HomeMy WebLinkAboutSWG2024-00413 - SWG Application / Design - 10/10/2024 584
MASON COUNTY 415N6SHELTON: , 0427-970,EXT 400
SHELTON:360-275. 67,EXT 400
BELFAIR:380.2]5-MB],EXT 400
Public Health & Human Services ELMA:360482-5269,EXT 400
FAX W0427-7787
On-Site Sewage System Permit: SWG2024-00413
APPLICANT Hunter,Adam Phone: 360753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
MANAGER STECKLER,SCOTT Phone: 253-377-2000
Address: 180 N SAMANTHAS WAY HOODSPORT, WA 98548
OWNER WIESNER CLAREY W&NANCY J Phone:
Address: 171 W N MT JUPITER DR HOODSPORT, WA 98548
SEPTIC DESIGNER ADAM HUNTER` Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: UNKNOWN
Primary Parcel Number: 422045000077
Permit Description: New 2bd pressure subsurface drip
Permit Submitted Date: 1011012024
Permit Issued Date: 11/01/2024
Issued By: Rhonda Thompson
Current Permit Fees Paid: $805.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 1011712027 (owed on date of inspection)
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 fmm Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downslope depth specked 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 DesignerrEngineer 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 ONSME 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.govlhealthienvironmentallonsiteloss-inspection-mquest.php or call:
360427-9670, extension 400.
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATERKFMFD 10/10/2024
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ONSTTE SEWAGE ISYSTEM APPRLICATION AMDUNTRKENED 805 —1-DRY online 0 y
Shekan:360317-W)EA400 BeHair.360.2754467ek4M SWG 2024-00413 p A
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APvuuxr PHONE D D
SCOTT STECKLER 2533772000 IT m
MAILINGADDRESS-STREET,CITY STATE.ZIP CODE r
171 W N MT JUPITER DR HOODSPORT WA 98548 3
SITE ADDRESS-STREET CITY LP CODE LD
XX W N MT JUPITER DR HOODSPORT WA 98548 z
NAME OF DESIGNER PHONE
ADAM HUNTER 360 7531226
NAME OF INSTALLER PHONE
CHECK ALLAPPLICABLE ITEMS DRINKING WATER SOURCE
014MCONSTRUCTION 0 RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL y lO
Ef REPIACEMENTSYSTEM ❑ INSTALLIiTIONPERMITONLY ❑ PRIVATE TWO-PARTY WELL Z I�
❑ TASLESREPAIR ❑ SINGLE FAMILY Of COMMUNITYIPUBLIC WATER SYSTEM
❑ TANK(5)ONLY L7 COMMERCIAL SYSTEM NAME: waclm,euR lO
0 UPGRADETOEXISTING L7 OTHER'. BEDROOMS LOTSDE
0 EXISTING FAILURE TelwRpawm9,eq„IrM 2 D.34 lO
M1veRlnebNalbns^ r
DIRECTIONS TO SIZE-BE SPECIFIC AND ADVISE OFANY NEEDED INFORMATION FOR ACCESS Pw YAW]") 0
LAKE CUSHMAN RD TO A RIGHT AT DIVISION #5 TO A RIGHT ON MT JUPITER, ( 4
FOLLOW TO SITE ON THE LEFT. ICI
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y1EMUSTBE FIAOOFO FROY MNNAOADANDT4THIXESYI/31BBMBOED N11N 1ESTM0lE MAN919
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE IFAILURE SOURCE(!n Ipwli,N NW.)
DVOLUNTARY ❑MIINTENANCEIPUMPING 0 BUILDING PERMIT ❑HOMEBALE (]COMPLAINT OOTHER.
