HomeMy WebLinkAboutSWG2026-00239 - SWG Application / Design - 8/20/2026 MASON COUNTY 415N 6TH STREET,SHELTON&WA 98584
SHEL 360-22]-9610,EXT 400 tS BELFAIR AIR:360-215-2467,EXT 400
Public Health & Human Services ELMA.360482-5269,EXT 400
FAX-360427-7787
On-Site Sewage System Permit: SWG2026-00239 LbJM�
APPLICANT Weeks, Brandon Phone: 2533O67954
Address: 2542 Larkspur Drive Puyallup,WA 98374
OWNER Weeks, Brandon Phone: 2533067954
Address: 2542 Larkspur Drive Puyallup, WA 98374
SEPTIC DESIGNER PAULA JOHNSON' Phone: 36O-898-2255
Address: 171 E VUECREST DRIVE UNION,WA 98592
SEPTIC INSTALLER SHANE MAPLES' Phone: 36O-463-8474
Address: 911 SE Arcadia Road SHELTON, WA 98584
Site Address: UNKNOWN
Primary Parcel Number: 422165000105
Permit Description: New 3bd pressure sandlined bed
Permit Submitted Date: 07/28/2026
Permit Issued Date: 08/20/2026
Issued By: Rhonda Thompson
Current Permit Fees Paid: $570.00 laddnlonauees may be required upon Insmllanon of system)_
Permit Expiration Date: 08/19/2029 @a,mr on data 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 MAYBE 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.govlhealth/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
MASON COUNTYjte
Public Health & Human Services F
et '3D SWG Z N
asry e:es�_ev sneeoa u'A sesBA Z D
ON-SITE SEWAGE SYSTEM APPLICATION m
m
(253)306-7954 m
Brandon Weeks m m
WA 98374
MAWNG ADORSSS-STREET-_''AT=LPCODE r Puyallup
2542 Larkspur Dr
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1 Hoodsport WA 98548 I a
G D. s-ska T, _ ._
120 N Kokanee Cove Way I(I n
_./NAMEOFOGSG�= '-- (360) 898-2255 ro
Arrow Septic Designs Inc C'_� v
—� (360)463-8474
NAME OF w= AUER WV-
Maples
Excavating P GE o
RES.DENTIALOSS
9
E M P oa: 1�` �a RI TE VUIJ] L'NELL RVPTE T.b'6PARTYZ
COMMUNITY OSS flCOM'�ER IALOS � Si _R SYS� M C
Cn
TYPE OF"�CCN Sis&V ✓P i- ❑ TABLE XR PAIR
9N NOONSTRO T1GN/OPORA9E5 REPAIR/REPLACEMENT D ❑ S ,RFACING SE AO ❑ EXISTING I 'JRE ❑ SHORELINE m
DES >RCAN3 0. -=
WAS LOT AFTER 41 kill' S
Guff�
. B (T Es.cN FORM(REQUIRED) SEPTIC DeslG,v IREGUIREo) 3 BR .20 ac ❑ -- E NC x I 0
ff VYATI ER(S)(.-APPLICABLE,
DIRECTIONS TO 5:T`-AND SITE CONDITIONS. a m[xedO2T1 O
Head toward W Alder St and turn (R). At the traffic circle,take the 3rd exit. Turn (R) onto N 13th St. Turn (L) onto N Shelton Springs Rd. Turn (R) onto US-101 N. Turn (L) onto N Lake r '
Cushman Rd. Turn (L) onto Cushman-Potlatch Rd/Lower Lake Rd.Turn (R) onto Lower Lake
Rd. Turn (R) onto Dow Creek Dr. Turn (L) onto N Kokanee Cove Way. Destination on (R). I I o
120" at driveway.
SITE MUST BE FLAGGED FROM MAIM ROAD AND iEsr HOt£S MUSTBE FIAGGED'MiNTEST ROLE NUMERS.
OFFICIAL USE ONLY BELOW THIS LINE-
UPGRADEI FAILURE SO re4or'g ALT 3sS!
.
