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HomeMy WebLinkAboutSWG2026-00286 - SWG Application / Design - 9/4/2026 MASON COUNTY 415N6THELTON: ,SHELTON,WAB8584 SHELFkIR 360475-4467,EXT 400 BELFAIR:380.275.9487,EXT 400 Public Health & Human Services ELMA:380-482-5269,EXT400 FAX:380427-7787 On-Site Sewage System Permit: SWG2026-00286 COur. rI APPLICANT DILLON MATTHEW J Phone: Address: 4065 HIDDEN SPRINGS LN POULSBO,WA 98528 OWNER DILLON MATTHEW J Phone: Address: 4065 HIDDEN SPRINGS LN POULSBO,WA 98528 SEPTIC DESIGNER PAULA JOHNSON* Phone: 360-898-2255 Address: 171 E VUECREST DRIVE UNION,WA 98592 SEPTIC INSTALLER MAX WALKER Phone: 360-620-2040 Address: PO BOX 1351 BELFAIR,WA 98528 Site Address: 40 E CLOUD PL Primary Parcel Number. 320215804041 Permit Description: Replacement 364 pressure trench Permit Submitted Date: 08/28/2026 Permit Issued Date: 09/04/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $845.00 (additional ees may be required upon lnsrellalbn or system). Permit Expiration Date: 09/02/2027 (based on date or 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/ope 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 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/onsite/oss-inspectionrequest.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY DAThAME`I t v+ D C N AMOUMAKEYfO: PFZt1YfDFY W Public Health & Human Services p�ecxooeF Emlronmvu,l HeeRh 36CIZ7-967D.eIR4W 0(360-115-4467 eat4W c`���LLI�//'' ^�_��-{_ rn O 415 N.6Th5Dee-Sheito WA 90584 S V V V V-CIF �' - z N ON-SITE SEWAGE SYSTEM APPLICATION m m PHONE r Schoene Enterprises (360)890-7059 z MAIUNOADDRESB-STREET.CITY.STATE.ZIP CODE f0 1315 Rockcress Dr SE Olympia WA 98513 a m m a BITEACORE55-STREET.CITYZIPCODE nn R, W 40 E Cloud PI LV-`J Shelton WA 98584 NAME OF DEBIG,ER PHONE Arrow Septic Designs, Inc [� a (360) 898-2255 w NAMEOF INSTALLER d' PHONE I0 TNT Excavating I (360)620-2040 m I N PERMIT TYPE(MMC MM) DRI�NKNG WATER SOURCE0 l IBI RESIDENTIALOSS E COMMUNITY 055 EICOMMERCIAL OSS IY PRIVATE INDIVIDUAL WELL UPRIVATE TWO-PARTY WELL Z -s TYPE OF YARX(eehlone) ®PUBLIC WATER SYSTEM I Co NEWCONSTRUCTIONIUPGRADES II�REPAIR/REPLACEMEM DiHERURFAC(NSEWAG ppYl O TABLE XREPAIP SUBpMIITTALS ❑ SURFACING SEWAGE EXISTING FAILURE LINE IOD DESIGN FORM(REQUIRED) ®SEPTIC DESIGN(ftEDUIRED) BEDROOMS LOTSIZE WAE LOT CRFATEDAITAFTERVIDY1R035'1 EJWA C1 IVER(SJ(IFAPPLICABLE) 3 BR .17 ac ❑ YES D NoT. I O DIRECTIONSTOSITEAND SITE CONDITIONS:(a IOM'JPu) a a Go out Hwy 3 and turn (R) onto E Agate Rd. Turn (R) onto E Crestview Dr. Turn (L) onto Hillcrest Dr. Turn (R) onto E Wood Ln. Turn (L) onto E Lynwood Dr. Turn (L) onto E Cloud r I CD PI. Destination on (R). Wooded lot with cable across driveway before cul-de-sac. A A FL ' I � SITE MUST BE RAGGED FR 0m AMIM ROAD AND 1ST HOLES MUSTS!FLAGGED 477W 7E5T MDL!NUMBEgs OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FNLIME SOUBCE lot,.PN,p pwWeeel ❑VOLUNTARY DMNNTEI1ANCEPUMPING CBUILDINGPERMIT DHOMESALE OCOMPLAINT DOTHER: INSPECTOR SOIL LOGS COMMENTS/CONDTIONS 1Th V' 5 PECORD ERAWING ANO INSTALLATION REPORT SOILCOVB: gEOUIRED FOR FINALPPPROVAL V=VERY G•GRAVELLY S=SANO L-LOAM 51=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTOR SIGNATURE DATE AFFLICATIONEXPIRATION CpTE� APPUCATIONAP MFROVE EO� DATEIFI�e(/n 11h(/Y QkpJM$ThTHIS FORM MAY BE CANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE Revised:4/142015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 2 1 - 5 8 - 0 4 0 4 1 A design will be reviewed when 3 conies of each of the following are submitted: a 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. ThS