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HomeMy WebLinkAboutSWG2025-00078 - SWG Application / Design - 3/7/2025 SHELTON,WA 584 MASON COUNTY 415NBSHELTON: , 0427-97 ,EXT 400 SHELTON:Jfi0-027-9870,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360.427-7787 On-Site Sewage System Permit: SWG2025-00078 APPLICANT Russell,Justin Phone: 3609701233 Address: po box 14531 TUMWATER,WA 98511 OWNER TAYLOR TIMBER INVESTMENT CO Phone: Address: 130 SE LYNCH RD SHELTON, WA 98584 SEPTIC DESIGNER JUSTIN RUSSELL* Phone: 360.956.7242 Address: PO BOX 14531 TUMWATER,WA 98511 Site Address: XXX SE Taylor Rd Primary Parcel Number: 319202400000 Permit Description: New 3-bedroom OSCAR X02 system w/OS-50 coils Permit Submitted Date: 03/07/2025 Permit Issued Date: 03/25/2025 Issued By: David Anderson Current Permit Fees Paid: $555.00 (additional fees may 5e required upon lnslalwon of syslem). Permit Expiration Date: 03/2412028 (based on date of nspecbon) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department slah'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/environmental/onsite/oss-inspection-request.php or call: 360427-9670, extension 400. i OFFICIALUSEONLY MASON COUNTY m a COMMUNITY SERVICES ^^^EMD ^NEMBM s `m y N�hYCHWkhwW un wMh mlmnnmlalH hh) SWG , L o Y �S — ON-SITE SEWAGE SYSTEM APPLICATION ; z APPUCYR PHONE TO WES TAYLOR 360-789-5408 z MNINOLLOfE66.6iREET.pT'.BIATE.EWWCE OD C 3 130 BE LYNCH RD SHELTON WA 98584 mm1 SITEAWRE%.STREEEOTY,DPNBE * S: 0 BE TAYLOR RD SHELTON WA 98584 w HNIE Of DEBWNER RpNE 44 OD I�A JUSTIN RUSSELL 360-970-1233 HAMEOFINSWUM P ^E O I(O FERNITTYPE ft..) ORIMPO NRTER SOURCE I N OIRESIDENTALOSS 51COMMUNITYOSS BICOMMERCIALOSS IIPRNATEINDNIOUALWELL EIPRNATETNOPARTYWELL = TYPE OF RORX R W'N PUBLIC WATER SYSTEM I INEWCONSTRUCTION/UPGRADES GIREPNRIRFPLACEMENT OIHERDEfAR6(MPYMLIYpN9 OTABLEMREPMUt I IN SUB�URWLS O SURFACING SEWMOE ❑EXISTING FNLURE O SHORELINE IB IDESIGN FORM(REQUIRED) WMPPC DESIGN(REQUIRED) BEDROOMS LOT NEE Wr IA GV#AfER(S)(IFAPPLM.ABLE) 3 5.37 ACRES 0 I 'o MRECIx>XSroN1EAM)811ECOMXTIWS:pa.LgNNPYN FROM HWY 101 AND SR 108, HEAD BE ON BE OLD OLYMPIC HWY, TURN RIGHT ON o BE TAYLOR RD, CONTINUE ONTO GRAVEL RD TO SITE ON RIGHT. o I(D Io dIIEYVSTBEFLACC£O FpdINAIN ROAD ANOIESIHIXES NVST BE fIAOpL01NNITESINJLPNLWLLAI I� I 0 OFFICIAL USE ONLY BELOW THIS LINE UPf.XAOEIfNIVRE 6qurce Bw npyip PyYfw1 ❑VOLUNTARY OM UTERANCEIPUMPING OBUI MNGPERMIT ❑HOMENLLE OCOMPIAINT OWNER: INSPECTOR SOL LOGS CONYENT8/CONg11gB TN1: 0- (G N IF; 1795f of TNt: o- V LFs RtSF qt 1G ' wr Nrr" Tit): o-W 6F5 SOILCOOES: RECORD CVAVNO AND INSTALLATION RE PORT V=VERY O.OMVELLY S-SMD L=LONA V-SILT C-CUY E-EXTREMELY R•RCOTS ACOUREDFORPIULAFPROVAL INSP 61p11AlURE MTE APPCATMEMMONOLTE APR APPRWEq IS6VEOBY DATE Io1 3 2 2 3 1 105-- THIS FORM MAYBE SCANNED AND AVAILABLE FOR PUBLIC MEW ON THE MASON CMHTY WERSITE REMSED IEMI5 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 1 9 2 0 — 2 4 — 0 0 0 0 0 A design will be reviewed when 3 conies of each of the following m'a submitted: v Completed design fort that has been signed and dated. °Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,Including all applicable items on checklist Cross-section sketch,including nil applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site.Mml..junpopejsize. 