HomeMy WebLinkAboutSWG2024-00282 - SWG Application / Design - 6/26/2024 415N6
MASON COUNTY TH STREET,
N WA 98584
SHELTON
. SHELTON 7-9670, ENT 4000
BELFAIR'. 360-275-4467,ENT 400
Public Health & Human Services ELMA. 366-482-5269,ENT 400
FAX,360-127-7767
On-Site Sewage System Permit: SWG2024-00282
APPLICANT WILSTON ET AL AARON & NICHOLE Phone:
Address. 60 E LANKSY DR SHELTON, WA 98584
OWNER WILSTON ET AL AARON & NICHOLE Phone:
Address: 60 E LANKSY DR SHELTON, WA 98584
SEPTIC DESIGNER MICAH HALVERSON* Phone: 360-490-6365
Address: PO BOX 1519 SHELTON, WA 98584
Site Address: 60 E LANSKY DR
Primary Parcel Number: 220245000003
Permit Description. New 4bd gravity bed
Permit Submitted Date. 06/2612024
Permit Issued Date: 07/0812024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $540.00 (additional fees may be required upon insfallarea of system).
Permit Expiration Date: 07102/2027 (based oo date orospeonon)
Permit Conditions.
I 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 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 Designer7Engineer installation approval prior to
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing, and Installation fee most be submitted for
final installation approval
[HIS PERMIT MUST BE Ori 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.
OFFICIAL USE ONLY
MASON COUNTY
DME RFcerveD.
' N
COMMUNITY SERVICES MOUNT m y
Puelk HohM1 lum unsnealm/Envuonmen,al Hez¢m M < m
Now G
Z DO
ON-SITE SEWAGE SYSTEM APPLICATION Xe z
mED
APPucnvr PHovE 7
AARON & NICHOLE WILSTON 360-507-6586 z
MAILING ADDRESS-STREET CITY STATE TIP CODE 3
60 E LANSKY DR SHELTON WA 98584 ED
SITE ADDRESS-STREET Cln.TIP CODE L�
SAME AS MAILING
E;i
DESIGNER PHONE
H HALVERSON 360-490-6365
INSTALLER PHONE Q
OWN
` IN
PEENTI LO
GRINNING WATER SOURCE y
SIDENTIAL OSS fl COMMUNITY OSS fl COMMERCIAL OSS fill PRIVATE INDIVIDUAL WELL ❑ PRIVATE TNq-PARTY WELL ZPUBLIC WATER SYSTEMRORK DMW one)W CONSTRUCTION I UPGRADES EI REPAIR I REPLACEMENT OTHER DETAILS(NGSEumarewrr) ❑TABLE ILURERALSSURFACING SEWAGE ❑EXISTING FAILURE ❑SHORELINESIGN FORM(REQUIRED) in SEPTIC DESIGN(REQUIRED) BEDROOMS LOTSICE p /. O
AIVER(S)(IF APPLICABLE) 4 4.86 ALP
D!NE D,..10 SITEANO SITE CARD TICKS IN, rocAey yalel
FROM HARSTINE ISLAND BRIDGE TURN RIGHT (SOUTH ON ISLAND), TRAVEL TO I(j
STOP SIGN TURN RIGHT (SOUTH), TRAVEL TO LANSKY DR, TURN RIGHT ONTO
LANSKY DR. TURN INTO FIRST DRIVEWAY ON RIGHT. TEST HOLES ARE MARKED o
WITH PINK RIBBON DRAINFIELD IS STAKED
SITEMUST 6ETLAGGEBTROMMAWROAUAMB TESTHOEES MUSTBE FLAGGED MTN TESTXOLENUMBERS.
- OFFICIAL USE ONLY BELOW THIS LINE -
UPGRADE(FAILURE SOURCE Im,1111PN IP11"I
[]VOLUNTARY OMAINTENANCEIPUMPING f)BUILDING PERMIT ❑HOMESALE ❑COMPLAINT ❑OTHE.
