HomeMy WebLinkAboutSWG2026-00267 - SWG Application / Design - 9/9/2026 ® MASON COUNTY 415N6THE 0
LTON36 -427 96 EXT400
sHSTREE 360-42TON, EXT400
BELFAIR'.360-2754467,EXT 400
Public Health & Human Services ELMA'.350-492-5269,EXT 400
FAX'.360-427-7787
On-Site Sewage System Permit: SWG2026-00267
APPLICANT BUCHENAU DIRK H & KELLY H Phone.
Address: 1291 W GALLAGHER RD SHELTON, WA 98584
OWNER BUCHENAU DIRK H & KELLY H Phone:
Address: 1291 W GALLAGHER 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: 1290 W Gallagher Rd
Primary Parcel Number: 420314400020
Permit Description: New SFR 3-bedroom NuWater BNR500 ATU with trash tank and
trench drainfield
Permit Submitted Date: 08118/2026
Permit Issued Date: 09/0912026
Issued By: David Anderson
Current Permit Fees Paid'. $570.00 (additional fees may be required won maaIIa;ori of system).
Permit Expiration Date- 08/20/2029 (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 ups/ape and downs/ape depth specified on
design form.
5 Installer is responsible for obtaining Mason County installation approval prior to back ill 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 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/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
MASON COUNTY 4,5N6SHELTON B"ELTON EXT400
BH STREE 360-42TON EX 8584
BELFAIR'.360-2754467.EXT 400
Public Health IN Human Services ELVA:360-482-5269,EXT 400
FAX-360-427-7787
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/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USF ONLY
MASON COUNTY
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Public Health & Human Services �7 s y
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ON-SITE SE GE SYSTEM APPLICATION ' DO
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Dirk & Kelly Buchenau [LJI (360)463-8713
STATE
1291 W d ODE
Gallagherg cZ1 Shelton WA 98584
S iTE ADDRESS STREET C TItP CODE "-L
1290 W Gallagher Rd I Shelton WA 98584 I a
NAME OF DESIGNER - P"ONE IN
Arrow Septic Designs, Inc �I (360) 898-2255
NnM WP'NSOLLJ3 ___ '� O
Maples Excavting (360)463-8474 m w
ITI RESIDENTIAL USE F1.COMMUNITYOSS 4 l COMNERCiALOSS 0�+NPRIVATE INDIVIDUAL_WELL ff PRIVATE TWO-PARTY WELL $
PUBLIC WA-__R SYSTEM
TVgE'DF R`iN s—, .l
p;.NEW CONSTRUCTION!UPGRADES REPAIR!REPLACEMENT O- S iSD. c--' aIimas app"TI ❑ TABLE X REPAIR a
SUBMIT f LS 0 SURFACING SEW1 E 0 EX-STING FLU. - 0 SHORELINE
p J mr a
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La -ESGM1 FORM"REO 'REO) MJ.SEPTIC DESIGN(REQUIRED) E � C 524 a J CREATE: 4n FeL'L'T C)Ly WAVER($)UFAPPLIOASLE) �3 BR 1.80 ac ❑ ES ❑p No o
DIRECTIONS-O SITE.AND SCE CONDITDNS fe, i'k 9PT„
Head toward W Alder and turn (R). At the traffic circle, take the 1st exit. Slight (R) onto S O
1st St which becomes W Cloquallum Rd. Turn (R) onto W Lost Lake Rd. Turn (R) onto W r I CD
Gallagher Rd. Destination on (R). Yellow sign: "Buchenau". Before green house #1291 on
(L) N
SITE MUST SE FLAGGED FROM MAIN ROADRNDTEST HOLES MUSTRE FIAGGEDWIiN TESTHOLE NUMBERS. 0
— OFFICIAL USE ONLY BELOWTHIS IiNE—
UPGRADE/FAI URE SOURCE Jor rspo-T p4csesl
❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PEEMIT O HOME SALE ❑COMPLA'NT 0OTHER.
INSP=CTOR SCI_LOGS IN_N....J..VC. lye.
TI1 c'- lq" I1 is (Type 9)
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RECORD DRAWING AND n'STALL.-ION WEPORT
SOIL CDDFS: R"__R FL FN'LUPP2GJ?_
VERYo GRAVE- S-SASS: L=LOAM S1=SILT C=CLAY E=EXTREME\ R=RCOT5
E
SF TOP DNATJRE DATE APF'_CA ON EXPIRAT or D45 A'PLIC N ROVED;IS LE aI AA
�/� aotd I gl ZO 2oZ Y
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE RevISed'4/142025
DESIGN FORM—PAGE ONE Assesso-s Parcel Number: 4 2 0 3 1 - 4 4 - 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- 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. 1f paper size Ii i f
,. ".n`iw- ,F``-M - rtt4 n'ki:. ...:1'' __ K .._�_;* ,.. ,r.2 -..`na __ ,:f •, -.
