HomeMy WebLinkAboutSWG2022-00475 - SWG Application / Design - 8/31/2022 ;P t
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415 N 6TH STREET,SHELTON,WA 98584
e i MASON COUNTY SHELTON:360-427-9670,EXT 400
.I1. o COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 400
1^ i; ELMA:360-482-5269,EXT 400
,r Budding.Planning.Environmental HEvlth Community Health
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FAX:360-427-7787
On-Site Sewage System Permit: SWG2022-00475
APPLICANT Rohr, Brad Phone: 253-398-4579
Address: 2027 Walker Park Rd SHELTON, WA 98584
OWNER ROHR REAL ESTATE LLC Phone:
Address: 2027 WALKER PARK RD SHELTON, WA 98584
Adam Hunter-Jim Hunter and
SEPTIC DESIGNER Associates Phone: 360-753-1226
Address: PO BOX 162 OLYMPIA, WA 98507
Site Address: 60 E TOTTEN PL
Primary Parcel Number: 220185000267
Permit Description: New two bdrm-Glendon M-31
Permit Submitted Date: 08/31/2022
Permit Issued Date: 09/16/2022
Issued By: Luke Cencula
Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 09/08/2025 (based on date of inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staff per 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 Drain field 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 backfill 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.
7 Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is
obtained
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: www.co.mason.wa.uslhealth/environmental/onsite/oss-inspection-request.php or call:
360-427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: s 13� I ZZ0 D
ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: RECEI DBY:
c(/)CO41 5 N 6th Street,(Bldg 8) Shelton WA,98584 C M
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Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 C` G �2 � -
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APPLICANT PHONE > D
BRAD ROHR 2533984579 m m
MAILING ADDRESS-STREET CITY,STATE.ZIP CODE r
2027 WALKER PARK RD SHELTON WA 98584 z
SITE ADDRESS-STREET,CITY,ZIP CODE CO
60 E TOTTEN PL SHELTON WA m
NAME OF DESIGNER PHONE
ADAM HUNTER 360-753-1226 17—)
NAME OF INSTALLER PHONE [ _)
TBD
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE
R.
mr NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY ❑ PRIVATE INDIVIDUAL WELL (n I—
❑ REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑ PRIVATE TWO-PARTY WELL Z
El TABLE 9 REPAIR El SINGLE FAMILY 3' COMMUNITY/PUBLIC WATER SYSTEM
IN
❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: TIMBERLAKES 1
❑ UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE IL
s
❑ EXISTING FAILURE "Record Drawing required I2
for all Installations" 2 O'�8 r ID
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex.locked gate) O 1
n
TIMBERLAKES TO A RIGHT ON LAKESHORE TO A LEFT ON TOTTEN TO SITE ON THE 7 IC
LEFT
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SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS tj
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT O HOME SALE OCOMPLAINT ❑OTHER: GA ~' -1
Lam` .
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS L
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Dc,- -> ' C.51.., r cc ar1— s. CAD L
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70 siviLLe....--.e....CD U Uu
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SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS r�
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY /PM( t..
