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HomeMy WebLinkAboutSWG2025-00077 - SWG Application / Design - 3/25/2025 ® MASON COUNTY 415N6 H LFAIR: W275 46 WA98584 SHELTON:380427-9870,EXT 400 BELFAIR:d80.2754/BT,EXT 400 Public Health & Human Services ELMA'.380482-5269,EXT 400 FAX:W0427-7787 On-Site Sewage System Permit: SWG2025.00077 APPLICANT Russell,Justin Phone: 3609701233 Address: po box 14531 TUMWATER,WA 98611 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 98611 Site Address: XXXX BE Old Olympic Hwy Primary Parcel Number: 319201300030 Permit Description: New 3-bedroom OSCAR X02 system w1 OS50 coils Permit Submitted Date: 03107/2026 Permit Issued Date: 0312612025 Issued By: David Anderson Current Permit Fees Paid: $655.00 (WEiPo°N rave MY m r"uM wv"i"wn.8°"aa•IvmL Permit Expiration Dale: 0312412028 ID•u4 on 4.1•win•pecu°nl 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 Cadified Installer unless prior written authorization from Mason County is obtained. 3 Dminfie/d installation not to exceed designed upslope and downslope depth specified on design form. 4 Insta/leris responsible forobtaining Mason County installation approval priort0 bacidyl of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to bacATB of system components. 6 Mason County Asbuih 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/onsiteloss-inspection-request.php or call: 360427-9670,extension 400. OFFICIALUSEONLY MASON COUNTY OMEMENB 3 7025 N COMMUNITY SfiRVICSS W°M"M R' S R MBf Q/1l/ 0 N Poe6e HaNlh lewnmWgXnhlvErcAmnn:ennlXxNM11 �/���C 5 y SWG _ O N 7] ON-SITE SEWAGE SYSTEM APPLICATION Y D S n m m APPLICSM rnmE r WES TAYLOR 360-789-6408 u MNLWGOMMESR-STREET,CITY."W"ZIPWM � 3 130 SE LYNCH RD SHELTON WA 98584 m m alEAmxesR-sna:er,an,aPcaoE 0 SE OLD OLYMPIC HWY SHELTON WA 98584 G RWEOFDEMIiN R PHONE N JUSTIN RUSSELL 360-970-1233 NNIEOFIN6TKLPA F (co y IN PERNITttPE IMMOm^1 DNMOILI WDER SDIXM:E jIREMDENTW.OSB BOWMUNIWOSS EICOMMERCIALMS HIPRNATE INONIDVAL WELL 61 PRNAlE TWVPMTYLNELL I2 TYFE� ( rn PUBLIC YMTER SVBTEM I EHMCONSTRUCTIMIUMMOES EIIREPAIR/REPLACEMENT DTHERCf1Ah6(MMItlNBIeFPM ❑TABUED(REPWR I' SUBMTAis C� ❑SURFACING BENMGE ❑E%ISTIN(R FAILURE ❑SHOREONE WDESIGN FORM(REWIRED) KSEPTIC DESIGN(REWIRED) BEDROOMS 3 LOT SIZE 1.75 ACRES c W CI IWANERIS(' SI(IF APPLICABLE) ILI GXECEIONS iO31iE NlOSNECGVMIIpl3:(x✓/1W WW FROM HWY 101 AND SR 108, HEAD SE ON SE OLD OLYMPIC HWY, CONTINUE TO SITE ON RIGHT. a IC) —1 IW W SREMU rffmui ROFR WWRMDAMOMYMMM MOSTJMRAGOEO WHTESTNOLENLIMBERE 10 OFFICIAL USE ONLY BELOW THIS UNE uFGRADE/FNwREsaMce RMnFeXN PMPRnI ❑VOLUWMY 0WINTENANCEMUMPING OBUIMINGPERMIT QHOMESSLE QCOMPWNT QOTHER: WSPEDiGRSdLlG30 CMIMENB tCOHplgltl ,r#1:0- 70 66vfS (7)pt) Jkt at 20" w( wil Tfl2:0-I$.a (14VF5 is bolt" red:o- Z3` hL vPS v( P. r( RECDROMU'MNGAxoIN6TALUTIDNREPORT smL aoEs: yayERY GaGRAyEIyY 6a6M/p L•LQVA Ma3ki C•CLAY E•FIIXEMEIY R-RWi6 REpMREAEgtFVLLLAPPROWL INS SbW.NRE WTE APPMGttWN19~DC DME tlM611ED BY MlE /zY fi/7S Z Y IOzY fl T4I8 FORM MAY BE SCANNED ANDAVAILABLE FOR PUBLIC MEWON THE MASON COUNTVWEBSITE REW6EOtMRM6 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 1 9 2 0 — 1 3 — 0 0 0 3 0 A design will be reviewed when 3 copies of each of the following are submitted: e Completed design form that has been signed and dated. v Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,including all applicable items on checklist. v Cross-section sketch,including all applicable items on checklist. This form may be scanned and available for little view an the Mason County Web site.64nwinmal raise: 11"X17" PARCELIDENTIFICATION Permit Number: SWO Zdirwp Designer's Name: UUSTIN RUSSELL Applicants Name: WES TAYLOR Designer's Phone Number. 