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SWG2024-00231 - SWG Application / Design - 5/22/2024
MASON COUNTY 416N 6TH ELTON: 27- 70.EXT 400 SH STREET, ,,SHE T DON, EXT 400 40 BELFAIR 360-2754167,EXT 400 Public Health & Human Services ELMA:3604825269,EXT 400 FAX 36o427-7787 On-Site Sewage System Permit: SWG2024-00231 APPLICANT CHRIS BONDS CONSTRUCTION Phone: 360.789.7611 Address: 4311 77TH AVENUE SW OLYMPIA,WA 98512 OWNER JOE GORDON LOGGING INC Phone: Address: P O BOX 1055 MCCLEARY,WA 98557 SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226 Associates Address: PO Box 162 OLYMPIA,WA 98507 Site Address: 1141 W Hurley Walddp Rd Primary Parcel Number. 319303100010 Permit Description: 5-bedroom pressure w/subsurface drip system Permit Submitted Date: 0 5/2 212 0 2 4 Permit Issued Date: 07/30/2024 Issued By: David Anderson Current Permit Fees Paid: $540.00 taddaimml teas may In rewlm upon installation orslatamy Permit Expiration Date: 06/04/2027 (basadondat..inaedam) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staffper 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 Dralnfield 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 ba�l1 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.gov/healthienvironmantallonsite/oss-inspection.mquest.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DARMLEMED' 51 yONSITE SEWAGE SYSTEM APPLICATION t1,198) m < SheNon:36D4V-%70e#400 Belhir.36G275-4467ut400 SWG uay - ooaai O A 2 N 2 D AP%1CANT PHONE D p CHRIS BONDS 3607897611 m m r MNLINGADDRESS-STREET CRY.STATE.LP LOOE 4311 77TH AVE SW OLYMPIA WA 98512 a SREADOREW-STREET.LRYBPCODE W 1141 W HURLEY WALDRIP RD SHELTON WA 98584 {z NAMEOFDESOd1ER PHONE 'V ADAM HUNTER 3607531226 NANfbF INSTALLER PHONE TBD -Q CHECK ALLNWLICABLE ITEMS DRINKING WATER SOURCE < I�Of NEW CONSTRUCTION M RVHOLDINGTANKONLY Of PRIVATE INDIVIDUAL WELL 4) M REPLACEMENT SYSTEM p INSTALLATION PERMIT ONLY p PRIVATE TWPPARTY WELL Z ,^ p TABLE 9 REPAIR M SINGLE FAMILY p COMMUNRYIPUSUC WATER SYSTEM I Ir—j 13 TANK(S)ONLY M COMMERCIAL SYSTEM NAME: INN p UPGRADE TO METING M OTHER: BEDROOMS LOT SIZE p ExlsnNC FAILURE "R "D^xawxaom^ 5 8.58 D° O DIRECTKNIS1108RE-BE SFECFICAHDM IBE OF.NEEDED INFORMATION FORACCESS IaKIwLetl pax) n 1 HWY 101 TO A RIGHT ON HURLEY WALDRIP RD TO SITE ON THE LEFT AT SIGN. x C LOCKED GATE, CALL CHRIS BONDS FOR ACCESS. MAY 22 2024 D 0 �C 81TEMIlBi BEGIAGGED FROM MNN flOAOANO TEBTNOLEB MDSIBE FLAGGED NTIM iESTNOLENUWERB I I` OFFICIAL USE ONLY BELOW THIS UNE UPGRADE I FALURESOURCE INl g paWaea) MVOLUNTARY [3MAINTENANCEIPUMPING MBUILDINGPERMIT pHOME SALE [3COMPLAINT MOTHER: INSPECTORSOt LOGS COMMENTSICONDRONS T"-,$-141"SG jD r 3 s'. y met rnlw-t�' Ijl- 17-35- f7c- .f a stM 1"' - AUf 0+33' 43 11t3A- 18" S�� r VOILCODEB: =VERY G=G ,011 8.8NO L•LOM1 91.81LT C•CUV E•EXTREMFLY R•R003 INSPECTORBLRNATURE MTE APRIfATION E%PIMTICN ONE APPLIL FPPROVEO BV MTE Rylz &1V17 �7 f/ ? 2 THIS FORM MAY$SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISR11WQ015 P, DESIGN FORM—PAGE ONE Assessor's Parcel Number: A design will be reviewed when 3 Wele6 of each of the following are submitted: I Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist Scaled plot plan,including all applicable items on checklist. 