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HomeMy WebLinkAboutSWG2024-00418 - SWG Application / Design - 8/13/2026 MASON COUNTY 415N6THSTREET SA27-96 ,WA98580 SHELTON. 360-027-9670.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: SWG2024-00418 APPLICANT KILBOURNE ET VIR JOHN K Phone: 253 448.9036 Address: JAMES N FAY JR TACOMA, WA 98405 OWNER KILBOURNE ET VIR JOHN K Phone: 253.448.9036 Address: JAMES N FAY JR TACOMA, WA 98405 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-89B-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 SEPTIC INSTALLER BENJAMIN GUFFIN* Phone: 360-970-5709 Address: 2701 Fishtrap Loop NE OLYMPIA, WA 98506 Site Address: 71 E Country Club Dr E Primary Parcel Number: 321045000045 REVISED: New SFR -3BR Pressure System with Local Waiver Permit Description: (WA12026-00067) Permit Submitted Date: 10/1612024 Permit Issued Date. 0811312026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $1,155.00 (additional fees may be requred upon installation of system). Permit Expiration Date: 10124(2027 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.govlhealthlenvironmentallonsiteloss-inspection-request.php or call: 360-427-9670,extension 400. N L L uwLOCT 1 E 2024 _- OFFICIAL USE ONLY --- By PE<ED. ® MASON NI -L M!WnT PYFIVEU P2CENEOBa m 41 COMMUNITY SERVICES 5HD o m G [n Nbi[MWNICnmmunlry�eahR:EmnrannenLl ieahM1l N sWG 202 ooyr8 o A z W ON-SITE SEWAGE SYSTEM APPLICATION 3 FPPuv:, JI cE n r John Kilbourne (253)448-9036 m c u.�u-se;aoaeas-$PE er STATE ZIP CODE Tacoma WA 98405 m 611 Yakima Ave S a p saADDRESS srFEET.C!> ?. CO 71 E Country Club Dr E Union WA 98592 0 1 °' N Arrow DEs,YER O - Arro 2 N w Septic Designs 'I (360)899 8-2255 nexzo°sr:-ER PaD�+E o GEPpAIRTVPEi ee9crer C C DRIN9N$'ttLTEi S^VPLE Q 1YL RESO-ITIALCs5 tL LOMM1NNITV CE5 i.I LOAg6ERCfAL 055 Cl PRIVATE IROIVIDUAI_WELL B PRIVATE TYA IARTY S.-LL Z PJBL.O`NATER GiSTEv rvP yf NENI LONSTRVCTION'UFGRrvO"a" rI REP:.IR YrtEPLAC�,dENT -- '� EDBMIPnL ❑ eUFFACwG SEW..GE ❑Ex!snuG.AILLnE ❑SFORELwE p w� �r t9.0ES.On OR IREOUIRED, SEPTIC OaIGs(REQUIRED) a buns ! 3 BR .55 acres n _ - O WRIVCR 6 -P ICFBLE oFRcr us'O 5.1;AND SCE cor Li xm aA:.' Go out E McReavy Rd toward Union and turn (R) onto E Manzanita Dr. Turn (L) onto E Country Club Dr W. Destination on (L). Yellow sign: "Kilbourne" o o 0 a STE MUST BE FLGGEO FROM AI R040 htQO TESTRDLISs.a=AuaER vnTH NIA -- OFFICIAL USE ONLY BELOW THIS LINE- - u PGRAD EA ILWE SCUPC-tC,•m.rnra I T9 VP ❑VOLUNt RY o!MIrvrN5rvcc�PJV TraG of VILDN PERNIT C HOME SALE OCOM=LA@T 0OTNER PECTO El,,..c,s —� --_ COL1 ENTs;calT:OiS Vr,S Apo zo z� RECORD DRaA NoAND INST LV I:ON REPOR' SOIL RDEc Et RaAVELLY S =L - aw s±LILT c . F R-Rcma REOUII.E D P^O+*_ DATE G.,SSJEO9Y NS E"TOREvx..LxE rA*E -P c R•T]m ^// ?0 /c .2 I -Z1 Vn/ 76 T IS ORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE R EIIEE➢,E:::]p:5 DESIGN FORM—P,CE ONE Assessors Parcel umber: 3 2 1 0 4 - 5 0 - 0 0 0 4 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. ' Scaled layout sketch,including all applicable items on checklist v Scaled plot plan. including all applicable hems on checklist 'Cross-section sketch, including all applicable item on checklist This form may be scanned and available for public view on the Mason County Web site. Ma.imim ape' .c/:e /f r I 202400418 Desi2ner'sName: Arrow Septic Designs, Inc Permit Number: S1bG - John Kilbourne Designer's Phone Number (360)898-2255 Applicant's lame — _.