HomeMy WebLinkAboutSWG2026-00151 - SWG Application / Design - 5/14/2026 4 MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON:360-4259670.EXT 400
BELFAIR'.360-215-4467.EXT 400
Public Health & Human Services ELMA.360-482-5269,EXT 400
FAX.360-427-7787
On-Site Sewage System Permit: SWG2026-00151
APPLICANT STEVENS SHAWN &NANCY Phone: 206-856-3608
Address: 41 E ELY PL ALLYN,WA 98524
OWNER STEVENS SHAWN & NANCY Phone: 206-856-3608
Address: 41 E ELY PL ALLYN,WA 98524
SEPTIC DESIGNER PAULA JOHNSON` Phone: 360-898-2255
Address: 171 E VUECREST DRIVE UNION, WA 98592
SEPTIC INSTALLER RICHARD MOORE* Phone: 360-509-1342-Rich
Address'. PO BOX 963 BELFAIR, WA 98528
Site Address: 18480 E STATE ROUTE 106
Primary Parcel Number'. 222014400000
Permit Description: Repair 3bd Nuwater to Oscar II
Permit Submitted Date: 05/14(2026
Permit Issued Date: 07/17/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid. $1,185.00 (additonanees may be required uponinstallatlonoreyeteml
Permit Expiration Date: 05/2012027 (based on date or 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 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 055.
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/healthlenvironmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
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MASON COUNTY "" ` "` ' //t/ O4
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Public Health & Human Services MLN.9LcLIv
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Environrr.etI Xea ItH 360-42 -9670,et 400 or=60-775 i16/.ott.410
415 N 6th seet-snit WA 8s84 SWG
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ON-SITE SEWAG EM APPLICATION 3 A
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Shawn & Nancy Stevens r tl (206) 856-3608
SS "R E , -
14619 - 205th Ave SE Renton, WA 98059 TO
18480 E State Route 106 a Belfair, WA 98528 Iry
N LNIE CF S,GvFN
Arrow Septic Designs, Inc a (360) 898-2255
.._A PSTo-_ CJ N
South Shore Construction (360) 509-1342
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EW RFSIO NIAL LSS r] C04NNNITY OS° F.COMMERCIAL 05G 5PR E M !VIDUAL WELL W PRIVATE TWC-PARTY WELL $
TIP, yc µ L C WATER SYSTEM
ff\E YCCNSTRL ➢0N I UPGRADES tkREPAIR/REPLACEMENT %" V Ss c I TABLE X REPAR IA
SO3MITTAL O SURPAC:NG SEWAGE EXISTING A LURE O SHORELINE
J�( SIGNPOEM(R(REQUIRED) WI SEPTIC DESIGN(REOJI EO 5=0 u, LOT E., 7=_ea _s m
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From downtown Shelton, take SR Hwy 3 toward Belfair, turn (L) onto E State Route 106,
Driveway to property is on non-water side, turn (L) at shared driveway at house #18530, r
follow sign to 18480 through gate with loop driveway.
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SITE MUST RE FLAGGED FROM MA IN ROADAND TESTHOIES MUSTBE FLAGGED WITH T£5THOLE NUMBERS. 0
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IRGRADE;F<r.URE 50..ROE br epc:7 pWposesl
❑VOLUNTARY ❑MAINTENANCE/PUMPING ❑BUILDING PERMIT ❑HOME SALE ❑COMPLAINT ❑OTHER
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THIS FORM MAY SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revises.4114/2025
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DESIGS FORM—PAGE ONE Assessors Parcel Number: 2 2 2 0 1 - 4 4 - 0 0 0 0 0
4 design will be reviewed when 3 copies of each of the following are submitted
v Completed design form that has been signed and dated. >Scaled layout sketch. including all ap dicah e items 1. okl ivt.
v Scaled plot plan.including all applicable items on checklist a Cross-section sketch, including all applicahle items on checklist.
