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Home My WebLink AboutSWG2026-00257 - SWG Application / Design - 8/2/2026 MASON COUNTY 4i5N6THSTREET, 0427-97WA98584 SHELTON:360127-9670.EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360127-7787 On-Site Sewage System Permit: SWG2026-00257 APPLICANT PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION, WA 98592 OWNER BARNES ANGELA& KENNETH Phone: 360-349-4109 Address: 410 W WIVELL RD SHELTON, WA 98584 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. 410 W Wivell Rd Primary Parcel Number: 419091100020 Permit Description: Repair/Replacement: SFR 4-bedroom pressure system with sand- lined bed Permit Submitted Date. 08/1312026 Permit Issued Date: 08/21/2026 Issued By: David Anderson Current Permit Fees Paid: $845.00 (additional gees may be Tured upon lnstauanen or sysiem). Permit Expiration Date: 08/2012027 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. 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. MASON COUNTY NfiSHELTON ,G"ELTQ70,EXT 400 SHELFAIR 360-2751477,EXT 400 BELFAIR'.3fi0-2]5-O467,EXT 400 Public Health & Human Services ELMA:360-O82-5260,EXT400 FAX:360-027-7787 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. OFFICIAL USE ONLY MASON COUNTY ERLT_ o'/i3/ a° S 0 N f.M011\Y RECEIvEr _� RECE,,VW SI.. _ O1 EP o n Public Health & Human Services < Environmental Healtn 360<27-9&70,exc W0 or 360275-4467,EC.400 ^� 1/� � w 0 415 N.6th Street- Shelton.WA 98584 SWG —� w A Z M ON-SITE SEWAGE SYSTEM APPLICATION m dr �� PHONE In APPLIn �--_ (360)349-4109 Kenneth Barnes MALNoAooRESs.sTR i,GI SATEL,CLU = N Shelton WA 98584 410WWive[[ Rd o SITE IDDREss.s'REET O"2,:CODE — A same NAM o D s.GNaR - 4 Arrow Septic Designs Inc l I (360) 898-2255 LIEN G S- L.ER '(360)463-8474 Maples Excavating w � o PERMRTYPE fselec noel ORIpUKI '/r'ATc SOUrn:E 0 GG r LyA PRIVAThNDMOUALVF-LL PRIVATE TWO.PERTY INE_L 2 IS>_RE5 NTIA-O55 C tO:GO4'A1UN YOSS l'1COM1IMERCIAL O55 PUBLIC WATER SYSTEM T REOP ORK selec p aD Siaele ItJLaOl' OTABEXREPAIR ❑ NEW..ONSTR TIOe U?GRAD s IyL_RE �.R;R A.,E'SEVT � SURFACING SEWAGE 0 EXISTING FA' 'RE 0SHORELNE m � SUBM'T'ALS L _ACED AEI ER 4I1/2O2 ' warvER 0 I :DESiGN R LICIRED; SEPTIC DESIGN rR GmEEDJ E�Roo [Z ND � ISI U-APP_ICAaL=_) 4 BR 236 ac ❑ YES D1REC ONs TO Sr AND S:-a CON FTC.IS rat Iecxec vale; Go out W Cloquallum Rd and turn (L) onto Wivell Rd. Destination on (R). 0 N SITE MVST BE FMGGEO FROM MAIN ROADANO TESTHOLES MUST BE FLAGGED WI TH TEST HOLE NUMBERS. I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FAILURE SOURCE 1' r Iqn¢^g Pcycses; ❑VOLUNTARY O MAINTENANCE/PUMPING O BUILDING PERMIT ❑ROME SALE ❑COMPLAINT ❑OTHER. INSPECTOR SO6 LOGS COMMENTS/CCVJTCSS TIr1:0-)9` 6LPW 5 (rrpet) ic E6G 5 (Typ&1 to iryto li" (lt$1cds }o-$b" C'Gc045 'to 4o1 RECORD DRTW,N'G ANDNSTEI ON REPORT sDIVCODES' NEC,RED FOR F\uLnPPR0VA.. VERY G=GVFVEIY $=SAND L=L::A4 S=5/: C'CLAY E=E%PREMEV R=RvCT5 INSPECTOR SIGNATURE DATE I APPLICATION EXPIRATION GATE APPLIC PPROVEG'ISSUED BY GATE �' 7a g Zo Zoz 1 (THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC NEW ON THE MASON COUNTY WEBSITE Revised'.411412O25 DESIGN FORM—PAGE ONE Assessors Parcel Number. 4 1 9 0 9 - 1 1 - 0 0 0 2 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. v Scaled layout sketch, including all applicable items on checklist. Scaled plot plan.including all applicable items on checklist r 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.14tixtmnrn pu er size- ) / �y � Designer's Name: Ar ow Sepfc Designs Inc Pzrmlthumber SRG C7 �_.l.d d%-�7 Designer sName:Phone�umbee (360)898-2255 Kenneth Barnes kpapant's\ame: .