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HomeMy WebLinkAboutSWG2026-00186-APPLICATION/DESIGN - SWG Application / Design - 7/2/2026 IViAS 0 N 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: SWG2026-00186 APPLICANT CRANOR GUY&DIANA Phone: Address: 330 GUPSTER RD.#46 SEQUIM, WA 98382 OWNER CRANOR GUY&DIANA Phone: Address: 330 GUPSTER RD.#46 SEQUIM, WA 98382 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER SHANE MAPLES* Phone: 360-463-8474 Address: 911 SE Arcadia Road SHELTON, WA 98584 Site Address: 31 N BROOK LN Primary Parcel Number: 422165200115 Permit Description: New 2BR -Nuwater Permit Submitted Date: 06/15/2026 Permit Issued Date: 07/02/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/16/2029 (based on date of inspection) Permit Conditions: 1 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. I \ OFFICIAL USE ONLY MASON COUNTY AMOUNTRECEIVED: U RECEIVEIDDBBIY:f`v)V1_ QJ m Public Health & Human Services Environmental Health 360-427-9670,ext.400 or 360-275-4467,ext.400 (� 415 N.6th Street-Shelton,WA 98584 S W G ç - ( r a g g�p �? ON-SITE SEWAGE SYSTEM APPLICATION Z m O PHONE m APPLICANT r Lisa Werner (253)686-5642 r c MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE 9 15010 11th Ave E Tacoma WA 98445 n M SITE ADDRESS-STREET,CITY ZIP CODE 31 N Brook Lane Hoodsport WA 98548 NAME OF DESIGNER PHONE I N Arrow Septic Designs, Inc (360) 898-2255 NAME OF INSTALLER PHONE I ≤ I Maples Excavating (360)463-8474 PERtRMIT TYPE(select one) r- DRINKING WATER SOURCE Q 3CLtRESIDENTIAL OSS COMMUNITY OSS UJ:COMMERCIAL OSSU PRIVATE INDIVIDUAL WELL 1PRIVATE TWO-PARTY WELL I TYPE OF WORK(select one) 23 PUBLIC WATER SYSTEM NEW CONSTRUCTION/UPGRADES EIREPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR I CJ7 SUBMITTALS ❑ SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE IN . DESIGN FORM(REQUIRED) SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE WAS LOT CREATED AFTER 411120254 Q r EWAIVER(S)(IFAPPLICABLE) 2 BR .19 ac ❑ YES 0 NO 0 I O DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.looked gate) Go out Hwy 101 N toward Hoodsport. Turn (L) onto N Lake Cushman Rd. Turn (L) onto I Cushman-Potlatch Rd/Lower Lake Rd. Turn (L) onto Rainbow Way E. Turn (R) onto N Brook Lane. Destination on (L). Yellow sign: "31 N Brook Lane" 31 , SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I cn 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 5 RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY VERY G=GRAVELLY GRAVELLY S=SAND SAND L=LOAM Si=SILT SILT C=CLAY CLAY E=EXTREMELY EXTREMELY R=ROOTS REQUIRED FOR FINALAPPROVAL. 4NPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE A L CATION APPROVED/ISSUED BY DATE (( 4 ( ] u 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: 4 2 2 1 6 - 5 2 - 0 0 1 1 5 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.Maximum er sire 11"X17" T g���'�.rra�s%'.e„��.,vwa.U°�..�..,"•t'�:.�yi.*' .-; .:'�m xao... ..��-..'''"<'�'°#� �.� �� 'i..�..... �_„e..-�.,w�x.x.r�s^z,.r,. ,x}...mc'�.xa. :.0� � ...aM•.'"u..�_... '�',,z.