Loading...
HomeMy WebLinkAboutSWG2026-00204-APPLICATION/DESIGN - SWG Application / Design - 7/6/2026 MASON COUNTY 415 N 6TH STREET,SHELT967 ,E 98584 T- SHELTON:360 427 9670,EXT 400 �ylu' 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: SWG2026-00204 000 APPLICANT MORROW JOHN A&DAWN M Phone: Address: 221 E COUNTRY LN ALLYN, WA 98524 OWNER MORROW JOHN A&DAWN M Phone: Address: 221 E COUNTRY LN ALLYN, WA 98524 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER JASON SCHAUER* Phone: 360-801-5681 Address: PO BOX 3118 BELFAIR, WA 98528 Site Address: 221 E COUNTRY LN Primary Parcel Number: 122323490150 Permit Description: Repair 3bd pressure trench Permit Submitted Date: 06/30/2026 Permit Issued Date: 07/06/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $845.00 (additional fees may be required upon installation of system). Permit Expiration Date: 07/06/2027 (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 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/onsiteloss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY S MASON N! � DATERECENED: O J°n� 3p^I C/3 }> AMOUNT RECEIVED: REC`EWEEDBY: c U) P bllc Health & Human Services J Dse� c 0 M Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 C (A 415 N.6th Street-Shelton,WA 98584 SV\IG �t _ O� N z 0) ON SITE SEWAGE SYSTEM APPLICATION > raa n APPLICANT PHONE (— John Morrow, email: dawnnjo om I (360) 340-6729 z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE 221 E Country Ln Allyn, WA 98524 m SITE ADDRESS-STREET,CITY,ZIP CODE same `=' ® HNAME OF DESIGNER PHONE Ni Arrow Septic Designs, Inc M (360) 898-2255 NAME OF INSTALLER PHONE I IV Final Vision, Jason Schauer (360) 801-5681 PERMIT TYPE(select one) ACING V rATER SOURCE I W RESIDENTIAL OSS COMMUNITY OSS EiCOMMERCIAL OSS EEl PRIVATE INDIVIDUAL WELL jJ PRIVATE H'd�i�h�}?r'WELL IN TYPE OF WORK(select one) M,PUBLIC WATER SYSTEM 5j NEW CONSTRUCTION/UPGRADES REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 99 TABLE X REPAIR I SUBMITTALS ❑ SURFACING SEWAGE I9 EXISTING FAILURE ❑SHORELINE DESIGN FORM(REQUIRED) JSEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOTCREATEDAFTER4/1/20257 01 )( ) 3 .95 acrd El YES Q NO C) (WAIVER(S IFAPPLlCABLE I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) Take Hwy 3 towards Belfair, Turn (R) onto Grapeview Loop Rd, Turn (L) at stop sign, Turn I o (L) onto E Country Ln, property is at end of street on (L) brown manufactured home. o I -I I ' SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED VVITH TEST HOLE NUMBERS. I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS ib /may � Lntr 3 COMMENTS/CONDITIONS v \ : O - i Vw514 �r SOIL CODES: RECORD DRAWINGAND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL. INSPECTOR SIGNATURE DATE APPLICATION EXPI TION DATE APPLICATION APPROVED/ISSUED BY DATE kM1t*1 ii 1 (9 ) 7 "7I 174 THIS FORM MAY BE S ANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:4/14/2025 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 1 2 2 3 2 - 3 4 - 9 0 1 5 0 A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. d 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.kfaximum paper size: 11"X 17" ._«s„a`����w�'#�+4.,at.�S--fit'' a.•.u.ca�� #5z- ��'����»reu�� �nafl.4 ,. _�>�������,�g ''.. "�zz^'�az� F��";S.t�. �4`... ;.uM Via:." Permit Number: SWG -e .,� Designer's Name: Arrow Septic Designs, Inc Applicant's Name: John Morrow Designer's Phone Number: (360)898-2255 Mailing Address: 221 E Country Ln Designer's Address: 171 E Vuecrest Dr Allyn, WA 98524 City State Zip Union, WA 98592 City State Zip Designer's Email paulaj@hctc.comTreatment Device ❑Glendon ❑Sand Filter ❑Mound ❑Sand Lined Drainfield O Recirculating Filter ❑ATU ❑Other Treatment Level(check all that apply): 7 A ❑B ❑C ❑B.L1 ❑ BL2 ❑BL3 C'.E ❑N Drainfield Type ❑Gravity 'Pressure [ 'Trench O Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 gpd Length (7)20'+(1) 10' ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 8 Receiving Soil Type(1-6) 3 Separation 4.5 ft Receiving Soil App!.Rate 0.8 gpd/ft2 Orifices Required Primary Area 450 ftz Total Number of Orifices 30 Designed Primary Area 450 & Diameter 3/16 in Designed Reserve Area 450 ft2 Spacing 60 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 150 ft Schedule/Class 40 Elevation Measurements Length (2)headers