__ -------- 171 E Vuecrest Dr 410 W Wivell Rd De iener's:1 res'. ¢Address: Un on WA 90592 Shelton, WA 98504 �1h Static Lip aura bete cam eslgnersEmailP JTreatment Device Wor ❑ June i Etcr ❑ Vl.mnd Sand Lined Drain fie;d ❑ RecYculnuns Filter ❑ AlU J Other Treatment Level /cheek ell that app:yi- ] p G B C ❑ BI-1 C BI-2 71 HIS P1 I: El A Drainfield Type ;J Sub Surface Drip ❑ Grain Pressure G Trench gBed Septic Tank/Drainfeld Specifications Laterals Number of Bedrooms 4 ScheduleCla,s 40 Daily Flow: Operation Capacity 360 - epd Length 60 ft Daily Plow: Desioo P'Ioty 480 - gpd Diameter 1.25 in \ Septic Tank Capacity (workin 1,200 gl gal wnber 4 Receiving Soil Type L'-6) 1 &3 - Separation 2.5 ft Receiving Soil Appl. Rate 0.8 - gpd/ri Orifices Required Prima ' Area 600 ft Total?lumber ofOrifices 104 Designed Primary Area 600 tt' Diameter 5/32 in Designed Reserve Area 600 - n1 Spacing 28 in Trench Bell Width 10 it Manifold french/Bed Length 60 - ft Schedule Class 40 Elevation Measurements Length 7-5 d Original Drainfield Area Slope 3 °/ Diameter 1.25 in New Slope- IfAlte, d 3 aid Preferred manifold configuration used'! l&KYe s O No Depth of Excavation me 30 * 24 = 54 in Transport Pipe from Original Grade Durge 26 + 24=50 in Schedulc'C'Iass 40 Designed Vertical Separation 26+ in Length 220 ft Gravel-based Drainfield Required'. 51 Yes ❑\o Diameter 2 in Pump Required? 66 Yes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses day 4 Di if. i u Eleval ion Between Pump Be C ppemtost Orifice_-- I Dose quantity 120 gill Drainteld Squid Height Selected Residual (head) 5 ft Chamber Capacity(flood) 1,200 gal Cape Orifice Higher ❑ Curvet than Pump Shutoff Pump controls: Please check those required. Capacity @ Total Pressure Read 66.56 gym 17J Timer ❑ Fi'apsz Meter ❑vl` ent Counter Calculated Total Pressure Head 50.99 q If Timer: Pump on 2 m Pump off 6 hr Comments Revised:4/14.2025 t 1O DESIGN FORM—PAGE TWO Assessors Parcel Number:4 1 9 0 9 — 1 ? -- Permit Number: S\b'G DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch 7:m ion Sketch Test hole locations G1 Drainfeld orientation and layout epth from original grade: 61 Soil logs 56 Trenched dimensions and tic tank critical distances within layoutintield cover 6Z Property lines ❑ D-Box/Valce box locations epth from original gradeEithi ng and proposed wellsSeptic tanion k' chamber ve strata:withn 100 ft of property P P❑ Measurfac waters to cutsi banks, aztdlocations erals, trench/bed,top and ,,'face Water and critical areas Observation port location hoftom ❑ C rain drain collector ❑ Location and orientation of rd Clean-out location [9 Sand augmentation curtain drain and all absorption Rf Ylanifoid placement componems Orifice placement Other cross-section detail: Sd Location and dimension of rd Observation ports/clean-Outs l� L,eteral placement with distance primary system and reserve area to edge of bed Other Information Buildings Ise ,udiblervsual alarm referenced yes No Direction of slope indicator lO Scale of drawing shown on scale d 0 Design staked out Waterlines bar ❑ [6 Recorded Notices attached ❑ 9 WUaiver(s) attached Roads, easement. driveways, Q Elevation benchmark and relative [Z ❑ Pump curve attached parking elevations