�v.a, e Permit Number: SWG - (,C7 l g Designer's Name: Arrow Septic Designs, Inc Applicant's Name: Lisa Werner Designer's Phone Number: (360)898-2255 Mailing Address: 15010 11th Ave E Designer's Address: 171 E Vuecrest Dr Tacoma WA 98445 City State Zip Union, WA 98592 City State Zip Designer's Email pauta]@hctc.com .d «e' A� 5' ✓ a �. .. '� ` Kam$ 'V r n,,. Treatment Device ❑Glendon O Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter El ATU NuwaterBNR-50-500 !]Other Treatment Level(check all that apply): ❑A p B El C ❑BL1 21 BL2 O BL3 21 E ID N Drainfield Type ❑Gravity 'Pressure O Trench l 'Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 40 Daily Flow:Operating Capacity 180 gpd Length 30 ft Daily Flow:Design Flow 240 gpd Diameter 1.25 in Septic Tank Capacity(working) NuWater BNR-500 gal Number 4 Receiving Soil Type(1-6) 3 Separation 2.5 ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 300 ft2 Total Number of Orifices 24 Designed Primary Area 300 ft z" Diameter 3/16 in Designed Reserve Area 300 ft2 Spacing 60 in Trench/Bed Width 10 ft Manifold Trench/Bed Length 30 ft Schedule/Class 40 Elevation Measurements Length 7.5 ft Original Drainfield Area Slope 5 % Diameter 1.25 in New Slope,If Altered 5 % Preferred manifold configuration used? 1 'Yes O No Depth of Excavation Up-slope 14 in Transport Pipe from Original Grade Down-slope 8 in Schedule/Class 40 Designed Vertical Separation 16 in Length 120 ft Gravel-based Drainfield Required? I6 Yes O No Diameter 2 in Pump Required? I f Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 4 Dif.in Elevation Between Pump&Uppermost Orifice 8 ft Dose quantity 60 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice h 'Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 14.16 gpm Tiimer� l s let r t4 ❑vEvent Counter Calculated Total Pressure Head 10.75 ft If Ti uti�p o )mntesp p Q ff 6 hours 1. n krt Comments JUL 022026 Y, sd MASON COUNTY ENVIRONMENTAL HEALTH ` ot Revised:4/14/2025 N /' o /// U1 o Ii I ...- " •'/p�� `.� �t!,�i-yew°.. ... -• /f 4 L _- o I. ,, rn 6yw. o } v $ yy.; cczr 714Q!1/� oars f .� a Y .q a +ata :2.Ey ° T ' X27• �� o '° I. c� �b.� � $����• a.'gt;tF 'T i�`d, �Jr `_ � m o� `` ,�•y4�` � 3 N fb' &., ,�7�•.ja3�' $'.may ., m-� .3f ��� V" � o ar. 37 4 dKS6rF.cY a• o �i ,�, a Fi r.. rK4 2• k o, � gym: -z' �uu rajis'�ko �:. � 8& �,�v t•aY , ,% ;d / - ____ ` rt<r��.tlY�'�„�'�•'s �¢� wq" '�t�• ��d�•'2�v*� � � v� �i�'° < " ±b �•!� ` e �& ��• �9t�4i'�`�.{tea• `> � �� .r<., a $ a. k '' �•,vA 4a d' � •,p�' - Y@�� %'� � •it" � � Sd f+,a•'K9� `k '+,f>• y> `2"�.-.. `psi.• • _.<. �, l i 'o ye,Na O •yy y4 �. y e.yo>� ��i Q 4J• 4 ". 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T 9 Pik r,ti / 100349 O r/ ( Yew PAULA JOY JOHNSON 'ft I �.m V If 1. b� SM1 '• 17 1,�� 0 Rv� 11/I ' 1 Sr PL eT PLA?4 Audio-Visual Alarm jV Cleanout t NuWater BNR-500 ATU Tank Vn 1,000 Gallon Pump Chamber 4•q. PMOVç Y 2 JUL022026 • MASON COUNTY ENVIRONMENTAL HEALTH JSt 1, 30. �t Ali 3 "� 0 C.OIi �fa o1 uaa • r4o $ 5100349Q' Y:( PPULA JOY JOHNSON zø I • -.r �•..�iCf�iS�b't��t�N�i#�• .. I�er�qb�4 e Sandy I6at1+ C.ave.Y�fet� L� rc�� eer ON C .. . N4_s 'DBE lW f�R NeW i I�yeat)e� j,.SWEEPING 90 toE it A a sap be ituafkd on m past pipe. Can-rc a bottomT cwN OUTo pipe 'seer y sg sygm=e as eoaasea �3�bs m • ;i•3{ • ` • • NOTE, CLEA��' TO �E FROP�i 9 T0 5 *AM ENDS WITH RESAR e �� AiT�` d }�A K4 JUL 02 20? pUIPED AT END OF EACR LATZI AL a 4 1 MASON COUNTY ENVIRONMENTAL HEALTH v Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 1 360 30 ti,<F` 60 6 30 30 2 360 ,30 60 •6. f;;r 30 30 3 360 X30 60 6 `.3 30 30 4 360 30 K 60 6 '`` 30 30 Total Lateral Length 120 Total#Orifices 24 GPM= 14.16 Dynamic Head Calculations Selected residual pressure: 2 ft' Length(Ft.) #Orifices Transport Pipe < 120 f. 24 0.47 ft. Feeder Total Lateral Line Length Lateral#1 30 4 • 34 6 0.07 ft. Lateral#2 30 2 32 6 0.07 ft. Lateral#3 30 w F•2 32 6 0.07 ft. Lateral#4 30 4�'4 34 6 0.07 ft. Total Elevation Lift $00 � ft ` I • Total Dynamic Head 10.75x, ft. JUL 02 2026 : / MASON COUNTY ENVIRONMENTAL HEALTH THREADED UNIIbN SEGURW uD wff H GAS TWW SEM. e Zr4 D1A11ETER ACS RISER V8 µICE FlNWH GRAaE — • To ORAINFUELD FROM SEPTIC TANK - ANTI s1PNON EMERGENCY STORAGE VALVE" H16H WATER ALARM LEVEL FLOA y�ORKiF{6 VOLt1ME FOR FLOAT 771 L.E — — - NOWT06 PUMP — .CHECK VALVEirir : t as - ..