—. -. Yakima Ave S Mailing Address' 611 Ya Des:guz's Address: 171 E Vuecrest Dr Tacoma WA 98405 Union, WA 98592 City State Zip City State Zip 1 s'+ ,r rr>.,.'_` .. . -.s ret- TJS4 .Treatment Device ❑ Gleadot Biofliter C Sand Filler O Mound ❑Sand Liuci D-infield O RecirculaTing Filter.Type: O Aerobia Unit Make/Mode] C D_-Recdon 1 n i Make/Model Other._ Drainfield Type ❑Graviry Pressure C Trench _--.1�Bed__ ❑ Sub Surface Drlp Laterals Septic TaplJDrainfield SpecificationsIJUL p i Number of Bedrooms 3 Sche rLla 5r. 40 Dads Flow Operative Capacity 270 - gpd Len I 45 ft Dam Flow: Design floe 360 gpd D a4 11 1.25 in Septic Tank Capacity(vorkingl 1,200 cal lul 2 x 2 =4 Receiving Soil Type l I-b) 3 Sep ' iii ii < �'I 2.5 ft Receiving Soil Appl. Rata 0.8 gpd/fta i Orifices Required Pima,Area 450 ft` Tota`-]Gtlmocror Nc 36 Designed Primary Area 450 ft, Diameter 3116 in Designed Reserve Area 450 ft- Spacing 60 in l Tench-Bed Width 2 x 5= 10 ' fl' Manifold Trench/Bed Length 45 It Schedule/Class 40 Elevation Measurements Length Z5 ft Original Drainceld Area Slope 0-1 % Diameter 1.25 in New Slope. If Altered 0-1 % Preferred manifold configuration used'. d Yes O N Depth of Excavation LP-in2e 11 in Transport Pipe from Original Grade own-shpa 10 in Schedule/Class 40 Designed Vertical Sepura:ion 24+ in Length 90 ft Gravelless Chamber Required? ❑ Yes No C Optional Diameter 2 in Pump Required? Rf Yes C No Dosing and Pump Chamber Pump/Siphon Specifications - lumberofdcse5,day 4 Diff. ill Elevation Between Pump& Uppemto t Orifice _12 fr Dose quantity 90 gal Drainfield Squirt lieighu Selected Residual (head) 2 ft Chamber Capacity(food) 1,000 gal Pump controls:Please check those required. Lapa city @ rificaHire H ❑ Lower than Pump Shutoff Event Counter Capacity a. Total Pressure Head 21.24 gpm Timer C�Elapse Meter 15.61 ft if Timer: Pump on 2 min Pump off 6 hr Calculated Total Pressure Head Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 1 0 4 -- 5 0 -- 0 0 0 4 5 Permit Number: S WG 2024-00418 DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 5d Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: 66 Soil logs fiJy Trench bed dimensions and Rf Septic tank 21 Property lines critical distances within layout Drainfield cover lve bo lV Box a x locations ❑ Existing and proposed wells ❑ D- Reference depth from original grade within 100 ft of property Eg Septic rank pmnp chamber and restrictive strata: 0 Measurements to cuts,banks, and locations Z Laterals,trench bed,top and surface water and critical areas Girl Observation port location bottom ❑ Location and orientation of Rf Clean-out location ❑ Curtain drain collector curtain drain and all absorption0 Sand augmentation tP � Manifold placement components 9 Orifice placement Other cross-section detail: 9 Location and dimension of placement with distance lRf Observation ports2tean-outs Lateral primary system and reserve area to edge o Other Information 21 Bmldings E9 Audibl Su alarm referenced Yes No Direction of slope indicator Scale rav shown on scale d ❑ Design staked out Waterlines bar ?s 0 if Recorded Notices attached 21 Roads,easements.driveways. .