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Home My WebLink AboutSWG2024-00434 - SWG Application / Design - 11/5/2024 A 98584 MASON COUNTY 415NB SHELTON: ,SHELTO70,EXT400 SH STREET, ,SHEL ON, EXT400 BELFAIR:360-2754467,EXT 400 Public Health & Human Services ELMA:360482-5269,EXT 400 FAX 360427-7787 On-Site Sewage System Permit: SWG2024-00434 APPLICANT Hunter,Adam Phone: 360753-1226 Address: 2201 93rd Ave SW Olympia, WA 98512 CONTRACTOR BAYSHORE CONSTRUCTION Phone: 360-866-9200 Address: 2103 Harrison Ave NW Suite 2774 OLYMPIA,WA 98502 OWNER VAN CLEVE JULIE A Phone: Address: 110 E CEDARSHADE LANE SHELTON,WA 98584 Site Address: 110 E Cedarshade Ln Primary Parcel Number. 320222100010 Permit Description: Repair: 2-Bedroom Pressure System w/Glendon Biofilter REVISION Permit Submitted Date: 1110612024 Permit Issued Date: 1210212024 Issued By: David Anderson Current Permit Fees Paid: $970.00 (addlegnal tees may be required upon Installation of system). Permit Expiration Date: 1111212025 (eased an date of mspe Rion) 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 Drainfre/d 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 of system components. 6 Mason County Asbui/t 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/envimnmentallonsiteloss-inspection-request.php or call: 360-427-9670,extension 400. OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH IRICI-D 1 1/5/2024 N D ONSITE SEWAGE SYSTEM APPLICATION AMDUNTBECENED ENEDBr 415 N 6th Street,(Bldg 8) Shelton WA,98S84 �Q"�O ML Online < m Shekm:360-477-9670e#400 BeHair:3602754467W400 SWG 2024 - 00434 0 2 fn AEELICANT PHONE D D BAYSHORE CONSTRUCTION 3608669200 M 0 MV LINGADDRESS-STREET,CRY,STATE,ZIP CODE r 2103 HARRISON AVE STE 2774 OLYMPIA WA 98502 c 3 SITE ADDRESS-ataEEl CITY,ZIP CODE m 110 E CEDARSHADE LN SHELTON WA 98584 M NAME OF DESIGNER PHONE ADAM HUNTER 3607531226 WN NAME OF INSTALLER PHONE BAYSHORE CONSTRUCTION 3608669200 CHECKALLAPPLICABLEREMS DRINKING WATERSOURCE o I N D NEWCONSTRUCTION ❑ RV HOLDING TANK ONLY 9 PRIVATE INDIVIDUAL WELL y I N If REPLACEMENT SYSTEM ❑ INSTALLATION PERMIT ONLY ❑ PRIVATETWO-PARTYWELL 0 100iNi1 ` 0 TABLE9REPAIR SINGLE FAMILY ❑ COMMUNITYIPUBLICVWATERSYSTEM Z I zu D TANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: Ij D UPGRADETOEXISTING D OTHER: 9EDROOM9 L I �`OTB� Q ❑ EXISTING FAILURE "RapPNDMWn9�HPl�w 2 5.ro a MwlnsMpelbna• W I DIRECTIONS TO STE-BE SPECIFICANDADVISE OFANYNEEDED INFORM"FORACCESS 1u.IW W.) n 1 CRESTVIEW TO A LEFT ON CEDARSHADE, STAY TO THE RIGHT TO SITE AT THE END. I OO I1 0IO y aTEMI/aT BE FLAGGED ifldI MAIN ROAD ANO TPBT NOIId MIA1BEFlABDEO WITH T IRTXOIENUNIMNS OFFICIAL USE ONLY BELOW THIS LINE UPGRADEI FARURE SOURCE ft,ep wpuryo O OVOLUNTARY OMAINTENANCEIPUMPING ❑BUILDINGPER P` DHOMESALE DCOMPLAINT DOTHER'. INSPECTOR SOIL LOGE COMMEMSICONDRgNS TH1 : 0-20" L Rest at 20" w/ mot TH2: 0-26" L WILVERY Rest at 26" w/ mot V_V G V=VER G=GPAVELLY S=SAND L=LOPM SI=SILT C•LIAY E=E%TREMELY q=RWt$ DATE APMICATIONEWIMTONDAE Y DATE EH APPROVED 11/12/2024 11/12/2025 EH APPROVED 1 12/2/2024 +amzrz02N IZAGG024 THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WESSITE REVISED 1LTTi015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 32022-21-00010 _ A design will be reviewed when 3 copies 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. a Cross-section sketch,including all applicable items on checklist. This form maybe scanned and available for public view on me Mason County Web site.Maximum pope,size: //"X/7" PARCEL IDENTIFICATION Permit Number: S WG -2024-00434 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 city State Zip City Stale zip DESIGN PARAMETERS - Treatment Device 91'Glenclon Biofilter ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter,Type: ❑Aerobic Unit Make/Model ❑Disinfection Unit MakelModel Other. Drainfield Type ❑Gravity Pressure ❑Trench ❑Bed ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals NumberofBedrooms 2 Schedule/Class GLENDON Daily Flow:Operating Capacity 