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Home My WebLink AboutSWG2024-00356 - SWG Application / Design - 8/23/2024 415 N 6TH STREET,SHELTON,WA 985" MASON COUNTY $HELTON 386427-9670,EXT 400 BELFAiRELMA 360 82-5269.EXT 400 40 ELMA.360482-52fi9.EXT 400 Public Health & Human Services FAX:W8 27 7789 On-Site Sewage System Permit: SWG2024-00356 APPLICANT Hunter,Adam Phone: 360753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 CONTACT GUNN,JESSE Phone: 208-304-0665 Address: 2767 SUNNWIEW LN EUGENE, OR 97405 REDFORD GREGORY ALLEN& Phone: OWNER MELISSA LYNN Address: 23711 81 ST AVE CT E GRAHAM, WA 98338 SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226 Address: PO Box 162 OLVMPIA,WA 98507 SEPTIC INSTALLER DARIN OGG* Phone: 360-790-3021 Address. PO BOX 1336 HOODSPORT,WA 98W Site Address: UNKNOWN Primary Parcel Number. 422103290022 Permit Description: New 2bd sandlined bed Permit Submitted Date: 0812312024 Permit Issued Date: 0910912024 Issued By: Rhonda Thompson Current Permit Fees Paid: $805.00 (addaonal ,as may ae reymred aeon msmlleYon daysrom). Permit Expiration Date: 08130/2027 leased on date Of mscemmn) 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 to=. 4 Installer is responsible for obtaining Mason County installation approval prior to backlill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to back(ll of system components. 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.govlhealthlenvironmentallonsitelose-inspmtion-requesLphp or call: 360-427-9670,extension 400. 415 N 6TH STREET.SHELTON,WA 98584 MASON COUNTY SHELTON 360d27-9610,FAT 400 eE ELMAR 36085d46 ,UT 400 40 ELMA 360482-5269,UT 400 Public Health & Human Services FAX 360427a187 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/onsite/ms-inspection-request.php or call: 360427.9670,extension 400. OFFICIAL USE ONLY Yii�ll� �A,EMD m MASON COUNTY PUBLIC HEALTH8I23/2024 MAN DN y ONSITE SEWAGE SYSTEM APPLICATION M RW M EN D 805 online N 116N6M StreN,lBMg 81 Sheligair.3 275B684 SWIG 2024-00356 o z 6heMn:360-427-9670e#400 BeNair.36D17Y4W7 eM400 Z 0 Z D D PHONE 3 0 APPUCANT 2083040665 M JESSE GUNN z MAILING AODREES.STREET,CITY,STATE,OP DO. EUGENE OR 97405 C 3 2767 SUNNYVIEW LN a zSITEAGDREW.STREET Cm,ZIP CODE HOODSPORT WA 98548 XX N LAKE CUSHMAN RD NONE NAME OF DEscNER 3607531226 ADAM HUNTER PHONE N NAME OF INSTALLER O I N ROYAL FLUSH DRINKING WATER 4DGRCE < CNECKALLAPKICA"EITEMS N pRNATEINONIDUPl WELL O Ef NEWCONSTRUCTION ❑ RV HOLDING TANK ONLY 0 pRNATETW0.PARTYWELL Z IO 0 REPLACEMENT SYSTEM O INSTALLATION PERMIT ONLY 0 COMMUNITYNUSLIC WATER SYSTEM 0 I ' TABLE9 REPAIR SINGLE FAMILY SYSTEM NAME. ❑ TANV4S)ONLY 13 COMMERCIAL LOT SIZE BETRODMS ❑ UPGRADE TO EXISTING O OTHER �PA�� 2 4.41 0 N 0 EXISTINGFAILURE DIRECTIONSTO SITE-SE 4FECIPCANDAONSE OFANY NEEDED INFORMATION FOR Ac I DIRECTLY ACROSS FROM THE COFFEE Maeaa I Q0 VE GATED D STAND BEFORE N RD TO POTLATCH RDTL I O o � O Nm 1E4TMd.E4NWTBFFIADDED LMMTEBTIIDLEMA6FM4 I II N SRENV9T4EMODED FRONYNNROAD ._ __ OFFICIAL USE ONLY BELOW THIS LINE uPOAADE)PAWREWMCE"W>M'eP ) ❑VOLUNTARY OMMNTENANCEIPUMPING ❑BIIIWINGPERMIT DHOMESALE OCOMPWwMMO��DTONS INSPECTORS LLOGS TH1: 0-47 EGOS, 47-56 CS, 56+ bottom of hole TH2: 0-54 EGCS, 54+ bottom of hole 401LCDDFS: V=VERY G=GMVELLY S=SAND L=LOAM S=SILT C=GAY E=E%TREMELY F'ROO APPLIGTIMAPPPOVEO BY wTE INSPECTORSIGNAWRE 8/3OI2024 DATE APKIICATKINEXPRATICNDATE 2024.09.09 8/30127 R Thompson 14,43.49-07' 0' R T son REVISED,3 P,5 TNIB FORM MAYBE SCANNEDAND AVAILABLE FOR PVRUC NEW ON THE MASON CWIT'MIEBMfE 42210-32-90-022 ___ DESIGN FORM—PAGE ONE Assessor's Parcel Nrrmber.