INSPECTOR SOIL LOGS COMMENTSICONDRIONS
TH1: same as 2
TH2: 0-31 VGSL with roots, 31+ compact
TH3: 0-42 VGMS, 42+ bottom/compact
SOILCODES:
V-VERY G=GRAVELLY S=SAND L=LOAM Si-SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE 10117/2WTE MPUCATION EXPIRATKXI DATE APPLICKDONAPP DATE
R T SOLI 10/17/2027 R ThomP 11.01
32474M
THIS FORM MAYBE SCANNEDANDAVAILABLE FOR PUBLICVIEWON THE MASON COUNTYWESSITE REVISEDI2DYA015
DESIGN FORM—PAGE ONE Assessor's Parcel Number:_ 42204w5O—OOO/ f__
A design will be reviewed when 3 Copies of each of the following are submitted:
I 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 seemed and available for public view on the Mason County Web site.,Maximum pape,size: 11"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2024-00413 Designer's Name: ADAM HUNTER
Applicant's Name: SCOTT STECKLER Designer's Phone Number: 360-753-1226
Mailing Address: 171 W N MT JUPITER DR Designer's Address: PO BOX 162
HOODSPORT WA 98MB OLYMPIA WA 98507
city Stale Zip city Stale Zip
DESIGN PARAMETERS
Treatment Device
❑ Glendon Biofilter ❑Send Filter ❑ Mound 0 Sand Lined Dminfield ❑Recirculating Filter,Type:
❑Aerobic Unit MakelModel ❑Disinfection Unit Make/Model Other:
Drainfreld Type
0 Gravity ❑Pressure ❑Trench ❑Bed 9Sub Surface Drip
Septic Tank/Drainffeld Specifications Laterals
Number of Bedrooms 2 Schedule/Class DRIP
Daily Flow: Operating Capacity 180 gpd Length 100 Ij
Daily Flow:Design Flow 240 gpd Diameter 112 111
Septic Tank Capacity 1000 gal Number 3
Receiving Soil Type(1-6) 4 Separation 2.4 1
Receiving Soil Appl.Rate 0.6 gpd/fir Orifices
Required Primary Area 600 Total Number of Orifices 300
Designed Primary Area 600 Diameter DRIP in
Designed Reserve Area 600 ft2 Spacing 12 im
TrenchBed Width 12 ft Manifold
TnmchBed Length 50 ft Schedule/Class 40
Elevation Measurements Length 24 ft
Original Drainfield Area Slope 2 % Diameter 1 in
New Slope,If Altered 2 % Preferred manifold configuration used? VYes 0 No
Depth of Excavation Upslope 7 in Transport Pipe
from Original Grade Down-slope 7 in Schedule/Class 40
Designed Vertical Separation 24 in Length 15 ft
Gravelless Chambers Required? ❑Yes SfNo ❑Optional Diameter 1 in
Pump Required? Yes []No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 20 gal
Orifice ° R Chamber Capacity 1500 gal
Uppermost Orifice Higher 0 Lower than Pump Shutoff Pump controls: Please check those required.
.
Capacity @ Total Pressure Head 8.1 gpm 0a i imer Eitlapse Meter EYEvent Counter
Calculated Total Pressure Head 111.2 R If Timer: Pump on 20GAL ,Pump off 2HRS
Comments
EH APPROVED
Rhonda Thompson 11/0112024
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 42204-50-00077
Permit Number: SWG 2024-00413
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
E� Test hole locations EZ Drainfield orientation and layout Reference depth from original grade:
E9 Soil logs Ef Trench/bed dimensions and 9 Septic tank'
E9 Property lines critical distances within layout 67 Drainfield cover
19 Existing and proposed wells 9 D-BoxfValve box locations Reference depth from original grade
within 100 ft of property 9 Septic tank/pump chamber and restrictive strata:
13 Measurements to cuts,banks, and locations ❑ Laterals,trench bed,top and
surface water and critical areas IZ Observation port location bottom
9 Location and orientation of If Clean-out location ❑ Curtain drain collector
curtain drain and all absorption 69 Manifold placement ❑ Sand augmentation
components 9 Orifice placement Other cross-section detail:
lZ Location and dimension of Of Lateral placement with distance Ef Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
IZ Buildings
9 Audible/visual alarm referenced Yes No
E9 Direction of slope indicator
E9 Scale of drawing shown on scale d ❑ Design staked out
EX Waterlines bar ❑ ❑ Recorded Notices attached
0 Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
E2l North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer must b n [i fd by installer at time of installation Yes ❑ No
10/10/24
i store of Designer Date
The undersigned has reviewed th design on behalf of Mason County Public Health and determined it to be in
compliance with state and local o -site regulations:
R Thomps`tu4.t t.01
a n7 oroo
Environmental Health SpecifflMssa Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. 10/17/2027
✓ 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 public view on the Mason County Web site.
Updated Daze: 12/72015
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