❑VOLUNTARY oN NTENANO !PLMPING ❑ejfavc PERMIT ❑NOME SALE ❑00MPLAINT 0OT 5RWNn i:ON OMENNSPBC-0C$TALLOGs L i i 40
flo Si�r� t r �°F"21i1
RECORD DHAwING AND INSTAWATIONREPORT
sOlLcooes: VVVV =P.OOT6 � RED FOR FINA_APP1oW_
VERY G-GATURE 5=SAND 'O M Si SILT C V E=EXTRGM DATE
APPLICATION PPROVcD/156�DBY
DATE Y?,RA:ION DATE IN6PEGTOR6IGNA-�R_
THIS FORM MAY E SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
Revised.4/14/2025
DESIGN FORM—PAGE ONE Assessors Parcel Number: 4 2 2 1 6 - 5 0 - 0 0 1 0 5
A design will be reviewed when 3 copies of each of the following are submitted:
'Completed design form that has been signed and dazed. v Scaled layout sketch,including all applicable items on checklist.
a 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—Mccu num paper size: II X17"
3' t.P CLL1JwN1' 'CATIO
I _ er Designer's Name: A o S ptc Desi ns Inc
Permit\umber: SR'G W r� 1 360 898-2255
Brandon Weeks Desgner's Phone Number: (360)
MaiAppling Address:d em 171 E Vuecrest Dr
2542 Larkspur Dr Designer's Address:
Mailing Union. WA 98592
Puyslluop WA 98374 City State Zip .
Designer's Email p
aula hctc.corn
City State Zip1
DESIGNPARAMETERs
Treatment Device
❑Glendon ❑Sand Filter ❑Mound D Sand Lined Drainfield ❑ Recirculating Filter ❑ATC
❑Other
Treatment Level(check all that apply): ] A C B ❑' C ❑ ELI ] 812 7 BL3 -a1 E ❑N
Drainfield Type ❑ Sub SurfacejDrip❑GravityPressure ❑Trenchft�BedSeptic Tank/Drainfield Specifications Laterals
Number of Bedrooms3 Schedule/Class 40
Daily Flow:Operating Capacity 270 gpd Length 45 Diameter125 Daily Ftow:Dzsign Flow 360 epd
Septic Tank Capacity(working) 1,200 gal Number 4
Receiving Soil Type(1-6)
1 &3 Separation 2.5 ft
Receiving Soil Appl. Rate 08 gpd/ft2
Orifices
Required Primary Area 450 ft2 Total Number of Orifices 80
Designed Primary Area 450 ft2 / Diameter 5/32 in
Designed Reserve.Area 450 ft2 V Spacing 28 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 45 ft Schedule/Class 40
Elevation Measurements Length 7-5 ft
Original Drainfield Area Slope
2 % Diameter 1.25 in
New Slope,If Altered 2 % Preferred manifold configuration used? Yes ❑No
Depth of Excavation Up-slope 24+24=48 in Transport Pipe
from Original Grade Dorm-=Lone 22+24=46 in Schedule/Class 40
Designed Vertical Separation 18+ in Length 30 ft
Gravel-based Drainfield Required? L✓.I Yes 0 No Diameter
2 in
Pump Required? R1 Yes O No Dosing and Pump Chamber
Pump/Siphon Specifications
Number of doses/day 4
Duff, in Elevation Between Pump& Uppermost Orifice a ft Dose quantity 90 at
5 Chamber Capacity(flood) 1,000 gal
Drainfield Squirt Height/Selected Residual(head) —ft
Uppermost OrificeHigher 0 Lower than Pump Shutoff
Pump controls:Please check those required.
Capacity @ Total Pressure Head 512 gpm I!! Timer ❑ minute Meter ❑vf6 nt Counter
Calculated Total Pressure Head
17.88 ft If Timer: Pump on 2 minutes Pump off 6 hours
Comments APPROVE
�uG 20 2U26
Revised:4/14/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number:4 2 2 1 6 -- 50 -- 0 0 1 0 5
Permit Number: SWG
DESIGN CHECIQ.ISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R1 Test hole locations 19 Drainfield orientation and layout Reference depth from original grade:
Soil logs Rf Trench/bed dimensions and
lZ Septic tank
Property lines critical distances within layout Gd Drainfield cover
❑ Existing and proposed wells ❑ fl-Box/Valve box locations
within 100 ft of roeReference depth from original grade
property b Cd Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts, banks,and locations
surface water and critical areas 19 Observation port location IZ Laterals,trench/bed,top and
bottom
❑ Location and orientation of 1� Clean-out location
curtain drain and all absorption ❑ Curtain drain collector
Manifold placement 19 Sand augmentation
components
fd Orifice placement Other cross-section detail:
Location and dimension of
gLateral placement with distance t� Observation ports/clean-outs primary system and reserve area
to edge of bed
Other Information
Z Buildings
f41 Audible/visual alarm referenced Yes No
6d Direction of slope indicator
BJ Waterlines lZ Scale of drawing shown on scale d ❑ Design staked out
bar ❑ 141 Recorded Notices attached
Roads,easements,driveways, ❑ Elevation benchmark and relative
❑ fd Waiver(s)attached
parking elevations of system components 19 O Pump curve attached
55 North arrow and scale drawing ❑ Z Evaluation of failure
shown on scale bar
Non-residential justification
I ❑ Waste strength
❑ 9 Flow
•
D AP VAL
The undersigned designer must be notified by 'ttgllation E Yes O No
Nf)
.UL u, JUbNSQN
�e f
Signature tb. Sdbbl i"NgR" '•y Date
?soo._ vb
Theundersigned He i has reviewed this design
it,re on behalf of Mason Coun Public Health and determined it to be in
compliance with state and local on-site regulations:
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
The design is stamped"Approved-by Mason County Public Health.
