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Home My WebLink AboutSWG2026-00200 - SWG Application / Design - 6/24/2026 MASON COUNTY 415 N 6TH STREET,SHELT0N, ,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: SWG2026-00200 APPLICANT Jim Zimny Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 OWNER O'NEILL AARON &JULIE E Phone: Address: 1413 40TH ST SE PUYALLUP, WA 98372 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 Site Address: 71 NE Bald Point Ct Primary Parcel Number: 322195300003 Permit Description: Non-Conforming Repair: SFR 2-bedroom gravity system with bed • drainfield and no designated reserve drainfield area Permit Submitted Date: 06/24/2026 Permit Issued Date: 07/08/2026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/29/2027 (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 Non-conforming septic repair. The septic system may need to be brought into full compliance before future permits can be approved. Detail:Septic system does not have a designated reserve drainfield area. 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 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 8 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. r 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 RECBVW Cl) . Z toZ Public Health & Human Services AIVouHT Cf Wa"ED�j� v m QEnvironmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 /�7 /' N 415 N.6th Street Shelton,WA 98584 S W G 7/Vv/ /�, — O 0 V L2I( Z fA ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE fll M OINEILL z MAILING ADDRESS-STREET CITY,STATE,ZIP CODE 1413 40TH ST SE PUYALLUP WA 98372 m SITE ADDRESS-STREET,CITY,ZIP CODE .��. 71 Bald Pt CT, Tahuya, WA 98588 I U NAME OFDESIGNER PHONE Jim Zlmny 360-516-7287 NAME OF INSTALLER PHONE I{� D � V PERMIT TYPE(select one) DRINKING WATER SOURCE I RESIDENTIAL OSS hCOMMUNITY OSS h COMMERCIAL OSS PRIVATE INDIVIDUAL WELL CI P IVA TWO--PARTY WELL z TYPE OF WORK(select one) PUBLIC WATER SYSTEM I]•'t c FT(re� I VEW CONSTRUCTION I UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I n SUBMITTALS ❑SURFACING SEWAGE Q EXISTING FAILURE ❑SHORELINE 2 DESIGN FORM(REQUIRED) 0 SEPTIC DESIGN(REQUIRED) BEDROOMS ILOT SIZE IWAS LOT CREATED AFTER 4/1/2025? 0 ❑ WAIVER(S)(IFAPPLICABLE) 2 .26 acres rIYES IiJNO C) DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.kxkedgate) From Belfair travel 18 miles to Bald Pt Ct on north shore rd. Take rt on B d pt Ct and I property id 250 ft up th red on left. -I I �, SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. RRC 6 I /1' OFFICIAL USE ONLY BELOW THIS LINE V UPGRADE/FAILURE SOURCE(for reporting purposes) . ❑VOLUNTARY MAINTENANCEIPUMPING 0 BUILDING PERMIT❑HOME SALE❑COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS!CONDITIONS Tff1: d-77 V/6L.Coa S cony a cam( (T v 5) 2�'_ SO`' VC CCoa5 bdffDM rtt-I 0-S�" V'6 LC $ - bof 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 FINAL APPROVAL INSP SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATI A ROVED/ISSUED BY DATE C(z / oZ( -7 �02� 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: '3 2 2 1 9 5 3 0 0 0 '0 3 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.Maxinlume paper size: 11"X 17" qty PARCEL IDENTIFICATION Permit Number: SWG d 't/ ZOO Designer's Name: Jim Zlmny Applicant's Name: O'NEILL Designer's Phone Number: 360-516-7287 Mailing Address: 1413 40TH ST SE Designer's Address: 7178 Windflower pl NW PUYALLUP WA 98372 City State Zip Seabeck Wa 98380 City State Zip Designer's Email apddesigns@icloud. m DESIGN PARAMETERS Treatment Device 0 Glendon ❑Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter 0 ATU ❑Otli2r Treatment Level(check all that apply): ❑A ❑B ❑C ❑BL1 ❑BL2 ❑BL3 E ❑N ' e Drainfield Type V'Gravity 0 Pressure ❑Trench 'Bed ❑ Sub Surfac rip /" Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 3034 Daily Flow: Operating Capacity 180 gpd Length 30' ft Daily Flow:Design Flow 240 gpd Diameter 4 in Septic Tank Capacity(working) 1000 gal Number 3 Receiving Soil Type(1-6) 3 Separation 3 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 300 ft2 Total Nu ~r ice na Designed Primary Area 300 f2 Diame ' " Designed Reserve Area NA ft2 Spa c ' or 3D3. � in Jmn hen nY Trench/Bed Width 10' i.IcensF.)nr.:r!cr![a .