form may be canned and available for public view on the Mason County Web site.Maximum nper size: 11 'XI?' Permit Number: SWG — (Q Designer's Name: Arrow Sep&Designs Inc Applicant's Name: Schoen Enterprises Designer's Phone Number: (360)89&2255 Mailing Address: 1315 Rockcress Dr SE Designer's Address: 171 E Vuecrest Dr OymPla WA 98513 City State Zip Union, WA 98592 City State Zip Designer's Email ula'@hctc.Com Treatment Device ❑Glendon ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirouianng Filter ❑ATU O Other Treatment Level(check all that apply): ❑A ❑B ❑C ❑BLI ❑BL2 ❑BL3 O E ❑N Drainfield Type ❑Gravity 56 Pressure fii(Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 40 Daily Flow:Operating Capacity 270 gpd Length (2)25, (3)35 ft Daily Flow:Design Flow 360 gpd Diameter 1.25 in Septic Tank Capacity(working) 1,200 gal Number 5 Receiving Soil Type(1-6) 3 Separation 9 ft Receiving Soil Appl.Rate 0.8 gpd/ftc Orifices Required Primary Area 450 fl Total Number of Orifices 31 Designed Primary Area 465 ftr Diameter 3/16 in Designed Reserve Area 450 ft'- Spacing 60 in TrenchBed Width 3 ft Manifold Trench/Bed Length 155 ft Schedule/Class 40 Elevation Measurements Length header ft Original Drainfield Area Slope 3 a/o Diameter 1.25 in New Slope,If Altered 3 % Preferred manifold configuration used? li7'Yes O No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade Down-slope II in Schedule/Class 40 Designed Vertical Separation 24+ in Length 60 ft Gravel-based Drainfield Required? ❑ Yes ff1 No Diameter 2 in Pump Required? 9 Yes O No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day 4 Duff,in Elevation Between Pump&Uppermost Orifice 10 ft Dose quantity 90 gal Drainfield Squirt Height/Selected Residual(head) 2 ft Chamber Capacity(flood) 1,000 gal Uppermost Orifice Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 18.29 gpm Ef Timer ❑ Btapse Meter ❑.'Event Counter Calculated Total Pressure Head 12.86 ft If Timer: Pump o0 2 minutes Pump off 6 hours Comments APPROVED SEP 04 MASON COUNTY ENVIRONMENTAL HEALTH Revised:4/14n025 RET • DESIGN FORM—PAGE TWO Assessor's Parcel Number:32 0 2��1�� -�r�y5�8 -- 0 4 0 4 1 Permit Number: S WG c k'?4e —C-7>-!S Y' DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Test hole locations fid Drainfield orientation and layout Reference depth from original grade: I d Soil logs E6 Trench/bed dimensions and Ed Septic tank * Property lines critical distances within layout [9 Drainfield cover 0-Box/Valve box locations ❑ Existing and proposed wells Reference depth from original grade within 100 ft of property 6d Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations 19 Laterals,trench/bed,top and surface water and critical areas 6d Observation port location bottom ❑ Location and orientation of 19 Clean-out location O Curtain drain collector curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation components 69 Orifice placement Other cross-section detail: 14 Location and dimension of Ed Lateral placement with distance g Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 6d Buildings E6 Audible/visual alarm referenced Yes No 19 Direction of slope indicator 2 Scale of drawing shown on scale 0 Rf Design staked out to Waterlines bar ❑ 5f Recorded Notices attached 5d Roads,easements,driveways, O Elevation benchmark and relative ❑ if Waiver(s)attached parking elevations of system components I O Pump curve attached it North arrow and scale drawing ❑ 6$Evaluation of failure shown on scale bar Non-residential justification ❑ Waste strength . �i ❑ 9 Flow The undersigned designer must be notiflbtiauonbyf} at Yes O No SignatNK1i` Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site re ulations: ¶111 i24 Environmental Health S cialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 2 ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form they be scanned and available for public view on the Mason County Web site. Revised:4/14/2025 £ • : : 11T I - EsMtes m : " SEC 21, T20N, 93W,WM., & } m.