HomeMy WebLinkAboutSWG2023-00444 - SWG Application / Design - 10/18/2023 WA
MASON COUNTY 415NBTHELTON:STREET,SHELTON,
7-967 ,EXT 404
SHELTON:360427-4467.EXT 400
4 # BELFAIR:360-275d487.EXT 400
Public Health & Human Services ELMA:360-482-5289,EXT 400
FAX MG-427-7787
On-Site Sewage System Permit: SWG2023-00444
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: 320215009005
Permit Description: New 31yd pressure subsurface drip
Permit Submitted Date: 1011812023
Permit Issued Date: 04111/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $525.00 (additional fees may as required awn installation at system).
Permit Expiration Dale: 1012612026 (based on data of nsnectmnl
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 Drainfield installation not to exceed designed upslope and downslope depth specked 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/Engmeer installation approval prior to
backffll 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/envimnmentaUonsite/oss-Inspection-mquest.php or call:
360-427.9670,extension 400.
• ,loci 181023 _
R OFFICIAL USE ONLY
MASON COUNTY PUBLIC V DATE gyp_ O Z
ONSITE SEWAGE SYS'�'E4VIc�F4kW,0N AM El � . u11,e� c m
415 N 61h Street(Bldg 8) Shehon WA,985M DJA ENiAL HEq { w
Shekan:360427-9670eat400 SeNair36UD54467e#400 C,^'� \ �� /�R O p0
.IVY ` �/V 2 N
APPLICANT PHONE D D
BRAD ROHR 2533984579 IT, m
MAILING ADDRESS-STREET CITY.STATE.2IPCADE r
2027 WALKER PARK RD SHELTON WA 98584 c
a
sREAnOREss-sTREET ciTr,zv coo( �
XX WALKER PARK RD SHELTON WA 98584 z
NAME OF DESIGNER PHONE I
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE I�
TBD le
CHECK ALLAPPLICASLE ITEMS DNNKINGWATERSOURCE
Of NEW CONSTRUCTION E] RVHOLGINGTANKONLY [3 PHIVATEINDIVIDUALWELL J; Ir
E] REPLACEMENTSYSTEM E] INSTALLATIONPERMITONLY It PRIVATE TWO-PARTY WELL Z
E] TABLE 9 REPAIR E] SINGLE FAMILY [] COMMUNITYIPUBLICWATERSYSTEM Il
E] TANK(S)ONLY [] COMMERCIAL SYSTEM NAME: t
[] UPGRADETOEXISTING [3 OTHER: SEDR,,M$ MAT SSE M
E] EXISTING FAILURE ^b DreWre AOubetl 3
IaIMI MfM1IWw' J r
DIRECTIONS TOSITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FORACCESS(ec Im BSS) I
WALKER PARK RD EAST TO BEND TO THE SOUTH TO NEW DRIVE ON THE RIGHT
JUST AFTER THE PARK. I9
OCT 18 2023
SGFE MUST BE FLAGGEG EACH MAIN ROAD AND LEST HOLES MUST BE FLA NTIIITEI&MIAOlRS OLD
OFFICIAL USE ONLY BELOW THIS LINE O
UPGRADE I FAILURE SOURCE(for reKNry WIpmes)
[]VOLUNTARY E]MAINTENANCEIPUMPING E]BUILDING PERMIT []HOMESAE (]COMPLAINT E]OTHER: FQ
WSPECTORSOILLOGS COMMENTSICONDITIONS
1
swL COD":
V=VERY G�GRAVELLY S=$AMID L=LOAM Si=SILT C=CNY E=EXTREMELY R-RNTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIMNON DATE APPLICATION APPROVED BY OATS
1-23 1?,C L( ( b
THIS FORM MAY BESCANNFDAND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED IWOCIS
DESIGN FORM-PAGE ONE Assessor's Parcel Number: i o z_ - ,17 a -- 0-2-0Q_57
A design will be reviewed when 3 copies of each of the following are submitted:
O 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. a 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: /?"X/7"
PARCEL IDENTIFICATION
Permit Number: SWG KJys-s+s+-IZ-1 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 Stale Zip City State Zip
Z; DESIGN:PARAMETERS
Treatment Device
❑Glendon Biofilter ❑Sand Film ❑Mound 0 Sand Lined Dminfield ❑Recirculating Filter,Type:
❑Aerobic Unit Meke/Model ❑ Disinfecdan Unit Make/Model Other:
Drainfield Type Ed
0 Gravity 0 Pressure 0 Trench 0 Bed 0a SUb Surface Drip
Septic Tank/Draiufreld Specifications Laterals
Number of Bedrooms 3 Schedule/Class DRIPTUBE
Daily Flow:Operating Capacity 270 gpd Ve Length 450
Daily Flow:Design Flow 360 glad Diameter 0.5 in
Septic Tank Capacity 1200 gal Number 3
Receiving Soil Type(1-6) 4 Separation
Receiving Soil Appl.Rate 0.6 gpolW Orifices
Required Primary Area 900 ft' V Total Number of Orifices 450
Designed Primary Area 900 fts I / Diameter DRIP EMITTERS in
Designed Reserve Area 900 ftr V Spacing 12 in ✓
Trench/Bed Width DRIP ft Manifold
Trench/Bed Length DRIP ft 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? EfYes Cl No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Doxv.elope 12 in Schedule/Class 40
Designed Vertical Separation 24 in Length I DLL ft
Cnavelless Chambers Required? ❑Yes 11tNo 0 Optional Diameter I in
Pump Required? 4Yes [IN. Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12 vl�
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 30 gal
Orifice 113 ft Chamber Capacity 1200 gal
Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity Q Total Pressure Head 10,6 rlptq-� r•� surer EYElapse Meter ErEvent Counter
Calculated Total Pressure Head �UL Fit 1f""'r C Lin 3oGAL pip off 2HR5
comments APR 11 2024
MASON COUNTY ENVIRONMENTAL HEALTH
RET
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
ff Test hole locations IZ Drainfield orientation and layout Reference depth from original grade:
19 Soil logs 12f Trench/bed dimensions and 9 Septic tank
E9 Property lines critical distances within layout EZ Drainfield cover
Eg Existing and proposed wells Ef D-Box/Valve box locations Reference depth from original grade
within 100 ft of property Ef Septic tank/pump chamber and restrictive strata:
13 Measurements to cuts,banks,and locations ❑ Latemis,trenchlbed,top and
surface water and critical areas 19 Observation port location bottom
19 Location and orientation of IZ Clean-out location ❑ Curtain drain collector
curtain drain and all absorption E9 Manifold placement ❑ Sand augmentation
components Ef Orifice placement Other cross-section detail:
EX Location and dimension of If Lateral placement with distance Ef Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
19 Buildings 121' Audible/visual alarm referenced Yes No
9 Direction of slope indicator 9 Scale of drawing shown on scale d ❑ Design staked out
Ef Waterlines bar ❑ ❑ Recorded Notices attached
19 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 unit by installer at time of installation IItYes ❑ No
10/17/23
Si a e of Designer Date
The undersigned has reviewed this esigo on be of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
Environmental Health Sftcialtst Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health.
✓ 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 may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/72015
Netatim Bioline Dripperline Design Recommendations-Based on Soil Loading Rate
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APPROVED
APR 11 2024
MASON CCJNTY EIN'ARONMENTAL HEALTH
RET
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