ft Original Drainfield Area Slope 2 % Diameter 1.25 in New Slope,If Altered 2 % Preferred manifold configuration used? l�'Yes ❑No Depth of Excavation Up-slope 10 in Transport Pipe from Original Grade Down-slope 9 in Schedule/Class 40 Designed Vertical Separation 24+ in Length 90 ft Gravel-based Drainfteld Required? ❑Yes ✓No Diameter 2 in Pump Required? E6 Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Diff.in Elevation Between Pump& Uppermost Orifice 5 ft Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice C'Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 17.70 gpm Timer O Bfapse Meter ❑4vent Counter Calculated Total Pressure Head 7.74 ft If Timer: Pump on 2.5 min ,Pump off 6 hr Comments APPROVE ® L U LULO Revised:4/14/2025 MASON COUNTY ENVIRONMENTAL HEALTH RET DESIGN FORM—PAGE TWO Assessor's Parcel Number: 1 2 2 3 2 -- 3 4 -- 9 0 1 5 0 Permit Number: SWG g ..(p -oo cy-1 Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 56 Test hole locations 6d Drainfield orientation and layout Reference depth from original grade: 56 Soil logs g Trench/bed dimensions and g Septic tank 11 Property lines critical distances within layout 9 Drainfield cover 91 Existing and proposed wells if D-Box/Valve box locations Reference depth from original grade within 100 ft of property 59 Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations 9 Laterals,trench/bed,top and surface water and critical areas Observation port location bottom ❑ Location and orientation of Clean-out location O Curtain drain collector curtain drain and all absorption R1 Manifold placement ❑ Sand augmentation components 66 Orifice placement Other cross-section detail: ig Location and dimension of Rf Lateral placement with distance 9 Observation ports/clean-outs primary system and reserve area to edge of bed Other Information � Buildings [� Audible/visual alarm referenced Yes No 0 Direction of slope indicator d O Design staked out ti Scale of drawing shown on scale 1 Waterlines bar ❑ l 'Recorded Notices attached 56 Roads, easements,driveways, El Elevation benchmark and relative O G'Waiver(s)attached parking elevations of system components l 0 Pump curve attached 56 North arrow and scale drawing EI O Evaluation of failure shown on scale bar Non-residential justification O 9 Waste strength `' , ❑ Rf Flow ...._.„. _..✓.,.,:� __.».,..,,._., w_ xe,.._wx_. ,-4'_ x:'.,. _.._..«k a v.w ;� ' , .o., �.H .w..`��.d,._,a, ^»...«, r �:',,' r..+...,w..:W.......rw..,z...» 2W..W,v�.;,.,......... The undersigned designer must be notified by i at " ion 66 Yes 0 No PAULA JOY JOHNSON ( / _-(..Jo Signature otlhi . S33 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-site re iIations: (CCY1 l I L.7 Environmental Health Spe iallst Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. V The Onsite Sewage Permit has not expired,the Permit Expiration Date is: b ✓ 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 Arrow Septic Designs 171 E.Vuecrest Dr. Union, WA 98592 June 30,2026 Mason County Department of Health Services 415 N 6th St Shelton, WA 98584 RE: John Morrow(Parcel#12232-34-90150)Evaluation of Failure Dear Inspector: Attached is a replacement septic design for a property located at 221 E Country Ln,Allyn. There is an existing 3-bedroom manufactured home installed in 1983 that ties into a permitted gravity septic system of the same era. The existing system has a 1,200 gallon 2-compartment concrete septic tank followed by a 360+s.f. gravity drainfield. The septic system was recently serviced,and there was a high effluent level. The drainfield was further inspected and was found to have a biomat with black drainrock and ponding. The existing tank is partially under a porch but is accessible for maintenance and pumping. It may be used if the installer deems it to be in acceptable condition. The installer is to verify that there is a cleanout between the home and tank,and add one if needed. Also,an effluent filter is to be retrofitted into the existing tank. If replaced,the old tank is to be decommissioned or removed and replaced with a new 1,200 gallon minimum 2-compartment septic tank with an effluent filter. The septic tank will be followed by a new 1,000-gallon pump chamber. The new drainfield consists of 450 s.f.of shallow pressure trenches using an