INSPECTOR SOIL LOGS COMMENTS I CONDITIONS
saw-e
RECORD DRAPANGAND INSTALLATION REPORT
SOIL CODES',
V=VERY G=GRAVELLY S=SAND L=LOAM S=SILI C=CL R AY E=EREMELY R-ROOT$ REOUIREOF ORFINALAPPRO
INSPECTOR SIGNATURE hh� DATE APPLICATION ON DATE APPLICATIONAPPROVEDI155ED 9Y �h��
REVSED amA,5
THIS FORM MAYS SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE
DESIGN FORM-PAGE ONE Assessor's Parcel Number: 2 Z O Z_q --
A design will be reviewed when 3 comes 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
a Scaled plot plan,including all applicable items on checklist. Y 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 pope, size: 11"X 17"
".PARCEL IDENTUTIGATION
Permit Number SWGZ�'— W yCJ7 Designer's Namc: MICAH HALVERSON
Applicant's Name: �
AARON &NICHOLE WILSTON Designer's Phone Number: 360-090-6365
_
Mailing Address:
60 E LANSKY DR Designer's Address: PO BOX 1519
SHELTON WA 985M SHELTON WA 985M
City State Zip city State Zip
RESIGN PARAMETERS
Treatment Device
❑ Glendon Biofiner ❑ Sand Filter ❑ Mound ❑ Said Lined Drainfield ❑ Recirculating Filter,Type:
❑ Aerobic Unit Make/Model ❑ Disinlcction Unit Make/Model
Other: SEPTIC TANK
Drainfield Type
raity
ity ❑ Pressure ❑ Trench LgBed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
r of Bedrooms 4 Schedule/Class 272T
low: Operating Capacity 360 gpd Length $7.6 ft
low:Design Flow 480 gpd Diameter4 to
Tank Can
two
200 gal Number 4
Receiving Soil Type(1-6) 3 Separation 2.6 OC ft
Receiving Soil Appl.Rate .8 gpd/ft' Orifices
Required Primary Area 600 8' Total Number of Orifices PE 1.RF
Designed Primary Area 600 ft' Diameter in
Designed Reserve Area 600 ftr Spacing to
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 60 ft Schedule/Class D-BOX
Elevation Measurements Length ft
Original Drainfield Area Slope <2 % Diameter inNew Slope,If Altered SAME % Preferred manifold configuration used? O Yes 19No
Depth of Excavation UPslupe 36 in Transport Pipe
from Original Grade D„wv-0,o 22 in Schedule/Class 3034
Designed Vertical Separation 36+ in Length 14 ft
Gravelless Chambers Required? ❑Yes 16 No O Optional Diameter 4 in
Pump Required? ❑Yes KNo Dosing and Pump Chamber
Pump/Slpbon Specifications Number of doses/day GRAVITY
Diff.in Elevation Between Pump &Uppermost Orifice_ft Dose quantity gal
Drainfield Squirt lleighV Selected Residual(head) ft Chamber Capacity (flood) n/a gal
Uppermost Orifice re Higher ❑ Lower than Pump Shutoff
Pump controls:Please check those required.
Capacity @Total Pressurere Head gpm OTimer OElapse Meter ❑ Even[Counter
Calculated Total Pressure Head ft ,Pump off
Comments
JUL 0 8 2024
MASONC^oVr HEAJ� 7:1
tt�,
DESIGN FORM —PAGE TWO Assessor's Parcel Number:
Permit Number: SWG
DESIGN CHECKLISTS -
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
9 Test hale locations Q Drainfield orientation and layout Reference depth from original grade:
0 Soil logs 9 Trench/bed dimensions and L( Septic tank
0 Property lines critical distances within layout 0 Drainfield cover
0 Existingand proposed wells D-BoxNalve box locations
P P Reference depth from original grade
within 100 tt of property B Septic tank/pump chamber and restrictive strata:
0 Measurements to cuts,banks, and locations 0 Laterals, trench/bed, top and
surface water and critical areas 0 Observation port location bottom
0 Location and orientation of H Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 16 Manifold placement ❑ Sand augmentation
components 9 Orifice placement Other cross-section detail-
0 Location and dimension of pj Lateral placement with distance 0 Observation ports/clean-outs
primary system and reserve area to edge of bed
Q Buildings Other Information
0 Audible/visual alarm referenced Yes No
0 Direction of slope indicator
0 Scale of drawing shown on scale Tf ❑ Design staked out
0 Waterlines bar ❑ R Recorded Notices attached
EI Roads. easements,driveways, ❑ IY Waiver(s)attached
parking ❑ 0 Pump curve attached
0 North arrow and scale drawing ❑ tpl Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must be fled by installer at time of installation 0 Yes ❑ No
-�---- 6
Signature of Designer Dace
The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
�Ano jmroSSwl � �
EnvironmeMat Healtlt S ecialist 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: t2/7/2015
3/tl?JQ ly5Nd7 0
i3
� � A
o� -
� o
aom^
aid
3¢ �
I c
oy� T>
iy C V p
rn
oQ g .