This form may be scanned and available for public view on the Mason County Web site. tlaxrmum paper size: // 1I
PARCEL1nENrifl A114
Permit Number: S\\G 2 26- Desgters Same: Arrow SepticDesi Inc
Shawn&Nancy Stevens Designer's Phone Somber: (3fi0)898-2255 _
M Applicant's Address:
14619-205th Ave SE Designer's address: 171 E l'uecrest Dr
Sa n g AddTress: — — Union, WA 98592
3 R Renton, WA 98059 City State Zip
L9.LY-P� City State Zip Designers Emafl paulaj@hctc.com
_ 6ESlOb ARA941flUS
Treatment Device
❑Glendon ❑ Sand l Jter EI Mound ❑band lined Drinfield ❑ Rccire.uluting Firer SAP
wuwaBr BNR-soo L Other OSCAR
Treatment Level(check all that apply): ❑ A C 13 El C ❑ R1.1 E BL 2 1 RI 3 71L 71\:
Drainfield Type Yi'E--CTl4d-l.OSCAQ
Gravity Pressure ❑Trench ❑ Bed Sub Surface Drip
Septic TanWDrainfield Specifications Laterals
D
Number of Bedrooms 3 Sch ! .as Netafim .42 gph
Lan `t' 5'coil -25' long t
Daily Flow: Operative Capacity 270 epd
Daily Flow:Design Flaw 360 gpd Dia r " .66 in
Septic Tank Capacity(corking) NuWater BNR-500 gal Nun hJ�p _ 8 coils
Receiving Soil Typed-6) 5 / Sep Q '� 1.5 ft
Receiving Soil Appl. Rase 0.56(Column B) gpd;ft
a ' Orifices
Required Primary Area 643 ft' Tote ifi 50 x 8=400
Designed Primary Arza 648 ft' Diameter emitter in
Designed Reserve Area 900 it Sparing 6 in
Trench Bed Width 12 ft Manifold
trench:Bed Length 54 ft Schedule'Class 40
Elevation Measurements Length 54 h
Original Drainfield Area Slope 5 o Diameter 1 in
New Slope, If Altered 5 % Preferred manifold configuration used" IYes ❑No
Depth ofEmavation Up-i& 0-12 in Transport Pipe
from Original Grade Down-aope 0 in Schedule:Class 40
Designed Vertical Separation 12+ in Length 60 ft
Gravel-based Drainfield Required? O Yes V No Diameter 1 in
Pump Required? Rf Yes C No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 350
Diff.in Elevation Between Pump&Uppermost Orifice 5 R Dose quantity 1 03 cal
Drainfield Squirt Height Selected Residual(heed) _fi Chamber Capacity (flood) 1,000 gal
llppemtost Orifice ❑Higher Lower than Pump Shutoff Pump controls: Please check those required.
Capacity @l Total Pressure Head 9.2 gpm CNf Timer O B&apse Meter ❑�cvenr Counter
6.0 If Timer: Pump on 22 sec -pump off 3min-44 sec
Calculated Total Pressure Head 1t P
Comments
A P P RO1=f ;a-i- 1
ii 17 217b
Revised:4/1420?_
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DESIGN FORM—PAGE TWO Assessor's Parcel Number: 222L 2 0 ? — 4 4 --
Permit Number: SWG 2026-00151
DESIGN:CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
56 Test hole locations O Drainfield orientation and layout Reference depth from original grade:
$6 Soil logs 56 Trench/bed dimensions and [d Septic tank
9 Property lines
critical distances within layout Drainfield cover
Existing and proposed wells
O-Box/Valve box locations Reference depth from original grade
and restrictive strata:
within 100 ft of property Septic tank pump chamber
l� Measurements to cuts.bank,and
locations M Laterals, trench:bed,top and
surface water and critical areas 19 Observation port location O bottom
rte n drain collector
Cl Location and orientation of 9 Clean-out location ❑ Send inaugmentationraicone
curtain drain and all absorption 56 Manifold placement
components 9 Orifice placement Other cross-section detail:
56 Location and dimension of l9 Observation ports/clean-outs
Lateral placement with distance
primary system and reserve area to edge of bed Other Information
9 Buildings 59 Audible visual alarm referenced Yes No
66 Direction of slope indicator Scale of drawing shown on scale ❑ Design staked out
❑ Waterlines bar
O i[9 Recorded Notices attached
easements.driveways, ❑ l[3 Waiver(s)attached
Roads, } p Elevation benchmark and relative ❑ Pump curve attached
parking elevations of system conponents EX O Evaluation of failure
id North arrow and scale drawing
shown on scale bar Non-residential justification
❑ 9 Waste strength
'�'� ❑ dPlow
D
*1�tion R1 Yes ❑ NoThe undersigned designer must be notified by in at
' PAULA JOY JOHN. �.QO�Z6
Signature
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 regulations:
Environmental Health ecialist Dare
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. Z.—I
✓ The Onsite Sewage Permit 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:4/I4 20?i
Arrow Septic Designs,Inc
171 E.Vuecrest Dr.
Union, WA 98592
June 29,2026(revised)
Mason County Department of Health Services
415 N 6th St
Shelton,WA 98584
RE: Shawn&Nancy Stevens Property(Parcel#22201-44-00000) Septic Upgrade
Dear Inspector:
Attached is a replacement/upgrade septic design for a property located at 18480 E State Route 106,Belfair, WA
98528. There is an existing home originally built in 1963 with no original septic records. It has(2) 750 gallon
tanks,one at the house and one at the RV Spot and includes 120 lineal feet(360 s.f)of drainfield. This is
equivalent to a 3-bedroom septic system using legacy sizing.