�°r Y ❑ 56 Waiver(s)attached parking 6d ❑Pump curve attached 10 North arrow and scale drawing 0 14f Evaluation offai'.ure w,hononscalebar / PAULA JOY JOHNSON , Non-residential justification IC EtlW16NCq ! ❑ Waste strene:h 0 9 Plow DESIGN APPROVAL The undersigned designer must be no ifie by installe at time of installation Yes ❑ No 4 odd A 3 2� Signature of Desiger Date ^^' The undersiymed has reviewed this design on behalf of Mason County Public Health and determined n tofiCi(s, ,� compliance with state and local on-si ula s: 1J y Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved'by Mason County Public Health. ��� 2 �� ✓ The Onsite Sewage Permit has not expired.the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect conditions ofdesign 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. dated Date: 12:7/2015 Arrow Septic Designs, Inc 171 E.Vuecrest Dr. Union,WA 98592 August 3,2026 Mason County Department of Health Services 415 N 6th St Shelton,WA 98584 RE:John Killbourne Redesign for Installation Flaws (Parcel#32104-50-00045) Dear Inspector: Attached is a septic re-design for a property located at 71 E Country Club Dr E, Union. A3-bedroom septic design was approved forthis property on 11-4-24. The system was not installed by a certified installer and has many errors,the primary issue beingthat the drainfieLd was installed fartoo deep and it is undersized. This drainfield is to be abandoned/backfilled and 2 new shallow beds are to be installed adjacent to it at the depth specified in the design.Awaiver is attached to reduce the setback from the drainfieLd to the foundation to fit the drainfield in the space remaining after abandoningthe improperly installed bed. The proposed system includes a 1,200 gallon minimum 2-compartment septic tank with an effluentfilter followed by a 1,000-gallon minimum pump chamber. Tanks were installed but the designerwas informed that the tanks floated out of the ground at some point. The new certified installer is to ensure the tanks are level, set property, not damaged and all openings are seated. Also, a small pump basin was installed outside of the pump chamber. The pump is to be moved into the pump chamber as designed and the small pump basin is to be decommissioned or removed. The new drainfield consists of 450 s.f.of shallow pressure beds using an application rate of 0.8.The system will also have a control panel including timed dosing, a counter and elapse meterto prevent overuse and facilitate ongoing operation and maintenance.This is a conforming system with over 24"of vertical separation and we have designated a full reserve drainfield area. Other deficiencies are listed in the re-design packet and on the attached Environmental Health Reviewof OSS Final Installation Letter from Dave Anderson 7-13-26. The certified installer is to ensure all deficiencies are resolved before requesting anotherflnat inspection. The property owner's contact information is as follows: •fi"�1�� '""�R�,19y� John Killbourne 611 Yakima Ave S Tacoma,WA 98405 4 . 2L76 (253) 448-9036 `t If you needfu .I Aimation, please contact my office at(360) 898-2255. OJa �(y�, NA: Paula.G hnson;..s 'q,\;ii Lice] �' '� r atment System Designer ta 415 N 6TH STREET.SHELTON,WA 98584 MASON COUNTY SHELTON. 360-225-4467,EXT400 EELFAI .3604259600,EXT400 ELMA 360-482-5269.EXT400 Public Health & Human Services FAX: 360-427-7787 ENVIRONMENTAL HEALTH REVIEW OF OSS FINAL INSTALLATION PAULA JOHNSON` 171 E VUECREST CRIVE UNION, WA 98592 Applicant KILBOURNE ET VIR JOHN K Parcel Owner. KILBOURNE ET VIR JOHN K Site Address: 71 E Country Club Dr E Primary Parcel Number. 