HomeMy WebLinkAboutSWG2025-00062 - SWG Application / Design - 2/26/2025 584
MASON COUNTY 415NB SHELTON: ,SHELTO70,EXT 400
6HELTON:360-275-4467,EXT 400
BELFAIR:360.275<487,EXT 400
Public Health & Human Services ELMA:360-4825269,EXT 400
FAX:360427-7787
On-Site Sewage System Permit: SWG2025-00062
APPLICANT Hunter,Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98612
CONTRACTOR RYAN YORK Phone:
Address: 1910 LENOX CT NW OLYMPIA, WA 98502
OWNER ISLAND LAKE ENTERPRISES LLC Phone: 360490-7843
Address: P O BOX 1473 SHELTON, WA 98584
SEPTIC DESIGNER ADAM HUNTER' Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: UNKNOWN
Primary Parcel Number. 420014190442
Permit Description: New 3bd sandlined bed
Permit Submitted Date: 0212612025
Permit Issued Date: 0311812025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $825.00 (additional fees may W madded upon insiallatgn or system).
Permit Expiration Date: 03/14/2028 (Dosed on date or inapecuon)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department stag 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 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 Designer/Engineer 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/healthlenvimnmentalionsiteloss-inspection-request.php or call:
360-427-9670,extension 400.
i
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH °A"Na"RD 3/14/25 y n
ONSITE SEWAGE SYSTEM APPLICATION ANGUY'RE rvTu 825 NEGENDOW online o m
415N6th Sbee0Mg8) Shek°n WA,90594 0
Shelto :360327-670e400 BeNair 360275446] rt 400 0SWG 2025-00062 0
2 (n
APPLICANT PHONE a a
RYAN YORK 3605009187 IT IT
MAILING ADDRESS-STREET CITY,STATE,ZIP CODE r
1910 LENOX CT NW OLYMPIA WA 98502 3
SITE ADDRESS-STREET CITY ZIP CODE tD
XX E ISLAND LAKE DR SHELTON WA 98584 IT
NMIEOFOTSIGNER PHONE
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD
CHECNALLAPPUCABLE ITEMS DRINKINGNNTERSWRCE O
[] NEWCONSTRUCTION [] W HOLDING TANK ONLY Lq PRIVATE INDNIDUAL WELL Cy
0 REPLACEMENTSYSTEM 0 INSTALLATIONPERMITONLY 0 PRIVATETWO-PARTYWELL 0
0 TABLE B REPAIR 0 SINGLE FAMILY 0 COMMUNITY/PUBLIC WATER SYSTEM A
QQN
❑ TANOSI ONLY ❑ COMMERCIAL SYSTEN NAME: b
0 UPGRADE TO EXISTING O OTHER: BEDROOMS LOT SME I �_
0 EXISTING FAILURE
W"RxaBO,alvbp,quhW '3 0.65 I Mp
W/MbRN/m""
DIRECTIONSTO SITE-BE SPECIFICANDADVISE OFANY NEEDED INFORMATION FORACCESB(eAb WgM) 0
n
E SHELTON SPRINGS RD TO A LEFT ON ISLAND LAKE TO A LEFT AT THE 'T" TO SITE N
ON THE RIGHT.
y
yT E NU$T NE FIAOOED FF°N MAIfI ROAD ANO TEST NOTES MUST BE FLAGGED KILN MT IHNE NTAYERS
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(IW,p MWNW...I
[3VOLUNTARY C]MAINTENANCE/PUMPING O BUILDING PERMIT OHOMESALE [3COMPLAINT C]OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDIINMIS
TH1: 0-26 VGLMS, 26-62 EGCS (caved in)
TH2: 0-28 VGLMS, 28-72 EGCS to bottom of hole
no sign of restrictive layers
SOILWDFS:
V=VERY G-GRAVELLY S=SAND L=LOAM SI=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPUCAT.3N/UPIRATION DATE APPLICANT NPPPROVEDBY DATE
IVeps� 3/14/25 3/14128 EH APPROVED
IAnW.T—P.m BMlV
THIS FORM MAYBE SCANNEDANDAVMIL BLE FORPUBLIC WLWONTHE MABONCOUNTYMBSRE REVISED 12TOO15
i
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 42091-41-90442
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. Cross-section sketch,including all applicable items on checklist.
