HomeMy WebLinkAboutSWG2026-00207 - SWG Application / Design - 9/21/2026 415 N 6TH STREET,SHELTON,WA 96594
MASON COUNTY SHELTON:360-227-9670.EXT 400
BELFAIR:360-2754467,EXT 400 IJy ELMA:3fi0-482-6369.EXT 400
Public Health & Human Services FAX:360-427-7787
On-Site Sewage System Permit: SWG2026-00207
APPLICANT
JUSTIN RUSSELL Phone: 360.956.7242
Address: PO BOX 14531 TUMWATER,WA 98511
CHACON FAMILY REVOCABLE LIVING Phone: 360-485-8337
OWNER TRUST
Address: CAREY CHACON &VIRGINIA CHACON TRUSTEES ELMA,WA 98541-9737
Site Address: 320W SATSOP MAPLE GLN
Primary Parcel Number: 619305003001
MOVE THE DRAINFIELD DUE TO HOME BUILD OVER PERMITTED
Permit Description: SITE. EXPIRED DESIGN
Permit Submitted Date: 0710V2026
Permit Issued Date: 09121/2026
Issued By: Jeff Wilmoth
Current Permit Fees Paid: $570.00 (additional mm nay be required upon msunauon at system).
Permit Expiration Date:
09/21/2029 (based on dare 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. b the planning
Proposed development subject to zoning requirements and approval by P g
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.
• 8 Must decommission the dry well.All Effluent must be directed to the OSS
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF 085.
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: masonwunty".govlhealthi extens onntall nsiteloss-inspection-request.php or cal
+ • OFFICIAL USE ONLY
( iij MASON COUNTY "EE a aoa
AM IlECEMp. GC+� RE¢MD ev: DI IT
Public Health & Human Services rJ l O�11.1t16 W
En tO efUl Health 360427-9670,ez1.4 Or36 275 67,ee.dOU SWG �0 000207 z 0
4isN.6 ��
0istreet-shelton,WA9858d GL I
ON-SITE SEWAGE SYSTEM APPLICATION m
PHONE
MPU.NT C'--
CAREY CHACON 36O-485-8337 r
11
L_ n m
MMLING ASS.STNEEi,CT'.6TATE.21PCCpE I�_ O
16 W RIVER DR W ELMA WA 98541 1 z
N I^
SITE ASS-BTNEET,GN,2NLCOE
320/360 W SATSOP MAPLE GLEN �J
PHQVE
NAMEOFOEMNER 360-970-1233 J+
JUSTIN RUSSELL
rj
mWNE
HAKE OF IN9TKLER
y 1B—•_`
ONI6WNG WATER SOUR
RESIDENTIAL Q
Pf
PE0.MR a)f OSS IJ COMMUNITY ass OCOMMERCIAL OSS 0 PUBLICWATTIVIDUAL ER SYSTEM LL ❑ PRIVATE IWO-PARTY WELL
TYPE OO"F'WORK(aSMRUCfR DETAILS Iv`
MiIEW CONSTRUCTION I UPGRADES 0 REPAIR I REPLACEMENT O SURFACING SEWAGEP0 EXISTING FAILURE 0 SHORELINE W
SUBM RMS 0
DESIGN FORM(REQUIRED) I]9EPTIODESIGN REQUIRED) 9E00.3S LOT 88 WASLECSNEATEO PETE NOI
❑ WAIVER(S)(IF APPLICABLE)
DIRECTIONS SRE?ND SRE CONDITIONS:(ax.kNelMS)
LOCK RD, LEFT ONTO MATLOCK/ RADY
RD�LEFT ON ON O T
SATSOP MAPLE GLEN RIGHT ON SATSOP MAPLE GLEN TO SIRE ON S IQ
RIGHT IG
SITE MUST BE FLAGGED FROM MAIN ROADANDTEST HOLES MUST BE FLAGGED wind FE LE
OFFICIALUSEON OW THIS LINE
LO o UpOPApE/FNW0.E 8OpRCEBW+Wuen9 WN'wa) OTHEB:
VOLUNTARY 0 MAINTENANCERUMPING O BUILDING PERMIT O
n Is'C6 S
INSPECTOR SO II.LOGS JB
G
S��Cl/vL
40 581( 1'V')
RECORD CRAWMO AND WSTM.ATIN REPORT
SOIL CODES' REWIRED FOR FNKAPPftOVN.
V.VERY G•GRAVELLY S.SNIO L.LAMA SI-SILT C.CLAY E.FXIIIEMAY R.0.WT5 ON FOR lVEOIISSUEDBY DATE
IX15WRATUNE DATE APRICATON EXPIRAT1ON DATE AP n-zi-
THI Y BE SCANNED AND AVAILABLE FOR PUBLIC NEW ON THE MASON GOONEY WEBSITE
Revised:0110912028
DESIGN FORM—PAGE ONE
A design will he reviewed when 3 conies of each of the following are submitted 8L d 0 $ 0 0 3e 0 0 {
v Completed design form that has been signed and dated. v Sealed layout sketch,including all applicable items on checklist.