Garden:
r HoMe ' w
m� I// � b be Removea.l
T
1 I
\ ° I
\ p /
N
AI/ zH
^a'
n
N .. hDADm oow�oa
O m —_m " 2a oa
to a a p do'0 Q(On3tim��
3 Z o � w
Q o o m o 0 0 o s?
p 0 r 3 F m_ o ° o o w
0 o N, p3 5' *n903 3a'
EF c ox �'
— 3 E-1s
C Nd O
N p
o �
Ia
III
k.Ose
M.Halverson Design LLC °""P' ' ' 4leInfo' Parcel# 22024-50-0000321;
PO Box 1519 Shelton Wa 98584 AARON & NICHOLE WILSTON
Halversandesignllc@outlook.com
60 EAST LANSKY DR SHELTON WA 98584 SO AST ANSKY DR
� ` D
2
_ \
0 � T \ 2
TI
\
33
\ 2 ƒ JOB 2
c } 1 }
/ } _
( 9 . /
/
71
/ \ -
- -
\ \ ZY
\} \ \\ 0 \\ Ti
� mm
d / § 5 0
TI
L
»
®
/ t!
9 »° 1 � �
/ j
> \ �«
Q m
(
Uaal onOn C o�, z Aso oS °m mmmr «amw
me 1S _ msa
e a! «ge DR+� 6 _ em e _ee _m. w_,
0 0 > v
2 Nm —
W
3No O
30� A
Ti
— _ F
N
N N Q ^
u
a
N �i 4 u N r ❑
-
3
O
r a
00 Q
m i j CC
o3 �I
o
a
c
N
m Cr
st a
8 `cg„ A x 9xa ��1 C o $ 6 8 N vPe �• \V
s,
VEj
M.Halverson Design LLC � O Parcel# 22024-50-00003 "`
PO Box 1519 Shelton Wa 98584 AARON R NICHOLE WILSTON 60 FAST I ANSKY DR 3
Halversondesi illc@outlook.com 60 ensr LnNsxv DR sHeLroN wn 98584 s,o„r.
i i 5 i
A
T ,MN � O OOODVgg � � CO - - OO 0
m o M
m n y a a 'm N N t3 •� 3 N •mG O " °^ a q' C C H N O
0 d o a c o s 3 o ° m m m v m m - N. a�< `0
O O O N y < J' O' J p N IA J O O ^ N N N J N
D M a F N n F a O J �� �,tl N <p � n 6 a� a_
O O ' m a 41 C N a N O C C a Q
O
(II C TvV lD N a N m mN m J
"73 ( ° ° Na 0 1F0 f° N N N
O a- W OR _ MQ
Z f Wa �
- 'O S _.O a N 4M - mo = 3 —a.A m _ o n3 � N9 'mmyTCinaQ o y
0Q3Sa6J
o g ; mpm _ m ' ^ a m & aa' N wo aMo -m m ¢ o n3 3
s amn3 � 0Q/ a o_ , n ^m o�om
•` . Q 0
Y T i n 'o N 3 J ry N < x o w. a
p N O 0 C I- n`G N a N 7 J :: d N j
� ac
o�
a m o 3 ° m g aM . azmm
n J
y � m_ a a 3 0 w m 85
U1 a =aF' m mmJ a No a
N O — m O N ° _ J O
J ° a xm 1D f. � m am
a < S
N O N N 6
a J n a 2 J m m N
0
J N O a p 1 N N
j 2 J J O ' C F
J 0 N
H y c m c m
c m m
N 10 O
J
a N a N M o
O O N
a d J � J
N N N
J � O
a
a
O
N
M N M—N -0 CD - (D y N (D -0 < (D 'p O. S y 0 -O -' •< J O O O y
0 N 3 = O y N O O „O„ CD N j 0 N N CD N O M J CD
O O O N O (O a� N y 11 O N
' (D (D O (D (D 7. (D IO m O (On 0 =M O O (D O O. O N (D S Cn Op N N O y ?.