This form maybe scanned and available for public view on the Mason County Web site. M¢ mvm paper size: 1/"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2025-00062 Designer's Name: ADAM HUNTER
Applicant's Name: RYAN YORK Designer's Phone Number: 360-753-1226
Mailing Address: 1910 LENOX CT NW Designer's Address: PO BOX 162
OLYMPIA WA 98502 OLYMPIA WA 98507
City State Zip city State Zip
DESIGN PARAMETERS
Treatment Device
O Glendon Biofilter ❑ Sand Filter ❑ Mound EYSand Lined Drainfield ❑ Recirculating Filter,Type:
O Aerobic Unit Make/Model ❑ Disinfection Unit Make/Model Other:
Drainteld Type
❑Gravity YPressure ❑Trench G rBed ❑ Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 3 Schedule/Class 40
Daily Flow:Operating Capacity 270 gpd Length 36 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity 1200 gal Number 4
Receiving Soil Type(1-6) 1 Separation 2.5 ft
Receiving Soil Appl.Rate 1.0 gpd/ftt Orifices
Required Primary Area 360 1'12 Total Number of Orifices 60
Designed Primary Area 360 ftr Diameter 3/16 in
Designed Reserve Area 360 ft2 Spacing 28 in
Trench/Bed Width 10 It Manifold
Trench/Bed Length 36 It Schedule/Class 40
Elevation Measurements Length 7.5 ft
Original Drainfield Area Slope 0 % Diameter 2 in
New Slope,If Altered 0 % Preferred manifold configuration used? RrYes ❑No
Depth of Excavation Up-slope 48 in Transport Pipe
from Original Grade Down d, 48 in Schedule/Class 40
Designed Vertical Separation 18 in Length 230 ft
Gmvelless Chambers Required? ❑Yes ❑No ❑ Optional Diameter 2 in
Pump Required? ❑ Yes []No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 6
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 60 gal
Orifice ft Chamber Capacity 1200 gal
Uppermost Orifice O Higher O Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 35.171 gpm I7Timer EElapse Meter EtEvent Counter
Calculated Total Pressure Head t 1.535 It If Timer: Pump on 60GAL Pump off 4HRS
Comments
EH APPROVED
Rhonda Thompson 0 3/1 812 02 5
DESIGN FORM—PAGE TWO Assessor's Parcel Number:____42001-41_99442____
Permit Number: SWG 2025-00062
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
E� Test hole locations IZ Drainfield orientation and layout Reference depth from original grade:
♦9 Soil logs Ef Trench/bed dimensions and fd Septic tank
S9 Property lines critical distances within layout ®' Drainfield cover
El Existing and proposed wells g D-BoxNalve box locations Reference depth from original grade
within 100 it of property f>9 Septic tank/pump chamber and restrictive strata:
❑ Measurements to cuts,banks,and locations ❑ Laterals,trench/bed,top and
surface water and critical areas EZ Observation port location bottom
0 Location and orientation of 9 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption d Manifold placement ❑ Sand augmentation
components EX Orifice placement Other cross-section detail:
E9 Location and dimension of if Lateral placement with distance Y Observation ports/clean-outs
primary system and reserve area to edge of bed
g Other Information
0 Buildings
9 Audible/visual alarm referenced Yes No