___-- v Scaled layout sketch,including all applicable items on checklist A design will be reviewed when 3 eaides signed each of the following are submitted: applicable items on checklist. •Completed design form that has been signed and dated. r Scaled plot plan.including all applicable items on checklist. Cross-section sketch,including all app This form may be scanned and available for public view on me Mason county Web site,Ir/oe�mum o.er size: 11'X 17" y,uw.. =FARCEL IDENTIFICATION. ADAM HUNTER _ Designer's Name: — PermitNmn her. SWG_2Q24r_9�_a5--- 360-7531226 — 'ESSE GUNN Designer's Phone Number: PO BOX 162 Applicant's Name: Designer's Address: WA 9a5o7 2UGENE767 NYVIEW OR OLYMPIA Mailing Address: OR s)ao5 EUGENE Ci State 2.1 Cit State Zi TERS P Treatment Device ❑Mound Sand Lined Dminfcld ❑Recirculating Filter,Type: ❑Glendon Biotilter ❑Sand Filter Other:- ❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Drainfield Type ❑Sub Surface Drip F�Pressure ❑Trench Bed ❑Gravityf,aterals Septic Tank/Drain[eld Specifiatioos Schedule/Class 2 Number of Bedrooms I t Length Daily Flow:Operating Capacity in gpd Diameter Daily Flow:Design Flow f[ gal Number � Septic Tank Capacity � Separation � Receiving Soil Type(1-6) gpd/ftz Orifices Receiving Soil Appl.Rate Rz Total Number Of Orifices Required Primary Area ftz Diameter — in Designed Primary Area in Rz Spacing Designed Reserve Area ft Manifold TnmchBed Width R Schedule/Class — ft Trench/Bed Length Length Elevation Measurements in /a Diameter � original Dminfield Area Slope Preferred manifold configuration used? O Yes O No New Slope,If Altered % Transport Pipe DepthofExcavation OPslvpa in from Original Grade Di, a inkar in ScheduldClass n Length Designed Vertical Separation in Gravelless Chambers Required? ❑Yes O No O Optional Diameter Pump Required? ❑Yes ❑No Dosing and Pump Chamber Number o fdoses/day Pump/Siphon Speeificatioas � Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity Orifice ItChamber Capacity gal Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required. glut OElapse Meter ❑Event Counter Capacity @Total Pressure Head Calculated Total pressure Head R If Timer: Pump on ,Pump off Comments EH APPROVED Rhonda Thompson G9/U9/2U24 42210-32-90022 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2024-00356 permit Number: SWG�— DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch EXDralnfield orientation and layout Reference depth from original grade: E9 Test hole locations renc st dimensions and EZ Septic tank [Z Soil logs criticall di distances within layout EZ Dralnfield cover ❑ property lines Reference depth from original grade EZ proposed wells D-Box/Valve box locations Existing and prop ES Septic MVpump chamber and restrictive strata: within t00 ft of property locations ❑ Laterals,trench/bed,top and ® Measurements to cuts,banks,and il as bottom surface water and critical are Observation port location ❑ Curtain drain collector 0 Location and orientation of El Clean-out location ❑ Sand augmentation curtain drain and all absorption E9 Manifold placement other cross-section detail: components ❑ Orifice placement Ef observation ports/clean-outs lZ Location and dimension of 9 Lateral placement with distance primary system and reserve area to edge of bed Other Information ❑ Buildings 9 Audible/visual alarm referenced Yes No jZ (� ❑Design staked out Direction of slope indicator Scale of drawing shown on scale ❑ ❑ Recorded Notices attached ❑ Waterlines bar ❑ ❑Waiver(s)attached