Scaled plot plan,including all applicable items on checklist. Y Cross-section sketch,including all applicable items on checklist.
Thls form maybe scanned and available for public view on the Mason County Web site.Waximmn paper size: I) 'X/y'
PARCEL IDENTIFICATION Permit Number SWG Om
Designer's Name: ✓3y'£Applicants Name: C Aji Designer's Phone Number: Q
Mailing Address: Desig
ners Address;
City State
Ci Ztp
State Zi Designer's Email
DESIGN PARAMETLr0 RS
Glendon ❑Send Filter 0 Mound ►{ Treatment Device
Treatment Level(check all that a 1 "Sand Lined Dminfield ❑Recirculating Filter ❑ATO
PP y): ❑A S'S 0 C ❑BLI ❑BL2Other
0 BL3 ffE 0
D Gravity ❑Pressure ❑ Drainfield Type
Trench 0 Bed
Septic Tank/Drainfield Specifications ❑Sub Surface Drip
Number of Bedrooms 3 Laterals
S
Daily Flow. Operating Capacity 360 /Class 40
gpd Length ��
Daily Flow:Design Flow 270 g
gpd Diameter
Septic Tank Capacity(working) 1200 1.25 in
gal Number 3
Receiving Soil Type(1-6) 1
Separation 3
Receiving Soil Appl.Rate { ft
gpd/ft'
Required Primary Area Orifices
Designed Primary Area 3 8a Total Number of Orifices 60
3060 ft' Diameter
Designed Reserve Area 360 2 3/16 in
Trench/Bed Width $ Spacing �---.
9 ft 2—4_ in
French/Bed Length 40 Manifold
8 Scheduldclass 40
Elevation Measurements Leng S 0
)riginel Dminfield Area Slope 0 p0 YY 7.5 —
ft
Mw Slope,If Altered �� r e
0 1.5— rthr ,iflepth of Excavation ui elope in if° Yes 0 No
our Original Grade 46 1 HEk\' Tenon used? ❑
Downclopc
transport Transport Pipe
esigned Vertical tF,amme/ lass40
--
Separation 12COO L -4Q
ravel-based Dminfield Required? ❑ye No '-`�W 26 ft
Diameter
imp Required? Eyes 0 N 1.5 in
Pump/Siphon Specifications Dosing and Pump Chamber
f£.in Elevation Between Pump&U 4 Number ofdoses/day 4
Uppermost Orifice__g
airfield Squirt Height/Selected Residual head 2 Dose quantity 6��
(head) ft Chamber Capacity(flood) -� gal
permost Orifice EHi er ❑ 1474.94 gal
iaci re Lower than Pump Shutoff Pump controls:Please check those required.
ty Qa Total Pressure Head 37.2
culated Total Pressure Head 9,55 gpm E Timer E Elapse Meter
aments -- ft I£ Timer: Pump on H Event Counter
/ II'' iMIN 48 SEC Pump off 6 HRS cut -illa;v;a
Revised 6/11/2025
5 0 0 3 1
r0 0
DESIGN FORM—PAGE TWO Assessor's Parcel Number
33 0 c ��.._.-----
PermitNumber:
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch
Cross-Section Sketch
❑ Test hole locations
❑ Drainfield orientation and layout Reference depth from original grade:
❑ Soil logs ❑ crenc dimensions and ❑ Septic tank
criticall distances ances within layout O Drainfield cover
❑ Property lines ❑❑ Existing and proposed wells D-Box/Valve box locations Reference depth from original grade within 100 ft of property ❑ Septic tank/pump chamber and restrictive strata:❑ Measure ❑ Laterals,trench/bed,top and
locations
ments to cuts,banks,and ❑ Observation port location bottom
surface water and critical areas ❑ Clean-out location ❑ Curtain drain collector
❑ Location and orientation of ❑ Sand augmentation
curtain drain and all absorption ❑ Manifold placement
❑ Orifice placement Other cross-section detail:
components ❑ Observation ports/clean-outs
❑ Location and dimension of ❑ Lateral placement with distance
primary system and reserve area to edge of bed Other Information
El Id ❑ Audible/visual alarm referenced Yes No
❑ Direction of slope indicator ❑ Scale of drawing shown on scale ❑ U Design staked out
O ❑
❑ Waterlines barRecorded Notices attached❑ Roads,easements,driveways. ❑ El ClCIWaiver(s)attached
�y r tip° ❑evjJ,bos ❑ ❑pump curve attached ta
parking rvv r ❑ ❑Evaluation of failure
❑ North arrow and scale drawing 1 1 242E - Non-residential justification
shown on scale bar sue - -, IHEPLTH ❑ O Waste strength
ON 00UNZV wp' ❑ ❑Flow
DFSI ppPROVAL
installer at time of installation Yes ❑ No
The undersigned designer must be notified by 7 r
true of Desi er
Date
The undersigned has reviewed this design on behalf of Mason County Public Health de^'eriminned t to be in
compliance with state and local o to re
gulati� L+'_
E tal Health Specialist
Date ER CAU he design
DESIGN p d"Approved"6 Mason County Public Health.