36D.970-1233 Mailing Address: 8 130 BE LYNCH RD Desi ner's Address: 4931 68TH AVE NE SHELTON WA 98691 OLYMPIA 'WA 98618 cityState Zi City State Mp DESIGN PARAMETERS. Treatment Device ❑Glendon Bimilter ❑Slant Filter ❑Mmtnd ❑Send Lined Drainfidd ❑Recirculating Filter,TyPc: lid Aerobic Unh Mnke/Model OSCAR X02 ❑Installation Unit MakdMo&l Other: Grainfield Type O Gravity tiff Pressure ❑'french ❑Bed O Sub Surface Drip Septic TmddDrahlfleld Specifications Laterals Nunrberol'Bedrooms 3 Schedule/Class OS-50 COILS Daily Flow:Operating Capacity 270 gpd Length H Daily Flow:Design Plow 360 gpd Diameter in Septic Tank Capacity(working) 1000 gal Number 3 Receiving Soil Type(1.6) 5 Separation Receiving Soil Appl.Rate .4 gpd/fta Orifices Required Primary Area 900 ft, Total Number of01 ifces 300 Designed Primary Area 900 ft Diameter in Designed Reserve Area 900 fit Spacing 6 in Trench/Bed Width 26.087 11 Manifold Tmoch/Bed Length 34.5 ft Schedule/Class Elevation Measurements Length ft Original Dminfield Area Slope 6 % Diameter in New Slope,If Altered % Preferred manifold configuration used? ❑Yes ONo Depthoffixervation UPdape 0 in Transport Pipe from Original Grade Donmslope 0 in Schedule/Class SCHEDULE 40 Designed Vertical Separation 18 in Length 2861270 fl Cowell.Chambers Required? ❑Yes Id No 0Optionll Diameter 1 in Pump Required? 56Yes O No Losing all Pump Chamber Pump/Siphon Specffcations Numberofdoscs/day PER OSCAR Dif ...in Elevation Between Pump&Uppermost Orifice 1.75 ft Dose quantity PER OSCAR gal Dminfield Squirt Height/Selected Residual(head) B Chamber Capacity(flood) 1233 gal Uppermost Orifice if Higher O Lower than Pump Staloff Pump controls:Please check those required. Capacity Q't'otal Pressure Hand gpm OTimer OElapse Meter ❑Event Counter Calculated Total Preens c Head 8.20 ft If Tnrer: Pump on ,Pump off. Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number:3 1 9 ?0 -- 1 3 — 0 0 0 3 0 Permit Number: SWO DESIGN CHECKLISTS Scaler) Plot Plan Scaled Layout Sketch Cinss-Section Sketch 51 Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: 6d Soil logs fi 'DxnclJbed dimensions and Ed Septictank 61 Property lines critical distances within layout fd Drainfield cover Gd D-BoxlValve box locations 6d Existing and proposed wells Reference depth tram original grade within 100 R of property fief Septic tank/pump chamber and restrictive strata: 10 Measurements to cuts,banks,and locations Z Laterals,irenchlbed,top end surface water and critical areas f1I Observation Part location bottom 60 Location and orientation of gd Clear-out location Gd Curtain drain collector curtain dmin and all absorption Gd Manifold placement 59 Sand augmentation components Rf Orifice placement Other cross-section detail: &I Location and dimension of 56 Lateral placement with distance ff Observation ports/cleao-ords primary system and reserve area to edge of bed Other Information Rl Buildings fr$ Audible/visual storm referenced Yes No A Direction of slope indicator (if Scale of drawing shown on scale d ❑ Design staked out Sd Waterlines bar ❑ fit Recorded Notices attached 0 Roads,easements,driveways, ❑ d Waiver(s)attached parking ❑ Gf Pump curve attached 6d Noah arrow and scale drawing ❑ 9 Evaluation of failure shown on scale bar Non-residential justification ❑ d Waste strength ❑ dFlow DESIGN APPROVAL The undersigned designer must be notified by installer at time Of OfffIi/I illation ll fttj Yes ❑ No $ig tore of Designer Date AA////���� �� The undersigned has reviewed this design on behalf of Mason County Public Health and determitr�l'fjlllkOn compliance with state and local on-suer lions: ��TT 3L�s/�ts 'A M'�Zs VFA Environmental Health Specialist Date 'lyAf CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CO" : ✓ The design is stamped"Approved"by Mason County Public Health. �� r �ZO7_�(t N ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: �F/-�/ (+Sly— qfT ✓ 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 oil the Mason County Web site. 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