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Home My WebLink AboutSWG2024-00461 - SWG Application / Design - 12/11/2024 SHELTON,WA MASON COUNTY 475N6 SHELTON: , 0427-97 ,EXT 404 SHELTON:360-02]-96]0,EXT 400 BELFAIR:360-275-0 67, EXT 400 Public Health & Human Services ELMA:360<82-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00461 APPLICANT Hunter, Adam Phone: 360 753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 OWNER MATIAS ET UX ANTOLIN CALMO Phone: Address: 181 SE MILL CREEK RD SHELTON, WA 98584 SEPTIC INSTALLER BAYSHORE CONSTRUCTION Phone: 360-866-9200 Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA, WA 98502 Site Address: 41 BE Clearwater Rdg Primary Parcel Number: 320293200050 Permit Description: Repair: 2-Bedroom Glendon Biofher Permit Submitted Date: 12/1112024 Permit Issued Date: 12/1212024 Issued By: David Anderson Current Permit Fees Paid: $805.00 (addlronal fees may 6e requtrW upon installation of system). Permit Expiration Date: 12/1212025 (based on dale of nspeeoonl 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 Dreinfield 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 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: masoncoun".gov/health/environmental/onsite/ms-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH DATEReaNen 12/11/2024 ONSITE SEWAGE SYSTEM APPLICATION zoUN,RECEMED ML nam 415 N 6th Stneet(Bldg 8) Shelton WA,98584 $805 Online < w Shehpn:360427-9678 ett480 &IMir.3fib275d467er[408 SWG 2024 _ 00461 LA 0 2 4A APPLICANT PHONE BAYSHORE CONSTRUCTION 3608669200 m M ILINGAOORE33-STREET,C",,STATE,NP CODE r 2103 HARRISON AVE STE 2774 OLYMPIA WA 98502 c SITEPDDRE98-STREET CITY.ZIPCODE 3 W 41 SE CLEARWATER RIDGE SHELTON WA 98584 z NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 NAME OF INSTALLER I PHONE BAYSHORE CONSTRUCTION 3608669200 OHECKALLAPPLICABLE ITEMS DRINKING WATER SOURCE ❑ NEWCONSTRUCTION 0 RVHOLDINGTANKONLY ❑ PRNATEINDMDUALWELL C N { d REPLACEMENT SYSTEM 0 INSTALIATIONPERMITONLY ❑ PRNATETWO-PARTYWELL O W 0 TABLE 9 REPAIR ❑ SINGLE FAMILY Mr COMMUN17WPUBLIC WATER SYSTEM = I NO N 0 TANK(S)ONLV 0 COMMERCIAL SYSTEM NAME: VJ 0 UPGRADE TO EXISTING O OTHER: BEDROOMS LOTSIZE I N 0 EXISTING FAILURE "R+FPTNOM�/M MW4� 0 M WM.MMpme� 2 3.17 m $ r N DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(d.bGeE pale) 0 Q HWY 3 TO EAST ON MILLS CREEK TO LEFT ON CLEARWATER TO HOUSE ON THE x I LEFT. oI ti I SITE MI/STBE FLAGGED FROMMA/N ROAOANOTESTNO(EBYOSTBEfIgGOED NIMTE3TNGlEHUMBN$ OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE$DUKE"I PoI AWNS) ❑VOLUNTARY OMAINTENANCEIPUMPING OBUILDINGPERMIT OHOMESALE OCOMPLAINT OOTHER: INSPECTOR 801LLOGS COMMENTSICONDRIONS TH1 : 0-28" SiL to bottom (Type 5) TH2: 0-22" SiL 22+ SiCIL (Type 6) SOIL COD56 V=VERY G=GRAVELLY B=SAND L=LOAM Si=SILT C-CIAY E=EXTREMELY R=ROOTS GATE MPLICATION EXPIRATION DATE DATE EH APPROVED QD D A„dr1e1 1�11 1 /12/2024 12/12/2025 D 4enee i27,1TD2 /12/2024 AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSI REVISED 1WMI5 i DESIGN FORM—PAGE ONE Assessor's Parcel Number: 32028-32-00050 A design will be reviewed when 3 conies of each of the following are submitted: 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. I 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 paper size: 11"X IT PARCEL IDENTIFICATION Permit Number: SWG -2024-00461 Designer's Name: ADAM HUNTER Applicant's Name: BAYSHORE CONSTRUCTION Designer's Phone Number: 360-753-1226 Mailing Address: 2103 HARRISON AVE STE 2774 Designer's Address: PO BOX 162 OLYMPIA WA 98502 OLYMPIA WA 98507 CiIX State Zip city State Zip DESIGN PARAMETERS Treatment Device &(Glendon Biofiller ❑ Sand Filter ❑ Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit Make/Model Other- Drainfield Type ❑Gravity VPressure ❑ Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class M31 GLENDON Daily Flow:Operating Capacity 180 gpd Length GLENDON ft Daily Flow:Design Flow 240 gpd Diameter GLENDON in Septic Tank Capacity 1500 gal Number 2 PODS Receiving