180 gpd Length GLENDON ft Daily Flow:Design Flow 240 gpd Diameter GLENDON in Septic Tank Capacity 1000 gal Number GLENDON Receiving Soil Type(1-6) 4 Separation GLENDON ft Receiving Soil Appl.Rate 0.6 gpd/ft' Orifices Required Primary Area 400 ft2 Total Number of Orifices GLENDON Designed Primary Area 1316.48 ft' Diameter GLENDON in Designed Reserve Area 600 ft2 Spacing GLENDON in Trench/Bed Width 242 It Manifold Trench/Bed Length 54.4 ft Schedule/Class 40 Elevation Measurements Length 20 ft Original Dminfield Area Slope 1 % Diameter 1 in New Slope,IfAltmed 1 % Preferred manifold configuration used? ®'Yes ❑No Depth ofEscavation Upslope GLENDON in Transport Pipe from Original Gradc oown-slge GLENDON in Schedule/Class 40 Designed Vertical Separation 18 in Length 65 ft Gravelless Chambers Required? []Yes ItNo O Optional Diameter 1 in Pump Required? 111 ❑No Dosing and Pump Chamber Pump/Siphon Specifications Number ofdoses/day PER GLENDON Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity PER GLENDON gal Orifice "EX°0H R Chamber Capacity 1000 gal Uppermost Orifice 111Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity Q Total Pressure Head GLENDON gpm Iftimer EYElapse Meter ErEvent Counter Calculated Total Pressure Head OLErmon R If Timer: Pump on GLENDON Pump off GLENDON Comments REVISED TO GLENDON DESIGN - 11/13/24 DESIGN FORM—PAGE TWO Assessor's Parcel Number: 32022-21-00910 Permit Number. SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch lid Test hole locations 9 Drainfield orientation and layout Reference depth from original grade: E9 Soil logs 9 Trench/bed dimensions and 9 Septic tank E2l Property lines critical distances within layout E1 Drainfield cover EZ Existing and proposed wells 9 D-Box/Valve box locations Reference depth from original grade within 100 ft of property 9 Septic tank/pump chamber and restrictive strata: • Measurements to cuts,banks,and locations ❑ Laterals,trenchlbed,top and surface water and critical areas EZ Observation port location bottom ❑ Location and orientation of 0 Clean-out location ❑ Curtain drain collector curtain drain and all absorption R( Manifold placement ❑ Sand augmentation components EZ Orifice placement Other cross-section detail: E3 Location and dimension of E� Lateral placement with distance 9 Observation ports/clean-outs primary system and reserve area to edge of bed g Other Information 19 Buildings I Audible/visual alarm referenced Yes No E9 Direction of slope indicator 9 Scale of drawing shown on scale E3 ❑ E9 Waterlines c Design staked out bar ❑ ❑ Recorded Notices attached Elf Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached 19 North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL The undersigned designer mu not e y installer at time of installation I(Yes ❑ No 11/13/24 h e of Designer Date The undersigned has reviewed thi esign on behalf of Mason County Public Health and No it to be in compliance with state and local I on-sjte- PRO osED EH PVED o ,o„ 12/2/2024 Environmental Hen[ Specialist 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 1/12/2025 ✓ 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 Daze: 12/72015 MASON COUNTY HEALTH DEPARTMENT ON-SITE SEWAGE DISPOSAL SYSTEM DESIGN SITE M: PARCEL M 32022210DO10 DATE SUBMITTED: 11113/2024 LEGALILOT#. SUBMITTED BY: ADAM HUNTER APPLICANT: BAYSHORE CONSTRUCTION ADDRESS: I.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= 1000GAL-CONCRETE NEW OR EXISTING= NEW III.GRAINFIELD CROSS SECTION DEPTH TO DRAINROCK BOTTOM= NIA ROCK DEPTH BELOW PIPE= VA SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE MATERIAUSEASONAL SATURATION= NIA FILL DEPTH= N/A TRENCH WIDTH= NIA 11/13/24 CIA % EH APPROVED o. wovzoza nui.xuxnxn '' "I;YI'N31'ttMF'S'.i;V, YG"' &@@e@as2se § § | § ) ( § § § § 656- \ § / ) \ § § \ � ) - | I § 0 § ) � 222 B | � \ � § , § (( k ( § � ] \ § q ) § ) ) ;§ I \ \ 9 m § | 'o }o ! ; | \ � §C. \ ] 5T h ` / Z. \ § ) § })§ ; i)|! Eg . |§ � | , ! § ! r ' \\( \ { \ � \ �() § � � -! : 60 ; )