el(91?-'1 i.ep 4— IS 1 c 5 9 )a
IS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSI REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number:s2N,gg Q k 8 -- _5-D_ — Q.a jc
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.Maximum paper size: I I"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG o),. . 975 Designer's Name: ADAM HUNTER
Applicant's Name: BRAD ROHR Designer's Phone Number: 360-753-1226
Mailing Address: 2027 WALKER PARK RD PO BOX 162
Designer's Address:
SHELTON WA 98584 OLYMPIA WA 98507
City State Zip City State Zip
DESIGN PARAMETERS • ,
Treatment Device
'Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑Gravity Elf Pressure 0 Trench 0 Bed 0 Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class PER GLENDON
Daily Flow:Operating Capacity 180 gpd Length PER GLENDON ft
Daily Flow:Design Flow 240 gpd Diameter PER GLENDON in
Septic Tank Capacity 1000 gal Number PER GLENDON
Receiving Soil Type(1-6) 4 Separation PER GLENDON ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 400 ft2 Total Number of Orifices PER GLENDON
Designed Primary Area 400 ft2 Diameter PER GLENDON in
Designed Reserve Area 400 ft2 Spacing PER GLENDON in
Trench/Bed Width PER GLENDON ft Manifold
Trench/Bed Length PER GLENDON ft Schedule/Class 40
Elevation Measurements Length 20 ft
Original Drainfield Area Slope 2 % Diameter 1 in
New Slope,If Altered 2 % Preferred manifold configuration used? f 'Yes 0 No
Depth of Excavation Up-slope N/A in Transport Pipe
from Original Grade Down-slope N/A in Schedule/Class 40
Designed Vertical Separation >12" in Length 100 ft
Gravelless Chambers Required? 0 Yes OrNo ❑Optional Diameter 1 in
Pump Required? sfYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day PER GLENDON
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity PER GLENDON gal
Orifice 8 ft Chamber Capacity 1000 gal
Uppermost Orifice ItHigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head PER GLENDON gpm ltimer 'lapse Meter E]'Event Counter
Calculated Total Pressure Head PER GLENDON PER GLENDON ,pump off PER GLENDON
Comments ►P lIO1 (El[)n
SEP 'i 6 2022
tRON-(P
JASON COUNT' E INC
.. , DESIGN FORM-PAGE TWO Assessor's Parcel Number:a a_o I g - 60 -- U 0 a(DA
Permit Number: SWG )O.7 ► b o 4-115
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Er Test hole locations a Drainfield orientation and layout Reference depth from original grade:
g Soil logs RI Trench/bed dimensions and rif Septic tank
g Property lines critical distances within layout 0 Drainfield cover
g Existing and proposed wells l' D-Box/Valve box locations Reference depth from original grade
within 100 ft of property M' Septic tank/pump chamber and restrictive strata:
g Measurements to cuts,banks,and locations 0 Laterals,trench/bed,top and
surface water and critical areas 0 Observation port location bottom
g Location and orientation of 0 Clean-out location 0 Curtain drain collector
curtain drain and all absorption 0 Manifold placement 0 Sand augmentation
components 0 Orifice placement Other cross-section detail:
• Location and dimension of 0 Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
lZ Buildings 0 Audible/visual alarm referenced Yes No
12r Direction of slope indicator 0 Scale of drawing shown on scale l2( 0 Design staked out
g Waterlines bar 0 0 Recorded Notices attached
g Roads,easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
g North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ 0 Waste strength
1 ❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be ••ti re• •y i taller at time of installation NrYes 0 No
8/29/22
gnatu,- • I signer Date
The undersigned has reviewed this •-si: •i behalf of Mason County Public Health and determined it to be in
1
compliance with state and local on-site re. ations:
1 Ito, )1t)
nvironmental Health Specialist ate
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
ill ✓ The design is stamped"Approved"by Mason County Public Health.
✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: (Seel- • I '�'}6
/ 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 site.
Updated Date: 12/7/2015
,
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN
SITE#: PARCEL#: 220185000267
DATE SUBMITTED: 8/29/2022 LEGAL/LOT#: LOT 267
TIMBERLAKE#1
SUBMITTED BY: ADAM HUNTER
APPLICANT: BRAD ROHR
ADDRESS: 2027 WALKER PARK RD
SHELTON,WA 98584
I.CALCULATIONS
NUMBER OF BEDROOMS= 2
RESIDENTIAL GPD FLOW = 240
IF NON-RESIDENTIAL-GPD FLOW
WILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 0.6 GPD/FT2
REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN
DRAINFIELD SIZING
4 ABSORPTION AREA= 400 FT2
TRENCH LENGTH OR BED CONFIG.= PER GLENDON
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE = 1000 GAL-CONCRETE
NEW OR EXISTING= NEW
III. DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= N/A
ROCK DEPTH BELOW PIPE= N/A
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION= N/A
FILL DEPTH= N/A
TRENCH WIDTH= N/A
RP
. pPROVED
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