•_. _...__..._._....._......_. --.t.fl I.S I .:. 8�111ENT8 r -- PULP s1oo34s �? PifMP,CyA1� 1'� PAULA JOY JOHNSON '. ITYPI M-% LiG` ($�bbl�5N i!• 'AS NEED required by WAC chapter 246-272C and FIGURE. Septic Tanks must meet standards ust be on Dept of Health list of registered sewage - manufacturer m 5' 7 , r • Bronze construction available(139 series) s �¢ � High head version available(145 series) a u� zu' ~` • Double shaft seal versions available for added protection FIa 1 Math on models 140/145. Abe For more information,see Technical Data Sheets FM2782,FM2783. In high head dewatering or effluent applications where pumping performance is critical, this robust — PUMPPERFORM401145 R4E /- MODEL 137!1401145 family of pumps is known for reliability, ,5 durability and performance. These u pumps are especially suited for harsh environments.Zoeller's cool run design and corrosion-resistant,powder coated ,a W epoxy finish add up to a long-lasting, 9 trouble-free product. 4, APPLICATIONS: - • STEP or onsite applications " • Water transfer ,° • Light commercial dewatering SPECIFICATIONS: °� • 1-1/2"NPT discharge - " • 1/2 HP through 1 HP 1111ADE IN THE USA " • Available in automatic or nonautomatic 0SWIAMAJ0RITYiFUStlI1IHT : • Model 137,139.140:1/2"(12 mm)spherical solids ° capacity with vortex impeller 10 " 20 12 50 50 ° 8° '° 'm • Model 145:3/4"(19 mm)spherical solids capacity with a aS "° Z,° loW ccawnrE 152656 vortex impeller PUMP PERFORMANCE CURVE �A _.N MODEL 151/152/153 Dose-Mate 50 This is our fastest growing line of effluent 14 45 153 pumps.The 150 seriesistruly a workhorse designed for reliability under extreme 12 40 conditions in an effluent environment. 150 series pumpcurvescoverawiderange = 10 35 152 o --- - of applications. They are well suited to 30 applications with low pressure pipe(LPP) e and enhanced flow STEP systems.Zoeller's 25 151 cool run design and corrosion-resistant, 20 powder coated epoxy finish, in addition to the hermetically sealed, oil-filled motor 15 and non-clogging vortex impeller add up to 4 a long-lasting,trouble-free product. 10 z APPLICATIONS: • STEP or onsite applications 0 MADE IN THE USA 10 20 30 40 5o so 70 80 90 100 • Light commercial dewatering GALLONS SPECIFICATIONS: LITERS 0 40 80 120 190 200 240 280 320 350 ó FLOW PE MINU 014506 • 1-1/2"NPT discharge 9 • 3/1O HP through 1/2 HP • Available in nonautomatic or with a variable level p rY piggyback mechanical switch i JUL L 02 2026 1/2"(12 mm)spherical solids capacity with vortex MASON COUNTY ENVIRONMENTAL HEALTH thermoplastic impeller For more information,see Technical Data Sheet FM2784. J Bvq ©All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoellerpumps.com 9 i -1' I ER LID VENT(typ) DUAL PORT AERATOR-, RISERS(TYPj TYP) t 36'MAX. T I 9'PVC P) AIRLINE MASTIC 4' 2'COUPLING 1 &REDUCER 8' I r TEE 1'PVC SLUDGE 12' RETURN UNE 2'PVC I { 1 TRASH CHAMBER DIGESTER CHAMBER CLARIFIER { OPERATING CAPACITY:417 GALLONS OPERATING CAPACITY:421 GALLONS CHAMBER FLOOD CAPACITY:490 GALLONS i FLOOD CAPACITY:494 GALLONS 160 GALLONS FLOOD:191 GAL I _ o 0 0 I 35 0 1'x ire o TEE Itr3 '° i �� tau JUL 02 ' ' 2 202" 1r ! ,fi O••• DIFFUSER BARS(2) n ENVIRONMEN T ELT PARALELTOTANK WALL 4' J 3' It SLUDGE RETURN I V / 1S'TAPER SIDE VfEUY r=1.4 R STONE-FREE NATIVE SOIL OR COMPACTED SAND INSTALLATION INSTRUCTIONS I OVER STONY SOIL 1)Excavate tank hole with vertical walls to 1 foot larger than tank on all sides. 