tE FOLLOWINGi� N N'
Y
✓ The design is stamped mithby the permit Expiration Date
✓ The Onsite Sewage Permit has not expired,It
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.ed Please Note:
isobtained from Mason C be installed by a ounty Pub is Health.
unless prior authorization
An Installation Fee is re aired.
This form may be scanned and available for public view on the Mason County Web site. Revised:6111@02°
ALPHA SEPTIC SOLUTION, LLC.
ON-SITE WASTEWATER DISPOSAL SYSTEM
APPLICANT: CAREY& VIRGINIA CHACON DATE: July 1,2026
16 W RIVER DR WEST
ELMA, WA 98541
LEGAL: LOT 2 SATSOP MAPLEWOOD GLEN BLK 3
PARCEL #: 61930-50-03002
PROJECT#:
DESCRIPTION: NEW CONSTRUCTION FOR RESIDENCE
PROJECT DETAILS:
NUMBER OF BEDROOMS
GALLONS PER DAY(GPD)FLOW 3
OPERATING CAPACITY(GPD) 360
APPLICATION RATE 270
1.00
DRAINFIELD %S
-Absorption Area Required Q� \ •- ta'�P��
-Absorption Area Designed 360 SQ.FT36
�
-Trench/Bed Length 40 SQ,FT
-Trench/Bed Width 40 FT
9 FT PSpl,
DRAINFIELD CROSS SECTION 71)I LZ
-Bed Depth
-Graveless Chambers
241NCHES '3i
-Sand under Trench/Bed 12 INCHES � '
2x030834 A
-Vertical Separation 24 INCHES
s
-Fill Depth 12 INCHES
12 INCHES
SEPTIC TANK
-Size& Composition
-New/Existing 1200 GAL
CONCRETE
New
ALPHA SEPTIC SOLUTION,LLC.
APPLICANT: CAREY &VIRGINIA CHACON
DATE: July 1, 2026
• PARCEL #: 6193O-5O-O3OO2 PRESSURE SYSTEM - 3 LATERALS
System Parameters Pressure Calculations
Orifice Size 3116 inches Minimum Orifice Discharge Rate 0.62 gpm
Total Lateral Length 117 feet
Residual Head at Last Orifice 2 feet Number Orifices Lateral 1 20
Orifice Spacing 2 feet Number
Orifices Lateral 2 20
Number Laterals 3 Number Orifices Lateral 3 20
Lateral 1 Length 39 feet Total Discharge Rate 37.2 gpm
Lateral 2 Length 39 feet Friction Loss
Lateral 3 Length 39 feet
Pipe Class 40 Tightline Friction Loss 2.03 feel
Lateral Line Size 1.25 inches Manifold Friction Loss 0.47 feet
Lateral Elevation 98 feet Lateral Friction Loss 0.85 feet
Friction Loss through System 3.35 feet
Manifold Length 6 feet Dynamic Head
Manifold Size 1.5 inches
Residual Head at Last Orifice 2 feet
Elevation Difference 4 feet Add-on Friction Loss 0.2 feet
Elevation Difference 4 feet
Tighlline Length 26 feet Total Dynamic Head Loss 9.55 feet
Tighfine Size 1.5 inches
Total Discharge Rate 37.2 gpm
Add-on Friction Loss 0.2 feet Total Dynamic Head 9.55 feet
�*
T 0gtculalion does not apply.
Drain Down aOulat b n If orifice12 CClock �o�O V�
Orifice OrIenWOon 12 feet j� �V/
Length of Pipe 117 feet S
Liquid Volume in Pipe 9.13 gal SONCOUN EE 2
Drain Down Volume 4.56 gal
s 5X Volume 22.82 gal JB$ NMENTALHEALTH
Q J;
Dose Volume 67 7/r�t4
Dose volume meets 5X rule: NIA 8e t �i�
C I 7j
4'u' 72O3OIY t
*. �,:. N. .IVTLNM'J1'.
PUMP PERPCRMl M10E CURVE
MODEL 1:37/139
9. 55 '
GALLONS
4 go y p J o U `} i lFS
37. 2 FLOW PE�d 4INl1TE vial
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