The owner is adding another new septic system on the property to serve his new Garage with ADU apartment,
so he had the old system inspected per Health Department guidelines. It was discovered that the existing septic
system is having problems,high level in the tank and the drainfield is blocked with roots and no longer taking
water the way it should. This system will need to be replaced along with the addition of the new system.
The old drainfield is to be abandoned in place. The existing tanks are to be decommissioned or removed, or
may be used as pre-trash tank at the discretion of the installer.
The proposed replacement drainfield is a NuWater BNR-500 with 1,000 gallon minimum pump chamber
followed by a 648 s.f. OSCAR low-profile mound drainfield, sized using an application rate of 0.56 using Table
VIII-Column B in a loamy very fine sand soil. A solids pump basin with a high-level alert is proposed at the
RV spot to lift the sewage up to the main tanks. There will also be a new pump and control panel with a timer,
elapse meter and event counter to facilitate future operation and maintenance. The primary and reserve
drainfields are over 100' from the well. This new system meets Treatment Level B without disinfection. The
well is 100 feet away from the drainfield and a full reserve is shown.
The property owner's contact information is as follows:
Shawn&Nancy Stevens
14619—205'"Ave SE
Renton, WA 98059
(206)856-3608
If you need fort formation,please contact my office at(360) 898-2255.
Sincerely, e' ' �•
`t ZAn
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APPR�OV .. 4
N4 PAU A JOY JOHN 0 � ,� �� �` '^' � ��
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NuWater ATU Pretreatment to OSCAR at-grade drip design Calculations
Friction Loss Calculations:
F= L(Q/K)atss
F=friction loss through pipe in feet of head
L=length of supply line in feet
Q= Flush GPM
K=47.8(1" sch 40 PVC pipe)
Table KY
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240 5v 5 • 1' 1 75 9 75 50'
�E 360 8 4 2 2.8 9.2 50
480 10 5 2 3.5 11.5 50'
600 12 3 4 4.2 9 50'
Coils must be arranged in a single Line
F=60 (9.2/47.8)'25
F=3.0 JUL 77 Zi3!F
Total Design GPM=Flush GPM =9.2 _.
GMP discharge at Drainfield= .42 gph/60 min per hour x 50 x#Coils= .35 GPM x#Coils=2.8 GPM
Total Head = Friction Loss+ Elevation from Pump Tank to OSCAR Coil Drainfield
Total Head =3.0+5=8.0 (8.0< 50' excess TDH—OK)
Dose Volume=.35 GPM x 8 coils/22 sec (per manuf.)x 60 sec per min= 1.03 gallons per dose
Timer Settings:set at 360 GPO
360/1.03 gal per dose= 350 doses per day
1,440 minutes per day/350 doses per day=4.10 min per dose cycle (id .on &off)
On Time=gallons per dose/gallons per minute
On Time= 1.03/2.8 GPM= .368 min= 22 seconds
Off time=41 min—.368 min=3.73 min=3 minutes&44 seconds
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OSCAR at-grade drip design Calculations
Basal Area Calculations:
Base Design Criteria:360 gpd design flow, soil type 5 (0.56 gpd/ft2 using Column B), sloped site (>5%
slope)
Basal area required=daily design flow ' soil loading rate
360 gpd_0.56 gpd/ft2= 643 sq.ft.
Coil length=8 coils @5' diameter (8 x 5'=40')with 6" coil spacing 7 x 18" = 10.5'=50.5'
Minimum shoulder width @ 6" (2 x 6" =1') = 1'
Minimum side slopes at 1 : 1 slope @ 6" (2 x 6" = 1')= 1'
Minimum basal area length =coil length+shoulder widths+side slopes =50.5'+ 1'+ 1' =52.5'...Use 54'
Basal area width=required basal area +minimum basal length=643 sq.ft. +54'= 12'
Basal area dimensions=54'x 12' (648 s.f.)
Media:
OSCAR drainfield: ASTM C-33 sand media: as per Washington Department of Health's Recommended
Standards and Guidance for Intermittent Sand Filters.
Supplies/Control Panel:
• Order NuWater-O kit that does not come with a control panel
• Control panel comes with Oscar Kit to serve both the NuWater and the Oscar
OSCAR authorized dealer supply kit contact info:
• H.D. Fowler(Tumwater) phone: (360)459-7300 yr
• Iconix Waterworks(Tumwater) phone: (360) 539-7518• Ferguson1
uson Waterworks (Silverdale) phone: (360) 697-1510 �`�' �g
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•aampa,and Seale:NNile&EPDM
.Clamps Spnng and Bolts;Stanley Steel
Temperature Range:-CO°-160°F(-CO°-70°C)•Maximum Pressure:14C Pt (9 65 bar)
•Meter.
