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HomeMy WebLinkAboutSWG2023-00445 - SWG Application / Design - 10/18/2023 584 MASON COUNTY /15N eTHELTON:STREET,SHELTON, ,EXT 400 SHELTON:360427-9870.EXT 400 BELFAIR:381 EXT 400 Public Health & Human Services EWA:3604825269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2023-00445 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: 320215009010 Permit Description: New 3bd pressure subsurface drip Permit Submitted Date: 10/1812023 Permit Issued Date: 04/1112024 Issued By: Rhonda Thompson Current Permit Fees Paid: $525.00 additional fees may be,apmom upon Installation of system). Peril Expiration Date: 10/26/2026 (basod on dam of napemmnl 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 backfi/l of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill ofsystem components. 6 Mason County Asbui/t For, 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/environmentallonsiteloss4nspecdon-request.php or call: 360-427.9670, extension 400. �Gp OCT i 02023 OFFICIAL USE ONLY COUNTY PUBLIC CEIVED RL B D • �. N D ONSITE SEWAGE SYSTEM APPLICATION M m 415N6thSMM,(BId98) Shelton WA,98$84 �E < N SheNon:36D4n-%TBPXwBo eeBa11:BMFnss4ATHD4Bo SWG IlU * -c 102 z N z D ,�R,G„T %IDNE a F BRAD ROHR 2533984579 m m MAEINc ADDRESS-STREET clrY srATE,OF CODE r 2027 WALKER PARK RD SHELTON WA 98584 BXX WALKER PARK RD SHELTON WA 98584 z NAME OF DESIGNER PHONE I(a ADAM HUNTER 3607531226 NAME OF INSTALLER PIgNE TBD IC CXEMALLAPPLICABLEIMMS DRINKING.RSOURCE Z F.� It NEW CONSTRUCTION [] RV HOLDING TANK ONLY 0 PRIVATE INOMDUAL WELL N 1 REPLACEMENT SYSTEM E] INSTALLATION PERMIT ONLY [t PRIVATETWPPMTY WELL 2 E7 TABLE B REPAIR 0 SINGLE FAMILY E] COMMUNITYIRUBLIC WATER SYSTEM TANK(S)ONLY [3 COMMERCIAL SYSTEM NAME: 1 ' E] UPGRAGE TO EXISTING O OTHER: BEDROOMS LOT 8IIE E] EXISTING FAILURE R 3 �7SQ m ID DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORM9TICN FCRACCESSIn Maee0nuM1 O 1 WALKER PARK RD EAST TO BEND TO THE SOUTH TO NEW DRIVE ON THE RIGHT x �o JUST AFTER THE PARK. r° OK OAT�� ~ B BIEMG,T.EF.AGGEDFRDMMAMIRDADA«aMSTM«ES MOSrBEALIGGE)IM114.BTHINE MMMSER RFC 1p13 �o OFFICIAL USE ONLY BELOW THIS LINE UPGRADE I FMLURE SOURCE(f Mp WIXWSS ) []VOLUNTARY E]MAINTENANCEIPUMPING []BUILDINGPERMIT E]HOMESALE []COMPLAINT BOTHER: INSPECTORSOILLOGS CAMMENTB/CgWntleS [By 3 'L SdEB: YELL` S-D�-` ?_BRT C= TRE� TB INSPECTOR SIGNATURE WTE APAIGTION EX%RATIgI DATE APRICATIONAPPROVEOBY W1E �Z, . THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED In VIS DESIGN FORM—PAGE ONE Assessor's Parcel Numbtx: Z v 1 — S s -- U1111 A design will be reviewed when 3 copies of each of the following are submitted: e Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist •Scaled plot plan, including all applicable items on checklist. V 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 ersize: 11"X 17" _ PARCEL IDENTIFICATION Permit Number: SWG ZDZ3— OOP �(. Designer's Name: ADAM HUNTER Bn Applicant's Name: BRAD ROHR Designer's Phone Number: 360-753-1226 2027 WALKER PARK RD Designer's Address: PO BOX 162 Mailing Address: gn SHELTON WA 98594 OLYMPIA WA 98507 City State zm Ci State zip Treatment Device ❑Glendon Biofilter ❑Send Filter ❑ Mound ❑ Sand Lined Drainfieid ❑Recirculating Filter,Type: ❑Aerobic Unit Meke/Model ❑ Disinfection Unit Make/Model Other: Drainfield Type ❑Gravity ❑Pressure ❑Trench ❑Bed IlSub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class DRIPTUBE Daily Flow:Operating Capacity 270 gpd Length 450 ft V Daily Flow:Design Flow 360 glad Diameter 0.5 in Septic Tank Capacity 1200 gal Number 4- Receiving Soil Type(1-6) 4 V Separation 2 ft ✓ Receiving Soil Appl.Rate 0.6 gpd/ftr Orifices Required Primary Area 900 ft v Total Number of Orifices 450 Designed Primary Area 900 ftr , / Diameter DRIP EMITTERS in Designed Reserve Area 900 ftz V Spacing 12 in TicnchfBed Width DRIP ft Manifold Trench/Bed Length DRIP it Schedule/Class 40 Elevation Measurements Length VARIES it Original Drainfield Area Slope 15 / Diameter 1 in New Slope,If Altered 15 % Preferred manifold configuration used? as../Yes O No Depth of Excavation Up-slope 12 in Transport Pipe from Original Grade logo 12 in V Scbedule/Class 40 Designed Vertical Separation 24 in Length 70 ft Gravelless Chambers Required? ❑Yes #No ❑Optional Diameter f in Pump Required? Dyes O No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdows/day 12 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal Orifice 9,5 it Chamber Capacity 1200 gal Uppermost Orifice II tHigher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head I L•L 62Elapse Meter 17Event Counter Calculated Total Pressure Head I i ll-L r.P iP 30GAL ,Pump off 2HRS Comments APR 11 202li MASON COUNTY ENVIRONMENTAL HEALTH DESIGN FORM—PAGE TWO Assessor's Parcel Number:3-L o '+—! -- _ ' — 0391Q Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch 12f Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: E9 Soil logs Trench/bed dimensions and ES Septic tank E9 Property lines critical distances within layout El Drainfield cover • Existing and proposed wells EX D-BoxfValve box locations Reference depth from original grade within 100 H of property 17 Septic tank/pump chamber and restrictive strata: • Measurements to cuts,banks,and locations ❑ Laterals,trench/hed,top and surface water and critical areas El Observation port location bottom EA Location and orientation of IZ Clean-out location ❑ Curtain drain collector curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation I. components Eg Orifice placement Other cross-section detail: E9 Location and dimension of E9 Observation ports/clean-outs Lateral placement with distance primary system and reserve area to edge of bed Other Information 19 Buildings Ef Audible/visual alarm referenced Yes No E9 Direction of slope indicator Scale of drawing shown on scale d ❑Design staked out E9 Waterlines bar ❑ ❑Recorded Notices attached E6 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 m4notil" installer at time of installation I tYes ❑ No 10/17/23 Designer Date The undersigned has reviewbehalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: Enviro de tal Health SpeSpe i� Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. (D(� ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: �10 ✓ 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 ,.n...e...,....,. ,eh[...m ..e.ee..,.�e. ..r o.•q I _..e....,.x.,...e _m.. NetaOm Bioline Dripperline Design Recommendations -Based on Sail Loading Rate cWw.,a......,. -. -. w.Mr cs.:r .wlfnXme nex.p�.elw�..r.n ••• bJumm Wulc.nm,sa r, w,c0'F+r' . n. roW xumM,n[mma,nme o.o xu W 9.m[mse,[enwmwaxl ]av nkrmvtls, _ rere. .... 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