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SWG2025-00016 - SWG Application / Design - 1/20/2025
WA9 MASON COUNTY 416N BTHELTON; ,3HELT967 ,EXT 400 SHELTON;STREET, ON, EXT 400 SELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:3604824269,EXT 400 FAX:360427-7787 On-Site Sewage System Permit: SWG2025-00016 APPLICANT BILLY SARNO Phone: 253-820-9979 Address: 3803 SE Arcadia Rd SHELTON,WA 98584 OWNER ADAMS TORRY&ERICA Phone: Address: 403 S i 1TH ST SHELTON,WA 98584 SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226 Address: PO Box 162 OLYMPIA,WA 98507 Site Address: 3803 SE Arcadia Rd Primary Parcel Number: 320234700120 Permit Description: New 4-bedroom Oscar X02 wl OS-100 coils Permit Submitted Date: 0112012025 Permit Issued Date: 02105/2025 Issued By: David Anderson Current Permit Fees Paid: $825.00 (zddnbnerN.z may be. ,w.d„von manundon d swlam6 Permit Expiration Date: 02/05/2028 (b:nd on dale of I.,..tnn) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drainfield installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic DesigneNEngineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmentallonsite/oss-Inspection-request.php or call: 360.427-9670,extension 400. ® OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH P RM LN D Z ZS- ONSITE SEWAGE SYSTEM APPLICATION MDIm MDND RLCM&ft N 415 NMh Sheet("83 Sheh9R WA,98584 F7 N Sheltae3GD417-9670eM400 BeNaIr.38D375d467eM180 SWG Z _ 0 M `^ Z 0 APPLMANT 9 BILLY SARNO 2 38209979 m ITT cpi MNUNG ADDRESS-$MEET,CITY STATE.ZIP CODE r 3803 SE ARCADIA RD SHELTON WA 98584 c SITE ADDRESS-STREEL CITY,VP CODEED 3 3803 SE ARCADIA RD SHELTON WA 98584 z NAME OF DESIGNER ADAM HUNTER PHONE 63 07531226 NAMEOFINSU0.ER PHONE TBD CNECKALLAPPUI EITEMS DRINAN3 NITER SOURCE O Of NEWCONSTRUCTION P RV HOLDING TANK ONLY Br PRIVATE INDIVIDUAL WELL N ❑ REPLACEMENT ❑ INSTALLATION PERMIT ❑ PRIVATE TNX}PARTY WELL O P TASLE9REPAM P SINGLE FAMILY E3 COMMUNITY/PUBLIC VMTER SYSTEM Z I pW ❑ TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: N ❑ UPGRADETOEXISTING ❑ OMER: (J BEDROOMS LOT SME J P EXISTING FAILURE 'Rw -� 4 0.62 I �+ DRECTIGNS TO SITE-BE SPECINCANDADNSE OFANY NEEDE01WORMATION FORACCESS Bm I\ WIN n NS ARCADIA ROAD EAST TO SHARED DRIVE FOR 3803 I� I I o I 1pl* `�r1pjs I BITEMUSIEF FWGOEO FFgINNN/pAOANOTESTHIXE5 MU5IBF F1A00FO N1TN RSINOLENLMBFRS O I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FNLURE$OWICE IInnpy4,p Fuppeq C31VOLUNTARY PMAINTENANCE/PUMPING [3 BUILDING PERMIT PHOMESALE 000MPLAINT POTHER: INSPECTORSOLLOGS COMMENTS/CONDTKWS NS: OtS)- ql 21(4j©aLoffl %v*kr rHZ: 0-23` 5s[ ReS'1-ui 23" w/ mod flI.,6fcr rH3: p-LZ"f%L ReSfafat" w/ rho} rHM: 6.zt'j;L 14Sfaf zt 4/ mvf W VERY G=GMVELLY 5-SAND L•LOAM 5-SILT C=CUY E•EXTREMEIY fl•RGOTS INSPE SIGNATURE DATE APPLIGTKM EXPIRATION WE APPLI APPROVED BY WTE Zl 4Ll/1075 Z S ZOL L S ZO f THIS FORAIMAYBESCANHEDANDAVAILABLE FOR PUBLICVIEWON THE MASONCOUNTYWEBSITE REV...1272015 DESIGN FORM—PAGE ONE Assessor's Parcel Number:____320234700*20 ____ 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. 0 Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web site.MnrinnIm rsire: 11"X17" PARCEL IDENTIFICATION Permit Number: SWG 2oZrAD 16-- Designer's Name: ADAM HUNTER g Applicant's Name: BILLY SARNO Designer's Phone Number: 360-753-1226 8 Meiling Address: 3803 BE ARCADIA RD Designer's Address: PO BOX 162 SHELTON WA 98501 OLVMPIA WA 98507 City Stale Zip City Stele Zi DESIGN PARAMETERS Treatment Device ❑Glendon Biofilter ❑Sand Filter ❑Mound ❑Sand Lined Dralnfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑ Disinfection Unit Make/Madel Other: X02 Drainfield Type OSCAR ❑Gravity ❑Pressure ❑Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 4 Schedule/Class OSCAR Daily Flow:Operating Capacity 360 gpd Length OSCAR R Daily Flow:Design Flow 480 gpd Diameter OS-100 in Septic Tank Capacity 1200 gal Number 4 Receiving Soil Type(1-6) 5 Separation OSCAR R Receiving Soil Appl.Rate 0.4 gpd/Ra Orifices Required Primary Area 1200 R' Total Number of Orifices OSCAR Designed Primary Area 1200 R' Diameter OSCAR in Designed Reserve Area 1200 Rt Spacing OSCAR in Trench/Bed Width 24 R Manifold Trench/Bed Length 50 R Schedule/Class 40 Elevation Measurements Length 40 R Original Drainfteld Area Slope 4 % Diameter 1 in New Slope,If