11"A'17" PARCEL IDENTIFICATION Permit Number: SWG Designer's Name: JUSTIN RUSSELL Applicant's Name: WEB TAYLOR Designer's Phone Number: 360-970-1233 Moiling Address: 130 BE LYNCH RO Designer's Address: 4931 68TH AVE NE SHELTON WA saw OLYMPIA WA 98516 City Slate Zip City Slate Zip DESIGN PARAMETERS Treatment Device ❑Glendon 8iofiller ❑Sand Filler ❑Mound ❑Send Lincd Drainfield ❑Recirculating Filter Type: gAembic Unit Make/Model OSCAR X02 ❑ Disinfection Unit Meke/Model Other. Dr tinfseld Type ❑Gravity firs Pressure ❑Trench ❑Bed ❑Sub Surface Drip Septic Tmik/Drafnfield Specifications Laterals NumberofBedrooms 3 Schedule/Close OSCAR OSSO COILS Daily Flow:Operating Capacity 270 gad Length ft Daily Flow:Design Flow 360 gpd Diameter In Septic Took Capacity(working) 1000 gal Number 'S6 Receiving Soil Type(1-b) 5 Separation .5 R Receiving Soil Appl.Rate .4 gil Orifices Required Primary Area 900 IV Total Number of Orifices 300 Designed Primary Area 900 fit Diameter in Designed Reserve Area 900 fit Spacing 6 in Trench/Bed Width 26.087 R Manifold Trench/Bed Length 34.5 R Schedule/Class Elevation Measurements Length 8 Original DrainBeld Arco Slope % Diameter in New Slope,If Altered % Preferred manifold configuration used? ❑Yes ❑No Depth of Excavation Upalope 0 in I Transport Pipe from OriginalGrede Dommalope 0 in ScheduletClass 40 Designed Vertical Separation 18 in Length 182 R Gravelless Chambers Required? Rf Yes E6No ❑Optional Diameter 1 in Pump Required? Rf Yes ONO Dosing and Pump Chamber Pump/Siphon Specifications Numberofdoses/day, Diff.in Elevation Between Pump&Uppermost Orifice 13 R Dose quantity gal Dminfield Squirt Height/Selected Residual(head) _R Chamber Capacity(flood) 1428 gal Uppermost Orifice If Higher O Lower than Pump Shutoff Pump controls:Please check those required. Capacity©Total Pressure Head gpm IfTimer b(Elapse Meter fig Event Coumer Calculated Total Pressure Head 17.16 B If Timer: Pump on ,Pump off Comments DESIGN FORM—PACE TWO Assessor's Parcel Number:3 1 9 2 0 - 2 4 -- 0 0 0 0 0 Pennit Number: SWC DESIGN CHECKLISTS Scalerl Plot Plan Sealer) Layout Sketch cross-socllon Sketch III Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: IS Soil logs R1 Trenchibed dimensions and Rf Septic took In Property lines critical distances within layout hA Drainfield cover V1 Existingand proposed wells 56 D-Box/Valve box locations Reference depth from original grade within 100 R of properly Bf Septic Imokhmmp chamber and restrictive strata: m Measurements In cuts,banks,and locations lif Laterals,trench/bed,lop and sw face watt and critical areas R1 Observation pore location bottom 19 Location and orientation of 19 Clean-out location ❑ Curtain drain collector curtain drain and all absorption 16 Manili ld placement ❑ Saint augmentation components Gd Orifice placement Other cross-section detail: m Location and dimension of 51 Lateral placement with distance Rf Observation porWc1can-ours primary system and reserve area to edge of bed g Other Information Id Buildings 19 Audible/visual alarm referenced Yes No fb Direction ofshope indicator 66 Scale ofdrawin shown on scale g 16 El Design staked out V1 Walerlines her ❑ Rf Recorded Notice attached R1 Roods,casements,driveways, ❑ Rf Waiver(s)attached parking fd ❑ Pump eta ve attached Ib North arrow and scale drawing ❑ fd Evaluation offaihum shown on scale bar Nan-residential Justification ❑ ❑ Waste strength ❑ ❑ Flow DESIGN APPROVAL ,t The undersigned designer must be notified by installer at time of installation Ef Yes ❑ No z P Signat Tim of Desig Ou ner t O.D� The undersigned has reviewed This design on behalf of Mason County Public Ilealth and detn enl o i compliance with slate and local on-si�ere§ulalions: M %L� 3��I 2075 4%0*0, u gRzs?oZs En i nniontal Health Specialist Date�'ENy/�,ON ✓A The design DESampeAPPROVAL ApRO ved"by Maso n County Public HealtY UNDER h. FOLW WI3� Y�Za���FA<T{,, ✓ The Onsite Sewage Permit has not expired,the Penmil Expiration Date is: 2 ✓ Drainfield site conditions have not been altered to adversely affect condi0ons oftlesign 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. 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