{ ft Manifold Trench/Bed Length 30' ft Schedule/Cf sf, Z na Elevation Measurements Length ft Original Drainfield Area Slope 1% % Diameter in New Slope,If Altered 1% % Preferred manifold configuration used? ❑Yes O No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope 11 in Schedule/Class 3034 Designed Vertical Separation 36 in Length 10 ft Gravel-based Drainfield Required? ❑Yes 11 No Diameter in Pump Required'? ❑Yes P'No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day na Diff. in Elevation Between Pump&Uppermost Orifice ft Dose quantity al g Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) gal Uppermost Orifice O Higher 0 Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head gpm ❑ Timer ❑ Elapse Meter ❑ Event Counter Calculated Total Pressure Head ft If Timer: Pump on ,Pump off Comments Revised:6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number:[3 ,2 :2 1 9 5 ;3 0 0 0 :0 3 Permit Number: SWG ?0& `O0?C.4Y DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch P1 Test hole locations Pl Drainfield orientation and layout Reference depth from original grade: IT Soil logs V Trench/bed dimensions and a Septic tank ST Property lines critical distances within layout ' Drainfield cover 9 Existing and proposed wells V D-BoxNalve box locations p p Reference depth from original grade within 100 ft of property V Septic tank/pump chamber and restrictive strata: 9 Measurements to cuts,banks,and locations l ( Laterals,trench/bed,top and surface water and critical areas 9 Observation port location bottom V Location and orientation of V Clean-out location ❑ Curtain drain collector curtain drain and all absorption V Manifold placement ❑ Sand augmentation components Qf Orifice placement Other cross-section detail: le Location and dimension of 1 f Lateral placement with distance V Observation ports/clean-outs primary system and reserve area to edge of bed � Buildings Other Information ❑ Audible/visual alarm referenced Yes No lT Direction of slope indicator V Scale of drawing shown on scale O ❑ Design staked out 1T Waterlines bar ❑ ❑ Recorded Notices attached Roads,easements,driveways, Elevation benchmark and relative ❑ O Waiver(s)attached parking elevations of s tern components O ❑Pump curve attached North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification t" . may ❑ ❑Waste strength ❑ ❑ Flow E @Y ° 12� `� "l a" ti The undersigned designer must be notified s er at ti o nstallation ❑Yes 1!�No Signatur D si neI Date The undersigned has reviewed this design on behalf of Mason County Public Health aned it to be in compliance with state and local on-site re ns: En ' onmental Health Specialist D j CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING ��, TION: ✓ The design is stamped"Approved"by Mason County Public Health. `�� V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: Q 2 ' k'4, ✓ 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 Th#1- 0-50" Med loamy sand w/ gravels type 3 soil '4sp,, 0� Th#2- 0-50" Med loamy sand w/ gravels type 3 soil 00NIY 2026 yFq�ry North EL 165" EXisitng OSS 223' el ti .• m el 74 ------ --- Th#2 30 1 1 1 el 135' 220' e Pin Located Date: 6/15/2026 Datum NAD83 Desi r Stamp Designer Info: Applicant Info: Page Jim Zimnv O'Neill OIL LO G APD I CT` Bench Mark P 71 Bald Pt 5d vm 7178 WindflowerPL NW — Property Line � `' ' TAHUYA WA 9858 -•• Scale Seabeck,WA 98380 PQuver Line ucE o0D SIGNER,fe03 # 322195300003 - - Water line 1„ = 30' N APDdesigns�aicloud.corn -� .— Not A Survey Advantage Pe'rc & Design -i-imely-Ret�sor-)ablt•30 Years of Local Experience Construction Notes for Gravity Distribution bed for 2 Bedroom System: Gravity Bed Distribution w/rock and pipe Install 10 x 30' beds. 0<2 Install 4 outlet d-box with an outlet pipe going to each infiltrator leg using speed levelers. X026' D box must have an access riser to the surface of the ground. Install IL"deep and level in trench Install in dry weather only. Abandon existing septic tank Install new 1000 Gallon septic tank W/water-tight secured risers to the surface of the ground. System designed for typical residential waste strength sewage only. System designed for 240 Gallons Per Day APPROVED JUL 082026 MASON COUNTY ENVIRONMENTAL HEALTH - "o DJA 20,41 O J c AI!i Jn,N LICEN yJESIGIC.R Advantage Perc&design ® APDdesigns@icloud.com (360) 516-7287 County Stamp Bed Profile Designer mp 3034 transport pipe 30' �LICENSE„� 3m ER 2 Designer Info: 3' Jim Zimny *fl' APD 7178 Windllower PL NW Seabeck,WA 98380 SP PORT APDdesigns@icloud.com D box w/ Locking lid riser Applicant Info: - L " Cuvei J1Ii - vt So� 36" Vertical Seperation Date: 6/15/2026 Page JUL 08 ? Scale 'JASON COL/ AL 1" =10' y7. ENVIRONMENT �Fc� ��' OJq HEALTH � S EOURED UD WRH CAS 1I OHT SEAL Or DtAMEFER ACCESS;RISER FRUSHGRADE CHAMBER FROMSEWAOE SOURCE FLOATING MAT = eye tseo. StatkJF?+�fB 1OOO 3Qy F a2 - y m ? 2 3 ?y O Jnm. tl �21mny LICE F ES CN9' APPROVED JUL 08 8 2026 MASON COUNTY ENVIRONMENTAL HEALTH DJA