of system components fZ ❑ Evalumion of failure North arrow and scale drawing drown on scale bar Non-residential justification ❑ Cf1 Waste strength OVAL 15ta1t0n The undersigned designer must be notified b -! f� tlai Ye ❑ '.Co Nr g ?la r.at '~ .t-1 Sig of'IIa JHtV0 nr=N k��vD D. The undersigned has reviewed this design on behalf of Mason County Public Health and dstarRl d � compliance with state and loc sir eulation�:> / mo ?02E AUG21 Environmental Health Specialist Uqq CAUTION: DESIGN APPROVAL ROV.AL IS VALID ONLY UNDER THE FOLLOWING COVDITI0N:�4' ✓ The design is stamped-`Approved" by Mason Count%- Public Health_ ✓ The Onsite Sewage Permit has not expired, the Permit Expiration Date is: r/ K/ ✓ 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. Revised:ai[a2025 20& Io Arrow Septic Designs 171 E. Vuecrest Dr. Union,WA 98592 August 13, 2026 Mason County Department of Health Services 415 N 6th St Shelton,WA 98584 RE: Kenneth Barnes Property(Parcel 241909-11-00020) Evaluation of Failure&Upgrade Dear Inspector: Attached is a replacement septic system design for a 4-bedroom home located at 410 W Wivell Rd, Shelton, WA 98584. The existing permitted septic system was installed in 1974. The septic tank was upgraded to a 1,200 gallon 2-compartment concrete tank in 2005. The owner has been having ongoing trouble with the drainfield taking water and it is backing up so a replacement system is needed. The old drainfield is to be abandoned in place. The existing tank may be utilized if determined to be in satisfactory condition by the installer. Risers, lids and an effluent filter are to be added. Proposed is a new 1,200-gallon min. pump chamber with timed dosing, elapse meter and event counter. The new drainfield consists of 600 square feet of sand-lined pressure bed and a full reserve drainfield area. This is a compliant septic system with Treatment Level B and over 18" of vertical separation. The proposed drainfield is over 100 feet from the well and all the new tanks and transport lines are to be kept outside of the 50' well radius. The property owner's contact information is as follows: Kenneth Barnes 410 W Wivell Rd Shelton, WA 98584 (360) 349-4109 If you need further information, please contact my office at(360) 898-2255. Sincerely, GI raula dA)1 fkHNson ''' h ' tcCIl94�4A66tttN2tey�reatment System Designer -. ' '1C ?��S IS 1/lM1 �C_CS.1 ' ' C ? 3�0 1W4 'Pa yin �10�E ® � st D a16a #4-( - o- v '1GLS , 8-4'E`ctAel ri p _ 1oLS, -7O-tb1 rt p ti 5aW X IGa.f Q Audio-Visual Alarm {� O2 Cleanout N O3 1200 Gallon Septic Tank �a.. ��-Lme, 2ffluerl rater with Effluent Filter 1 0 12h0 Gallon Pump Chamber C \ 60 S 'ice Z ��O?PAULA Job' JOHNSON 't iCEYJSE[iO i N ��SSSSS....bbbbb sweatc St o LS so 4S (Co S4 �- '�l,o� ''"' ""Note to installer.. `Pt Sleeve waterline v hen within 10' ��'"w'�E "- &ccwtS of septic transport line. Maintain f •• ,fr •fj — 11 _ po oto 10' minimum between water line and septic tanks/drainfield. .f Lo w_ W[Jcll RS, S1_ L4t ,. 4o-&1O Q;w T ID ' za" t�1ce yP{;�PBY S zo t{I I ' PAUL, JYi JOHNSON(t + Sao{ ® - C_ d� 2�s J. E�. S9ed 'rte— & 2( ....�-.