The Onsite Sewage Permit has not expired,the Permit Expiration Date is: Z)I(-//t 11
✓ 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
LAKE CUSHMAN NO. J
SECTION 9816, TWP. 22 N., R.4 W. W.M•
MASON COUNTY ,WASHINGTON :,'r
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l2O N KD rA-N E F C009 s \\a4y �rNJ O Audio-/Visual Alarm
1�boD5PeR'S' 1UF} 88548 O C' out
1200 Gallon Septic Tank
;TEST IJCLE N. 2-Compartment Filter with
-- went Filter
*l O ' 2.0 GQaNE� _� w � s AUD
f}rtcl� O 1000 Gallon Pump Chamber
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• APPROV :D
G 20 2h
5 DEGREE ELHOM GR °, . r.. .
-TERALSWEEPING 94 NOTE'NO of _
�y3SB9ATrow YORTS --TO HS 4' -OGn.
E PVC PIPS PROM BOTTOM OP 2REMCE
r TO PINISHHD GRADS. REMOVABLE
Cy T CAP SHALL BE INSTALLED g�7 ODT ON OBSERVATION PORT PIPE.
T' *T BothM of OBSaV* tC' DoT'
NOTE, CLELOW P TO BE FROM 0 TO 6 TOTAL OF 'F IN SYSTaL.
INCEES BELOW FINISHED AE' OUT W5'&'
,L. ''&Ax8`ongg of -3U SA. il
MARK ENDS MIEN RBBAR.
REQUIRED AT END OF LACE LATERAL- IN TRENCEES-
4
Length Length Orifice # Distance from Distance from
Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In.) Clean out
t(In.)
1 540 45 28 20
2 540 45 26 20 4 4
3 540 45 28 20 4 4
4 540 45 28 20 4 4
Total Lateral Length 180
Total#Orifices 80 I GPM = 51.2
(with 5/32 orifices)
Dynamic Head Calculations
Selected residual pressure. 5 ft.
Length (Ft.) #Orifices
Transport Pipe 30 80 1.08 ft.
Feeder Total
Lateral Line Length
Lateral#1 45 4 49 20 0.97 ft.
Lateral#2 45 2 47 20 0.93 ft.
Lateral#3 45 2 47 20 0.93 ft.
Lateral#4 45 4 49 20 0.97 ft.
Total Elevation Lift 8.00 ft.
Total Dynamic Head 17.88 ft.
pFULP JOYvJOHNSON .
�° LiC S£tiU�5f6NFit
APPROVED
AUG 20 2G^n
v ;o( ::LT : ,,r�e�4�, EALrs
s� @
hbfj Pumps® OR �Cao1VA�EN r
Iaiii. IItr*flhl]11- 4j1 )
Flow(Liters Per Minute)
0 38 76 114 151 189 227 265 303 341 379
6D — 18
15
40 ___________ _T'_T 12
LL 9 E
. __ _ .
20 6
3
.—.. -- -fir—
p 10 20 30 40 50 60 70 80 90 100
Flow(GPM)
APPROVED
Fti0_Pl FHIliAp CCop9:8M1:']p Liberty pig^c Al:rights ed. 5pc:Ltiom SI±bj ccl to cLaitewiRnu
AIDS 20 2]?D P1mw
Figure 2. Typical Septic Tank and Pump Chamber
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