321045000045 OSS Permit Number. SWG2024-00418 Permit Description: New SFR-3BR Pressure Permit Submitted Date: 10116/2024 Permit Review Date: The above mentioned Onsite Sewage System Final Installation was reviewed by Environmental Health and found more information is required. During the final installation inspection on 7/13/2026,the following deficiencies were noted: General -On the final installation inspection request,the installer is listed as Stores Construction-Stores construction is not a Mason County certified installer. A Mason County-certified installer is required to instal'on-site septic systems in the County. Septic Tank -The first chamber has an inlet elbow installed; an inlet baffle is required. -The second chamber inlet baffle is not installed; an inlet baffle is required -The effluent filter does not appear to be an approved filter, an approved filter is required. Pump Tank -Effluent pump and associated equipment not installed per approved design. Pump Basin -A pump basin was installed.A pump basin was not includec ir.the approved design. Drainfield -Grainfield excavated to 30 inches, but the maximum depth of excavation per the approved design is 11 inches on the upslope and 10 inches on the downslope. -Drainfield installed less than 10 feet from the house foundaEon. 10 feet of horizontal separation is required between the drainfield and the foundation, -The majority of the drainrock used in the drainfield is less than three-quarters of an inch, but it must range in size from three-quarters of an inch to two and one-half inches. -Laterals installed too close together. Per the approved design, lateral spacing is 30 inches. -Laterals are too short. Per the approved design, the lateral length is 45 feet. -One cleanout installed. Per the approved design, four cleanouts are required. If you nave questions or concerns let us know. Sincerely, Dave Anderson. EH Specialist 360127.9670, Extens!on 353 danderson @masoncountywa.g ov N1III1IEiIIIIllI j I Ifl "a IM sfne Q� _ 4 (Ev = r. AoJ ,.uENrMAP EXHIBIT 2 ,A D=:z2MM i A3EoieN PfdF 1930.3 Fnmw: PORnONS OF: Seeule,WA 98133 ALDERBROO GOLF A-VD\'ACRT CLOB�q t�TE5 Na I Fr ALDEEBROOK GOLF Ai.D YACHT CLUB PS'PA?ES No.12 LEGENDALDERBROOK GOLF 8S0 co >,"fYC uT 11 _ PROPOSEDLOTLLNE PLATTED LOT SINE TO B t1E�f"+`"'Q e�4� 311 72R 31 ` , -. .j:?:'.: 5EASE.�Jlsr't w7LL :•%�:"'• �'�:� ' BE EL TED ...G` v�cFs>aoauN� 611 c- }^ : :: '.^`% \\`$PARCEL 1 . 3310x-53-0OW6 \\ 56 P.iRC9.2 V' FARM S Bw 42 �'� •.- gpCp 5¢0°G3'507 3va 3°'soowa � • - {J 6a�3�� ,� ''•1$ 98C•4350'E 12�.JT \.' PARCELd 45 44z valc may : $ 5_5 -.'.'. . . .: • 5EASEMENC WELL Date AFpmvcd _2/t / j NEED TO BE ELB4JNATED BY COUNTY HEARPI(3. Portions of the West Half ``nn� of Section 4,the Wntip 21 N'oNt, f ryD g,�., ubJec} R '3wa�h>nwa1Oaf..'ar"e� a 3o � 1LP�ocR j Lu ID µ5"tT� � Vfv 1Gt�3 l.li1� 1 � JC fZ 1co' 55RER I / G=TEST HCi.E t3 A C 't • $(c" I5 raot5 / 35$ 15 t MOOT S p '}2Kt , to�,�.. i (2)SX�S PRthi5¢4 � i - T DF. BED w ITH t I t ( uJ IT+4. P26s5u2E - 3� w "' 4 33 'i-rRrNcH 2,ESE¢uE Wk-rER Ka:Fa Hwsc W ISS 70 Hev: y}JE, 3mZ „ s O 'ec-'vsti ptz ls.e..V 3o3`t f C oieanou LA c > V -250 C,.no efl w r�'3 r fl - 4 q anu�>>or.;o.tiHsora 2-cczno *men-w;r , L�^F�f.5ro.DESiENKa.. m C O l• ueu_t Filter to C -') S 'x Vr- b� y ,LbtisXSxD Z 1000 Crzilon a_p ch—b ..s- Z O D "Note to installer** Tr= © -roe {Fozoas4r�{HA)7 . - tn f Sleeve waterline when within 10' Fj 5lo PeS 740 c�o r� t of septic transport line.Maintain © S0' { V aned 6rffer � 10' minimum between water line and septic tanks/drainfield. 