Roads,easements,driveways, ❑ ❑ pump curve attached parking ❑ ❑Evaluation of failure E9 North arrow and scale drawing Noo-residential justification shown on scale bar ❑ ❑Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer ust b tied by installer at time of installation E�Yes ❑ No 8/23/24 atone of Designer Date e this esign on behalf of Mason County Public Health and determined it to be in The undersigned has review compliance with state and loc on ite regulations: 20224.09.09 R Thompson 14.44:22-07'W Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 8/30/2027 ✓ 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 Dublic view on the Mason County Web site. dated Date: 12/7/2015 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN PARCEL M.922103290022 SITE II'. LEGAMOT N SM077 LOT 2 DATE SUBMITTED'. BG& 024 SUBMITTED BY: ADAM HUNTER APPLICANT. 2767 S NNWIEW UN ADDRESS. EUGENE.OR 91405 1.CALCULATNIMS 2 NUMBER OF BEDROOMS= 26 RESIDENTIAL ORD FLOW= IWI,-REST BE AS �S: EN PO FLOW GPD= 1 GFDIFT2 APPLICATION RATE REDUCTION=LEAVE 6LBNK IFNO REDUCTION TAKEN GRAINFIELD SING 240 FT2 ABSORPTION AREA 1p IIFT SAND LINED BED TRENCH LENGTH OR BED CONING.= II.WATERPROOF SEPTIC TANK 1000 GAL.CONCRETE COMPOSITION AND SIZE= NEW NEW OR EMSTING W.DNNNFIELD CROSS SECTION DEPTHTODRMNROCKSOTTOM= 0'-w ROCK DEPTH BELOW PIPE= ' MATERLAVSEASONAL SATURATION TOM TO IMPERMEABLE 1' V FILL DEPTH= 1D-V TRENCH WIDTH= N.PUMP REWIREMENT DOSING VOLUME IN GALLONS= B NUMBER OF DOSES PER DAY= V.PREBSURE CALCULATIONS USING PIPE CLASS ORIFICE W16 EH APPROVED Rhonda Thompson 09/0912024 8/23/24 95. F ai .t AY CMG 'H 51AYAiY�tuW` 26 LATERAL 01 2.00 3G111RT HEIGHT(FT)_ (NOTE(2)ORIFICE OISGHARGERATE=11119)X(ORIFICE OIAMETERFSC2 X SO RDOTOFQOTAL PRESSURE HEAD) 0.56618 ORIFICE DISCHARGE RATE= 24.00 LATERAL LENGTH IN FEET• 3'w ORIFICE SPACING= VT DISTANCE FROM END CAP= 8 NUMBER OF HOLES- 4.689 LATERAL DISCHARGE RATE_ LATERAL 112= 2.00 SQUIRT HEIGHT(FT)= 0.58618 ORIFICE DISCHARGE RATE= 24.13D LATERAL LENGTH IN FEET= T T ORIFICE SPACING= DISTANCE FROM END CAP= 8 NUMBER OF HOLES= 4.M LATERAL DISCHARGE RATE LATERAL 13= 2.00 SQUIRT HEIGHT(FT)= 0.58818 ORIFICE DISCHARGE RATE= 24.00 LATERAL LENGTH IN FEET= 3'T ORIFICE SPACING= 1'6' DISTANCE FROM END CAP- 8 NUMBER OF HOLES= 4689 LATERAL DISCHARGE RATE_ LATERAL A- 2.00 SQUIRT HEIGHT(FT)= O.W18 ORIFICE DISCHARGE RATE= 24.110 LATERAL LENGTH IN FEET= 3'0' ORIFICE SPACING= T 6' DISTANCE FROM END CAP= 8 NUMBER OF HOLES= 4.689 LATERAL DISCHARGE RATE LATERAL 1115= 2.00 SQUIRT HEIGHT(FT)= 0,58618 ORIFICE DISCHARGE RATE= 2A.00 LATERAL LENGTH IN FEET= 3-0- ORIFICE SPACING= Tr DISTANCE FROM END CAP 0 NUMBEROFHOLES= 4689 LATERAL DISCHARGE RATE EH APPROVED F onda Thompson 09/09/2024 8/23/24 •ans:�1�X1F.�''• 26 LENGTH DIAMETER FLOW FRICTION LOSS (IN) (GPM) (FT) SECTION 0.5926 AB 8o0.00 2.00 2S14T Go 1.W 2A0 11.068 0.0038 BC CO 2.00 2.00 9.3T9 0.0036 DE 2.00 200 468g 0.0010 EF 20.00 1.25 4609 0.0862 TOTAL= 0.6873 TOTALHEADLOSS 0.687 1)FRICTION LOSS THROUGH SYSTEM= 6.300 2)ELEVATION DIFFERENCE _ 2.000 3)RESIOUAL 8 98T TOTAL= FEH APPROVED nda Thompson 09/09/2024 i 1 1 8/23/24 fir .M6i xJM.. 'f 26 1 1 Jib f MYERS ME3 Capacity liters per minute a so 100 _5a 2� 12 40 44 10 rya w G c 9 L L r 1 2 ap 10 20 30 tG 50 5C 70 Capacity gallons per minute EH APPROVED Rhonda Thompson 09/09/2024 8/23/24 'i'TIWl'9YfuY.Fk4� . 26 § ! \ ! tr HIM / | \q ` ) Ui # , • \} L ) � : : \ ; | � ! \ \ § .` §l � ! ! � ' � ! ( ° ` ! g E ! 3 \ ! g \ { § L ! | | . |!I( ||[ ( | | Hill � | � � ) � � � || � !• , �� ).- |,|, ( ( | ` ||||| . .,