HomeMy WebLinkAboutSWG2023-00448 - SWG Application / Design - 10/18/2023 MASON COUNTY 415N6THELTON0427-97 ,EXT 400
SHELTON STREET,SHE TON, EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-082-5269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2023-00448
APPLICANT ROHR REAL ESTATE LLC Phone: 253-398-4579
Address: 2027 WALKER PARK RD SHELTON,WA 98584
OWNER ROHR REAL ESTATE LLC Phone: 253-398-4579
Address: 2027 WALKER PARK RD SHELTON, WA 98584
SEPTIC DESIGNER Adam Hunter-Jim Hunter and Phone: 360-753-1226
Associates
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: UNKNOWN
Primary Parcel Number: 320215009011
Permit Description: New 3bd pressure subsurface drip
Permit Submitted Date: 10/18/2023
Permit Issued Date: 04/11/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $525.00 (adddlonal leas may be re,ured anon installation or system).
Permit Expiration Date: 10/26/2026 (based on dale a(ins9eobon)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staflper 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 Drainfield 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.
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:
360427-9670,extension 400.
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OCT � 82023 OFFICIAL USE ONLY
MASON COUNTY PUB IC H �*En OM RKFMRl 10
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APPLICANT PHONE
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NAME OF DESIGNER PHONE I
ADAM HUNTER 3607531226 �
NAME OF WMALLER PHONE II `
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INSPECTOR SIGNATURE DATE I APPUCATION EAPIRAUON DATE AP/P�LICATKWAPPROVED BY DATE
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THIS FORM MATB SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON 11UNTYWEB817E REMSED IWMIS
DESIGN FORM-PAGE ONE Assessor's Parcel Number: z r- -- S. a -- O 11 L L
A design will be reviewed when 3 copies of each of the following are submitted:
Completed design form that has been signed and dated. O Scaled layout sketch,including all applicable items on checklist
Scaled plot plan, including all applicable items on checklist. I 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 /V X 17"
PARCEL IDENTIFICATION
Permit Number: SWG !fRz, - OO Designer's Name: ADAM HUNTER
Applicant's Name: BRAD ROHR Designer's Phone Number: 360-753-1226
Mailing Address: 2027 WALKER PARK RD Designer's Address: PO BOX 162
SHELTON WA 98584 OLYMPIA WA 98507
city State Zip city State Zip
DESIGN PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Filter ❑ Mound ❑ Sand Lined Drainfield 0 Recirculating Filter,Type:
❑Aerobic Unit Make/Model 0 Disinfection Unit Make/Modd Other:
Drainfield Type
❑Gravity ❑ Pressure ❑Trench ❑ Bed NdSub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class DRIPTUBE
Daily Flow:Operating Capacity 270 gpd V Length 450 ft
Daily Flow:Design Flow 360 gpd Diameter 0.5 in
Septic Tank Capacity 1200 gal Number 3
Receiving Soil Type(1-6) 4 V Separation 2 ft
Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices
Required Primary Area 900 ft' t/ Total Number of Orifices 450 ✓
Designed Primary Area 900 ft' V Diameter DRIP EMITTERS in
Designed Reserve Area 900 ftr Spacing 12 in ✓
Trench/Bed Width DRIP ft Manifold
Trench/Bed Length DRIP ft Schedule/Class 40
Elevation Measurements Length VARIES ft
Original Drainfield Area Slope 15 % Diameter 1 in
New Slope,If Altered 15 % Preferred manifold configuration used? EYYes 0 No
Depth of Excavation Upalope 12 in ✓ Transport Pipe
from Original Grade powa-since 12 in Schedule/Class 40
Designed Vertical Separation 24 in Length I ('n ft
Gravelless Chambers Required? ❑Yes 11No 0 Optional Diameter / in
Pump Required? I(Yes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12 ✓
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal
Orifice ly.S, it Chamber Capacity 1200 gal r/
Uppermost Orifice WfHigher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head f r p t / imrr Elapse Meter Er Event Counter
Calculated Total Pressure Head l 2'3•'I ft I` R f ,Yftmer.lPlump on 3oGAL ,Pump off 2HR5
Comments
MASON COUNTY ENVIRONMENTAL HEALTH
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number:
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
2f Test hole locations 9 Drainfield orientation and layout Reference depth from original grade:
19 Soil logs Nf Trench/bed dimensions and E f Septic tank
E9 Property lines critical distances within layout EZ Dminfield cover
E9 Existing and proposed wells 19 D-Box/Valve box locations Reference depth from original grade
within 100 It of property Eg Septic tank/pump chamber and restrictive strata:
IZ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas E9 Observation port location bottom
12 Location and orientation of E9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation
components EX Orifice placement Other cross-section detail:
E9 Location and dimension of Lateral placement with distance E f Observation ports/clean-outs
primary system and reserve area to edge of bed
19 Buildings Other Information
F9 Audible/visual alarm referenced Yes No
E9 Direction of slope indicator F9 Scale of drawing shown on scale d ❑ Design staked out
69 Waterlines bar ❑ ❑ Recorded Notices attached
Ef Roads,easements,driveways, ❑ ❑Waiver(s)attached
parking ❑ ❑Pump curve attached
F9 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 noti by installer at time of installation N(Yes ❑ No
10/17/23
Si a of Designer Date
The undersigned has reviewed this esign on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
m"w L{ (l l (Z�
Environmental Health S ecialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.ate is: I O 1? r ��
✓ The Onsite Sewage Permit has not expired,the Permit Expiration D
✓ 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
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Netafim Bioline Dripperline Design Recommendations-Based on Soil Loading Rate
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APPROVED
APR 11 2024
MASON COUNTY ENVIRONMENTAL HEALTH
10/12/23 RET
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