62' �r SP°rf 4 e (2' 5C4 , DRAINFIELD TOP VIEW �Z (2) 5 x ysr pressure beds Tyr��IL..� C-lrn.Huu- \11 ao" /&b \ ' 3° Cssr m fort,C (4) 1 . 25" sched 4Q laterals i 3/16" orificeS 60" 0. 0. 0" from bed ends Sc _9_t- S" = to D St tJf ,Jt ZCr p;J (srvaAt b5eY�ste—�. "�vc I.x5" ,,rt Dr• :v�ay. Circa 24+ =,q"',cnu�n5ior�oRrvgorv' �(1, 5cJ�� : _ 2 �r sazssci� DroH ietd Cress—SeC11on. View Na, T. Soo�e , Screw-Or Cc; AUg ! 3 02Bs :5 epee rba. ral Note- 0 - obse:vaiiaA Fort �I - aaa., ow To Be 4 PVC P un.Pe Iron: Bos of Trerch To Frlebed @c4. Removable COP stwil x rvote: C.eeew:f to ae from 0 ',d 6 Indies COW 0n o utaued on Ob,dfil,n P -t PIPe. A,'¢-a- Sno,*. . y CLued-On Tat. 'itdsrM 6rd a Mork mae wit Reber Gttn Out Wnmu^. O! 4 -od Regae r. System Regawed of the End of Eeal: Lots-0. Arrow SeptIc •Design '1360) 898- 22oo Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.) 1 540 45 60 9 30 30 bed 1 2 540 45 60 9 30 30 bed 1 3 540 45 60 9 30 30 bed 2 4 540 45 60 9 30 30 bed 2 Total Lateral Length 180 Total#Orifices 36 GPM = 21.24 Dynamic Head Calculations Selected residual pressure: 2 ft. Length (Ft.) #Orifices Transport Pipe 90 36 0.74 ft. Feeder Total Lateral Line Length Lateral#1 45 3 48 9 0.22 ft. Lateral#2 45 3 48 9 0.22 ft. Lateral#3 45 3 48 9 0.22 ft. Lateral#4 45 3 48 9 0.22 ft. Total Elevation Lift 12.00 ft. Total Dynamic Head 15.61 ft. 04 s(i A //++��,, PAUTA JUY JUHNS0N '�M� Iib4jPumps • ' • �� r"[l iV✓S �J *" LITERS PER MINUTE 0 50 100 150 200 250 40 12 3C UI us _EEIJXw Z0 6 ¢ t t H r p O - 2 AUi; 3 2026 ';rlRr.r'l ',A_H.�E m 20 w70 40 50 w D,;A GALLONS PER MINUTE 28•.)7;R]10^.:-)'c _Lain Pi 'r >.rdtu.rvi nv Is_ .wwiauu. v� t. } } _ m i ma=r-- SID 5LC T ANK' YAM ii j �I WArStALAMM L%'iL it�� i Fo 3 R r v @"ma • ,'- ! 1 3 I �" a ���. _S$YAM F 1 3�B _ a� fl[..� $2G".L .� Ec '&5 3 ' y 'C - ^-G72- 4- }; .C "'I_ ctT.iu ;ST cc o y CV �" c �' ^Se € - __ �9 of ck ow septic 1)eoigna, Sac. 14 INSTALLATION& MAINTENANCE ' �, '� `^•'�`~ Pressure Distribution Systems- Bed W -: Y �, PAUL JOY JOHN SO 1. Install Laterals with contour of the ground. ' n 2. Install bed bottom level. �h 3. Install locator tape or rebar at each end of all drainfield laterals. 4. Install observation ports as indicated on the plot plan. Minimum of 2 required in each bed 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 required. 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 check valve in pump outlet line to prevent system from draining back into the pump chamber. 10. 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. 11. 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. 12. Encase all water lines within 10' of drainfield and under any driveway/parking areas. 13. Divert all storm water runoff away from on-site sewage system. 14.No curtain drains allowed within 10' of the up-slope edge or 30' of the down-slope edge of the drainfield and reserve area. 15. Have the septic tank and pump chamber pumped or inspected every 3 years minimum. 16. No vehicular traffic over drainfield 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 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. 22. All transport lines under driveways or parking areas must be encased to prevent crushing. 23. Homeowner is resit all property lines and easements. � d AU& - ,< Mason CCma,