Desim er s Name: Arrow SeDhc Desi ns Inc
Permit Number: 5\\G �-L��CX� p� 360 898-2255
Dirk&Kelly Buchenau Designer's,Phone Aprobe, (360)Applinc AddctS ress:
- Vuecrest Dr
1291 W Gallagher Rd Des gnat=s Adders.
Mailing Addressc - - Union WA 90592
Shelmn. WA 98584 City State Zp
Cue State Zip g au
Designers-;mail . la Jhctc Com
.D.
Treatment Device
rouwala-auasoo I!I Othcrs0cyai pre.trash
J JAA
on ❑ S San 0 . nJ ❑Sand i ¢d Jmi,. dd ❑ R uadrgltacr DA'Il,
Treatment Level (-hock oil tnat a d)): 0 ' u B ac ❑ 9LI C BL 2 71 RI? 71 F Pl Y
Drainfield Type
0 Gravity Pressure 17�Trench ❑ Red ❑Sub Surface Dr!p
Septic TanklDrainfield Specifications Laterals
Number ofBedmoms 3 Schedule'Class 40
Daily Flow: Operating Capacity 270 gpd Length 40 ft
Daily Flow: Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity (working) Nuweter BNR-500 gal Number 5
Receiving Soil Tvpe I I-6) 4 Separation 9 ft
Receiving Soil App]. Rare 0.6 gpd/ft` Orifices
Required Priman Area 600 fir Total Number of Orifices 40
Designed Primary Area 600 ft' Diameter 3/16 in
Designed Reserve Area 600 f1` Spacina 60 in
Trench:Bed Width 3 ft Manifold
Trench Bed Length 200 ft Schedule/Class 40
Elevation Measurements - Length header ft
Original Drainfield Area Slope 3 o Diameter 125 m
New Slope. If Altered 3 o Preferred manifold configuration used? fidYes 0 No
Depth of Excavation U-=lope 9 in Transport Pipe
from Original Grade Dt.+.n-dope 8 in Schedule-Class 40
Designed Vertical Separation 12+ in Length 480 ft
Gravel-based Drainfield Required? ❑ Yes eNc Diameter 2 in
Pump Required? V tes O No Dosing and Pump Chamber
Pump/Siphon Specifications Number of dosesldap 4
Dill-in Elevation Retween rump& Lppemtos:Oh ace 10 11 Dose quantity 9n gal
2 Chamber Capacity flood) 1,000 - gal
DI'ainfield Squirt Heigte Select p�ed Residual(head) ft Y 1 )
Cap Capacity
Orifice Hire ❑1ower than 60 shutoff _
Pomp controls: Please check those required.
Capacity�g Total Pressure Head 23.80 gpm t� Timer ❑ pse Meter CJ�vene Counter
Calculated Total Pressure bead 17.89 ft If Timer: Pump on 2 min .Pump off_ 6 hr
Comments
Revised 4114?025
113
DESIGN FORM—PAGE TWO Assessor's Parcel Number 4 2 0 3 1 - 4 4 -- 0 0 0 2 0
,1r .-
Permit Vcmber SWG ` "`-��s..��d-�1
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Test hole locations Gd Drainfield orientation and layout Reference depth from original grade:
0 Soil logs Trenclt'bed dimensions and 9 Septic tank
2 Property lines critical distances within layout [tZ Drainfield cover
� Existing and proposed wells 1)-Box/Valve box locations Reference depth from original grade
within 100 ft of property RJ Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and .ocations Id Laterals, trenched,top and
surface water and critical areas &I Observation port location bottom
l[ i Curtain drain collector
671 Location nd andd orientation l of' 9 Clanirodt n O Sand augmentation
curtain drain and all absorption [yj Manifold placement
components [9 Orifice placement Othcr cross-section detail:
0 Location and dimension of 9 Ohsenation ports/clean-outs
C� Lateral placement with distance
primary system and reserve area to edge of bed Other Information
66 Buiid.ng l9 Audible/visual alarm referenced Yes No
l6 Direction of slope indicator 9 Scale of drawing shown on scale d ❑ Design staked out
9 Waterlines bar ❑ E6 Recoided Notices attached
R1 Roads,easements.driveways, p Elevation benchmark and relative ❑ tRf Waiver(s)attached
parking elevations of system components l[Z O Pump curve attached
� North arrow and scale drawing
❑ Cd Evaluation of failure
sho•.vn on scale bar _�. Non-residential justification
❑ 66 Waste strength
❑ 9 Flow
fir' 32OVAL
a.? r The undersigned designer nast be notified b' iSllt irNe.,gnsmllation Yes ❑ No
2r , a
ie " 41Z
Signal e of MMWDa1"n- Date
u
The undersigned has reviewed this design on behalf of Mason Count Public Health and determined it to be in
compliance with state and local on sir egu rions: "-_n r
Dtv.ronmertal Health Specialist Date
CAUTION; DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOR'ING CONDITION:
✓ The dest n is stamped Approved by Mason Count Public Health. a.) ��
V The Gnsite Scy:age Permi has not expired. ,he 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 maybe scanned and available for public view on the Mason County Web site. Revised:4;14 ?0?5
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✓1 S I U 500 Gallon Pre-Trash tack
}� +� 0 NuWater BNR-500 ATILT Tank
® O 1,000 Gaon Pump Chamber
4alve Control Box
**\ote to installer"*
sleeve waterline when within 10'
a O of septic transport line. Maintain
10' minimum between water
14D' Xsb, ly line and septic tanks/drainfield.