Soil Type(1-6) 5 Separation GLENDON ft Receiving Soil Appl.Rate 0.4 gpd/ftr Orifices Required Primary Area 600 ft' Total Number of Orifices GLENDON Designed Primary Area 600 ft, Diameter GLENDON in Designed Reserve Area 600 ft2 Spacing GLENDON in Trench/Bed Width 24.2 ft Manifold Trench/Bed Length 54.4 ft Schedule/Class 40 Elevation Measurements Length 24 ft Original Drainfield Area Slope 1 % Diameter 1 in New Slope,If Altered 0 /a Preferred manifold configuration used? EYYes ❑No Depth of Excavation Ua-slope GLENDON in Transport Pipe from Original Grade Duwnslope GLENDON in Schedule/Class 40 Designed Vertical Separation 18 in Length 70 ft Gmvelless Chambers Required? ❑Yes IfNo ❑Optional Diameter 1 in Pump Required? ItYes ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day GLENDON Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity GLENDON gal Orifice It Chamber Capacity GLENDON gal Uppermost Orifice ItHigher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head GLENDON gpm Timer E1E1apse Meter RtEvent Counter Calculated Total Pressure Head GtENDDN ft If Timer: Pump on GLENDON pump off GLENDON Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32029-32-00050 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch Ef Test hole locations EZ Drainfield orientation and layout Reference depth from original grade: E9 Soil logs E� Trench/bed dimensions and Id Septic tank E9 Property lines critical distances within layout Ea Drainfield cover f2l Existingand proposed wells E9 D-Box/Valve box locations P P Reference depth from original grade within 100 it of properly Septic tank/pump chamber and restrictive strata: [9 Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and surface water and critical areas V Observation port location bottom f 3 Location and orientation of [Z Clean-out location ❑ Curtain drain collector curtain drain and all absorption 9 Manifold placement ❑ Sand augmentation components El Orifice placement Other cross-section detail: EA Location and dimension of 9 Lateral placement with distance E f Observation ports/clean-outs primary system and reserve area to edge of bed EA Buildings Other Information 9 Audible/visual alarm referenced Yes No EA Direction of slope indicator 9 Scale of drawing shown on scale Design 9 ❑ staked out E9 Waterlines bar ❑ ❑ Recorded Notices attached Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached EZ North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer must be 1 1 by in aller at time of installation It Yes ❑ No 12/10/24 Sig of Designer Date The undersigned has reviewed this des on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: EH APPROVED D.Anderson 1v12Y:0:412/12/2024 Environmental Healt Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. 1 Z/1 Z/ZOZ5 ✓ 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: 12n2015 PAGE 1 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE#: PARCEL M. 320293200050 DATE SUBMITTED: 12/11/2024 LEGAL/LOT k. SUBMITTED BY: ADAM HUNTER APPLICANT: BAYSHORE CONSTRUCTION ADDRESS: 2103 HARRISON AVE STE 2774 OLYMPIA,WA 98502 I.CALCULATIONS NUMBER OF BEDROOMS= 2 RESIDENTIAL GRID FLOW= 240 IF NON-RESIDENTIAL-GPD FLOW WILL BE AS FOLLOWS: GPD= APPLICATION RATE= 0.4 GPD/FT2 REDUCTION=LEA VE BL4NK IF NO REDUCTION TAKEN DRAINFIELD SIZING ABSORPTION AREA 600 FT2 TRENCH LENGTH OR BED CONFIG.= PER GLENDON II.WATERPROOF SEPTIC TANK COMPOSITION AND SIZE= 1500 GAL-CONCRETE NEW OR EXISTING= NEW III.DRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= NIA ROCK DEPTH BELOW PIPE= NIA SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAUSEASONAL SATURATION= NIA FILL DEPTH= NIA TRENCH WIDTH= N/A 12/11/24 A� a EH APPROVED 1241MO24 xonui.wxnx .E 26 . \ k _ . � ) . | 2 a � p - / � e § z - m, j ) - a § � � ° 2 _ \$ \ ; ) ` J ( ) ( ' TA : : M! | � ) � � ( §; § § §) : , � |_ § | \\ ! ) ( ) ) \ ) \ § ) , ; - , : 0 H M � � ' i ) \ \ ) ) ) § § ` ( ) ) § 06 ` § § iid ) \\ § . | � � m [/ § M ;) \ ) 6` • ' | 9 � ' " _ ` � \ § | • d | • ` § | , , ; |`