2)If bottom of hole is stony,install 3"of compact sand&level g-2" out with screed. 3)Install tank in center of hole,keeping 1 ft.void space on 1 all sides. I 24 RISERS ] 24'BLOWER 4)As tank is filling with water,fill in void space with compact ! l I012"RISER N TOP Q4 granular(sandy)soil free of large dumps of day. I I 5)Install rest of system,&affix risers to adapters with I I waterproof adhesive. 4• • 6)Perform watertightness test In field as required by local jurisdiction. I I II I 7)Upon approval to backfill,carefully backfill with native I I i I I I soils over top of tank. I TRASH CHAMBER .I I DIGESTER I IC 4wF1RI 8)Final grade the surface to avoid chanelling surface L_ L_______J L__J water toward tank ————— TOP VIEW 1'=28R AEROBIC TREATMENT TANK DETAIL FOR Nu WA TER BNR-500 TREATMENT UNIT ENVIRO-FLO, INC. 3/01112 s e Wastewater Treatment Technologies P.O.BOX 321161,Flowood,MS 39232 (877)836-8476 (601)845-4716 fax scaLF _ www.enviro-flo.net - 1. . �� I . ... �.rs�,,a�s�cd?Pr�ctmcrr�:syrafi+ s+sar.�rvi�ires coa�xc P i , 1 PARTS UST NuWater NR Assembly Diagram A.DUAL PORT AE ATO R M PQLY•DIFFI5SER 8AR B.378"RUBBER 90:`•(+Sti CAPS Viz) N.f PVC.(3:.!&SECT C>318 ARBE "ADAPTORX Fr PT(2) 0.1SLIPCIAP D:sI2 S�iP X"f72"NPT ADAPTOR I':;fJ8 CI BAR i'1fC�iOSE:{L1P FlO�iitL 57 3=i'.S3RkEi X:ii2'NPT'SliSf#NG(3)' C.ti2''PVG-PIPE(Bf JI STAYLER) F,tl2`..90:ELBOW 3) R.'1"PVC PIPE(9Y INSTAL1:ER) G 1 .X 1"X VT TEE S.2"PVC'PIPE(SY•1IQSTALLER) -1 t 90.ELBOW(3) •'T.Ile BARBED AOP.PTOR7O 1i4 WP'T(2): 1 TX I BUSHINGBUSH1G t1.:tl2'53RET'X tit T I ) 0 V a �y S.. SRN3 rARY TEE 12"OV6 CO(O-Lti K t PVC CROSS W. COUPLEfR(ByINST JUL 2 N �F v. > .t 'COUPLER'(Bl�iNSTACLE32). �, 0: 3.�O MASON COUNTY ENVIRONMENTAL HERevised 2/25/12 aw Septic `. )ens ign , 3iicb � . QI W484, NuWater BNR Pretreatment „- INSTALLATION &MAINTENANCE Pressure Distribution Systems PAULA JOY3JOHNSON 1. Install Laterals with contour of the ground. (Q—(z. - s 2. Install trench bottoms level. 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. Redundant off switch not required. 8. Install check valve in pump outlet line to prevent system from draining back into the pump chamber. 9. 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. 10. 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. 11. 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. 12. Divert all storm water runoff away from on-site sewage system. 13.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 14.No vehicular traffic over drainfield area or tanks. 15. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed. 16. All materials and workmanship must meet County and State regulations. 17. Deviation from this design without prior approval from the Designer and Mason County Environmental Health Department will make this design null and void. 18. All manhole lids and access, sampling or inspection ports must have locking covers and be located at ground level. 19. 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. 20. All transport lines under driveways or parking areas must be encased to prevent crushing. 21. Homeowner is responsible for all property lines and easements. 22. Please Note: When you begin using your septic system, contact your septic installer to discuss setting up a schedule for your required Operation&Maintenance on your NuWater pretreatment system. �A 4 `� L022026 MASON COUNTY ENVIRONMENTAL HEALTH J