O V'Waiver(s) attached
parking elevations of syste components V O Pump curve attached
19 North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar � Non-residential justification
❑ O Waste strength
-�' ❑ O Flow
ES N{c ` 11IROW :L_
The undersigned designer must be notifredjfi 'installer at tuneof ns'allation VYes 0 No
// (r 9
Signat rO of/Designer
The undersigned has reviewed this design on behalf of Mason County Public Health ar etennine it'ta
compliance with state and local on-si r ulations: IYAS , 0 2026
U/ l Q� co
U��F�'�RONa9Fl�rgc
En ON r unental Health Specialist Date q HEALry
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped "Approved"by Mason County Public Health.
✓ The Onsite Sewage Pennit has not expired,the Permit Expiration Date is:
✓ 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: 6/11/2025
I
I
Designer Info:
Jim Zimny
i APD
N 348' 9 ' el 142" 7178 Windflower PL NW
71 2' Eagle Vista DR Seabeck,WA 98380
30' rd easement APDdesi (alic1oud.com
Applicant Info:
I20� Th#1 0-36" Brown Sandy LoanMarion Ridgeway
88' Type 4 soil 240 E Eagle Vista
s h#1 H dro Splitter Th#2 0-34" Brown Sany loam Belfair wa
Type 4 soil #222141190061
Q0 Z 250 gal Pump tank Th#3-30" Brown Sandy oam
Type 4 soil
TH#3 0ga Se •c tank Th#4 0-26" Brown San iy loam
80' art e1145
5 ' Type 4 soil min
bedroom ( - Bench Mark
4 ' T soil log
Ocleanout well
reserve ter® . O, U — Property Line
TH 4 el 150' o'er �P -••- Power Line
--- Water line
el 1 ' 1 ≤eve. glreq would;7 "\350' ` Not A Survey
rellMe a-I leasf Tj. Datum NAD83
fDv \' \
Yv �
V$PA. 04 i
15" d easement / 1 1000 gal septi tank
185 \
• 1 3033
JorA C.Inn Ilmrty
5/13/2026
:Shop Page
42'
JUN 1 0 2026 Scale
r_�I�I R PtiEidTALHEALTH ����,, ��'' tti
1" = 40'
NIA n •
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Typical Trench Profile Typ al Spltter Manifold and Rlser-Assembly
County Stamp
6W Clean out with removable cap
6, 4 Mtn Sandy Carer Flow C)
Ds a rock ow Hardwire mesh
meWold assembly JUN c( tMaxTtj ._...P. �:�o►tun A.� .� .-c -t•, 2 �c►ldlANFa�u HEALry
Trench Depth
•_...,�..... Desigrw Stamp
, - GATE VALWS �r
24"P d�..pr 5 N�
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Jn ca. n7lrnm
w/ dowm l.Id iIrr- ;= DESIGNER
24.O° Vertkal SeparnUon
Restrfctiae layer orwater table: m 2itnny
w�lf�ne����ot to S q�wn�NwtN��f�r��r�n�s�lr�,�,rl� Advantwpe Itc 6 Design
Not to Seale Not to scale x178 VIAndfcm er PI NW
Se__ WA 898380
Applicant Info
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6 'Obsevat{an Port
/removable cap m ldC.over `l -"-- `r
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Typical Side:View PRESSURE DIStRtSUTIO!
Grat�elss chamber W/Ob Port
24'VS Doe
Not To Scale Sc4e
of
Pump Selection for a Pressurized System-Single Family Residence Project
Parameters
Discharge Assembly Size 2.00 inches 100
Transport Length 40 feet i
Transport Pipe Class 40 1I
; 1
Transport Line Size 2.00 inches 90 ;
Distributing Valve Model None � � I
Max Elevation Lift 8 feel
r `
Manifold Length 2 feet
Manifold Pipe Class 40 80
Manifold Pipe Size '
1.25 inches
Number of Laterals per Cell 5 •
Lateral Length 55 feet
Lateral Pipe Class 40 70 I
Lateral Pipe Size 1.25 inches i
Orifice Size 1/8 inches ar i f I
Orifice Spacing 5 feet tV I
Residual Head 5 feet Z 60
PrIF7•B
Flow Meter None inches C- - { i
'Add-on'Friction Losses 0 feet p ! i 1 I
Calculations 50
E I I
Minimum Flow Rale per Orifice 0.43 gpm - � � •'
Number of Orifices per Zone 60 i
Total Flow Rate per Zone 26.0 gpm 40
Number of Laterals perZone 5 .!