^rnr MASON CO. WASH. a- • "•`-- .-.J » » .,i ,.,I.., . osc¢IPI0N ' ' u-++—t ""° CMMENNIN6 _ L e12N ..�.L G✓ I*L S• FrtM M�.UTh.(om ' U ! • t.nuaan m'wa_.r ncn s a w• Y:L . KNOW ALL MENEY NO!=RESSNW y!nt . m.rf�m uR Sm E I. .. «.adX��� ., ' YU ML_ BZ4v mi'ik'wn�il,4i'w iu :nv� �L a 1 �c1G ,.u.!; w.i" .es`.i c cM:vwXwLSO5.a. v.. m.Grv,mm»..Lmm � Sm "". sm • IN I�.xess wH� 4 "r: f.L...,,...,...Lx,.. x�._ w. y . ,.,,..,,,.. r_- ° >. . nom: . £6YMCERI�..:°I..'�.e lA6f,wv ei .x.5ut a, - t::"' S jo3G3£"' 1-O4- nR.' L p IY.Ul C CEY CAtE :I^ i 4ir W uvanan S/C t r INElE6V £�IFY nu ,u, . p } 'm FY mW Svr 'YS NEi K N _ � invo ��' _u`. -:._ M>. ..... i[ f :nivL._._ —� E GL°'- PL wnTER DRwFw4� ( YLcT PLAf.� � /I Scth EN PR�f5 IS 2 1' tie40ofl PL I3 8(S, �L'rDn1 lily ggs94 iy'Min © _*\ : p _36 ° GLS -t-ReaT51 3(0- (04° ® sDZ4 G1$- -P efl12¢ 3Q40" /�'1�// G RPN P-LLY MED SAND Tb COW T. / 13 l Rev: 35 OAudio-Visual Alarm — _ __ Cleanout __ 1200 Gallon Septic Tank $6' b 2-Compartment with Effluent Filter • �� tjQ o ,^1. ( 1000 Gallon Pump Chamber 51 ePE (o q. O Valve Control Box (z) 3x2S' + (3) 3' x55' U r-tA-ky A. F. © E,liy.-,a LATEMtS- tO SE {$A00V03CD gNckES@R+ O L. w �T.-+ ISO L.F. QaLD TANK To FE of gesre-o -TKENcrtE5 DGGO KM155I tD� h-q1',^ g co Eno rep oR KEcPrTED C' rt APPROVED j$ _& SEP 0 4 2026 ' s (AILAJ0YJ0HNS0N 3r^( ic d-as MASONCJUNTYEN'✓�RONMENTALH P �" RET 8 L'1 ____.yt__ 44� II MO N � u C hi so. flh.35 ' '15' eve vdwt rYP Pd .L't TRJaanl5eo t LINE B' 3S� # O 31 .A �' S 115 FT Litre 6. 1051349 \ PAULA JOY JOHNSON ". c a�ISn I NR p �/ Detailed Drainfield Layout Td O .eva5m Port 115" Ldatd Y suds 1 - 10' Fred 6.adi I I - 0' 10' 20' y to 12' Fltw FE C. / Fl Oriata Creal— - ro 2.. I APPROVED 'I t rta' OS— tzs La.djZ11 SEP 0 4 2026 6' MASON COUNTY ENVIRONMENTAL HEALTH 36 RET �( uc SP.v-Cti J. `II t' as.Da.ee Elva aw RrhiciNe LOY. Er4 of OiMh Drainfield Cross—Section View -d - u... CU, Nel To Scde Noss a..wt to be Inn 0 to 6 ncW aSA Wts 0 • OIMrvo6N+ Port FraW Gana Mel. ends ash fib.. Ch O0 To e. .• PVC P.e Ira. e0 W of Trorch Regiod a IM EM of Eoa Lotad. To Frid.d Grads NsnevSlo Cl am b Arrow Septic Designs On Bohan MIA aneo-at Tae ""° of 5 T d 'nad R.Fte Syato. s q (360) 898-2255 Length Length Orifice # Distance from Distance from Lateral# In.) Ft. Spacing Orifices Feeder Line In. Cleanout(In.) 1 420 35 60 7 30 30 2 420 35 60 7 30 30 3 420 35 60 7 30 30 4 300 25 60 5 30 30 5 300 I 25 60 5 30 30 Total Lateral Length 155 Total#Orfics 31 I GPM 18.29 Dynamic Head Calculations Selected residual pressure: 2 ft. Length(Ft.) #Orifices Transport Pipe 60 31 0.37 ft. Feeder Total Lateral Line Length Lateral#1 35 2 37 7 0.11 ft. Lateral#2 35 11 46 7 0.13 ft. Lateral#3 35 20 55 7 0.16 ft. Lateral#4 25 2 27 5 0.04 ft. Lateral#5 25 11'. 