Altered N/A o/ Preferred manifold configuration used? EYYes ❑No Depth of Excavation Up-,lope OSCAR in Transport Pipe from Original Grade poae-slopa OSCAR in Schedule/Class 40 Designed Vertical Separation 18 in Length 100 R Gravelless Chambers Required? [I Yes VNo 11Optional Diameter 1 in Pump Required? N(Yes ONo Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day 411 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity IA67 gal Orifice R Chamber Capacity 1200 gal Uppermost Orifice Rf Higher O Lower then Pump Shutoff Pump controls:Please check those required. Capacity Q Total Pressure Head 12 gpm shinier EElapse Meter VEWnt Counter Calculated Total Pressure Head B If Timer: Pumpon 30SEC ,Pump off 3MIN Comments UPDATED DESIGN TO SHOW GARAGE AND NEW PROPOSED WELL SITE IN THE NORTH EAST CORNER DESIGN FORM—PAGE TWO Assessor's Parcel Number:____320234700120 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ET Test hole locations EZ� Drainfield orientation and layout Reference depth from original grade: � Soil logs 6d Trench/bed dimensions and E9 Property lines critical distances Within layout 9 Septic tank Drainfield cover 6d Existing and proposed wells � D-Box/Valve box locations within 100 ft of property Reference depth from original grade P P Y Septic tank/pump chamber and restrictive strata: IZ Measurements to cuts,banks,and locations surface water and critical areas EZ Observation port location ❑ Laterals,trench/bed,top and bottom fa Location and orientation of Sd Clean-out location ❑ Curtain drain collector curtain drain and all absorption Ed Manifold placement ❑ Sand augmentation components 9 Location and dimension of 0 Orifice placement Other cross-section detail: primary system and reserve area 9 Lateral placement with distance 9 Observation ports/clean-outs IZ Buildings to edge of bed Other Information 0 Direction of slope indicator F9 Audible/visual alarm referenced Yes No E9 Waterlines Scale of drawing shown on scale Ed ❑ Design staked out bar ❑ ❑ Recorded Notices attached E9 Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached E9 North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justincation ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL fThe ndersigned designer must be notified by ins Hermit me of installation &(Yes ❑ No 2/4/25 rg a r f Designer —D—ate--�A� ndersigned has reviewed tis d gn on in of Mason County Public Heal h and determ ned t�iga compliance with state and local no"" re ors: l/ Environmental to 1W AO CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITIOI�.y��� ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsile 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 re wired. This form may be scanned and available for public view on the Mason County Web site. Updated Date: 12/7/2015 MASON COUNTY HEALTH DEPARTMENT ONSITE SEWAGE DISPOSAL SYSTEM DESIGN SITE C: PARCEL R:320234200120 DATE SUBMITTED:14MG025 LEGAULOT 0: SUBMITTED BY: ADAM HUNTER APPLICANT: BILLY SARNO ADDRESS: 1.CALCULATIONS NUMBER OF BEDROOMS= 4 RESIDENTIAL ORD FLOW= 480 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATIONRATE- 04 GPDIFT2 REDUCTION w 6 NO REWC Vwl TAKEN DRAINFIELOSIZING ABSORPTION AREA 1200 FT2 TRENCH LENGTH OR BED CONFIG.= 5UX24' PER OSCAR II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1200GAL-X02 TANK NEW OR EXISTING= NEW 111.GRAINFIELD CROSS SECTION SAND DEPTH= 0'-6' IV.PRESSURE CALCULATN)NS USING PIPE CLASS 40 ORIFICE NETAFIM DRIPLINE LENGTH DIAMETER FLOW FRICTION LOSS SECTION (FT) (IN) (GPM) (FT) SUPPLY 100A0 1.00 12.000 7.7543 RETURN 100.00 1.00 12.WO 7.7543 TOTAL= 15.5086 "TOTAL HEAD LOSS " 1)FRICTION LOSS THROUGH SYSTEM= 15 509 2)ELEVATION DIFFERENCE = 67W TOTAL= 22.209 214125 AppR ®VED FED 05 rrKl:::I1 26u 4(4SoNC5UNryEDJ ON ENTACN A 8grft MI 2 V.CHECK THE PUMP CAPACITY. PUMP: A.Y.MCGGNALD XGPM-WHO PUMP(MOGEL Y ROS VU, (PER OSCAR) EXCESS TON W.DD (PER OSCAR) TOTAL HEAD LOSS IN SYSTEM2221 STANOARO PUMP CONFIGURATION IS SUFFICIENT? YES AAp ovp ,. FFeNSON s D 2/4126 :• .wufdJ��.. ". �I�uOTii�l �w 26 | , ! ] p, ■ §) � ( §! | |.;.. . . . . ; )\• • +/ � | , ° � Of YF « Ce 7 \} \ • �/� ( � | � �k tƒ f ° � � ° • I¢ / § ] . § & � __,e_ ( § ! | • § , § _A�d_ t � 3N11 NUO19H YWI„ ���[ m@�§ . LU / mrIlgM ! | ci $ \2 , e » � \ / • � J y E � ------l \ � 6 y y. . l } | :