9 Direction of slope indicator if Scale of drawing shown on scale ff ❑ Design staked out
E9 Waterlines bar ❑ ❑ Recorded Notices attached
• Roads,easements,driveways, ❑ ❑ Waiver(s)attached
parking ❑ ❑ Pump curve attached
• North arrow and scale drawing ❑ ❑ Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designe in e notified installer at time of installation ❑Yes ❑ No
2/26/25
nature f Designer Date
The undersigned has reviewed i design on behalf of Mason County Public Health and determined it to be in
compliance with state and local -site regulatinnc-
SII�/1 3/18/25
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved"by Mason County Public Health. 3/14/28
✓ 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: 12/72015
PAGE 1
MASON COUNTY HEALTH DEPARTMENT
ONSrtE SEWAGE DISPOSAL SYSTEM DESIGN
SITE P. PARCEL#. 420014190442
DATE SUBMITTED: 02/Z6@5 LEGAL/LOTA: PCL2 OF filAM21I
SUBMITTED BY: ADAM HUNTER
APPLICANT: RYAN YORK
ADDRESS: 1910 LENOX CT NW
OLYMP0,WA 955
I.CALCULATIONS
NUMBER OF BEDROOMS= 3
RESIDENTIAL GPD FLOW= 3W
IF NONRESIDENTIAL-GPD FLOW
W ILL BE AS FOLLOWS:
GPD=
APPLICATION RATE= 1 GPD/F72
REDUCTION=LEA VE Bf ANKIFNOTIJSED
DRMNFIELD SIZING
ABSORPTION AREA= 360 FT2
TRENCH LENGTH OR BED CONFIG.= 10F7X38FT SAND LINED BED
II.WATERPROOF SEPTIC TANK
COMPOSITION AND SIZE= 1200 GAL.CONCRETE
NEW OR EXISTING= NEW
III.DRAINFIELD CROSS SECTION
DEPTH TO DRAINROCK BOTTOM= 2'-0'
ROCK DEPTH BELOW PIPE= 0 -6'
SEPARATION FROM TRENCH BOTTOM TO IMPERMEABLE
MATERIAL/SEASONAL SATURATION=
FILL DEPTH
TRENCH WIDTH
N.PUMP REQUIREMENT
DOSING VOLUME IN GALLONS= 60
NUMBER OF DOSES PER DAY= 6
V.PRESSURE CALCULATIONS
USING PIPE CLASS= 40
ORIFICE DIAMETER= 3/16
vzs/zs EH APPROVED
Rhonda Thompson 03/18/2025
PAGE 2
LATERAL IH=
SQUIRT HEIGHT(FT)= 2.00
(NOTE(p:ORIFCEOISGro GEft TE•(II.l X(ORIFICEOIAMEIER)SOBX
50 ROOT OF(TOTAL PRESSURE HEAQ1
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 38.00
ORIFICE SPACING= 2-4-
DISTANCE FROM ENO CAP= 1'2-
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL 112•
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58618
LATERAL LENGTH IN FEET= 36.00
ORIFICE SPACING= 2'4'
DISTANCE FROM END CAP= 1'2"
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LATERAL n=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE• 0.58818
LATERAL LENGTH IN FEET= 38.00
ORIFICE SPACING= 2-4-
DISTANCE FROM END CAP= 1'2-
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE• 8.793
LATERAL fM=
SQUIRT HEIGHT(FT)= 2.00
ORIFICE DISCHARGE RATE= 0.58818
LATERAL LENGTH IN FEET= 38.00
ORIFICE SPACING= 2-4-
DISTANCE FROM END CAP= 1'2-
NUMBER OF HOLES= 15
LATERAL DISCHARGE RATE= 8.793
LENGTH DIAMETER FLOW FRICTION LOSS
SECTION (FT) (IN) (GPM) (FT)
AS 230.00 2.00 35.171 4.010
SC 1.25 2.W 17.585 0.007
CD 2.50 2.00 8.793 O.DN
DE 38.00 1.25 8.793 0.414
TOTAL= 5235
I
3 "TOTAL HEAD LOSS "
3
1)FRICTION L033 THROUGH SYSTEM= 5.235
2)ELEVATION DIFFERENCE = 4.W0
1
3)RE$IDDAL = 2.000
TOTAL= 11b35
1 2I26/25
I
" EH APPROVED
Rhonda Thompson 03/18/2025
ouiv. .e•
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EH APPROVED
Rhonda Thompson 03/18/2025
2126/25
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