0 Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X l7" PARCEL IDENTIFICATION Permit Number: SWG o'»vU�OOa3 Designer's Name: ADAM HUNTER &h Applicant's Name: CHRIS BONDS Designer's Phone Number: 360-753-1226 Bt Mailing Address: 4311 77TH AVE SW Designer's Address: PO BOX 162 OLVMPIA WA 98512 OLYMPIA WA 98507 city State cityState zip "MIEN PARAMETERS' Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mutual ❑Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Modcl ❑Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity ❑Pressure ❑Trench ❑Bed S(Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 5 — Schedule/Class DRIP Daily Flaw:Operating Capacity 450 , gpd Length 200 ft Daily Flow:Design Flow 600 — gpd Diameter 112 in Septic Tank Capacity 1500 .E gal Number 6 Receiving Soil Type(1.6) 5 Separation 2 ft Receiving Soil Appl.Rate 0.4 gpd/Rr Orifices Required Primary Area 2400 fe Total Number of Orifices 1200 Designed Primary Area 2400 8r Diameter DRIP in Designed Reserve Area ft2 Spacing 12 in TrenchBed Width 32 ft Manifold Tre ich/Bed Length 75 ft Schedule/Class 40 Elevation Measurements Length 32 ft Original Drainfield Area Slope 4 % Diameter �1/25 in oa New Slope,If Altered 4 % Preferred manifold configuration used? Yes 11 No Depth of Excavation Up�lope 8 in Transport Pipe from Original Grade oar- 8 in Schedule/Class 40 ' Designed Vertical Separation 24 in Length 160 ft Gmvelless Chambers Required? ❑Yes RfNo ❑Optional Diameter 125 in Pump Required? EfYes O No Dosing and Pump Chamber Pamp/Siphon Specifications Number of doses/day 12 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 50 gal Orifice ' ft Chamber Capacity 1500 gal Uppemhost Orifice d1 igher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head 20.4 gpm Sfimer Sitlapse Meter ErEvent Counter Calculated Total Pressure Head 14.a ft If Timer: Pump on 50 GAL Pump off 2 HR6 Comments DESIGN FORM—PAGE TWO Assessor's Parcel Nurnben 3-L-2 5 _ -- 31 -- O O C)1 d Permit Number: SWO DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 2f Test hole locations IZ Drainfield orientation and layout Reference depth from original grade: EZ Soil logs R( Trenchfbed dimensions and d Septic tank EZ Property lines critical distances within layout IZ Drainfield cover EZ Existing and proposed wells IZ D-BoxNalve box locations Reference depth from original grade within 100 it of property Ed Septic tank/pump chamber and restrictive strata: a Measurements to cuts,banks,and locations ❑ Laterals,trenchibed,top and surface water and critical areas 19 Observation port location bottom IZ Location and orientation of E f Clean-out location ❑ Curtain drain collector curtain drain and all absorption IZ Manifold placement ❑ Sand augmentation components V Orifice placement Other cross-section detail: IZ Location and dimension of 9 Lateral placement with distance 9 Observation ports/clean-outs primary3ystem and reserve area to edge of bed Other Information iZ Buildings 9 Audible/visual alarm referenced Yes No 9f Direction of slope indicator Ed Scale of drawing shown on scale Ur ❑ Design staked out ib Waterlines bar ❑ ❑ Recorded Notices attached iZ Roads,easements,driveways, ❑ ❑Waiver(s)attached parking ❑ ❑ Pump curve attached 19 North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be nJ i er at time of installation Yes ❑ No 5/21/24 a ^� SiDesigner DateThe undersigned has reviewed this dbehalf of Mason County Public Health and determiyf�iU ®n �compliance with state and local on-stions: zq //�� MASO J 2024 IZt/Zy NCOUNryEOjq NMENfAL HEALTH Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Pemrit 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 may be scanned and available for public view on the Mason County Web sit% Updated Date: 12/7/2015 ) ` . APPROVED © \ . JUL 3020 § MASONCOUNTY___HEALTF » . _ . 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