application rate of 0.8. The system will also have a control panel including timed dosing,a counter and elapse meter to prevent overuse and facilitate ongoing operation and maintenance. This is a conforming repair with 24"+of vertical separation. The home is served by a water connection to the community well located on the adjacent parcel. There are no surface water or well setback issues and we have designated a full reserve drainfield area. The property owner's contact information is as follows: John Morrow 221 E Country Lane Allyn,WA 98524 (360)340-6729 If you need fur information,please contact my office at(360) 898-2255. Sincerely, PROVED PAL 1J' UA JOY JOHNSON J 26 C06� �/MASON°OUN1yENR 02 Paula J.John RET NMENTAL HEALTH Licensed Onsite Wastewater Treatment System Designer �� rk' 7 QUEER OFJA u •. EC TOM -' TOWN dP . . PJÔRTH J ,. , 01O 110 r ; 1 S� ka ova s+.a o A i Wi .! .. 977 SEP 5 R$ 3 a Sw,.t w� 2II Dr ...C. iB Coa o. Sox 3 aLJ� sWi 524 E-2 '15 8 G; vs. f`f +Ply� . Johan �o�a�ow I v (1'2-o' -C►)v = lrLF -t�r.,t 122 2- 4- oa o s@ �.5o.C.@�:�t. 23-1 E Cowr____________________ f!. -off pF�55o�rfiw..se S : 1 '_ t-E of p 2a c �o g -re . � U � ` : O-Z��� LS � Reo�s IJ rTe. .WeJ� LSOt�- —_ OAudio-Visual Alarm / LP (3Cleanout-____ oc. 3 1200 Galion Septic Tank 2-Compartment- tQ Effluent Filter O1000 Gallon Pump Chamber 5 V e Control Box t7' 5100399 ' APPROVED PAULA JOY JOHNSON JUL0 6 c �vs �t $t��;� • 2026 6- n MASON COUNTY ENVIRONMENTAL HEALTH RET Wv ' \a. 9 ••• �`r ( .`9 p.L- f° OO34 ULA JOY JQHN50N'• Ci� Nss �sai� 8� - • mr \\ APPROVED JUL 062026 Tye N� SON COUNTY ENVIRONMENTALH +e a+ied Drainfield Layout Sc Grade V tv� 2v' tot2 • . Sdy Fdter Farris M 0*61 t Grade �-t� � 1 .25 Sched. 40 'Laterals 3/4• to c( • a a-�•a- o -- zas' m Q (ya 3/ 16;' Orifices @ 6O. O.C. • Per Lateral. 1st & Last Orifice 30- From End of Trench 4. 35• 4. SWOW-On Ccp • • 45 De�ee tclbo+g Lota'd Re ftfim, Layer __ End of G1lah •Drdinfieid ' Cross-Section View - oOut Not To Seale • • Not,- Oe out to be from 0 to 6 rcxm below NOfe 0 ' wviit P1 FtniBttod Grade. Martz astds with Raba. Clean Out 'To Be ( PVC Pipe from E®ttem of Trench Regtired at the Erb of Each Lateral. To. Fesahed Grads Rye Cap eha6 be• lnct*d an Observation Port Pipe. Anchor. A -r•o w Ste p t i o Design On Softenwith Glued-On Tae. of S Told £Req*ed•in Syotn C 3 6 0) . � o Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 1 240 20 x 60 4 30 30 2 240 w; `2Q 60 4 30 30 3 240 20`rt' x 60 4 30 30 4 240 20 60 4 30 30 5 240 ': 20 60 4 .• 30 30 6 240 `.: 20`:.`s 60 °r 4 .. 30 30 7 240 <", 24 60 z 4 30 30 8 120 10; ,. , 60 2 30 30 Total Lateral Length 150 Total#Orifices 30 I GPM= 17.7 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(Ft.) #Orifices Transport Pipe 90`: : _ti 30 0.53 ft. Feeder Total Lateral Line Length Lateral#1 20 22 4 0.02 ft. Lateral#2 20 ,;7 27 4 0.03 ft. Lateral#3 20 [2 32 4 0.03 ft. Lateral#4 20 17,r r 37 4 0.04 ft. Lateral#5 20 , 2 22 4 0.02 ft. Lateral#6 20 7 27 4 0.03 ft. Lateral#7 20 12 ': 32 4 0.03 ft. Lateral#8 10 17 . :' 27 2 0.01 ft. Total Elevation Lift 5:00 ft. Total Dynamic Head 7.74 ft. APPROVED JUL 0 6 2026 • MASON COUNTY ENVIRONMENTAL HEALTH 03 9 4 I E N''. PAULA JOY JOHNSON RET L'i��l.5hi5 t=5IbNL-t' I1b4jPuinps a ' ¶,& UTERS,PER:id[INUTE 0 v20 4.0 60 :80 100 1,20 140, 160 180 25 . 7 -4----- 20. _ _ - - - - - -- -- 15 1- w w M is 4 Z � O J F F; O 10 3" ®� 5 APPROVED JUL 0 6 2026 11 MASON COUNTY ENVIRONMENTAL HEAL RET o 0 10 20 30 40 50 GALLONS PER MINUTE' 250_P 1 RI;17/'2018 ©Copyright 2018 Liberty Pumps Inc. A11 rights reserved.Specifications subject to change without notice. { •____ 335 It _ OVED JUL 062026 MASON COUNTY ENVIRONMENTAL HEALTH RE- W_ _ 1r1W }• Via } } S #' .s �' .. 2 F t ` r is � f -- fl f ks'd3:2.�-'-: ��c".�cI35oCo.'�5:'aaiiia't.�.oe `� }�sv a.��m' i 245-272C FI 2 or theDeptof aiEti.'P t 0f i.�.iro and?ie:ailicCt�..a 9 .°C of 0 aw Septic )e6 0 , 36KC., INSTALLATION& MAINTENANCE Pressure Distribution Systems 5100349 PAULA JOY JOHNSON 1. Install Laterals with contour of the ground. 2. Install trench bottoms level. 30—2S: 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 bee encased to prevent crushing. fl 24. Homeowner is responsible for all properal�n� ad�eem�en .� V (0 O k,O JUL '0 6 2026 MASON COUNTY ENV1RONh4ENTAL HEALTH RET