•Size:3W Composite Plastic
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Ordering lnfomalion:
Model Number:LO HWN-7-CAN
Desaipeon Manual Flush headwon< _
Lowridge Onsite Technologies,LLC
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P.O-BOX 321161,Aowood.MS 39232
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1/2 hp Submersible Sewage Pumps
LITERS PER MINUTE
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LESO-Series Control Panel Information
SX-SERIES SX-SERIES AE-SERIES AE-SERIES AE-SERIES AE-SERIES
3-FLOAT 3-FLOAT 3-FLOAT I 4-FLOAT 3-FLOAT I 4-FLOAT IFS-SERIES IPD-SERIES
PUMP NEMA1 NEMA4X NEMA1 NEMA1 NEMA 4X NEMA4X
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IMPELLER 2 VANE SEMI-OPEN ENGINEERED THERMOPLASTIC ELASTOMER
SOLIDS HANDLING 2
PAINT POWDER COATING
MAX UQUID TEMP
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CONTINUOUS DUTY 40°C/104`F
INTERMITTENT - 60'C/140°F
MAX STATOR TEMP 130°C/266`F
THERMAL OVERLOAD 105°C/221°F
'.. POWER CORD TYPE SJTw
MOTOR HOUSING CLASS 2S CAST IRON
VOLUTE CLASS 25 CAST IRON
SHAFT STAINLESS
HARDWARE ; ° STAINLESS
O--RINGS y ✓ BUNA-N
MECHANICAL SEAL CARBON CERAMIC
MIN BEARING LIFE
"'50,000 HRS -
WEIGHT 19.5 KG/43 LBS
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NuWater B\-R Pretreamnent --yam
INSTALLATION& MAINTENANCE PAULA or Jch..sory
OSCAR At-Grade Drip Distribution Systems v£Nga 'I
1. Installers must attend OSCAR training and be certified by Dave Lowe at Low Ridge
Technologies (www.lowridgerech.com)prior to installing this system.
2. Installers most attend NuWater training and be certified by Nathan Ek at Ek Engineering
(www.ekengineering.net) prior to installing this system.
3. OSCAR supply kits are available through H.D. Fowler, contact Dennis Groff,phone: 1
(800) 927-5699 or Ferguson Waterworks (Silverdale) contact Zach or Daryl 360-697-
1510. Control panel will be pre-programed by supplier.
4. Order NuWater-O kit that does not come with a control panel. Control panel comes with
Oscar kit from suppliers above.
5. OSCAR Sand media must meet or exceed ASTM C-33 standards.
6. Install drainfield level with contour of the ground.
7. Install drainfield during dry weather and soil conditions; any soil smearing must be
eliminated by hand raking.
8. Tanks must have risers to the surface as required by Mason County to ensure easy access
for future operation and maintenance.
9. Headworks must be in boxes accessible from the surface for future operation and
maintenance.
10. Ensure any trees and shrubs are removed, grass is cut short and then scarify surface of
ground in drainfield area to prep for drainfield.
11. Ensure 6"minimum cover sand media over the drip irrigation tubing.
12.Install audio/visual high-water level alarm. Redundant off switch not required.
13. Install return line from headworks back into the pump chamber.
14. Encase all water lines within 10' of drainfield and under any driveway/parking areas.
15. Divert all storm water runoff and house downspouts away from on-site sewage system.
16.\-o curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge
of the drainfield and reserve area.
17. Inspect floats, clean filters, and test high water level alarm every 6-12 months as needed.
18. All materials and workmanship must meet County and State regulations.
19. Deviation from this design without prior approval from the Designer and Mason County
Environmental Health Department will make this design null and void.
20. All manhole lids and access, sampling or inspection ports must have locking covers and
be located at ground level..
21. All transport lines under driveways or parking areas must be encased to prevent crushing.
22. The preferable cover planting for subsurface drip is turf or grass. It is recommended to
spread a thin layer of straw upon completion of the drainfield to prevent erosion and then
seed with grass immediately.
23. The homeowner should ensure no vehicle traffic, roto-tilLing or digging in the area of the
drip field to prevent damage to the drip tubing. Also, invasive plant species should not be
allowed.
24.Homeowner is responsible for all property lines.
25. Owner Please Note: When you begin using your septic system,p� contact your septic
installer to discuss setting up a schedule for your yo recgued ,.-lerçjQp. Maintenance.