�-- e f L d'�-.SGass 0�? AP "A`�'✓c ;; AUG ZNN ?i'?, ffi SOW OR ,ry��•i,p�1 s �_ 'TzaayswBEPzwG 9u - NOTE'vsxxox PVC PIPS ram 804 OP v?.,B .alTD 0£ 'PO FnassBD =ADZ. BEtIOPP.sLB•D Cab ssa= 8s IAS'"arrmf . .' r fi'{ &rhm of cssct+f'+oR+ Ace sons, BELOa.naW SI BE FRoa n0 6 TOTAL OF t mt sT$T8a[. sac=s ENDS Pis=ses 6Caor. OUT *L 'T3RATIk L To .c• MW sans Rigs- ate. cZsas a TsMv3ss. 0sRED IS MM of EACH an�av- �c io Length Length Orifice # Distance from Distance from Lateral# (In.) (Ft.) Spacing Orifices Feeder Line (In. Cleanout(In.) 1 720 60 28 26 10 1.0 10 2 720 60 28 26 10 10 3 720 60 28 26 10 10 4 720 60 28 26 Total Lateral Length 240 I104 GPM = 66.56 Total#Orifices (with 5/32 orifices) Dynamic Head Calculations 5 ft Selected residual pressure: Length (Ft.) # Orifices 220 104 12.88 ft. Transport Pipe Feeder Total Lateral Line Length 2 06 ft Lateral#1 60 4 64 26 Lateral#2 60 2 62 26 2.00 ft. Lateral#3 60 2 62 26 2.00 ft. Lateral#4 60 4 64 26 2.06 ft. Total Elevation Lift 25.00 ft. Total Dynamic Head G ) 50.99 ft. 1U249 PAULA JOY JOHNSON yY LiCFJJSEtlb SI�N�f1" 1 $-C3� 40 G71 2026 yPv. �✓A ,..�h*q f,° Jr �o L9B t O External Construction � and & eo si r1=se. Motor Level Control ee cl retre &J.V I j e eo 5 E :-35 L :: s:&::...C- ._. Impeller Discharge ❑ualShaft Seals Maximum Fluid Temperature Cool -DGy � e^a Fasteners tY 32 S CORD LENGTHM V��4. ' DDELS P VOLTS PHASE AMPS DISCHARGE AUTOMATIC IN FEET NWM-2..y. .. :. 208-230 1: 12 .,i-1¢k2 No _ . 25 n F LLL2A-2 206-238 _ 12 l 'JT62 Yes 2 72 FuO3M 2 1 .20,¢J _V, 3 . 9 [ - fl/2 &2' NO : 25 u r CC-'80 3 45 ' 2 bT NO 25 71 - 12'b S. ; .. ...,5b 333 1 ti o x _c _ :.:: ..: n:c. -[ Performance Curve 60 Hz 3460 RPM hrtiiI firI d C Py 9 t 0 b r:y F 20234!, esenec._.7066769-a02F23 7 cf-10 vhe�tyPumps® ■ ■ � ■ p ==ml'.y zn0 °mployae Owned Com parry 1 hp 1-1/2" or 2" Discharge Flange mounted Alj 2 i2 / Features F S'! ._ o�:g ryas cn. oeCOATED TOYOM' Dual Sized Discharge � �gio semm_ sma.�d0 - ja Lt WITH BAETwnfIEAL ____1 MU FLaAtelewT A s-�w•o'er ALTO New lam° Ga&. s —' a�� h .a- �wrmeAEnoerrsex Aare MINES SERVICE tLeeKaKAOE VALVE• FNCNC11C rr --�mowwsn TANK _ . C�KiB1L7 CrCKA6E I ' AKTi elIICK VALVE• N IM MMALARMILAWK ___ � OIO9EIOB�r Na1S11l TAA9t iLEYEL' IIOAKINO VOLfltE .. FLOATWIVIS FORROAT ENCLOSED►as . 0OfeRE111 eCOe16RONWW — .CHECK VALVE• CteA {as � : ...L »ter 'AEN�ED Septic Tanks must meet standards required by WAC chapter 246-272C and mauof Health list of registered sewage tanks. FIGURE 2 ,rvr+„rer must be on Dept __.._ ._ ..-_.,..,n•s•� -Pxe 35of65 7 a'tow Septic 1l)eeig.na, fine. J4\ INSTALLATION & MAINTENANCE Pressure Distribution Systems— Sand Lined Bed eft O PAVLA JD' JOHNSON . 1. Install Laterals with contour of the ground. 2. Install bed bottom level. $ (3 3. Ensure sand is clean and meets C-33 standards. 4. Install locator tape or rebar at each end of all drainfield laterals. 5. Install observation ports as indicated on the plot plan. One required in each corner of the bed. Two with bottom extending to the bottom of the drainrock and two extending to the sand/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. 6. Install drainfield during dry weather and soil conditions; any soil smearing must be eliminated by hand raking. 7. 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). 8. Install audio/visual high water level alarm. 9. 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 Rio-Tube in septic tank and block under pump. Pull bio-tube every 6-12 months and flush back into tank. 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 abov4.21�e. �7 siphoning. Ensure anti-siphon hole sprays down/away from tank opening. - - 23. Homeowner is responsible for all property lines and easements. ,,, f , 4t„ Z r, j0 � D