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Home My WebLink AboutSWG2024-00457 - SWG Application / Design - 12/9/2024 MASON COUNTY 415N6 SH ELTON: 7-967 ,EXT 4 4 H STREET,SHEHEL ON, A9 400 BELFAIR.360-275-4467,EXT 400 Public Health & Human Services ELM):360.462-5269,EXT 400 FAX:360427-7767 On-Site Sewage System Permit: SWG2024-00457 APPLICANT Hunter,Adam Phone: 360753-1226 Address. 2201 93rd Ave SW Olympia,WA 98512 OWNER ROHR REAL ESTATE LLC Phone: 253-3984579 Address: 2027 WALKER PARK RD SHELTON,WA 98584 Site Address: XXX SE Alders Rd N Primary Parcel Number. 320215007007 Permit Description: New 2-bedroom Glendon Biolliter Permit Submitted Date: 12I09I2024 Permit Issued Date: 1211612024 Issued By: David Anderson Current Permit Fees Paid: $806.00 (additional fees may ea required upon mstauanon of system). Permit Expiration Date: 12109/2027 (eased on date of,nspetlan) 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 Drainfi 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 Designer/Engineer installation approval prior to backfill ofsystem 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.govthealthlenvironmentallonsiteloss-inspection-requeeLphp or call: 360-427-9670, extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH ESIWAIG K12/9/20214ONSITE SEWAGE SYSTEM APPLICATION BRe to 415N6thSUeet,(BWgB) SheltwWAgB M Online o_Shdtw:360I17-%70ext4D0 BeBak:,360-275-M67exI400 : N00457 0 Z G, APPUGWT PfgNE D D BRAD ROHR 2533984579 m M MAILWG ADDRESS-STREE,CRY,STALE.LPc00E t- 2027 WALKER PARK RD SHELTON WA 98584 c SREADDRESS-STREET CRY LPCODE 3 XX ALDER RD SHELTON WA 98584 m NAME OF DESIGNER PHONE -- ADAM HUNTER 607531226 k') NMIEOFINSTALLER PRONE I� TBD CKECKNLAPKIGABLERENS DRINKING WATER SOURCE C lO NEW CONSTRUCTION O RV HOLDING TANK ONLY Of PRIVATE INDWIDUM WELL N II"I Of REPLACEMENT SYSTEM ❑ INSTALLATIONPERMIT ONLY CI FRNATETW0~TYWELL a TABLE D REPAIR L3 SINGLE FAMILY O COMMUNITY/PUBLIC WATER SYSTEM = I�- 0 TANK(S)ONLY Q COMMERCIAL SYSTEM NAME: I E3 UPGRADE TO EXISTING O OTHER: BEDROOMS LOT8RE Ih EXISTING FAILURE w.cad GnwMB npulnN 2 0.66 W ro..nM,uxu�.- 3 DIRECT ORSTO SRE-BE SPECIFICANDADVISEOFANY NEEDED INFORMATION FORACCESS(ex.WW IAN) O WALKER PARK RD TO A RIGHT ON ALDER TO SITE AT THE END. C) IC H ..E TBEFLAGGEDFIDMMNNROAOAND TEBTNGLES MDSTBE FLAGGED W/TN TESTNOLENUYBERS OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAIwRE SOURCE(brreyMp q,NNNS) [3VOLUNTARY OMAINTENANCUPIIMPING 13BUILDINGPERMIT CIHOMESALE 13COMPVJNT DOTHER: INSFLCTOR SOIL LOSS COMMENTS/CONDRIONS TH1 : 0-24" GSL Rest at 24" w/ till TH2: 0-28" GSL Rest at 28" w/ till BOIL CODES: V.VERY G=GRAVELLY 5-SAND L-L. S—SILT C-CLAY E•E.[TREMELY F.R00T3 EH APPROVED DARE A CAIONEXFIRATIONGMl DAM EH APPROVED �« 1211&2OSA 2/12/202 12/09/2024 1 DA,&m, 101.D2A 2/16/202 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC MEW ON THE MASON COUNTY WEBSRLE REMVISED 1M 015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 1 SL S Q — 0 1 0 OZ A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated. I Scaled layout sketch,including all applicable items on checklist Scaled plot plan, including all applicable items on checklist. s Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on the Mason County Web ske.Maximum pgper size: 11"A'17" PARCEL IDENTIFICATION Permit Number. SWG 2024-00457 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 98564 OLYMPIA WA 96507 city State Zip City State Zip DESIGN PARAMETERS Treatment Device M'Ciendon Biofilwr ❑Sand Filter ❑Mound ❑Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Meke/Model Other: Drainfield Type ❑ Gravity Pressure ❑Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class N/A-GLENDON Daily Flow: Operating Capacity i60 gild Length N/A-GLENDON ft Daily Flow:Design Flow 240 gpd Diameter N/A-GLENDON in Septic Tank Capacity 1125 gal Number N/A-GLENDON Receiving Soil Type(1-6) 4 Separation N/A-GLENDON ft Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 400 ft Total Number of Orifices N/A GLENDON Designed Primary Area 400 ttr Diameter