,Q`< ° �'< `< m j '< �� m n ID CO�f C ry y. o ° m y 3 O 0
s. hFr o s o o yao mono - m� ' � o � y. mfD � O marry
Q+ F (DmF m mom; m mg ynt/161 of ca 3 CC n o y o
'oil 0•''�vN O y t0 n y 0 J U m N D.O< m = N N O m m 0 S y y O a, o N
n m O o m ^� w S f0/� N y 3 - m t0 o J o (n N w n w N 0l n N O Cr
C ,w a y W N d ] m Crr (D > < C y 'O Q v 1J N N y D m
O m m d y m S O - DI O. m
CD C
`< N J , y (off j O a (n O y o C ? ° a �' 2 m'm = S o 3 =
N Q � Q N O. O N F 0 CD O 0) y m O S 'O j N < .^`< a y m .y-. N
N m y O m N 0 ' (D f w S J W N m —� m O O_ S N O
S O N CD O O n n N. n (D ti N O' o `:. ^ 0 2 p m 0 N w. a.
0 3: Z Z � 3 m � C � 7 cD 'o S m m Ca
N C O 3 � 9 S m C) y
Jam m O a (Aa N a- o �. y N a C �. N (D N O -O -i O. O C N N 3 m N m m
� aa
a �3 3 < J m m � 2 . m (D N y y = aO. N �`GS ^. (D m -O a3 (D N y J
t� a0 ,m » 3 � N f. y � d, � � s� .� m000 mcsi' � oo- F � IFs
0 ,7 o F F a N m O w S N N O - m m D> O .'. (D tCii S N O m n N m
3 3 Z ° u ai ^.C O a O. O y (D S (D 0 0 F S 0 y 0 N 3 j � O y C (D 3
N a W y N X N p m v j j DI 0 3 N (O m m < F yi O w 3 .. O N
. am ouw a0om N (p O C, N ..� Of0 m = m ? a C) N sm .<^ N
J uapr < _ocJ J OO. O NN »^ m N mdC O (Dy ? p
Xjnn�ooa oNi m N F W N - m O O N N N O �. m .Z O N N
M 0 y 9 y a N j N S ^- O 0 m l m N O n n. 0 6 (n 3 y. N z
>zv � Am i u c_vc, a a � � � � � ay N� 0 CD (D (D SD
a. m N m -O m a m 7 < o ID m =
T N o 3@ 3 3 g = 0 = d m .7 ^ O N m 0 y m 0 O m m IO
O N m m 00
N O! w M CD N `G N << 0 0- 3 _ _, m S m O p C
^ a� ' �o �° M. m a. 'o 3E, 'm m °iM ' � v; °: ' m3o Via °:
NN wf/1 � m �^ OC m .' p `< j Jay O.v (D S N CD ^CD
Q mm >
o �. m .. O N m (D O T. O y
a o o J a
J
Ffalversondesigat2outlook.corn
rson Design LLCIFEwn-"�"``,"' Parcel# 22024-50-00003
AARON 8 NICHOLE WILSTON w
19 Shelton Wa 98584 60 AST AN4KY DR i!
so EAST LANSKY DR SHELTON WA 98584 0