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Home My WebLink AboutSWG2023-00446 - SWG Application / Design - 10/18/2023 416 N 6TH STREET,SHELTON,WA 98684 MASON COUNTY SHELTON:360-02759 70,EXT 400 SELF MA:3604826 5267,EXT 400 ELMA:360-082-5269,EXT 400 Public Health & Human Services FAX:360-427-7787 On-Site Sewage System Permit: SWG2023-00446 APPLICANT ROHR REAL ESTATE LLC Phone: 253-398-4579 Address: 2027 WALKER PARK RD SHELTON,WA 98584 OWNER ROHR REAL ESTATE LLC Phone: 253-3984579 Address: 2027 WALKER PARK RD SHELTON,WA 98584 Adam Hunter-Jim Hunter and Phone: 360-753-1226 SEPTIC DESIGNER Associates Address: PO Box 162 OLYMPIA, WA 98507 Site Address: UNKNOWN Primary Parcel Number: 320215009014 Permit Description: New 3bd pressure subsurface drip Permit Submitted Date: 10/1812023 Permit Issued Date: 0 411 112 0 24 Issued By: Rhonda Thompson (additional fees may ba repaired upon installation pi syatem). Current Permit Fees Paid: y$25. Permit Expiration Date: 10/26/2026 leaead on data m.m pauionl 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 Drainheld 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 backfll o 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: masoncountyw ealthie extension ntall nsiteloss-inspection-request.php or call: 360.42 LEa OCT 1 8202 OFFICIAL USE ONLY DATE Irvm� • ' C > MASON COUNTY PUBLIC ALT{[ECEIVED � ONSITE SEWAGE SYSTEM APPLI c%cc f PECErvq 1 c m 1 z N 435N6ih SVeeL(BMg B) 5heftonW0.98584 a�Z —� N O Shehlm:3604279eA 670400 Bdbir.364 SWG 2754467WOO SVV N 2 m = D D PHoxE 3 Cpi APPDCA"T 2533984579 "' BRAD ROHR r MMUNG AOORES3-STREET,CITY,STATE,LF COOS SHELTON WA 98564 c 3 2027 WALKER PARK RD m SnEwDREss-STREEt.CITY.MP000E $HELTON WA 98584 A XX WALKER PARK RD IW% E RMAE OF DESIGNER 3607631226 ADAM HUNTER IN pIgNE NgME OF WSTA LER IQ TBD DRINKING WATERSOURLE � CHECKMLAPPLIG EITEMS E3 PRNATEINDIMOUALWELL N IN ofNEW CONSTRUCTION 0 RVHOLDINGTANK ONLY O I— Of PRNATETNPPARTYWELL z O REPIACEMENT SYSTEM 0 INSTALlAT10N PERMIT ONLY O WMMUNITYIPUBLIC WATER SYSTEM TABLE 9 REPAIR 0 SINGLE FAMILY SYSTEM NAME: Q TANK(S)ONLY E3 COMMERCIAL O SEE Q UPGRADE TO EXISTING 0 OTHER: BEDFIOOMS 3 1 Q r I Q wN.nG o.,.ure n.ux.S V Q EXISTING FAILURE bMIFNNRN1wn' OI DIRECTIpIS TO SITE-BE SPECFICAND PDVISE OFPNY NEEDED INFORMATION FOR ACCESSTmvY IeI WM) I7 I` WALKER PARK RD EAST TO BEND TO THE SOUTH TO NEW DRIVE ON THE RIGHT JUST AFTER THE PARK. b/fEM1/9TBEMGDED FROMMAN'RDAD AND TESTHIXFS MOST"fIAGGFO RTl1I TESTNOLENWBEAS OFFICIAL USE ONLY BELOW THIS LINE ypGRADEI FAILMRESWRCE IYungvtiry OlRNea°I t OVOLUNTARY 13MAINTENANCENUMPING OBDILDING PERMIT QHGME SALE OCOMPlA1NT DOTHER: P CCW.IENTSI CONgTIDNS y INSPECTOR BOIL LOSS �Y] 0 s-I0 ��, Sb �—b o afi vw'4 t0 0'"l3 Sp..CpDEB: V=VERY G=GRAVELLY $=SAND L=LOAM 9'SILT C=CIAV E=EMREMELY R= AP0.IATIONAPPRGVEDBY DANE INBPECTOft 51GRANRE GATE MPLICATON E%PIRATION DATE WV' q I dv-` TNISFOII BE GANNEO AND AVAILABLE FDR PUBLIC V)EW ON THE MASON COUNTY WEBSITE RENBED 1N(1415 DESIGN FORM-PAGE ONE Assessor's Parcel Number:I L o = t •- 3'o - o A design will be reviewed when 3 copies of each of the following are submitted: C n checklist a Completed design form that has been signed and dated. Scaled layout sketch,including all applicable items ms o on checklist Scaled plot plan,including all applicable items on checklist. v Cross-Section sketch,including all applicable items o checklist. • This form may be scanned and available for public view on the Mason County Web site.Maximum a er si I ze: f"X f7" PARCEL IDENTIFICATION -i ADAM HUNTER Permit Number: SWG 7,015-004A6 Designer's Name: 360-753-1226 Applicant's Name: BRAD ROHR Designer's Phone Number: PO BOX 162 Mailing Address: 2027 WALKER PARK RD Designer's Address: OLYMPIA WA 98507 SHELTON WA 98584 ty Slate Zr City State Z Ct DESIGN PARAMETERS Treatment Device ❑Glendon Biofrlter ❑ Sand Filter ❑Mound ❑Sand Lined Dainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Madel ❑Disinfection Unit Make/Model Other, Drainfreld Type d5ub Surface Drip ❑Gravity 0 Pressure ❑Trench ❑Bed E Laterals Septic Tank/Drainfield Specifications DRIPTUBE Number of Bedrooms 3 SchedulelClass 270 ppd Length 450 ft Daily Flow:Operating Capacity 0.5 in Daily Flow:Design Flow 360 gpd Diameter 1200 pal Number Septic Tank Capacity 2 ft Receiving Soil Type(I-6) 4 Separation 0.6 d/if Orifices Receiving Soil Appl.Rate BP 450 Required Primary Area 900 fe Total Number of Orifices 900 ftz Diameter DRIP EMITTERS in im Designed Primary Area 12 in 900 ft7 Spacing Designed Reserve Area Manifold Trench/Bed Width DRIP ft DRIP ft Schedule/Class 40 Trench/Bed Length VARIES it Elevation Measurements Length 15 % Diameter 1 in Original Dainfield Area Slope preferted manifold configuration used? Yes El No New Slope,If Altered 75 12 Transport Pipe Depth of Excavation CP-SI°p- 40 from original Grade Down-slop- 12 in Schedule/Class Designed Vertical Separation 24 in Length No [I Optional Diameter l,7-'" in Gmvelless Chambers Required? OJ Yes —� *Ye5 0 No Dosing and Pump Climber Pump Required? 12 f doses/day o Pump/Siphon Specifications Number 3� gal Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity �� Orifice (� ft Chamber Capacity 1� 2� gal Uppermost Orifice Higher O Lower than Pump Shutoff Pump controls:Please checthosel e Meter dEvent Counter Capacity Q Total Pressure Head 14.6 g9'FP 30GAL Pumpoff 2HRS Calculated Total Pressure Head t1^ It Timer: UM® Comments MASON COUNTY ENVIRONMENTAL HEALTH r DESIGN FORM—PAGE TWO Assessor's Pareel Number: 3 Z o x- n — f — d_3s1 t1- Permit Number: SWG (ivor.rq� IGN CHECKLISTS Scaled Plot Plan177 ayout Sketch Cross-Section Sketch f7j Test hole locationsield orientation and layout Reference depth from original grade: 1f Soil logsh/bed dimensions and Septic tankf� Property linesl distances within layout Drainfield coverI EExisting and propoxlValve box locations Reference depth from original gradewithin 100 ft of pro tank/pump chamber and restrictive strata:IZ Measurements to cuts,banks,and locatons ❑ Laterals,trench/bed,top and surface water and critical areas 9 Observation port location bottom F� Cleanout location ❑ Curtain drain collector ❑ Location and orientation of ❑ Sand augmentation curtain drain and all absorption d Manifold placement components IZ Orifice placement Other cross-section detail: 19 Location and dimension of 1S Observation ports/clean-outs � Lateral placement with distance primary system and reserve area to edge of bed Other information 19 Buildings Eg Audible/visual alarm referenced Yes No 6d Direction of slope indicator E9 Scale of drawing shown on scale er ❑Design staked out Waterlines bar ❑ ❑ Recorded Notices attached 19 easements,driveways, ❑ ❑ Waiver(s)attached f� Roads, ❑ ❑Pump curve attached paddng ❑ ❑Evaluation of failure E9 North arrow,and scale drawing Non-residential justification shown on scale bar ❑ ❑ Waste strength ❑ ❑Flaw DESIGN APPROVAL The undersigned designer must be noti b installer at time of installation 11Yes ❑ No 10/17/23 Si a nre 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: 1(Z�,( ��ilY��l lmn�i� l Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 1 Or,� / _ ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 1 fze ✓ Drai�eld 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 101 public view on the Mason County Web site. Date: 12/7/2015 — iu ouma�n ub.Wb .+a ¢ycieea usnwnin"iw W I ee.a J q arr+a w. e npn eneane euNu ueeies mmxoono,u+exmPxob gn..M iem.�w sivp g � n Nei Bioline'° Dripperline Design Recommendatiom-Based on Soil Loading Rate �x z-zip Ri- — w Tc.I SY.am Mantab^ ,..e lw�+^N.9 m,.a,oa.m. m,..aauiw ixarw.,.e�r..,ni.aei eb. xewM c.��vyp awr wawa,zew. � � >< weimwr _p. azm a.ow� z. _ x..e w..ou.00wne i bone..,.. i,iwo � sowu.azwn..W z.ame�a,.x.a.n a.en+Fu"ww.ra,�e.n nb .wow rowavx" pizyawn m. wcanad �eoams.en,w smnamweM.,rm bw .n '. — � a rn,m a.wme a a,nre 4 APPROVED APR 11 2024 MASON COUNTY EWR NMENiAL NEALTN 10/16/23 \'Jam, � vY. F MVxifla � 'C1IFRSFti1V'S1S. 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