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EXHIBIT C
(NEW
SCALE: 1"=200 F FOUND 314" I.P.
SOUTH 0_57, &
WEST 0.13' OF
0 100 200t ( ' 00 CALM POSITION
S 8996'30' W
66,5.87 661.51
PARCEL t42031440000 S OUND 3/4' I.P.
LINDA IN AM SOUTH 1.40, &
1291 W GALLAGHERER RD. 'n'� EAST 53.25' OF
SHELTON. WA 4 W CALC'D POSRION
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NEW \ '/
275.95 AiN ELD 2
0 6.335 Act. w't
j4203/M0010 oiH
HODGSON !^'1`
O w 1 1311 W. GALLAGHER RD.
!l77NNEE �\ T!0
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A( , o PUy1P 3i
DRA n N0U5 0
Y!
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_ __ _
_ ______.._₹ ---___-_.___ 666.09 31 32
N:> $ 89'45'21' E 6 5
FOUND T. CO. MON.
A# Ob- 77 LINE TABLE
DATE APPROVED 7-/6-07 NO. BEARING DISTANCE
7, d fy LI N 892328" E 89.39
,� ,l D (, LOPMENT L2 S 0254 '32 E 120.96
L3 S 8945 '21 E 150.23
L4 S 025432 E 124.92
L5 N 88'22 '15 E 60. 70
DATE.12-11-06 I LENHERR SURVEYING P.L.L.C. SHARON E93LEl'
DWN:MHA APR:,kE PROFESSIONAL LAND SURVEYING L06-217BLA(NEW)
P.O. BOX 1155/209 S 3RD ST.
SCALE:1 =200 ELMA, WA. 98541 PH.j' (360)482-8750 SHEET I OF 1
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Iis Feeder Lines Typicel Clecr o,il
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II Typlcv. Observe Ion Port
1.25 Loterpl
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a" Drop, s Per Lateral_ s1 & Last Orifice
Ra<p
30 From End of Trench
36 ' Screw-on Ccp
�Q. 4' /45 `Jo9ree Elbow
LCL:rcl
Endo Ditch — --
Dralrfield Cross Section View
Corot - clean Out
Not To Scole
C _ ) sate: elepnaw to be from 0 to 6 in<,ee elow
4Q- . � with Rebor. Cleii Out
Observation Port a F,u a Grades Er. ends Note; w � Required a' the End r E 1 Lateral.
i Be4 PVC ID from ableBott m of T m h
To Finished Grade. Removable Cap t+ ll be F'
tlld oe rvt Pp . Archer Arrow SepT'.c Designs
On e tt h GI e o //�� n y^< '
Mnm= of 5 Tofal Required m Srt 5orO ( 360) 39V 2 ? 5J
;a2� PAULA or ;oRrvsnry �J
Length Length Orifice # Distance from Distance from
Lateral# (In.) (Ft.) Spacing Orifices Feeder Line(In.) Cleanout(In.)
1 480 40 60 8 30 30
2 480 40 60 8 30 30
3 460 40 60 8 30 30
4 480 40 60 8 30 30
5 480 40 60 6 I 30 30
Total Lateral Length 200
Total#Orifices 4pj GPM= 23.6
Dynamic Head Calculations
Selected residual pressure: 2 ft'
Length (Ft.) #Orifices
Transport Pipe 480 40 4.80 ft.
Feeder Total
Lateral Line Length
Lateral#1 40 2 42 8 0.15 ft.
Lateral#2 40 11 51 8 0.19 ft.
Lateral#3 40 20 60 8 0.22 ft.
Lateral#4 40 29 69 8 0.25 ft.
Lateral#5 40 38 78 •8 028 ft_
Total Elevation Lift 10.00 fl
Total Dynamic Head 17.89 ft.