36 5 0.05 ft. Total Elevation Lift 10.00 ft. Total Dynamic Head 12.86 ft PAOU JOY JOHNSON '; TCFN5� `i6NP3t" -21-u APPROVED SEP 04 2026 MASON COUNTY ENVIRONMENTAL HEALTH RET l� �W • Bronze construction available 1139 series) • High head version available(145 series) Double shaft seal versions available for added protection onmodets 5. F low-Mate For more infonau 4 t on,see Technical Data Sheets P142 782 FM2783. In high head dewatering or effluent applications where pumping 1= performance is critical, this robust ""`°t °s"r'cae°uw nm ma family of pumps is known for reliability, durability and performance. These pumps are especially suited for harsh environments.Zoellees mot run design and corrosion-resistant powder coated epoxy finish add up to a tong-lasting trouble-free product. APPLICATIONS: ao e ____U • STEP or onsite applications y+ • Watertransfer 11� • Light commercial dewatering SPECIFICATIONS: • 1-1/]'NPT discharge l,2 HP Nrough 1 HP MADE I • Available in automatic or nonautomatic YYr61. W11x W'✓_arol • Model 137.139,140:112"(12 mm)spherical solids Ia capacity with vortex impeller • Model 145:3/4"(19 mm)spherical solids capacity with fl ° ° °._„ vorteximpeller LC ( k s� PUMP PERFORMANCE CURVE MODEL 151/152/153 Dose-Mate w This is our fastest growing line of effluent 14 u pumps.The 150 series is truly a wo rkhorse designed for reliability under extreme Iv m conditions in an effluent environment. es 150series pump curvescoverawiderange It tY IN of applications. They are well suited to sa applications with low pressure pipe(LPP) a s and enhancedftowsTEPsystems.Zoellers coot run design and corrosion-resistant. 2 6• sa powder coated epoxy finish, in addition to the hermetically seated, oil-filled motor la and non-clogging vortex impeller add up to ° a long-lasting trouble-free product 1° APPLICATIONS: • STEP oronsite applications o MASEINTHE OSA tY al N 48 SY da a N W 1W • Lightcommercial dewatering ''IYa1WMalg OtjIaI SPECIFICATIONS: ao W Im tp No 2 f am aw • 1-1/2"NPT discharge 3110 HP 6; APPROV'Ed` °"'" • through 112 HP• Available in nonautomatic or with a variable level SEP 04 2026 piggyback mechanical switch MASON COUNTY ENVIRONMENTAL HEALTH • 1/2"(12 mm)spherical solids opacity with vortex thermoplastic impeller RET For more information.see Technical Data Sheet FM2784. 0 All rights reserved. ZOELLER PUMP CO. 1502-778-27311800-928-78671 voellerpumps.mm 9 1t 1 Figure 2. Typical Septic Tank and Pump Chamber %ct MUOM Th STIONfSM 1 w° --TfP.. ISII > q.TF3! SEPTIC TM@C UWJ SFAIf®ID11RN9�STI91f arx I- 100096" FRMSEPttMMVAten TANK 96i(Btf. ANNaP1ON WtlNE• IN11MT ,NIN11tEVa ----- TMENYATSENNOIIWIILT�IOFFIEM ----- FNiNB VtWtelWr PUMP tg—n trrylc�I.f •AHN®® APPROVED SEP 042026 849 MASON COUNTY ENVIRONMENTAL HEALTH 29 RET it avow Septic lDeeigxw, Sue, � INSTALLATION&MAIN[ TENANCE - . Pressure Distribution Systems •PAULA JOYJOHNSON 1. Install Laterals with contour of the ground. : 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 to bottom so Observation Port cannot be easily removed from ground. Install removable capon top of port at final grade level. must be 5. Install drainfield during dry weather and soil conditions;any soil smearing 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. min. 12 ft. surface area,not to interfere 8. Install controls morhot.) Or r pump ue p screen maymp screen(be substituted with Bio-Tube in septic tank with block n eorpurnp. and under pump. Pull bio-tube every 6-12 months and flush back into tank. 9. Install anti-siphon valve above pump in pump chamber to prevent the pump chamber from siphoning into the drainfield. 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 above the pump to prevent siphoning.Ensure anti-siphon hole sprays down/away from tank opening. 23.All transport lines under driveways or parking areas must be encased to prevent crushing. 24.Homeowner is responsible for all property lines and easements.A P P ROVE D SEP 0 4 2026 cl °I MASON COUNTY ENVIRONMENTAL HEALTH RET