N/A GLENDON in Designed Reserve Area 400 82 Spacing N/A GLENDON in TreachBed Width PER GLENDON ft Manifold Trench/Bed Length PER GLENDON ft Schedule/Class 40 Elevation Measurements Length 20 it Original Drainfield Area Slope 17 % Diameter 1 in New Slope,If Altered 17 % Preferred manifold configuration used? 0 Yes 0 No Depth of Excavation UPcloye PER GLENDON in Transport Pipe from Original Grade Dean.depc PER GLENDON in Schedule/Class 40 Designed Vertical Separation 124 in Length 30 ft Gravelless Chambers Required? ❑Yes RfNo 0 Optional Diameter 1 in Pump Required? Rf Yes 0 No Dosing and Pump Chamber Primp/Siphon Specifications Number of doses/day 144 Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1.667 gal Orifice ' it Chamber Capacity 1000 gal Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls: Please check those required. Capacity Q Total Pressure Head PER GLENDON gpm Timer &(Elapse Meter &YEvent Counter Calculated Total Pressure Head PER etENooN fl if Timer: Pump on 1.667 GAL Pump off 10MIN Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: Permit Number: SWG DESIGN CHECKLISTS Scaled Plot 7proposedwells Scaled Layout Sketch Cross-Section Sketch E� Test hole �' Draiafield orientation and layout Reference depth from original grade: 6� Soil logs6Y Trench/bed dimensions and Septic tank 6d Property lcritical distances within layout. la' Drainfield cover 69 Existing awells 6f D-Box/Valve box locationswithin 10 Reference depth from original giade Y 6d Septic tank/pump chamber and restrictive strata: 17 Measuremanks,and locations surface water and critical areas IX Observation port location ❑ bottoms,trench bed, top and ILocation and orientation of 19 Clean-out location bottom curtain drain and all absorption � M ❑ Curtain drain collector Manifold placement ❑ Sand augmentation components 9 Location and dimension of El Orifice placement Other cross-section detail: Primary system and reserve area E9 Lateral placement with distance Er Observation porWelean-outs to edge of bed 6d Buildings Other Informatloa 69 Audible/visual alarm referenced Yes No 67 Direction of slope indicator Rf Scale of drawing shown on scale 6i( ❑ Design staked out 6d Waterlines bar ❑ ❑Recorded Notices attached 6d Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ Cl Pump curve attached 6if North avow and scale drawing ❑ ❑ Evaluation of failure - shown on scale but ' Non-residential justification ❑ ❑Waste strength ❑ ❑ Flow DESIGNAPPROVAL The undersigned designer must be no ' e by installer at time of installation d Ycs ❑ No 4/3/24 Si m of Designer Date The undersigned has reviewed 's ign on behalf of Mason Court Public Health and determined it to be in compliance with state and local on-s to regulatio EH APPROVED D.AnJersm tsnerzo24 2/16/2024 Environmental Hea peer at 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: 1 Z/O9/2OZ7 ✓ 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 PAGE I MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE t.. PARCEL#:320215007007 DATE SUBMITTED:4/3/2024 LEGAL/LOT#',WALKER PARK ADD BLK 7 SUBMITTED BY: ADAM HUNTER LOTS 7-9 APPLICANT: BRAD ROHR ADDRESS: 2027 WALKER PARK RD SHELTON,WA 98584 1.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GPD FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.6 GPD/FT2 REDUCTION=LEAVE BLANK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA= 400 FT2 TRENCH LENGTH OR BED CONFIG.= PER GLENDON II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1125 GAL-CONCRETE NEW OR EXISTING= NEW 111.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= NIA ROCK DEPTH BELOW PIPE= NIA SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIALISEASONAL SATURATION= NIA FILL DEPTH= NIA TRENCH W IDTH= N/A 4/3/24 EH APPROVED 12/16I2024 RS�111\.' 24 ■ _ - - - - - \ ■ [ ~ %Z � § a\ \ \ I HI � | § § \/ z m { f § \ \ � I k2 f / § �( \ / §§ / co ; e - 0 ( § } \ §§)\! ® 0 § | Z ) ! 2 ; § � • `` � § z ` (§|§ ; § ° \ ) ( % f r m \ - (()(§ ` § MUM ; ; ) r § § §§ § § /:zm 40i � \ 0 � � | |` Z M. i | ; § , \ § , ! | ƒ ! ,) { \zi §, ■ |