THREADED UNIbN
SECURED L D WI TH GAS TIGHT REAL24 D4ATER
ACS RISER $6MDE
N. YKVE•
FRIDNI� __
c=•TO DRAMFIFLD
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IRON MATER NAME LEVEL .. FLOARIO T
LEVY. WOFWJNG VOLUME FORTFLOAT
NORMAL -- MOUNTNIG
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Nil
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wired by WAC chapter 246-272O and FIGURE 2
Septic Tanks must meet standards req
manufacturer must be on Dept of Health list of registered sewage tanks.
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construc a st 13 1)
onz
e dig,head e $i av&L2b. ( 41series)
- _ 0oub haft seat versions availabe for added protection
Flow-Mate no models 1401:15.
For einjormation,see Technical Data Sheets FMD81,FM2783.
In high head dewatering or effluent
applications where pumping
E-=o=at U E
performance ''.s Critical, this robust _- ,.
family of pumps is known for reliability,
durability and performance. These
pumps are especially suited for harsh I
environments. ZoeLL /s e coal run design T —r '
and corrosion-resistant,powder coated
epoxy finish add up to a long-lasting, _
trouble-free produc,.
APPLICATIONS:
STEP or ors:e applications I
r+
Watertorsfer
Light comp-e "'.de ate g - '
SPECIFICATIONS: m '
• 112 NP'd - ,a.g
12HPthr `P gh hP MADE IN THE USA
• Availa Mein auto ma c or n onau to matic 1E_IWGiDIk..,+ i
• Model 137.139,140:1/2'12 mm spherical solids
capadry nub vortex Impeller
• Mode'145.3/4 (19 mm)sPher caLsolids capacity with .v.r.
vortex im peLLer
% ~!
a` jç PUMP PERFORMANCE CURVE
MODEL 151/152u153
151;152/153
Dose-Mate I
This is our fastest growing Line of effluent - 53
pumps.The 150 series is truly a workhorse
designed for reliability under extreme —
conditions in an effluent environment
1505enes pump curves cover a wide range I 51
of applications. They are weLL suited to
applications with Low pressure pipe(LPP) t s
and enhanced flowSiEP sysaems.Zoe LLer's
cool run design and corrosion-resistant, + _ _
powder coated epoxy finish, in addition
to the hermetically sealed, oil-filled motor
and non-clogging vortex impeller add up to
a long-tasting,trouble-free produce = It —
APPLICATIONS:
STEP oT onere app:cat ons MADE I NTHEUSA U.
co lcewater-ng n .Illowrlo: +_r _ ______________________________ITI—
SPECIFICATIONS: an -0a o oz
UT Pt=VIhU1 �_�• 1-1/2"NPT discharge
• 1D HP through 1/2 HP hAc
• Availa b le l n nonautomatic or wIn a va r!a ble leveL
piggyback mechanical switch
/2''(12 mm)spherical solids opacity with vortex
thermoplastic impeller
For more information.see Technical Data Sheet P42 784.
D AT rights reserves. ZOELLER PUMP CO 1502-778.2731 1800-928-789 1 zoeLLerpumps cam 9
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ra REVISE 2/17/25
3 NUWATER BNR-500 DETAIL ENVIRO-FLO, INC.
WITH EXTERNAL TRASH TANK Wastewater Treatment TecdnologJes
NITROGEN REDUCTION VERSION P-°7 B°X321'61 601) o° MS 39232
(277)236-8G�6 (607) 8flet faa'
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PARTS LIST NuWater NR Assembly Diagram
A DUAL FORTFER&TOR N.POLY O:FFUSER SAR(Z
3.3S RUBBER 99°Wi CL.TiPS R) H.YPVC(317 SECTI0H)
C.318'81W X 1/ADAPTG &°TOZ'NPi)2', C.'."SUP CAP
O.hr SL1P%tl2'NPTAOAPTCR P.t/e"C'_EAA PVC H0BE cPT.l0NP1 i]
Y ST ,X'.?NPT SUSNNG(3) <l.1(Y'PVC PIPE(BY INS TALLER)
F t?90'ELBOW(3) R Y PVC PIPE(SY WST%WER)
1'X YX: PTEE S.Z'PVC PIPE(BY INSTALLER
R,V 90°ELBOW(3) B+ BEDPLPPTOR TO'v<"NP!(21
7 X P BUSHING U.P2'STREET X nS NPT BUSHING(1)
J.T'SANGARY TEE :.1t3'PVC COUPLER)Z)
K.V PVC CROSS W 7 COUPLER BY INSTALLER;
t'COUPLER(BY INSTALLER)
Revised 2/25/12
IZBerr3
au Septic 17ejigm, Jac. ,
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NuWater BNR Pretreatment AW
INSTALLATION & NLUNTENANCEPressure Distribution Systems vnurn nor�91INsoN Z'ti
1. Install Laterals with contour of the ground. 1CpNSla b�5i6N
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.
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