%Flow Differential 1st/Last Orifice 0.8 % H i {
Transport Velocity 2.5 fps
Frictional Head Losses
Loss through Discharge 1.4 feel
Loss in Transport 0.5 feet 20 '
Loss through Valve 0.0 feet
Loss in Manifold 0.0 feet —
Loss in Laterals 0.1 feel I 1 .
Loss through Flowmeter 0.0 feet 10
'Add-on Friction Losses 0.0 feet i
Pipe Volumes '
Vol of Transport Line 6.9 gals 0 0 20 40 60 80 100 120 140 160
Vol of Manifold 0.2 gals Net Discharge(gpm)
Vol of Laterals per Zone 21.4 gals
Total Volume 28.5 gals
Minimum Pump Requirements PumpData Legend
Design Flow Rate 26.0 gpm PFEF50 Effluent Pump System Curve:®
Total Dynamic Head 14.9 feet 1/2HP,115/230V 10
Pump Curve:
tYr
Pump Optimal Range:
Operating Point:
Design Point:
APPROVED
JuN 1 0 2026
Orenco
MASON COUNTY ENVIRON
OJA
MENTAL HEALTH
EEOLIRED LB)WITH GAS 11GHT SEAL
94*DIAMETER
ACCEEE RISER
FINISH GRADE
1' / 5wPuMP
S'I
// CHAAIIBER
FROM SEWAGE
GOURCE FLOATING MAT
APPROVED
I I I EFFLUENT I Coles
SEDRl1 M
12 r SEP77c TANK
SEOIlRED LID WITH GAS TIGHT SEAL
THREADED UNION
W DIAMETER
ACCESS RISER �rlCE
FINISH GRADE VALVE•
FROM SEP TIO / 'TD DRAINFIM
TANK
EMERGENCY STORAGE ANTI SIPHOII
VALVE*
HIGH WATER ALARM LEVEL — — — — — —
WORKING VOLUME INDEPENDENT
u+o
FLDldTB'TElA
. unI Teit.„ea t+eeeL — — — — — FOR FLOAT
-b-;'ENOLQBED PUMPMP
MOUNTING
SEDIAIENTSHROUD* CHECK VALVE'
18' SUBMERQIGLE
SEDU B CENTRIFUGAL
PUMP
a , *AB NEWER• A P P R O . FIGURE 2
JUN 102026
0 202.6 r �P
MASON COUNTY ENVIRONMENTAL HEALTH
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LIC-I iESIG fiR
EMIIOHIEEAL
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FROilfUWAGE
SOURCE RRATDiQ VAT
APPROVED ..
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4PRovEo
JUN 10 2026
1 n 9m ry ��
MASON COUNTYENVIRONME LICE E DESIGNER 4
D JA N TAL HEALTH (� S
Advantage Perc & Design
i ! !llel,t.(?t? 3 `">O !-I,-I io-3O If,(0,lI t) I ( ::( il L > Oct Icfli C'
Construction Notes for Pressure Distribution 4 Bedroom System:
Pressure Distribution w/graveless chambers (Rock and pipe may be substituted)
Install 4—55' and 1-50' Laterals of 1 1/4" sch 40 PVC pipe .
Install on 5' foot centers.
1/8" Orifices on 30" centers beginning 30"from the beginning of the lateral and oriented at 12 O'clock.
Install 6'trench depth on low side of trench and maintain 24"of vertical separation
Install level and along contours.
Install in dry weather only.
Use 1250-Gallon septic and 1250 gallon pump tank.
See pump Chart for Pump Specs
Use Rhombus SJE Control Panel or equivalent w/audible and visual alarms for low and high water.
System designed for typical residential waste strength sewage only.
System designed for 480 Gallons Per Day
� `�L4;".% Phi .,1•
JUN 1 0 t
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MASON LICE 1 "l 1ECi;NER .
COUNTY ENVIRONMENTAL HEALTH Jh ( 2h
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Advantage Perc&design 3 APDdesigns@icloud.com (360) 516-7287